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'She's manipulative and he's right off': a critical analysis of psychiatric nurses' oral and written language in the acute inpatient setting
journal contribution
posted on 2006-06-01, 00:00 authored by B Hamilton, Elizabeth ManiasElizabeth ManiasRemarks such as 'she's manipulative' and 'he's right off' are familiar to psychiatric nurses. This paper critiques the language nurses use in acute inpatient psychiatry services, highlighting the diverse discourses implicated in nurses' writing and speaking about patients. Based on a review of the literature, this paper examines ethnographic studies and discourse analyses of psychiatric nurses' oral and written language. A prominent debate in the literature surrounds nurses' use of standardized language, which is the use of set terms for symptoms and nursing activities. This review of spoken descriptions of patients highlights nurses' use of informal and local descriptions, incorporating elements of moral judgement, common sense language and empathy. Research into written accounts in patient files and records show nurses' use of objectifying language, the dominance of medicine and the emergence of the language of bureaucracy in health services. Challenges to the language of psychiatry and psychiatric nursing arise from fields as diverse as bioscience, humanism and social theory. Authors who focus on the relationship between language, power and the discipline of nursing disagree in regard to their analysis of particular language as a constructive exercise of power by nurses. Thus, particular language is in some instances endorsed and in other instances censured, by nurses in research and practice. In this paper, a Foucauldian analysis provides further critique of taken-for-granted practices of speech and writing. Rather than censoring language, we recommend that nurses, researchers and educators attend to nurses' everyday language and explore what it produces for nurses, patients and society.
History
Journal
International journal of mental health nursingVolume
15Issue
2Pagination
84 - 92Publisher
Wiley-BlackwellLocation
Chichester, Eng.Publisher DOI
ISSN
1445-8330Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2006, Australian and New Zealand College of Mental Health NursesUsage metrics
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No categories selectedKeywords
Acute DiseaseAnthropology, CulturalAttitude of Health PersonnelCommunicationEmpathyHumansInterprofessional RelationsJudgmentKnowledgeLanguageMental DisordersMoralsNurse-Patient RelationsNursing AssessmentNursing Methodology ResearchNursing RecordsNursing Staff, HospitalPhilosophy, NursingPower (Psychology)Psychiatric NursingQualitative ResearchSemanticsStereotypingVocabulary, ControlledWritingdiscoursedocumentationethnographynurses' languagepowerspeechScience & TechnologyLife Sciences & BiomedicineNursingPsychiatry
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