Dickinson Tommy, Cook Matt, Playle John, Hallett Christine
University of Chester, Warrington, UK.
University of London, London, UK.
Nurs Inq. 2014 Dec;21(4):283-293. doi: 10.1111/nin.12044. Epub 2013 Jul 22.
This study aimed to examine the meanings that nurses attached to the 'treatments' administered to cure 'sexual deviation' (SD) in the UK, 1935-1974. In the UK, homosexuality was considered a classifiable mental illness that could be 'cured' until 1992. Nurses were involved in administering painful and distressing treatments. The study is based on oral history interviews with fifteen nurses who had administered treatments to cure individuals of their SD. The interviews were transcribed for historical interpretation. Some nurses believed that their role was to passively follow any orders they had been given. Other nurses limited their culpability concerning administering these treatments by adopting dehumanising and objectifying language and by focussing on administrative tasks, rather than the human beings in need of their care. Meanwhile, some nurses genuinely believed that they were acting beneficently by administering these distinctly unpleasant treatments. It is envisaged that this study might act to reiterate the need for nurses to ensure their interventions have a sound evidence base and that they constantly reflect on the moral and value base of their practice and the influence that science and societal norms can have on changing views of what is considered 'acceptable practice'.
本研究旨在探究1935年至1974年间,英国护士对用于治疗“性偏差”(SD)的“疗法”所赋予的意义。在英国,直到1992年,同性恋都被视为一种可分类的精神疾病,是可以“治愈”的。护士参与实施了痛苦且令人苦恼的治疗。该研究基于对15名曾实施治疗以治愈患者性偏差的护士进行的口述历史访谈。访谈内容被转录以供历史解读。一些护士认为自己的角色是被动地执行所接到的任何命令。其他护士通过采用非人性化和客观化的语言,并专注于行政任务而非需要他们护理的人,来减轻自己在实施这些治疗方面的罪责。与此同时,一些护士真心认为实施这些明显令人不适的治疗是有益的。预计本研究可能会再次强调护士需要确保其干预措施有可靠的证据基础,并且他们要不断反思自己实践的道德和价值基础,以及科学和社会规范对改变人们对“可接受做法”看法的影响。