Stigmatisation intériorisée et consommation de substances psychoactives : revue systématique de la littérature

IntroductionSubstance use is a very stigmatized condition all over the world. Moreover, lots of people who use drugs or alcohol tend to internalize these stigmas, which can lead to harmful consequences. Corrigan's progressive model of self-stigma suggest that individuals go through four stages to internalize the stigma (aware, agree, apply, harm) and then undergo a stage of resignation and lack of hope and energy called “why try”. Research seems to be increasingly interested in this phenomenon, so we wonder, where we stand in the comprehension of internalized stigma for substances users?ObjectiveThis work aims to systematically review ten-past years studies about self-stigma in substance addiction in order to assess the status of curr ent works in this area.MethodThis systematic review was led inspired by the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statements on the electronic databases PubMed, PsycInfo and PsycArticle. The inclusion criteria were: references published between 2010 and 2020, in French or English language which shows results about self-stigma for psychoactives substances users. A total of 39 studies met the eligibility criteria for inclusion in this review.ResultsSynthesizing findings across the studies revealed some important topics. First, the progressive model seems to be statistically valid among drug and/or alcohol users. Nevertheless, self-stigma of drugs and/or alcohol is not the only condition that entails users. A varieties of other factors (i.e. HIV, sex work) are to be considered in the understanding of stigmatization. In the studies, negative consequences due to self-stigma in substance use were observed such as depression or anxiety symptoms, lower self-esteem and negatives emotions as fear and shame.ConclusionAll these results are to be considered within their limits. In light of these findings, the knowledge acquired will allow professionals to develop new interventions to prevent and to reduce self-stigma of drug and/or alcohol users.     

De la prédiction à la compréhension : recension des dimensions psychologiques de la Statique-99

Although widely used in North America, actuarial risk assessment tools have been criticized for their inability to capture the causal dynamics leading to criminal recidivism. In this article, we present a conceptual framework for linking static, historical risk factors to the psychological vulnerabilities that are targeted in offender treatment. To illustrate this model, a literature review was conducted that identified the psychological dimensions that underlie the items of the Static-99, the most widely used actuarial scale for predicting sexual recidivism. Two key dimensions were identified: sexual criminality, indicative of sexual deviance and/or sexual preoccupation, and general criminality, indicative of antisocial traits and/or psychopathy.     

L’abord de la sexualité par les professionnel·le·s de santé en oncologie : une revue de la littérature

The improvement in medical techniques has drastically modified the practice of care in oncology. Supportive care, geared towards supporting patients with chronic illnesses, now occupies a greater place alongside treatments aimed at survival. These changes have conducted some health care professionals to be more interested in patients’ quality of life and, in particular, to the impact of cancer on sexuality. Repercussions on sexuality are actually one of the most problematic aspects of patients’ quality of life post cancer. The aim of this paper is to draw up a review of the English and French literature on this “new” concern which still seems to raise many challenges in practice. Our review emphasizes that despite the recognition of the importance of addressing sexuality issues post cancer in oncology, in their practices, physicians as the nurses alike find it difficult to address. In addition, it underlines that the dominant social representations of sexuality – in terms of gender, sexual orientation and age – have permeated health care professionals’ subjectivities and, at the same time, influence how sexuality is address and interfere with a systematic discussion of these issues throughout the care process. Our discussion tackles the lack of psychologists, both in research and clinic, regarding these issues. Finally, our conclusion highlights the contributions of psychology facing issue posed by sexuality in oncology.     

L’anxiété liée à la COVID-19 : une analyse de ses effets en milieu de travail

The anxiety engendered by the sanitary crisis of the COVID-19 is a novel emotional phenomenon. Due to its recency and novelty, this form of anxiety and its effects are largely unknown. To explore this issue, we conducted a study among 650 civil agents of the Quebec government during the first wave of the pandemic that examined the effects of COVID-19-triggered anxiety on four indicators of work adjustment: job engagement, organizational commitment, psychological empowerment, and ego depletion. While controlling for the effect of relevant contextual factors, our analyses indicate that COVID-19-triggered anxiety is positively related to organizational commitment and ego depletion and negatively related to psychological empowerment. In contrast, COVID-19-triggered anxiety was not significantly related to job engagement.     

