Hermeneutics

解释学
  • 文章类型: Journal Article
    关于这个主题的知识是什么?:在日常的精神病学实践中,了解个人通常涉及制定临床病例,这可能导致将它们仅仅视为需要解决的症状。因此,看到个人超出他们的症状可能是具有挑战性的。然而,试图通过他/她关于叙述的著作来理解个人可以提供更广泛的视角,并超越作为患者表达他们经历的媒介。关于理解写作,解释学将是一种足智多谋的方法。论文对现有知识有何贡献?:本研究旨在对精神分裂症患者之间的治疗性沟通的性质进行重新评估,精神病医生,和精神科护士通过解释学分析解释他们在相同的书面叙述上的著作。与以前关于心理健康专业人员与患者之间沟通的研究相比,我们的研究具有独特的功能。我们通过三组参与者的著作直接调查了理解行为。参与者还从事有关叙述的阅读和写作,而不是依靠临床访谈或自我报告问卷。据我们所知,我们的研究是第一个诠释学的研究,以检查的性质的反思,而所有三个群体遇到相同的叙事作为读者。实践的意义?:结果表明,精神科医生/精神科护士需要开发新的观点和技能,以理解/与精神分裂症患者互动。我们的研究可能是将解释学作为一种流行的方法应用于心理健康护理实践的先驱样本。
    导言:了解精神分裂症患者是精神病学中必不可少但具有挑战性的现象。
    目的:这项研究提出了对精神分裂症患者之间治疗性沟通的性质的重新评估,精神科医生和精神科护士通过解释学分析解释他们在相同的书面叙述上的著作。
    方法:在本研究中,采用定性的描述性方法,利用解释学分析,参与者阅读了这五个叙述,写下他们对每个叙述的看法,并回答了九个问题,以表达他们个人的写作经历。
    结果:每个小组的参与者同时充当“读者”和“作者”,同时根据自己的阅读感重写选定的五个简短叙述。表达式,重写是指本研究参与者和研究人员的阅读和书面解释行为。虽然精神分裂症患者在阅读和写作中主要关注文本(叙述),精神科医生和精神科护士倾向于专注于读者(他们自己)在他们的解释。
    结论:尽管阅读应该作为一个发现的过程,而不仅仅是寻求预定的知识,精神科医生和精神科护士阅读这些叙述,就好像提交人是病人或疾病的迹象一样。
    结论:结果表明,精神科医生/精神科护士需要开发新的观点和技能来理解精神分裂症患者并与之互动。
    WHAT IS KNOWN ON THE SUBJECT?: In daily psychiatric practice, understanding individuals often involves formulating the clinical case, which may lead to viewing them solely as symptoms to be solved. Consequently, it can be challenging to see the individual beyond their symptoms. However, trying to understand the individual by his/her writings about narratives can offer broader perspectives and extend beyond being a medium for patients to express their experiences. On understanding writing, hermeneutics will be a resourceful method. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This study aims to propose a reevaluation of the nature of therapeutic communication among individuals with schizophrenia, psychiatrists, and psychiatric nurses by interpreting their writings on the same written narratives through a hermeneutic analysis. Our study has unique features compared to previous studies on communication between mental health professionals and patients. We directly investigated the act of understanding through the writings of the three groups of participants. The participants were also engaged in reading and writing about the narratives instead of relying on clinical interviews or self-report questionnaires. To the best of our knowledge, our study is the first hermeneutic study to examine the nature of reflection while all three groups encounter the same narratives as readers. IMPLICATIONS FOR PRACTICE?: The results point to the need for psychiatrists/psychiatric nurses to develop new perspectives and skills in understanding/interacting with individuals with schizophrenia. Our study could be a pioneer sample in applying hermeneutics as a prevailing method to mental health nursing practice.
    UNASSIGNED: INTRODUCTION: Understanding individuals with schizophrenia is an essential but challenging phenomenon in psychiatry.
