Jean Watson Caritas - American Psychiatric Nurses Association · Jean Watson Caritas Caring Science Philosophy ... Human- Caring/Eco- ... (Transpersonal Caring) Watson JEANWATSON

APNA 25th Annual Conference Thursday, October 20 - Keynote: Session 2001

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Jean WatsonJean Watson

CaritasCaritasCaring Caring ScienceScience

PhilosophyPhilosophyTh rTh r EthiEthi

www.nursing.ucdenver.edu/caringwww.nursing.ucdenver.edu/caring

www.watsoncaringscience.orgwww.watsoncaringscience.org

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Theory Theory –– Ethic Ethic ––Professional Practice ModelProfessional Practice Model


25th Annual AMERICAN PSYCHIATRIC NURSES ASSOCIATION October, 2011



What Is Underneath What Is Underneath ‘Caring Science and the‘Caring Science and theCaring Science and the Caring Science and the

Theory of Human Caring’? Theory of Human Caring’?

Unitary World View - Evolving Human Consciousness Patterning Transcendence Relational Expanding


Patterning – Transcendence- Relational –Expanding Epistemology – Emancipatory -Human Environmental FieldValues Ethics – ‘Covenant with Humanity ‘ - Beyond medical-clinical lens

Era III Era III –– Non LocalNon LocalTranscendent ConsciousnessTranscendent Consciousness

Connecting with Universal SourceConnecting with Universal Source Holographic NotionsHolographic Notions Consciousness Transcends Time and Space, and Consciousness Transcends Time and Space, and

PhysicalityPhysicality Consciousness is JoinedConsciousness is Joined Consciousness is JoinedConsciousness is Joined Consciousness Consciousness –– Omnipresent, Infinite, Immortal and Omnipresent, Infinite, Immortal and

Ultimately One; Unitary Being; Unitary FieldUltimately One; Unitary Being; Unitary Field Evolving HeartEvolving Heart--Centered Human Centered Human ––Deepening Deepening

/Sustaining Our Humanity/Sustaining Our Humanity44Watson JEANWATSON Copyright 2011Watson JEANWATSON Copyright 2011



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Old/New World View

Connectedness of all living things: Human- Caring/Eco-Caring

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Unitary World View: Unitary World View: “Human Resides in “Human Resides in

Unitary Field of Consciousness”Unitary Field of Consciousness”

LevinasLevinas: : ““Ethic of Ethic of Belonging” Belonging” ––

Infinite Field Infinite Field

Hildegard of Bingen 12th century

of Universal of Universal Love/Spirit Love/Spirit

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Expanded View Expanded View of Person:of Person:

Alex Grey ‘Sacred Mirror’


Old/New Views of Body

Unity of Mindbodyspirit

Body as Body as Energy, Light Energy, Light Consciousness Consciousness

y y p

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-- connected to connected to SourceSource



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“Caritas” “Caritas” comes from the comes from the Latin word meaning cherish, to Latin word meaning cherish, to appreciate, to give special appreciate, to give special

i if l i ii if l i i

“Caritas” “Caritas” comes from the comes from the Latin word meaning cherish, to Latin word meaning cherish, to appreciate, to give special appreciate, to give special

i if l i ii if l i iattention, if not loving, attention attention, if not loving, attention to: connotes something that is to: connotes something that is very fine, that indeed is very fine, that indeed is precious.precious.

attention, if not loving, attention attention, if not loving, attention to: connotes something that is to: connotes something that is very fine, that indeed is very fine, that indeed is precious.precious.

Caritas Caritas ––LOVELOVE-- Healing Healing ––PEACE PEACE Caritas Caritas ––LOVELOVE-- Healing Healing ––PEACE PEACE

CaritasCaritas/Christ Church /Christ Church Oxford UniversityOxford University




Caring Science Caring Science as Sacred Scienceas Sacred Science

Ethics of ‘Belonging’ Ethics of ‘Belonging’ -- Infinite Field of LOVE Infinite Field of LOVE –– Sustaining Divinity of HumanitySustaining Divinity of HumanitySustaining Divinity of Humanity Sustaining Divinity of Humanity

Connectedness of All Connectedness of All –– Relational CosmologyRelational Cosmology

““Psychiatric emergency is emergence of the Psychiatric emergency is emergence of the human spirit”human spirit” (Laing)(Laing)pp ( g)( g)

Dwelling and Aligning with Infinite Field of Dwelling and Aligning with Infinite Field of Universal LoveUniversal Love

Working with mystery life force of selfWorking with mystery life force of self--otherotherWatson JEANWATSON Copyright 2011 13

