John Paley has rightly observed that, while spirituality is widely discussed in the nursing literature, the discussions are uncritical and unproblematic. In an effort ‘to reconfigure the spirituality‐in‐nursing debate, and to position it where it belongs: in the literature on health psychology and social psychology, and not in a disciplinary cul‐de‐sac labelled “unfathomable mystery” ’, Paley has proposed an alternative, reductionist approach to spirituality. In this paper, I identify two critiques developed by Paley: one political, the other ‘logical’. Paley's political (...) critique claims the concept of ‘spirituality’ has been appropriated by nursing theorists as part of an attempt to accrue professional power and jurisdiction over occupational territory. I suggest that Paley's analysis masks his own exclusivist, secularizing jurisdictional claim made at the expense of spirituality. Paley's so‐called ‘logical’ critique is motivated by an intention to ‘determine what the “spirituality” terrain looks like from the naturalistic point of view’. However, noting a number of inconsistencies, I challenge his ‘logical move’ as a naïve attack on a straw man. In place of Paley's reductionism, I propose my own alternative alternative and argue (after Foucault) that ‘spirituality’ is a discourse, a non‐reductionist attempt, in a post‐religious society, to speak about the human condition open to the unknown. I conclude with a definition and a description of empirically congruent spirituality. (shrink)

Albinism is a global public health issue but it assumes a peculiar nature in the African continent due, in part, to the social stigma faced by persons with albinism in Africa. I argue that there are two essential reasons for this precarious situation. First, in the African consciousness, albinism is an alterity or otherness. The PWA in Africa is not merely a physical other but also an ontological other in the African community of beings, which provides a hermeneutic for the (...) stigmatising separateness or difference of the PWA. The second reason hinges on a distinction drawn by Jürgen Habermas between the ethical point of view and the moral point of view. While the former consists of the ethos, customs, or idea of the good shared by a group of persons with a shared tradition or way of life, the latter consists of what is good for all and transcends particular traditions or ways of life. Consequently, the African ethical point of view, the ethics of solidarity, justifies within the African worldview the established alterity and, by implication, stigmatization of PWAs. On this view, actions that promote harmony and prevent discord and disequilibrium among accepted beings in the African community are permissible. I further show that unless there is a change in the physical and ontological conception of PWAs and a leap from the ethical point of view to the moral point of view, the negative attitudes toward PWAs will not change. The leap to the moral point of view does not suggest an abandonment of the ethical point of view but only recommends that the two meet halfway in respect for universally accepted norms of human actions. To achieve this, I will show that much needs to be done in the areas of policy formulation, law, health care services, and education. (shrink)

This paper explores the recent debates over secularization and particularly the familiar claim that the United States is significantly more religious than European societies. It argues that that conclusion is essentially correct but also that it must be qualified in many ways.