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.     

Unintended,but still blameworthy: the roles of awareness,desire, and anger in negligence,restitution, and punishment

Two experiments (Experiment 1 N?=?149, Experiment 2 N?=?141) investigated how two mental states that underlie how perceivers reason about intentional action (awareness of action and desire for an outcome) influence blame and punishment for unintended (i.e., negligent) harms, and the role of anger in this process. Specifically, this research explores how the presence of awareness (of risk in acting, or simply of acting) and/or desire in an acting agent's mental states influences perceptions of negligence, judgements that the acting agent owes restitution to a victim, and the desire to punish the agent, mediated by anger. In both experiments, awareness and desire led to increased anger at the agent and increased perception of negligence. Anger mediated the effect of awareness and desire on negligence rather than negligence mediating the effect of mental states on anger. Anger also mediated punishment, and negligence mediated the effects of anger on restitution. We discuss how perceivers consider mental states such as awareness, desire, and knowledge when reasoning about blame and punishment for unintended harms, and the role of anger in this process.     

Influence of authoritarianism,vagal tone and mental fatigue on obedience to authority

Recent research suggests that obedience in the Milgram paradigm is underpinned by stress vulnerability and inhibitory control over pain sharing. Because self-regulatory fatigue (SRF) induction is a suited method to investigate the influence of inhibitory control on behaviour, participants (n?=?99) were randomly assigned to a High vs. Low self-regulatory condition. Heart rate variability (HRV, a biomarker of stress vulnerability) was collected during 5-min baseline and continuously during the experimental procedure. Prior to the experiment, participants completed an online survey assessing right-wing authoritarianism (RWA), a well-known predictor of obedience. Using the Immersive Video Milgram Obedience Experiment, we found (i) that lower resting HRV predicted higher destructive obedience, (ii) that low self-regulatory inhibition (induced by fatigue) reduced destructive obedience, (iii) that the well-established influence of RWA on destructive obedience was suppressed in the presence of SRF. Implications for future directions in obedience research are discussed.     

Organization of the narrative components in autobiographical speech of anorexic adolescents: A statistical and non-linear dynamical analysis

Family theories of anorexia nervosa point out that patients’ autobiographic speech may reflect internalized family interactions. Our study characterizes the statistical distribution and temporal organization of the narrative components describing personal relationships in anorexic and control subjects. Semantic components related to personal interactions were encoded from life narratives of 14 adolescent girls with anorexia nervosa (restrictive type) and of 13 matched healthy adolescent girls. Speech analysis was performed using both statistical methods and non-linear time-series analysis. Static indices showed an over-representation of family relations and an under-representation of love relations in anorexic patients. Dynamical indices showed the independence between relational systems in anorexic patients. Dynamical analysis reveals that interactional patterns are internalized through the temporal organization of autobiographical speech. Moreover, these results support the existence of a specific temporal organization in anorexic adolescents’ life narratives which express the internalization of stationary family patterns and indicate relative inability to disengage from active previous relational patterns and to create new ones.     

Revolutionary and Familiar, Inevitable and Precarious: Rhetorical Contradictions in Enthusiasm for Nanotechnology

This paper analyses rhetorics of scientific and corporate enthusiasm surrounding nanotechnology. I argue that enthusiasts for nanotechnologies often try to have it both ways on questions concerning the nature and possible impact of these technologies, and the inevitability of their development and use. In arguments about their nature and impact we are simultaneously informed that these are revolutionary technologies with the potential to profoundly change the world and that they merely represent the extension of existing technologies. They are revolutionary and familiar. In debates surrounding possible regulation of these technologies it is claimed both that their development is inevitable, so that regulation would be fruitless, and that increased research funding and legislative changes are necessary in order that we can enjoy their benefits. That is, they are inevitable and precarious. An increased awareness of these rhetorical contradictions may allow us better to assess the likely impact and future of nanotechnology.

Better Living Through Chemistry? A Reply to Savulescu and Persson on ‘Moral Enhancement’

In ‘Moral Enhancement, Freedom, and the God Machine’, Savulescu and Persson argue that recent scientific findings suggest that there is a realistic prospect of achieving ‘moral enhancement’ and respond to Harris's criticism that this would threaten individual freedom and autonomy. I argue that although some pharmaceutical and neuro‐scientific interventions may influence behaviour and emotions in ways that we may be inclined to evaluate positively, describing this as ‘moral enhancement’ presupposes a particular, contested account, of what it is to act morally and implies that entirely familiar drugs such as alcohol, ecstasy, and marijuana are also capable of making people ‘more moral’. Moreover, while Savulescu and Persson establish the theoretical possibility of using drugs to promote autonomy, the real threat posed to freedom by ‘moral bioenhancement’ is that the ‘enhancers’ will be wielding power over the ‘enhanced’. Drawing on Pettit's notion of ‘freedom as non‐domination’, I argue that individuals may be rendered unfree even by a hypothetical technology such as Savulescu and Persson's ‘God machine’, which would only intervene if they chose to act immorally. While it is impossible to rule out the theoretical possibility that moral enhancement might be all‐things‐considered justified even where it did threaten freedom and autonomy, I argue that any technology for biomedical shaping of behaviour and dispositions is much more likely to be used for ill rather than good.