L’évaluation psychologique en situation transculturelle : une révision de la littérature

Human migration provokes transcultural clinical encounters that may challenge the way clinicians see themselves and how they proceed in their usual practices. In the field of psychology, psychological assessment is an important tool to better understand the patients’ needs and to design psychological interventions. Considering that most diagnostic tests and manuals have been developed in the Western context, the application of these tools with other populations remains controversial. The present literature review aims to describe the state of current knowledge on psychological transcultural assessment. Specifically, we will address: (1) the use of psychological tests in transcultural contexts, (2) the development of the Cultural Formulation Interview (CFI, DSM-5) and (3) the clinical interview: language, therapeutic relationship and participation of interpreters. In the first section, we discuss the international norms for scales and tests translation and adaptation, as well as the cultural issues that may bias the test’ application and interpretation. In the second section, we describe the creation of the CFI, and its use in recent studies. The CFI is composed by four clusters: (1) cultural definition of a problem, (2) cultural perceptions of cause, context, and support, (3) cultural factors affecting self-coping and past help seeking, and (4) cultural factors affecting current help seeking. The revised studies indicated that the CFI has a positive impact on the cultural sensibilization of mental health professionals, also improving the relationship between the patients and professionals. The cultural formulation may also prevent misdiagnosis. Beyond the use of tests and structured interviews, the clinician also faces other challenges during a transcultural assessment. We discuss in the third section the transferential and countertransferential relationship in a transcultural situation. Several elements may influence this relationship, at an individual, institutional and societal level. The evaluation of these elements may allow the clinician to better understand results of the psychological assessment. We also describe the current guidelines for the use of interpreters during health consultations in France. In conclusion, several advances have been made in the field of transcultural psychological assessment, among other things the development of guides for good translation and cultural adaptation of tools, as well as the integration of cultural issues into the DSM. However, research and changes in clinical practice are still needed, as the evaluation of cultural biases in cognitive tests and the expansion of cultural competences training among clinicians.     

Le rôle de la stigmatisation dans la symptomatologie dépressive de femmes françaises en surpoids ou en situation d’obésité

IntroductionDespite the high prevalence of depressive symptoms among women being overweight or having obesity, the role of stigma and causal attributions in the expression of these symptoms in French women has been largely under-explored to date.ObjectiveThe aim of this research is to study the role of internalized stigmatization, stigmatizing experiences and causal attribution in the intensity of depressive symptoms in overweight and obese French women.MethodThese four variables were measured in 160 French women being overweight or having obesity.ResultsOur analyses highlight positive correlations between stigmatizing experiences, internalized stigmatization and depressive symptomatology. It is important to note that stigmatizing experiences seem to play a more preponderant role than internalized stigmatization in the expression of depressive symptoms.ConclusionFor women with significant depressive symptoms, it appears essential to integrate interventions aimed at reducing their level of stigma. Moreover, from a preventive perspective, it also seems essential to promote campaigns in France aimed at reducing the stigmatization in this population.     

Applications cliniques en psychologie de la santé

The aim of the present article is to present recent and validated clinical applications in the field of health psychology, in particular regarding pain and chronic disease management. Techniques such as acceptance and engagement therapy, mindfulness meditation and positive emotions enhancement have proved to be successful. Mindfulness is an attribute of consciousness long believed to promote well-being. It is commonly defined as the state of being attentive to and aware of what is taking place in the present. By this way, mindfulness meditation learns to patients with chronic pain to reduce their pain sensation. Moreover, encourage patients to have positive emotions, such as gratitude, is efficient in long term well-being. Prospective studies reveal that optimism, coping strategies such as positive reframing and acceptance, and social support yield less distress for patients with chronic disease. Similarly, psychosocial interventions that foster optimistic appraisals, build coping strategies, and bolster social support are benefit for patients. Other methods such as Cognitive Behavioral Stress Management (CBSM), enable to significantly enhance quality of life, adaptation to illness and chronic disease patient compliance. This 10-week group CBSM intervention that includes anxiety reduction (relaxation training), cognitive restructuring, and coping skills training is tested among women with breast cancer and HIV patients. The intervention reduces reports of thought intrusion, anxiety and emotional distress. Furthermore, biofeedback through Heart Rate Variability appears to be an important component of the development of patient potential in terms of cognitive and emotional resources enabling better coping with stressful situations and hence maintaining optimal health conditions. Biofeedback treatment intervention on pain and quality of life is helpful in the rehabilitation of patients with chronic pain. Limits of these applications are discussed as well as future research directions.     

