Barkway2001. Michael Crotty and Nursing Phenomenology

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NIN104.

fm Page 191 Thursday, September 13, 2001 5:00 PM

Nursing Inquiry 2001; 8(3): 191– 195

Feature

Michael Crotty and nursing


Blackwell Science, Ltd

phenomenology: criticism or critique?


Patricia Barkway
School of Nursing, Faculty of Health Science, Flinders University, Adelaide, Australia

Accepted for publication 19 February 2001

BARKWAY P. Nursing Inquiry 2001; 8: 191–195


Michael Crotty and nursing phenomenology: criticism or critique?
In 1996 Michael Crotty published the text Phenomenology and nursing research in which he criticised many nurse researchers’
interpretation of the methodology of phenomenology and their utilisation of phenomenology as a method for undertaking
qualitative nursing research. Crotty’s thesis proposes that the research conducted by nurses is not phenomenology according
to the European tradition, but a North American hybrid. Subsequently, debate has occurred amongst nurses as to whether
Crotty’s work is a scholarly, reasoned critique or a severe, judgmental, fault-finding criticism of nursing research. Considering
the increasing utilisation of phenomenology as a methodology that informs nursing research, this debate is an important one
and has implications for the conduct of research. This article examines this debate and the implications of Crotty’s work for
phenomenological research in nursing.
Key words: Crotty, nursing research, phenomenology, qualitative research.

Many contemporary nurse researchers have embraced had the courage to defend his opinion in the face of strong
phenomenology as a methodological approach to inquiry. opposition. As Darbyshire, Diekelmann and Diekelmann
In response to this, the late Michael Crotty (1996) published (1999) observed, Crotty enjoyed a challenge and sought to
an Australian text on the subject entitled Phenomenology and stimulate the thinking of others. Historically, this is most
nursing research. In the book, Crotty asserts that much of the evident in Crotty’s questioning of the Catholic church’s 1968
phenomenological research conducted by nurses, particu- papal encyclical, Humanae vitae (of human life), which
larly North American nurses, is not pure phenomenology as banned the use of artificial methods of contraception by
espoused by its founding European philosophers. He identifies Catholics. Crotty, then a moral theologian, disagreed with
two versions of phenomenology and argues that the one the advice of the conservative bishops and theologians of the
embraced by nurse researchers, which he calls ‘new’ pheno- time and argued that the opinion of Pope Paul VI was not
menology is descriptive, subjective and lacks critique. Crotty infallible. Consequently, he advised Australian Catholics
gained notoriety in nursing circles for his views, and attracted that they could act on an informed conscience when making
a diversity of responses. Some nurse researchers rejected the a decision about whether to use birth control, or not. For these
arguments espoused in the book, while others embraced views, Crotty attracted national and international atten-
them for the contribution they make to nursing scholarship. tion, which both supported and denounced his outspoken
opinion. Throughout this time, Crotty’s steadfast belief in
BACKGROUND the logic of his interpretation never wavered, even though it
led to his exile from Australia to the United States, and
Michael Crotty was a man of integrity who not only had the contributed to his decision to resign from the priesthood
capacity to convincingly argue his stance on an issue, but also some years later (Noon 1998).
Since leaving the priesthood, Crotty’s varied career
Correspondence: Patricia Barkway, School of Nursing, Faculty of Health within the human service field led him to join the school
Science, Flinders University, PO Box 2100 Adelaide 5001, Australia. of nursing at Flinders University (Adelaide) in 1989 as an
E-mail: <nupb@flinders.edu.au> academic. Later, he joined the department of public health

