Santé et travail : le cas des facteurs de risque des troubles musculo-squelettiques du membre supérieur

The study proposes us to define and to treat the social questions that the musculoskeletal disorders suppose. Indeed, an optimal prevention is articulated around the two poles of musculoskeletal disorders factors of risk, which are the biomechanics and psychosocial factors of risk. The aim of this article is also to create a collective reaction for mobilise every one which are concerned by this subject. The musculoskeletal disorders are one of the first causes of compensation working disease. The factors of risk in their occurred are mainly the repetitivite gesture, the implementation of the muscular force, the extreme articular amplitudes and also, but in a less proportion, the psychological stress felt by a person during his working time. All these elements will be developing in this study.     

Work characteristics, musculoskeletal disorders, and the mediating role of psychological strain: a study of call center employees

The demands of the modern office are thought to contribute to the development of musculoskeletal disorders. For upper body and lower back disorders, these effects are hypothesized to be mediated by psychological strain. A study of 936 employees from 22 call centers supports this hypothesis. Using logistic regression and structural equation modeling, the authors found that the relationship of workload to upper body and lower back musculoskeletal disorders was largely accounted for by job-related strain. This mediating effect was less evident for arm disorders. Contrary to expectation, job autonomy had neither a direct nor a moderating effect on any musculoskeletal disorder.     

Work roles in death-releated occupations

More occupations than generally realized require the worker to have contact with the dying, the dead, and the bereaved. The opportunity for “leeway” and the desire to provide service are major motivating factors for persons in these positions. The death-related professional, often fatalistic in his own views of his own death, must live up to the social expectations for his role performance while simultaneously being a functioning human being who must encounter death at a personal level and a businessman who must earn his living from working with death-related concerns.     

La conciliation des rôles professionnels et parentaux,un facteur de stress professionnel : construction et première validation d'une échelle de mesure

The aim of this study was to validate a multi-dimensional tool for measuring work-related stress by introducing a factor “difficulty in combining professional and parental roles”. Data was collected from a sample of 234 working people (with an average age of 38 ±5,7) who had at least one school-age child (from 2 to 16 years old). The tool highlighted the existence of five factors: pressure of work load (a); exposure to danger (b); difficulty in combining parental and professional roles (c); job satisfaction (d); quality of internal professional relationships (e). Relatively independent, these work-related stress factors show individual differences according to gender and socio-professional status. The dimension “combining parental and professional roles” justifies its inclusion in the study of work-related stressors and its effects on people at work and on their families.     

Pathologisches Glücksspielen: Persönlichkeitsmerkmale und forensische Aspekte

Causes and psychological characteristics of pathological gambling are reviewed. Neither the addiction model nor the conception of a “disorder of impulse control” is fitting to comprehend the peculiarity of these hardened conduct disorders. Pathological gambling is a learned pattern of behaviour with a variety of etiological backgrounds. There is no uniform type of “the” pathological gambler. Some kinds of gambling like roulette or horse betting are used to experience arousal and thrill; other forms like german slot machines on the contrary are used to relax and to find relief from depression and boredom. There is a broad spectrum of comorbid disorders, e.g. mood disorders and personality disorders. The paper delineates the overlap with antisocial patterns and the juridical consequences.     

Begutachtung von somatoformen Störungen

As a result of their prevalence somatoform disorders represent a substantial burden not only for health care systems but also for social security and pension programs around the world. In fact, in recent years there has been a steady increase in the number of applicants filing for disability pensions due to such disorders. Recent studies focus on the relationship between biological, psychological and social factors and the subjective experience of somatoform symptoms and their concomitant impairments. Despite this progress, diagnostic work in general remains a challenge. The purpose of this paper is first to discuss a dimensional diagnostic system for somatoform disorders. Secondly based on the dimensions of this diagnostic system, considerations regarding the differentiation of the diagnosis “pain disorder” will be made. Furthermore, considerations concerning the severity and prognosis of somatoform disorders are presented. These considerations should help to assess vocational disability.     

Accurate diagnosis of personality disorders: Some critical factors

Issues pertaining to the accurate diagnosis of personality disorders are discussed from a scientist-practitioner perspective. An attempt is made to distinguish state (Axis I) from trait (Axis II) disorders, and personality (“normal”) from personality disorders (“abnormal”). The reliability and validity of personality disorder diagnoses are explored, and the four criteria for all personality disorder diagnoses are clarified: These criteria are: 1) presence of psychological symptomology, 2) stability over time, 3) consistency across situations, and 4) under-responsiveness to currently available treatments. Also, a distinction is made between categorical and dimensional diagnostic criteria, similar to the distinction between personality type and trait approaches. Recommendations are provided for improving the clinical and empirical work in this area, and implications for treatment are discussed.     

