Roberts Marc
Department of Philosophy, Faculty of Arts, Media and Design, School of Humanities and Social Sciences, Staffordshire University, Stoke-on-Trent, Staffordshire, UK.
Nurs Philos. 2005 Jan;6(1):33-42. doi: 10.1111/j.1466-769X.2004.00196.x.
The issue of power has become increasingly important within psychiatry, psychotherapy and mental health nursing generally. This paper will suggest that the work of Michel Foucault, the French philosopher and historian, has much to contribute to the discussion about the nature, existence and exercise of power within contemporary mental health care. As well as examining his original and challenging account of power, Foucault's emphasis on the intimate relationship between power and knowledge will be explored within the context of psychiatry and mental health nursing. This is to say that the paper will investigate Foucault's account of how power and knowledge are central to the process by which human beings are 'made subjects' and therefore how 'psychiatric identities' are produced. In doing so, it will be suggested that Foucault's work can not only make a valuable contribution to contemporary discussions about power and knowledge, but can also provide a significant critique and reconceptualization of the theoretical foundations and associated diagnostic and therapeutic practices of psychiatry and mental health nursing.
权力问题在精神病学、心理治疗以及心理健康护理领域总体上已变得愈发重要。本文将指出,法国哲学家兼历史学家米歇尔·福柯的著作对当代精神卫生保健领域中权力的本质、存在及行使的讨论有诸多贡献。除了审视他关于权力的独到且具挑战性的阐述外,还将在精神病学和心理健康护理的背景下探讨福柯对权力与知识之间紧密关系的强调。也就是说,本文将研究福柯对权力和知识如何在人类成为“主体”的过程中处于核心地位的论述,进而探讨“精神病学身份”是如何产生的。这样做的同时,将表明福柯的著作不仅能为当代关于权力和知识的讨论做出宝贵贡献,还能对精神病学和心理健康护理的理论基础以及相关诊断和治疗实践进行重大批判和重新概念化。