Les représentations mentales de l’enfant chez les parents : situation,illustrations et réflexions sur les catalyseurs de changements en évaluation thérapeutique de l’enfant

Therapeutic assessment of the child (TA-C) is a model of psychological assessment that allows for collaborative work with parents and child on their reasons for consultation, a collaboration that breaks away from a traditional double separation (parent/assessor, and assessor/therapist) in child assessment. This paper, grounded in a contemporary psychodynamic viewpoint, presents clinical illustrations to support a conceptualization of change processes in TA-C. It is argued that, in order to revitalize empathy in parents, work focusing on the parents’ mental representation of their child is central. We propose a hierarchy of assessment/therapeutic goals that allows for a better distinction between TA-C and standard assessment in work with children.     

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.     

Programmes de formation aux habiletés parentales pour les parents d’enfant avec un TDA/H : considérations pratiques et implications cliniques

The pharmacological treatment advocated for children affected by attention-deficit/hyperactivity disorder (ADHD) has now demonstrated its efficiency. However, its limitations and the impact of ADHD on family well-being, linked with parenting practices, make it necessary to establish an alternative treatment. Numerous studies agree about the effectiveness of Behavioral Parent Training programs (BPT). The purpose of this review, based on the literature describing BPT, is to analyze the factors that could influence the outcome of such interventions. Thus, the parameters of BPT, the characteristics of parents and children, will be mentioned in order to produce recommendations for clinicians and researchers interested in BPT within the framework of ADHD.     

L’enfant visiteur en réanimation adulte : vécu psychologique de la visite et dispositifs d’accompagnement

IntroductionWhile ICUs encourage visits from patients’ loved ones, visits from children and adolescents have remained a rather sensitive issue. In an attempt to protect children from a potentially traumatic environment, certain services refuse or restrict their visits.ObjectiveIn this context, the question arises as to whether the visit in intensive care constitutes a psychological risk for the child and adolescents. Based on the literature, this article discusses the experience of the visit on the child, the research methodology implemented with child visitors, and finally the existing support systems.ResultsThe analyzed studies do not consider the psychological disorders associated with ICU visits. Moreover, there are many studies on this field and the methodologies have yet to be developed. Support measures exist but are at the initiative of the intensive care teams.ConclusionThere is now an urgent need to build on the studies focused on this field in order to propose a genuine policy with regard to the reception and support of children visiting ICU patients.     

L’évaluation du risque de récidive et l’intervention basée sur les données probantes : les conditions nécessaires à l’implantation de méthodes structurées d’évaluation et d’intervention efficaces

The results of different studies on the best practices of the prevention of recidivism are clear: it is possible to reduce the risk of recidivism of offenders through efficient intervention. Structured risk assessment combined with practices based on risk, need and responsivity principals may reduce the risk of recidivism by up to 30%. These programs, developed primarily in Canada, require adaptations to better suit a French context. The present article proposes to revise the main stages essential to the introduction of a new evaluation and intervention strategy based on evidence, namely, the exploration, the preparation of the establishment, the creation and implementation themselves, the sustainability approach and the introduction of evaluative research studies. The advantages of considering such an implementation strategy are discussed.     

Causalité juridique et imputabilité médicale : l’incidence de l’approche juridique du lien de causalité sur la pratique expertale en droit de la réparation du dommage corporel

Traditionally, a “direct and certain” causal link was required between fault and harm in order to engage an individual's compensatory liability. However, upon reading case law, it is possible to note that causality no longer necessarily has to be either direct or certain. Indeed, although the presence of a previous condition long enabled the exclusion of a direct link between a harmful event and its aftereffects, the French Court of Appeal (Cour de Cassation) now considers that pathological predispositions must no longer be taken into account (in respect of an exclusion or a reduction in the right to compensation) if these were latent, and only revealed by the harmful event. Similarly, on occasion the plaintiffs support their claims with bundles of evidence and arguments that can but force magistrates to set aside the absence of absolute certainty on a scientific level. Presumptions of accountability have even been put forward in some areas of personal injury compensation (traffic accidents and workplace accidents). The conduct and content of forensic expertises are then disrupted, both for the expert and for the victim's lawyer.     

L’évaluation de la perte de chance en responsabilité médicale,une mission à repréciser pour l’Expert

Loss of opportunity, which today is considered as a prejudice in its own right, both for the French Supreme Court and the Council of State, remains undeniably difficult to assess in practice. For many years, the issue of compensation for breach of duty of disclosure gave the various courts the ability to roadtest this concept. However, although the criteria defining this concept, of judicial origin, have been established, the modus operandi allowing the judge to quantify it does not exist. How can this portion of personal injury be determined in relation to the size of the opportunity lost? This is primarily a technical issue, similar to that of assessing a disability rate. However, this request does not feature in typical common law missions for judicial or administrative medical expertise. The judge alone is left to assess this probability, whereas the expert would be in a position, as far as possible, to provide scientific and statistical assistance enabling a better definition of loss of opportunity.     

L’évaluation thérapeutique et collaborative : preuves empiriques

This paper covers the empirical research that addressed utility and effectiveness of therapeutic assessment or of its components (i.e., providing individualize feedback to clients). Studies vary in terms of methods and problems addressed but provide the consistent picture of therapeutic assessment as a brief approach which increases process variables related to subsequent treatment and has direct effects of symptoms reduction for a variety of psychological problems. Future directions of studies in this are finally provided.     

