Temporality

时间性
  • 文章类型: Journal Article
    时间的异常经历(ATEs)是现象学精神病理学研究的既定对象。目的:本研究的目的是首次验证时态经验诊断评估(TATE),关于不同心理健康状况个体的ATEs的结构化现象学访谈,以及它对波兰语的改编。方法:研究采用混合方法方法,包括几个阶段,包括(1)共识翻译;(2)专家小组的构建和内容验证;(3)来自有酒精成瘾生活经历的患者的直接反馈,边缘人格,自闭症,和临床抑郁症;(4)有98名没有心理健康问题的受访者的礼堂问卷,他们都接受了采访,并给出了定性反馈;(5)最终的专家小组和批准。结果:经过多个阶段的修饰,最终的TATE表现出很强的内部一致性和有效性(Cronbach'sα=0.9),频率之间有很强的相关性,强度,以及各种形式的ATEs的损害,以及它们在健康参与者中的罕见发生。结论:TATE代表了精神病学和临床心理学的时间经验的多维和结构化的定量现象学方法。本文介绍了经过验证的波兰语TATE版本以及更新的管理指南。现在是最先进的TATE,可以进一步适应其他语言,包括英语。
    Abnormal experiences of time (ATEs) are an established object of research in phenomenological psychopathology. Objective: The purpose of this study was the first validation of the Transdiagnostic Assessment of Temporal Experience (TATE), a structured phenomenological interview concerning ATEs in individuals with diverse mental health conditions, and its adaptation for the Polish language. Methods: The research employed a mixed-method approach and consisted of several phases including (1) consensual translation; (2) construct and content validation by an expert panel; (3) direct feedback from patients with lived experiences of alcohol addiction, borderline personality, autism, and clinical depression; (4) an auditorium questionnaire with 98 respondents without mental health issues, who were both interviewed and gave qualitative feedback; and (5) a final expert panel and approval. Results: Following multiple stages of modification, the final TATE demonstrates strong internal consistency and validity (Cronbach\'s α = 0.9), with strong correlations between the frequency, intensity, and impairment of various forms of ATEs as well as their rare occurrence among healthy participants. Conclusions: TATE represents a multidimensional and structured quantitative phenomenological approach to temporal experience for psychiatry and clinical psychology. This article presents the validated version of TATE for Polish alongside updated administration guidelines. It is now the state-of-the-art TATE that may be further adapted to other languages, including English.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:糖尿病的代谢危险因素和血浆生物标志物在临床糖尿病诊断之前已经显示出变化。然而,这些标记仅覆盖了与疾病相关的一小部分分子生物标志物.在这项研究中,我们旨在分析一组更全面的分子生物标志物,并探讨它们与糖尿病发病的时间关联.
    方法:我们在丹麦献血者研究(DBDS)中对性别和出生年份分布相匹配的324例糖尿病患者和359例非糖尿病患者进行了长达11年随访的三个连续样本中测量的54种蛋白质和171种代谢物和脂蛋白颗粒的靶向分析。我们使用线性混合效应模型来识别糖尿病诊断前的时间变化,对于任何意外糖尿病诊断或特别是1型和2型糖尿病诊断。我们进一步进行了线性和非线性特征选择,在生物标志物池中增加28项多基因风险评分。我们测试了具有最高变量重要性的生物标志物的事件时间预测增益,与选定的临床协变量和血浆葡萄糖进行比较。
    结果:我们确定了2种蛋白质和16种代谢物和脂蛋白颗粒,其水平在糖尿病诊断前发生了时间变化,并且在FDR调整后估计的边缘均值具有统计学意义。其中16个以前没有描述过。此外,在糖尿病诊断之前的几年中,有75种生物标志物始终较高或较低。我们确定了1型糖尿病的单一时间生物标志物,IL-17A/F,与多种其他自身免疫性疾病相关的细胞因子。纳入12种生物标志物改善了糖尿病诊断的10年预测(即受试者工作曲线下的面积从0.79增加到0.84)。与单独的临床信息和血浆葡萄糖进行比较。
    结论:在糖尿病诊断前几年,血浆中出现了系统性分子变化。一个特定的生物标志物子集显示出不同的,时间依赖的模式,提供作为糖尿病发病的预测标志物的潜力。值得注意的是,这些生物标志物在1型糖尿病和2型糖尿病之间显示出共同和不同的模式.独立复制后,我们的发现可用于开发新的临床预测模型.
