Les tâches de développement : un concept à redécouvrir

Over 60 years ago, developmental and educational psychologist Robert J. Havighurst (1948, 1953, 1972) proposed the concept of “developmental-task” in order to better understand and help improve if necessary the psychosocial development of the individual. This concept is still widely used in German and Anglo-American psychology and deserves, according to us, to be better known in France. Thus, the aim of the paper is to present different aspects of this concept and to demonstrate its interest for developmental psychology.     

Psychological therapy in primary care: work in progress

This paper considers the benefits to the mental health of patients of the provision of psychological services in primary care. I describe by means of context, the development of such a service over the last 7 years. In the following section I discuss the question of who is 'the patient' who gets referred and who can benefit from psychological treatment in a primary care setting. More specifically I consider the spectrum of psychopathology of patients who are referred in primary care for psychological help and in relation to this question I discuss what would constitute a meaningful clinical intervention. In the last section, I look at the question of what needs to be in place for a successful psychological service in a primary care setting. I argue that, while benefits for mild to moderate psychological problems have been documented by research findings, clinical scrutiny of the interventions in primary care suggest that this is not necessarily the case when it comes to patients with more severe psychological problems. I further argue that there are still important issues to be considered and researched and structures to be put into place before we can safeguard the clinical effectiveness of psychological interventions in primary care.     

Évolution des idées en psychologie de la santé dans le monde anglo-saxon. De la psychologie de la santé (health psychology) à la psychologie critique de la santé (critical health psychology)

The authors adopt a historical perspective and exhibit the debates held within Health Psychology in the Anglo-Saxon universe since the 1980s. They show how the development of the North-American mainstream approach has aroused several objections. These objections were firstly methodological (qualitative methods) then, theoretical and epistemological. This evolution has allowed the creation of two main approaches: Qualitative Health Psychology and Critical Health Psychology. While this course is not yet well-known in France, it illustrates, however, the present developments and the richness of the discussion within Anglo-Saxon Psychology. The conclusion shows that these debates should be known and accepted if we intend to improve our models in Psychology, so that they take into account the situated nature of the human being, its dynamics, its temporality as well and its complexity. Hence, Health Psychology perspectives as a whole will gain in pertinence in the fields of research and intervention.     

La psychologie contemporaine des « traits » dans le cadre de la recherche néogaltonienne : comment elle est censée fonctionner et pourquoi en réalité elle ne fonctionne pas

For its epistemic integrity as a framework for scientific personality studies, contemporary trait psychology requires the assumption that aggregate statistical patterns gleaned from correlational studies of individual differences constitute an epistemic “window” onto what is transpiring with the individuals comprising that aggregate. This assumption is the cornerstone of the “neogaltonian” paradigm for psychological research (Danziger, 1987) in terms of which Cronbach (1957) famously called for a merger of scientific psychology's experimental and the correlational disciplines. In the present contribution, this perspective on personality studies is submitted to close critical scrutiny and shown to be scientifically untenable. It is argued that a viable science of personality will be one focused on persons and not on individual differences variables.     

A systematic review and meta‐analysis of tertiary interventions in clinical burnout

Clinical burnout is one of the leading causes of work absenteeism in high‐ and middle‐income countries. There is hence a great need for the identification of effective intervention strategies to increase return‐to‐work (RTW) in this population. This review aimed to assess the effectiveness of tertiary interventions for individuals with clinically significant burnout on RTW and psychological symptoms of exhaustion, depression and anxiety. Four electronic databases (Ovid MEDLINE, PsychINFO, PubMed and CINAHL Plus) were searched in April 2016 for randomized and non‐randomized controlled trials of tertiary interventions in clinical burnout. Article screening and data extraction were conducted independently by two reviewers. Pooled odds ratios (ORs) and hazard ratios (HRs) were estimated with random‐effects meta‐analyses. Eight articles met the inclusion criteria. There was some evidence of publication bias. Included trials were of variable methodological quality. A significant effect of tertiary interventions compared with treatment as usual or wait‐list controls on time until RTW was found, HR = 4.5, 95% confidence interval (CI) = 2.15–9.45; however, considerable heterogeneity was detected. The effect of tertiary interventions on full RTW was not significant, OR = 1.33, 95% CI = 0.59–2.98. No significant effects on psychological symptoms of exhaustion, depression or anxiety were observed. In conclusion, tertiary interventions for individuals with clinically significant burnout may be effective in facilitating RTW. Successful interventions incorporated advice from labor experts and enabled patients to initiate a workplace dialogue with their employers.     

Introduction : hauts potentiels et talents : la position actuelle du problème

In this introduction to the special issue on giftedness of the review Psychologie Française, the evolution of ideas on intelligence is first discussed. The broadening of the concept of intelligence and the distinction between different kinds of intelligence have indeed some consequences for the definition and for the assessment of giftedness. Some general remarks are then made on the current state of the art in the research on giftedness, in France and in the world, before introducing the various contributions gathered in this special issue.     