Type I Type I BiocidicBiocidic or life destroying (toxic, leading to anger, or life destroying (toxic, leading to anger, dTypedType I I BiocidicBiocidicor life destroying (toxic, leading to anger, despair, decreased wellor life destroying (toxic, leading to anger, despair, decreased well--being;being;

Type 2 Type 2 Biostatic Biostatic or life restraining (cold or treated as nuisance);or life restraining (cold or treated as nuisance);

Type 3 Type 3 BiopassiveBiopassive or life neutral (apathetic or detached;or life neutral (apathetic or detached;

Type 4 Type 4 Bioactive Bioactive or life sustaining (classic nurseor life sustaining (classic nurse--patient relationship as patient relationship as kind, concerned and benevolent;kind, concerned and benevolent;

Type 5 Type 5 Biogenic Biogenic or life giving (Transpersonal Caring)or life giving (Transpersonal Caring)

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espairespair, decreased well, decreased well--being;being;

Type 2 Type 2 Biostatic Biostatic or life restraining (cold or treated as nuisance);or life restraining (cold or treated as nuisance);

Type 3 Type 3 BiopassiveBiopassive or life neutral (apathetic or detached;or life neutral (apathetic or detached;

BiogenicBiogenic –– LifeLife--giving/Life Receiving selfgiving/Life Receiving self--otherother14




Source: Caring/Compassion –Inner Truth; Beauty, Our Very Humanity

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Caritas Caritas Heart Moment:Heart Moment:What Song does your heart want to What Song does your heart want to

Sing? Sing?

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HM slide with permissionHM slide with permission

Caritas/Heart Field: Subtle Healing Environment18Watson – WCSI Copyright 2010 – HM Slide with Permission




Caritas Consciousness FieldUnitary Caring Science Energetic

Model* (*Smith, 1999; Watson & Smith, 2002)

Caritas Ways of BEING Caring –Healing:

Manifesting IntentionAppreciating Pattern


Appreciating PatternAttuning to Dynamic FlowExperiencing the Infinitive - mystery Inviting Creative Emergence

Core Aspects: Caring ScienceCore Aspects: Caring ScienceTheory of Human CaringTheory of Human Caring

Caring Core: 10 Caritas Processes Caring Core: 10 Caritas Processes

Transpersonal Caring Moment Transpersonal Caring Moment –– The The Caritas FieldCaritas Field

Caring as Consciousness Caring as Consciousness ––Energy Energy --Intentionality Intentionality –– HeartHeart--Centered Centered


yyHuman PresenceHuman Presence

CaringCaring--Healing HeartHealing Heart--centered centered Methods/ModalitiesMethods/Modalities



Caritas Process 1:Caritas Process 1: Humanistic Humanistic –– Altruistic Altruistic Values Values –– Practice of LovingPractice of Loving--Kindness and Kindness and

Equanimity with Self and OtherEquanimity with Self and Other





Caritas WAYS OF BEING –BECOMING :Related to Heart –Centered Consciousness and Intentionality – in the moment: Spirit – to –Spirit Connections through: p p g

1. Loving Kindness – Equanimity self -other2. Heart-centered Authentic Presence; 3. Authentic Listening – Beyond Words- Beyond Judging 4. Compassionate Forgiveness for self – other – system 5. Invoking Gratitude- Appreciation6. Energetic Caritas Consciousness evolution –personal spiritual


practice7. Opening - Giving –Receiving 8. Being Still- Silence – Holding the Still Point 9. Connecting with infinite cosmic field of Universal Love10.Manifesting Caritas Field (to sustain caring and our humanity)11.Other - infinite

Caring MomentCaring MomentCaring MomentCaring Moment

A heartA heart--centered loving energetic centered loving energetic field; a turning point; A call to field; a turning point; A call to higher/deeper consciousness, higher/deeper consciousness, intentionality; An authentic choice of intentionality; An authentic choice of intentionality; An authentic choice of intentionality; An authentic choice of caring/living; Requires presencecaring/living; Requires presence--centeringcentering--search for meaning; New search for meaning; New level of authenticitylevel of authenticity-- potentiating potentiating healing and wholeness.healing and wholeness.

