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Preparing modern nurses for postmodern families.

Postmodern insights that have occurred across the social sciences and in limited areas of nursing are focused on the field of family nursing. The article describes postmodern families against the background of cultural changes that have influenced the conditions of those families. Nurses can practice more appropriately if they have an understanding of how postmodern thought has influenced the science and subsequent theoretical explanations of families. Initial insights are offered relating postmodernism and theories of family therapy. Practice roles are described that are believed to be more appropriate and effective when nursing occurs in the context of diversity, relativity, and value plurality that characterizes postmodern families.

Family↗

Postmodernism in marriage and family therapy training: doctoral students' understanding and experiences.

The purpose of this study is to advance our understanding of how doctoral students perceive postmodernism's influence in the field of Marriage and Family Therapy (MFT). According to the literature, postmodernism has had a profound impact on many fields, including MFT. However, tracking of how postmodernism is actually being rendered in theory, research, practice, and training warrants investigation. This study utilized focus group interviews to investigate the perceptions of MFT doctoral students. Findings suggest that while participants are attracted to postmodern tenets, they also report feeling a mixture of liberation and excitement with confusion and fear regarding how postmodernism is influencing MFT models of therapy.

Adult↗

Premodern, modern, and postmodern perspectives on sex and gender mixes.

Postmodern sensibilities, generally associated with relational psychoanalysis, are applicable also in traditional and contemporary Freudian psychoanalytic contexts. Historically speaking, views of femininity and female sexuality may be ordered according to positions designated as premodern, modern, and postmodern. This temporal continuum provides a basis for incorporating aspects of postmodern feminist approaches to deconstructing gender into a more traditional yet contemporary psychoanalytic framework. The postmodern "crisis of category" is addressed through a critique from a modern psychoanalytic point of view of the gender stereotyping inherent in certain false binaries and either/or thinking of premodern psychoanalytic thinking regarding female (as well as male) sex and gender. The cultural changes brought about by the consciousness-raising of postmodern feminist and contemporary psychoanalytic thinking contribute significantly to evolutionary changes in the understanding of gender that are further internalized and represented intrapsychically. That is, sequential transformations in the internalization of new cultural norms influence the development of still more new cultural norms, so that progression in these identificatory markers of gender can be observed over successive generations.

Bisexuality↗

Postmodernism and knowledge development in nursing.

Postmodernism as a concept and periodizing point between centuries has been defined as both the beginning and the end of modernity. This article explores some of the dimensions of this moment and movement between centuries and the implications of the postmodern condition on the nursing profession. Amidst the health care reform angst of deconstructing and reconstructing, challenges and opportunities await nursing's evolution into its own postmodern paradigm. Manifestations of such a postmodern paradigm are already reflected in the epistemological shifts of nursing science and knowledge development. Challenges posed for nursing science by this disorientingly free-floating era are brought to light--away from the reaction worldview, past the reciprocal and into the transformative-simultaneous, whereby nursing can emerge within its own unique postmodern discipline.

Health Care Reform↗

Style and responsibility: medicine in postmodernity.

To what extent can postmodern developments be observed in modern medicine and which theories of postmodern philosophy can we draw on with regard to medicine's theoretical problem? This article explores these questions with special emphasis on the epistemological status of medicine, the concept of disease, and the anthropological model. It is examined whether medicine's inherent duty to act can be questioned in the light of the plurality that characterizes postmodernity. It is concluded that, according to postmodern philosophy, medicine should be characterized by a justified variety of paradigms. Cooperation within the variety must continue to be guaranteed, always in favor of the constitutive moral duty of medicine.

Attitude to Health↗

Postmodern consciousness in psychotherapy.

Modern consciousness is a cultural and historical achievement in the West and a developmental task for each person now. Modern consciousness consists in the emancipation from the power of community, animistic nature and the unconscious. It is connected with neurosis and psychotherapy because it has to do with inner conflicts. But today there is an increasing number of cases which are characterized by dissociation and acting out, without the feeling of conflicts. Consciousness seems to be changing toward a new conception which might be called 'postmodern consciousness'. The essence of postmodern consciousness is shown by interpreting two dreams internally. The first dream from a case of depersonalization indicates that it is not necessary to be entangled with the object. There is a different kind of coniunctio in the mode of seeing. The second dream from a case of dissociative disorder shows a world which has neither traces of pre-modern cosmology-high and low, here and the beyond-nor modern interiority. There is only surface and self-reflection without content. The discussion of dreams suggests that postmodern consciousness is not to be understood as premature and pathological. It is therapeutically important to refine and deepen postmodern consciousness.

Adult↗

Postmodern health economics.

