Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “EXISTENTIALISM”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,639 records · Page 91Linked to original sources
PubMed2004

The role of James McCosh in God's exile from psychology.

As a discipline of psychology coalesced during the latter half of the 19th century in American institutions of higher learning, the role of God as an explanatory force declined dramatically. Part of this story must include the role played by James McCosh, president and primary psychology professor at Princeton, 1868-1888, in assuring orthodox educated believers that the new psychology was essentially a safe endeavor and that the truths discovered therein posed no threat and ultimately would harmonize with the truths of the historic Christian faith. Several of McCosh's students later credited him with leading the way. Where McCosh led and how he did it is the focus of this article.

Education↗
PubMed1998

Metaclinical issues in the treatment of psychopolitical trauma.

Metaclinical implications of psychotherapy with individuals traumatized by violent political repression are explored, with an emphasis on ethical concerns in treatment. Issues addressed include the relevance of the sociopolitical context in the conceptualization of the trauma, the challenge of transcending cultural frameworks, the clinician's role in the reversal of collective denial, the interplay of motivation and countertransference, and the impact of questions of purpose and meaning in both survivors and clinicians interacting with trauma.

Adaptation, Psychological↗
PubMed1993

The art of nursing: the experience of patients and nurses.

Historical and contemporary conceptualizations of nursing have not addressed the art of nursing from an experiential research approach. This study explores patients' and nurses' experiences of the art of nursing using a phenomenological-hermeneutic approach to enquiry that allows for exploration of the empirical experience. Explicating a paradigm of the art of nursing, five distinct metathemes express nursing as art and describe the complex artistic processes that are lived through the nurse and patient.

Caregivers↗
PubMed1993

My death nearing its future: a Heideggerian hermeneutical analysis of the lived experience of persons with chronic illness.

Although over 50% of individuals over the age of 65 live with at least one chronic illness, little research has been conducted on the individual lived experience. For this phenomenological study, 12 individuals living with any long-term illness participated in extended, non-structured, audio-recorded interviews. Resulting verbatim transcripts were analysed hermeneutically using Heideggerian phenomenology as the philosophical framework. The pattern 'my death nearing its future' emerged from this research. The understandings gained from these individual narratives provide important insight for all individuals interacting with persons living with chronic illness.

Attitude to Death↗
PubMed1996

Constructing meaning in the learning experience: the role of alternative theoretical frameworks.

Student nurses actively interact with their experiences and construct theories about nursing in an attempt to make sense of their experiences. These alternative theoretical frameworks (ATFs), it will be suggested, do not conform to the types of structures that are thought to be the hallmark of formal theories but instead the knowledge of students can be understood as a series of narratives. The relationship between ATFs and the formal theories presented by educators may create difficulties for both students and teachers.

Cognition↗
PubMed1996

Implementation of a hermeneutic inquiry in nursing: philosophy, rigour and representation.

The thesis of this paper is that researchers working in interpretive traditions need to address three central issues: philosophy, rigour and representation. This paper discusses the process of an hermeneutic inquiry as a research methodology used in seeking to understand the experiences of older patients admitted to an acute hospital. The methodology includes the philosophical framework and assumptions underpinning the research. Philosophical hermeneutics guides the inquiry as a reflection of the research process. Three issues concerning legitimation of the hermeneutic research process arise: the philosophical underpinnings of the methodology, representation, or the participation of the researcher in making data, and rigour, or the way in which trustworthiness of hermeneutic research can be established. I recommend that Gadamer's primacy of application to the understanding of texts can also be applied to understanding of health environments. I conclude that Gadamer's post-modern sensibility regarding text and the framework of Guba & Lincoln's fourth generation evaluation are compatible within a hermeneutic inquiry.

Acute Disease↗
PubMed1998

Misinterpretive phenomenology: Heidegger, ontology and nursing research.

This paper argues that Heidegger's phenomenology does not have the methodological implications usually ascribed to it in nursing literature. The Heidegger of Being and Time is not in any sense antagonistic to science, nor does he think that everydayness is more authentic, more genuine, than scientific enquiry or theoretical cognition. It is true that social science must rest on interpretive foundations, acknowledging the self-interpreting nature of human beings, but it does not follow from this that hermeneutics exhausts all the possibilities. Positivist approaches to social science are certainly inconsistent with Heidegger's ontology, but realist approaches are not and structuration theory, in particular, can be seen as a sociological translation of his ideas. Social enquiry in nursing is not therefore confined to studies of lived experience. Indeed, lived experience research constitutes not a realization, but rather a betrayal, of Heidegger's phenomenology, being thoroughly Cartesian in spirit.

