Background The phenomenon of ‘moral distress’ has continued to be a popular topic for nursing research. However, much of the scholarship has lacked conceptual clarity, and there is debate about what it means to experience moral distress. Moral distress remains an obscure concept to many clinical nurses, especially those outside of North America, and there is a lack of empirical research regarding its impact on nurses in the United Kingdom and its relevance to clinical practice. Research aim To explore the (...) concept of moral distress in nursing both empirically and conceptually. Methodology Feminist interpretive phenomenology was used to explore and analyse the experiences of critical care nurses at two acute care trauma hospitals in the United Kingdom. Empirical data were analysed using Van Manen’s six steps for data analysis. Ethical considerations The study was approved locally by the university ethics review committee and nationally by the Health Research Authority in the United Kingdom. Findings The empirical findings suggest that psychological distress can occur in response to a variety of moral events. The moral events identified as causing psychological distress in the participants’ narratives were moral tension, moral uncertainty, moral constraint, moral conflict and moral dilemmas. Discussion We suggest a new definition of moral distress which captures this broader range of moral events as legitimate causes of distress. We also suggest that moral distress can be sub-categroised according to the source of distress, for example, ‘moral-uncertainty distress’. We argue that this could aid in the development of interventions which attempt to address and mitigate moral distress. Conclusion The empirical findings support the notion that narrow conceptions of moral distress fail to capture the real-life experiences of this group of critical care nurses. If these experiences resonate with other nurses and healthcare professionals, then it is likely that the definition needs to be broadened to recognise these experiences as ‘moral distress’. (shrink)

The past 20–30 years have provided plenty of new empirical data on women’s sexuality, a topic often theorised as puzzling and unexplainable. In recent discussions, a controversial issue has been the phenomenon of sexual concordance, i.e. the correlation between the self-reported, subjective assessment of one’s sexual arousal and the simultaneous bodily response measured directly on the genitals. In laboratory-based assessments, sexual concordance has been observed to be on average substantially lower in women than in men, although the reasons for the (...) considerable gender difference are still open to debate. Drawing on a phenomenological approach to culture-dependent meaning-formation and on feminist social theory of everyday sexuality, I argue that the reasons behind women’s low sexual concordance can be found neither in their minds nor their bodies but in the way meaning-making processes function in human sexual experiences. Women’s first-person perspectives on their own sexuality have historically played only a marginal role in the creation of socially endorsed sexual meanings, yet these shared meanings have a profound influence on how individuals make sense of their bodily experiences in sexual situations. (shrink)

Trans of Color inclusion is not simply a gesture of affectionate commitment to María Lugones's theory of impure communities. Rather, it is required for the enactment of her liberatory theory within and across communities of color. While María Lugones's historico-theoretical analysis of the colonial/modern gender system relies upon anthropological citations of Native gender and sexual diversity, she argues that we must bracket gender for the benefit of [cis]women of color feminisms. However, if this bracketing does not first carefully uncover cisgender (...) histories of violence, then this decolonial feminist praxis reinscribes the invisibility of transphobia, racism, and colonialism's violent intersections, performing another mode of erasure and silence on Trans, Two-Spirit, and Nonbinary Native, Black, and Latinx peoples. In placing Lugones's texts into conversation with the voices of Two-Spirit and Trans of Color theorists, I argue that the mutilation of trans flesh makes possible the integration of [cis]People of Color into the gender–sex binary even if as failures. More important, this essay offers the beginnings of a phenomenological account of Trans World-Traveling, where the unruliness of Two-Spirit and Trans of Color bodies cocoons decolonial worlds from within the spiraling folds of abject flesh—always already in infra-communication with ancestral pasts, presents, and futures. (shrink)

In Good White People: The Problem with Middle-Class White Anti-Racism, Shannon Sullivan considers: "What can white people do to help end racial injustice?". As one response to this question, Sullivan argues that prescribing "white shame" and "white guilt" is useless, since promoting these ideas leads to self-hate and inaction on the part of white people. In this paper, I agree with Sullivan, but for different reasons. I argue that assuming that white people can feel ashamed simply about being white within (...) our current society is unfounded. I will maintain that the project of "promoting white shame" is fraught to begin with, and show the significance of this finding for conversations about white people's role in... (shrink)

In this article, I offer a critical phenomenological investigation of immigrant indebtedness, with special focus on its temporality. I understand immigrant indebtedness as a relation of debt where what is owed is gratitude, and which takes on a special meaning when the debtor in question is racially construed as immigrant. Understood as such, immigrant indebtedness has the power to function as a social structure that organizes, conditions and impacts people’s lives. By analysing writer and poet Sumaya Jirde Ali's descriptions of (...) immigrant indebtedness in dialogue with Marianne Gullestad, Alia Al-Saji and Maurizio Lazzarato, I argue that the harm of immigrant indebtedness becomes visible once we pay attention to its temporal structure—involving the permanence of the debt-relation, the freezing and distortion of the past, as well as their limiting effects on future and present. (shrink)