L’information et la gestion des risques dans le suivi de la grossesse lors du 1 trimestre : quelques réflexions sur le défi éthique et le cadre légal en Suisse

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.     

A comparison of normative data for the Trail Making Test from several countries: equivalence of norms and considerations for interpretation

The Trail Making Test may not be equivalent across cultures, i.e., differences in the scores across different cultures may not reveal real differences in the ability of the subjects on the construct being measured. In order to assess this hypothesis, normative samples from ten different countries were compared. Age decade subgroups across samples were ranked based on mean time taken to complete each part of the task. Large Z scores differences were found between these samples when comparing the first with the second, and the last in the rank. These differences were significant even when age and education were comparable across samples. Following Van de Vijver & Tanzer (1997), several possible sources of bias were identified. Incomparability of samples and administration differences were the most likely factors accounting for differences. Because of the lack of validity studies in the countries considered, no firm conclusions could be obtained regarding construct bias. Although the TMT may be measuring visual scanning, psychomotor speed and mental flexibility, normative data from different countries and cultures are not equivalent which might lead to serious diagnostic errors.     

Discussion

Stresses precipitating the request for psychotherapeutic help, including the psychological conflicts involved in such stress, were assessed by judges listening to taped psychotherapy interviews with 43 outpatients. This paper reports upon the methods devised to record these judgments. Good agreement by two independent judges on the measures employed suggested that psychotherapy interviews selectively focused on limited goals can be valid sources of information about current stressors, conflicts, and modes of behavior, and increase understanding about the resolution of crises.     

New Mutations of the Protestant Ethic among Latin American Pentecostals

This article argues that there is a partial consonance between the ‘inner-worldly asceticism’ of the fast-growing Protestant movement in Latin America and the economic imperatives of the global capitalism into which Latin America has been progessively incorporated since the 1960s.This consonance stops short of being an unequivocal ‘elective affinity’ since there are also points of tension between the new Protestant ethic and the spirit of contemporary capitalism. It is argued that such consonance as exists arises out of a complex symbiosis rather than a simple one-way causal relationship. The article outlines the range of views among Latin American Pentecostal Protestants about the implications of their faith for economic behaviour, and relates these views to current economic conditions. It suggests that certain Protestant habits and values minimally assist economic survival and can even lead to modest success. Particular attention is paid to recent developments in the Pentecostal movement in Latin America which diverge from the classic Protestant ethic of the West, notably the emergence of an indigenous prosperity gospel and a selective acceptance of consumerism.     

Reframing Medicine’s Publics: The Local as a Public of Vaccine Refusal

Although medical and public health practitioners aim for high rates of vaccination, parent vaccination concerns confound doctors and complicate doctor-patient interactions. Medical and public health researchers have studied and attempted to counter antivaccination sentiments, but recommended approaches to dispel vaccination concerns have failed to produce long-lasting effects. We use observations made during a small study in a rural area in a southeastern state to demonstrate how a shift away from analyzing vaccination skepticism as a national issue with a global remedy reveals the nuances in vaccination sentiments based on locality. Instead of seeing antivaccinationists as a distinct public based on statistical commonalities, we argue that examining vaccination beliefs and practices at the local level offers a fuller picture of the contextualized nature of vaccination decisions within the psychosocial spaces of families. A view of vaccination that emphasizes the local public, rather than a globally conceived antivaccination public, enables medical humanists and rhetoricians to offer important considerations for improving communications about vaccinations in clinical settings.     

Colour-identification of differentially valenced words in anxiety

Abstract

Two groups of individuals, one high in trait anxiety and the other low in trait anxiety, performed a Stroop task in which threat, neutral, and pleasant words were presented. The results indicated clear differences between the high- and low-trait groups in their performance on this task. The low-trait group's performance was similar for all three types of sitmuli, whereas the high-trait group's responses were fastest for pleasant stimuli and slowest for threat-related stimuli. A recognition task to examine incidental learning of the “irrelevant” Stroop words showed that whilst the high-trait group had a stronger tendency to respond positively to all trials (critical and distractor) than the low-trait group, there were no differences in sensitivity between the two groups.