Unable to answer the call of our patients: mental health nurses’ experience of moral distress When health practitioners’ moral choices and actions are thwarted by constraints, they may respond with feelings of moral distress. In a Canadian hermeneutic phenomenological study, physicians, nurses, psychologists and non‐professional aides were asked to identify care situations that they found morally distressing, and to elaborate on how moral concerns regarding the care of patients were raised and resolved. In this paper, we describe the experience of (...) moral distress related by nurses working in mental healthcare settings who believed that lack of resources (such as time and staff) leads to dispiritedness, lack of respect, and absence of recognition (for both patients and staff) which severely diminished their ability to provide quality care. The metaphors of flashlight and hammer are used to elaborate nurses’ possible responses to intolerable situations. (shrink)

In feminist linguistic analysis, women's speech has often been characterized as "powerless" or as "over-polite"; this paper aims to challenge this notion and to question the eliding of a feminine speech style with femaleness. In order to move beyond a position which judges speech as masculine or feminine, which are stereotypes of behavior, I propose the term "discourse competence" to describe speech where cooperative and competitive strategies are used appropriately.

In a recent issue of Feminist Review Camille Guy argued, focusing on selected controversies in New Zealand and Australia, that radical feminists have had a prescriptive hegemony in defining issues of sexual abuse, and that this has resulted in injustices and a censorious climate in which people who disagreed were too intimidated to speak out. This article replies to Guy's assertions and, while disagreeing with much of her argument, also suggests that it does point to more broadly sig-nificant issues for (...) feminists trying to analyse and oppose sexual violences at the end of the twentieth century. These include the legacy of the western feminist sex wars in a frequently polarized set of approaches to sexual abuse controversies, and the usefulness of postmodern/poststructuralist theories in helping feminists to make sense of the increasing complexities of the relationship between the mass media and feminist discourses against rape and child sexual abuse. (shrink)