Transdiagnostic assessment of temporal experience (TATE) a tool for assessing abnormal time experiences

Abstract

Currently, anomalous lived temporality is not included in the main diagnostic criteria or standard symptom checklists. In this article, we present the Transdiagnostic Assessment of Temporal Experience (TATE), a structured interview that can be used by researchers and clinicians without a comprehensive phenomenological background to explore abnormal time experiences in persons with abnormal mental conditions regardless of their diagnosis. When extensive data gathered by this scale are available, it will be possible to delineate well-defined anomalous lived temporality profiles for each psychopathological disorder. This instrument may also prove useful for clinicians by providing a more refined assessment of relevant psychopathological symptoms (for instance, the differentiation of different types of delusions according to their temporal profile) and an in-depth understanding of the patient's abnormal behaviour (e.g., impulsivity or social withdrawal) as related to specific types of time experience. In the first part of the article, we provide a brief overview of the phenomenological concept of temporality, including pre-phenomenal and phenomenal time, synthesis, conation and synchronization, and of abnormal time experiences in persons affected by psychopathological conditions. In the following part, we describe the basic structure of the interview that comprises seven categories corresponding to the abnormal features of lived temporality: anomalies of synchrony, of time structure, of implicit time flow, of explicit time flow, and anomalous experiences of the past, the present and the future. The paper also includes a section on administration and scoring of the TATE scale, the complete interview and a Likert table for quantifying the frequency, intensity and interference with daily life of the phenomena explored.

Homo dissipans: Excess and Expenditure as Keys for Understanding the Borderline Condition?

“…In monotonousness, time is experienced as a tedious, wearing, dull cloud in which past, present, and future are not clearly separable. There is a feeling of stagnation, as if DOI: 10.1159/000529130 everything has stopped within oneself and time no longer passes [33].…”

More phenomenology in psychiatry? Applied ontology as a method towards integration

“…The benefits that follow from phenomenological analyses and assessment are potentially many. 7,9,[32][33][34][35][36] For instance, Nelson et al 19 emphasises its potential to meaningfully inform phenotypic studies of mental health conditions, as it enhances or heightens the granular resolution about particular clinical cases, which universal phenotype definitions are usually based on (see also 15,37,38 ). A similar point is also stressed by Fayaerts et al 18 who further emphasises that this higher resolution may inform the development of treatment and care strategies (see also 14,21,36,39 ).…”

“…When contributions such as Nelson et al 19 highlights a list of basic semantic entities, a closer inspection reveals that: (1) this list is not exhaustive; (2) the exact definition of these entities is not based on broad consensus; and (3) there has not yet been a coordinated attempt in the field of phenomenological psychopathology to logically relate these entities with the semantics in mainstream psychiatry. [44][45][46][47][48] Indeed, while the field of phenomenological psychopathology has produced some contributions that explicitly aim to clarify the semantics of phenomenology, 31,32,49 including innovating current psychiatric operational constructs 15,37,50,51 and development of structured clinical assessment tools, [33][34][35]52 these contributions are substantially outnumbered by work from differing traditions, perspectives, and approaches within phenomenological psychopathology, 6,7,21,53 for which the semantic cross-integration has not yet been made clear.…”

“As If There Are Two of Us”: The Battle of Borderline Personality Disorder Diagnosis in Lived Time

“…According to phenomenological psychopathology, some mental disorders, such as schizophrenia and depression manifest in temporal disturbances affecting lived experience [14][15][16][17]. Phenomenological tools are also developed to measure such temporal disturbances transdiagnostically [18]. The temporal structure of BPD was first described by Bin Kimura [19].…”