Sécurité des patients et développement des recherches : de la loi Bertrand à la loi Jardé

The legislator has successively adopted two laws amending deeply the legal framework of research. The first one is the law “Bertrand” no. 2011-2012 of 29 December 2011 on strengthening the safety of the drug and health products, which emphasizes the need for transparency of links of interest and opens wider opportunities for using post-marketing authorization trials. The second one is the law “Jardé” no. 2012-300 of March 5, 2012 on researches involving the human person, reforming all the rules governing researches and which establishes a national commission of researches involving the human person. If the first one is a clear move towards strengthening the protection of patients in research, it is possible to be more reserved about the effects of the latter, which seems more oriented towards an easing of constraints on researchers.     

L’animation des collectifs visant la prévention des RPS : étude d’un processus d’intervention en milieu hospitalier

This article presents an intervention process aiming at the prevention of PSRs: diagnosis followed by the development of an action plan produced during three collective meetings. Each meeting is based on a particular type of animation (with reminders focused on causes, with reminders on the solutions and enriched with the psychologist's expertise animations). The stake is to characterise each of these animation methods and to study their impact on the collective activity. The study proceeds in analysis of linguistic production produced. The intervention proceeded in a hospital setting. The development of the action plan implied a collective of 8 to 10 agents who met three times. The results show in particular that (1) style of speech is argumentative whatever either in the form of animation, (2) nature reminders and the issue of the meeting have an impact on the functional structure of the meetings and (3) reminders on the solutions lead the evocation of factual causes so that reminders focused on causes lead to identify more general causes.     

Jeux vidéo violents : leur impact sur la désensibilisation émotionnelle des jeunes

BackgroundThis research aims to evaluate the relationship between the use of violent video games (VVG) and emotional desensitization (ED).MethodTwo hundred and one pupils between the ages of 12 and 16 years completed a questionnaire measuring VVG exposure, empathy and ED.ResultsCorrelations and regression analyses revealed links between exposure to VVG and ED. The VVG experience is a risk factor in the presence of two moderating variables: preexisting empathy and the amount of time spent playing VVG.ConclusionsThe results suggest that exposure to VVG is a risk factor for ED.     

Prise en charge psychologique des détenus délinquants sexuels : une pratique des limites

Based on the experience of one of the authors and with the aid of three case studies, the conditions of psychological care for sex offenders during their imprisonment and the difficulty with which the psychologist is confronted will be examined. The first case underlines the risk of the criminal being reduced to the criminal act committed and losing touch with humanity. The case also illustrates how the period at the beginning of imprisonment is a favourable period in terms of allowing the recognition of committed act. The second case refers, on the contrary, to the nature of care request in penitential institutions, which does not arise from an authentic demand from the patients. In order to create this authentic demand, it is necessary to introduce measures based on mediation or interpellation technique. The third case illustrates the difficulty met by the psychologist in positioning himself between care ethic and the pressure from the society concerning the risk of criminal relapse.     

Dynamique des valeurs culturelles au travail en contexte gabonais : influence de la culture nationale et de la culture d’entreprise occidentale

More and more Western organizations settle in Africa and import their corporate culture. This contrasts strongly with local national culture. The present study examines the direct links and the interactive effect of Gabonese culture and Western corporate culture on workplace cultural values. A total of 650 Gabonese employees working in Western organizations answered a questionnaire. The results indicate that Gabonese national culture and Western corporate culture are differentially linked with collectivism at work, given that the former is positively associated whereas the latter is negatively associated. Moreover, an additive effect of both cultures on the distance to power. Thus, the cohabitation between Gabonese national culture and Western corporate culture leads to a mismatch of cultural values at workplace.     

Le développement contemporain des régimes juridiques des conflits d’intérêts : l’exemple du secteur de la santé

The conceptualization of conflicts of interests and deployment of their regulatory systems are primarily modes of economic and managerial health control. When did the legal regime of conflicts of interests, which formalizes the process, clash with the conditions of professional practice? Not all assumptions of friction or opposition of interests necessarily constitute a conflict of interests. All public sector professionals have interests but not all their interests generate conflicts. The aim of public declaration of interests is to reveal the relations of interest in order to allay suspicion. Most frequently in the form of soft law system, the declaration of interests is a way of warning about the existence of a “grey zone” or time of deontological risk. It was changed by the law of 29 December 2011     

Qualité des débats sur le travail : la confiance en question

The National Interprofessional Agreement of 2013 on the quality of life at work shows a willingness to institute discussion spaces allowing employees to express themselves on the quality of their work. This questions the modalities of the discussion for those who initiate it as well as for those who participate in it, trust seeming to be indispensable in order to allow for transparency and debate. The authors propose to take a further step from the analysis of a professional controversy by identifying the need to share common assumptions among peers to develop debates.     

