L’évaluation psychologique en situation transculturelle : une révision de la littérature

Human migration provokes transcultural clinical encounters that may challenge the way clinicians see themselves and how they proceed in their usual practices. In the field of psychology, psychological assessment is an important tool to better understand the patients’ needs and to design psychological interventions. Considering that most diagnostic tests and manuals have been developed in the Western context, the application of these tools with other populations remains controversial. The present literature review aims to describe the state of current knowledge on psychological transcultural assessment. Specifically, we will address: (1) the use of psychological tests in transcultural contexts, (2) the development of the Cultural Formulation Interview (CFI, DSM-5) and (3) the clinical interview: language, therapeutic relationship and participation of interpreters. In the first section, we discuss the international norms for scales and tests translation and adaptation, as well as the cultural issues that may bias the test’ application and interpretation. In the second section, we describe the creation of the CFI, and its use in recent studies. The CFI is composed by four clusters: (1) cultural definition of a problem, (2) cultural perceptions of cause, context, and support, (3) cultural factors affecting self-coping and past help seeking, and (4) cultural factors affecting current help seeking. The revised studies indicated that the CFI has a positive impact on the cultural sensibilization of mental health professionals, also improving the relationship between the patients and professionals. The cultural formulation may also prevent misdiagnosis. Beyond the use of tests and structured interviews, the clinician also faces other challenges during a transcultural assessment. We discuss in the third section the transferential and countertransferential relationship in a transcultural situation. Several elements may influence this relationship, at an individual, institutional and societal level. The evaluation of these elements may allow the clinician to better understand results of the psychological assessment. We also describe the current guidelines for the use of interpreters during health consultations in France. In conclusion, several advances have been made in the field of transcultural psychological assessment, among other things the development of guides for good translation and cultural adaptation of tools, as well as the integration of cultural issues into the DSM. However, research and changes in clinical practice are still needed, as the evaluation of cultural biases in cognitive tests and the expansion of cultural competences training among clinicians.     

Evidence for the Syndrome of Nonverbal Learning Disabilities in Children with Brain Tumors

This study examined the predicted utility of the Nonverbal Learning Disabilities syndrome (NLD) (Rourke, 1995) for characterizing neurocognitive and psychosocial outcomes in 123 children with brain tumors. Children with brain tumors were found to be at high risk of having a specific academic deficit, particularly in arithmetic. Children with arithmetic deficit evidenced a higher rate of impairment on nonverbal tasks than on verbal tasks, whereas children with reading deficit evidenced a higher rate of impairment on verbal tasks than on nonverbal tasks. However, significant differences between children with arithmetic and reading deficits were not found for all of the component features of the NLD syndrome, and arithmetic deficit was not related to treatment with irradiation.     

Directed forgetting of complex pictures in an item method paradigm

An item-cued directed forgetting paradigm was used to investigate the ability to control episodic memory and selectively encode complex coloured pictures. A series of photographs was presented to 21 participants who were instructed to either remember or forget each picture after it was presented. Memory performance was later tested with a recognition task where all presented items had to be retrieved, regardless of the initial instructions. A directed forgetting effect—that is, better recognition of “to-be-remembered” than of “to-be-forgotten” pictures—was observed, although its size was smaller than previously reported for words or line drawings. The magnitude of the directed forgetting effect correlated negatively with participants’ depression and dissociation scores. The results indicate that, at least in an item method, directed forgetting occurs for complex pictures as well as words and simple line drawings. Furthermore, people with higher levels of dissociative or depressive symptoms exhibit altered memory encoding patterns.     

When beliefs are not enough: Examining the interaction of diversity faultlines,task motivation,and diversity beliefs on team performance

Diversity faultline strength – the extent to which diversity attributes within a group converge in such a way that they split a group into homogeneous subgroups – can decrease group performance. Based on the categorization–elaboration model (CEM) of workgroup diversity, we assumed that task motivation can overcome the detrimental effects of faultlines. We further assumed that this effect is contingent on the groups' diversity beliefs and that it is mediated by the elaboration of task-relevant information. Forty-three student groups worked on a computer-simulated complex problem solving scenario. The group faultline strength was calculated over the attributes gender, age and educational background. Information elaboration was elicited by means of behavioural coding. Results revealed a three-way interaction of faultline strength, diversity beliefs and task motivation: groups overcame the detrimental effects of faultlines only if they exhibited pro-diversity beliefs and high task motivation. The three-way interaction of faultline strength, diversity beliefs and task motivation was partly mediated by information elaboration. Practical and theoretic implications are discussed.     

