Yet, individually we are uneasy and collectively we are unable to
articulate a vision clear enough so that others will join us. This
re-issue of Paterson and {v} Zderad's classic work will help to remind
us of another way of developing our power. Perhaps we can, once again,
look for and call for authentic dialogue with our patients, our
students, and our colleagues. Paterson and Zderad are clear in their
method: discuss, question, convey, clarify, argue, and reflect. They
remind us of our uniqueness and our commonality. They tell us that it is
necessary to do with and be with each other in order for any one of us
to grow. They help us celebrate the power of our choices.
Is it ironic and fortunate that _Humanistic Nursing_ should be re-issued
now when it is needed even more than it was during the late 1970s? Then,
humanitarianism was in vogue. Now, it is under attack as a secular
religion.
Today, the technocratic imperative infiltrates an ever-increasing number
of our lived experiences; and it becomes more difficult to ignore or
dismiss Habermas's analysis that all interests have become technical
rather than human.[6] As health care becomes increasingly commercial the
profound experiences of living and dying are discussed in terms of
profit and loss. Life itself is the focus of public debates about
whether surrogacy involves a whole baby being bought and sold or only
half of a baby, since one half already "belongs" to the natural father
and so he cannot buy what he already owns.
We have many choices before us: to adopt the values of commerce and
redesign health care systems accordingly; to accept competition as the
modus operandi or insist on other measures for people in need; to decide
who will be cared for, who won't, who will pay, and how much?
Perhaps it is time for us to turn away from the exchange between buyers
and sellers, providers and consumers; and turn back to an exchange
between two people trying to understand the space they share. Perhaps it
is time for a shared dialogue with patients for whom the questions are
most vital? Perhaps we need to hear their call and respond
authentically. Perhaps they need to hear ours? For only then, as
Paterson and Zderad have made quite clear, will our lived experiences in
health care have any real meaning.
Patricia Moccia PHD, RN
Associate Professor and Chair
Department of Nursing Education
Teachers College Columbia University
FOOTNOTES:
[1] _Azanian Freedom Song._ Lyrics by Otis Williams, music by Bernice
Johnson Reagon. Washington, DC: Songtalk Publishing Co., 1982.
[2] Frankl, Viktor. _Man's Search For Meaning._ Boston: Beacon Press,
1959.
[3] Rukeyser, Muriel. "Kathe Kollwitz," in _By a Woman Writ_, ed. Joan
Goulianos. New York: Bobbs Merrill, 1973, p. 374.
[4] Bohm, David. _Wholeness and the Implicate Order._ London: Ark, 1980.
[5] Newman, Margaret. _Health As Expanding Consciousness._ St. Louis: C.
V. Mosby Company, 1986.
Public-domain text, read in full here on John Shaqi.
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