人类光谱:神经多样性的现象学研究。

IF 1.9 3区 医学 Q3 PSYCHIATRY
Psychopathology Pub Date : 2023-01-01 DOI:10.1159/000526213
Dinah Murray, Damian Milton, Jonathan Green, Jo Bervoets
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引用次数: 8

摘要

自闭症的典型特征是其外在表现,而不是经验现象学,这对研究和实践都有影响。最近越来越多的人呼吁对自闭症进行更多的现象学研究,但很少有实际的工作报道。方法:四位作者对自闭症/非自闭症患者的生活经历进行了共同参与的现象学自我调查。样本量的选择是必要的可行性和可接受的参与者在这方面的工作。“研究者”和“受访者”的角色在参与者之间有目的地交替,以建立信任和互惠。最初的现象学还原或分类应用于描述和记录每个参与者在许多关键领域的亲密生活经历,包括社会关系,物理环境,发展和成年生活。这些经历在对话中被分享,以接受他人的调查和提问,并交替扮演采访者和被访者的角色。第三步是将个人之间的共同观察结果综合成连续性和差异性的主题。结果:许多新出现的主题,如对信任和可靠性的需求,以及情境对情绪、社交性和同理心调节的影响,在所有参与者之间显示出惊人的共性。其他主题,如初级感官体验和社会参与,指出了自闭症和非自闭症在发展和成人世界中更明显的差异。兴趣-焦点和注意力主题既有共性又有差异。结论:这种共享现象学方法是自闭症现象学积极研究新领域的第一步。事实证明,它成功地引出了关于自我体验的详细信息。研究结果提出了在更广泛的“人类”经验范围内对自闭症进行新理解的假设;例如,对信任和社会联系的共同基本需求,但在感官体验方面存在显著差异。研究表明,一些长期以来被认为是自闭症固有的特征,如社会误解和同理心减少,可能被理解为取决于特定环境和互动的状态依赖结果。对进一步的研究、发展理论和干预实践提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Human Spectrum: A Phenomenological Enquiry within Neurodiversity.

Introduction: Autism has typically been characterized by its external manifestations rather than experienced phenomenology, with consequent impacts on both research and practice. There have recently been increasing calls for more phenomenological enquiry in autism, but little actual work reported.

Method: A shared participatory phenomenological self-investigation was conducted, by the four authors, of lived experience across the autistic/non-autistic divide. The sample size was chosen as necessary for the feasibility and acceptability to participants of such work in this context. Roles of "researcher" and "interviewee" were purposefully alternated between participants to establish trust and reciprocity. Initial phenomenological reduction or bracketing was applied to the description and recording of each participant's intimate lived experience in a number of key domains across social relationships, the physical environment, development, and in adult life. These experiences were shared within dialogue to open them to investigation and questioning from the others, with alternating interviewer and respondent roles. A third step synthesized these shared observations across individuals into themes of continuity and difference.

Results: A number of emergent themes, such as the need for trust and reliability, and the impact of context on regulation of emotion, sociability, and empathy, showed striking commonalities between all participants. Other themes, such as primary sensory experience and social joining, pointed up more clear differences between autism and non-autism in development and the adult world. Themes of interest-focus and attention were marked by both commonalities and difference.

Conclusions: This shared phenomenological method was taken as a first step within a new area of active investigation in autistic phenomenology. It proved successful in eliciting detailed information on self-experience. The results suggested hypotheses for a new understanding of autism within the wider "human" spectrum of experience; for instance, the common basic need for trust and social connection but striking differences in sensory experience. It suggested that some characteristics long thought intrinsic to autism, such as social mis-perception and reduced empathy, may be alternatively understood as state-dependent outcomes contingent on specific contexts and interactions. Implications are suggested for testing in further research, developmental theory, and intervention practice.

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来源期刊
Psychopathology
Psychopathology 医学-精神病学
CiteScore
5.10
自引率
5.60%
发文量
54
审稿时长
>12 weeks
期刊介绍: ''Psychopathology'' is a record of research centered on findings, concepts, and diagnostic categories of phenomenological, experimental and clinical psychopathology. Studies published are designed to improve and deepen the knowledge and understanding of the pathogenesis and nature of psychopathological symptoms and psychological dysfunctions. Furthermore, the validity of concepts applied in the neurosciences of mental functions are evaluated in order to closely bring together the mind and the brain. Major topics of the journal are trajectories between biological processes and psychological dysfunction that can help us better understand a subject’s inner experiences and interpersonal behavior. Descriptive psychopathology, experimental psychopathology and neuropsychology, developmental psychopathology, transcultural psychiatry as well as philosophy-based phenomenology contribute to this field.
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