Gender detransition: a case study

Within the last decade, there has been a sharp global rise in the number of young people identifying as transgender. More recently, there appears to be an increase in the numbers of young people detransitioning or returning to identifying with their natal sex after pursuing medical transition. A case is presented of a young woman who pursued a gender transition and returned to identifying as female after almost two years on testosterone. The author considers and critiques the affirmative model of care for gender dysphoric youth in light of this case.     

自发性知觉经络反应中产生刺麻感和积极情绪的原因

自发性知觉经络反应(autonomous sensory meridian response,ASMR)是指在特定的视听刺激下,某些个体(ASMR敏感个体)在头皮后部、颈部乃至全身体验到一种令人极度愉快和放松的刺麻感的现象。其中,刺麻感的产生可能是个体大脑中负责感觉和肌肉运动的脑区高度激活引起的; 而与情绪和奖赏有关脑区的高度激活以及心率和呼吸频率的下降可能是产生愉快和放松感的重要原因。相比普通个体,ASMR敏感个体具有较高的神经质、共情特质、感觉受暗示性和特质正念。这可能说明ASMR敏感个体的感觉敏感性较高,情绪稳定性较弱,且比较关注自己身体的内外感受。这些个性特质可能导致ASMR敏感个体对某些视听刺激中所包含的一些感觉和情绪信息更加敏感,对其反应也更加强烈。目前,ASMR已经被用于抑郁,压力,失眠和慢性疼痛等的临床治疗以及商业广告之中。但ASMR可能会干扰个体的执行功能,在认知控制需求较高的情景下应尽量避免接触ASMR刺激。     

SC-IAT范式下中学生良心的内隐性

目的:研究探讨了单类内隐联想测验(Single Category Implicit Association Test,SC-IAT)测量中学生良心的可行性,并分析内隐良心和外显良心的关系。方法:采用E-prime3.0软件编制SC-IAT良心测量程序,测量了中学生内隐良心; 采用青少年良心问卷测量了中学生的外显良心,并运用相关技术分析两者之间的关系。结果:SC-IAT实验中,中学生良心的内隐效应显著,且不存在性别、独生与否、学段、家庭结构、家庭所在地等人口统计学指标上的显著差异; 内隐良心与外显良心之间的相关不显著。结论:(1)中学生良心存在积极内隐效应;(2)外显良心和内隐良心相互分离,是两个不同的建构。     

自然数码奇象记忆法记忆复杂数字的神经机制

本研究采用学习-再认范式和复杂数字记忆材料,考察自然数码奇象记忆法相对于机械记忆法在记忆提取上的优势及神经机制。行为结果表明,自然数码奇象记忆法比机械记忆法的再认准确率更高。事件相关电位分析结果显示,再认提取阶段奇象记忆条件下诱发的N400和N700波幅显著更低,这说明奇象记忆提取更容易。在自然数码奇象记忆条件下,正确再认旧数字诱发的前额区、左顶枕叶区及中顶枕叶区N700成分与使用自然数码奇象记忆有关。本研究表明,采用自然数码奇象记忆可以减少或跨越语义加工,从而提高个体对材料的记忆效率。     

Elucidating the mental processes underlying the direct retrieval of autobiographical memories

The literature on autobiographical memory retrieval has directed much attention to the concepts of direct retrieval (fast, automatic retrieval) and generative retrieval (slower, deliberative/strategic retrieval). Among the many findings reported on these phenomena, their relative prevalence has stood out as a central feature in many studies, with most studies reporting the frequency of direct retrieval as equal to or exceeding generative retrieval. In this study, we used the retrieve-aloud procedure (a method where participants verbalize their thoughts while retrieving) to delve more deeply into the nature of reports of ubiquitous direct retrieval. We hypothesized that much of the direct retrieval reported in literature is not bona fide direct retrieval (i.e., seemingly automatic retrieval), but is a combination of other retrieval processes, including generative-like retrieval processes. Our results supported this view, showing that less than one-half of all of the observed direct retrievals were bona fide direct retrieval, while the rest were a form of generative retrieval, or fell somewhere in between direct and generative retrieval. We argue that the results suggest that the prevalence of direct retrieval may be overestimated in the literature, and we further propose an alternative classification schema for direct retrievals.     

