Holmes Dave
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Nurs Inq. 2002 Jun;9(2):84-92. doi: 10.1046/j.1440-1800.2002.00134.x.
Police and pastoral power: governmentality and correctional forensic psychiatric nursing Since 1978, the federal inmates of Canada have had access to a full range of psychiatric care within the penitentiary system. Several psychiatric units are now integrated into the correctional services of Canada. This paper presents the results of a grounded theory doctoral study undertaken in a multilevel secured psychiatric ward within the Canadian federal penitentiary system. The author describes and discusses the results of qualitative data that emerged from his fieldwork. The concept of governmentality, as defined by the late French philosopher Michel Foucault, constitutes one of the major theoretical tools that were helpful in analyzing these data. Police and pastoral power, two dimensions of the security apparatus of governmentality, were found to be useful in understanding and characterizing nursing practice caught between the penal and the psychiatric dispositifs. A Foucauldian perspective allows one to understand the manner in which forensic psychiatric nursing is involved in the governance of mentally ill inmates through three forms of power - sovereign, disciplinary and pastoral - which have posited nursing practice as a strategic tool of the correctional services. This research consists of a study of nursing practice in an extreme setting that deserves a radical analysis.
治理术与惩教法医精神病护理 自1978年以来,加拿大的联邦囚犯在监狱系统内可获得全方位的精神病护理。如今,多个精神病科已融入加拿大的惩教服务体系。本文呈现了一项扎根理论博士研究的成果,该研究在加拿大联邦监狱系统的一个多级安全精神病病房中开展。作者描述并讨论了从其田野调查中得出的定性数据结果。由已故法国哲学家米歇尔·福柯所定义的治理术概念,是有助于分析这些数据的主要理论工具之一。警察权力和牧师权力作为治理术安全机制的两个维度,被发现有助于理解和描述处于刑罚与精神病机制之间的护理实践。福柯式的视角使人们能够理解法医精神病护理通过三种权力形式——主权权力、规训权力和牧师权力——参与对精神病囚犯治理的方式,这些权力形式将护理实践定位为惩教服务的一种战略工具。这项研究是对极端环境下护理实践的一项研究,值得进行深入分析。