Beyond community analysis: A response to Dr Borg

Abstract

Medicine, psychology, and psychiatry are not only modes of scientific knowledge or professional practice, but also means of social control that participate in regulating behavior. The “re-pathologizing” of psychiatry during the past 25 years bears witness to an anthropological mutation that reduces the human being to the sum of his or her conduct. In order to get to this “medico-economic” civilization of the subject, postmodern psychiatry has needed to deconstruct and reconstruct its normative landscape for the benefit of “fickle” notions and “behavioral disorders,” at the expense of the concept of “psychological suffering.”     

Contributors

Abstract

This paper studies the interaction of the clinical theories of two major British theorists, Melanie Klein and Donald Winnicott. Through three clinical examples, we see how the “Klein-Winnicott dialectic” operates in a significantly developmental fashion to advance and fulfill clinical work. Winnicott’s “object survival” is looked at in developmental conjunction with Klein’s “mourning” as a primary clinical and developmental process. This interaction also captures the essence of working with the aggression of a self that has been traumatically disrupted within its early development. This paper demonstrates how such work leads to the assimilation and grieving of primal object loss, evolving into a “developmental mourning process.” This developmental mourning includes the working-through of an “abandonment depression” in the character-disordered patient. A clinical example in a 1989 essay on “psychic pain” by Betty Joseph is used to set up the clinical challenge of going beyond the symptomatic clinging behavior of developmental arrest, into full psychic birth as a separate other, an Other who can relate to an Other. Conclusively, the subjective visceral affect noted and monitored in its clinical dimensions here is that of human “heartache,” which can also include regret.     

Les décisions d’orientation dépendent-elles des stéréotypes sociaux ? Sous quelles conditions ?

IntroductionIn this research we want to show that influence of social stereotypes linked to the social background on the students’ orientation is not a social fate that cannot be ignored but that there really are conditions that allow to reduce or even suppress those effects. The objective is to test the hypothesis according to which the seniority of the teachers, their type of professional commitment and the fact of working or not in an area earmarked for special educational assistance (prioritary education zone) must allow to significantly reduce the stereotypes effects on the academic judgment.MethodWithin the framework of an experimental research lead in school, we have asked high school teachers to express propositions of continuing studies as well as success predictions from ficticious student files reaching the end of high school. The results confirm that the bias generally observed in academic judgments are reduced in professors having a seniority above 5 years compared to the ones having a seniority lower than 5 years, those who have a strong work commitment, like the “self made persons” or “social activists” types, compared to those having a lower type of work commitment like the “self investors” or “careerists” types and those working in an area earmarked for special educational assistance (prioritary education zone) compared to those who work outside these areas.ConclusionThis research shows that factors likely to limit the effects of social background stereotypes on academic judgments do exist.     

员工何以蓬勃旺盛?影响工作旺盛感的组织情境与理论模型

工作旺盛感是个体在工作中同时感受活力和学习一种心理状态。组织情境中领导、组织支持和公平、工作特征和同伴均影响工作旺盛感。基于特质激活和自我决定理论, 构建“组织情境影响工作旺盛感的心理机制”模型：“全景式”和“离散式”组织情境能直接影响基本心理需求的满足, 或者先激活特质, 再影响基本心理需求满足, 进而影响工作旺盛感。未来应加强“全景式”组织情境及其中介机制研究, 开展个体和组织情境变量以及社会层和任务层等多层次整合研究, 并运用动态研究方法研究组织情境与工作旺盛感之间的联动变化规律, 预测工作旺盛感。     

心理授权对农村小学校长工作工作满意度的影响：职业认同的中介作用与情绪智力的调节作用

基于授权认知模型、社会认同理论等理论考察了心理授权对农村小学校长工作满意度的影响以及职业认同的中介效应和情绪智力的调节效应。采用心理授权量表、职业认同量表、情绪智力量表与工作满意度量表对随机抽取的269名农村小学校长进行调查。结果显示：（1）心理授权、职业认同、情绪智力与工作满意度这四个变量均两两正相关;（2）心理授权、职业认同会正向预测农村小学校长工作满意度,心理授权会正向预测职业认同;（3）职业认同在心理授权与工作满意度之间起中介作用;（4）情绪智力调节了职业认同对农村小学校长工作满意度的影响。因此,心理授权对农村小学校长工作满意度的影响是一个有调节的中介效应。     

Editorial

The aim was to investigate organizational impact on working conditions and to explore the associations between sector, different types of organizational change, and working conditions. A strategic selection was made of representative staff members from 72 work sites. Data pertaining to organizational factors were collected from managers, and to working conditions from employees. Multilevel analyses were performed, with 10 aspects of self-reported and expert assessed psychosocial and ergonomic/physical working conditions as the dependent variables, and patterns of organizational change and sector as the explanatory variables. The results showed that the variance in working conditions was significantly attributed to organizational level (16?–?65% of the variance), and that both the pattern of change and the sector were important. Organizations that had not undergone change provided the best work conditions. The “standardizing” and “market-adjusting” patterns of change had deleterious effects, while the “lean” and “centralizing” patterns led to dual outcomes. Organizational change was perceived as having more negative consequences in the public sector than in the private sector. The results indicate that organizational change contributes to increased differentiation of working conditions, as different types of changes congregate in specific areas of the labour market and affect groups of employees differently.     