Investigation de l’effet des ressources personnelles dans la relation des demandes et de la santé psychologique en emploi des directions d’établissement scolaire

A proportion of 55 % of school administrators experience a high level of job stress mainly caused by relationship conflicts and overwork. According to the demands and resources of employment model, having personal resources would protect against the harmful effect of the difficulties experienced and the more specific a resource, the more it can counter the effect. Thus, political skills (HP) would decrease the effect of demands related to relationship conflicts, while the sense of self-efficacy (PES) decreases the negative impact of the workload on the PES. The objective of this study is to verify the effect of personal resources, HP and MS, on the relationship between job demands and job psychological health. A total of 232 school administrators from Quebec participated in the study. Job demands, as well as personal resources, are linked to anxiety and serenity according to Bakker and Demerouti (2007). Nevertheless, the SEP does not interact with the relationship of demands and psychological health in employment (PES). In addition, only the social astuteness dimension of HP moderates the relationship of demands and anxiety.     

Le rôle du contexte d’expression et du statut social des intervenants de santé dans la production d’un discours normatif : le cas de la relation des jeunes à l’alcool

The objective of this research is to show that, under usual conditions of interaction between an agent of health and of its public intervention, the individuals produce a “pro-health” speech which can lead astray this agent, concerning the representation which they have of alcohol. Students, producing verbal associations about this object, were confronted either with an agent of health or with a student, and were speaking either for themselves or as the students would do in general. The results show that the individuals, placed in front of an agent of health and directly implied in the beliefs that they express, tend to adopt the speech wished by this agent. However, this manifest adhesion only appears to be circumstantial, insofar as the speech of the individuals is different when they are expressed vis-a-vis a member of its group and in the name of this one. The implications of these results with regard to the interventions of prevention are discussed.     

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.     

Définir ou détecter des pathologies ? Utilisation et interprétation des scores seuils à la lumière du débat dimensions/catégories

A number of psychometric tests are aimed at locating the performance of an individual along a continuous range that goes from normal to worrying. In a different paradigm, there are tests whose goal is to assess whether or not an individual is healthy with respect to a psychological, psychiatric or neurological pathology that is defined independently from the test itself. The former rely on a dimensional concept of psychopathologies; the latter imply a categorical concept. The former require to compare the performance of the individual to a standard sample that is representative of the general population; the latter involve a standard sample representative of the healthy population only. The former might imply the use of a cut-off score to indicate that a certain degree of rarity of the performance has been reached, while the latter must involve a cut-off score to make a decision (whether the individual belongs to the “healthy” or “pathological” category), a score that is most often set so as to control the false-positive rate in making this decision. In the former paradigm, the cut-off score defines or contributes to define the pathology. In the latter, it only helps detecting it. This article aims at making clear the difference between these two realms and highlight their practical as well as theoretical impact on psychological practice.     

Penser les temporalités à l’accueil des urgences psychiatriques : paroles d’intervenants de la crise

ObjectiveTo explore the relation to times in crisis units and psychiatric emergencies by crisis stakeholders.MethodIt is in a qualitative logic that the collection and analysis of data are discussed. 9 crisis stakeholders participated in the study. The data were collected using semi-structured interviews and analyzed using the Grounded Theory.ResultsThe Grounded Theory shows significant phenomena resulting the experience of temporality in psychiatric emergencies: plural human temporalities (1), impacts of multiple temporalities (2), reorganizing temporalities of the relationship (3), and appropriation of temporality (4). The manner of appropriating time depends essentially on the emotional control and the reflexivity of the therapeutic actions.ConclusionCrisis stakeholders are in temporality of immediacy, speed and subjective urgency and suggest us thinking in less quickly and better. Team exchanges are so many suspended moments that contribute to the resumption of a thought process and avoid acting too quickly. Participants would like the relational component to be privileged with patients.     

Norme d’internalité et libéralisme : impact du contexte de jugement sur la valorisation des explications internes

Two studies were conducted in order to test the hypothesis of an effect of context on the valorization of internal causal-explanations in work-related judgments. Participants evaluated four candidates to a job in an enterprise characterized by a liberal versus an authoritative management style. The four candidates adopted different explanations profiles, stressing internal explanations (Efforts or Traits) or external explanations (Situation or Luck). The first study (n = 86) implicated recruitment decision in the organization and the second one (n = 81), a promotion decision. In both studies, results showed a more positive evaluation of the two internal profiles, particularly of the Efforts profile. Results of the first study indicated that the differentiation between the profiles and the interjudge agreement were stronger in the liberal context than in the authoritative context.     