    OBJECTIVE: This study proposes a reevaluation of the nature of therapeutic communication among individuals with schizophrenia, psychiatrists and psychiatric nurses by interpreting their writings on the same written narratives through a hermeneutic analysis.
    METHODS: In this study, employing a qualitative descriptive methodology utilising hermeneutic analysis, participants read the five narratives, wrote down their opinions on each narratives and answered nine questions to express their own personal writing experiences.
    RESULTS: Participants from each group acted as both \'readers\' and \'authors\' while rewriting the selected five short narratives based on their own sense of readings. The expression, rewriting refers to the act of reading and written interpretations of participants and researchers in this study. While individuals with schizophrenia primarily focused on the text (narrative) in their readings and writings, psychiatrists and psychiatric nurses tended to focus on reader (themselves) in their interpretations.
    CONCLUSIONS: Although reading should be approached as a process of discovery rather than merely seeking predetermined knowledge, psychiatrists and psychiatric nurses read the narratives as if the author were a patient or as the signs of an illness.
    CONCLUSIONS: The results point to the need for psychiatrists/psychiatric nurses to develop new perspectives and skills in understanding and interacting with individuals with schizophrenia.
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  • 文章类型: Journal Article
    维果茨基跨越了俄国革命时期,发现自己面临着苏联的马克思主义唯物主义意识形态,需要一种新的心理学方法。讽刺的是,苏联需要以马克思主义为基础的心理学方法,这与维果茨基先前对解释方法的研究相吻合,后者受到黑格尔的启发,主要基于意识和文化的作用。由于维果茨基革命前的工作和黑格尔的灵感与革命后对心理学新方法的需求相冲突,维果茨基发展了他的文化历史理论。在提出他的新理论时,维果茨基试图解决唯心主义和唯物主义之间的根本意识形态冲突。此外,维果茨基通过从格式塔心理学中汲取灵感,致力于创造一种有效的新研究方法,黑格尔,马克思,还有恩格斯.维果茨基努力的结果是一个基于意识和心理心理学的理论,而不是一个完全专注于刺激和反应分析的基于生物学的心理学。在分析维果茨基的理论时,从维果茨基对纯粹经验主义的批评中汲取灵感是有用的,并受到维果茨基关于如何通过在对立的意识形态中找到意想不到的共同点来弥合社会之间根深蒂固的差异的演示的启发。
    Vygotsky straddled the period of the Russian Revolution and found himself facing the Marxist materialist ideology of the Soviet Union with the need for a new method of psychology. Ironically, the Soviet Union\'s need for a Marxist based method of psychology coincided with Vygotsky\'s prior research on methods of interpretation which were inspired by Hegel and primarily based on the role of consciousness and culture. As a result of Vygotsky\'s pre-revolutionary work and inspiration from Hegel clashing with the post-revolutionary need for a new methodology for psychology, Vygotsky developed his Cultural Historical Theory. In presenting his new theory, Vygotsky attempted to resolve a fundamental ideological conflict between idealism and materialism. Furthermore, Vygotsky worked to create an effective new research method by drawing inspiration from Gestalt psychology, Hegel, Marx, and Engels. The result of Vygotsky\'s efforts was a theory based on psychology of consciousness and mind rather than a biology-based psychology focused entirely on analysis of stimuli and responses. In analyzing Vygotsky\'s theory, it is useful to draw inspiration from Vygotsky\'s criticism of pure empiricism, and to be inspired by Vygotsky\'s demonstration on how deeply rooted differences between societies may be bridged by finding unexpected commonalities within opposing ideologies.
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  • 文章类型: Journal Article
    支持护理学生成功的韧性对未来的医疗保健至关重要。本研究探讨了Z世代传统本科护生的韧性的意义和过程。
    使用定性诠释学现象学方法,对13名具有弹性生活经历的Z代护生进行了调查和访谈。结果进行了解释性分析。
    确定了Z世代护理专业学生的韧性主题与研究问题有关。确定的主题包括“操纵浑浊的水”和“这可能毁了我,或者我可以继续前进,“以及护理教育背景下的韧性过程。开放响应数据提供了有关弹性的进一步反思见解,并为护理教育计划中的弹性提供了建议。
    支持韧性始于理解学生的个人和代际观点。未来的护理教育研究应包括创新的干预措施,其中Z世代学生的观点是设计的核心。[J护士教育。2024;63(7):460–469。].
