Pub Date : 2024-03-07DOI: 10.18192/aporia.v16i1.6735
Jacqueline Avanthay Strus, Viola Polomeno
This article presents partial results of a larger mixed methods study about consensual non-monogamists’ perceptions of their parenting and sexual lifestyle, particularly those involving the transition to parenthood, intimacy and communication. Using The Expanding the Movement for Empowerment and Reproductive Justice lens, six participants completed an online questionnaire and a semi-structured interview guide. Consensual non-monogamists are like other parents, yet they prioritise sexual intimacy over emotional intimacy. Communication is very important for them. The quantitative results support the qualitative ones: the participants had a higher level of parenting sense of competence, and the means for emotional and sexual intimacy were lower for primary partners than for secondary ones. Perinatal health care professionals including nurses need to know more about parenting consensual non-monogamists and their partner(s). More research is warranted with this particular group of parents, especially on their experiences of minority stress, resilience and taking a more intersectional research approach.
{"title":"Parenting Consensual Non-Monogamists’ Perceptions of Parenthood, Intimacy, and Communication","authors":"Jacqueline Avanthay Strus, Viola Polomeno","doi":"10.18192/aporia.v16i1.6735","DOIUrl":"https://doi.org/10.18192/aporia.v16i1.6735","url":null,"abstract":"This article presents partial results of a larger mixed methods study about consensual non-monogamists’ perceptions of their parenting and sexual lifestyle, particularly those involving the transition to parenthood, intimacy and communication. Using The Expanding the Movement for Empowerment and Reproductive Justice lens, six participants completed an online questionnaire and a semi-structured interview guide. Consensual non-monogamists are like other parents, yet they prioritise sexual intimacy over emotional intimacy. Communication is very important for them. The quantitative results support the qualitative ones: the participants had a higher level of parenting sense of competence, and the means for emotional and sexual intimacy were lower for primary partners than for secondary ones. Perinatal health care professionals including nurses need to know more about parenting consensual non-monogamists and their partner(s). More research is warranted with this particular group of parents, especially on their experiences of minority stress, resilience and taking a more intersectional research approach.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"25 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140077609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-07DOI: 10.18192/aporia.v16i1.6947
Clara Lessard-Deschênes, Pierre Pariseau-Legault, Marie-Hélène Goulet
The theory of procedural justice, derived from social psychology, is employed in numerous fields of study concerned with the quality of interactions involving individuals in positions of authority. Although this theory is increasingly cited for its potential to promote approaches aimed at mitigating the effects of psychiatric coercion and better respecting individuals' rights, empirical literature provides limited insights into how procedural justice could be translated into practice. It is important, therefore, to examine the theoretical and practical implications of such an orientation. Based on a critical analysis of existing literature, this article will discuss the potential contributions and limitations of procedural justice applied in the field of mental health and psychiatric nursing. Procedural justice has limitations regarding solutions for human rights violations in psychiatry. It nonetheless allows a focus on the quality of interactions with individuals in coercive contexts, in addition to considering the social and identity-related implications of psychiatric coercion.
{"title":"Can mental health practice benefit from procedural justice theory? A critical analysis on the opportunities and pitfalls of procedural justice to address coercion and human rights issues in psychiatry","authors":"Clara Lessard-Deschênes, Pierre Pariseau-Legault, Marie-Hélène Goulet","doi":"10.18192/aporia.v16i1.6947","DOIUrl":"https://doi.org/10.18192/aporia.v16i1.6947","url":null,"abstract":"The theory of procedural justice, derived from social psychology, is employed in numerous fields of study concerned with the quality of interactions involving individuals in positions of authority. Although this theory is increasingly cited for its potential to promote approaches aimed at mitigating the effects of psychiatric coercion and better respecting individuals' rights, empirical literature provides limited insights into how procedural justice could be translated into practice. It is important, therefore, to examine the theoretical and practical implications of such an orientation. Based on a critical analysis of existing literature, this article will discuss the potential contributions and limitations of procedural justice applied in the field of mental health and psychiatric nursing. Procedural justice has limitations regarding solutions for human rights violations in psychiatry. It nonetheless allows a focus on the quality of interactions with individuals in coercive contexts, in addition to considering the social and identity-related implications of psychiatric coercion.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"19 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140077269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-06DOI: 10.18192/aporia.v15i2.6506
Hermandeep Deo, Emmanuela Ojukwu, Geertje Boschma
Improving the rates of breastfeeding has been a prime interest of Public Health Nurses focusing on health promotional strategies as outlined by the World Health Organization. However, evidence of the perceptions held by perinatal families regarding the encouragement to breastfeed is lacking. With the goal of uncovering existing research, an integrative review was conducted, retrieving nine studies. Themes included: variables of delivery (beliefs and ambiguity), outcomes of receivers (expectations, emotions, empowerment verses pressure), and contextual factors (social, cultural, and political forces). Notable differences between the experiences of women in differing social locations were found. The results demonstrate a need for professionals and policymakers to consider the nuanced ways in which individuals experience breastfeeding health promotional messaging. Unintended impacts of this strategy potentially widen breastfeeding inequities between the groups most and least advantaged in society. The diversity of Canadians was found to be vastly underrepresented in the literature.
