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"Private Practice" analyses and action page


See our series review

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See our individual episode analyses below:
 

It hurts

Dell ParkerJanuary 21, 2010 -- In a minor plotline in tonight's Private Practice (ABC), nurse midwife Dell Parker actually shows some autonomy and knowledge in coaching an expectant single mother who is determined to stick to her "natural" birth plan, despite spending three days in labor. The mother ultimately succeeds in her plan and the show displays real sympathy for her. But the plotline also spends time mocking the holistic birth model that she wants and that real midwives follow. And the show gives no real indication of why that birth model might make sense--why, for example, a mother might want to avoid drugs, C-sections, or physicians--offering only the mother's vague statements that she wants to "experience" the birth and to give her baby the "best chance that he can have." The episode also presents Dell less as an expert in natural birth than as someone trying to cope with the mother's odd ideas. And at one point, Dell brings in superstar OB/GYN Addison Montgomery for a consult about the mother's status and options that a real nurse midwife would need no help with, partly undermining the sense that Dell is an autonomous professional. Still, Dell does show psychosocial skill in helping the patient through labor, and he does finally deliver the baby solo with no problems. The plotline ends with the mother looking ecstatic. So we give the show credit for a mildly positive, though deeply flawed, portrayal of a nurse midwife. This episode, "Best Laid Plans," was written by Patti Carr & Lara Olsen. more...and please join our letter-writing campaign!

 

Not a doctor, but...

April 29, 2009 -- ABC's Private Practice, whose season ends tomorrow, April 30, may be the only broadcast network show with a major nurse character to return next season. In the February 5 episode (Mike Ostrowski's "Acceptance," 13 million U.S. viewers), lone nurse character Dell Parker, who is studying to be a midwife, shows some tentative clinical aptitude and knowledge to go with his boyish eagerness. Under the close supervision of OB/GYN Addison Montgomery, Dell ably performs a vacuum-assisted delivery. Later he haltingly guides the baby's parents toward breastfeeding. Dell also performs an assured solo ultrasound of pregnant psychiatrist Violet Turner, calming her panic attack and eliciting her agreement to his own suggestion that, though he's "not a doctor," he will likely become a "pretty good midwife." The show still condescends to Dell, who is also the office manager/receptionist at the LA clinic where the show is set. In the March 26 episode (Craig Turk's "Do the Right Thing," 10.1 million U.S. viewers), Dell starts hooking up with young women by pretending to be a physician. This earns quietly amused derision from the elite physician characters. Of course, neither registered nurses nor physicians are qualified to do the job of the other group. But aspiring advanced practice nurses, who may be wrongly perceived as "wannabe" physicians, would be unlikely to reinforce that impression, which would suggest a lack of respect for nursing and themselves. Needless to say, Private Practice remains physician-centric, with its many physician characters often doing key care tasks that nurses generally do in real life. Still, on balance, the early 2009 episodes seem to represent a small step forward in the show's portrayal of nursing. more... see film clips of the show and please join our letter-writing campaign!

 
"Is That Even a Word--Midwifery?"

ABC's "Private Practice," the only new health drama of the 2007-08 TV season, is another prime time soap about smart, pretty physicians from "Grey's Anatomy" creator Shonda Rhimes. But in addition to the seven physician characters who dominate here, the show's LA "wellness clinic" also has cute surfing receptionist Dell Parker. The earnest Dell just got his "nursing degree" and is studying to be a midwife. He seems to be a young, network version of "Strong Medicine"'s Peter Riggs--except Dell uses his nursing skills to be a receptionist. Despite good intentions and an intense interest in the clinic's patients, Dell seems to be the least knowledgeable major nurse character in the last decade of prime time US television. The show's early episodes suggest that his clinical studies consist of whatever ad hoc assistance he can give to clinic physicians. The episodes also rely heavily on juvenile mockery of Dell's midwifery studies as lightweight New Age kookiness. Show anchor and superstar physician Addison repeatedly utters the word "midwif" as if she had never heard of such an outlandish pursuit. Alert viewers can also catch glimpses of wallpaper nurses in the background once in a while, but it's not clear if any of them will ever display the ability to speak, much less think. On the whole, "Private Practice" either ignores or grossly undervalues nursing care, as the show pursues its tired "heroic physician" narrative. more, including our 5 new film clips...

"Is that even a word?"

September 26, 2007 -- The premiere features Addison mocking the very idea of midwifery. We're meant to assume that bemused contempt for midwives would probably be the attitude of any true childbirth expert. more...

"I love talking to midwifs"

October 3, 2007 -- Early in the episode we see Dell asking fertility specialist Naomi to speak to his midwife class. Naomi can't teach the class, so Addison tells Dell: "I'll do it. I love talking to midwifs." more...

"Commit to the cake, man"

October 10, 2007 -- The show manages to get through the entire episode, without mocking the word "midwifery." However, the episode does nothing to counter its overall presentation of Dell as an office assistant with little to no health care expertise. more...

"Vulva! Labia Majus!"

October 17, 2007 -- In the episode it's back to mockery of "midwif" school and of Dell's role as office naïf. more...

"Don't mock the midwife"

October 24, 2007 -- The episode is notable for a minor plotline built around Dell's first pap smears. But on the whole the episode presents Dell as a nurse without significant skill or experience with patients. more...

 

You can write to "Private Practice" here:

Shonda Rhimes, Lauren Schmidt, Mark Tinker
Executive Producers, "Private Practice"
Raleigh Studios
5300 Melrose Avenue
East Office Building, 4th Fl.
Hollywood, CA 90038-5111

Channing Dungey, VP Drama Series
Touchstone Television
500 S. Buena Vista St.
Burbank, CA 91521

Charissa Gilmore, VP Media Relations
Touchstone Television
500 S. Buena Vista St.
Burbank, CA 91521

 

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