© 2001 Blackwell Science Ltd


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P Barkway

where he worked until his death in 1998. It was through his and coming to recognise ‘the most extensive set of inter-
experience of teaching qualitative research to nurses and woven conditions that may determine thought, practice,
supervising Master of Nursing students that Crotty came to and our fixation and enjoyment of values’ (Mead 1964, 337).
his conclusion that the methods of nursing phenomeno- Mead, in fact, attributes personhood itself to one’s entry
logical research were not what they claimed to be, and once into a human community in this fashion. This cannot occur
again, his opinion was controversial. without our putting ourselves in the place of others, and this
notion of ‘adopting the role of the other’ became central to
CROTTY ON PHENOMENOLOGY symbolic interactionist thought. ‘Methodologically’, writes
Denzin (1978, 99), ‘symbolic interactionism directs the
Phenomenology began as a philosophical mode of inquiry investigator to take, to the best of his [sic] ability, the stand-
in Continental Europe around the turn of the twentieth point of those studied’.
century. Its acknowledged founder is the German philo- These underpinnings are obvious in the type of phenom-
sopher, Edmund Husserl (1859 – 1938). Husserl’s purpose enology utilised by nurse researchers (O’Brien and Flöte
was epistemological. He was seeking an indisputable basis 1997; Barkway 1998; Poslusny 2000; Jonsen, Athlin and Suhr
for all human knowledge (Husserl 1969). According to Crotty, 2000). In these studies there is a sustained attempt to adopt
phenomenology was also used for many other purposes by his the standpoint of those interviewed, and to report their
followers. Max Scheler, for instance, found phenomenology accounts of experience on their own terms. In this respect
to be a way of elaborating the philosophical anthropology ‘new’ phenomenology reflects the symbolic interactionism
he was after (Crotty 1996). Martin Heidegger used phenom- from which, in part, it originated.
enology to explore the meaning of ‘Being’. He wrote, ‘Only as
phenomenology is ontology possible’ (Heidegger 1962, 60). Social constructionism and constructivism
Phenomenology also became linked with existentialism.
This occurred primarily in France where Jean-Paul Sartre The symbolic interactionism, which informs the ‘new’
and Merleau-Ponty were also influential (Crotty 1996). phenomenological approach, is influenced by both a con-
In this original form, phenomenology is a critical structivist and constructionist epistemology. Although there
methodology that invites us to revisit our conscious experi- is no consistency in how the terminology is used by different
ence and open ourselves to the emergence of new meaning authors, the distinction used here between constructivism
or at least the authentication and renewal of our present and constructionism has some basis in the literature (see
meanings. It is essentially a first-person experience. How- Crotty 1998).
ever, particularly in the North American context, it came to Constructivism proposes that the meaning attributed to
be applied to the study of other people’s experience, which realities in our world (and to the world as such) is a construc-
is reported in the third person and, as Crotty argues, to be tion and interpretation on our part as conscious (and self-
linked with and informed by the intellectual tradition of that conscious) human beings. The foundation of constructivism
continent. Crotty describes the North American tradition as is that we humans are organisms who live ‘from the inside
a strong cohesive one, in which pragmatist philosophy, out’. As a philosophical counterpoint to naïve realism, con-
symbolic interactionism and humanistic psychology make structivism suggests that we are proactive co-creators of the
important contributions. reality to which we respond.
This is not to say that reality does not exist independent
Symbolic interactionism of consciousness. It is to say, however, that no meaningful reality
exists independent of consciousness. In the ‘natural attitude’,
What we know today as symbolic interactionism stems from that is to say, one takes it for granted that, say, water exists as
the thoughts of pragmatist philosopher and social psycho- water, regardless of whether there are any minds to construe
logist, George Herbert Mead. As Crotty has stated, Mead’s it as such. However, from the constructivist viewpoint, that is
social behaviourism embodies a thoroughly social point of not the case. Of course, there is something there independ-
view. In Mead’s analysis, human behaviour is social in origin, ent of any mind, but it is not ‘water as such’. What is there,
shaped by social forces, and permeated by the social, even in independent of any mind, is something we construe to be
its biological and physical aspects. Mead (1964, 337) wants us water — a phenomenal reality, not a meaningful reality.
to ‘see the world whole’. Our ability to do that is developed Thus the constructivist viewpoint emphasises that for all
socially through ‘entering into the most highly organised of us, human understanding is a construction and an inter-
logical, ethical, and aesthetic attitudes of the community’ pretation. It is not the grasping of objective meaning, i.e. of