The value of stress-management interventions in life-threatening medical conditions

Emotional stress has been associated with the development and progression of several chronic medical conditions. Recently, researchers have assessed the impact of stress-management interventions on patients' psychological functioning, quality of life, and various disease outcomes, including survival. This review summarizes the value of stress-management techniques in the treatment of two important, life-threatening conditions: coronary heart disease and cancer. Results from randomized clinical trials indicate that psychological interventions can improve patients' psychological functioning and quality of life. However, there is limited evidence to suggest that these interventions significantly reduce morbidity and mortality.     

Les déterminants psychologiques de la blessure physique du sportif : une revue de littérature

The purpose of the present paper is to review the studies having focused on the psychological antecedents of physical injury in a sport context. As a whole, the researches conducted in this field have highlighted the influence of stress in injuries-related problems. However, other researches in health psychology propose that complementary factors and processes could lead to be injured. Beyond the stress influence, these models suggest that the voluntary adoption of health or risky behaviours could play a role in the occurrence of sport-related injuries. The psychological determinants of these behaviours are now identified. Few studies however sought to show the relevance of these determinants in the identification of the athletes likely to be injured. A model is suggested in order to engage research in this field.     

Mesure du bien-être psychologique dans un contexte de réadaptation fonctionnelle

The purpose of this study is to develop a valid, sensitive and reliable tool to measure psychological well-being in rehabilitation context. Psychologists working in different European countries, set out ideas on the basis of their experience and collected data from the people involved; then the researchers in social psychology analysed this data and guided the practitioners approach by developing a tool based on scientific indicators. Factor analyses allowed to reorganize the initial questionnaire and to define 4 factors important to appreciate psychological well-being in this context: cognitive and social abilities, communication skills about their own difficulties, knowledge of their health, and emotional coping. The final tool appears to be sensitive to evolution during the rehabilitation process on two factors: communication skills and emotional coping.     

Évaluation de l'efficacité d'un entraînement mnésique chez des personnes très âgées dépressives institutionnalisées

The focus of this work is to study the influence of “memory's training” on a group of 27 depressed elderly residents (age's mean = 84.77; GDS's mean = 17.7) and 28 non-depressed elderly residents (age's mean = 84.96; GDS's mean = 3.5) with self-reported memory loss. The training's task was a free recall using mmemonic method of Loci with each person. Results showed that depressed residents increase their performances during the training's sessions like non-depressed residents but not to the post-test. Consequently, the memory complaint is an indicator to propose to elderly person memory's training if the prevalence of depression is establish, so it is to be hoped that further or additional interventions be proposed.     

Introduction. Esquisse d’une approche intégrative du concept d’addiction : regards croisés

Referring to the respective scientific preoccupations about the concept of addiction in the French laboratories of psychology specializing in the concept of addiction, this introduction proposes to sum up the main theoretical backgrounds in this area and to discuss its respective impact and similarities. Definitions, classifications and theoretical models are presented according to those described in the articles of this special issue. These articles mainly refer to the scientific backgrounds of psychopathology, clinical psychology and health psychology. Its respective contributions are discussed on the one hand, referring to theoretical point of views and, on the other hand, in order to propose any subsequent applications for future researches and psychological perspectives for the prevention, detection and the treatment of addictive behaviors.     

Universal Selection Theory: Implications for multidisciplinary approaches to clinical psychology and psychiatry

Universal Selection Theory claims that the increases in the fit of a system to its environment are achieved through a process of blind variation and cumulative selection that is analogous to evolution by natural selection. The process is proposed to occur in many domains, including the gene, behavior, cognition, and culture (meme). This paper reviews the background for the theory and explains how it may contribute to clinical psychology and psychiatry. It is suggested that the theory provides: A framework for integrating biological, psychological and cultural perspectives; an account for why problem-solving and cognitive reappraisal prove to be effective interventions; and an understanding of why psychological disorders can be resistant to change. Implications for psychological treatments, theoretical integration, and future research are discussed.     

Rorschach et Psychiatrie : à la découverte du malade derrière la maladie

The Rorschach Comprehensive System is a very powerful tool for understanding the dynamics of psychopathological conditions and describing personality. Recent literature indicates a promising new area of research, that of evaluating psychotherapy processes and outcome. Clinical psychologists can therefore bring a unique and complementary perspective to the traditional psychiatric field by introducing it to proper psychological diagnosis as opposed to psychiatric diagnosis. The validity and reliability of the method having today been well established in the USA, it is incumbent on French researchers and clinicians to verify them locally and eventually make the necessary adaptations.     

