Modèle systémique de l'alliance thérapeutique

This article presents Pinsof's (1995) systemic model of therapeutic alliance. Pinsof's systemic model of alliance sees the therapy as an interaction between the systems of the client and those of the therapist. This model is composed of two primary dimensions: an interpersonal system dimension and a content dimension. The first focus on four levels of the alliance between and within the therapist and patient systems. The dimension of content includes three qualities of alliance that cut across the four interpersonal dimensions. We studied the notion of alliance profiles, institutional alliance and the notion of split alliance because the alliance is born and evolutes inside the interaction between the systems of the client and those of the therapist. Thus clients develop an alliance not only with their own therapist but also with the systems in which the therapist operate.     

Analyse des prélèvements biologiques médico-légaux : quel cadre juridique à l’ère de la qualité?

Medico-legal autopsy sometimes requires the use of the Parasitology-Mycology specialty. Two recent medico-legal clinical cases, involving this specialty, have questioned us. First of all, may a non-conformity biological analytical (compared to accepted and accredited standards by COFRAC) fail the whole biological expertise, and thereafter, the medico-legal expertise of the file? The answer must consider that the raw result obtained as a result of a medical biology technique must be interpreted and discussed by the expert in the discipline (in this case by the parasitologist) before being included in the medical discussion and discussed by the medical examiner. The judgment is secondarily delivered by the judge according to his intimate conviction and without determining the probative value of the examination. Should a post-mortem biological examination be part of an expertise in medical biology or is it a technical and scientific examination? This answer is based on the previous one, considering the significant contribution of the expert who will bring his knowledge, interpreting and discussing the raw result. A simple technical and scientific examination would only provide the raw result without any assessment of the context and circumstances of the biological sample.     

L'observance thérapeutique : déterminants et modèles théoriques

The aim of this paper is to examine a certain number of parameters which are classically implicated in the emergence of therapeutic observance behavior. This health behavior can be defined as the consequence of a process of a patient's conforming to medical instructions issued by the medical authority in the framework of treating his illness. However, the determinants of following these medical instructions are numerous and interdependent. Therefore, this paper will attempt to present the concept of observance by proposing certain definitions with a rather vague outline. We will then present three principal models specifically devoted to its study. A study of the determinants of observance versus non-observance will then be envisaged and will treat the characteristics peculiar to the sick, as well as the quality of the relation which is maintained between them and the medical staff–doctors. Far from being exhaustive in the presentation of the concept of observance, we will emphasize more the difficulty in truly understanding such behavior; a problematic which finds a new originality for psychology and the human sciences by its focus on the field of health and illness.     

Un problème central de l'Épistémologie Soviétique

Sans résuméCes reflexions sont le fruit de recherches entreprises avec l'appui de la Fondation Rockefeller et ont été rendues publiques pour la première fois lors d'une conférence tenue au Collège St-Michel à Fribourg. Ni la Fondation ni le Collège ne sont responsables des propos de l'auteur.     

Depersonalization, vertigo and Ménière's disease

Ménière's disease is generally accepted to be a consequence of distention of the endolymphatic sac of the inner ear. Although the exact etiology is unclear, there is a body of research suggesting that Ménière's disease is of psychosomatic origin. While we do not intend to review the literature exhaustively, we briefly review several frequently cited studies. Even though this literature is so severely flawed that no solid conclusions may be drawn from it, certain questions about the psychological aspect of this disorder continue to surface. Our limited access to patients with vertigo has not allowed us to undertake a carefully designed study. However, in clinical practice we have noted that many persons who complain of vertigo (whether due to Ménière's disease or other causes) also report symptoms of depersonalization and derealization. In this paper we present the cases of two women with Ménière's disease who also experienced concurrent feelings of unreality. It appears likely that feelings of unreality may occur regularly in association with syndromes causing vertigo, presumably as a consequence of vestibular dysfunction. We argue that emotional disturbances previously identified as predisposing causes of Ménière's disease are more likely effects of the disease. Although the discussion of two uncontrolled cases can do little to help solve nagging questions about a psychosomatic component to this disorder, we believe it may suggest a different perspective from which to investigate these complex phenomena.     

L’épuisement professionnel des enseignants en début de carrière

In the literature on the professional integration of teachers burnout is often invoked to at least partially explain the high percentage of those quitting the profession after a five-year practice or less. Teachers’ burnout implies emotional distress, viewing pupils as « things » (instead of as human beings), and being unsure of one’s teaching abilities. While this not always leads to quit teaching, victims of burnout can hardly escape pessimism and cynicism about their profession. This paper is made up of two parts: 1) a discussion of teachers’ burnout; 2) some suggestions for keeping teachers on the job.     