    UNASSIGNED: Supporting resilience for nursing student success is critical to future health care. This study explored the meaning and process of resilience among Generation Z traditional baccalaureate nursing students.
    UNASSIGNED: Using a qualitative hermeneutical phenomenology approach, 13 Generation Z nursing students with the lived experience of resilience were surveyed and interviewed. Results were analyzed interpretively.
    UNASSIGNED: Themes of resilience among Generation Z nursing students were identified relative to study questions. Identified themes included \"Maneuvering the Murky Water\" and \"This Can Either Ruin Me or I Can Keep Moving With It,\" as well as a resilience process within the context of nursing education. Open-response data provided further reflective insights on resilience and recommendations for resilience in nursing education programs.
    UNASSIGNED: Supporting resilience begins with understanding students\' individual and generational perspective. Future nursing education research should include innovative interventions wherein the perspectives of Generation Z students are central to design. [J Nurs Educ. 2024;63(7):460-469.].
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  • 文章类型: Journal Article
    这项研究调查了预科护理学生照顾文化多样化患者的现象。
    使用诠释学现象学方法对护理本科生进行了个人访谈。定性研究专家进行了访谈,转录数据,并遵循范曼宁的分析方法。
    11名护生参加了这项研究。数据收集时间为2022年4月至8月。学生面试的平均时间为32分钟。确定了四个主题:(1)沟通问题;(2)获得护理;(3)护士背景;(4)信任和尊重。
    这项研究强调了照顾文化多样性患者的重要性。政策制定者和医疗保健领导者可以利用这些发现来支持立法提案,以增强文化多样性的患者安全和健康公平。基于这些发现,护士教育者和导师可以相应地调整他们的临床教学方法,和护士经理可以从结果中受益,当雇用新的研究生护士。[J护士教育。2024;63(6):373–379。].
    UNASSIGNED: This study examined the phenomenon of prelicensure nursing students caring for culturally diverse patients.
    UNASSIGNED: Individual interviews were conducted with undergraduate nursing students using a hermeneutic phenomenological approach. Qualitative research experts conducted the interviews, transcribed the data, and followed van Manen\'s methodology for analysis.
    UNASSIGNED: Eleven nursing students participated in the study. Data were collected from April to August 2022. The average length of the student interviews was 32 minutes. Four themes were identified: (1) communication issues; (2) access to care; (3) nurse background; and (4) trust and respect.
    UNASSIGNED: This study highlights the importance of caring for culturally diverse patients. Policymakers and health care leaders can use the findings to support legislative proposals for enhancing culturally diverse patient safety and health equity. Based on these findings, nurse educators and preceptors can adapt their clinical teaching approaches accordingly, and nurse managers can benefit from the results when hiring new graduate nurses. [J Nurs Educ. 2024;63(6):373-379.].
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  • 文章类型: Journal Article
    This article deals with the interest of the scientific field in systematizing the co-management investigative praxis, in a health emergency scenario, based on the analysis of a research with a multicentric qualitative approach, using the framework of the Support Research and the analysis of critical hermeneutics. As a result, it was identified that the creation of a map guide contributed as a guiding document, aiming at organizing different techniques for the organization and formation of field researchers, as well as an instrument of data analysis. The training of researchers for the theoretical framework of Support Research, as well as their co-management and involvement in the different stages of research, proved to be a differential for the production of subjects and collectives with investigative praxis, allowing a dialogic exchange between coordinators and researchers and regular sharing of the results. It is concluded that the way in which the methodology was proposed, allowed the expansion of the reflective capacity and understanding of reality, contributing to the formation of researchers as active and critical subjects in the process of data collection, analysis and discussion, encouraging sensitive and attentive actions while seeking to identify the particularities of each context.
