Hayter Mark
School of Nursing, University of Sheffield, UK. m.hayter@@sheffield.ac.uk
Nurs Inq. 2006 Mar;13(1):33-43. doi: 10.1111/j.1440-1800.2006.00302.x.
This paper explores an under-researched issue within the reproductive health of women - the discursive construction of self-examination instruction in sexual health clinics. The study utilises Foucault's work on 'productive power', the 'practices of the self' and discourse to map out how nurses instruct contraceptive-using women in self-care practices. Forty-nine consultations in sexual health clinics were tape recorded and analysed. The data reveal how nurses utilise the discourse of risk as a technique to reinforce and develop self-care practices - a concept congruent with the Greco-Roman concept of the cura sui, the philosophical notion that one must make oneself into the object of care. Nurses build upon the notion of risk by educating women about their reproductive anatomy and physiology utilising medical texts as tools. This provides a contemporary example of the mia chora: identified by Foucault as the incitement for the individual to develop a usable knowledge of the body. Lastly, nurses instruct women in the development of a self-care regimen - the epimeleia, the development of habitual body techniques. It is proposed that this process is congruent with the Aristotelian notion of habitus, the development of body knowledge, body techniques and self-care practices necessary to pursue health.
本文探讨了女性生殖健康领域一个研究不足的问题——性健康诊所中自我检查指导的话语建构。该研究运用福柯关于“生产性权力”、“自我实践”和话语的著作，来勾勒护士如何指导使用避孕药具的女性进行自我护理实践。对性健康诊所的49次咨询进行了录音和分析。数据揭示了护士如何利用风险话语作为一种技巧来强化和发展自我护理实践——这一概念与古希腊罗马的“自我关怀”概念相一致，即一种哲学观念，认为人必须将自己变成关怀的对象。护士以医学文本为工具，通过向女性传授生殖解剖学和生理学知识来进一步阐述风险概念。这提供了一个当代的“微小空间”实例：福柯将其定义为促使个体发展可用身体知识的诱因。最后，护士指导女性制定自我护理方案——“自我照料”，即养成习惯性的身体技巧。有人提出，这一过程与亚里士多德的“习性”概念相一致，即追求健康所需的身体知识、身体技巧和自我护理实践的发展。