Évaluer la satisfaction envers l’espace de travail : développement d’une échelle et première validation

Organizational space is a meaningful environment that can contribute to the well-being of the individual or lead to dissatisfaction and stress. The objective of this research is to develop a scale of satisfaction of employees toward their work place and test its factorial structure and internal validity. Two principal satisfaction factors have been isolated in an exploratory study carried out among 214 participants. A second-order factorial structure has been established in a cross-validation of the scale during a confirmatory study applied to a second sample of 261 participants. The internal consistency of the satisfaction dimensions, the adequacy of the measurement model to the data, and the stability of the factorial structure are proof of the good psychometric qualities of this scale.     

Le droit à la protection de la santé dans l’alinéa 11 du Préambule de 1946 : les impacts en termes de solidarité

The right to health protection is recognized as a constitutional objective. This includes guaranteeing an equal access to health care without any discrimination. The implementation of this right is a difficult task due to geographical and socioeconomic inequalities. In many situations, the public health sector is experiencing financial crises. The problems concerning health access seem to be mounting and could jeopardise the principle of solidarity which is the foundation of the health system.     

Le rapport à la loi et à ses représentants est-il altéré par le contact des adolescents avec les acteurs de la chaîne pénale ? Une revue systématique de la littérature

IntroductionAdolescents have the highest prevalence and incidence rates of delinquency. Several authors have suggested that the rejection of authority figures in adolescence may explain these rates. Other studies have also found a positive relationship between delinquency and negative attitudes toward the law and its representatives.ObjectiveThe objective was to make an inventory of the current scientific knowledge concerning the link between contact with the penal actors and the adolescents’ attitude towards the law and its representatives. We also want to identify the mediators of this link.MethodWe conducted a systematic review. Of the 802 articles identified, we selected those involving adolescents and focusing on contact with penal actors (i.e., law enforcement officers, court personnel, lawyers, prison personnel, security personnel, social workers) and on attitudes toward the law and its representatives. Our review finally covers the 46 articles corresponding to our inclusion and exclusion criteria.ResultsMost studies show that contact with penal actors lead to more negative attitudes toward the law and its representatives. Longitudinal studies suggest that this relationship is causal : contact with penal actors leads adolescents to have less positive attitudes towards the law and its representatives. However, there seem to be differences according to the type of contact studied.ConclusionThese results, questioning the penal responses brought to adolescents, will be discussed, both on a theoretical and practical level. Methodological issues will also be addressed.     

Des psychologues en milieu hospitalier lors de la crise sanitaire de la Covid-19 : mieux comprendre leur vécu à l’aide du concept de générativité

IntroductionDuring the COVID-19 pandemic, everyone was confronted with their finitude, risking a crisis of meaning. Considering with Erikson (1950) that generativity is a great vector of meaning in life, which allows an individual to ensure the continuity of society through transmission and care, caregivers usually have a higher generativity score than the general population (Grossman & Gruenewald, 2017). This study then looks for signs of generativity among caregivers, hypothesising that it was particularly mobilised during this health crisis.PurposeThe purpose of this study is to explore the experiences of psychologists working in hospitals on somatic wards in order to identify the impacts of the COVID-19 pandemic and signs of generativity.MethodIn this exploratory, qualitative, prospective, multicenter study, nine psychologists working in hospital wards were interviewed individually to explore their experiences during a semi-structured interview.ResultsThe markers of existential crisis linked to COVID-19, such as signs of exhaustion and anxiety, were prominent in their discourse. Strong elements of generativity are also found in the interviews. This reflects the testing of their resources.ConclusionGenerativity allowed adaptation during the crisis but does not seem to be sufficient to protect against exhaustion and existential crisis.     

Profils de routinisation différents chez les personnes âgées : entre adaptation et vulnérabilité

IntroductionThe purpose of the present investigation is to study the routinisation process in elderly persons according to physical, functional, psychological and cognitive resources.MethodsA person-centered approach revealed six profiles of resources in 235 elderly French participants from the 13-year follow-up of PAQUID cohort study.ResultsDifferent functioning profiles were highlighted and were significantly associated with different degrees and functions of routinisation. For the most routinised persons, the routinisation was associated with adaptive functioning. Instead for the less routinised persons, the routinisation was defined as a vulnerability marker. It seems also that this adaptive strategy was less used in persons with dementia.DiscussionThe adaptive attitudes, in particular the routinisation, would be less effective at higher levels of vulnerability.     

