Disturbed Experience of Time in Depression - Evidence from Content Analysis

Disturbances in the experience of time have been a commonly reported feature of depressive disorders since the beginning of modern psychiatry and psychological research. However, qualitative research approaches to investigate the phenomenon are rarely used. We employed content analysis to investigate disturbances of time experience in Major Depressive Disorder. Our analysis from 25 participants showed that individuals with Major Depressive Disorder subjectively seem to have lost the ability to influence or change the present, resulting in an impersonal and blocked future. The present is rendered meaningless, the past unchangeably negative, and the passage of time turned into a dragging, inexorable, and viscous continuance. The overall,—possibly intersubjective—concept of time experience, remains largely intact, causing or adding to depressive mood and suffering. We elaborate on how these findings reflect previous theories on the experience of time in depression. This study might encourage future inquiries into both the phenomenal and neuroscientific foundation of time experience under psychopathological conditions

Autism and career: a qualitative analysis of work-related experiences and needs of individuals with Autism-Spectrum-Disorders

Despite their often high intellectual potential persons with high-functioning autism are commonly affected by unemployment. In an open survey we asked 102 recently diagnosed adult patients for their education and employment history as well as their occupational experiences and wishes. Written descriptions of 29 patients, who had answered the open questions completely, were systematically analysed using qualitative content analysis. Analysis of education and employment histories revealed that most of the participants were well-educated; nevertheless, 45 % were unemployed at the time of the survey. Analysis of the occupational experiences revealed that difficulties are mainly associated with the core symptoms of autism spectrum disorders (ASD) and neuropsychological deficits. Additional factors including lack of support and acceptance by the occupational environment as well as unsuitable institutional support measures can lead to increased psychological strain. Analysis of wishes revealed a concrete need for autism-specific support measures. In a joint research project aiming at the vocational integration of individuals with ASD, a supported employment program is currently under development

Interrupted Time Experience in Autism Spectrum Disorder: Empirical Evidence from Content Analysis

Although the experience of time is of central relevance for psychopathology, qualitative approaches to study the inner experience of time have been largely neglected in autism research. We present results from qualitative data acquired from 26 adults with high functioning autism spectrum disorder (ASD). Employing inductive content analysis we identified a distinct pattern of interrupted time experience in ASD. Individuals with ASD seemed to implement structured and routine behavior by future planning to guarantee that the present passed uninterrupted. We reason that the success of corresponding compensatory mechanisms determines the development of distress and noticeable symptoms. Considering recent theories on Bayesian perceptual inference we relate the syndrome of interrupted time experience to the putative neuronal mechanisms underlying time experience

Flow and structure of time experience - concept, empirical validation and implications for psychopathology

We present a conceptual framework on the experience of time and provide a coherent basis on which to base further inquiries into qualitative approaches concerning time experience. We propose two Time-Layers (Macro-Layer and Micro-Layer) and two Time-Formats (Flow and Structure) forming four Time-Domains. Micro-Flow and Micro-Structure represent the implicit phenomenal basis, from which the explicit experiences of Macro-Flow and Macro-Structure emerge. Complementary to this theoretical proposal, we present empirical results from qualitative content analysis obtained from 25 healthy participants. The data essentially corroborate the theoretical proposal. With respect to Flow, the phenomenally accessible time experience appeared as a continuous passage reaching from the past through the present into the future. With respect to Structure, the individual present was embedded in the individual biography, emerging from past experiences and comprising individual plans and goals. New or changing plans and goals were being integrated into the existing present, thus forming a new present. The future appeared as changeable within the present, by means from the past, and therefore as a space of potential opportunities. Exemplarily, we discuss these results in relation to previous empirical findings on deviant experiences of time in Autism Spectrum Disorder (ASD) that is presumably characterized by a breakdown of Flow and concomitant compensatory repetition resulting in an overly structured time. Finally, we speculate about possible implications of these findings both for psychopathological and neuroscientific research