Existentialism↗
PubMed1998

Fruits without labour: the implications of Friedrich Nietzsche's ideas for the caring professions.

Seldom is the work of philosophers invoked by health professionals when examining aspects of care from a philosophical perspective. Instead, students of health care, especially nurses, have been introduced to 'philosophies' which are often superficially examined and poorly understood. This practice fails to develop in students an appreciation of the work of philosophers or to acquire the art of critical thinking. The introduction of models and theories of nursing in the past three decades has alerted nurses to the importance of possessing critical skills in order to identify sound theory and implement good practice. This paper goes beyond mere philosophising and examines aspects of mental health care from the perspectives of one of nineteenth century Europe's most notable philosophers, Friedrich Nietzsche. It argues that understanding his work can enhance one's ability to reflect on nursing practice, as well as bringing a new dimension to how we analyse 'mental health' problems. His work provides many insights into how we can improve our understanding of the effect of mental illness and mental health care on the individual, and how we conceptualise the process of care. This paper provides an overview of his life's work, his impact on the history of ideas and develops some of the more provocative implications of his work for mental health care.

Empathy↗
PubMed1998

It hurts most around the heart: a phenomenological exploration of women's anger.

Women's anger experience has been poorly understood and insufficiently researched. Yet the emotion of anger is vitally important to women's physical and mental health, and to the quality of their relationships. This phenomenological study was undertaken as an expansion and extension of the Women's Anger Study, the first large survey of the genesis, manifestations and correlates of anger in American women. Although the earlier study contributed to understanding of anger, a deeper examination of the context and meanings of anger experience was sought. Twenty-nine Caucasian women ranging in age from 21 to 66 years were interviewed. Illustrative occupations ranged from homemaker, student, waitress to business executive, professor, and human service professional. Analysis involved thematizing by the researchers independently and within a multidisciplinary phenomenological research group. The thematic structure of women's anger involved a building over time of a confusing mixture of feelings (hurt, frustration, disillusionment) precipitated by a violation of the core values of the self. The precipitant of anger was unfair and/or disrespectful treatment or lack of reciprocity in relationships. When the anger was confined within self, the woman felt helpless and powerless. However, powerlessness was also evident when anger was externalized in an outburst. To the study participants, an angry outburst meant a loss of control rather than ability to achieve control. Women reported a sense of power when using anger to restore justice, respect, and relationship reciprocity. Clinicians can assist women to reflect on their core values and use the power of their anger effectively. Further studies are in progress to examine the relevance of these findings for women of other races and cultural contexts.

Adaptation, Psychological↗
PubMed2000

Language, discourse and the chronotope: applying literary theory to the narratives in health care.

Language, discourse and the chronotope: applying literary theory to the narratives in health care One of the most significant developments in nursing has been the recognition of the power of the narrative approach. Narrative knowing has evolved from both the patient and the nurse experience. In the case of the individual, it can be told through case history (clinical) and life story (theory-building). The life story of the individual as a patient represents him or her to the nurse and is in turn responded to through appropriate care. Alternatively, the life story of the individual as research participant represents him or her to the researcher and is in turn responded to through appropriate interpretation. The value of the narrative is that the 'otherness' of the teller/writer can be regarded by the listener/reader. There resides a major tension, however, whether in theory building or the practice setting: meaning What this paper argues, is that the emphasis placed on the subject to provide an authentic story of their life is misguided, whether in the care setting or in interpretive research. My contention is that we need to develop a less naive understanding of the complexities of the language with which the individual speaks. This can be achieved by adopting post-structural analyses of the spoken or written word, from both the originator's and recipient's experiences. By reconceptualizing such narratives as 'autobiographies' it is possible to borrow from the field of literary criticism a tool known as chronotopic analysis to perform this task.

Attitude of Health Personnel↗
PubMed2000

South Asian patients' lived experience of acute care in an English hospital: a phenomenological study.

