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.     

Facilitating autonomous motivation for smoking cessation.

Physicians used either an autonomy-supportive or a controlling interpersonal style to counsel smokers based on National Cancer Institute guidelines. Physician autonomy support was rated from audiotapes, and patients' perceived competence and autonomous motivation for quitting were self-reported on questionnaires. Validated point prevalences for 6, 12, and 30 months and for continuous cessation were examined. The intervention did not have a direct effect on quit rates; however, structural equation modeling supported the self-determination process model of smoking cessation. The model indicated that the autonomy-supportive intervention was rated as more autonomy supportive, that rated autonomy support predicted autonomous motivation, and that autonomous motivation predicted cessation at all points in time. Perceived competence contributed independent variance to cessation only at 6 months.     

Scores on the State-Trait Anxiety Inventory for children in a longitudinal study of pubertal Spanish youth.

Changes in scores on the State-Trait Anxiety Inventory for Children for a sample of 534 pubertal adolescents were longitudinally studied over a period of 4 years. Biological development and other variables were investigated. For the 310 boys, A-trait scores decreased significantly with age. The 224 girls showed significantly higher scores than boys in all years of the study. No significant relationship was found between anxiety and pubertal maturity. The year-to-year persistence in symptomatology of anxiety ranged between 55.6% and 66.1% for girls and between 48.5% and 53.1% for boys. Girls showed bi- and tri-annual persistence between 31% and 50%, and boys between 13% and 27%. Neuroticism scores formed the best predictor of A-trait scores. Symptomatology of anxiety is not transient during early adolescence, so personality may provide a risk indicator in the development of anxiety.     

Family criticism and self-starvation: a study of expressed emotion

The measure Expressed Emotion (EE) has been established as an exceptionally useful indicator of relapse in people with schizophrenia and depression. EE is now also being applied more broadly for the investigation of other disorders. EE is usually rated by conducting the Camberwell Family Interview, i.e. in the course of separate individual interviews with the relatives of the symptomatic individuals. This paper reports the rating of EE in adolescents with eating disorders within a semi-structured family schedule - the Standardized Clinical Family Interview. Consecutive referrals for eating disorders were assessed prior to family therapy and again at regular intervals during therapy. EE ratings for this sample, the prognostic value of EE, and the changes in EE that took place during the course of therapy are presented and their clinical implications discussed. The findings suggest that even low levels of Critical Comments from the parents to the anorexic adolescent are associated with continuing symptoms.     

Why we walk the way we do

By using inverse dynamics and forceplate recordings, this study established the principle of oscillating systems and the influence of gravity and body parameters on the programming of the gait parameters, step frequency and length. Calculation of the ratio of the amplitude of the center of mass (CM) and the center of foot pressure (CP) oscillations yielded an equation and established a biomechanical constant, the natural body frequency (NBF). NBF appears to be an absolute invariant parameter, specific to human standing posture and gait in terrestrial gravity, which influences the relative positions of CM and CP and whose value separates the frequency bands of standing posture from those for gait. This equation was tested by using the experimental paradigm of stepping in place and then used in calculating the magnitude of CM oscillations during gait. The biomechanical analysis of the experimental observations allows one to establish the relationships between body parameters and gravity and the central programming of locomotor parameters.     

Organizational self-evaluation: An emerging frontier for organizational improvement

The authors have been working to improve clients’ institutional performance through a framework for institutional assessment and self-assessment. In this framework, performance is defined in terms of mission fulfillment, efficiency, and ongoing relevance (the extent to which the organization adapts to changing conditions in its environment). The framework implies that certain contextual forces drive performance: the internal capacities and motivation of an organization and its external environment. The article presents the framework as well as case studies of several institutions that are using the framework to assess themselves.     

Convenient fixation location within isolated words of different length and structure

When a word is visually presented in a naming or comparison task in such a way that the eye is initially fixated at different locations within the word, a very strong effect of fixation location is found. The effect appears as a U-shaped curve. Naming time and total fixation time (gaze duration) have a minimum for an initial fixation location between the third and fifth letter of the word (for words that are 5-11 letters long). When initial fixation location deviates from this optimum position, times increase at the surprisingly fast rate of 20-30 ms per letter of deviation. By manipulating the internal lexical structure of the words, we show that at least part of the fixation location effect is caused by mechanisms related to ongoing lexical processing. This is demonstrated by the fact that the fixation location effect takes a different form when the most informative part of a word (as determined by dictionary counts) occurs at the beginning or the end of the word.     

Effects of post-trial administration of naloxone and beta-endorphin on shock-induced fighting in rats

To study the involvement of endogenous opioid peptides in the development of shock-induced fighting, naloxone (2 mg/kg) or beta-endorphin (10 micrograms/kg) was administered subcutaneously immediately after the session and during nine consecutive daily sessions to rats repeatedly exposed to electric shocks. beta-Endorphin blocked the development of shock-induced fighting while naloxone facilitated it but only when shock-induced fighting occurred at a low rate. The effects of beta-endorphin were time dependent since when beta-endorphin was injected 90 min after the shock session instead of immediately after, its impairing effect disappeared. In addition, naloxone blocked the impairment produced by beta-endorphin. Differential postsession treatment of each member of pairs of rats with naloxone and beta-endorphin resulted in a higher probability of rats treated with naloxone to be dominant over rats treated with beta-endorphin in the test situation. These results are discussed in relation with the possible involvement of endogenous opioids in the modulation of the physiological consequences of defensive behavioral responses to shock.