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.     

The effect of perceived stress and specialization on the relationship between perfectionism and burnout in collegiate athletes

Background: Athletic burnout is common when demands of the sport exceed the rewards. Individuals with certain personality dispositions, such as perfectionism, are at increased risk of experiencing perceived stress and subsequent burnout (Fender, L. K. (1989). Athlete burnout: Potential for research and intervention strategies. The Sport Psychologist, 3, 63–71. doi:10.1123/tsp.3.1.63; Gould, D., Tuffey, S., Udry, E., &; Loehr, J. (1996). Burnout in competitive junior tennis players: I. A quantitative psychological assessment. The Sport Psychologist, 10, 322–340. doi:10.1123/tsp.10.4.322; Stoeber, J. (2011). The dual nature of perfectionism in sports: Relationships with emotion, motivation, and performance. International Review of Sport and Exercise Psychology, 4, 128–145. doi:10.1080/1750984x.2011.604789). Perfectionism has both adaptive and maladaptive dimensions, with the more maladaptive qualities leading to greater perceived stress (Hamachek, D. E. (1978). Psychodynamics of normal and neurotic perfectionism. Psychology, 15, 27–33.; Rice, K. G., &; Van Arsdale, A. C. (2010). Perfectionism, perceived stress, drinking to cope, and alcohol-related problems among college students. Journal of Counseling Psychology, 57, 439–450. doi:10.1037/a0020221).

Objectives: This study examined the influence of perfectionistic strivings and concerns on burnout, and perceived stress as a mediator of this relationship in Division II and III specialized and multiple-sport athletes (N?=?351).

Design: Cross-Sectional.

Methods: Participants completed a demographic questionnaire and online measures of perfectionism, stress, and burnout during the latter part of the competitive season.

Results: Results showed a positive, direct effect of perfectionistic concerns on burnout. Stress partially mediated this relationship. Additionally, perfectionistic strivings had a negative direct effect on burnout for specialized athletes.

Conclusion: The relationship between perfectionistic concerns and burnout is partially explained by stress. Multiple sport athletes showed lower levels of stress compared to specialized ones. Finally, perfectionistic strivings are associated with lower levels of burnout for specialized athletes.     

EARLY PARENTING SUPPORT AND INFORMATION: A CONSUMER PERSPECTIVE

The transition to parenthood is a period of both joy and challenge for most parents. There is a recognized need to support parents during this period, yet existing interventions have shown limited evidence of efficacy. This study takes a consumer‐focused approach to examine the needs and preferences of parents both prenatally (n = 77) and postnatally (n = 123) for parenting support. The study used a cross‐sectional design with a purpose‐built online survey. Parents were recruited via online forums, Facebook and parenting blogs, childcare centers, and playgroups. In general, all parents were satisfied with their current levels of both formal and informal support, and about one fourth of parents had accessed a parenting intervention. Parents expressed a moderate level of interest in additional parenting information, and parents expecting their first baby indicated preferences for information about basic baby care needs whereas postnatally, parents expressed more interest in topics around self‐care and behavior management. The implications for developing interventions and engaging families are discussed.     

Peers,parents, and coaches,oh my! The relation of the motivational climate to boys' intention to continue in sport

ObjectivesMotivational climates (Ames, 1992) and goal orientations (Nicholls, 1989) are essential in understanding children's experiences with sport. We examined the perceived task-involving motivational climates created by parents, peers, and coaches and their task goal orientation in relation to male adolescent athletes' sport competence, self-esteem and enjoyment, and ultimately, their intention to continue participating.DesignWe used a cross-sectional design with a large convenience sample of male adolescent athletes from the U.S. (N = 405, ages 12–15 years).MethodBoys anonymously completed survey questionnaires during their physical education classes at school.ResultsTask goal orientation was explained by task-involving parent, peer, and coach initiated motivational climates, although parent and peer climates were most influential. Boys with higher task goal orientations reported greater sport competence, self-esteem, and more enjoyment in sport. Intention to continue playing sport primarily was predicted by the boys' enjoyment, and secondarily, by their self-esteem.ConclusionsConsistent with past research, task motivational climates from parents, peers, and coaches play a key role in boys' enjoyment of their sport, which is essential for continued participation.     