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Michael Crotty and nursing phenomenology

meaning inherent in objects and independent of human attempt to lay aside their construction of a phenomena,
consciousness. In constructivism conceived in this fashion, their prior knowledge and presuppositions, and seek to see
the focus is clearly on individuals. Essentially, this is a psycho- the phenomena from the other person’s point of view.
logical, albeit a social–psychological, explanation.
What is emphasised in constructionism, on the other CROTTY ON NURSING PHENOMENOLOGY
hand, is that meaning is not primarily constructed by indi-
vidual persons as they encounter phenomena one by one. Crotty made a distinction between European phenomeno-
Instead, it is socially constructed. It comes into being in, and logical research and the ‘new’ phenomenological research
out of, human interaction, and, importantly, becomes a (as he called it) emanating from the English-speaking world,
legacy and tradition. Each of us is born into a world of mean- principally North America. In his book, he cites 30 examples
ing, inheriting the system of significant symbols that we know of phenomenological research conducted by North American
as our culture. This is essentially a sociological orientation. nurses, which he argues are concerned with a third-person
Each of these orientations has something different to subjective description of the phenomenon being investigated,
contribute to what Crotty (1996) calls ‘new’ phenomenology. not a critical examination of the phenomenon itself (Crotty
Where constructivism taken in this sense identifies the 1996). He concluded, therefore, that the phenomenological
unique experience of individuals (thus suggesting that each methods utilised by most nurse researchers in the English-
one’s way of making sense of the world is valid and to be speaking world were descriptive, not critical, and offered
respected and, thereby, tending to prevent critique), social little more than symbolic interactionism and humanistic
constructionism emphasises the hold our culture has on us: psychology (1996). Implicit in this assertion is the suggestion
it shapes the way in which we see things (even feel things) that symbolic interactionism and humanistic psychology,
and gives us quite a definite view of the world. In the light of along with nursing phenomenology, are inferior to the more
that, while the shaping of our minds by culture is seen as critical methodology of phenomenology in the European
what makes us human and endows us with the freedom we tradition. This is another assertion that begs debate; however,
enjoy, social constructionism suggests that culture is limiting as it is not within the scope of this article to do so here.
well as liberating, and for that reason, while being welcomed, Nevertheless, Crotty’s main concern was not with the
should also be called into question. On these terms, it can be purpose or outcomes of nursing research, but primarily with
said that constructivism tends to resist the critical spirit, the methods undertaken and what nurse researchers were
while constructionism tends to foster it. calling what they were doing. Additionally, he was not only
Social constructionism can therefore be seen as having concerned with what nurses were doing when they under-
particular relevance to the more traditional phenomen- took phenomenological research, he was also critical of
ology referred to above. This is the kind of phenomenology what he thought they were not doing. He suggested that
that invites us to free ourselves from the constraints of cul- an uncritical acceptance of the participant’s account of the
turally derived understandings and to view things anew, or as experience would not shed new light on the phenomenon
Merleau-Ponty (1962, viii) suggests, to slacken ‘the inten- under investigation — that a person’s experience of a phenomenon
tional threads which bind us to the world’. is not the phenomenon and that this subjective approach was
impoverishing to nursing research.
Humanistic psychology This is not to say that Crotty opposed a subjective
approach; he didn’t. He acknowledged that an understand-
Humanistic psychology, founded by Maslow and Rogers also ing of the subjective experience of patients was integral to
served to shape the North American form of phenomenology. nursing work. However, Crotty did argue that to accept
Crotty (1996) points out that this is evident in the congru- uncritically what others tell us, when their perception may,
ence between the chief tenets of humanistic psychology and in fact, be mistaken, is not phenomenology in the philo-
what nursing phenomenological researchers have to say sophical tradition.
about their approach.
It is relevant to note that taking the place of the other, or NURSES’ AND OTHER RESEARCHERS’
adopting the role of the other, so central to symbolic inter-
RESPONSE TO CROTTY’S ARGUMENT
actionism, is also a pivotal notion in humanistic psychology,
where it is known as ‘empathy’ (Rogers 1980). In literature Nurse researchers’ responses to Crotty’s book and his argu-
dealing with the phenomenology used by nurse researchers ment are polarised. Benner (1996, 258) describes the book
there is much talk of empathy. Phenomenological inquirers as ‘uncritical and unobjective’ — the very criticism that Crotty