    OBJECTIVE: Metabolic risk factors and plasma biomarkers for diabetes have previously been shown to change prior to a clinical diabetes diagnosis. However, these markers only cover a small subset of molecular biomarkers linked to the disease. In this study, we aimed to profile a more comprehensive set of molecular biomarkers and explore their temporal association with incident diabetes.
    METHODS: We performed a targeted analysis of 54 proteins and 171 metabolites and lipoprotein particles measured in three sequential samples spanning up to 11 years of follow-up in 324 individuals with incident diabetes and 359 individuals without diabetes in the Danish Blood Donor Study (DBDS) matched for sex and birth year distribution. We used linear mixed-effects models to identify temporal changes before a diabetes diagnosis, either for any incident diabetes diagnosis or for type 1 and type 2 diabetes mellitus diagnoses specifically. We further performed linear and non-linear feature selection, adding 28 polygenic risk scores to the biomarker pool. We tested the time-to-event prediction gain of the biomarkers with the highest variable importance, compared with selected clinical covariates and plasma glucose.
    RESULTS: We identified two proteins and 16 metabolites and lipoprotein particles whose levels changed temporally before diabetes diagnosis and for which the estimated marginal means were significant after FDR adjustment. Sixteen of these have not previously been described. Additionally, 75 biomarkers were consistently higher or lower in the years before a diabetes diagnosis. We identified a single temporal biomarker for type 1 diabetes, IL-17A/F, a cytokine that is associated with multiple other autoimmune diseases. Inclusion of 12 biomarkers improved the 10-year prediction of a diabetes diagnosis (i.e. the area under the receiver operating curve increased from 0.79 to 0.84), compared with clinical information and plasma glucose alone.
    CONCLUSIONS: Systemic molecular changes manifest in plasma several years before a diabetes diagnosis. A particular subset of biomarkers shows distinct, time-dependent patterns, offering potential as predictive markers for diabetes onset. Notably, these biomarkers show shared and distinct patterns between type 1 diabetes and type 2 diabetes. After independent replication, our findings may be used to develop new clinical prediction models.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    批判的社会学文献探索了关于女性生殖生活的社会处方,轨迹,结果和后果。然而,很少有人关注这些处方是如何通过时间谈判来表达的。本文深入探讨了经历过死胎的犹太以色列妇女的叙述。在他们的叙述中,这些女性在与专业人士的互动中争夺对她们的期望,家人和朋友。在这些期望中,一种对他们未来的听写形式应运而生,在死产之前应该很快怀孕。这里的焦点在于这些女性如何驾驭和挑战这些暂时的期望,为死产开辟空间,作为一个有意义和痛苦的事件,应该给予关注,并为其他形式的记忆他们的死产和照顾他们死后。他们通过我所说的“增厚现在时”来重塑自己的叙述,并在死产后将护理扩展到死产。这项工作有助于对生殖生活进行学术调查,并将探索时间作为一种社会规定的护理价值和社会分配机制。
    The critical sociological literature has explored social prescriptions on women\'s reproductive lives, trajectories, outcomes and aftermaths. However, little attention has been given to how these prescriptions are expressed through temporal negotiations. This article delves into the narratives of Jewish-Israeli women who have experienced stillbirths. In their narratives, these women contest expectations directed towards them in interactions with professionals, family and friends. Within these expectations, a form of dictation over