    O artigo trata do interesse do campo científico em sistematizar a práxis investigativa cogestora em cenário de emergência sanitária a partir da análise de uma pesquisa de abordagem qualitativa multicêntrica, valendo-se do referencial da pesquisa-apoio e da análise da hermenêutica critica. Como resultados, identificou-se que a elaboração de um guia-mapa contribuiu como documento norteador, com o objetivo de organizar diferentes técnicas para a preparação e formação dos pesquisadores de campo, também como instrumento de análise dos dados. A formação de pesquisadores para o referencial teórico da pesquisa-apoio, assim como a cogestão e a implicação deles nas diferentes etapas da pesquisa, mostrou-se como diferencial para produção de sujeitos e coletivos com a práxis investigativa, permitindo a troca dialógica dentre coordenadores e pesquisadores e o compartilhamento regular dos resultados. Conclui-se que a forma como a metodologia foi proposta possibilitou a ampliação da capacidade reflexiva e de compreensão sobre a realidade, contribuindo para a formação de pesquisadores como sujeitos ativos e críticos no processo de coleta, análise e discussão dos dados, incentivando a atuação sensível e atenta ao mesmo tempo em que buscou identificar as particularidades de cada contexto.
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  • 文章类型: Journal Article
    目的:探索英国私人物理治疗师在经营和发展物理治疗业务时的经验。
    方法:诠释学现象学方法。
    方法:通过有目的和滚雪球抽样招募了六名英国私人物理治疗实践所有者。
    方法:深入,半结构化视频访谈(每位参与者2次),录音和转录。字段注释,使用了受访者验证和反身日记。数据经过逐行分析,识别代码和主题。恒定的数据比较,代码和主题贯穿始终。利用同行评议,对一小部分数据和所有新出现的代码进行了独立审查.
    结果:三个相互关联的主题。为自己工作:参与者强调自由,企业所有权的灵活性和独立性,同时承认与此相关的额外压力/挑战。实践的演变:业务增长缓慢,最初需要收入补充。成功的成长往往利用运气和意想不到的机会。与他人合作:参与者面临关于单独或共同所有权的决定,什么时候/需要额外的工作人员,员工是应该雇佣还是自营职业,以及如何适当地管理/支持人员。
    结论:私人执业所有权带来了一系列的好处和挑战。未来的研究领域包括探索私人角色和企业所有权的压力,私人物理治疗实践的演变,小规模的商业伙伴关系,就业与自谋职业。论文的贡献。
    OBJECTIVE: To explore the experiences of UK-based private physiotherapists when running and progressing a physiotherapy business.
    METHODS: A hermeneutic phenomenological approach.
    METHODS: Six UK-based private physiotherapy practice owners were recruited via purposive and snowball sampling.
    METHODS: In-depth, semi-structured video interviews (2 per participant), audio-recorded and transcribed. Field notes, respondent validation and a reflexive diary were used. Data underwent line-by-line analysis, identifying codes and themes. Constant comparison of data, codes and themes occurred throughout. Peer review was utilised, small sections of data and all emerging codes were independently reviewed.
    RESULTS: Three interconnecting themes. Working for myself: participants highlighted the freedom, flexibility and independence of business ownership, whilst acknowledging the additional pressures/challenges associated with this. Evolution of a practice: business growth was slow, requiring income supplementation initially. Successful growth often utilised luck and unexpected opportunities. Working with others: participants faced decisions regarding solo or joint ownership, when/what additional staff were required, whether staff should be employed or self-employed, and how to appropriately manage/support staff.
    CONCLUSIONS: Private practice ownership brings an array of benefits and challenges. Areas for future research include exploring the stresses of private roles and business ownership, the evolution of private physiotherapy practices, small-scale business partnerships, and employment vs self-employment. CONTRIBUTION OF THE PAPER.