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P Barkway

levels at nursing phenomenology. Turale (1997, 35) describes content of his writing, not on an affective response to the
it as a ‘must read for nurses interested in the philosophy and tone of his writing.
methods of phenomenology’, and Garrett (1998, 6) calls it Therefore, given that the purpose of philosophical
a ‘gift’ to nursing. Darbyshire, Diekelmann and Diekelmann phenomenology is to lay aside preconceived meanings, to look at
(1999, 17), on the other hand, assert that Crotty’s interpreta- things afresh and to return to the things themselves perhaps we
tion is a ‘narrow, existentialist view of Heidegger’s work’, could consider the message that Crotty proposes. This would
which is ‘often misguided and poorly informed’. involve laying aside or bracketing notions of what nursing
de Laine’s (1997) research text directs students to Crotty’s (and nursing research) is, and asking the questions; ‘what is
book and Beanland et al. (1999, 245) refer to it as ‘essential nursing?’ (or nursing research), without the imposition of
reading for those students pursuing this particular [pheno- existing meanings, particularly the concept of caring. When
menological] research approach’. Madjar and Walton (1999), Crotty (1996) himself did this about nursing he perceived it
in their nursing phenomenology text, do not cite Crotty at as support ‘at all times and in all kinds of ways’ of ‘the whole
all as a reference, although they do state that theirs is not a person’ (180).
book about method and it was method that Crotty was most Perhaps Crotty’s reflection on the essence of nursing is
critical of in his critique of nursing phenomenology. indicative of another problem that nurses have with his
Giorgi (2000) agrees with Crotty that there are two book: in other words, he is critiquing nursing, but he is not
phenomenologies, though he calls them ‘philosophical’ and a nurse. Furthermore, is it possible that nursing, a profes-
‘scientific’. Here, however, is where the consensus ends. sion, which has only in recent years defined itself as distinct
Giorgi (2000, 12) states that Crotty is erroneous in claiming from the medical domain, is sensitive to disciplines other
that ‘new’ or ‘scientific’ phenomenology is not phenomeno- than nursing commenting critically on its practice? Other
logical, arguing that that nurses seek an ‘objective under- writers do write about nursing, for example, van Manen in
standing of a subjective experience’ and therefore ‘objectivity Madjar and Walton (1999); however, van Manen writes pos-
is not, in principle, missing from nursing research’ (14). itively about nursing research. Could it be that only when
In the school of nursing at Flinders University a discus- other disciplines commend nursing activities are their com-
sion group was formed following publication of Crotty’s ments acceptable? If this is so, such parochialism can only
book. On several occasions throughout one semester, this serve to limit the continuing development of nursing and
group met to discuss, debate and critique ideas that were nursing research.
espoused in the text. Discussion focused around whether
Crotty’s book was dismissive of nursing research, or whether IMPLICATIONS OF CROTTY’S ARGUMENT
it offered an opportunity to critically examine nursing
FOR NURSING RESEARCH
research methods. A consensus was not reached; opinions
varied among participants, just as they did in the wider Many nurses responded to the challenge of Crotty’s book by
nursing community. reflecting on their research methods and pursuing primary
sources in the literature (Garrett 1998). Others, however,
CRITIQUE OF CROTTY’S BOOK were affronted by his work. I suggest that this negative
response to the message in the book is an affective reaction to
Benner (1996, 257) describes the tone of the book as ‘pejora- a perceived put-down implied in the tone of Crotty’s writing.
tive’, which, I believe, is a valid criticism. This tone is evident The problem with an affective response from nurses is,
to me in Crotty’s use of terms like ‘so-called phenomenology’ that in critiquing Crotty’s work, the focus of attention is on
(1996, 7) and Crotty’s portrayal of ‘caring’ (as it applies in the intention of Crotty’s thesis not its content. To ignore the
nursing) as a ‘weasel word’ meaning ‘anything and every- content means that the accuracy, or not, of Crotty’s assertion
thing’ (178), and his comment that articles about caring in that many nurses are researching participants’ subjective
nursing are the ‘usual rhetoric’ (178). In my view there is no experience of the phenomenon, not the phenomenon itself
argument here about the tone of the writing being disparag- (without recognising the difference), is not being addressed
ing or not; it clearly is. However, one must be careful not to or debated. This is a critical omission because whether
dismiss what Crotty is saying on the basis of how he says it. Crotty’s observation is correct or incorrect has implications
While as nurses we may justifiably feel offended by the manner for nursing research with regards to the methods nurses
in which Crotty discusses nursing and nursing research, utilise to apply the methodology of phenomenology.
caution is called for. If Crotty’s argument is to be dismissed Regardless, even if there are (at least) two phenomen-
this must be done on the basis of a critical evaluation of the ologies as Crotty (1996) suggests, it does not necessarily follow

