L’indépendance du médecin à nouveau proclamée

In the must-known “Vincent Lambert case”, many jurisdictions have had to adjudicate on what was submitted to them. The latest decision from Châlons-en-Champagne's administrative court almost went unnoticed. However, the judgment turns out to be truly significant. It reminds that the principles of medical doctor's independence and freedom of action are simply fundamentals and unavoidable. The patient management practitioner shall not be regarded as a mere executor of an earlier decision taken by a medical colleague.     

Propension à discriminer à l’égard du genre et dominance sociale

This work aims to study the propensity to discriminate (PTD) (Dovidio & Helb, 2005 ; Tisserant, Wagner & Barth, 2010) against gender and other salient criteria in the working place, such as ethnic origin and religious background. More precisely, we investigated the link between PTD and the social dominance orientation (Sidanius & Pratto, 1999). 119 counsellors from French employment services answered a questionnaire dealing on concepts and attitudes towards social groups. Results show that social dominance, as a system of belief justifying social inequalities, generally predict the PTD of individuals, whatever the criterion of discrimination considered. The sex of counsellors can be considered as a moderating variable since females are less likely to accept inequalities than males do. We discuss the need for work and organizational psychologists to invest, alongside the managers, this field of research on equality, non-discrimination and diversity (ENDD).     

L’expérience fraternelle confrontée à la déficience intellectuelle

IntroductionThe present study aims to evaluate the influence of intellectual deficiency on the lifestyle of brothers and sisters.ObjectiveThe objective is to determine whether or not a child's intellectual deficiency has an influence on the nature of the fraternal relationship. We studied the functionality of the familial typology, the feeling of social integration, and the degree of depression in brothers and sisters of children with intellectual disability.MethodThis research was carried out with 34 brothers and sisters of children faced with intellectual disabilities, aged between 6 and 12 years old, and the results were compared with those collected from a test group of 24 children.ResultsThe comparative study shows little differences between siblings and families confronted to intellectual disability and those who are not. The nature of the fraternal relationships differ however as the modality of proximity and conflicts are less expressed by siblings of children faced with intellectual disabilities. Furthermore the correlational study stresses the importance of siblings’ rivalry, the feeling of social integration, and the degree of depression.ConclusionWith these results now uncover risk and protection factors to children confronted to intellectual disabilities among their siblings     

Face à la désorganisation somatique,animer la psyché

The author's purpose is to reflect about the function of the psychologist taking care of teenagers affected by somatic diseases, following the example of a therapy of a sixteen years old patient born with physical malformations and sexual ambiguity, suddenly suffering of severe somatic troubles, among them an insulin-dependent diabetes. The therapist may play a maternal function, as suggested by P. Marty. The idea is to give to the patient an alive, anaclitic and counter-exciting presence and a boundary context in order to make up for narcissistic deficiencies and to reach authentic movements. This article relates the way between the psychosomatic disorder and the new balance gradually reached. Trust and affective security are the preliminary conditions of autonomy.     

La pratique répétée du Trail Making Test réduit les différences liées à l’âge sur la performance à ce test

Age-related impairment in executive functioning has been found to explain partially the decrease of cognitive performance with aging. However, the practice of an executive test can improve performance to this test. In the present study, we investigated first how the practice of the Trail Making Test (TMT, flexibility test) may influence the age-related deficit to the performance in this test and then how the performance tended to improve, and at which pace, through the practice of this executive test. Two age groups of participants (young and older adults) practiced the TMT and were compared to two control groups (i.e., no practice between pre- and post-test). The practice groups’ scores were obtained at the end of each session. Globally, the results showed an improvement of performance (1) greater in the practice groups than in the control groups and (2) in practice groups, greater in older adults than in younger ones. Both younger and older adults progressed during the early practice sessions but the younger ones reached their optimal level earlier than the older adults who continued to improve over the sessions. These results could have a major impact on adapting cognitive stimulation programs to individual's characteristics such as age.     

La motivation à la réussite scolaire des lycéens togolais

A questionnaire assessing academic motivation, QMTF, has been built for high-school students in Togo, according to the model of a french test (QMF). Academic motivation is a combination of need for achievement, of internal locus of control, and of time perspective. The psychometric characteristics of the new questionnaire, which is presented in an appendix with a standardized distribution, have been observed on a sample of 493 high-school students in Togo. Comparisons between genders and with high-schools students in France and in Morocco are presented.     

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.     

Développement conceptuel de la notion d’énergie relative à des objets inanimés et animés chez les élèves de dix à 17 ans

The objective of this work is to study the concept of energy in case where animates and inanimates objects interact. We questioned pupils between 10 and 17 years old with regard to the existence of energy in inanimates and energy consumption by animates. Our results show that pupils use a small number of coherent conceptions dependent on the context. These conceptions develop differently for inanimate and animate objects. In the case of inanimates, some evolution is observed, while for animates the concept evolves slowly. In general, the materialist character of energy, its confusion with force and its attribution, in preference, to animates are among the naive conceptions which constrain the scientific understanding of energy.     

Entraînement au monitoring métacognitif et performances à l’université

In French universities, only one out of two students is successful in his/her first year. The change of the working rhythm and the importance of self-regulated learning (relying on metacognition) can to a large extent explain these dramatic rates. Techniques have been developed to help students improve monitoring their activities. In this study, we adapted a method tested in previous research, and noticed positive effects on students’ performance. This intervention would be easy to implement in university classes, and would benefit students even more if generalized and complemented by techniques focused on more global aspects of metacognition and self-regulated learning.     

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’élargissement de l’assistance médicale à la procréation (AMP)

The opening of medically assisted procreation (MPA) for single women and couples of women, that is, apart from medical indications of infertility, raises the main question of the eradication of the father and of the paternal branch of the child's descent, which is difficult to reconcile with respect for the rights of the child, who has the right to know and be cared for his parents, as far as possible (International Convention on Human Rights of the child, Article 7 – 1). Moreover, the MPA claim for women appears to be an opportunity to lift the therapeutic lock to generalize access to artificial procreation, including fertile male/female couples, the most numerous being the target the most lucrative in the procreation market contained to date by the therapeutic objective assigned by the law to the MPA.     

Le travail collectif à l’épreuve des restructurations organisationnelles

The ergonomic analysis of work (Daniellou, 1996; Wisner, 1996) and especially the psychological analysis of real working activity (Leplat, 2000) allow investigating the main factors of work situations. The objective is to show the influence on the nursing representations of psychiatric services that are restructured, of the initial working situations, the projects, the restructuring models. The analyses assess the nursing representations of psychiatric services that are restructured, the projects, the restructuring models, the real working activity. The data show impacts of collective work and restructuring models, especially the damaging consequences of fusions. The results enable the authors to discuss from the points of views of theory, methodology and interventions.     

Peut-on réverser avant thrombolyse ? Que ferait le juge face à un infarctus cérébral ?

In an unpacified and somehow violent world, the judge is more and more advised to handle technical and often urgent cases. Committed to judge, the magistrate fulfilled its own mission disregarding the tempo of the uncommon life-threatening emergency. Considering the acute stroke for being one of the most important complications of atrial fibrillation shows how frail and uneasy is for the judge to build its decisions over a large amount of laws. In the case of an anticoagulated patient suffering an ischemic stroke, the practitioner is able to embrace a wide bunch of treatments leading to myriads of effects and modulating the medical responsibility. Adding up deontological aspects, ethics, scientific data (techniques and technology) to summarize medical engagement which stands just aside new patients’ rights leads to consider further the particular functional link between the patient, his disease, his physician and their judge.     

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.