their future comes into being, where a new pregnancy should quickly precede the stillbirth. The focus here lies on how these women navigate and contest these temporal expectations, carving out space for stillbirth as a meaningful and painful event that should be granted attention and for alternative forms of remembering their stillborn and caring for them after their death. They reshape their narratives through what I call \"thickening a present tense\" and extend care to the stillborn in the aftermath of the stillbirth. This work contributes to scholarly inquiries into reproductive life and probing time as a socially prescribed mechanism for the value and social distribution of care.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    监测血糖值的健康技术是日常糖尿病自我护理的重要组成部分。根据丹麦12个月的实地调查,14名2型糖尿病患者,我探索人们的生活与连续葡萄糖监测的经验。这项新技术可自动测量全天的血糖水平,但在丹麦的2型糖尿病治疗中还不常见。在这篇文章中,我捕捉到了连续葡萄糖监测的社会塑造,运用时间的概念。我展示了该技术的采用是如何以传记时间的形式嵌入的。这是指人们使用与他们自己的故事相关的技术。借鉴习惯的概念,人们所体现的过去的经验和未来的前景来塑造它的用途,我提议.我的主要主张是,尽管糖尿病患者以独特的方式将技术应用到他们的生活中,适应他们的环境和社会条件,连续葡萄糖监测的实践再现了社会结构。这是显而易见的,我争辩说,在人们修补技术和用来告知它的参考框架中。我介绍了“及时修补”一词,强调在人类生活时间的框架内引入新的健康技术。
    Health technologies to monitor glucose values are an important part of daily diabetes self-care. Based on 12 months of fieldwork in Denmark with 14 people with type 2 diabetes, I explore people\'s experience of living with Continuous Glucose Monitoring. This new technology automatically measures glucose levels throughout the day but is not yet common in type 2 diabetes treatment in Denmark. In this article, I capture the social shaping of Continuous Glucose Monitoring, employing the concept of time. I show how adoption of the technology is embedded in a form of biographical time. This refers to people\'s use of the technology linked to their stories about themselves. Drawing on a notion of habitus, people\'s embodied past experiences and future prospects come to shape its use, I propose. My main claim is that while people with diabetes implement the technology into their lives in unique ways, adapting it to their circumstances and social conditions, practice of Continuous Glucose Monitoring reproduce social structures. This is evinced, I argue, in people\'s tinkering with the technology and the frames of reference used to inform it. I introduce the term \"tinkering in time\", highlighting the introduction of new health technology within the frame of lived human time.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    在希望和康复的背景下,了解癌症对时间体验的影响至关重要。这项研究,对先前对卵巢癌患者进行的定性研究的随访-探索了两种类型的经历-对过去幸福的记忆和有限的未来计划。对202名患有各种癌症的患者的便利样本使用了包含9个关于时间体验的问题的社会人口统计学问卷,主要是有乳房的女性,卵巢,还有宫颈癌.结果发现,受访者对当下的关注有所增加,减少对未来的关注,一种不可预测性,以几周和几个月为单位的时间范围相对较短,不是几年。几乎一半的受访者(46%)通过化疗和检查的节奏来衡量治疗期间的时间,因此,这似乎是最有意义的事件。患者接受化疗频率的增加轻度影响了他们对当前的关注(R=0.25,p<0.05),可能是因为副作用的不适。年龄和治疗时间之间的相关性,一方面,和时间的经验,另一方面,微不足道。化疗期间的时间体验改变是影响患者健康和应对疾病能力的一个因素。因此,在计划肿瘤学护理时应考虑到这一点。