Counselling in primary care: a review of the practice evidence

This paper describes the level of mental health problems that are encountered in primary health care. The limitations of using randomised control trials (RCTs) in evaluating effectiveness of psychological therapies in primary health care are described. Although the RCT may be useful in evaluating interventions in highly controlled situations, its use in evaluating clinically representative service delivery research is limited. A three-stage model of psychological therapies research is described to show that distinct stages require different methodologies in order to evaluate them, and this model is used to structure the review. The literature on research carried out in more naturalistic circumstances is then reviewed. Evaluating psychological interventions in this way shows there is considerable evidence that psychological therapies are effective in a number of ways in a primary care setting. The naturalistic studies that are more typical of clinical practice support the use of psychological interventions. The theme of the grey literature is almost entirely positive from the point-of-view of patients and GPs alike. However, there is considerable diversity in the sophistication of the methodology of the latter studies. Some were comprehensive evaluations, while others were more akin to audit. A major shortcoming is that few described their qualitative methodology. This said, the themes arising from the reports are very consistent and, had they been supported by a more robust qualitative methodology, would have added even more support, financially and clinically, for the arguments for counselling provision in primary health care. The level of referred clients' distress, measured by a variety of measures, was shown to be moderate to severe and similar to the level of patients referred to Community Mental Health Teams (CMHTs). When they were measured, there was a considerable reduction in subsequent psychiatric symptoms.     

Evidence-based psychological treatments for disruptive behaviors in individuals with dementia

In this article, the authors review the literature regarding evidence-based psychological treatments (EBTs) for behavioral disturbances in older adults with dementia, as proposed by the American Psychological Association's Committee on Science and Practice of the Society for Clinical Psychology. Fifty-seven randomized clinical trials were reviewed for inclusion on the basis of titles or abstract information. Forty-three were excluded either because they did not meet EBT methodological criteria or because they involved environmental or psychoeducational nursing interventions in which the psychological component could not be separately evaluated. Fourteen studies were considered for inclusion as EBTs; of these, 8 showed significant differences between treatment and control groups. Results of this review indicate that behavioral problem-solving therapies that identify and modify antecedents and consequences of problem behaviors and increase pleasant events and individualized interventions based on progressively lowered stress threshold models that include problem solving and environmental modification meet EBT criteria. Additional randomized clinical trials are needed to evaluate the generalizability and efficacy of these and other promising psychological interventions in a variety of settings with individuals who have a range of cognitive, functional, and physical strengths and limitations.     

Mindfulness training reduces neuroticism over a 6-year longitudinal randomized control trial in Norwegian medical and psychology students

Reducing neuroticism in young adults is likely to reduce future psychopathology and improve quality of life. One method of reducing neuroticism may be mindfulness training. This randomized control study examined the effect of mindfulness training on neuroticism and psychological distress over a six-year time period in a sample of Norwegian medical and clinical psychology students receiving either a modified Mindfulness-Based Stress Reduction (MBSR) training (n = 144) or no intervention (n = 144). Mindfulness training decreased neuroticism and psychological distress over the six-year follow-up period, and decreases in neuroticism were associated with reduced psychological distress at the six-year follow-up. These findings suggest that mindfulness training can have a durable impact on neuroticism, and that mindfulness-based interventions may effectively reduce clinical symptomology linked with neuroticism.     

Psychological interventions and the immune system: a meta-analytic review and critique.

This article reviews evidence for the hypothesis that psychological interventions can modulate the immune response in humans and presents a series of models depicting the psychobiological pathways through which this might occur. Although more than 85 trials have been conducted, meta-analyses reveal only modest evidence that interventions can reliably alter immune parameters. The most consistent evidence emerges from hypnosis and conditioning trials. Disclosure and stress management show scattered evidence of success. Relaxation demonstrates little capacity to elicit immune change. Although these data provide only modest evidence of successful immune modulation, it would be premature to conclude that the immune system is unresponsive to psychological interventions. This literature has important conceptual and methodological issues that need to be resolved before any definitive conclusions can be reached.     

Un jury sous influence : l’impact des affects, du type d’expertise et des circonstances aggravantes sur l’activité décisionnelle des jurés

We investigated the effects of three variables on jurors' verdict and sentence concerning a motorist responsible for the accidental death a man. Specifically, we assessed the effects of some aggravating circumstances, and those of two extra legal variables, namely, the nature of the feelings presumably expressed by the accident perpetrator regarding the victim, and the content of a medical and psychological expertise about him. The perpetrator was given a harsher sentence, assigned a negative identity, and was the target of little identification when he was submitted to a biological expertise, said to have displayed some indifference regarding the victim, and when he was charged with aggravating circumstances. Conversely, when the accused showed some sadness, he received a lenient sentence, especially in the absence of aggravating circumstances.