In this article, I focus on possibly impaired self-determination in addiction. After some methodological reflections, I introduce a phenomenological description of the experience of being self-determined. I argue that being self-determined implies effectivity of agency regarding three different behavioural domains. Such self-referential agency shall be called 'self-effectivity' in this article. In a second step, I will use this phenomenological description to understand the impairments of self-determination in addiction. While addiction does not necessarily imply a basic lack of control over one's life, this can well be the case during certain periods of time or in special situations. Addiction is herein described as an embodied custom-highly effective with respect to changing one's lived experience-which is learned and developed while becoming addicted. Such a repeatedly performed custom, called a 'psychotropic technique', implies deep changes in one's personal identity and alters an agent's 'self-effectivity'. In the closing section, I discuss the possible implications of a phenomenological approach to personal responsibility.
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http://dx.doi.org/10.1007/s11017-010-9134-0 | DOI Listing |
Epidemiol Serv Saude
January 2025
Universidade Federal do Paraná, Departamento de Saúde Coletiva, Curitiba, PR, Brasil.
Objective: The study aims to describe the violence perceived by transvestigender people in Brazil, linking it to primary healthcare.
Methods: Fourteen transvestigender people in Brazil were interviewed through 2 focus groups and 8 interviews, conducted between December 2021 and April 2022. Data analysis was performed using a phenomenological-hermeneutic approach.
Health Expect
February 2025
College of Nursing, Xinyang Vocational and Technical College, Xin Yang, Henan, China.
Objectives: The study aims to understand the return to work (RTW) needs of young and middle-aged people who have experienced a stroke and to contribute to the development of supportive RTW services.
Design: A qualitative study employing the phenomenological method.
Participants: Eleven young and middle-aged people who have experienced a stroke participated in the study.
Objective: To investigate young people's experience of retainer wear in the immediate term and at 6 months after appliance removal, and to explore the factors affecting retainer wear adherence.
Design: Qualitative study.
Setting: Orthodontic departments at two teaching hospitals in Yorkshire, UK.
BMC Complement Med Ther
January 2025
Public Health and Tropical Medicine, James Cook University, Townsville, QLD, 4811, Australia.
Background: The integration of herbal and orthodox medicines has gained momentum in global health, ensuring improved management of infectious diseases like malaria. This study explored the experiences of medical herbalists working in Ghana's diverse ecological zones to understand the contributions of integrated healthcare to malaria control.
Methods: A phenomenological design was employed to conduct in-depth interviews with 19 purposively sampled medical herbalists.
PLoS One
January 2025
Department of Obstetrics and Gynaecology, University of Ghana Medical School, Accra, Ghana.
Background: Most studies on respectful maternity care (RMC) and mistreatment of women have focused on intrapartum care with limited information on how women are treated during induction of labor (IOL), pre-labor phase of the maternity care continuum. Emerging multi-country evidence indicates that nearly 30% of women who undergo IOL do not consent to the procedure and constitutes a violation of their rights to optimal maternal health. This study explored women's lived experiences of respectful care and mistreatment during IOL in a tertiary setting in Ghana.
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