Postmodernism and health economics are both concerned with questions about choices and values, risk and uncertainty. Postmodernists seek to respond to such questions in the context of a world of uncoordinated and often contradictory chances, a world devoid of clear-cut standards. Health economics seeks to respond using the constructs of modernity, including the application of reason to generate better order. In this article we present two sorts of voice. First we introduce postmodernism and those seeking to contribute to economics from a postmodern perspective. Second, we consider critics of a prevalent neo-classicism within health economics both from outside that paradigm and from those more closely associated with it. It is increasingly evident that (health) economics, as presently constituted, is failing both in its descriptive powers and its prescriptive possibilities. Postmodernism offers not just an alternative theoretical approach but the possibility of both expanding the scope of health economics and grounding it more appropriately in the everyday experience of those engaging with health systems.

Causality↗

The art of nursing in a 'postmodern' context.

Notions of the 'postmodern' pervade various fields of study, but have rarely been applied to the practice and theory of nursing. This paper uses some conceptions of the 'postmodern' to remedy this. Though there are many contested usages of the term, here 'postmodern' will be used broadly in a periodical sense to trace changes in society and culture from the 'modernism' of the 18th and 19th centuries to current concerns about 'postmodernism'. How these changes have been reflected in nursing practice and nursing theory will be explored. The changing use of the term 'modern' to describe up-to-date practice will be addressed in the course of this. It is suggested that contextualizing nursing as a social/cultural activity in this way offers perspectives which will help us untangle the conflicting agendas and issues which form the fabric of the social world in which current nursing takes place, enabling us to act more effectively in promoting our own professional agendas.

History of Nursing↗

Winding roads and faded signs: ethical decision making in a postmodern world.

We are living in an era, sometimes referred to as "postmodern," exemplified by complex change related to vast increases in information and technology and exposure to diverse people and ideas. Society as a whole is experiencing dissonance in solving ethical dilemmas, and nurses' ethical dilemmas are never far removed from the social context in which nurses practice. This article explores aspects of postmodernism that complicate ethical decision making. It is hoped that this discussion may aid nurses in understanding how world values, especially those of postmodernism, complicate ethical decision making in health care. Suggestions melding aspects of the postmodern with traditional approaches to ethical decision making are presented.

Bioethics↗

Live supervision and family systems nursing: postmodern influences and dilemmas.

Evolving nursing practices in a graduate nursing education programme that offers live clinical supervision in family systems nursing can be conceptualized within a postmodern perspective. Postmodernism is described as a debate about knowledge that questions traditional foundational theories or explanations in science, culture, religion and literature. Practices of a clinical supervision system, i.e. a graduate student, supervisor, and clinical team, illustrate postmodern influences on clinical work with families. Dilemmas posed by contemporaneity of modern and postmodern influences are also explored.

Clinical Competence↗

Postmodern feminist emancipatory research: is it an oxymoron?

Many nurse-researchers who use feminist methods believe that postmodernism undermines the scientific and emancipatory aspirations of our discipline and they are therefore wary of postmodern theories. One of the main threats of postmodernism is the critique of humanism because humanism forms the ethical foundation for both nursing and feminism. These critiques expose the dark underside of humanistic ideals and show how, paradoxically, humanism has functioned to oppress people. The arguments presented here help emancipatory researchers to defend their practices, both in relation to research participants and in the ways in which the subjects is theorized. The conclusion is that postmodernism can be compatible with politically motivated, humanistically-based inquiry.

Ethics, Nursing↗

Psychoanalytic "problems" and postmodern "solutions".

A number of recent revisions of psychoanalytic theory implicitly draw on postmodern conceptualizations of human selves and human subjectivity. Though postmodern ideas have a wide currency in the humanities and in literary criticism, and are increasingly represented in critiques of science, psychoanalytic clinicians are generally less familiar with the body of writings that encompass postmodernist thought. This paper discusses the evolution of postmodernism and its emergence into psychoanalytic theory using the work of Roy Schafer and Irwin Hoffman as cases in point. I will suggest that when postmodernism is applied to psychoanalytic practice, the result is only a partial solution, at best, to the problems of metapsychology postmodernist revisions were intended to resolve.

Culture↗

The postmodernity of football hooliganism.

By using a 'cultural' definition of 'postmodernism' (derived from Jameson and Martin) in which postmodernism is regarded as the transgression of modern boundaries, this article traces the emergence of postmodern aspects to violent male fandom at football games since the 1960s. It is argued that at games, male fans have created imaginary masculine and national boundaries by which they have affirmed their identities but that in fighting they have sought to breach these boundaries in postmodern fashion.

Culture↗

Masculinity, male development, gender, and identity: modern and postmodern meanings.