Méthode d’évaluation des risques psychosociaux auprès de travailleurs déficients intellectuels

While current regulation imposes to take into account psychosocial risks, their evaluation among workers with intellectual disabilities is still lacking. In order to develop an adapted tool, a language skills test was combined with the perception of work situations. Then, an ergonomic analysis was used to confirm the answers to the questionnaire. In a second phase of the study, the questionnaire was tested among a sample of 85 workers with intellectual disabilities. Data collected attested the relevance of this tool by accurately revealing workers’ feelings about their working environment. This study constitutes a first step in the psychosocial risk assessment process for workers with intellectual disabilities.     

Comment réagir face à une situation de harcèlement à l’école ? Une synthèse de la littérature

Bullying affects a significant number of students and can have serious negative consequences in terms of physical and mental health. It is, therefore, necessary for education staff to know how to respond effectively to stop it. However, this does not always seem to be the case at present. The purpose of this article is to describe six commonly used reactive approach (direct sanctions, restorative practices, reinforcement of the victim, mediation, the support group method, and the shared concerns method), as well as to synthesize the scientific knowledge regarding the effectiveness of each of these approaches. It emerges that no approach appears to be particularly effective in all cases and that it is therefore necessary for professionals to be trained to be able to choose the appropriate approach according to the situation.     

L’évaluation thérapeutique : description de quatre modèles

Since its development, therapeutic assessment (TA) has been used in many different settings and adapted accordingly. There are four different TA models: adult, couple, child and adolescent. This article presents the steps of each model and addresses the specific similarities and differences between them.     

Vers un changement de pratique dans une filière céréalière : apport de la modélisation de l’environnement

Project management, especially in the field of sustainable development, requires to take into account not only the working environment stricto sensu, but also supra components of environmental, social, economic, legislative, etc. Ergonomists and psychologists are then led to be interested in, and to develop modeling frameworks to better understand and to make more intelligible this complex environment. The study presented here, which requires taking into account this environment, aims at setting up a novel practice for improving the food safety of a cereal chain in a global context of sustainable development: protection of the environment (flora and fauna) and the health of farmers and consumers. As part of this study, a quick fungal contamination diagnostic tool and a corresponding decontamination process have been developed for an application in the barley-malt-beer food chain. However, the use of these processes may change the agricultural practices in antifungal treatments with the regular and high dose treatments replaced by fine targeted applications only where and when necessary. In relation with this technological development, the challenge is to identify the components of the environment that may become brakes and levers to the implementation of this new practice. In this scope, this investigation mobilizes the modeling of the environment of Thatcher and Yeow (2016). This paper is consequently aimed at presenting the underlying process to this construction, and this in relation with the characteristics of the study. At last, a discussion is initiated concerning the further use of such modelling practices for purposes other than the decision-making processes on ergonomic intervention purposes.     

Le droit de recours en matière d’autopsies médico-légales

The decision to carry out forensic autopsies is frequently made to determine the reasons of the death, especially in cases of non-natural death. In Switzerland, the judge strictly controls the authorisation to conduct forensic autopsies and the possibility to appeal against such a decision remains limited. This article aims to analyse the legal framework that enables appeals against a decision to conduct a forensic autopsy, taking into account the jurisprudence from the High Court of Switzerland (Tribunal Fédéral) and the European Court of Human Rights.     

Les principes d’une prévention de la récidive efficace : le modèle Risque-Besoins-Réceptivité

Recidivism prevention remains a crucial issue in France. While meta-analyses clearly indicated the effectiveness of the Risk-Need-Responsivity (R-N-R) model for assessment and rehabilitation, this model is not used in French probation services. The aim of this article is to introduce the R-N-R model, through an emphasis on its three main principles. A necessary continuity from assessment to intervention is highlighted. The article concludes by stressing the need to empirically evaluate the effectiveness of intervention to prevent recidivism.     

Justice distributive et critères de distributions financières : entre performance,allégeance et besoin des salariés

We examine the respective importance given to the five criteria of financial distributions: performance (individual and team work), individual needs, degree of allegiance/rebellion to hierarchical orders and the reason for this allegiance/rebellion (legalism vs opportunism). In total, 1315 participants were confronted with a specific case in which they had to advise a manager on the distribution of bonus among his employees. These employees were characterized by their respective individual performance, the performance of their team, one of the employees being also defined as being (or not) in financial need and to use to obey (or not) hierarchical orders. It is observed that the best performing employees are more rewarded, but each of the other criteria also have influence, both separately and with interactions.     

Révéler son humanité ? L’autorévélation du thérapeute à la lumière de la recherche empirique

Self-disclosure, which consists in revealing personal information about oneself to one's client, could be a beneficial therapeutic technique. There are yet many definitions of this concept. However, empirical research shows that self-disclosure may be favourably perceived by clients and that it could influence how they perceive their therapist. Moreover, it could positively influence treatment outcome. Self-disclosure about immediate feelings in the therapy and about the therapist–client relationship would be particularly effective in resolving problematic events by enabling feelings to be expressed and accepted and by providing clients with interpersonnal learning. Several authors finally advise using this technique infrequently, about moderately intimate but relevant themes in relation to the therapy, examining each client's specific needs, and always with the intention of helping them or improving the therapeutic relationship.