Search Results (141)

This article examines the cognitive theory expressed in early Buddhist Pāli sources by situating their analyses of perception, language, and meditative experience within a psychosemiotic framework. It argues that Buddhist thinkers conceived cognition as a stratified process emerging from the dynamic interaction between sensory and effectual domains, culminating in the semiotic determinations of nāmarūpa and the proliferative activity of conceptual constructs. Drawing on parallels with Peircean pansemioticism, the study highlights how both traditions interpret phenomena as sign-constituted events and how contemplative practice can intervene in the habitual chains of semiosis that ordinarily shape human experience. By bridging Buddhist phenomenology with contemporary cognitive science and semiotics, this work proposes that the Buddhist model—precise in its technical vocabulary and rich in its analyses of attention, perception, and conceptualization—offers valuable tools for understanding and modulating cognitive processes in both theoretical and practical domains. Full article

Background/Objectives: Adaptive sports engagement has been strongly studied for physical and social gains for athletes with disabilities, with much less investigation into adaptive sports encompassing holistic health (i.e., reaching domains of physical, social, cognitive, emotional, and spiritual). Therefore, the purpose of this study is to explore adaptive sport participants’ perspectives on their engagement in sport as a complementary and holistic intervention to improve resiliency, promote health, and live in recovery. Methods: This study employed a qualitative, phenomenological, and participatory action research design to explore how individuals with disabilities perceive their engagement in adaptive sports. Data were collected from eligible participants across the United States, aged 12 years and older, who provided open-ended responses via survey detailing their adaptive sport experiences. Results: Adaptive sport participants (n = 47), primarily male (n = 26), and White (n = 37) with a range of ages 12–75, provided qualitative findings that formed three deductive themes with further inductive subthemes: (1) Improving Resiliency highlighting promotive and protective factors supporting resilience development, (2) Promoting Health defined by World Health Organization’s holistic health definition, and (3) Living in Recovery framed by the Health Protection/Health Promotion Model. Conclusions: For this sample of adaptive sport participants across the United States, engagement in adaptive sports is seen as a complementary and holistic health intervention that achieves outcomes beyond just physical and social. Key aspects of adaptive sports were shown to be vital for building resiliency through the disability community environment, improving holistic health, and providing a recovery mindset through new life opportunities. Full article

Background/Objectives: Emotion dysregulation is central to many psychiatric disorders. Laboratory-based tasks designed to assess emotion processing and regulation often rely on standardized affective stimuli whose ecological validity remains unclear. We contextualize this study in our broader research program of neurophenomenological reflection of standard paradigms in experimental cognitive psychology. Methods: This study investigates the lived experience of 27 patients with affective disorders as they performed a cognitive-affective task combining working memory demands with exposure to negative emotional images. Phenomenological interviews were used to collect data on their experience of the task. Results: We identified three key experiential domains: whether the stimuli are capable of eliciting a spontaneous emotional response, voluntary construction of an emotional responses, and its temporal dynamics. Patients reported on two alterations in affectivity that are associated with dysregulation: (a) affective enchantment, characterized by intense emotions combined with superstitious appraisal; and (b) disintwinement (a sense of detachment and emotional blunting). Emotional responses exhibited complex unfolding across moment-to-hour timescales, sometimes persisting and blending across trials (impressionability), reflecting clinical phenomena such as rumination. Additionally, patients employed a range of explicit and implicit regulation strategies, many acquired through therapy or long-term coping. Conclusions: Our findings reveal the limitations of rapid, static image-based paradigms in eliciting authentic and spontaneous affectivity in clinical populations, highlighting the need for more ecologically valid experimental designs. Furthermore, inclusion of reports on such subtle affective states as vital feelings in laboratory-based experimental assessments is necessary for a comprehensive understanding of altered phenomenology of affectivity in affective disorders. Full article