Éléments de réflexion pour la mise en œuvre d’une démarche de prévention des risques psychosociaux au travail en France

Preventing social risks at work is an international concern. It has been demonstrated that the work in its all dimensions such as, organizational, technical, technological and relational, involves a multiplicity of constraints. They participate to the degradation of work health and to the organizational performance through to the complex and various mechanisms. The aim of this paper is to explain how a methodological consensus linking the European legislation, national agreements, scientifically theories and tools, and actual work has been gradually introducing in France. Based on theoretical and methodological considerations and on a Return Of Experience (ROE) we demonstrate the necessity to adopt an integrated approach to prevent social risks that focusing more on the work determinants than on individuals’ issues.     

Mesurer le risque social en entreprise. Le modèle de la réluctance socio-organisationnelle

This research aims at highlighting the existence of a generic concept, which could measure the social risk in company: the socio-organizational reluctance. First, we will define this concept, which comes from the electromagnetic field, where reluctance deals with the concept of resistance between two fields. Then, we will identify and define the concepts that are useful to measure social risk: social climate, organizational commitment, personal involvement and subjective congruence. Finally, we will test their links and their structure in a multivariate perspective, using structural equations modeling. The adjustment between the empirical data and the model confirms the existence of a global concept of reluctance. We also can see that organizational commitment and involvement have particular links to each other, which need more investigations.     

Composer avec la diversité culturelle en classe de maternelle: résultats d’une analyse de récits de pratique enseignante

This article offers an analysis of teachers’ narrative within which kindergarten teachers have rebuilt their intercultural experience in the classroom, through a situation featuring a child "from another culture". The progressive scheduling in, oriented towards the ideal type of commitment to the child "of another culture", which led the analysis, will be presented and interpreted from two angles, therefore providing a definition of what we named the "otherness in act ", referring to some "enactment" of the paradigm of otherness (Abdallah Pretceille, 1996, 1999, 2003).     

Les groupes de parole de prévention de la récidive en France : observation des effets produits

Recidivism prevention became the core of mission of the probation service in France. Support groups were created in order to bring probationers’ social skills to enhance their reentry into society. This article describes the effects of such groups by evaluation of their effects on 19 probationers divided into 4 groups. Observations show that the effects are different according to the apprehension of subject, mission and which pedagogy is employed. Different process produced different effects onto probationers.     

Dynamique des processus de développement de carrière en contexte contre-stéréotypique : modélisation de la réussite des femmes militaires aux formations professionnelles

Careers in the French Navy are determined by successive certifications allowed military to have more and more managerial responsibilities. Women are unequally represented in the hierarchy. Military identity is deeply associated with male characteristics (Sorin, 2003). Women encounter difficulties to be perceived as military in their own right (Héritier, 2011), but also to articulate their identity as women with their professional identity, de facto in opposition (Toulgoat, 2002). On the one hand women's family life is seen as incompatible with service life (Caraire & Léger, 2000), on the other hand, within the crews of warships, their skills are underestimated (Matthews, Ender, Laurence, & Rohall, 2009). The objective of this study is to model the effects of professional identifications and self-assessment of competences on the success of military women in professional certifications. We interviewed 154 students in training to become “experienced operators” (including 73 women) with an average of 3.32 years of duty (SD = 2.11) and 61 students in training to become “team leader” (including 20 women) with an average of 9.28 years of duty (SD = 3.30). The questionnaire measures self-efficacy (Bandura, 1977), performance expectations compared to their colleagues (Rosenthal, Crisp, & Suen, 2007), identification to the professional group (Laplante & Tougas, 2011) and identification to the organization (Tougas, Rinfret, Beaton, & de la Sablonniere, 2005). The final score at the end of the training is considered as an indicator of success. While women are as successful as men in the certification “operator”, they are less successful in the certification “team leader”. The structural equation model (path analysis) (χ²(15, n = 215) = 21.32, p = .13; CFI = .982, GFI = .976, RMSEA = .044) emphasizes the centrality of professional identifications to succeed in training. Women are less identified with sailor than men and feel less able to succeed, they develop lower performance expectations and they underestimate their performance compared to their colleagues, which has a negative effect on their success in training. In parallel, changes in family life are associated with reduced professional identifications, but this effect is independent of the sex of the individuals. Women are therefore exposed to two independent sources of influence limiting their career development: gender, which leads to less professional identifications and to compare unfavorably with their colleagues, and family status. These results highlight the importance of the dynamic of self-realization processes throughout the career.     

