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The progress in prenatal medicine raises complex questions with respect to the physician–patient relationship. The physician needs to reconcile medical aspects, ethical principles as well as judicial norms. Already, during the first trimester, the physician has to put into practice the schedule combining for each individual pregnancy physical, laboratory and other appropriate exams. Physicians are under the obligation to inform in a clear and comprehensive way without creating unnecessary anxiety for their patients. Legal requirements include informed consent, the respect for the patient's right to self-determination, and compliance with the Swiss federal law on genetic testing, especially with its articles on prenatal screening and diagnosis. This article discusses the complexity of obstetrical practice when it comes to delivering adequate information within the scope of ethical and legal requirements in Switzerland.  相似文献   

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In our daily lives, we make a number of errors and blunders for all our activities. These are the cognitive failures of everyday life, which are conventionally measured by the Cognitive Failure Questionnaire (CFQ). Literature has demonstrated not only that this tool has many limitations especially regarding its factor structure which is not identified by consensus but also that the origin and nature of cognitive failures are not interviewed because they are considered in terms of executive dysfunction. Also, this study will be to describe the various stages of validation structure of a new assessment tool, the Cognitive Failures Questionnaire Daily (questionnaire de défaillances cognitives quotidiennes [QDCQ]) and expose the different levels of analysis of our methodological approach that we have allowed to get it. Therefore, it was administered to 237 all comers people of all ages and proposed them to assess the frequency of cognitive failures over the last 6 months. As a result of is a first step in item analysis using indices of normality, of difficulty and discrimination and a second at different scales, we removed twenty-five items out of fifty-two which the statistical power was not sufficient to be kept. We then obtained a new version of QDCQ, which comprises twenty-seven items that apprehend the most cognitive failure's construct. The results of several confirmatory factor analyzes identify a structure with three factors (attention, language and memory) as best fitting our data. That is consistent with the general literature on this construct (0145 and 0240), and it tends us to prefer the hypothesis that the occurrence of cognitive failures would be the result of a momentary disruption of specific cognitive processes (probably executive processes which it remains to be defined) that influenced in different spheres of activities. The questionnaire opens new perspectives both in terms of clinical practice, particularly in that it could participate in early detection of several behaviours involved in various forms of pathological cognitive aging such as Alzheimer's disease or Parkinson's. Moreover, conceptually, it could also lead to clarify the relationship that the construct of cognitive failures has with executive functions.  相似文献   

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This article has two main goals: first, to review past research concerning the influence of pretrial publicity on judiciary judgements, and second, to present new empirical data concerning the impact of writing style in the media influence phenomenon. The three studies presented in this article show: 1/ that the morphosyntactical style of press articles can be distinguished as a function of the domain to which they pertain (judiciary, economic, politics, sports), 2/ that readers can readily recognize and identify the judiciary morphosyntactical style, and 3/ that the conformity of an article vs. its non-conformity to the judiciary style has some independent effect on memory about the article's content and on the elaboration of judiciary judgements by readers.  相似文献   

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The development of naive theories regarding social organizations has not received the same emphasis as other conceptual domains, such as naive biology and naive psychology. However, a number of studies have been devoted to the development of children's naive conceptions of politics, school, or economics, most of them with interviews. In the present study, we studied six-, 10-, 14-year-old children's conceptions regarding two familiar organizations, school and supermarket. Results show that, even young children have knowledge regarding these two institutions. However, even 10-year-old children might fail to integrate these institutions in more general organizational, institutional and social dimensions. In many cases, only children aged 14 consistently integrate these various dimensions.  相似文献   

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The instability of involvement in the care process and psychotherapy is frequent among bulimic women. The preliminary evaluation of the capacity of involvement helps to make the decision to begin specific care with these patients. We thus make the assumption that involvement in the care process can express itself in indexes of Rorschach when this test is part of a prior examination of orientation at the beginning of the care. These indexes concern the relationship dependence and the capacity of development of subjective expression. They appear in several analysis registers of the Rorschach protocol, which are: the scale of oral dependence (ROD); the index of expressive capacity (EX); the recurring object (ORec); contents in connection with the representation of dependence among bulimic women. A group of 34 bulimic women involved in multifocal care process, especially including a psychoanalytical-inspired psychotherapy (ES) is compared with a group of 34 bulimic women who precociously stopped this care or didn’t get involved in it (NES). The subjects of the ES group received care during at least 1 year. The comparison between the two groups shows significant differences in the pretherapeutic indexes (ROD, ORec). The interest and the limits of this type of analysis are debated.  相似文献   