This review provides a systematic critique of the debate between two paradigms in the philosophy of mind—the Naturalist–Externalist Research Program (NERP) and the Phenomenal Intentionality Research Program (PIRP)—with particular focus on Uriah Kriegel’s reconciliation project. Following Kriegel’s view, attention is given to rational agents’ awareness of their mental states—a key issue since most current artificial intelligence systems aim to model rational thinking and action. Naturalist accounts derive mental content from brain activity and environmental interaction, emphasizing a constitutive dependence of the former on the latter. In contrast, phenomenological theories assert that the object of mental states is an internal semblance presented to the subject. Within this framework, I maintain that Kriegel attempts to naturalize mental content within the framework of a Same Order theory, but this limits his ability to demonstrate that intentionality is grounded in consciousness in the sense of the Phenomenal Intentionality Research Program. Compounding this issue, the idea that the mind arises from manipulating representations has been challenged by dynamical approaches to cognitive science, yet advanced representational models persist, often simulating phenomenological qualities through forms of internal data organization. Methodologically, the approach is primarily comparative and reconstructive, focusing on the structural tensions and theoretical commitments that distinguish NERP and PIRP. Full article

This article explores the foundations and scope of theological discourse on sustainability by drawing upon transcendental–philosophical and existential–phenomenological perspectives. This study addresses the ongoing debate regarding the unique contribution and place of theological appeals to sustainability, especially in relation to secular arguments and audiences. Building on the structures of human cognition, freedom, and meaning, as well as the phenomenological concepts of givenness and promise, this paper critically examines how these structures can both motivate sustainable behavior and serve as interfaces to theological creation and eschatology. The methodological approach combines systematic philosophical analysis with affirmative theology, especially reflecting on the interrelation between the cognitive and experiential dimensions of human existence. The findings suggest that sustainability is not merely a moral option promoted by extrinsic or intrinsic motivators but is deeply rooted in the anthropological groundings of the human being. This study argues that a philosophically and anthropologically grounded discourse on sustainability serves as a vital interface between religious conviction and secular reasoning, extending the reach and impact of sustainability ethics. Full article

Systemic cognition combines the humanities and social sciences with systems science to support a unified field, Human Systems Integration (HSI). It draws on complementary, sometimes conflicting, fields of research, including phenomenology, positivism, logic, teleological approaches, humanism, computer science, and engineering. It is time to gain a deeper understanding of our approach to HSI in complex socio-technical systems. Over the past fifty years, we have transformed our lives in unprecedented ways through technology, both in terms of useful and usable hardware and software resources. We have developed means of transport that enable geographical connectivity anywhere and at any time, which is now a standard feature. We have developed information systems that will allow people to communicate with each other in seconds, anywhere on the planet, and at any time. Systemic cognition aims to provide ontological support for discussing this sociotechnical evolution and to develop HSI not only based on a Human-Centered Design (HCD) approach, but also by focusing on society, which is becoming increasingly immersed in a world equipped with artificial resources (particularly with the growing incorporation of artificial intelligence), which separates us from nature. This article proposes an epistemological approach that extends contemporary theories of systemic and socio-cognitive modeling by integrating constructivism and research on HCD-based HSI developed over the last three decades. Aeronautical examples are used to support the concepts being developed. Full article

Vicarious Posttraumatic Growth (VPTG) is a critical yet underexplored phenomenon among trauma-focused helping professionals. While secondary trauma (ST), compassion fatigue, and burnout are widely recognized negative aspects of working with trauma survivors, less is known about the potential benefits of this work and its contributions to well-being. This qualitative study explored peer-support specialists’ perceptions of growth arising from indirect exposure to trauma and examined how these experiences relate to well-being. Using interpretative phenomenological analysis, researchers conducted semi-structured interviews with 13 participants, independently coded transcripts, and developed themes through consensus. Findings suggest VPTG may follow a similar path to Posttraumatic Growth (PTG), with participants reporting challenges to core beliefs, emotional distress, and transformative cognitive-emotional shifts that facilitated growth across domains that appear to mirror the five PTG domains. Outcomes of working with trauma survivors extended beyond the PTG domains to include compassion satisfaction, hope, expanded coping skills, and improved mental health. Taken together, these findings illustrate the participants’ subjective experiences of both challenge and transformation through their work with trauma survivors, offering preliminary insight into how indirect trauma exposure may contribute to VPTG and well-being. Full article

