Des psychologues en milieu hospitalier lors de la crise sanitaire de la Covid-19 : mieux comprendre leur vécu à l’aide du concept de générativité

IntroductionDuring the COVID-19 pandemic, everyone was confronted with their finitude, risking a crisis of meaning. Considering with Erikson (1950) that generativity is a great vector of meaning in life, which allows an individual to ensure the continuity of society through transmission and care, caregivers usually have a higher generativity score than the general population (Grossman & Gruenewald, 2017). This study then looks for signs of generativity among caregivers, hypothesising that it was particularly mobilised during this health crisis.PurposeThe purpose of this study is to explore the experiences of psychologists working in hospitals on somatic wards in order to identify the impacts of the COVID-19 pandemic and signs of generativity.MethodIn this exploratory, qualitative, prospective, multicenter study, nine psychologists working in hospital wards were interviewed individually to explore their experiences during a semi-structured interview.ResultsThe markers of existential crisis linked to COVID-19, such as signs of exhaustion and anxiety, were prominent in their discourse. Strong elements of generativity are also found in the interviews. This reflects the testing of their resources.ConclusionGenerativity allowed adaptation during the crisis but does not seem to be sufficient to protect against exhaustion and existential crisis.     

中国早期放射科的建制化初探——以北大医院放射科为例

基于文献回溯与口述访谈,勾勒了北京大学第一医院放射科从1922年建科到1980年中期的发展历程.通过回顾该科室人事变迁、设备更新、科研及学术活动各方面的演进,展现了人-机依赖型临床医学科室的建制化路径及放射学技术的发展特色,反映了科室的技术价值积淀.     

Les praticiens hospitaliers plein temps et le cumul d’activités. Le rôle de l’Ordre des Médecins

Full time hospital doctors may have private practice. The National Medical Council is charged by laws and rules to give or not favorable notice before action.     

Therapist-controlled exposure in vivo versus self-controlled exposure in vivo: A comparison with obsessive-compulsive patients

Fourteen obsessive-compulsive clients were given treatment consisting of ten sessions of gradual exposure in vivo With half the clients, the exposure in vivo was therapist-controlled; with the other half, the exposure in vivo was self-controlled.

The results of the posttest showed that both versions of the treatment resulted in a significant improvement on the in vivo measurement, anxiety and avoidance scales, Leyton Obsessional Inventory, Self-Rating Depression Scale and anxious mood. Neither the posttest nor the follow-ups one month and 3.5 months later indicated a difference between the effects of the two conditions. Self-controlled exposure in vivo proved to be as effective as therapist-controlled exposure in vivo, in spite of the fact that in the latter condition each treatment session lasted twice as long as in the former condition.     

Exposure and response prevention in the natural environment: A comparison with obsessive-compulsive patients

Thirteen obsessive-compulsive clients were treated with different methods of response prevention. Four experimental conditions were obtained through a 2 × 2 factorial design, in which the two main variables were varied: (1) gradual treatment vs flooding; and (2) modeling vs no-modeling. Clients were treated at their homes, three times weekly. Each session lasted 2 hr. Results at the post-test revealed, that modeling was superior to no-modeling (p < 0.05) on avoidance-other compulsions, therapist-rating only. On anxiety-main compulsions, clients rating the gradual method of treatment had been superior to flooding (p < 0.05). No other significant differences were found.