旁观者:通过后殖民主义女权主义视角阐明心理健康护理中的代表权和代理权问题。

IF 2.2 4区 医学 Q1 NURSING Nursing Inquiry Pub Date : 2024-07-22 DOI:10.1111/nin.12661
Shivinder Dhari, Allie Slemon, Emily Jenkins
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引用次数: 0

摘要

住院病人精神健康护理工作的总体目标是,通过控制对自己和他人造成伤害的风险、减轻症状、提高在医院外生活的能力,为那些面临精神健康挑战的人提供支持。然而,占主导地位的、有害的陈旧观念依然存在,它们将患者视为低人一等、需要拯救、缺乏自我控制能力和主观能动性的人。这些主流假设根深蒂固地存在于种族主义、父权制和 "他者 "信念中,并继续延续和(重新)制造不平等,特别是对那些具有种族、阶级、性别和文化等多重交叉身份的人而言。本文探讨了后殖民主义女权主义的相关性,尤其是盖亚特里-斯皮瓦克(Gayatri Spivak)的 "次等人"(Subaltern)概念--即被剥夺了获得权力的机会,因此继续受到系统性压迫和边缘化的群体--揭示了关于心理健康挑战者缺乏代理权和需要代表权的问题和主流假设。通过对 "次边缘性 "的理解,本文旨在去中心化和解构心理健康护理工作中占主导地位的殖民主义和父权制叙事,并最终呼吁心理健康护理工作从根本上重新考虑关于患者需要代表权和缺乏代理权的普遍假设。
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The Subaltern: Illuminating matters of representation and agency in mental health nursing through a postcolonial feminist lens.

Inpatient mental health nursing operates with an overarching goal to support people living with mental health challenges by managing risk of harm to self and others, decreasing symptoms, and promoting capacity to live outside of hospital settings. Yet, dominant, harmful stereotypes persist, constructing patients as less than, in need of saving, and lacking self-control and agency. These dominant assumptions are deeply entrenched in racist, patriarchal, and Othering beliefs and continue to perpetuate and (re)produce inequities, specifically for people with multiple intersecting identities relating to race, class, gender, and culture. This paper explores the relevance of postcolonial feminism, particularly Gayatri Spivak's concept of Subaltern-conceptualized as groups of people who are denied access to power and therefore continue to be systematically oppressed and marginalized-in illuminating the problematic and dominant assumptions about people living with mental health challenges as lacking agency and requiring representation. Through an understanding of Subalternity, this paper aims to decenter and deconstruct dominant colonial, patriarchal narratives in mental health nursing, and ultimately calls for mental health nursing to fundamentally reconsider prevailing assumptions of patients as needing representation and lacking agency.

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来源期刊
Nursing Inquiry
Nursing Inquiry 医学-护理
CiteScore
4.30
自引率
13.00%
发文量
61
审稿时长
>12 weeks
期刊介绍: Nursing Inquiry aims to stimulate examination of nursing''s current and emerging practices, conditions and contexts within an expanding international community of ideas. The journal aspires to excite thinking and stimulate action toward a preferred future for health and healthcare by encouraging critical reflection and lively debate on matters affecting and influenced by nursing from a range of disciplinary angles, scientific perspectives, analytic approaches, social locations and philosophical positions.
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