We are even less aware of our internal organs and the physiological processes that keep us alive. In this fascinating work, Drew Leder examines all the ways in which the body is absent—forgotten, alien, uncontrollable, obscured.

In this remarkable book Michel Foucault, one of the most influential thinkers of recent times, calls us to look critically at specific historical events in order to uncover new layers of significance.

Three clinical cases of very ill neonates exemplifying extreme ethical situations for nurses are interpreted through Arendt's concepts of life and natality, and Agamben's critique of bare life. Agamben's notions of form-of-life, as the inseparability of zoe/bios, and testimony are offered as the potential foundation of nursing ethics.

Recently the relevance of the philosophy of Martin Heidegger has been critiqued in nursing literature. However, this critique is based primarily upon an appropriation of Heidegger that does not reflect an understanding of meaning as grounded in temporality. Therefore, this paper aims to (1) explicate Heidegger's grounding of meaning, (2) briefly contrast Heidegger's and Husserl's notions of the origin of meaning, (3) describe how Heidegger was first introduced to nursing, and (4) illustrate through examples from a research study how the (...) philosophy of Heidegger might inform the phenomenological researcher. (shrink)

This article presents an interpretation of Merleau-Ponty's notion of pre-reflective intentionality, explicating the similarities and differences between his and Husserl's understandings of intentionality. The main difference is located in Merleau-Ponty's critique of Husserl's noesis-noema structure. Merleau-Ponty seems to claim that there can be intentional acts which are not of or about anything specific. He defines intentionality by its ``directedness'', which is described as a bodily, concrete spatial motility. Merleau-Ponty's understanding of intentionality is part of his attempt to rewrite the relation (...) between the universal and the particular. He claims that meaning is intrinsic to the phenomenal field and impossible to analyse by a distinction between form and matter. Still, Merleau-Ponty's notion of meaning and philosophy is strictly opposed to any naturalized philosophy. This becomes explicated at the end of the article, where his attempt to embody intentionality is compared to Daniel Dennett's corresponding approach. (shrink)

This book contains the unfinished manuscript and working notes of the book Merleau-Ponty was writing when he died.

The perception of time shifts as patients enter hospice care. As a complex, socially determined construct, time plays a significant role in end‐of‐life care. Drawing on Buddhist and Western perspectives, conceptualizations of linear and cyclical time are discussed alongside notions of time as interplay of embodied experience and concept. Buddhist understandings of self as patterns of relating and the theory of ‘dependent origination’ are introduced. Implications for understanding death, dying and end‐of‐life care within these differing perspectives are considered. These explorations (...) contribute to the growing dialogue in nursing between Buddhist and Western traditions. (shrink)

First-person accounts from practicing nurses provide students with expert role models in this authoritative yet personal text that focuses on patients' responses to stress. The breadth and value of the nursing experience is reinforced as nurses share how their caring made a critical difference for patients and their families. This text, winner of two American Journal of Nursing Book of the Year Awards in 1988, is an ideal supplement for courses in advanced medical/surgical nursing, community health nursing, and particularly for (...) nursing trends and issues courses. (shrink)

This essay argues that, while much has been gained by medicine's focus on the spatial aspects of disease in light of developments in modern pathology, too little attention has been given to the temporal experience of illness at the subjective level of the patient. In particular, it is noted that there is a radical distinction between subjective and objective time. Whereas the patient experiences his immediate illness in terms of the ongoing flux of subjective time, the physician conceptualizes the illness (...) as a disease state according to the measurements of objective time. A greater understanding of this disparity in temporal experiencing provides insights into the lived experience of illness and can preclude difficulties in communication between physician and patient. (shrink)

Ten nurses at a university hospital in Norway were interviewed as part of a comprehensive investigation into the narratives of nurses and physicians about being in ethically difficult situations in surgical units. The transcribed interview texts were subjected to a phenomenological-hermeneutic interpretation. The main theme in the narratives was being close to and moved by the suffering of patients and relatives. The nurses' responsibility for patients and relatives was expressed as a commitment to act, and they needed to ask themselves (...) whether their responsibility had been fulfilled, that nothing had been left undone, overlooked or neglected, before they could leave the unit. When there was confirmation by the patients, relatives, colleagues and themselves that the needs of patients and relatives had been attended to in a morally and professionally satisfying manner, this increased the nurses' confidence and satisfaction in their work, and their strength to live with the burden of being in ethically difficult situations. (shrink)

Phenomenology has proved to be a popular methodology for nursing research. I argue, however, that phenomenological nursing research could be strengthened by greater attention to its philosophical underpinnings. Many research reports devote more page space to procedure than to the philosophy that purportedly guided it. The philosophy of Maurice Merleau‐Ponty is an excellent fit for nursing, although his work has received less attention than that of Husserl and Heidegger. In this paper, I examine the life and thought of Merleau‐Ponty, with (...) emphasis on concepts, such as perception, intentionality and embodiment, which have particular relevance to the discipline of nursing. (shrink)

Drawing on research data from a recent project, this paper reveals how cultural, organizational, professional and personal dimensions of time affect nurses’ availability to care and patients’ experiences of being cared for. Here, I will philosophize these dimensions of time through both the philosophical stance of the research methodology used in the study – phenomenological hermeneutics – and by engaging in philosophical theory that explores and challenges nurse and patient talk during interview. Patients’ experiences of time tend to be embodied, (...) whereas nurses choose between a disembodied structure of linear clock time or an embodied more spiritual experienced sense of time. To capture differences and their significance to caring, this paper first explores the way cursive time shapes and controls caring encounters. Following this, research data will be explored to demonstrate how an expanded notion of time as both cursive and circular enables nurses to sense patients’ illness patterns and to move with the ebb and flow of patients’ life/illness experiences. Next, the moment or the act of caring is explored as a presence, as a moral stance or presencing of the nurse for the patient. Finally, the notion of timelessness or what Kristéva calls ‘monumental time’ is explored in the context of the nurse/patient giving and gifting relationship, particularly their giving/gifting of voice and words to each other. Sensual, cultural and historical appreciation of these time dimensions is invited through the use of visual imagery. Exposure of the limitations, locations and dislocations of language reveals the therapeutic power of silence, quiet and stillness. Consequently, poetry will be used to expand the visual imagery and engage the reader in the silence from which words emerge, and the silence that lives between and within words, the silence of timelessness. O O’Donohue says ‘When we forget or neglect this silence we empty our world of its secret and subtle presences’. (shrink)