« La malléabilité du cadre thérapeutique comme support d’élaboration sur les terrains de l’aide internationale »

IntroductionIn the field of international aid, the projects set up, including psychological care systems, must respond to international and local requirements regarding their financing and sustainability. In these contexts, clinical questions intersect with those of the systems and culture. The traumatic dimension remains prevalent, and these contexts often must deal with multiple local and international requirements. These dimensions can influence the devices set up and their evolution.ObjectivesThrough feedback from an action-research conducted in Cambodia, we question the evolutions and adaptations of a therapeutic device with abused children.MethodFor one year, a device based on mediation was proposed for 10 children hosted within a local child protection NGO. We describe here its implementation and its evolution in the field.ResultsThe setting up of the system was a vector of different meetings. The adjustments were made in relation to the institutional context, the meetings with the local actors and the specificities of the clinic.ConclusionThe evolutions of the therapeutic device seem to signify the processes at play, both on the institutional and intersubjective scene. Regarding these field returns, the malleability of the therapeutic devices in these contexts seems to support the expression and the processual evolution, allowing a work of psychic elaboration.     

A Systemic Analysis of the Dynamics and Organization of Urban Street Gangs

Street gangs function as ongoing, open social systems in relation to their surrounding sociocultural context. Fundamentally, gangs are comparable to some family systems. In fact, most gangs do consider themselves to be “families.” The same concepts used to describe family systems may also be applied to street gangs. Street gangs usually exhibit a highly complex organization, structure, process, and functionality. All of these aspects intertwine within and around the gang to form a web of interconnectedness and continuity. To better understand street gangs and provide effective intervention plans, they must be viewed from this systematic and holistic perspective.     

How do supporters perceive positive and negative psychological momentum changes during a simulated cycling competition?

ObjectiveThe present study examined changes in sport supporters' psychological momentum (PM) during a simulated cycling competition through the lens of the dynamical systems approach.DesignParticipants were asked to support one of two competing cyclists involved in a race that was displayed on a screen in a lecture hall.MethodThe race scenario was manipulated so that the image of the supported cyclist underwent either positive or negative momentum. At regular intervals, participants indicated their PM perceptions during the race.ResultsPM perceptions rapidly changed at the onset of both the positive and negative momentum sequences and then remained stable, reflecting negative hysteresis. Supporters tended to anticipate the future performance of a given athlete on the basis of their current performance. Moreover, this anticipatory tendency was stronger during the positive momentum sequence than during the negative momentum sequence.ConclusionThese results provide initial insights into how PM perceptions of sport supporters change during a competition.     

Changes of the Health Service System and the Search for Evidence and Rationality

The health service systems of the Western world are transforming rapidly. These systems are under pressure from an increase of new biomedical possibilities for intervention in the processes of the human body, from the rising expectations of the public, and from demographic developments that are leading to an increase in the number of elderly people in the Western world. Parallel to these changes on the macro level there are major changes on the micro level, that is, there is a search for methods to manage the basic way that the health system functions. In short, the financing, organization and practice of medicine will be changed considerably over the next 5-10 years. In the search for a harmonious development in this field the concept "evidence" must be seen in a broad perspective that encompasses, among other things, the increasing multidisciplinary nature of modern medicine.     

Relevant Robinson's arithmetic

In this paper two different formulations of Robinson's arithmetic based on relevant logic are examined. The formulation based on the natural numbers (including zero) is shown to collapse into classical Robinson's arithmetic, whereas the one based on the positive integers (excluding zero) is shown not to similarly collapse. Relations of these two formulations to R. K. Meyer's system R# of relevant Peano arithmetic are examined, and some remarks are made about the role of constant functions (e.g., multiplication by zero) in relevant arithmetic.This paper has been greatly influenced by the (largely unpublished) work of E. K. Meyer (cf. [7]) on relevant arithmetic, and I wish to thank him, and also N. D. Belnap, Jr. and D. Cohen for helpful advice. In fairness to Meyer it must be said that he finds my axioms 13 and 13(1) too strong (they are not theorems of his system R# - cf. §4 below). Meyer tells me be finds vindication for his view in my chief theorem of §2. For myself, I find the insights behind Meyer's work on R# to be both stable and fruitful, and if I now had to make a choice, I would follow Meyer in his rejection of my axioms. However, the systems I explore in this paper themselves have a surprising amount of internal consistency of motivation (cf. §5). Let a hundred formal systems bloom.     