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  • 文章类型: Journal Article
    成年后会发生什么?更具体地说,在成人分析中发展了什么,不仅仅是在受挫的童年能力方面,不仅仅是积累经验,但更根本的是,在能力或结构方面,直到现在才可能?在本文中,我假设叙事能力-以临时因果动机序列组织自我和他人冲突方面的能力-作为分析师和成年患者之间临床相遇中发展的核心特征。它发展,正如我所展示的,通过播放叙事片段,对比,和分析领域的整合。我提供了一个临床过程说明,以显示这些元素如何构造和相互问题。成功的分析不会导致任何一个生活故事,而是更基本的编织和解开我们的故事的能力。
    What develops in adulthood? More specifically, what develops in adult analysis, not just in terms of thwarted childhood capacities, not just through accrued experience, but even more fundamentally in terms of abilities or structures not possible until the present moment? In this paper, I posit narrative capacity-the capacity to organize conflictual aspects of self and other in a temporary causal-motivational sequence-as a core feature of what develops in the clinical encounter between the analyst and adult patient. It develops, as I demonstrate, through play with narrative fragments, contrasts, and integrations in the analytic field. I present a clinical process note to show how these elements texture and problematize one another. A successful analysis leads not to any one life story but to the more basic ability to weave and unweave our stories.
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  • 文章类型: Journal Article
    游戏对儿童的幸福和发展有积极的影响。扮演英雄,丹麦语,叫做“Legeheltene”,已经工作,在过去的7年里,改善丹麦医院住院儿童的玩耍和运动。然而,这种新颖的丹麦干预措施的意义尚未得到充分研究。这项现象学诠释学研究探讨了儿童在丹麦儿科住院时如何与游戏英雄互动。对来自两个儿科部门的儿童进行了综合观察和访谈。在法国哲学家PaulRicoeur的启发下,对数据进行了分析。确定了三个主题:“熟悉感,\"\"从孤独到联系,\"和\"变得更强大。“孩子们体验到与游戏英雄的互动是存在意义的。通过好玩的活动,孩子们体验到他们在医院外的日常生活和真实的自我。建立了儿童日常生活的桥梁,带来更好的自由感,安全,以及管理住院困难方面的能力。与游戏英雄的参与为儿童提供了幸福的体验,并且可以成为为住院儿童提供护理的积极方向。
    Play has positive effects on children\'s well-being and development. Play heroes, in Danish, called \"Legeheltene\", have worked, for the last 7 years, to improve play and movement for hospitalized children in Danish hospitals. However, the significance of this novel Danish intervention is insufficiently researched. This phenomenological-hermeneutic study explored how children experience interacting with a play hero when hospitalized at a Danish paediatric unit. Combined observations and interviews were performed with children from two paediatric departments. Data were analyzed with inspiration from the French philosopher Paul Ricoeur. Three themes were identified: \"A sense of familiarity,\" \"From loneliness to connectedness,\" and \"Becoming more powerful.\" Children experience that interaction with play heroes is existentially meaningful. Through playful activities, children experience that they are connected to their daily lives outside the hospital and their true selves. Bridges to children\'s everyday lives are built, leading to an improved sense of freedom, security, and the ability to manage difficult aspects of their hospital stay. Engagement with play heroes provides children with an experience of well-being and can be a positive direction in care provided to hospitalized children.
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  • 文章类型: Journal Article
    背景:疗养院(NHs)对高级临床护理的需求正在增加。循证实践和知识翻译(KT)计划正在发展,以弥合已知与已完成之间的差距。然而,关于情境对KT影响的研究主要集中在医院环境上。
    目的:扩大我们对NH组织中KT能力的情境影响的理解。
    方法:使用Lindseth和Norberg的现象学解释方法来探索和描述实践发展护士的经验,关于环境因素如何影响NHs中KT能力的观点和实践。焦点小组访谈,参与者的观察,深入访谈和非参与者观察提供了数据.