    Understanding the impact of cancer on the experience of time is crucial in the context of hope and recovery. This study, a follow-up to a previous qualitative study of ovarian cancer patients - explored two types of such experiences-the memory of past happiness and the limited future planning. A sociodemographic questionnaire with nine questions about the experience of time was used on a convenience sample of 202 patients with various cancers, predominantly women with breast, ovarian, and cervical cancer. It was found that the respondents experienced increased focus on the present, decreased focus on the future, and a sense of unpredictability, with a relatively short temporal horizon measured in weeks and months, not years. Almost half of the respondents (46%) measured time during treatment by the rhythm of chemotherapy and check-ups, which thus appeared as the most meaningful events. The increase in the frequency with which patients underwent chemotherapy mildly affected their focus on the present (R = 0.25, p < 0.05), likely because of the discomfort of the side effects. The correlations between age and time in treatment, on the one hand, and the experience of time, on the other, were negligible. Changed temporal experience during chemotherapy is a factor that can have an impact on patients\' well-being and ability to cope with the disease. It thus should be taken into account when planning oncology care.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    痴呆症通常表现为感知的深刻改变,但目前还不清楚与正常衰老患者相比,痴呆症患者的时间感知是否以及在多大程度上发生了改变。因此,这篇范围界定综述旨在回答以下研究问题:(1)设计了什么研究,参与者,时间间隔,范式,测试,和分数已经被采用,这些方法在哪些国家被用来研究痴呆症的时间知觉?(2)患有和不患有痴呆症的个体的时间知觉在哪些方面有所不同?(3)患有不同类型痴呆症的个体的时间知觉在哪些方面有所不同?重复数据删除后,标题和摘要筛选,和全文回顾,本次范围审查共纳入12项研究.研究结果表明,患有痴呆症的人对时间的感知与没有痴呆症的人不同。痴呆症的诊断可能存在一些差异,但是关于痴呆症时间知觉的文献相当有限。未来的研究应该专注于复制发现,同时将研究扩展到超越痴呆症与非痴呆症二分法,因为痴呆症诊断之间可能存在差异。此外,如果患有痴呆症的人(和,特别是,患有不同的痴呆症诊断)与经历正常衰老的人的时间不同,我们需要开始解决痴呆症友好计划中的这些差异,以改善该人群的福祉。
    Dementia often manifests with profound alterations in perception, but it is unclear if and to what extent time perception is altered among people living with dementia compared to those experiencing normal aging. Thus, this scoping review aimed to answer the following research questions: (1) What study designs, participants, time intervals, paradigms, tests, and scores have been employed and in which countries were these methods employed to study time perception in dementia? (2) In which ways do time perception differ across individuals living with and without dementia? (3) In which ways do time perception differ across individuals living with different types of dementia? After deduplication, title and abstract screening, and full-text review, a total of 12 studies were included in this scoping review. Findings generally indicated that people living with dementia perceive time differently than people living without dementia, and that some differences across dementia diagnoses may exist, but the body of literature on time perception in dementia was quite limited. Future research should focus on replicating findings while extending the research to look beyond the dementia versus non-dementia dichotomy as differences across dementia diagnoses may exist. Moreover, if people living with dementia (and, in particular, living with different dementia diagnoses) experience time differently from those experiencing normal aging, we need to begin to address these differences in dementia-friendly initiatives to improve well-being for this population.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    研究表明,近期的事件通常是从第一人称(亲眼看到,也称为现场)透视,而遥远的未来事件通常是从第三人称(观察者)的角度来看的。我们调查了这些不同的心理观点是否会伴随着不同的眼球运动活动。我们邀请参与者在他们的眼球运动(即,扫描路径)通过眼睛跟踪眼镜记录。分析表明,与遥远的未来思维相比,对近期思维的关注更少,但更长。分析还表明,与遥远的未来思维相比,近处的“现场”心理视觉视角反应更多。与遥远的未来思维相比,在不久的将来思维中的长期注视可能反映出一种心理视觉探索,涉及对更复杂的视觉表示的处理。通过展示不久的将来思考如何触发“现场”响应和长期关注,我们的研究证明了未来思维的时间性如何触发不同的心理意象和眼球运动模式。