Nonlinear model of attention focus during accumulated effort

ObjectivesThe emergent nature and dynamics of Task-Related Thoughts (TRT) during accumulated physical effort was used to test a model of attention focus based on the application of nonlinear dynamic systems theory (NDST).DesignA one-group two-trials quasi experimental design was employed.MethodsEleven physically active participants ran twice on a treadmill at an intensity of 80% of their HR_max until voluntary exhaustion. During the first run their intrinsic dynamics of attention focus was established. Accordingly, during the second run they were asked to intentionally maintain Task-Unrelated Thoughts (TUT), and reporting back about spontaneous switches from TUT to TRT, and vice versa.ResultsResults revealed that the intentionally imposed TUT was stable at the beginning of the test, switched spontaneously to TRT with accumulated effort, competing with TUT and showing metastability, until a final TRT state prevails.ConclusionsThe observed phenomena points to a nonlinear dynamic self-regulation of attention focus during accumulated effort.     

The Therapeutic Process with Children with Learning Disorders

Abstract

Clinicians who work with children and adolescents with learning disorders must be aware of the relationship between the learning disorder and the psychopathology the children present. This article offers a conceptual framework, based on psychoanalytic self psychology, to understand the modifications that are necessary in the treatment of this population. The author suggests that, in contrast to other approaches, it is not possible to conceptualize the treatment of these children as having a beginning, a middle, and an end. Rather, the therapeutic process is open-ended and conceived as occurring during a series of moments. The moments may be categorized as concordant, complementary, or disjunctive. During concordant moments a holding environment is created; during complementary moments the transference and countertransference is addressed; and during disjunctive moments the ruptures that inevitably occur during treatment are dealt with.     

Gaze direction affects walking speed when using a self-paced treadmill with a virtual reality environment

BackgroundIn a previous study it was observed that participants increase their walking speed during a dual task while walking on a self-paced treadmill in a virtual reality (VR) environment (Gait Real time Analysis Interactive Lab (GRAIL)). This observation is in contrast with the limited resources hypothesis, which suggests walking speed of healthy persons to decrease when performing a cognitive dual task.AimThe aim of the present study was therefore to determine whether the cognitive demand of the task, an aroused feeling, discrepancy in optic flow or a change in gaze direction caused participants to walk faster in this computer assisted rehabilitation environment.MaterialsThe GRAIL included a self-paced treadmill, a motion-capture system and synchronized VR environments.MethodsThirteen healthy young adults (mean age 21.6 ± 2.5) were included in this study. Participants walked on the self-paced treadmill while seven different intervention conditions (IC) were offered. Prior to each IC, a control condition (CC) was used to determine the natural self-selected walking speed. Walking speed during the last 30 s of each IC was compared with the walking speed during the last 30 s of the preceding CC.ResultsResults show that the height on which a visual task was presented in the VR environment, influenced walking speed. Participants walked faster when gaze was directed above the focus of expansion.SignificanceThese findings contribute to a further understanding of the differences between walking in a real life environment or computer assisted rehabilitation environment. When analyzing gait on a self-paced treadmill in the future, one must be attentive where to place a visual stimulus in the VR environment.     

Methods for Connectedness

SUMMARY

There are prerequisites that must be achieved developmen-tally before individuals are capable of co-creating healthy intimacy in adult relationships. Thus, therapists often have to work to help client systems overcome failures of maturation. In these kinds of therapeutic encounters the therapist acts as a developmental partner. By designing compensatory experiences, the therapist can help partners fill gaps in early development and education that operate to sabotage loving relationships. This paper offers examples of how levels of moral development and social-perspective taking can be utilized within a transpersonal approach to help couples achieve more satisfying intimate connections.     

Protecting older adults in the Israeli health system: Cross-cultural interactions involved in legal and social elder abuse interventions

ABSTRACT

In 2002 the World Health Organization published a categorical definition of “Elder Abuse,” but the relevant social and legal interventions differ markedly even among Western-oriented countries. This article compares and contrasts approaches to this widespread and very serious problem in the New York City and the Israeli health-care systems. In today’s world, the members of a family do not all necessarily live on the same continent, so professionals must be aware of the way things are done in countries other than their own. The differences in the interventions employed, or not employed, in these two specific systems highlight the need to understand not only how elder abuse is dealt with in each place, but the conceptual framework that governs it. The present article can serve as a guide for American professionals and others concerned with the problems of elder abuse who function within the Israeli health care system.     

Do meditators and non-meditators have different HRV dynamics?

