Les remèdes du droit aux souffrances de la personne malade

Can law eliminate suffering? For a long time, the suffering has been only compensated. Indeed, the compensation of the physical and moral sufferings was allowed. But can law remove suffering? In fact, the French national law provides humans and technical means so as to eliminate pains. Now the law states that people's suffering justifies medical care and treatments.     

Pour la suppression pure et simple du régime des accidents du travail

«quo On disait autrefois, en Angleterre, que le Droit est un âne. S'agissant de l'indemnisation du dommage corporel, la France a fait beaucoup mieux : notre droit est franchement imbécile. Il s'agit maintenant de se donner les moyens de se sortir de cette situation : cela est tout à fait à notre portée ». C'est sur ces mots que s'achève le percutant rapport du docteur Louis Mélennec Pour une loi unique d'indemnisation du handicap et du dommage corporel, et pour l'abolition des systèmes actuels (responsabilité civile, accidents du travail, pensions d'invalidité dont Médecine & Droit publie ici quelques bonnes pages. L'auteur y analyse et dénonce avec force les incohérences du système français d'indemnisation du handicap et du dommage corporel et préconise la reconstruction d'un système unitaire harmonieux et cohérent. « Ce rapport, d'une inexorable sévérité, étayée par l'analyse intellectuelle et l'expérience personnelle de l'auteur, devrait-il obliger aussi bien les pouvoirs publics² que les spécialistes du droit social et les juristes du dommage corporel à une réflexion sans concession sur toutes les incohérences ainsi stigmatisées åquo.     

L’évaluation cognitive de la lecture au collège : synthèse des principaux outils de dépistage et de diagnostic des troubles spécifiques de la lecture et cognitifs associés

As reported by the Programme for International Student Assessment (PISA, 2012), almost 20% of French teenagers show difficulties in reading (OCDE, 2014). What are the French language tools the practitioner or educationalist (teacher, school doctor, psychologist, and speech-language pathologist) use to assess specific reading disorders for middle school students? The tools assessing reading comprehension skills, word-level reading skills and reading-related skills are presented by distinguishing the tools developed for screening of reading difficulties (the purpose of which is to detect early disease or risk factors for disease in large numbers of apparently healthy individuals) than them developed for diagnosing of reading difficulties (the purpose of which is to establish the presence [or absence] of disease as a basis for treatment decisions in symptomatic or screen positive individuals). This synthesis allows to identify their interests and limits, and to consider new tools respecting five essential criteria: (1) the tool structure must be based on recent theoretical models specific at the middle school, (2) the tool must assess reading comprehension skills (with control of listening comprehension skills) and the mastery of two word-level reading procedures (lexical and sublexical), (3) the tool must measure a set of reading-related skills such as phonological awareness, phonological short-term memory, rapid serial naming and morphological awareness, (4) the experimental material (vocabulary control) and the standardization must be recent or updated and (5) the speed must be measured accurately.     

Contribution d’une catégorisation des RPS à la prédiction du stress et du burnout (ou du mal-être au travail) des soignants

Health-care professionals are strongly affected by distress at work. Our goal is to study the usefulness of a psychosocial risk measure, compared to a measure of psychosocial and organizational work constraints, on the prediction of distress among a population of caregivers. This measure is based on the categorization of psychosocial risk factors issued from the College of experts chaired by Gollac. Seven hundred and fifty-seven health-care professionals filled out a questionnaire composed of measures of psychosocial risks, psychosocial and organizational work constraints specific to caregivers, as well as stress and burnout. Results indicate that the measure of psychosocial risk better predicted the levels of stress and burnout than the measure of psychosocial and organizational work constraints.     

Responsabilité médicale et expertise : de la loi du Talion à la loi Kouchner

Despite the appearance from the Mesopotamian era of medical responsibility, an apparent impunity of the doctor will be in place until the 19th century. In France, it will be necessary to wait for the Napoleonic codes of 1804 and 1810 in order to clearly dissociate the civil and criminal responsibilities of the doctor. If liability for fault remains the rule in medical matters today, the concept of liability without fault introduced by the industrial revolution and the legislation on industrial accidents was taken up by the Kouchner law of 2002. It definitively opens the way to a statutory and legal compensation for non-faulty medical accidents under national solidarity via the National Office for Compensation for Medical Accidents (ONIAM) and the Conciliation and Compensation Commissions (CCI). Expertise in medical liability is now the backbone of the victim compensation process. It guides the magistrate in the recognition of faulty or non-faulty medical liability and helps him to set the amount of compensation allocated with regard to bodily injury.     