{"title":"Contextualizing the Health Promotion of Breastfeeding: An integrative Review of Parent and Provider experiences in Canada","authors":"Hermandeep Deo, Emmanuela Ojukwu, Geertje Boschma","doi":"10.18192/aporia.v15i2.6506","DOIUrl":"https://doi.org/10.18192/aporia.v15i2.6506","url":null,"abstract":"Improving the rates of breastfeeding has been a prime interest of Public Health Nurses focusing on health promotional strategies as outlined by the World Health Organization. However, evidence of the perceptions held by perinatal families regarding the encouragement to breastfeed is lacking. With the goal of uncovering existing research, an integrative review was conducted, retrieving nine studies. Themes included: variables of delivery (beliefs and ambiguity), outcomes of receivers (expectations, emotions, empowerment verses pressure), and contextual factors (social, cultural, and political forces). Notable differences between the experiences of women in differing social locations were found. The results demonstrate a need for professionals and policymakers to consider the nuanced ways in which individuals experience breastfeeding health promotional messaging. Unintended impacts of this strategy potentially widen breastfeeding inequities between the groups most and least advantaged in society. The diversity of Canadians was found to be vastly underrepresented in the literature.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134943816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-06DOI: 10.18192/aporia.v15i2.6970
None Collectif d'autrices*
Réflexion sur le 29e Congrès du Conseil international des infirmières et, plus largement, sur le rôle politique des organisations infirmières
对国际护士理事会第29届大会的反思,以及更广泛地对护理组织的政治作用的反思
{"title":"Dimension politique du leadership infirmier : Réflexion sur le 29e Congrès du Conseil international des infirmières et, plus largement, sur le rôle politique des organisations infirmières","authors":"None Collectif d'autrices*","doi":"10.18192/aporia.v15i2.6970","DOIUrl":"https://doi.org/10.18192/aporia.v15i2.6970","url":null,"abstract":"Réflexion sur le 29e Congrès du Conseil international des infirmières et, plus largement, sur le rôle politique des organisations infirmières","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134943814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pour concevoir l’agir complexe de la pratique infirmière, les théories auraient avantage à adopter un mode de pensée systémique qui reconnait le caractère interdépendant de la vie humaine. Nous supposons que cela permettrait d’appréhender les visées de santé dans la discipline infirmière. Dans cet article, nous proposons de recourir à l’idée des capabilités d’Amartya Sen. Les capabilités, soit l’ensemble des libertés réellement possédées par les individus, reconnaissent les multiples dynamiques personnelles, sociales ou environnementales qui permettent à chacun de vivre la vie valorisée. En positionnant les capabilités pour la santé comme finalité, notre proposition conçoit que l’agir complexe de la pratique infirmière s’engage dans des activités qui transforment des ressources en capabilités. Cela prend forme par la participation des personnes soignées et par la création d’un environnement favorable. Notre proposition évoque alors un espace d’interdépendance réciproque, une réflexivité des infirmières, ainsi qu’un positionnement stratégique pour cheminer vers la santé.