Studies on utilization of hospital services by South Asian patients in the United Kingdom have consistently demonstrated levels of dissatisfaction with care in relation to meeting religious and cultural needs, although there are few studies on minority ethnic patients' utilization of acute hospital services. This study aimed to describe and interpret from the consumer's view the 'lived experience' of acute hospital care from the perspectives of South Asian patients and their family carers. The purposive sample of 10 patients and six carers consisted of 13 females and three males (five Hindus, six Muslims and five Sikhs) who were interviewed at home 2 to 3 weeks after discharge from hospital. Data were gathered through semi-structured interviews that were tape recorded and transcribed. A phenomenological approach was used, and data were analysed using the principles of Heideggerian hermeneutics. Five themes were identified, ranging from feelings of satisfaction with care, unhappy about the service, fitting-in strategies and post-discharge coping mechanisms. Patients seemed to want to cause as little disruption as possible to the ward environment and tried to fit in to what they refer to as an 'English place'. The findings, although not generalizable, offer important insights into how South Asian patients survive their journey through their hospital stay and have implications for the provision of nursing care for minority ethnic patients.

Asia, Western↗
PubMed2000

Interviewing in phenomenology and grounded theory: is there a difference?

This paper explores the differences and similarities that may exist in respect of using the interview method in phenomenological and grounded theory methodologies. Baker et al. set out to differentiate between method in grounded theory and phenomenology and concluded that it was essential to ensure that the method matches the research question being asked. However, the paper, whilst clear in intent to differentiate between the methodologies of phenomenology and grounded theory, does little to help the researcher in the differences that may exist in carrying out such research using the same method, that is, interviewing. Interviewing has become synonymous with qualitative research and may become the accepted method of data collection irrespective of methodology. We postulate that the interview as a method of data collection may be inconsistent with the underlying principles of the methodology (phenomenology or grounded theory). Should this be the case then the interview as a means of collecting data may be viewed as generic and lack a clear connection to the methodological framework. Such a position could be consistent with a critique of qualitative nursing research on the grounds of rigour.

Existentialism↗
PubMed2000

A phenomenological study of early nursing experiences in Hong Kong.

The experience of primary professional socialization is crucial for neophytes to learn to become a nurse. These early nursing encounters may also have long-term effects on professional development of individual nurses. However, research into the early experiences of nurses has been poorly documented. This study endeavours to reveal the early lived nursing experience amongst a group of nurses in Hong Kong. This study adopts a phenomenological approach which involves the thematic analysis of the critical incidents provided by 77 subjects. Findings revealed that incidents associated with death and dying, and clinical learning embracing interpersonal relations and professional development, were the most memorable events. Nurses were in general not equipped adequately to communicate with the dying and the grieving relatives. The subjects disclosed that positive clinical encounters confirmed their value of nursing work and motivated them to stay in the profession. Conversely, the negative experiences made them seriously consider leaving nursing. A number of implications for nursing education have been drawn from the research findings.

Existentialism↗
PubMed2001

Benner and Wrubel on caring in nursing.

AIMS: To explain the distinction between intentional and ontological care; to explain the distinction, within the category of ontological care, between deep care and identity constituting care and to show how the latter form of care is of relevance to nursing theory and practice. BACKGROUND: The idea of intentional care is familiar in much writing on care within nursing literature. Within Benner and Wrubel's book The Primacy of Caring, Stress and Coping in Health and Illness the idea of ontological care is exploited. But many interpret their claims on this topic as claims concerning intentional care. The present paper tries to clarify this misunderstanding. CONCLUSION: The notions of intentional and ontological care are each important within nursing theory and practice. But it is also important to understand how they differ. And it is equally important to appreciate how the idea of ontological care applies to nursing practice.

Empathy↗
PubMed2001

A synthesis technique for grounded theory data analysis.

AIMS: The purposes of this paper are to examine the issues surrounding current changes in grounded theory (GT) research methods and to explicate an innovative synthesis technique to GT data analysis. BACKGROUND: In recent years there has been a steady rise in the number of published research reports that use the GT method. However, this growing body of GT literature has been criticized for its lack of adherence to the method as explicated by its originators, Glaser and Strauss. METHODS: Recent and past literature that explicates, describes, and discusses GT methods is reviewed. A synthesis technique for grounded theory data analysis was developed to analyse qualitative data collected for a grounded theory study on caregiving. This synthesis technique was derived from the works of four grounded theorists (Kathy Charmaz, Mark Chesler, Juliet Corbin and Anselm Strauss). RESULTS: The lack of clarity and the inconsistencies surrounding GT analysis, as reported in the literature, resulted in the development of a synthesis technique based on the works of the aforementioned-grounded theorists. The product was a synthesis approach that included analytical steps from each of these authors. CONCLUSIONS: This synthesis approach increased understanding and enhanced clarity of GT data analysis techniques. This paper illustrates how integration of works by noted qualitative scholars is an appropriate and effective means to advance the discourse on data analysis for GT research studies.

Black or African American↗