Le stress au travail : du paradigme des risques psychosociaux à celui de la qualité de vie au travail

An action research using three classical models of occupational stress enabled us to verify the impact on the results obtained from the choice of model and paradigm: psychosocial risks versus Quality of work life. Four hundred and thirty-six supermarket employees answered a questionnaire including these three measures of stress, the outcomes (satisfaction, fatigue) and a possible cause (role strain). Our results validate the hypotheses of significant differences in stress prevalence levels according to the model, such as links to the factor and the consequences, as well as the importance of the perception of stress to explain the negative experience.     

Vécu et confort des usagers des immeubles de bureaux tunisiens contemporains : de la normalisation à la notion d'ambiance

This article presents the results of two exploratory studies on user’s satisfaction about their work environment and especially the case of contemporary Tunisian office buildings characterized by highly glazed facades. Designing office buildings as a uniform and standard work environment was discussed by ambiantal approach of architectural spaces. With palliative actions, users of office building try to have a suitable environment. The results are discussed and some suggestions are made for future research.     

Identification du harcèlement sexuel et légitimité des futurs managers à intervenir : Effets du genre et des informations délivrées

Sexual harassment (S.H) is an offense having a significant impact on the victims. On the basis of researches on prosociality and social control, we conducted an experimental study including 136 future manager students exploring the effect of provided information and evaluator’s gender on S.H identification scenarios. We also checked the legitimacy and motivation of subjects to intervene with the protagonists. Compared to the control, the specific information significantly reduces the number of scenarios unrecognized as S.H. There is no gender difference on both S.H identification scenarios and legitimacy to intervene with the protagonists. However the men express more anger and social control motivations of harassers. Their legitimacy to intervene with harassers is higher than the women one. The results are discussed in order to provide recommendations for SH prevention plan.     

Recherche en santé et protection des données personnelles à l’heure du Règlement général relatif à la protection des données

France has a very rich legal framework, which defines the conditions of access and use of health data for scientific research purposes and ensures their protection. Currently, this legal framework is undergoing revision. The European regulation of April 27th 2016 on protection of natural persons in relation to the processing of personal data came into effect in EU member states since 25th May 2018 and substitute a rationale of administrative process for a rationale that empowers the researchers to document and prove compliance with the regulation (“accountability”). This regulation must be coordinated with the other regulation applicable to research in UE and with national law.     

Construction et validation de l’échelle de mesure des croyances relatives à la laïcité

Recently, social psychology has taken an interest in attitudes and beliefs about laïcité and their relations to other variables, such as expressions of prejudice. Laïcité can be defined as the separation of churches and State, the role of the State being to assure an equality and a freedom of religion. The aim of this study was to construct a measure of beliefs of laïcité, and then to compensate for the lack of reliable measures about the possible interpretations of laïcité. The exploratory (study 1) and confirmatory factor analyses (study 2) led to sixteen items being included in the scale and representing four laïcité dimensions: public expression of religious beliefs, religious neutrality of the State and its institutions, equality of different religious beliefs, and protection of religious groups. Correlations across different dimensions showed that the public expression of religious beliefs was positively correlated with equality of different religious beliefs and negatively to neutrality of the State and its institutions. Moreover, convergent and discriminant validity (studies 2 and 3) showed that dimensions of laïcité are differently correlated with prejudice, SDO, religiosity, or with the republican model's adhesion. t-tests showed that compared to Catholics, agnostics and atheistics want a stronger religious neutrality of the State, are more in favor of an equalitarian treatment of different religious beliefs, but are less in favor of a protection of religion by State. Concerning the attachment to laïcité, this variable is only very weakly correlated with the four dimensions. Statistical analysis conducted on attachment to laïcité and other psychosocial variables such as prejudice, social dominance orientation (SDO), religiosity, religious beliefs (atheistics and agnostics vs. catholics) and political orientation showed that only SDO is (negatively) related to attachment to laïcité. These results suggest different conceptions of laïcité depending on psychosocial variable such as religion, prejudice or SDO. Finally, a test-retest has been effected on the scale (study 4). The results shown that the adhesion to the laïcité’s dimensions is stable in the time.