AporiaPub Date : 2019-09-06DOI: 10.18192/aporia.v11i1.4495
Emmanuelle Bernheim
{"title":"Le refus de soins psychiatrique est-il possible au Québec? Instrumentalisation du droit et mission thérapeutique de la justice","authors":"Emmanuelle Bernheim","doi":"10.18192/aporia.v11i1.4495","DOIUrl":"https://doi.org/10.18192/aporia.v11i1.4495","url":null,"abstract":"Le consentement libre et éclairé est le fondement juridique de toute décision de soins et la base de l’alliance thérapeutique. Les réformes civiles et criminelles des années 1990 visaient notamment la mise en œuvre du droit au consentement aux soins dans le cadre des mécanismes de droit psychiatrique afin de protéger les patients contre des décisions arbitraires. L’observation d’audiences d’autorisation de soins, de garde en établissement et de Commission d’examen démontre cependant que le traitement y fait l’objet de discussions récurrentes, de même que le style de vie et l’adhésion au paradigme psychiatrique. Ces constats empiriques permettent de remettre en question la possibilité de refuser des soins en psychiatrie, du moins pour les personnes faisant l’objet de procédures judiciaires. Il convient dès lors de s’intéresser à la médication psychiatrique en tant que modalité incontournable des rapports de pouvoir et des processus de domination.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42579560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AporiaPub Date : 2019-09-06DOI: 10.18192/aporia.v11i1.4496
P. Pariseau-Legault, Marie-Hélène Goulet, Anne G. Crocker
{"title":"Une analyse critique des effets de l’autorisation judiciaire de soins sur la dynamique relationnelle entre la personne visée et ses systèmes de soutien","authors":"P. Pariseau-Legault, Marie-Hélène Goulet, Anne G. Crocker","doi":"10.18192/aporia.v11i1.4496","DOIUrl":"https://doi.org/10.18192/aporia.v11i1.4496","url":null,"abstract":"L’autorisation judiciaire de soins se situe au carrefour de considérations cliniques et juridiques. Malgré une efficacité contestée, des études récentes démontrent une augmentation du recours à cette mesure d’exception à l’échelle internationale. La présente analyse est inspirée d’une rencontre des théories foucaldienne et goffmanienne. Elle s’appuie sur les résultats d’une méta-ethnographie visant à mieux saisir les enjeux associés à ses usages, à partir des points de vue des acteurs impliqués lors de son application. Les résultats de cette analyse critique de discours décrivent l’autorisation judiciaire de soin en tant que jeu de rôle complexe ayant des effets multiples sur l’identité de la personne visée et sur ses rapports sociaux. À l’ère d’une justice souvent décrite par sa force thérapeutique, ces observations soulèvent plusieurs questionnements à l’égard de la visée et des effets de l’autorisation judiciaire de soins sur la personne, ainsi que de ses usages par différents intervenants du domaine de la santé et des services sociaux.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48907550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AporiaPub Date : 2019-09-01DOI: 10.18192/aporia.v11i1.4494
Étienne Paradis-Gagné, D. Holmes
{"title":"Violence familiale, santé mentale et justice : une recherche qualitative sur l’expérience des familles vivant avec un proche présentant des comportements violents.","authors":"Étienne Paradis-Gagné, D. Holmes","doi":"10.18192/aporia.v11i1.4494","DOIUrl":"https://doi.org/10.18192/aporia.v11i1.4494","url":null,"abstract":"La violence perpétrée à l’endroit des membres de la famille par un proche souffrant d’un trouble mental sévère est un phénomène commun en psychiatrie légale, alors que près de la moitié des familles en est victime. Cette violence engendre des impacts significatifs à l’endroit de la famille, qu’ils soient physiques, psychologiques ou sociaux. Dans cet article, nous présentons les résultats d’un des cinq thèmes d’une étude qualitative réalisée auprès de familles victimes de violence perpétrée en contexte de troubles mentaux sévères. Plus particulièrement, le thème du dispositif médico-légal sera abordé dans cet article. Les travaux de Donzelot et Foucault agissent comme fondements théoriques permettant l’étude de cette problématique sous l’angle du gouvernement des familles. Les résultats de notre recherche indiquent que ce gouvernement s’effectue par l’entremise de certains mécanismes, dont l’instrumentalisation du rôle familial. Nous abordons aussi le processus de judiciarisation dans lequel s’inscrivent les familles, et la nécessité du critère de violence afin de faire hospitaliser le proche à risque.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47576390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AporiaPub Date : 2019-04-05DOI: 10.18192/APORIA.V11I2.4597
Floraidh A. Corfee, Leonie Cox, C. Windsor
{"title":"The social reproduction of difference: Mental illness and the intensive care environment","authors":"Floraidh A. Corfee, Leonie Cox, C. Windsor","doi":"10.18192/APORIA.V11I2.4597","DOIUrl":"https://doi.org/10.18192/APORIA.V11I2.4597","url":null,"abstract":"This paper uses social constructionism to critically explore the social world of intensive care units, and to consider how the presence of mental health consumers impacts on nursing practice. Following a series of interviews with intensive care nurses, our analysis suggested consumers are disenfranchised through stigma, policing, and inattention to psychosocial needs. We argue that the maintenance of knowledge and power networks are fundamental aspects of reality maintenance in intensive care. The social reproduction of typifi cations among nurses about consumers positioned these patients as disrupting the proper business of intensive care units; a process that we argue is bound up with the imbalanced power relationships. Further, intensive care staff maintain power structures serving intensive care interests, such as physiological rescue and the preservation of biomedical authority. We conclude that the production and reproduction of intensive care nursing knowledge maintains a social-power structure at odds with the needs of consumers.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42397795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AporiaPub Date : 2019-01-16DOI: 10.18192/APORIA.V10I2.4122
P. Coleman