Negotiating motherhood and athletic identity: A qualitative analysis of Olympic athlete mother representations in media narratives

ObjectivesAlthough a growing presence within sport, elite athlete mothers have minimal presence within sport psychology research, particularly within the context of sociocultural expectations concerning motherhood and sport. The purpose of this study was to extend this understanding by examining how news media constructed elite athlete identities of prominent athlete mothers during the 2012 Olympic year.DesignA qualitative approach grounded in critical cultural sport psychology (Schinke & McGannon, 2014) was used to explore motherhood and athletic identity as socio-cultural creations shaped by media and the potential psychological implications.MethodAn ethnographic content analysis (Altheide, 1996) of 80 stories from North American news media collected from January 27, 2011 to December 31, 2012surrounding 10 prominent US athlete mothers was conducted. Visual data analysis of 99 images and 4 videos accompanying were also analyzed to contextualized the textual meaning(s) (Altheide & Schneider, 2013).ResultsA central narrative within which identities were constructed was identified: motherhood and athletics as a transformative journey. The meaning(s) and implication(s) of this narrative emerged differently depending on how two athlete mother identities were constructed: 1. athlete and mother in conflict and 2. athlete mother as superwoman.ConclusionsThis study extends critical cultural sport psychology and qualitative literature exploring elite mother athletes and the implications for athletic career (dis)engagement.     

Entry and exit as embodied career choice in professional sport

The concept of an embodied career draws attention to the individual, corporally, socially, culturally and institutionally located in relationship with work. Career theories have tended to focus on psychological and social variables and measurements that narrow understanding of contexts and agency. It is thus timely to consider a more holistic approach to understanding contemporary careers as embodied processes. The paper works on three levels; first as an empirical illustration of professional sports careers as short-term careers, second as an application of Bourdieu's habitus to understand the relationship between social fields and accounts of career choice and, third in order to draw parallels with the embodied nature of work in a more general sense. Utilising empirical material from a study of elite UK professional rugby players, it is argued that understanding an embodied-career resonates with present concerns regarding career patterns of short-term contracts, which require the individual to be committed, flexible and adaptable, be prepared for exit, and yet remain immersed and dedicated to the current sphere of employment. It is proposed that this kind of immersion requires alternatives to be, temporarily at least, silenced and in this context renders the accrual of bodily capital as fit, but only temporarily fit for purpose.     

Feedback Informed Treatment: Evidence‐Based Practice Meets Social Construction

This article explores the challenges presented by the mandate for evidence‐based practice for family therapists who identify with the philosophical stance of social construction. The history of psychotherapy outcome research is reviewed, as are current findings that provide empirical evidence for an engaged, dialogic practice. The authors suggest that the binary between empiricism and social construction may be unhinged by understanding empiricism as a particular discursive frame (i.e., a particular way of talking, acting, and being in the world), one of many available as a way of understanding and talking about our work. Through a case vignette, the authors introduce the evidence‐based practice of Feedback Informed Treatment as an elaboration of social construction, and as an example of bridging the gap between the discursive frames of empiricism and social construction.     

Fathers for Change for Substance Use and Intimate Partner Violence: Initial Community Pilot

The lack of focus on the role of men as fathers within intervention programs for men with histories of Intimate Partner Violence (IPV) or substance abuse is of significant concern given the large numbers of these men who are actively parenting and coparenting children. Fathers for Change is a new intervention designed to fill this gap. Eighteen fathers with co‐occurring IPV and substance abuse were randomly assigned to Fathers for Change or Individual Drug Counseling (IDC). They were assessed at baseline, post‐intervention and 3 months following the 16‐week intervention period. Men in the Fathers for Change group: (1) were more likely to complete treatment; (2) reported significantly greater satisfaction with the program; (3) reported a trend toward less IPV; and (4) exhibited significantly less intrusiveness in coded play interactions with their children following treatment than fathers in the IDC group. Results indicate further evaluation of this intervention in a larger sample is warranted. Limitations and directions for future research are discussed.     

Temporality and the torments of time

Immersion in time gives birth to consciousness, as well as conflict and torment. When human beings developed a sense of future, they also gained the ability to anticipate threats from nature or their fellow beings. They thereby created cultures that are bastions of survival, as well as places of poetry, art and religion where they could band together and reflect upon their common plight. The practice of psychoanalysis is in many ways a temporal process, a process of remembering, for owning and elaborating a past that gives us substance, thereby providing a basis for reflective consciousness. Stimulated by Freud's early writings, Lacan, Laplanche and their successors in particular have focussed extensively on time and psychoanalysis, and their views are a central point of this discussion. A substantial case study is offered that provides concrete examples of these perspectives. A multi‐faceted view of temporality emerges, one that is more syncopated than linear or teleological. In conclusion, I will briefly discuss recent findings in the neuroscience of memory and ‘time travel’ that underpin contemporary psychoanalytic ideas in surprising ways. It is important to remember that acceptance of the contradictory nature of temporal experience can open space for increased freedom and playfulness.