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The progress in prenatal medicine raises complex questions with respect to the physician–patient relationship. The physician needs to reconcile medical aspects, ethical principles as well as judicial norms. Already, during the first trimester, the physician has to put into practice the schedule combining for each individual pregnancy physical, laboratory and other appropriate exams. Physicians are under the obligation to inform in a clear and comprehensive way without creating unnecessary anxiety for their patients. Legal requirements include informed consent, the respect for the patient's right to self-determination, and compliance with the Swiss federal law on genetic testing, especially with its articles on prenatal screening and diagnosis. This article discusses the complexity of obstetrical practice when it comes to delivering adequate information within the scope of ethical and legal requirements in Switzerland.  相似文献   

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Research accomplished in this field indicates clearly that of all the members of the stepfamily, it is the stepmother that encounters the most difficulties in adapting to the stepfamily situation. Furthermore, the same research also shows that the stepmother/stepdaughter relationship appears to be the most challenging of all dyads. This analysis also enables us to identify the results that appear most significant and to propose different hypotheses for future research.  相似文献   

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Integration of capacity (Just and Carpenter, 1992) and componentiel (Baddeley, 1986) conceptions of working memory in models of text composition (Hayes, 1996 ; Kellogg, 1996 ; McCutchen, 1996) has allowed studying several facets of the role of working memory in writing acquisition and in expert management of the writing processes. This article presents these two conceptions and examines their respective contribution in the field of writing research from two perspectives: The demands of the writing processes (in terms of processing and transient storage) and the influence of working memory capacity on the control of production. The conclusion underlines the importance of investigating the on-line management of text production, the role of the visuo-spatial sketchpad, and to link strategies for allocating the working memory resources with text quality.  相似文献   

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Working memory has a central role in cognitive development and its capacity is among the best predictors of high-level cognition and school achievement. Within the Time-Based Resource Sharing (TBRS) model, three main factors account for the development of working memory capacity. In this paper, we will review the main empirical evidence sustaining the impact of two of these factors on cognitive development. First, the amount of attention available for cognitive functioning might increase during childhood. Thus, for the same activities, older children would be able to process information faster than younger children. Within working memory span tasks, because the level of activation of memory traces decreases during the processing steps, any reduction of the duration of these steps directly diminishes the time during which the traces decay, and consequently increases the time available for reactivation or refreshing before the next processing step. These two effects jointly induce a stronger activation of the memory traces and a better recall of the to-be-maintained items. Second, because the main hypothesis of the TBRS model is that attention switches to refresh memory traces from processing to maintenance during the processing episodes, the efficiency of the refreshing mechanism should have a direct and strong impact on working memory functioning. An increase in the efficiency of this refreshing during childhood means that older children should take a greater advantage from the short pauses left free between each processing step. The level of activation of the memory traces would be then higher for older than for younger children, resulting in the classically observed increase in span. As a consequence, age-related changes in the efficiency of the refreshing could play a central role in working memory development.  相似文献   

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The subjective duration of an event can be influenced by the modality of the signal demarcating that event. For example, auditory signals are often judged as of longer duration than equivalent duration visual signals. Within the framework of pacemaker-accumulator models of timing, such modality effects raise the question of whether the internal clock is modality specific or amodal. The answer to this question is quite important for the development of cognitively and neurologically realistic models of timing and time perception. Here, we argue that the internal clock has both modality specific and amodal components. Specifically, we claim there is a common amodal pacemaker, but the switch-accumulator systems are modality specific. Moreover, we also posit that long-term memory representations of duration are stored amodally.  相似文献   

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Previous studies have suggested that the perception of peripersonal space can hardly be achieved using only scene-based visual cues and requires combining visual information with motor representations. Motor representation can be viewed as a component of a predictive system, which includes a neural process that simulates through motor imagery the dynamic behaviour of the body in relation to the environment. In this study, we analysed whether modifying the force required to reach a visual target influences the perception of what is reachable. In a visuomotor task, the experimental group (n = 10) adapted to a 1.5 kg weight attached to the right wrist while performing a series of pointing movements. The control group (n = 10) performed the motor task without inertial perturbation. A perceptual judgement task of what is reachable was performed before and after the motor task. Results showed that inertial perturbation produced initially an undershoot of the target suggesting a lack of motor force to overcome the inertial perturbation, but spatial errors receded progressively through movement rehearsal. Perceptual estimates of what is reachable slightly overestimated action capacities but were not affected by motor adaptation. Thus, modifying motor force required to compensate for inertial perturbation had no direct effect on the perception of peripersonal space. When interpreted in regard to previous experimental work, this result suggests that motor representations may provide information about the sensory or spatial consequences of action rather than the sense of effort associated with motor production.  相似文献   