L’impact de la reconnaissance organisationnelle sur la santé psychologique au travail des répartiteurs d’urgence

The purpose of this research is to measure the relationships between organizational recognition and workplace psychological health for emergency dispatchers by a predictif correlational design. Data collected from a secure online questionnaire sent to dispatchers via four emergency call centers (n = 155) measured psychological health at work (Gilbert et al., 2011) and organizational recognition (Brun and Dugas, 2005). The results of multiple linear regression analyses partially confirmed the hypothesized links between the two variables: they attested that organizational and co-worker recognition partially explained psychological well-being at work (R² = .25, p < .001) and psychological distress at work (R² = .30, p < .001) among emergency dispatchers.     

Troubles musculosquelettiques,pratique instrumentale et ressentis des musiciens d’orchestre professionnels en confinement dû à la COVID-19

IntroductionProfessional orchestra musicians frequently suffer from musculoskeletal disorders related to their working conditions. In the spring of 2020, the lockdown and the interruption of their professional activities because of the COVID-19 pandemic could have presented an opportunity for them to recuperate but could also have increased their professional uncertainty and been a source of negative emotions.ObjectiveThe first objective is to evaluate the evolution of musicians’ musculoskeletal disorders in relation to the interruption of their professional activities due to COVID-19. The second is to examine the impact of professional uncertainty caused by the pandemic on their instrument practice as a function of the emotions it generated.MethodA questionnaire concerning instrument practice and musculoskeletal disorders was completed by 439 French orchestra musicians in 2019 (period of professional activity). During lockdown (April 2020), a second questionnaire measuring these variables as well as professional uncertainty, emotions, emotional exhaustion, and the lockdown experience was completed by 172 musicians.ResultsInstrument practice and musculoskeletal disorders decreased between the periods of activity and lockdown. Professional uncertainty during lockdown correlated with negative emotions. Emotional exhaustion mediated the relations between uncertainty and the effort perceived when practicing one's instrument on the one hand and the pleasure experienced during practice on the other.ConclusionFor orchestra musicians in lockdown, uncertainty was related to negative emotions. Playing their instrument required more effort and was not associated with well-being, emphasizing the difficulties regarding the resumption of their professional activity in conditions which would limit the risk of injury.     

L’évolution des facteurs prédictifs de la détresse psychologique des étudiants en contexte de Covid-19 : un modèle d’équation structurelle exploratoire

IntroductionStudents are at risk for mental health issues due to the COVID-19 pandemic. The implementation of lockdowns as a means to curb the spread of the disease have had an impact on this population, as observed in many international studies. However, few studies have investigated the longitudinal impact of COVID-19 lockdowns on students’ mental health.ObjectiveWe explored the relation between individual characteristics of students, context of life, difficulties in emotion regulation and psychological distress over the first two lockdowns in France during the COVID-19 pandemic.Methodology160 university students (90% female, mean of 24 years old) responded to an online questionnaire at three times points: once during the first lockdown during the COVID-19 pandemic in march 2020, a second time after this lockdown and a third time during the second lockdown. Difficulties in emotion regulation, psychological distress, acute stress, academic concerns, financial resources, and exchanges with professors were measured.ResultsAn exploratory structural equations model was developed to investigate the factors related to psychological distress (χ² = 1459.18, df = 1064, CFI = 0.910, RMSEA = 0.049, SRMR = 0.068). During both lockdowns, psychological distress was explained by academic concerns and lack of emotional clarity and acceptance. An indirect and negative significant relation was identified between financial difficulties, lack of exchanges with professors during the first lockdown, emotion clarity and experienced psychological distress during the second lockdown. Repeated measures ANOVAs identified high levels of acute stress during both lockdowns and a diminution during the deconfinement indicating an impact of sanitary measures on student's mental health.ConclusionCoherently with the Bruchon-Sweiser translational model of stress, emotion regulation capacities seem to have a central and moderating role in the experience of the pandemic for students. They would benefit greatly from appropriate therapeutic interventions in this pandemic situation and in general.     

Travailler l’acceptation de la maladie en éducation thérapeutique : exemple d’une intervention « ateliers théâtre » pour des personnes porteuses d’un lupus

In this article, a reflection concerning the acceptance of chronic illness in patient education (PE) is proposed. The research focuses on a therapeutic theatre intervention, inspired by theatre of lived experience as proposed to people with lupus. The aim of the intervention is to enable a putting into words and a staging of events that are identified by the patient as disabling. The framework and the process of the intervention are being presented. The results of an exploratory analysis followed by a clinical case will shed light on the contribution of these workshops on the improvement of life satisfaction and illness perception as well as the understanding and the acceptance of illness by the patients and their families. The article will be concluded by the interest of this project in proposing optimized support in PE.