{"title":"L’idée des capabilités de Sen pour concevoir l’agir complexe de la pratique infirmière","authors":"Jérôme Leclerc-Loiselle, Sylvie Gendron, Serge Daneault","doi":"10.18192/aporia.v15i2.6785","DOIUrl":"https://doi.org/10.18192/aporia.v15i2.6785","url":null,"abstract":"Pour concevoir l’agir complexe de la pratique infirmière, les théories auraient avantage à adopter un mode de pensée systémique qui reconnait le caractère interdépendant de la vie humaine. Nous supposons que cela permettrait d’appréhender les visées de santé dans la discipline infirmière. Dans cet article, nous proposons de recourir à l’idée des capabilités d’Amartya Sen. Les capabilités, soit l’ensemble des libertés réellement possédées par les individus, reconnaissent les multiples dynamiques personnelles, sociales ou environnementales qui permettent à chacun de vivre la vie valorisée. En positionnant les capabilités pour la santé comme finalité, notre proposition conçoit que l’agir complexe de la pratique infirmière s’engage dans des activités qui transforment des ressources en capabilités. Cela prend forme par la participation des personnes soignées et par la création d’un environnement favorable. Notre proposition évoque alors un espace d’interdépendance réciproque, une réflexivité des infirmières, ainsi qu’un positionnement stratégique pour cheminer vers la santé.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134943810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-06DOI: 10.18192/aporia.v15i2.6604
Eduan Breedt
This paper draws lines of similarity between physiotherapy’s transcendent ontology and that of Christian fundamentalism. Like fundamentalism, I argue that physiotherapy dogmatically conforms to a limited, incontroversial Truth upheld by an unacknowledged imagined community which opposes epistemological and ontological mobility. Using this confluence, I illustrate how betraying physiotherapy becomes necessary in order to escape its conformist ontology. This essay reimagines God as an immanent creator through Gilles Deleuze’s ontology, which concurrently reifies physiotherapy and its ontology with one of immanence and difference. To escape the habituation of thought and make physiotherapy strange, I intentionally use unconventional and unfamiliar diction throughout this essay, creatively experimenting with the generative potential of Viktor Schlovosky’s concept of defamiliarization. By betraying the comfort of transcendence, affirming difference and unfamiliarity, we experiment with what physiotherapy could become.
{"title":"The Church of Physiotherapy: The Necessity for Betrayal","authors":"Eduan Breedt","doi":"10.18192/aporia.v15i2.6604","DOIUrl":"https://doi.org/10.18192/aporia.v15i2.6604","url":null,"abstract":"This paper draws lines of similarity between physiotherapy’s transcendent ontology and that of Christian fundamentalism. Like fundamentalism, I argue that physiotherapy dogmatically conforms to a limited, incontroversial Truth upheld by an unacknowledged imagined community which opposes epistemological and ontological mobility. Using this confluence, I illustrate how betraying physiotherapy becomes necessary in order to escape its conformist ontology. This essay reimagines God as an immanent creator through Gilles Deleuze’s ontology, which concurrently reifies physiotherapy and its ontology with one of immanence and difference. To escape the habituation of thought and make physiotherapy strange, I intentionally use unconventional and unfamiliar diction throughout this essay, creatively experimenting with the generative potential of Viktor Schlovosky’s concept of defamiliarization. By betraying the comfort of transcendence, affirming difference and unfamiliarity, we experiment with what physiotherapy could become.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134943812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-06DOI: 10.18192/aporia.v15i2.6969
None Collective of authors*
Réflexion sur le 29e Congrès du Conseil international des infirmières et, plus largement, sur le rôle politique des organisations infirmières
对国际护士理事会第29届大会的反思,以及更广泛地对护理组织的政治作用的反思
{"title":"Politics of nursing leadership: Reflecting on the 29th Congress of the International Council of Nurses and on nursing organizations’ political role more broadly","authors":"None Collective of authors*","doi":"10.18192/aporia.v15i2.6969","DOIUrl":"https://doi.org/10.18192/aporia.v15i2.6969","url":null,"abstract":"Réflexion sur le 29e Congrès du Conseil international des infirmières et, plus largement, sur le rôle politique des organisations infirmières","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134943817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-11DOI: 10.18192/aporia.v15i1.6587
Lucía Franco, L. Nicholls
The relatively new method of autoethnography as valid research is used in this paper. The method combines a personal and introspective approach with the academic research method. By reflecting on her experience of psychosis, the first author (LF) attempts to show how psychotic symptoms, such as delusions or paranoid perceptions, have a symbolic meaning and could relate to previous traumatic experiences. She uses Winnicott’s concept of the ‘true’ and the ‘false’ self and applies it to psychotic illness. Using auto-ethnographic details of her experiences, she indicates how trauma, and associated falsification of its understanding, led to distortion, i‧e., a false reality, a symptom typically associated with psychosis. A brief comparison is then made of her experience to two other published auto-biographical cases. In light of this self-analysis and careful reading of key psychoanalytic texts, the author explores and explains what, in her experience, may lead people to act in a manner not typical of their true being and how this might explain the rare dangerous behaviour that can occur in some psychotic cases. The understanding of psychosis as ‘madness’ (i‧e., to be without reason) is revealed to be due to lack of understanding of its possible underlying causes.