This theoretical paper introduces the Verbal–Cognitive Scaffold (VCS) Model, a cognitively inclusive framework which proposes the cognitive architectures underlying computational thinking (CT). Moving beyond monolithic theories of cognition (e.g., executive-function and metacognitive control models), the VCS Model posits inner speech (InSp) as the predominant cognitive pathway supporting CT operations in neurotypical populations. Synthesizing interdisciplinary scholarship across cognitive science, computational theory, neurodiversity research, and others, this framework articulates distinct mechanisms through which InSp supports CT. The model specifies four primary pathways linking InSp to CT components: verbal working memory supporting decomposition, symbolic representation facilitating pattern recognition and abstraction, sequential processing enabling algorithmic thinking, and dialogic self-questioning enhancing debugging processes. Crucially, the model posits these verbally mediated pathways as modal rather than universal. Although non-verbal architectures are acknowledged as possible alternative routes, their precise mechanisms remain underspecified in the existing literature and, therefore, are not the focus of the current theoretical exploration. Given this context, this manuscript focuses on the well-documented verbal support provided by InSp. The VCS Model’s theoretical contributions include the following: (1) specification of nuanced cognitive support systems where distinct InSp functions selectively enable particular CT operations; (2) generation of empirically testable predictions regarding aptitude–pathway interactions in computational training and performance; and (3) compatibility with future empirical efforts to inquire into neurodivergent strategies that may diverge from verbal architectures, while acknowledging that these alternatives remain underexplored. Individual variations in InSp phenomenology are theorized to predict distinctive patterns of CT engagement. This comprehensive framework, thus, elaborates and extends existing verbal mediation theories by specifying how InSp supports and enables CT, while laying the groundwork for possible future inquiry into alternative, non-verbal cognitive pathways. Full article

Background/Objectives: In the treatment of autism spectrum disorders, families express the need for dedicated clinical spaces to manage emotional overload and to develop effective relational skills. Parent training addresses this need by supporting the parent–child relationship and fostering the child’s development. This study proposes a clinical protocol designed for psychotherapists and behavior analysts, based on the Autism Open Clinical Model (A.-O.C.M.), which integrates the rigor of Applied Behavior Analysis (ABA) with a phenomenological and embodied perspective. The model acknowledges technology—particularly artificial intelligence—as an opportunity to structure adaptive and personalized intervention tools. Methods: A multi-level prompt design system was developed, grounded in the principles of the A.-O.C.M. and integrated with generative AI. The tool employs clinical questions, semantic constraints, and levels of analysis to support the clinician’s reasoning and phenomenologically informed observation of behavior. Results: Recurrent relational patterns emerged in therapist–caregiver dynamics, allowing the identification of structural elements of the intersubjective field that are useful for personalizing interventions. In particular, prompt analysis highlighted how the quality of bodily and emotional attunement influences readiness for change, suggesting that intervention effectiveness increases when the clinician can adapt their style according to emerging phenomenological resonances. Conclusions: The design of clinical prompts rooted in embodied cognition and supported by AI represents a new frontier for psychotherapy that is more attuned to subjectivity. The A.-O.C.M. stands as a theoretical–clinical framework that integrates phenomenology and intelligent systems. Full article

Novice therapists often experience a complex interplay of self-doubt, emotional strain, and professional uncertainty as they transition from training to independent clinical practice. This study explored the lived experiences of novice cognitive behavioral therapy (CBT) therapists, focusing on the challenges of early practice and the strategies employed to support regulation and growth. Seven early-career CBT therapists participated in semi-structured interviews, and data were analyzed using Interpretative Phenomenological Analysis (IPA). Two overarching themes were identified: professional identity challenges and self-beliefs, and strategies for emotional regulation and continuous development. Participants reported difficulties managing anxiety, boundary-setting, and integrating their professional and personal selves, particularly when working with complex presentations such as grief, self-harm, and personality disorders. At the same time, supervision, personal therapy, peer and family support, and ongoing professional development were seen as crucial in building resilience and sustaining competence. The findings suggest that training and professional structures should place greater emphasis on reflective practice, boundary management, and preparation for emotionally charged cases, while framing supervision as both a clinical and emotional resource. By highlighting the perspectives of novice therapists, the study underscores the importance of supportive systems in fostering resilience and sustainable professional growth. Full article