{"title":"Cultural differences in General and Psychiatric Nurses: A critical analysis using Social Identity Theory","authors":"P. Coleman","doi":"10.18192/APORIA.V10I2.4122","DOIUrl":"https://doi.org/10.18192/APORIA.V10I2.4122","url":null,"abstract":"This paper explores cultural identity within General (Adult) and Psychiatric (Mental Health) nursing as reflected in healthcare literature; illustrating how significant cultural differences associated with the history of the disciplines, representation of their fields of practice, professional knowledge, power, status, gender and employment rights affect interdisciplinary communication and working relationships. Applying Social Identity Theory (SIT), it argues that psychiatric nursing is a low status group compared to general nursing and highlights actions, congruent with SIT, which can be regarded as attempts to enhance the status of this discipline; so far with very limited success.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45715073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AporiaPub Date : 2019-01-16DOI: 10.18192/aporia.v10i2.4123
I. Côté, Francine deMontigny, Sabrina Zeghiche
{"title":"L’expérience psychosociale des hommes de leur infertilité : une recension narrative systématique","authors":"I. Côté, Francine deMontigny, Sabrina Zeghiche","doi":"10.18192/aporia.v10i2.4123","DOIUrl":"https://doi.org/10.18192/aporia.v10i2.4123","url":null,"abstract":"Le présent article consiste en une recension narrative des connaissances produites sur l’expérience des hommes de leur propre infertilité, afin de mieux cerner cet objet de recherche et d’identifier d’éventuelles avenues à explorer. Une recherche documentaire effectuée dans les bases de données CINAHL, MEDLINE, PsycArticles, et SCOPUS a permis d’identifier, au terme d’un tri en plusieurs étapes, 15 articles pour fins d’analyse. Cinq thèmes ont émergé : la masculinité menacée, la paternité problématisée, l’agentivité déniée/revendiquée, le rapport au corps et l’expérience émotionnelle de l’infertilité. Ces résultats permettent de dégager de nouvelles avenues de recherche ou d’interventions cliniques. D’une part, une meilleure problématisation du concept d’infertilité dans laquelle il est examiné comme un processus social et temporel aux ramifications conjugales, familiales et sociales et d’autre part une approche plus holistique de l’infertilité qui prend en compte l’ensemble des composantes du vécu des hommes.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46784056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AporiaPub Date : 2019-01-16DOI: 10.18192/aporia.v10i2.4121
Zubeida Ramji, J. Etowa, I. St-Pierre
{"title":"Unpacking “two-way” workplace integration of internationally educated nurses","authors":"Zubeida Ramji, J. Etowa, I. St-Pierre","doi":"10.18192/aporia.v10i2.4121","DOIUrl":"https://doi.org/10.18192/aporia.v10i2.4121","url":null,"abstract":"This paper presents findings from a qualitative case study that explored long term integration of internationally educated nurses in an Ontario healthcare facility. Using critical social theory as the philosophical underpinnings for this research, we selected the case based on the hospital’s history of employing and supporting internationally educated professionals. Data sources included: documents review, twenty-eight interviews, socio-demographic survey and five focus groups involving IENs and other stakeholders. An overarching theme points to a ‘two-way’ notion of workplace integration whereby efforts are required on the part of the employer as well as the IENs. An in-depth analysis of the data reveals sub-processes of two-way integration: respecting diversity and difference, adopting inclusive practices and striving to achieve equity. Challenges in achieving two-way integration are discussed. Implications for nursing leaders to tap into IENs’ diverse talents for the benefit of their local healthcare systems are highlighted.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44617040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AporiaPub Date : 2016-09-16DOI: 10.18471/RBE.V30I3.16348
M. Gagnon, D. Holmes
{"title":"\"So far it's been choosing which side effects I want or I can deal with\": A grounded theory of HIV treatment side effects among people living with HIV.","authors":"M. Gagnon, D. Holmes","doi":"10.18471/RBE.V30I3.16348","DOIUrl":"https://doi.org/10.18471/RBE.V30I3.16348","url":null,"abstract":"Despite the availability of new antiretroviral drugs and the simplification of treatment options, side effects continue to affect people living with HIV. In this paper, we present the findings of a grounded theory study designed to gain a critical understanding of the experience of side effects. Three main categories emerged from the data: the side effects, the experience, and the connections. The first category suggests that we need to change how we think about side effects in order to take into account the context in which they are experienced as well as the types and nature of side effects. The second category puts forward the idea that the experience of side effects is composed of three interrelated processes: becoming with, living with, and dealing with. Finally, the third category points to new connections that are formed with people, things and systems in the presence of side effects.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"8 1 1","pages":"19-40"},"PeriodicalIF":0.0,"publicationDate":"2016-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67735867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"So far it's been choosing which side effects I want or I can deal with\": A grounded theory of HIV treatment side effects among people living with HIV.","authors":"Marilou Gagnon, Dave Holmes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the availability of new antiretroviral drugs and the simplification of treatment options, side effects continue to affect people living with HIV. In this paper, we present the findings of a grounded theory study designed to gain a critical understanding of the experience of side effects. Three main categories emerged from the data: the side effects, the experience, and the connections. The first category suggests that we need to change how we think about side effects in order to take into account the context in which they are experienced as well as the types and nature of side effects. The second category puts forward the idea that the experience of side effects is composed of three interrelated processes: becoming with, living with, and dealing with. Finally, the third category points to new connections that are formed with people, things and systems in the presence of side effects.</p>","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"8 1","pages":"19-40"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}