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At least 109 records · Page 6Linked to original sources
PubMed2006

'Do not ask who I am...': confession, emancipation and (self)-management through reflection.

AIM: This study explores and extends some recent Foucauldian critiques of reflection and clinical supervision in nursing. BACKGROUND: Although reflection is often accepted uncritically, several writers have claimed that it is being employed (albeit perhaps unwittingly) as a management tool to facilitate the governmentality of the workforce by establishing conditions whereby so-called reflective practitioners monitor and regulate their own practice in an essentially self-repressive way. EVALUATION/EXAMINATION: We evaluated these critiques and extended them with reference to Foucault's later writing, particularly on the 'care of self'. KEY ISSUES AND CONCLUSIONS: Our exploration of these critiques prompted us to distinguish between two different projects of reflection, which we term the ontological and the epistemological. The ontological project regards the aim of reflection as personal growth under the direction of an enlightened guide, and we argue that there is a real danger that such an approach might degenerate into what one critic has termed 'a subtle but persuasive exercise of power'. The epistemological project, on the other hand, is concerned with an exploration by practitioners of their own methods of thinking about their practice, and as such, has the potential to become truly emancipatory.

Attitude of Health Personnel↗
PubMed2004

Confessions of a colour blind physician.

The author describes his experiences due to his inherited colour vision deficiency, as a child, as student and as a medical practitioner, when he had certain difficulties in clinical work. He quotes from the literature on the clinical skills of physicians with this deficiency and gives an account of his own research that involved meeting and testing other doctors of medicine. This revealed a wide range of difficulties experienced by colour vision defective doctors in their practice of medicine with a potentiality for errors. Although there is a number of publications on this subject, the profession has made little response to them. This suggests that it is facing a dilemma that is inhibiting appropriate action. It is suggested that colour vision scientists and medical practitioners need more understanding of each other's discipline if progress is to be made. The advantages of screening of medical students and advising those found to have a deficiency are discussed and lines of research are proposed.

Attitude of Health Personnel↗
PubMed2001

Confessions.

Explore the source record for details and available documents.

Journal Article↗
PubMed1993

Intelligence, previous convictions and interrogative suggestibility: a path analysis of alleged false-confession cases.

The main purpose of this study was to investigate the relationship between interrogative suggestibility and previous convictions among 108 defendants in criminal trials, using a path analysis technique. It was hypothesized that previous convictions, which may provide defendants with interrogative experiences, would correlate negatively with 'shift' as measured by the Gudjonsson Suggestibility Scale (Gudjonsson, 1984a), after intelligence and memory had been controlled for. The hypothesis was partially confirmed and the theoretical and practical implications of the findings are discussed.

Adult↗
PubMed1991

Failure to deliver hepatitis B vaccine: confessions from a genitourinary medicine clinic.

OBJECTIVE: To audit hepatitis B immunisation of homosexual or bisexual men in a genitourinary medicine clinic. DESIGN: Retrospective case note review of all homosexual and bisexual men presenting to a genitourinary clinic as new patients during 12 months in 1988 and follow up review of notes to May 1990. SETTING: One department of genitourinary medicine, Middlesex Hospital. PATIENTS: 758 homosexual or bisexual men, of whom 207 started a course of hepatitis B vaccine in 1988. Case notes were unavailable for one patient. MAIN OUTCOME MEASURES: The proportion of patients screened for hepatitis B virus markers, the proportion of susceptible patients immunised, the proportion completing the vaccine course, and the proportion rendered immune. RESULTS: 25 men had been previously tested for hepatitis markers; of the 732 not previously tested, 440 (60.1%) were screened for hepatitis B markers. 207 (69%) of the 300 patients without hepatitis B serological markers started the vaccine course, and 141 (68%) completed it, with 75 (84%) of the 89 tested after immunisation being immune. An estimated 24% of susceptible new patients were rendered immune as a result of the immunisation policy. Patients who presented with a further episode of a sexually transmitted disease were more likely to have been screened (25% v 12%, p less than 0.0001) and immunised (31% v 18% p = 0.02); those known or found to be positive for HIV antibody were more likely to have been screened (23% v 14%, p = 0.047) but less likely to have been immunised (6% v 17%, p = 0.004). CONCLUSIONS: The major failure was that in not screening; failure to immunise patients found to be susceptible and failure of compliance with the vaccine course contributed. Non-response to the vaccine was of minor importance. Improvements in vaccine delivery are required. IMPLICATIONS: Other providers should be encouraged to review their performance.

Adult↗