Introduction: Major depressive disorder (MDD) is a mental disorder with a high prevalence rate and a high recurrence rate. Therefore, identifying and intervening in the core symptoms of MDD patients is of great significance. Anhedonia is manifested as an individual losing interest in activities or experiencing a significant decrease in the sense of pleasure, which is one of the two core symptoms of MDD. Episodic Future Thinking (EFT) training refers to the process of stimulating individuals’ hope for positive future scenarios and encouraging them to take purposeful actions, which may have an effect in alleviating anhedonia. However, the perception of anhedonia of MDD patients among Chinese healthcare professionals is still unclear, and there has been no exploration of the views of healthcare professionals regarding the implementation of EFT training for MDD patients led by psychiatric nurses in a clinical setting. Aim: This study aimed to understand the attention paid by Chinese healthcare professionals to the symptom of anhedonia in patients with MDD, as well as their previous coping strategies. This study further explored the views of healthcare professionals regarding the implementation of EFT training for MDD patients led by psychiatric nurses with a psychological therapist certificate in China, as well as suggestions for future implementation. Methods: This qualitative descriptive study adopted a phenomenological approach. Using purposive sampling, 15 healthcare professionals (psychiatrists, psychiatric nurses and psychological counselors) were recruited from the psychiatry department of a public tertiary hospital in Wuhan, Hubei Province, China. Using the NVivo 12 Plus software, the semi-structured interviews and analyses were conducted by applying Colaizzi’s seven-step phenomenological method. Rigor was ensured through checks of credibility, dependability, and confirmability during data collection and analysis. Results: A thematic analysis revealed that, while psychia-trists and psychological counselors viewed anhedonia as a significant treatment target, nurses were more focused on immediate patient safety concerns. Participants recognized the potential of EFT training to alleviate anhedonia but identified several implementation challenges, including patient resistance, cognitive limitations, and the need for tailored interventions. Conclusions: The research results indicated that psychiatric nurses had relatively poor ability to identify anhedonia. Therefore, it is necessary to enhance the awareness of psychiatric nurses regarding the clinical significance of anhedonia, and incorporate knowledge related to anhedonia into routine nursing training. It is suggested that communication and collaboration among psychiatrists, psychiatric nurses and psychological counselors should be strengthened, and an assessment and feedback process for the lack of anhedonia in patients with MDD should be established, so as to assist these patients in achieving faster psychological recovery. Given the sufficient staffing conditions in the field of psychiatry nursing in China, the design concept and curriculum of EFT training for psychiatry nurses with a psychological therapist certificate should be promoted. Encourage psychiatry nurses with a psychological therapist certificate to conduct offline and online group EFT training intervention forms for MDD patients in the hospital wards during their hospitalization periods, as well as after discharge at home. Full article

Background/Objectives: Despite the intent of most mothers to breastfeed their children, breast or nipple pain can be the reason for early cessation of breastfeeding. Current understanding about lactation-related pain revolves around mechanical or pathological causes, discounting the role of psychosocial factors which can influence management of pain. The Breastfeeding Pain Reasoning Model is a clinical reasoning tool developed to support those evaluating women’s lactation-related pain. We aimed to explore perspectives of breastfeeding women on lactation-associated pain and determine how they align with the Breastfeeding Pain Reasoning Model (BPRM). Methods: We conducted a qualitative descriptive study using phenomenological approach in Singapore. Eighteen women with recent breast and/or nipple pain during lactation underwent individual semi-structured interviews in 2022. Thematic analysis was performed. Results: Deductive analysis showed that lactation-associated pain was aligned with BPRM’s domains (i.e., local stimulation, external influences, and central modulation). Psychosocial factors likely influencing central processing of pain were not recognised by most of the participants. Participants described severe breastfeeding pain often accompanied by feelings of vulnerability, injustice, and uncertainty. Inductive analysis identified two additional themes of motivation and expectations. Conclusions: Greater awareness of the interplay between the broad influences on pain is needed. Using an interoceptive lens could help to illustrate how signals from the breast inform the brain, and how social, emotional, and cognitive factors influence the individuals’ perception of painful experiences. Educating breastfeeding women and healthcare personnel about the biopsychosocial nature of pain may empower women to better navigate the challenges of breastfeeding and improve breastfeeding outcomes. Full article

