日常患者接触中的行为与反行为：福柯对法医精神病住院护理护士生活经历的解读
Conduct and counter-conduct in everyday patient encounters: a foucauldian interpretation of nurses' lived experiences in forensic psychiatric inpatient care.
摘要(中文译文)
本研究通过福柯的理论视角，对五项生活世界现象学研究中的实证发现进行哲学分析，以此考察司法精神病学住院护理。所有研究均在司法精神病学环境中从护理视角开展。研究采用现象学意义分析对发现进行再分析，以依照反思性生活世界研究原则发展出一个总体结构。分析识别出护理实践的三个相互关联的构成性维度：（1）护理实践作为制度要求与患者需求张力中的行为与反行为；（2）解释性工作作为回应患者表达中的行为与反行为；（3）情感耐力作为抵制专业疏离中的行为与反行为。这些维度共同说明，司法精神病学中的护理是在制度权力关系内部而非与之对立地实施的。研究发现揭示了日常接触如何受到以安全、控制和可预测性为导向的病房文化的塑造，同时也催生出微妙、情境化的反行为形式。这些实践为替代性护理开辟了有限而脆弱的空间。通过突显护理实践中涉及的解释性、情感性和道德性劳动，本研究为司法精神病学情境中的护理提供了一种基于实践的福柯式理解。
Abstract
This study examines forensic psychiatric inpatient care through a philosophical analysis of empirical findings from five lifeworld phenomenological studies, interpreted through Foucault's work. All studies were conducted in forensic psychiatric settings from a nursing perspective. The findings were reanalyzed using phenomenological meaning analysis to develop a general structure in line with reflective lifeworld research principles. The analysis identified three interrelated constitutive dimensions of nursing practice: (1) care practice as conduct and counter-conduct in the tension between institutional demands and patients' needs, (2) interpretive work as conduct and counter-conduct in responding to patients' expressions, and (3) emotional endurance as conduct and counter-conduct in resisting professional detachment. Together, these dimensions illustrate how care in forensic psychiatry is enacted within, rather than in opposition to, institutional power relations. The findings show how everyday encounters are shaped by a ward culture oriented towards safety, control, and predictability, while also giving rise to subtle, situated forms of counter-conduct. These practices open limited, fragile spaces for alternative care. By highlighting the interpretive, emotional, and moral labor involved in nursing practice, the study contributes a practice-based Foucauldian understanding of care in forensic psychiatric contexts.
如何引用
AMA
Lars Hammarström, Siri Andreassen Devik. Conduct and counter-conduct in everyday patient encounters: a foucauldian interpretation of nurses' lived experiences in forensic psychiatric inpatient care.. International journal of qualitative studies on health and well-being. 2026; doi:10.1080/17482631.2026.2688472.
APA
Lars Hammarström, Siri Andreassen Devik (2026). Conduct and counter-conduct in everyday patient encounters: a foucauldian interpretation of nurses' lived experiences in forensic psychiatric inpatient care.. International journal of qualitative studies on health and well-being. https://doi.org/10.1080/17482631.2026.2688472
GB/T 7714
Lars Hammarström, Siri Andreassen Devik. Conduct and counter-conduct in everyday patient encounters: a foucauldian interpretation of nurses' lived experiences in forensic psychiatric inpatient care.[J]. International journal of qualitative studies on health and well-being, 2026 doi:10.1080/17482631.2026.2688472.
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