Conjugating the "tenses" of function: Discordance among hypothetical, experimental, and enacted function in older adults
Conjugating the "tenses" of function: Discordance among hypothetical, experimental, and enacted function in older adults
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DOI：
10.1093/geront/38.1.101
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发表时间：
1998-02-01
期刊：
影响因子：
5.7
通讯作者：
Glass, TA
中科院分区：
文献类型：
--
作者：
Glass, TA
在老龄化领域，功能的概念化和衡量一直由残疾模型主导。在这篇文章中，通过提醒人们注意功能的三种“时态”之间的区别来描述该模型的一个局限性。对抽象功能能力(假设时态)和日常生活实际表现能力(设定时态)之间的区别重视不够。没有注意到这一区别，掩盖了人们在标准的功能残疾评估中所说的能够做的事情与他们在家里实际做的事情之间的相当大的不一致。为了说明这一点，本文引用了麦克阿瑟成功老龄化研究中的数据，比较了假设时态和已制定时态的差异。这些数据表明这两种时态之间的不协调模式是一致的。
Within the field of aging, the conceptualization and measurement of functioning has been dominated by the disability model. In this paper, one limitation of that model is described by calling attention to a distinction between three "tenses" of functioning. Inadequate attention has been paid to the distinction between the capacity to function in the abstract (hypothetical tense) and actual performance in daily life (enacted tense). Failure to attend to this distinction has obscured considerable discordance between what people say they are able to do in standard functional disability assessments, and what they actually do at home. To illustrate this point, data from the MacArthur Studies of Successful Aging comparing the hypothetical to the enacted tenses are presented. These data show a consistent pattern of discordance between these two tenses.