The human care process in nursing is, I believe, connected to other human struggles and to the tearing and wounding that can happen to a person or a race, a culture, or a civilization. This intensely human process of nursing can be a struggle for the professional nurse during a time of scientism and high technology In my first book, Nursing: The Philosophy and Science of Caring, I had no inclination to refer to my ideas as a theory. That earlier work came forth in my attempt to solve some conceptual and empirical problems about nursing, what comprises nursing, and how various components of nursing relate to and direct education, practice and research. Nursing: The Philosophy and Science of Caring was, in fact, a treatise on nursing. formulating my began to structure a set of beliefs and concepts and to organize a body of knowledge and principles underlying human behavior in health and illness. Through this process came the ten "carative" factors in nursing. While my work was not a scientific theory per se, I was indeed theorizing about nursing and consequently going