Goldberg Lisa
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
J Adv Nurs. 2002 Mar;37(5):446-51. doi: 10.1046/j.1365-2648.2002.02111.x.
This paper highlights the pervasive influence of a Cartesian metaphysics on the medical paradigm and its profound impact on the practice of perinatal nursing in North America.
Modern perinatal health care practices are founded on a Cartesian metaphysics that reduce birthing women to the status of object. Such practices deny the holistic aims of perinatal nursing.
A philosophical inquiry informs the tenets of this metaphysical discussion regarding the foundations of perinatal nursing practices.
Although perinatal health care is founded on a Cartesian metaphysics, an alternative paradigm of embodied practice is suggested as a way of viewing birthing women as embodied subjects.
If the foundations of health care, which have been built on a Cartesian metaphysics, are not re-examined, perinatal nurses will be providing care that further reduce women to the status of object.
本文强调笛卡尔形而上学对医学范式的普遍影响及其对北美围产期护理实践的深远影响。
现代围产期保健实践建立在笛卡尔形而上学基础之上,这种形而上学将分娩女性降格为客体地位。此类实践否认了围产期护理的整体目标。
一项哲学探究为这场关于围产期护理实践基础的形而上学讨论的原则提供了依据。
尽管围产期保健建立在笛卡尔形而上学基础之上,但建议采用一种具身实践的替代范式,将分娩女性视为具身主体。
如果建立在笛卡尔形而上学基础上的医疗保健基础不被重新审视,围产期护士所提供的护理将进一步把女性降格为客体地位。