Background/Objectives: End-of-life (EoL) experiences are critically important for everyone involved, giving rise to a set of needs that extend far beyond bio-physiological aspects, to encompass the spiritual dimension as the core of human beings. Understanding the processes of spiritual awakening (SA) assists palliative care professionals in enhancing the quality of care provided to individuals with life-threatening illnesses, as well as to their families. SA is a fundamental occurrence linked to the fulfilment of our spiritual needs when facing an existential crisis, such as the proximity of death. However, its conceptual boundaries need to be clarified to provide qualified and humanized palliative care. Therefore, this study aims to identify the key attributes, antecedents, consequents, and empirical referents of SA at EoL, as well as to clarify the concept’s existing ambiguities. Methods: Walker and Avant’s eight-step concept analysis was used. A literature search was conducted in May 2025 across three databases (PubMed, CINAHL and Scopus). Results: Following the review, 21 articles were included for analysis. The concept analysis revealed four main attribute domains: (1) sensory–perceptual domain; (2) affective/cognitive domain; (3) relational domain; and (4) transcendental domain. Moreover, spiritual consciousness and the existential matrix were antecedents to this concept; revaluation of beliefs, finding spiritual serenity and inner freedom, fostering spiritual growth, and the desire to leave a legacy were its consequences. Conclusions: The concept of SA at the EoL reveals itself to be a complex and multifactorial phenomenon, with a profound impact on a person’s confrontation with finitude. Recognizing and integrating SA into palliative care allows for a more comprehensive understanding of human consciousness. To deal with SA experiences in healthcare settings, a multifaceted approach is needed. This encompasses acknowledging spirituality as a determinant of health, including spiritual care in standard practice, and offering education and training on spiritual care competence for healthcare practitioners. Further transdisciplinary research should be undertaken to explore SA phenomenological variations, guide clinical interventions, and evaluate SA impacts on spiritual well-being and spiritual growth. Full article

The Bardo Thodol (bar do thos grol), commonly known in the West as The Tibetan Book of the Dead, has traditionally served as a spiritual manual guiding consciousness through the postmortem bardo (bar do) states toward liberation or rebirth. While prior interpretations have framed the text in ritualistic, psychological, or mystical terms, this essay proposes an original and interdisciplinary expansion: that the bardo model can serve as a framework for understanding digital identity dissolution and transformation. Drawing from Tibetan Buddhist thought, extended mind theory, digital anthropology, and cognitive science, this study reinterprets the bardo states as phenomenological thresholds that manifest not only in physical death but also in virtual liminality—moments of radical ego disintegration, avatar deconstruction, and reidentification in digital and augmented environments. By mapping the six bardos onto digital experiences, this paper presents a unique synthesis of esoteric Tibetan metaphysics and contemporary posthuman theory, offering new insights into consciousness, ethical selfhood, and the future of identity. Full article

Background/Objectives: Children with Autism Spectrum Disorder (ASD) who attend pediatric emergency services face challenges related to their sensory, cognitive, and behavioral characteristics. This study explored the perceptions of healthcare professionals and parents regarding the need to implement adaptations, particularly a sensory-adapted room, for children with ASD in pediatric emergency departments. Methods: A phenomenological qualitative study was conducted through semi-structured interviews (October–December 2024) until data saturation. Participants included healthcare professionals and parents of children diagnosed with ASD. Intentional coding and co-occurrence analysis were performed using Atlas.ti (version 25.0.1). The study was approved by the Research Ethics Committee (code: 204-458-1). Results: Eighteen informants participated (10 professionals and 8 parents). Professionals’ interviews revealed three themes and eight subthemes: Professional Training (approach strategies; training received; perceived needs), Hospital Environment (resource allocation; infrastructure; perceived needs during the emergency visit), and Emotional Aspects (emotional experience related to patient care; professionals’ personal perceptions). Parents’ interviews yielded four themes and ten subthemes: Professional Training (perceptions of staff training; demonstrated emotional competencies; socioemotional relationships during care), Hospital Environment (infrastructure; perceived needs during emergency visits), Emotional Aspects (families’ experiences; emotions during care), and ASD (diagnostic characteristics; children’s needs; sensory regulation). Conclusions: Pediatric emergency services should be adapted to better meet the needs of children with ASD. Both healthcare professionals and parents recognize the importance of such adaptations, particularly sensory-adapted spaces. The main barriers identified were a lack of professional training, inadequate hospital environments, and stress affecting both patients and provider. Priority measures include continuous ASD-specific training programs, improvements in sensory infrastructure, and more flexible clinical protocols, advancing toward a more inclusive and comprehensive model of care. Full article