La contribution des arbres de classification et de régression dans la prédiction de la récidive chez les délinquants sexuels adultes

Clinicians have access to several risk assessment instruments to evaluate the risk or recidivism in sexual offenders. Nevertheless, we seem to have attained a ceiling in the predictive validity of these instruments with the traditional techniques of items agglomeration. In this study, we offer a different combination of predictors with the classification and regression trees, and it, by taking into account the type of sexual offenders. The classification trees are constructed from predictors contained in seven actuarial instruments (VRAG, SORAG, RRASOR, STATIC-99, STATIC-2002, RM2000, MnSOST-R). In general, the classification trees have a higher predictive accuracy than the actuarial instruments and point out that it's not the same predictors that should be considered according to the type of offenders and the type of recidivism. Furthermore, classification trees identify correctly more recidivists than the best actuarial tool. In spite of the contribution of this approach, other types of predictors should also be considered to augment predictive accuracy: dynamic predictors, protective predictors as well as measurements based on theories like those on attachment styles (Marshall, D. R., Barbaree, H. E., 1990. An integrated theory of the etiology of sexual offending. In: Marshall, W. L., Laws, D. R. L., Barbaree, H.E. (Eds.), Handbook of sexual assault. New York: Plenum Press, pp. 257-275.) and cognitive distortions (Ward, T., Keenan, T., Hudson, S. M., 2000. Understanding cognitive, affective, and intimacy deficits in sexual offenders: a developmental perspective. Aggression and Violent Behavior, 5, 41–62.).     

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.     

Parents en résidence alternée et relation coparentale : le rôle de la relation d’attachement entre les ex-partenaires et des variables liées au contexte de la séparation conjugale

A context–process–outcomes model was proposed to examined the effect of a variety of factors associated with divorce on post-divorce coparental relationship in a sample of joint physical custody parents with children aged between 4 years and 12 years old (50–50) (n = 38). Parents completed questionnaires evaluating quality of coparental relationship. This variable is analyzed through 2 indicators: the parenting alliance and the hostility. The results revealed that attachment between former spouses and the kind of legal decision emerged as significant predictors of coparental relationship. Contrary to our initial hypothesis, higher level of preoccupation was found to predict more supportive parental alliance. Implications for research and intervention are discussed.     

Perceptions de la qualité de vie et de la bientraitance par des personnes âgées résidant en institution gériatrique et par leurs proches

Introduction

The present study focuses on patient-centered care and quality of life in dependent aging people living in nursing home.

De la question de l’évaluation psychologique et de la psychométrie en douleur chronique

The practice of psychological assessment is an important step in the evaluation of the complex problems presented by patients dealing with chronic pain. We want to discuss here the framework of intervention of the psychologist in the context, but also shed light on the contributions of this practice to the pain clinic. This will include discussing a joint assessment, combining a psychological assessment referred to as classic with a psychological evaluation specific pain.     

De la prévention à la promotion de la santé : intérêt de l’approche communautaire

Psychological research and practice shows increasing interest for prevention and health promotion in France. Current-scientific literature recommends the implementation of targeted actions, directed towards populations expressing specific needs. The community-based approach offers a framework corresponding to the flexibility, which is necessary to the effectiveness of this type of intervention. It includes the mobilization and the participation of the citizens in the development of each unique project, in the renewal of the project according to the needs, in finding possible solutions, and in assessing the actions carried out. This article aims at presenting the importance of a community-based approach in the field of health promotion; a field which would benefit from being better known in France in order to develop intervention programs adapted to each population.     

Évaluation de deux stratégies de régulation émotionnelle : la suppression expressive et la réévaluation cognitive

The main purposes of this study were first to validate a French version of the Emotion Regulation Questionnaire [Journal of Personality and Social Psychology 85 2003 348–362], and second to access whether there are some interindividual differences on emotion regulation (sex and anxiety profile differences). A sample of 591 male and female adults completed a French translation of the ERQ, the Positive and Negative Affective Schedule, and the State-Trait Anxiety Inventory. In the same way as in the original version, explanatory and confirmatory factor analyses showed that a two-factor model explained the data collected with the French version. Internal reliability scores (Cronbach’s alpha) were 0.76 for the cognitive reappraisal and 0.72 for the expressive suppression. In addition, the findings confirmed that men used more suppression than did women. For anxiety, high suppression and low reappraisal was related to trait-anxiety. Studying these two emotion regulation strategies have a strong interest for several domains such as health, work or education.