Evaluating pedestrian interaction preferences with a game theoretic autonomous vehicle in virtual reality

Localisation and navigation of autonomous vehicles (AVs) in static environments are now solved problems, but how to control their interactions with other road users in mixed traffic environments, especially with pedestrians, remains an open question. Recent work has begun to apply game theory to model and control AV-pedestrian interactions as they compete for space on the road whilst trying to avoid collisions. But this game theory model has been developed only in unrealistic lab environments. To improve their realism, this study empirically examines pedestrian behaviour during road crossing in the presence of approaching autonomous vehicles in more realistic virtual reality (VR) environments. The autonomous vehicles are controlled using game theory, and this study seeks to find the best parameters for these controls to produce comfortable interactions for the pedestrians. In a first experiment, participants’ trajectories reveal a more cautious crossing behaviour in VR than in previous laboratory experiments. In two further experiments, a gradient descent approach is used to investigate participants’ preference for AV driving style. The results show that the majority of participants were not expecting the AV to stop in some scenarios, and there was no change in their crossing behaviour in two environments and with different car models suggestive of car and last-mile style vehicles. These results provide some initial estimates for game theoretic parameters needed by future AVs in their pedestrian interactions and more generally show how such parameters can be inferred from virtual reality experiments.     

Plus de contention ni d’isolement sans contrôle du juge judiciaire

Although of old and common use, the use of isolation and restraint in psychiatry was not regulated until 2016 with the creation of article L. 3222-5-1 of the Public Health Code. However, the Court of Cassation considered that, as a form of care, it was beyond the office of the liberty and custody judge to controle its implementation. Questioned by a plea of unconstitutionality submitted by the Court of Cassation, the Constitutional Council considered, with its decision of 19 June 2020, that these measures constituted a deprivation of liberty requiring judicial review at short notice. The Sages thus declare the provisions of article L. 3222-5-1 unconstitutional, with delayed effect as of December 31, 2020, requiring legislator to rethink and organise the supervision and control of decisions of restraint and isolation.     

Le vaccin,un médicament devenu l’arme absolue promise contre la COVID-19 : une réglementation adaptée ?

As the first vaccines against COVID-19 arrive on the market, the question of the safety of these products arises in the public debate. The major concern is about the possible occurrence of adverse effects, particularly in the context of the use of novel pharmaceutical technologies such as mRNA. It is important to remind both patients and professionals that a vaccine is not only a medicinal product in its own right, but also a special medicinal product: biological and immunological. As a result, its supervision is draconian, and despite the urgency, no requirements have been lowered. The speed of marketing is the result both of adapted clinical trials and optimized evaluation procedures.     

Penser les temporalités à l’accueil des urgences psychiatriques : paroles d’intervenants de la crise

ObjectiveTo explore the relation to times in crisis units and psychiatric emergencies by crisis stakeholders.MethodIt is in a qualitative logic that the collection and analysis of data are discussed. 9 crisis stakeholders participated in the study. The data were collected using semi-structured interviews and analyzed using the Grounded Theory.ResultsThe Grounded Theory shows significant phenomena resulting the experience of temporality in psychiatric emergencies: plural human temporalities (1), impacts of multiple temporalities (2), reorganizing temporalities of the relationship (3), and appropriation of temporality (4). The manner of appropriating time depends essentially on the emotional control and the reflexivity of the therapeutic actions.ConclusionCrisis stakeholders are in temporality of immediacy, speed and subjective urgency and suggest us thinking in less quickly and better. Team exchanges are so many suspended moments that contribute to the resumption of a thought process and avoid acting too quickly. Participants would like the relational component to be privileged with patients.