基于自我决定理论的工作动机研究脉络及未来走向

对2018年5月为止基于自我决定理论的工作动机研究英文文献的系统检索得到了97篇实证研究样本。基于自我决定理论的核心假设, 运用“环境-基本心理需要-工作动机-结果”的理论模型对工作动机前因和结果的研究脉络进行了仔细地分析和归纳, 结果表明员工基本心理需要满足和自主性工作动机作为中介变量可解释自主性支持的工作环境和员工个体特征对工作行为、态度和心理健康的积极影响。将来的主要研究议题：一是对控制性工作环境具体因素对员工基本心理需要阻滞、控制性动机和去动机以及员工工作行为、态度和心理健康影响的研究; 二是不同动机类型对员工业绩、行为和态度影响的过程以及情境因素的研究; 三是外部奖励(包括薪酬、基于业绩的奖励等)对员工工作动机、基本心理需要、工作业绩和心理健康的影响及边界条件的深入研究。     

Influence of personal therapy on learning and development of psychotherapeutic skills

The aim of the present study was to investigate psychodynamic psychotherapists’ experience of the influence of personal therapy on professional growth during training with a focus on the acquisition of knowledge and the development of psychotherapeutic skills. Thematic analysis was conducted on interviews with former students (N=10) at two training institutes for psychoanalytic psychotherapy. The resulting theme “professional subjectivity” indicated that personal therapy was experienced as having a positive effect on learning and growth of professional skill by facilitating the development of a theory- and knowledge-based professional subjectivity, a personally founded, professional attitude. Important elements of this development are “shared experience,” “personal influence,” and “knowledge integration.” The emergence of professional subjectivity proved to be an important factor in terms of professional advancement for future psychotherapists. Finding and relating to their own subjectivity was crucial in the process of developing a personally founded, professional attitude in the clinical work.     

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.     

Supervising professionals involved in the psychological care of people infected with HIV/AIDS

The provision of psychological care for people with HIV/AIDS in the last decade has led to a demand for professional supervision of counsellors and other professionals who work with this patient group. While there are many similarities in the supervisory process with professionals working with patients with other medical and psychological problems, there are also unique and specific issues which stem from working with people with HIV/AIDS. Some of these are discussed in this paper. The supervisory process described relates to a systemic conceptual framework. Tasks in clinical supervision and dijiculties in supervision are highlighted. Suggestions are offered for setting up and developing supervision sessions in clinical practice.     

Aggression: Appetite or aversion?—An ethologist's viewpoint

The term “aggression” has been used to describe practically all situations in which an organism threatens, damages, or kills another-with the exception of certain predator-prey relationships. As a result, a great deal of confusion and controversy has arisen as to the causal factors and functions of aggression. The main ethological hypotheses concerning the nature of aggression are put forward. In order to illustrate the divergence in causal factors and functions, differences in motivational, physiological, and ecological bases of aggression in two closely related fish species are described. A basic division of aggression into “self-defensive” and “property-protective” behavior is suggested, together with the parameters separating these categories on behavioral, causal, and functional bases. Mechanisms which enable motivational changes from one category to another to take place during a single encounter are discussed, these being pain stimuli and physical or psychological “cornering.” The importance of learning effects on fighting behavior are emphasized, especially their negative and positive reinforcing effects in relation to self and property defense. The biological significance of aggressive conditioning for the animal and the role of aggression in species maintenance are discussed.     

高校教师职业心理资本与工作绩效:社会支持的中介效应

用"高校教师职业心理资本量表"、"工作绩效量表"及"社会支持问卷"对来自全国8所高校的718名高校教师进行问卷调查。通过描述性分析、回归及结构方程模型等实证统计方法,深入分析了社会支持、职业心理资本与工作绩效关系模型的理论架构,探究了社会支持在职业心理资本对工作绩效影响的中介模型效应的内在作用机制。研究发现,社会支持、职业心理资本、工作绩效及其各维度之间均存在显著的相关;职业心理资本及其各维度对工作绩效的主效应非常显著;社会支持在职业心理资本及其各维度与工作绩效间的中介效应也均显著。这表明高校教师职业心理资本及各维度对工作绩效不但起着直接的影响作用,而且通过社会支持工作绩效产生了间接的影响。因此,提升高校教师的职业心理资本,建立良好的内、外社会支持系统对提升工作绩效都会形成良好的激励效果,从而实现教师和高校的共同发展。