Effet de l’exposition culturelle sur l’ajustement culturel : rôle médiateur de l’intelligence culturelle

The purpose of the study consists in examining the effect of cultural exposure onto cultural adjustment mediated by cultural intelligence. In this perspective, we have consolidated the conception of cultural exposure as well as validated the measure of cultural exposure in French. The data (n = 106) have been collected via an electronic survey administered to immigrants and processed via Jamovi 2.3.3.0. Further to the structural equation modeling in latent variables we have validated the hypothesized mediation. Another result consisted in a validated measure of cultural exposure. The findings are discussed in terms of their contribution to the understanding of the antecedents of cultural intelligence and cultural adjustment. Several recommendations are formulated for the institutions in charge for the immigrants’ integration and training.     

Les nouveaux «Gastarbeiter»? Les réfugiés sur le marché du travail suisse

With about 28,000 asylum requests a year since 1990, Switzerland is one of the western countries with the highest inflow of refugees. The aim of this article is to answer two questions: What is the role of refugees in the Swiss economy? and what are the factors influencing their incorporation into the labour market? The research is based on the multivariate analysis of an individual database of 110,000 asylum seekers and refugees, in-depth interviews and 174 questionnaires to refugees and employers.     

Effets de l’expression d’embarras et de la personnalité du candidat sur l’évaluation,la réaction comportementale et la décision d’embauche du recruteur

Job interview is a standardized situation that carries high stakes and involves impression management tactics. When an incident occurs in such a situation it could create embarrassment. Usually the expression of this self-conscious emotion positively affects others’ judgment. The aim of this study is to know whether this positive effect could also be observed in a job interview and whether it may vary depending on how embarrassment is expressed and with the personality of the job applicant. Contrary to what it is observed in an ordinary context, the absence of expression is favored by the recruiters; the expression of embarrassment is rather negatively perceived, especially when it is not controlled. The issue of emotional expressivity during interview will be discussed.     

Les interventions préventives en santé mentale du jeune enfant vues par leurs bénéficiaires : l’exemple du projet CAPEDP

ObjectiveHome-visiting programs have become one of the most popular early childhood interventions, though their impact on parents and children remain uncertain. Outcomes measures often rely on experimental quantitative design and little space is offered for the voices of those served by these interventions. This paper presents the results of a qualitative protocol performed by the research team with participants in the CAPEDP project which took place in France from 2005 to 2011.MethodAll 184 women who had accepted at least one home visit in the CAPEDP programme were contacted and invited to participate. Individual and group interviews were conducted with the first 16 who accepted to participate. The semi-structured interview schedule addressed their overall appreciation of the project, their initial concerns, the quality of their relationship with their home visiting psychologist, positive and negative aspects of the intervention and any recommendations they might have for future interventions. Interviews were recorded, transcribed and anonymised. An inductive categorical thematic analysis was performed by the research team.ResultsParticipants expressed overall satisfaction with the CAPEDP intervention, underlining the quality of the relationships with the home visitors, usefulness of parental guidance, the fact that the intervention could be adapted to suit their own personal agenda, routine and needs, the importance of learning how to accept help and give help to others. Less positive aspects included the fact that the home visitors were not mothers themselves and that they lacked technical experience, the difficulty ending the relationship at the end of the 27-month project, insufficient integration of fathers, the difficult and time-consuming evaluation protocol and the lack of interaction with other parents during the intervention.ConclusionAlthough mothers who accepted to participate in the qualitative interview schedule may have had a more positive overall experience of the CAPEDP project than those who declined to participate, participants’ points of view provide potentially useful indications for adapting future home-visiting programs to the French context.     

Questionnaire d’efficacité de la consultation : élaboration et validation préliminaire d’une échelle de mesure de l’efficacité de la consultation en gestion

Despite sustained interest of both researchers and practitioners in favor of a reliable measure of management consulting effectiveness, the existing assessment instruments remain scarce, poorly validated and often inadequate. This study proposes a new instrument for assessing management consulting effectiveness from the consultant's point of view: The Consulting Effectiveness Questionnaire (Questionnaire d’efficacité de la consultation). The preliminary empirical validation of the questionnaire was conducted using two samples of 116 and 207 consultants. Exploratory and Confirmatory factor analyses suggests a second-order two-factor solution, namely the Quality of the process and Value-added results. The results offer preliminary support for the psychometric properties (validity and reliability) of this promising tool for both research and practice purposes.     

Une intervention brève auprès de parents adoptants centrée sur la sensibilité parentale : effets sur le sentiment de compétence parentale et l’attachement de l’enfant

Adopted children seem to imply specific challenge for themselves and their adoptive parents regarding the recovery of their attachment representations. Based on the hypothesis relating parental sensitivity of adopting parents and children's attachment representations, this study aims to create an intervention based on parental sensitivity for adoptive French-speaking families. Nine adoptive families took par to this study whose children are between 2 and 11 years old. In this exploratory research, the recovery of the children's attachment representations and the moderation of parental self-efficacy were assessed. Our results highlighted the relevance of this intervention.     

Modéliser l’évaluation des processus de changement en counseling d’orientation : une perspective constructiviste et intégrative

The purpose of this paper is to contribute to design models that are used to assess the effects of career counseling. The article is part of the constructivist perspective in the emerging new paradigm of counseling psychology in the 21st century. Dialogue is seen as the strategic point in the change process of intervention practices. Through an analytical synthesis of different theoretical and empirical work on dialogue and an exploratory study of its reflexive dimension, the article points out the contribution of constructivist approaches while suggesting a constructionist and integrative perspective. It thus opens a discussion on the relevance of an interdisciplinary approach for dialogic and reflexive phenomena involved in the self-transformation process.