Travailler dans un réseau de santé : effets sur la santé psychique au travail

The new needs as regards care taking charge of patients have contributed to the creation of health networks. As they are growing fast, they are an integral part of the French sanitation system. The impact, on the health professionals, of networking is, today, the object of contrasted research and results, but has little been studied as far as Social Psychology, Work and Organizations are concerned. This article follows a research project which had the objective, on the one hand, to describe the effects of the participation to a health network mental health at work and, on the other hand, to examine the variables and process accounting for the variability of these effects. This research privileges an approach to the health network as a place of socialization and personalization (Malrieu, 1979). The research on the ground is carried out in collaboration with the health network town-hospital Prevention and Taking charge of Pediatric Obesity Network (RéPPOP) Midi-Pyrénées. We have carried out semi-guided interviews with 20 private professionals (8 doctors, 8 dieticians, 3 psychologists, 1 physiotherapist) members of the RePPOP Midi-Pyrénées network. The main results show that the perception of positive and/or negative effects of networking on mental health varies according to the age of membership of the network and the processes of transfer of experience (from professional practice within the network to professional practice off-network and vice versa). Proposals are deduced in terms of continuing education within the network.     

The Interplay Between Trust Among Peers and Interpersonal Characteristics in Homophobic Bullying Among Italian Adolescents

This study is based on exploring the trust between peers and the individual characteristics related to homophobic bullying in adolescence. Participants were 334 adolescents (141 boys and 193 girls) aged from 15 to 20 years. Participants completed the homophobic bullying scale, to investigate bullying actions towards sexual minorities, the personal attributes questionnaire, for personal characteristics, and the inventory of parent and peer attachment, to the trust between peers. The results demonstrated how female participants manifested a higher level of interpersonal traits and trust among peers than boys. Results showed how a lack of trust between peers predicts homophobic bullying. Nevertheless, we found that the lack of interpersonal characteristics represents a variable that likely mediates the relationship between lack of trust in peers and homophobic bullying. Theoretical and practical implications are discussed.     

Mismatched Lovers: Exploring the Compatibility Between LGBTQ+ Identity Theories and Gender and Sexual Plurality in Sri Lanka

Sexual and gender identity development theories in psychology and sociology exert considerable influence over discourse on gender and sexuality, shaping key domains such as counseling, education, and social work, as well as public policy and advocacy. While a robust body of literature has developed in critique of such theories and models, they continue to be applied in the Global South without much thought for their relevance to various non-Western cultural contexts. The current study explores the fit of these identity development theories to the experiences of 15 non-heterosexual and transgender individuals in Sri Lanka, gathered through a qualitative study of the question in 2016. These participants articulated gender and sexual self-conceptions that were incongruent with major identity development theories in significant ways. A broad majority failed to endorse central or salient sexual identities, while demonstrating a fluidity in object choice, sex roles, and sex acts, thus rupturing the theoretical notion of stable and coherent identities. Transgender participants did not demonstrate identity synthesis or pride and complicated theoretical understandings of sexual intimacy. These findings highlight the necessity of considering individual differences and cultural contexts when studying gender and sexuality and the dangers of universalizing theories across cultural differences.     

Secret médical en santé au travail

The occupational physicians are obliged, like any doctor, to respect the ethical obligations imposed on their profession, including in the exercise of the missions specific to occupational medicine and contained in the Labor Code. The occupational physician is not isolated and works in a multidisciplinary team of a health service at work. He must communicate with other health professionals, but also with employers, representative bodies of staff. Medical confidentiality holds a special place in the triangular relationship between the occupational physician, the employee and the employer. The medical practice in the field of occupational health requires that many provisions of the Labor Code be followed, including the respect of the secret of manufacture and the position of advising employers and employees. The occupational physician must communicate with the employer in order to best achieve his mission, but in practice, it may be difficult for the occupational doctor to make his recommendations heard to improve the working conditions of employees without power, when he cannot argue his opinions on medical information.     

Child Victimization and Poly-Victimization in a Community Sample of Adolescents in Northern Chile

The aim of this article is to report the prevalence of youth victimization and poly-victimization in northern Chile. Using the Juvenile Victimization Questionnaire, a sample of 706 adolescents ages 12 to 17 were surveyed. The results indicated that 89% of the participants had experienced victimization at least once in their lives and 76.8% had experienced at least 1 experience of victimization in the past year. The most frequent forms were conventional crimes (70% and 54.7%), witnessing and indirect victimization (63.2% and 45.2%), and peer and sibling victimization (50.0% and 34.6%), for the lifetime and the past year, respectively. Sexual victimization was less common for both time periods, but still relevant (15.9% lifetime and 9.9% past year). Older females and younger adolescents presented a higher risk of victimization particularly in conventional crimes and victimization by caregivers. As for poly-victimization, 21% of the adolescents presented between 4 and 6 different forms of victimization (the low poly-victimization group) and 16% reported seven or more (the high poly-victimization group) in the last year. The results showed that child and adolescent victimization is a significant problem in Chile. Percentages of victimization in Chilean adolescents were higher than those found in Europe or North America. Results from the group of poly-victims reinforces the need to evaluate the multiple forms of victimization that affect adolescents in Chile and to prioritize it in the design of the treatment of the consequences of violence, taking into account differences in gender and age.     

Interethnic Marriages and Relationships of the Tlingits in the Russian–American Period and Their Significance

This article deals with relationships and marriages of the Tlingit with immigrants from the Russian Empire as well as with representatives of other European and non-European peoples during the period when Alaska belonged to the Russian Empire. Matrimonial relations existed in two variants: legal, sanctified by the church, and in the form of permanent extramarital cohabitation or casual relationships. The latter variant absolutely predominated. With this, there was a sharply reflected gender imbalance, since men absolutely predominated among the immigrants, and therefore Tlingit women emerged in the role of marriage partners in the overwhelming majority of cases. A directly opposite pattern was observed in Tlingit contacts with the Athapaskans and to some extent with the Eyak. Matrimonial connections exerted influence on the workings of the Russian colonization, stimulated growth in mixed populations, and facilitated gradual acculturation of the Tlingit, along with contributing to the expansion of their ethnic territory.     

Effect of Body Image on Tunisian Women’s Sexual Functioning

The objective of this study was to identify the perception of body image by Tunisian women and their spouses and to examine its impact on female sexuality. Our study involved 300 Tunisian women who had been married for at least 1 year and consulted in primary care medicine during the months of June and July 2016. Each participant completed a questionnaire covering four areas: women’s perception of their body, the perception of the spouses of the latter as it was reported by the participants, sexual activity, and the impact of body perception on sexual activity. The participants were satisfied with their bodies in 51% of cases. This satisfaction was associated with perceiving the body as physically attractive (p?=?0.007), young (p?=?0.047) and as a source of confidence (p?<?0.001). Compared to women dissatisfied with their bodies, those satisfied declared satisfaction of sexual desire (p?=?0.005), reaching orgasm (p?=?0.001), taking the initiative in sexual activity (p?=?0.003) and preparation for sex (p?=?0.006). Perceived satisfaction of the partner with the female body was related to a more positive sexuality in women, specifically to women’s sexual satisfaction (p?=?0.018), women taking sexual initiative (p?=?0.014) and preparation for sex (p?=?0.001). Our study indicates the important impact of a positive perception of the body image of Tunisian women by themselves and by their spouses on their sexuality. It would be interesting to consider these aspects in the management of female sexual disorders.