    Research has suggested that near future events are typically viewed from a first-person (an own-eyes, also known as field) perspective while distant future events are typically viewed from a third-person (an observer) perspective. We investigated whether these distinct mental perspectives would be accompanied by distinct eye movement activities. We invited participants to imagine near and distant future events while their eye movements (i.e., scan path) were recorded by eye-tracking glasses. Analysis demonstrated fewer but longer fixations for near future thinking than for distant future thinking. Analysis also demonstrated more \"field\" mental visual perspective responses for near than for distant future thinking. The long fixations during near future thinking may mirror a mental visual exploration involving processing of a more complex visual representation compared with distant future thinking. By demonstrating how near future thinking triggers both \"field\" responses and long fixations, our study demonstrates how the temporality of future thinking triggers both distinct mental imagery and eye movement patterns.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    慢性疼痛是一种常见的疾病,具有巨大的社会医学意义。疾病的主要和次要成本的主要部分是由各种疼痛综合征引起的。伤害感受-疼痛刺激的感官知觉-是一个复杂的过程,依赖于复杂的解剖系统,神经生理和生化网络。这更适用于疼痛——经历伤害性事件的状态,根据受影响的个体的意义来解释它,并遭受它引发的一系列情绪。这种错综复杂使它变得显而易见,仅凭经验医学不能解释疼痛的所有方面。因此,也成为现象学研究的重点。这些研究的一个方面是疼痛和对活体空间性的感知的相互作用。本文的重点将建立在这些概念的基础上,以建立由慢性疼痛引起的时间性改变的结构,以及这对受影响的受试者的影响。为此,我将主要借鉴梅洛-庞蒂关于活体的思想以及积极主义和化身的理论。我还将指出与神经科学数据的相似之处,从而证明了现象学和神经科学的接近。疼痛困境的可能部分解决方案可能来自心理学:依靠认知行为干预的技术,意识培训,和存在分析可以缓解患有慢性疼痛的患者。
    Chronic pain is a common disorder with enormous sociomedical importance. A major part of primary and secondary costs of illness is caused by the various pain syndromes. Nociception - the sensory perception of a painful stimulus - is a complex process relying on an intricate system of anatomical, neurophysiological and biochemical networks. This applies even more so to pain - the state of experiencing a nociceptive event, of interpreting it in terms of meaning for the affected individual and of suffering a range of emotions it elicits. This intricacy renders it obvious, that the empirical medical sciences alone cannot explain all aspects of pain. Hence, it has also become a focus of phenomenological research. One aspect of these investigations is the interaction of pain and the perception of the lived body\'s spatiality. The focus of this article will build on these concepts to develop a construct of the alteration of temporality caused by chronic pain and the effects this spells out for the affected subject. To this end, I will primarily draw on Merleau-Ponty\'s ideas of the lived body as well as on theories of enactivism and embodiment. I will also point out parallels to neuroscientific data, thereby demonstrating the proximity of phenomenology and neuroscience. A possible partial solution to the pain dilemma may be derived from psychology: techniques relying on cognitive behavioural intervention, awareness training, and existential analysis may provide alleviation to patients suffering from chronic pain.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:目前,除了物质使用控制之外,对酒精成瘾恢复的概念没有科学共识。这个概念问题挑战了不限于症状缓解的治疗策略和心理健康政策的实施。旨在为其定义做出贡献,本研究以辩证现象学精神病理学(DPP)为理论和方法框架,探讨酒精成瘾患者的康复经验.