PurposeThe heart is a complex system and many researchers have been recently studying cardiac behavior using the theory of nonlinear dynamical systems. One of the most appealing tools for analyzing heart function is the heart rate variability (HRV) signal. This study aimed to elucidate the HRV dynamics of six distinct states: spontaneous normal breathing (SNB) and metronomic breathing (MB), as non-meditator groups, before Chinese Chi meditation (CCM), during CCM, before Kundalini yoga meditation (KYM), and during KYM, as meditator groups.MethodsThe HRV data were obtained from the Physionet database. Lagged Poincare indices, Lyapunov exponent (LE), Lempel-Ziv complexity (LZ), and 4 types of entropy were calculated.ResultsThe results showed the greatest discrepancies in the lagged Poincare indices for KYM and CCM. In contrast, the least variations were achieved for MB. Compared to SNB, an enhancement in the log energy entropy and a reduction in the LZ and other entropies were concluded during KYM and CCM practices. In contrast, a reverse pattern was observed for MB. Using support vector machine, HRV dynamics were classified with average accuracies of 99.14 and 98.2% and average sensitivities of 99.87 and 99.57% for pre-KYM and during KYM, respectively.ConclusionIt was shown that the HRV dynamics were significantly different in meditators and non-meditators.     

Deepening our counseling

Abstract

The counselor deepens his therapeutic work by analyzing what happens during the counseling session. Subtle details in the off ice interactions are used to refer to personality traits and behavioral patterns manifesting themselves in the client's daily life. The counselor must also be sensitive to his own feelings and reactions and employ these as indicators to objective elements in the client's personality.     

The effect of self- and interpersonal emotion regulation on athletes’ anxiety and goal achievement in competition

ObjectivesThere exists a wealth of evidence that athletes must regulate their emotions for optimal performance and wellbeing. In addition to athletes’ attempts to regulate their own emotions, they may also attempt to regulate each other’s emotions (interpersonal emotion regulation). Though self- and interpersonal emotion regulation likely co-occur, previous research has not explored how these strategies concurrently impact athletes’ emotions and performance outcomes. In the current study, we examined whether athletes’ emotional self-regulation and the receipt of interpersonal emotion regulation from their teammates were related to their anxiety and goal achievement during competition.DesignQuantitative, cross-sectional retrospective survey design.MethodData were gathered following sport competitions from 509 participants from 50 interdependent sport teams from Canada and the UK (M_age = 19.0, SD = 3.1).ResultsAnalysis of the data using structural equation modeling revealed that after accounting for pre-competition anxiety, received interpersonal emotion regulation was not associated with anxiety during competition, though affect-worsening self-regulation was positively associated with anxiety during competition. Received interpersonal emotion regulation was also not associated with goal achievement, yet affect-improving and affect-worsening self-regulation were associated with goal achievement. Nevertheless, when the influence of emotional self-regulation on anxiety and goal achievement was set to zero, affect-improving and affect-worsening interpersonal emotion regulation were associated with anxiety during competition and affect-improving interpersonal emotion regulation was associated with goal achievement.ConclusionsThese data can be interpreted as evidence that emotion regulation actions between teammates are important for anxiety and performance outcomes, albeit this effect is attenuated in the presence of athletes’ own emotional self-regulation. These results extend the extant research on self- and interpersonal emotion regulation in sport, and in line with these observations, we highlight a number of future research opportunities for researchers examining emotion regulation in performance contexts.     

Current and Future Education and Practice

SUMMARY

This article describes a national study conducted by the American Occupational Therapy Association Mental Health Special Interest Section to assess the adequacy of mental health content and fieldwork experiences in occupational therapy educational programs preparing graduates for current and future mental health practice. The results of the study indicate that occupational therapists, especially those who practice in mental health settings, must become more “business-oriented.” This orientation includes educating occupational therapy students about reimbursement issues, legal and political systems, marketing strategies, and advocacy roles. Other recommendations are discussed as possible ways to prepare future practitioners more effectively for roles in community-based settings.     