Stéréotypes de poids,jugement de valeur et de recrutabilité : les rôles modérateurs du sexe et de la personnalité

ObjectiveThe existing literature testifies to the presence of discrimination against obese people in hiring. The present study aimed to test the effects of candidates’ weight on value judgment and recruitability by taking into account their gender and personality. The study using the judges’ paradigm involved a sample of 279 recruiters. The recruiters were asked to judge eight fictitious CVs including a photo of the candidate, their education, their work experience and their answers to a personality test (proactive or reactive personality). The target job was a medical laboratory technician.ResultsAnalyses of variance revealed significant effects of applicants’ weight, and proactivity on judgements of agreeableness, effort, competence and recruitability. Indeed, obese people are discriminated against in hiring whereas proactivity would be a variable increasing the recruitability judgment. Moreover, the gender of applicants alone is no longer a variable that encourages discrimination.ConclusionThis study opens up a new field of research on proactivity as a social norm of judgement and corroborates previous studies on weight discrimination in personnel selection. The limitations of the study open up new avenues of research.     

La communication engageante au service de la réduction de l'abstentionnisme électoral : une application en milieu universitaire

In the week preceding a vote on the bilateral agreements between Switzerland and the European Union that took place in May 2000, a sample of students (attending a training school for social workers in Lausanne) was divided into three groups. All three groups were exposed to a speech condemning electoral abstention. In addition to this, subjects in two of the three groups were asked to carry out a preparatory activity: filling in a questionnaire on their opinions and voting practices or drawing up an argument against abstention (in these two groups, subjects also had to publicly declare — by a show of hands — whether they intended to vote or not). The existence of an elector card system enabled us to check a posteriori the actual voting behaviour of the subjects. A significantly higher number of students in the two groups that carried out preparatory activities actually participated in the vote compared with the group that had simply been subjected to an anti-abstention speech. These results are discussed in terms of committing communication within the framework of commitment theory.     

L’attachement chez les enfants institutionnalisés : une recension narrative et méta-analytique des études sur les facteurs de risque

IntroductionInstitutional conditions are deleterious for child development (Browne, 2009). In particular, at a socioemotional level, a high proportion of institutionalized children develop an insecure-disorganized attachment (van IJzendoorn & Bakermans-Kranenburg, 2009). However, little is known about the risk factors associated with the development of disorganized attachment behavior among children living in institutions.ObjectiveA narrative and meta-analytic review is conducted to identify such risk factors.MethodAll studies reporting valid attachment scores of institutionalized children during infancy (between the ages of 1 and 5) were selected. A total of 16 published studies, out of 9 different research projects, conducted in various countries were found.ResultsOverall results show that structural factors are associated to higher levels of disorganized attachment. The accumulation of risk factors or their interaction are suggested as potential processes explaining insecure attachments in institutional settings.ConclusionResearch questions are suggested for future work.     

Effet de la thérapie des schémas sur la dépression de la personne âgée institutionnalisée : 3 études de cas uniques de type AB en lignes de bases multiples

IntroductionSchema therapy has confirmed its effectiveness in caring for depression. However, few studies have evaluated its effectiveness of an institutionalized elderly population.ObjectiveThe aim of this pilot study is to evaluate the efficiency of this therapy for the treatment of depression in 3 elderly people, with no neurocognitive disease, living in a nursing home.MethodClinician conducted a single case experimental protocol AB with multiple baseline for 3 participants who were experiencing depressive symptoms. Participants were randomized in 3 baselines and performed respectively 8, 7, and 6 intervention sessions.ResultsThe results highlight progressive effectiveness for two of the three residents. From baseline to the end of the therapeutic sessions (11 weeks), the improvement was significant and clinically observable for the activation of the schemas (–1.4 and –2 points on average) as well as for the level of depression (–8 and –9 points to the GDS).ConclusionThis pilot study indicates the effectiveness and replicability of schema therapy as therapeutic intervention for depression in elderly people.     

Revue de la littérature sur les jeunes aidants : qui sont-ils et comment les aider ?

Young carers (YC) are children and teenagers who provide care, help or support to a relative who is ill or has a disability. This literature review aims at presenting an overview on YC. Previously published studies mainly focused on estimating YC prevalence, exploring the areas in which YC provide help, especially caring activities, as well as positive and negative consequences of the caregiving experience (social, academic, physical, and psychological consequences). Specific tools to evaluate YC have been developed for professionals and researchers. Finally, if many interventions have been proposed for YC, they have rarely been evaluated. The limits of these studies are discussed and research perspectives are suggested.