    结果:确定了两个主要主题和四个子主题。(1)持续有限的资源是抑制KT准备的文化条件;优先考虑不惜一切代价保持NH机器运行,并具有相反的护理理念破坏了KT。(2)组织优先次序使KT成为机械中缺少的齿轮;保留了分散的KT策略系统,并且缺乏集体KT努力的结构。
    结论:研究表明,KT在快节奏的NH机制中起着次要作用。矛盾的价值观表征了NH组织,导致缺乏共同的愿景和优先事项。建立可持续的KT能力并提供循证实践需要明确的责任,专用资源和强大的组织支持。管理层在加强KT的地位方面发挥着关键作用。将KT纳入日常NH实践可以帮助员工变得适应性和自信,能够应对日益增加的挑战,减轻痛苦,促进NH患者的健康和福祉。
    BACKGROUND: The demand for advanced clinical care in nursing homes (NHs) is increasing. Evidence-based practices and knowledge translation (KT) initiatives are growing to bridge the gap between what is known and what is done. However, research on contextual influence on KT has primarily focused on hospital settings.
    OBJECTIVE: To expand our understanding of contextual influences on KT capacity in a NH organisation.
    METHODS: Lindseth and Norberg\'s phenomenological hermeneutical method was used to explore and describe practice development nurses\' experiences, perspectives and practices regarding how contextual factors influence KT capacity in NHs. Focus group interviews, participant observations, in-depth interviews and non-participant observations provided the data.
    RESULTS: Two main themes and four subthemes were identified. (1) Continuous limited resources are a cultural condition that inhibits KT readiness; prioritising keeping the NH machinery running at all costs and having contrasting care philosophies undermines KT. (2) Organisational prioritisations leave KT as a missing cogwheel in the machinery; retaining a system of fragmented KT strategies and lacking a structure for collective KT effort.
    CONCLUSIONS: The study showed that KT held a minor role in the fast-paced NH machinery. Contradicting values characterise the NH organisation, resulting in a lack of a common vision and priorities. Building a sustainable KT capacity and providing evidence-based practice necessitates explicit responsibilities, dedicated resources and robust organisational support. Management has a critical role in strengthening the position of KT. Incorporating KT in daily NH practice can help staff become adaptable and confident, capable of meeting the increasing challenges of advanced care that alleviates suffering and promote the health and well-being of NH patients.
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  • 文章类型: Journal Article
    严重的分离状态,涉及部分存在的经验,通常与诊断相关,如分离性身份障碍和其他特定的分离性障碍,仍然是一个有争议且很少研究的研究领域。然而,因为患有严重解离状态的人有受到伤害的风险,而不是在精神病治疗中得到帮助,他们在这些州生活的经历需要进一步检查,而将它们纳入研究的创新方法仍然是必要的。在这种背景下,这项研究旨在阐明生活在严重分离状态下的意义,其中涉及部分存在的经验。这是一项现象学解释学研究,数据来自三个社交媒体来源,一个个人博客和两个Instagram帐户,2023年2月和3月。根据四个主题照亮了结果;努力留在世界上,平衡曝光和信任,平衡归属感和孤独,拥有自己的精灵。对主题的解释表明,生活在严重的分离状态下意味着在不人道的条件下成为人类,在一个经常不支持的世界里,努力追求连贯性和意义。这要求采取基于创伤的护理,以更好地支持患有严重离解状态的人的康复。
    Severe dissociative states involving the experience of being in parts, typically associated with diagnosis such as dissociative identity disorder and other specified dissociative disorders, continue to be a controversial and rarely studied area of research. However, because persons with severe dissociative states are at risk of being harmed instead of helped within psychiatric care, their experiences of living with such states warrant further examination, while innovative ways to include them in research remain necessary. Against that background, this study aimed to illuminate the meanings of living with severe dissociative states involving the experience of being in parts. This is a phenomenological hermeneutic study with data collected from three social media sources, one personal blog and two Instagram accounts, in February and March 2023. The results were illuminated in light of four themes; Striving to remain in the world, Balancing exposure and trust, Balancing belonging and loneliness and Owning oneselves. The interpretation of the themes suggests that living with severe dissociative states means being a human under inhuman conditions, striving for coherence and meaning in a world that is often unsupportive. This calls for a trauma-informed care to better support recovery for persons with severe dissociative states.
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