A weak intuitionistic propositional logic with purely constructive implication

We introduce subsystems WLJ and SI of the intuitionistic propositional logic LJ, by weakening the intuitionistic implication. These systems are justifiable by purely constructive semantics. Then the intuitionistic implication with full strength is definable in the second order versions of these systems. We give a relationship between SI and a weak modal system WM. In Appendix the Kripke-type model theory for WM is given.This work was partially supported by NSF Grant DCR85-13417     

The Olympic Games as a career change-event: Israeli athletes' and coaches' perceptions of London 2012

ObjectivesThis study used the Scheme of Change for Sport Psychology Practice (SCSPP; Samuel & Tenenbaum, 2011a) to examine athletes' and coaches' personal characteristics, perceptions of, coping with, and perceived outcome of the London 2012 Olympic Games (OGs). We also contrasted several sub-groups (e.g., Olympic and Paralympic athletes) in certain variables, and examined the decision-making and support systems involved in the OGs change process.Design and methodsA cross-sectional and retrospective design was used. Israeli Olympic and Paralympic athletes and coaches (N = 61) completed measures of change-event experiences (Samuel & Tenenbaum, 2011b) and athletic/coaching identity (AI/CI; Brewer & Cornelius, 2001) two years after the London 2012 OGs.ResultsOlympic athletes trained more, and had higher motivation and AI than Paralympic athletes. The OGs were perceived as a significant and positive change-event in the participants' careers. AI/CI was associated with the perceived significance of the OGs. At the time of Olympic qualification, the participants tended either to ignore this change-event or cope with it independently. Most participants reported making a decision to change related to adjustment and coping. Professional support was mainly available prior to and during the OGs. During this experience the participants did not consider using sport psychology services, but retrospectively, valued the usefulness of this support. Athletes' motivation after the OGs was predicted from their satisfaction of coping, and their perceived outcome of this change-event was predicted from their satisfaction of competition results.ConclusionsPsychological support must be provided as part of the Olympic cycle, especially in promoting a decision to change. Maintaining realistic expectations may be critical for facilitating a positive perception of this change-event.     

On the Closure Properties of the Class of Full G-models of a Deductive System

In this paper we consider the structure of the class FGModS of full generalized models of a deductive system S from a universal-algebraic point of view, and the structure of the set of all the full generalized models of S on a fixed algebra A from the lattice-theoretical point of view; this set is represented by the lattice FACS_s A of all algebraic closed-set systems C on A such that (A, C) ε FGModS. We relate some properties of these structures with tipically logical properties of the sentential logic S. The main algebraic properties we consider are the closure of FGModS under substructures and under reduced products, and the property that for any A the lattice FACS_s A is a complete sublattice of the lattice of all algebraic closed-set systems over A. The logical properties are the existence of a fully adequate Gentzen system for S, the Local Deduction Theorem and the Deduction Theorem for S. Some of the results are established for arbitrary deductive systems, while some are found to hold only for deductive systems in more restricted classes like the protoalgebraic or the weakly algebraizable ones. The paper ends with a section on examples and counterexamples. Dedicated to the memory of Willem Johannes Blok     

Atomistic study of structural fluctuations during radiation-induced amorphization in the ordered intermetallic compound NiTi

We have carried out an atomistic study of electron-induced amorphization of an ordered intermetallic compound NiTi by means of in-situ high-resolution high-voltage electron microscopy observations and molecular dynamics simulations. Both theoretical and experimental results show that metastable nanometre-size atomic clusters form and disappear during irradiation, so that a spatiotemporal fluctuation under amorphization is induced. Mean-lifetime measurements of these clusters demonstrate that high-energy particle irradiation provides a useful tool to study dynamic fluctuations of the local atomic structure in the non-equilibrium open systems.     

How psychological momentum changes in athletes during a sport competition

ObjectivesThe present research sought to examine changes in psychological momentum (PM) during sport competitions through the lens of a dynamical systems approach.DesignMale regional-level cyclists competed in cycling duels on home trainers.MethodImages of moving avatars of the cyclists were projected on a wall, and were manipulated so that one cyclist was exposed to an ascending performance scenario (i.e., positive momentum) and the other to a descending performance scenario (i.e., negative momentum). Every 3 min, the cyclists answered PM items by using a keyboard that was placed on the handlebars of their bicycles. Additionally, exerted power was continuously recorded.ResultsResults revealed an asymmetrical critical boundary pattern for PM perceptions indicating that negative PM was triggered more easily than positive PM. Exerted power was generally higher during the negative momentum scenario than during the positive momentum scenario. In addition, exerted power slowly decreased over both momentum scenarios, and this decrease was faster at the very beginning of the negative momentum scenario.ConclusionResults indicate that PM perceptions possess the dynamical properties of nonlinearity and history-dependence. Moreover, the finding that exerted power was higher in the negative momentum scenario was interpreted as a resistance behavior that occurs while experiencing negative momentum. The anticipated decreases in both exerted power and PM perceptions in the negative momentum scenario converge to support the notion that negative PM is a stronger attractor than positive PM. The present study confirms that PM is a dynamical phenomenon and offers fruitful avenues for future research.