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Caritas Process:Caritas Process: Creating Healing Environments Being Creating Healing Environments Being / Becoming the Caritas Field/ Becoming the Caritas Field

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Caring Science TransformationCaring Science Transformation Moving From the Moving From the “Case” “Case” to to the “Face”the “Face”

From Patient to The From Patient to The SpiritSpirit Filled Filled PersonPerson Behind a DiseaseBehind a Disease

From Medical Diagnosis to The From Medical Diagnosis to The “Meaning” “Meaning” Given to the Given to the Illness to Illness to RelationshipRelationship--centered caringcentered caring;;

From Performance/Doing From Performance/Doing –– to to Presence; PRAXIS Presence; PRAXIS

From MedicalFrom Medical Clinical Views of Humanity toClinical Views of Humanity to Unity ofUnity of From MedicalFrom Medical--Clinical Views of Humanity to Clinical Views of Humanity to Unity of Unity of MindbodyspiritMindbodyspirit, Oneness , Oneness -- ConnectednessConnectedness

From Industrial Models to From Industrial Models to Creative, Mature Professional Creative, Mature Professional Models of CaringModels of Caring--Healing Healing

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Kaiser - Antioch Medical Center


ETHICS OF FACE - Levinas

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Ethics of Face: Ethics of Face: BelongingBelonging (Infinite Field) Before (Infinite Field) Before BeingBeing

When We Look Into the Face of Another Human When We Look Into the Face of Another Human Being, We Look Into the Mystery and Infinity of Being, We Look Into the Mystery and Infinity of g y y yg y y ythe Human Soul; We Touch the Infinite Field of the Human Soul; We Touch the Infinite Field of Universal LOVE In Which We All Universal LOVE In Which We All BelongBelong Before Before Our Our BeingBeing..

In Looking Into the Mystery and Infinity of In Looking Into the Mystery and Infinity of Another’s Soul; It Mirrors Back the Infinity ofAnother’s Soul; It Mirrors Back the Infinity ofAnother s Soul; It Mirrors Back the Infinity of Another s Soul; It Mirrors Back the Infinity of our own Soulour own Soul

This is This is Beyond ClinicalBeyond Clinical …toward Caring …toward Caring ––Healing Healing -- PeacePeace

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“Ethics of Face and Hand”:A Reminder:

We literally hold another person’sLife in our hands and are the source for sustaining our own and others humanityg y

Levinas, French & Logstrup, Danish Philosopher




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Return to Source for All Change:Light of Human Spirit and unity of humanity as moral community

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ULTIMATELY: HUMAN CARING AND PEACE

Opportunities For Ritual “Handwashing”Opportunities For Ritual “Handwashing”An ACT InitiativeAn ACT Initiative

PROVIDES A PAUSE TO:PROVIDES A PAUSE TO:

Quiet Busy MindQuiet Busy Mind

Wash Away Old ExperienceWash Away Old Experience

Center in Caring IntentionCenter in Caring Intention

Honor Self and OtherHonor Self and Other

Reconnect to Core ValuesReconnect to Core Values

Bless and Release Last Bless and Release Last P /Si iP /Si i


Person/SituationPerson/Situation

Purify Sacred Space for Purify Sacred Space for Authentic PresenceAuthentic Presence

Open to Ability to Give and Receive Open to Ability to Give and Receive Next Person/SituationNext Person/Situation

The Children’s Hospital, Denver



Caritas Heart Centering Caritas Heart Centering Methodology Methodology

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Kaiser – Antioch Medical Center; Baptist Health Jacksonville; Chesapeake Regional, VA Watson – WCSI Copyright 2010 – HM Slide with Permission 47Watson JEANWATSON Copyright 2011

Healing Environment: Quiet TimeHealing Environment: Quiet TimeDimming the Lights Dimming the Lights


The Children’s Hospital Denver



Magnetic Reminders: Pausing Magnetic Reminders: Pausing --Practicing Presence: Loving Kindness Practicing Presence: Loving Kindness

VALUES: VALUES: PreservingPreservingPreserving Preserving Human Human Dignity:Dignity:

Caritas ProcessCaritas Process


Magnets on Patient’s DoorMagnets on Patient’s Door

INOVA Health, Fairfax, VA INOVA Health, Fairfax, VA

Culture of Culture of CarefulnessCarefulness: Caring Consciousness : Caring Consciousness –– Intentionality: Promoting Medication SafetyIntentionality: Promoting Medication Safety


Kaiser – Antioch Medical Center



Sanctuary Sanctuary ––Healing Room for Nurses Healing Room for Nurses


Angie Fontaine, RN Caritas Coach, Jacksonville Baptist, FL , 2009




Call of Nursing to Come of Age:Call of Nursing to Come of Age:

Mature as Distinct Mature as Distinct

Discipline of Discipline of Human Human Caring Caring ––HealingHealing--HealthHealth--Well Being Well Being

…informing and transforming self and system…informing and transforming self and system

Human Caring and Peace Human Caring and Peace

© © jeanwatsonjeanwatson20092009

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Jean Watson Caritas - American Psychiatric Nurses Association · Jean Watson Caritas Caring Science Philosophy ... Human- Caring/Eco- ... (Transpersonal Caring) Watson JEANWATSON