Margaret Atwood’s most distinguishing novel is The Handmaid’s tale. The novel has two narrators. First, the story is told in the first person through the eyes of a protagonist and ostensible narrator called Offred. Atwood describes the course of Offred’s daily life under the oppressive regime of a patriarchal theocracy governed by religious fundamentalists. Second, the entire meaning of Offred’s story is altered by the thirteen-page appendix ‘Historical notes on The Handmaid’s Tale’ narrated by Professor Pieixoto. He shocks and disorients (...) the reader who encounters it after having spent nearly 300 affecting pages with Offred and her narration. In this regard, two possible worlds are constructed in The Handmaid’s Tale as the results of Offred’s narration and Pieixoto’s narration. This paper aims to study these two worlds from the viewpoint of Slovenian philosopher Slavoj Žižek. Following Lacan, Žižek argues that fantasy provides a framework through which we see reality. They are anamorphic so that they presuppose a point of view, denying us an objective account of the world. Accordingly, there are two anamorphic symbolic orders, or two anamorphic levels, in the novel: the first phase of anamorphic perspective attributes to the handmaids’ fantasy and the second phase relates to readers of the novel. (shrink)

Background:The nurses’ moral sensitivity is the first step to make right decisions in difficult moral situations. Therefore, its education and promotion is highly important.Research objectives:The aim of this study was to examine the impact of poetry-based ethics education on the nurses’ moral sensitivity.Research design and methods:This was a semi-experimental study. The sample consisted of 108 nurses who were selected by convenience sampling method and randomly assigned to three groups: intervention with poetry (G1), who read a booklet about values and principles (...) of professional ethics as well as poems related to these subjects for 1 month; intervention without poetry (G2), who only read the booklet without any poetry; and control group (G3), who did not receive any intervention. Data were collected by Moral Sensitivity Questionnaire that was completed by the participants prior to the intervention (T1), 1-month post-intervention (T2), and 2-month post-intervention (T3). Data were analyzed by SPSS 16 software.Ethical considerations:This study was conducted in accord with the principles of research ethics and regulations relating to informed consent.Findings:Changes in the mean score of total moral sensitivity were significantly higher in G1 than in G2, which was in turn significantly higher than in G3. This increase was significant from T1 to T2 and T2 to T3 (P < 0.001). In all subscales, there was a significant difference between the mean changes in the three groups, so that in these subscales, the mean changes in G1 were significantly higher than those in other groups.Discussion:In line with previous studies, our results showed the effectiveness of poetry-based education on the transfer of educational concepts and increase moral sensitivity scores with greater lasting effect.Conclusion:The use of interdisciplinary subjects such as poetry, due to its entertaining, fun, and lasting effect on minds; level of awareness; and actions of nurses, can help raise nursing moral sensitivity. (shrink)