Modern and postmodern scholars are addressing the crisis in masculinity by questioning the meaning of masculinity and by rethinking masculinity, male development, gender, and identity. This article explicates current modern humanist positions and postmodern positions on these topics. The first section summarizes contemporary theories advanced by scholars in the relatively new discipline of men's studies. The second section presents postmodern positions exploring sex as a biological given, the emerging critiques of differentiating sex and gender, and poststructural psychoanalytic positions on simultaneous production of individual subjectivity (sense of self), masculine identity, and society. Implications of these perspectives are identified.

Gender Identity↗

Postmodern feminist perspectives and nursing research: a passionately interested form of inquiry.

The challenges posed by postmodern and poststructural theories profoundly disrupt the certainties of feminist and nursing research, yet at the same time offer possibilities for developing new epistemologies. While there are an increasing number of accounts discussing the theoretical implications of these ideas for nursing research, I wish to discuss the practical and the methodological implications of using postmodern feminist theories within empirical research. In particular, I identify the challenges I encountered through an examination of specific aspects of the research process and through examples drawn from empirical research. I conclude that using postmodern feminist theories requires a continuous engagement with, and interrogation of, the modern epistemological and ontological assumptions of qualitative, feminist nursing research and, in so doing, presents the possibility for nurse scholars to begin to develop a 'passionately interested' methodological approach to nursing inquiry.

Attitude of Health Personnel↗

Gadow's romanticism: science, poetry and embodiment in postmodern nursing.

Sally Gadow's work is a sophisticated version of a familiar line of thought in nursing. She creates a chain of distinctions which is intended to differentiate cultural narratives, and particularly the 'science narrative', from imaginative narratives, especially poetry. Cultural narratives regulate and restrict; imaginative narratives are creative, liberating and potentially transcendent. These ideological effects are (supposedly) achieved through different structures of language. Scientific language, for example, is abstract and literal, while poetry is sensuous and metaphorical. In this paper, I argue that Gadow's way of discriminating between science and poetry fails. In the first place, the ideological valence she assigns to each of them is unwarranted. Science and poetry can both be harnessed to the project of emancipation, just as both can be incorporated in a strategy of oppression. In the second place, the claim that poetry and science are distinguished by their respective linguistic features--specifically, that one is metaphorical and the other literal--cannot be sustained. I illustrate this argument, as Gadow illustrates hers, by reference to the concept of embodiment, and consider whether Gadow is correct in thinking that poetry, not science, makes it possible for individuals (especially women) to 'reclaim the body'. I also suggest that Gadow's brand of postmodernism echoes Romanticism, whose defining characteristic was an insistent contrast between poetry and science. This is 'flip side' postmodernism, which merely opposes modernist values, preferring subjectivity to objectivity, feeling to rationality, and multiple realities to truth. It is less radical, and far less interesting, than 'remix' postmodernism, whose objective is not to reverse the polarities, but to reconfigure the entire circuit.

History, 20th Century↗

Postmodernity and a hypertensive patient: rescuing value from nihilism.

Much of postmodern philosophy questions the assumptions of Modernity, that period in the history of the Western world since the Enlightment. These assumptions are that truth is discoverable through human reason; that certain knowledge is possible; and furthermore, that such knowledge will provide a basis for the ineluctable progress of Mankind. The Enlightenment project is underwritten by the conviction that knowledge gained through the scientific method is secure. In so far as biomedicine inherits these assumptions it becomes fair game for postmodern deconstruction. Today, perhaps more than ever, plural values compete, and contradictory approaches to health, for instance, garner support and acquire supremacy through consumer choice and media manipulation rather than evidence-based science. Many doctors feel a tension between meeting the needs of the patient face to face, and working towards the broader health needs of the public at large. But if the very foundations of medical science are questioned, by patients, or by doctors themselves, wherein lies the value of their work? This paper examines the issues that the anti-foundationalist thrust of postmodernism raises, in the light of a case of mild hypertension. The strict application of medical protocol, derived from a nomothetic, statistical perspective, seems unlikely to furnish value in the treatment of an individual. The anything goes, consumerist approach, however, fares no better. The author argues that whilst value cannot depend on any rationally predetermined parameters, it can be rescued, and emerges from the process of the meeting with the patient.

Antihypertensive Agents↗

Postmodern values, attitudes and the use of complementary medicine.

OBJECTIVES: To examine the relationship between postmodern values, demographic variables and people's attitudes towards and use of acupuncture, aromatherapy and naturopathy. DESIGN: One hundred and seventy-one adults completed a survey measuring postmodern values about health, attitudes towards and use of complementary and alternative medicine (CAM), age, gender, education, and current and recent health. SETTING: Griffith University, Gold Coast, Australia. MAIN OUTCOME MEASURES: Attitudes to CAM and use of CAM. RESULTS: Postmodern values significantly predicted attitudes to CAM and actual use of CAM. Age also significantly predicted attitudes to CAM. CONCLUSIONS: The results highlight the importance of patients' belief in natural remedies and in their active involvement in the healing process.

Adolescent↗