Temporal Immediacy: A Two-System Theory of Mind for Understanding and Changing Health Behaviors.

Nursing Research
Paul F CookPaula Meek

Abstract

Health promotion and chronic disease management both require behavior change, but people find it hard to change behavior despite having good intentions. The problem arises because patients' narratives about experiences and intentions are filtered through memory and language. These narratives inaccurately reflect intuitive decision-making or actual behaviors. We propose a principle-temporal immediacy-as a moderator variable that explains which of two mental systems (narrative or intuitive) will be activated in any given situation. We reviewed multiple scientific areas to test temporal immediacy as an explanation for findings. In an iterative process, we used evidence from philosophy, cognitive neuroscience, behavioral economics, symptom science, and ecological momentary assessment to develop our theoretical perspective. These perspectives each suggest two cognitive systems that differ in their level of temporal immediacy: an intuitive system that produces behavior in response to everyday states and a narrative system that interprets and explains these experiences after the fact. Writers from Plato onward describe two competing influences on behavior-often with moral overtones. People tend to identify with the language-based narr...Continue Reading

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Citations

Sep 27, 2019·Western Journal of Nursing Research·Kimberly R HartsonPaul F Cook
Oct 7, 2019·Research in Nursing & Health·Laurel H MesserPaul F Cook
Dec 21, 2019·The Journal of the Association of Nurses in AIDS Care : JANAC·Mary Beth MakicPaul F Cook
Feb 28, 2021·International Journal of Nursing Studies·T JaarsmaB Riegel
Jul 23, 2021·Nursing Research·James ChircopYasuhiro Kotera

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