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Assembling packs: Outreach nurses, disaffiliated persons, and sorcerers
Jim A Johansson1, Pier-Luc Turcotte2, Dave Holmes1
1School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
Summary
Outreach nurses struggle to engage marginalized populations. This study proposes alternative practices using Deleuze and Guattari
Area of Science:
- Nursing
- Social Sciences
- Psychiatry
Background:
- Outreach nurses often fail to engage 'hard to reach' populations, including those experiencing homelessness, substance use, and mental health concerns.
- Conventional outreach nursing practices are often perceived as coercive and are rejected by many individuals who have experienced psychiatric interventions.
- Patient resistance to traditional outreach nursing highlights a need for innovative approaches.
Purpose of the Study:
- To critically examine conventional outreach nursing practices through the lens of Deleuze and Guattari's philosophy.
- To explore how concepts from Mad Studies can inform our understanding of patient resistance in outreach nursing.
- To propose alternative nursing practices that foster meaningful engagement and creativity.
Main Methods:
- Philosophical analysis of conventional outreach nursing practices.
- Application of Deleuze and Guattari's concepts of 'packs' and 'sorcerers' to nursing.
- Integration of insights from Mad Studies regarding patient resistance.
Main Results:
- Conventional outreach nursing is critiqued as rooted in the 'royal science of psychiatry'.
- Patient resistance is understood as a rejection of coercive practices.
- Alternative practices can be envisioned through Deleuze and Guattari's concepts, promoting resistance and creativity.
Conclusions:
- Outreach nurses must move beyond traditional models to foster genuine engagement with marginalized populations.
- Adopting concepts of 'packs' and 'sorcery' can facilitate the formation of new alliances outside coercive structures.
- These alternative approaches empower both nurses and patients, promoting therapeutic resistance and creativity.
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