    方法:通过对八名巴西人的在线访谈进行了辩证现象学分析,自宣称正在接受酒精成瘾康复的圣保罗州公民(或宣称他们已经完全康复)。
    结果:参与者报告产生了八个类别,这些类别被细分为两组。第一组指出了恢复的经验要素,比如自我关系的变化,人际关系的变化,和时间关系的变化,赋予痛苦和酒精使用新的含义,和回收作为一个连续的过程。第二组提到参与者如何根据他们的世界观来解释恢复:作为一种精神体验,道德改革,和心态的变化。
    结论:这些类别可以通过DPP的镜头理解为世界上主体的变化过程,其特点是继续管理他们在空间性维度上的存在失衡,时间性,自我,和主体间性。在概念化恢复方面,结果是初步的,但可能有助于未来的研究制定面向恢复的治疗策略。
    BACKGROUND: Currently, there is no scientific consensus on the concept of alcohol addiction recovery beyond substance use control. This conceptual issue challenges the implementation of therapeutic strategies and mental health policies that are unrestricted to symptomatic remission. Aiming to contribute to its definition, this study aimed to examine the recovery experience of individuals with alcohol addiction using dialectical phenomenological psychopathology (DPP) as a theoretical and methodological framework.
    METHODS: A dialectical phenomenological analysis was conducted through an examination of online interviews with eight Brazilian, São Paulo state citizens who were self-declared to be undergoing alcohol addiction recovery (or who declared that they had completely recovered).
    RESULTS: Participants\' reports generated eight categories that were subdivided into two groups. The first group indicated experiential elements of recovery, such as changes in self-relation, changes in interpersonal relations, and changes in time relations, giving new meanings to suffering and alcohol use, and recovery as a continuous process. The second group referred to how the participants interpreted recovery according to their worldviews: as a spiritual experience, moral reformation, and mentality change.
    CONCLUSIONS: These categories can be understood through the lens of DPP as a process of change in the subjects\' being in the world, characterized by the continued management of their existential imbalances in the dimensions of spatiality, temporality, selfhood, and intersubjectivity. The results are preliminary when it comes to conceptualizing recovery but may help future studies to develop recovery-oriented therapeutic strategies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    本文探讨了艾滋病的知识和政治历史如何有助于对COVID-19等大流行进行按时间顺序排列的概念化。它质疑大流行“开始”和“结束”的概念,以表明此类定义是由相关学者的学科位置和主题重点所决定的。这种分析的核心是这样一种观念,即道德和政治背景在国家和全球层面上以不同方式影响对流行病的研究。本文围绕两个主要主题展开了这一论点:首先,参考南非艾滋病研究的历史;其次,用生物机构的哲学概念来理解病毒和人类随着时间的推移共同塑造流行病进程的方式。我首先为历史知情的发展辩护,COVID-19的长期人种学研究。以生物机构为出发点,将病毒视为社会行为者,然后,本文批评了生物信息主义的概念,因为它促进了生物医学研究的可及性。相反,我讨论了生物技术和制药行业作为生物资本运作的主角。我认为,南非艾滋病的历史可以为如何解释正在发展的流行病提供方法论和理论见解,概述了一个雄心勃勃的跨学科研究议程,以思考跨越不同地区的大流行的时间性,互联,生命的尺度。
    This paper deals with the ways in which the intellectual and political history of AIDS can assist in the chronological conceptualization of a pandemic such as COVID-19 as it is unfolding. It problematizes the idea of pandemic \"beginnings\" and \"ends\" to show that such definitions are shaped by the disciplinary location and thematic foci of relevant scholars. Central to this analysis is the notion that ethical and political contexts affect research on a pandemic in different ways at national and global levels at various points in its trajectory. The article develops this argument in relation to two main themes: firstly, with reference to the history of AIDS research in South Africa; secondly, with the philosophical concept of bioagency to understand the ways in which viruses and humans co-shape the course of epidemics over time. I first make the case for the development of historically informed, long-term ethnographic studies of COVID-19. Using bioagency as a point of departure to consider viruses as social actors, the essay then critiques the notion of bioinformationalism as catalyzing the widening accessibility of biomedical research. Instead, I discuss the biotechnology and pharmaceutical industries as protagonists in the operation of biocapital. I argue that the history of AIDS in South Africa can provide methodological and theoretical insights into how to interpret an unfolding epidemic, outlining an ambitious transdisciplinary research agenda for thinking about the temporality of a pandemic spanning the different, interconnected, scales of life.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号