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The purpose of this case study is to examine the appropriateness of the dimensional model of pathological narcissism developed by Roche, Pincus, Lukowitsky, Ménard and Conroy (2013). The exploration was essentially focused on decompensatory segment (failure of maladaptive self-enhancement strategies) of this model. By using a longitudinal research design, the results, although fragmentary, isolated a positive relationship between the two dimensions – grandiosity and vulnerability – of pathological narcissism. This positive relationship exists both in compensatory segment (use of maladaptive self-enhancement strategies) and in decompensatory segment of the model.  相似文献   

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Written text composition is a complex activity improving slowly through acquisition. One of the main difficulty for the novice writer is to translate in the linear textual structure a multidimensional representation (Fayol, 1991). The general issue of this paper concerns the essential role of cohesion devices in the acquisition of this linearization process in writing. Anaphoræ, connectives and punctuation marks are first mentionned, stressing on their common functions in text. Then, stress is put on their acquisition, both as structured systems and as functional tools progressively organizing the written text and ensuring close inter-systems relations.  相似文献   

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Analogical reasoning (AR) is a cornerstone of human cognition. Two main theories have historically been proposed to account for the ontogeny of AR. They propose that analogical skills are constrained by children's logical skills or limited knowledge of the relations to be considered. We adopt an alternative perspective in this review paper suggesting that AR abilities depend on the efficiency of executive control. We present convergent data collected in children and monkeys highlighting the role of three main executive functions: inhibitory control, cognitive flexibility and working memory updating. The analysis of children's reasoning suggests that the contribution of relational knowledge and executive control to analogical reasoning cannot be considered independently.  相似文献   

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Frontal-striatal circuits provide an important neurobiological substrate for timing and time perception as well as for working memory. In this review, we outline recent theoretical and empirical work to suggest that interval timing and working memory rely not only on the same anatomic structures, but also on the same neural representation of a specific stimulus. In the striatal beat-frequency model, cortical neurons fire in an oscillatory fashion to form representations of stimuli, and striatal medium spiny neurons detect those patterns of cortical firing that occur co-incident to important temporal events. Information about stimulus identity can be extracted from the specific cortical networks that are involved in the representation, and information about duration can be extracted from the relative phase of neural firing. The properties derived from these neurobiological models fit well with the psychophysics of timing and time perception as well as with information-processing models that emphasize the importance of temporal coding in a variety of working-memory phenomena.  相似文献   

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The authors adopt a historical perspective and exhibit the debates held within Health Psychology in the Anglo-Saxon universe since the 1980s. They show how the development of the North-American mainstream approach has aroused several objections. These objections were firstly methodological (qualitative methods) then, theoretical and epistemological. This evolution has allowed the creation of two main approaches: Qualitative Health Psychology and Critical Health Psychology. While this course is not yet well-known in France, it illustrates, however, the present developments and the richness of the discussion within Anglo-Saxon Psychology. The conclusion shows that these debates should be known and accepted if we intend to improve our models in Psychology, so that they take into account the situated nature of the human being, its dynamics, its temporality as well and its complexity. Hence, Health Psychology perspectives as a whole will gain in pertinence in the fields of research and intervention.  相似文献   

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The aim of this study was to examine the development of working memory's components and their relationships. Phonological loop's, visuospatial sketchpad's and central executive's efficiencies were assessed by simple and complex span tasks and executive tasks with verbal and visuospatial material. The analyses were performed on 64 second-grade and 55 fifth-grade children's data. Developmental performances improvement was examined according to tasks and material. Analyses of variance revealed performances improvement according to age and type of material (verbal > non verbal) for the slave system tasks and for a part of central executive's tasks. Correlation analysis and exploratory factorial analysis suggested that slave systems would become progressively more specific and that central executive's efficiency would be dependent on this specialization.  相似文献   

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This study analyzes the effects of achievement goals on the metacognitive processes as 200 students solve two mathematical problems differing in complexity. Results show that the diverse achievement goals have significant effects both on metacognitive experiences and on metacognitive strategies, coherently across the two problems. Mastery-approach goals predict the feeling of liking the task, mastery-avoidance goals have an effect on the use of metacognitive strategies, whereas neither performance-approach nor performance-avoidance goals are significantly related to metacognitive processes. The results offer a rich picture of the interactions between goals and metacognitive processes, revealing the major role of mastery-avoidance goals.  相似文献   

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