Nagington, Maurice, Holman, David, Mumford, Clare et al. (1 more author) (2021) Theorising the hospice gaze:A Foucauldian collaborative ethnography of a palliative day care service. Social Science & Medicine. 11470. ISSN 1873-5347
Abstract
Foucault's medical gaze has only been minimally applied to palliative care through the analysis of key policy documents. This paper develops the conceptualisation of Foucault's medical gaze using empirical data gathered from a group ethnography of a hospice daycare centre. Using Foucault's medical gaze as a theoretical aporia we conceptualise the “hospice gaze”. We argue the hospice gaze is the antithesis of the Foucauldian medical gaze, suggesting it operates reflexively so that professionals adapt to patients, rather than patients to professionals; that it is directed towards enabling patients and their loved ones to narrate severe illness and death in ways that develop more patient-centred narratives; and, structures the processes of care in direct resistance to the neoliberalisation of healthcare by engaging in slow practices of care with patient's bodies and minds. Finally, key to all of this is how the hospice gaze manages the spaces of care to ensure that it always and already appears slow to the patients. Therefore, the hospice gaze ensures a (re)distribution of power and knowledge that minimises the corrosive qualities of busyness and maximises the ethical potentials of slowness. We conclude by arguing that the operation of the hospice gaze should be examined in other settings where palliative care is practiced such as in-patient and home care services.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 Published by Elsevier Ltd. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. |
Keywords: | Slow care,Palliative care,Hospice,Foucault,Medical gaze,Slow ethics |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > The York Management School |
Depositing User: | Pure (York) |
Date Deposited: | 22 Oct 2021 10:30 |
Last Modified: | 25 Dec 2024 00:26 |
Published Version: | https://doi.org/10.1016/j.socscimed.2021.114470 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.socscimed.2021.114470 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:179521 |
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