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Michael Crotty and nursing phenomenology

that either is preferable as a methodology that informs Beanland C, Z Schneider, G LoBiondo-Wood and J Haber.
nursing research methods. Researchers must choose a method 1999. Nursing research: Methods, critical appraisal and utilisa-
that suits the purpose of their question. Therefore, if a sub- tion. Sydney: Mosby.
jective understanding of the experience of the phenomenon Benner P. 1996. Book review: Phenomenology and nursing
from the participant’s perspective is sought (as is often the research. Nursing Inquiry 3(4): 257– 8.
case in nursing research), then what Crotty’s calls ‘new’ Crotty M. 1996. Phenomenology and nursing research. Melbourne:
phenomenology is an appropriate method, particularly if Churchill Livingstone.
the subjective experience is objectively scrutinised, as sug- Crotty M. 1998. The foundations of social research: Meaning and
gested by Giorgi (2000). On the other hand, European or perspective in the research process. Sydney: Allen & Unwin.
‘philosophical’ (Giorgi 2000) phenomenology would be Darbyshire P, J Diekelmann and N Diekelmann. 1999.
the method chosen to explore an understanding of the Reading Heidegger and interpretive phenomenology: A
phenomenon itself, or the object of the participant’s experi- response to the work of Michael Crotty. Nursing Inquiry
ence. What nurse researchers need to be mindful of though, 6(1): 17–25.
according to Crotty, is not to claim Husserlian or Heideggerian Denzin N. 1978. The methodological implications of symbolic
influences on research that utilises ‘new’ phenomenological interactionism for the study of deviance. In Contemporary
methods. social theories, ed. A Wells, 99–108. Santa Monica, Ca:
Goodyear.
CONCLUSION Garrett C. 1998. Michael Crotty’s phenomenology and nurs-
ing research. Annual Review of Health Sciences 8: 36 – 40.
Crotty’s book challenged the interpretation of phenomen- Giorgi A. 2000. Concerning the application of phenomenology
ology, and the conduct of phenomenological research by to caring research. Scandinavian Journal of Caring Science
nurses. Consequently, his views have stimulated fierce 14: 11–15.
debate in nursing circles. Crotty, himself, would have wel- Heidegger M. 1962. Being and Time. Oxford: Basil Blackwell
comed this. As a teacher, he encouraged students to dia- (original published in 1927).
logue with him in a journey of discussion, debate and mutual Husserl E. 1969. Ideas: General introduction to pure phenomenology.
learning, and this is what his book has to offer nursing London: Allen & Unwin (original published in 1913).
research. Jonsen E, E Athlin and O Suhr. 2000. Waiting for a liver trans-
In closing, therefore, I return to the question posed as the plant: The experience of patients with familial amyloidotic
title for this paper. Is Michael Crotty’s book Phenomenology polyneuropathy. Journal of Clinical Nursing 9(1): 63 –70.
and nursing research a judgmental, fault-finding criticism de Laine M. 1997. Ethnography: Theory and application in health
and a censure of nursing phenomenology, or is the book a research. Sydney: MacLennan and Petty.
reasoned critical review of the research conducted by nurses? Madjar I and J Walton. 1999. Nursing and the experience of
My view is the latter: that Crotty’s thesis is a well-argued illness. Sydney: Allen & Unwin.
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a challenge to nursing that cannot be ignored. The challenge ed. A Reck, vii–xxi. New York: Bobbs-Merrill.
is phenomenological: for nurses to lay aside preconceived Merleau-Ponty M. 1962. Phenomenology of perception. London:
attitudes to the book, those that spring from an affective Routledge and Kegan Paul.
reaction to the critical tone of the writing, and to engage and Noon V. 1998. Faith: Honoring a man’s moral love song.
debate with the critique that Crotty articulates. In this way Age (Melbourne), 25 July.
nursing may avoid the mistake of history when in 1969 Crotty O’Brien L and J Flöte. 1997. Providing nursing care for a
dared to speak the unspoken and, as many believe, a major patient with borderline personality disorder on an acute
warning was missed (Noon 1998). inpatient unit: A phenomenological study. Australian and
New Zealand Journal of Mental Health Nursing 6(4): 137 – 47.
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© 2001 Blackwell Science Ltd, Nursing Inquiry 8(3), 191–195 195

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