Untimely heart disease. Time structures of good life in psychocardiology

该分项目审查过早患上心脏病因而主观上常常是“不合时宜”的心脏病的人对美好生活的看法和设想的变化。该项目将与这些人和一组近亲一起调查（i）心脏病如何影响时间的经历和安排（例如时间主权、代际关系和对过去、现在和未来的看法），（二）其他事项时间经验的改变是否以及如何导致社会心理问题和精神障碍的发生率增加，这些人，（iii）时间的经验是否反过来受到这些心理社会问题的影响，以及（iv）如何受影响的生活质量，这是越来越多地被接受为医学治疗的中心目标，可以被理解为一个整体概念的美好生活，放在一个时间的角度来看。为此目的，在对基本术语和概念进行跨学科的细化之后，将设计并进行一项以定性为主的横截面实证研究。通过基于现象学精神病理学和操作化心理动力学诊断的访谈，以及其他方法，本研究将及时为这些人提供美好生活理念的多维图景，显示现有的医学生活质量衡量工具的不足之处，以及受影响者的支助和治疗需求未得到充分覆盖，并概述进一步发展优质的开放式基金的前景生活评估工具和有针对性的干预措施。在第一阶段，致力于理论基础，该子项目将与SP 1（哲学）密切合作，随后将提供经验材料以检验其理论假设。有针对性地考虑性别影响，例如在患有心脏病的年轻妇女和男子的计划生育领域，将与战略计划4（社会学/社会心理学）和战略计划5（生殖医学伦理学）中的生殖医学重点联系起来。将与SP 2（电影/电视）合作，对视频采访及其风景材料和叙述进行评估。视频采访还将通过文本分析方法进行分析，利用SP 4（社会学/社会心理学）和SP 6（全科医学）中提供的方法论能力。从临床观察中可以看出，年轻人或中年人患心脏病的人对过早衰老的看法，这提出了一些问题，可以借助SP 7（老年医学伦理学）的概念工具并与SP 6（全科医学）的实证结果进行比较来解决。

The subproject examines changes in the perception and design of a good life for persons affected by premature and thus subjectively often "untimely" heart disease. The project will investigate, on and with these persons and a group of close relatives, (i) how heart disease influences the experience and organization of time (for example aspects of time sovereignty, intergenerational relationships and the view of the past, present and future), (ii) whether and how the altered experience of time contributes to the increased incidence of psychosocial problems and mental disorders typically observed in these persons, (iii) whether in turn the experience of time is influenced by those psychosocial problems, and (iv) how the quality of life of those affected, which is increasingly accepted as a central goal of medical therapy, can be understood as a holistic concept of good life, placed in a time perspective. For this purpose, after an interdisciplinary refinement of the underlying terms and concepts, a cross-sectional, predominantly qualitative empirical study will be designed and carried out. By means of interviews based on phenomenological psychopathology and operationalised psychodynamic diagnostics, among other approaches, the study will provide a multidi-mensional picture of ideas of good life in time for these persons, show deficits of established instruments for measuring quality of life in medicine as well as insufficiently covered support and treatment needs of affected persons and outline perspectives for the further development of quality oif life assessment tools and targeted interventions. In the first phase, dedicated to the theoretical foundation, the subproject will closely coordinate with SP 1 (Philosophy), to which it will subsequently provide empirical material to test its theoretical assumptions. The targeted consideration of gender effects, for example in the area of family planning of young women and men with heart disease, will provide links to the focus on reproductive medicine in SP 4 (Sociology / social psychology) and SP 5 (Ethics of reproductive medicine). The video interviews with their scenic material and narratives will be evaluated in cooperation with SP 2 (Film / television). Video interviews will also be analyzed by text analytic methods, harnessing the methodological competence available in SP 4 (Sociology / social psychology) and SP 6 (General practice). The perception of premature old age by people suffering from heart disease in young or middle age, which is expected from clinical observations, raises questions that can be addressed with the help of the conceptual tools of SP 7 (Ethics of geriatric medicine) and in comparison with the empirical findings of SP 6 (General practice).