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This research studies the varied forms of parental supervision in early period. With this intention, thirty-six dyads non-defective parent-child of second year of life and thirty-six dyads parent-child carrying a Down syndrome, of the same age of development were thus observed, during a situation of play of embedding. The cluster analysis revealed the existence of four forms of parental guidance: one non-directive form and three directives forms corresponding to the communication of increasingly precise information for the resolution. Also, the four forms are very similar between the two groups. In conclusion, our results suggest, that independently of the groups, the varied forms of parental guidance could be regulated by the parental goals.  相似文献   

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Written text composition is a complex activity improving slowly through acquisition. One of the main difficulty for the novice writer is to translate in the linear textual structure a multidimensional representation (Fayol, 1991). The general issue of this paper concerns the essential role of cohesion devices in the acquisition of this linearization process in writing. Anaphoræ, connectives and punctuation marks are first mentionned, stressing on their common functions in text. Then, stress is put on their acquisition, both as structured systems and as functional tools progressively organizing the written text and ensuring close inter-systems relations.  相似文献   

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More than thirty years after his introduction and despite many criticisms, the alexithymia concept is giving rise to a growing body of research and interest. Today, it is thought to reflect a deficit in the cognitive processing and regulation of emotion. After a brief historical introduction, this paper proposes an exploration of the links between the alexithymia construct, the multicomponent emotion theories and the five-factor model of personality. Specifically, the potential associations between alexithymia and emotion regulation are examined, referring to recent studies in psychology of emotions, neurobiology, cognitive psychology, developmental psychology and psychology of personality.  相似文献   

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Working memory has a central role in cognitive development and its capacity is among the best predictors of high-level cognition and school achievement. Within the Time-Based Resource Sharing (TBRS) model, three main factors account for the development of working memory capacity. In this paper, we will review the main empirical evidence sustaining the impact of two of these factors on cognitive development. First, the amount of attention available for cognitive functioning might increase during childhood. Thus, for the same activities, older children would be able to process information faster than younger children. Within working memory span tasks, because the level of activation of memory traces decreases during the processing steps, any reduction of the duration of these steps directly diminishes the time during which the traces decay, and consequently increases the time available for reactivation or refreshing before the next processing step. These two effects jointly induce a stronger activation of the memory traces and a better recall of the to-be-maintained items. Second, because the main hypothesis of the TBRS model is that attention switches to refresh memory traces from processing to maintenance during the processing episodes, the efficiency of the refreshing mechanism should have a direct and strong impact on working memory functioning. An increase in the efficiency of this refreshing during childhood means that older children should take a greater advantage from the short pauses left free between each processing step. The level of activation of the memory traces would be then higher for older than for younger children, resulting in the classically observed increase in span. As a consequence, age-related changes in the efficiency of the refreshing could play a central role in working memory development.  相似文献   

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Luck is perceived by some people as a quality of the person (as opposed to the situation) that can be used to maximize the outcome of chance games. This paper reviews empirical studies that examine the conditions under which perceptions of personal luck can be experienced, and how it might facilitate the increase of gambling behavior to pathological levels. Specifically, the opportunity for choice and the experience of near outcomes in games of chance are considered as ways to affect the extent to which perceptions of personal luck are experienced. The ease of facilitating these perceptions suggests that personal luck may be an overlooked factor in the emergence of gambling pathology. As such, implications for gambling behavior and treatment of problem gamblers are discussed.  相似文献   

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This Action Research was ordered by the Energy Department's head of a southern France local authority who wanted to reduce civil servant's overconsumption behaviors in public swimming pools. The aim was to compare two methods coming from psychosocial theories: cognitive dissonance implemented by induced hypocrisy paradigm, and commitment implemented by submission without pressure paradigm. Both methods and a “classical” condition, were assigned to three independent groups of swimming pool employees (n = 21). The processes targeted the level of behavioral intentions and the effective behavioral change, as dependant variables. These elements were measured through the type of behavioral intention, and the swimming-pools’ consumption bills. Results show that induced hypocrisy reveals a higher behavioral intention's level than a classical condition, whereas the effective behavioral change is higher in the commitment condition. Moreover, we can see a decisive role of context's organizational characteristics beyond the experimental variables induction. Theoretical and managerial consequences of the results are discussed relatively to the methodological limits enforced by the characteristics of the field.  相似文献   

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