{"title":"Does Madness Really Exist? An autobiographical analysis of psychosis as a response to trauma and not a ‘mad’ state of mind","authors":"Lucía Franco, L. Nicholls","doi":"10.18192/aporia.v15i1.6587","DOIUrl":"https://doi.org/10.18192/aporia.v15i1.6587","url":null,"abstract":"The relatively new method of autoethnography as valid research is used in this paper. The method combines a personal and introspective approach with the academic research method. By reflecting on her experience of psychosis, the first author (LF) attempts to show how psychotic symptoms, such as delusions or paranoid perceptions, have a symbolic meaning and could relate to previous traumatic experiences. She uses Winnicott’s concept of the ‘true’ and the ‘false’ self and applies it to psychotic illness. Using auto-ethnographic details of her experiences, she indicates how trauma, and associated falsification of its understanding, led to distortion, i‧e., a false reality, a symptom typically associated with psychosis. A brief comparison is then made of her experience to two other published auto-biographical cases. In light of this self-analysis and careful reading of key psychoanalytic texts, the author explores and explains what, in her experience, may lead people to act in a manner not typical of their true being and how this might explain the rare dangerous behaviour that can occur in some psychotic cases. The understanding of psychosis as ‘madness’ (i‧e., to be without reason) is revealed to be due to lack of understanding of its possible underlying causes.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48275208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-11DOI: 10.18192/aporia.v15i1.6487
Laurel Schmanda, A. Giles, Carrie Martin, Michael Liddell
Despite the abundance of research on the experiences of researchers with community-based participatory research (CBPR), there has been comparatively little published on CAB members’ experiences. The goal of this research was to analyze the lived experiences of a small sample of CAB members in recent health-focused CBPR in Canada, with a particular focus on areas for improvement. We found that CAB members in CBPR experienced low perceived value from researchers due to communication patterns, education differences, and inadequate compensation. These issues may be mitigated through increased CAB member engagement throughout the research process, adequate compensation, and improved emotional support. This study demonstrates that if CBPR methodologies are to live up to their promise, it is crucial that CAB members are enabled to work in true partnership with researchers, receive adequate compensation that is meaningful to them, and are supported throughout the process.
{"title":"“Very Similar to Having a Pimp”: Community Advisory Board Members’ Experiences in Health-Related Community-Based Participatory Research","authors":"Laurel Schmanda, A. Giles, Carrie Martin, Michael Liddell","doi":"10.18192/aporia.v15i1.6487","DOIUrl":"https://doi.org/10.18192/aporia.v15i1.6487","url":null,"abstract":"Despite the abundance of research on the experiences of researchers with community-based participatory research (CBPR), there has been comparatively little published on CAB members’ experiences. The goal of this research was to analyze the lived experiences of a small sample of CAB members in recent health-focused CBPR in Canada, with a particular focus on areas for improvement. We found that CAB members in CBPR experienced low perceived value from researchers due to communication patterns, education differences, and inadequate compensation. These issues may be mitigated through increased CAB member engagement throughout the research process, adequate compensation, and improved emotional support. This study demonstrates that if CBPR methodologies are to live up to their promise, it is crucial that CAB members are enabled to work in true partnership with researchers, receive adequate compensation that is meaningful to them, and are supported throughout the process.\u0000 ","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46497380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-11DOI: 10.18192/aporia.v15i1.6503
S. Daneau, A. Bourbonnais, A. Legault
Formerly playing an assistive role motivated by virtue, obedience, and self-denial, nurses are now autonomous professionals with unique expertise, skills, and competencies. However, current recognition of the nursing role is far from optimal and perpetuates the invisibility of nurses’ real work. This article examines one component of the situation: the non-recognition of the nursing role by nurses themselves. Hypotheses explaining this phenomenon, like the history of nursing and the lack of common language, is presented, as well as its impacts, followed by exploration of possible solutions.
{"title":"Ending the invisible work of nurses: Reflection following a study about nursing support of relatives","authors":"S. Daneau, A. Bourbonnais, A. Legault","doi":"10.18192/aporia.v15i1.6503","DOIUrl":"https://doi.org/10.18192/aporia.v15i1.6503","url":null,"abstract":"Formerly playing an assistive role motivated by virtue, obedience, and self-denial, nurses are now autonomous professionals with unique expertise, skills, and competencies. However, current recognition of the nursing role is far from optimal and perpetuates the invisibility of nurses’ real work. This article examines one component of the situation: the non-recognition of the nursing role by nurses themselves. Hypotheses explaining this phenomenon, like the history of nursing and the lack of common language, is presented, as well as its impacts, followed by exploration of possible solutions.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41378833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}