Cultural and Religious Values: A Cross-Cultural Study In Austria,South Africa and Egypt

This article compares religious values found on the basis of the lexical approach in three cultures. Lists of human values in Austria (German), South Africa (Northern Sotho) and Egypt (Arabic) were compiled. These terms were rated by 456, 400 and 773 participants respectively as personal guiding motives in life. Factor analyses yielded orthogonal dimensions reflecting the specific values of each culture. In all three cases, a dimension pertaining to religious issues emerged. For Austria, a distinct dimension was found, which only comprised religious terms. In South Africa religious values were interrelated with mutual support, while in Egypt, religiosity was highly correlated with political concerns and Arabic nationalism. While only about 25% of the Austrian sample gave positive evaluations to religious values, most of the South African and Egyptian participants rated religiosity positively. Results suggest that religious values are ubiquitous and religious convictions are influenced by the ethical concepts in each culture.     

On being dropped and picked up: adopted children and their internal objects

The field of adoption has changed over the past years from one where there were babies available for many adoptive couples to one where increasingly the children who are needing adoption are those who have already suffered deprivations and difficulties in their families of origin, with disrupted attachments and a consequent traumatizing effect of their early history on their internal worlds. Professionals working with these children, who have in effect been 'dropped', face the difficult task not only of placing them appropriately but of supporting their adoptive families. With the new experience of a secure base the original trauma may be reworked, and the new framework tested by these damaged and consequently often damaging children as they replay their feelings of being unwanted and unwantable. In describing once-weekly work with a 6-year-old adopted boy, I suggest that the primary disillusion of his neonatal experience caused an internal catastrophe which was then reworked in his adoptive placement. This child did not experience what Winnicott (1971) called 'gradual disillusion' in terms of his belief that he creates the needed breast, and thus integration of love and hate of the primary object, but remained in a state of hyper-vigilance because of the deficits in his internal world. These deficits have been able partially to be addressed in psychotherapy treatment.     

The cultural mediation hypothesis: A critical examination

A fascinating hypothesis has been proposed by Woodley (2010, Intelligence, 38: 471–480) to explain why intelligence, in contemporary Western countries, appears to be positively associated with left wing political attitudes. According to the hypothesis, the current Western ‘norm’ is relatively left-wing values, the intelligent are better at norm-mapping and better at perceiving the benefits of conforming to the dominant set of values and this explains why they are more likely, in this context, to be relatively left wing. This article will critically examine this hypothesis. It will argue that the evidence for it is questionable and open to different interpretations, there is evidence that contradicts it, and it leaves key questions unanswered. The article will propose that a simpler explanation for the association is that intelligence is positively associated with openness-intellect, low time preference and agreeableness.     

The Orsino complex: Men who love themselves as love objects

Abstract

The Duke Orsino, in Shakespeare's Twelfth Night, is cited as the archetypal embodiment of a psychological complex which, it is argued, may affect many men in modern patriarchal societies. This condition named the ‘Orsino complex’ is characterized by the subject's experience of being in love with himself as a love object. It is the consequence of the subject's very early experience of his mother's dual psychological reactions to him as a male child. The first of these, and the more significant, I have called maternal phallic projection, while the second I term maternal withdrawal. I also consider the influence of the father upon this complex.

While this paper remains speculative in its present form—that is, its central thesis is based on fictional and not on clinical material—it might, I hope, assist all of us working psychodynamically in understanding further some of the severe problems that male clients present in their relationships with women, as well as directing further research into the complexities of gender identity in contemporary society.     

Beyond IQ: A latent state-trait analysis of general intelligence, dynamic decision making, and implicit learning

The present study investigated cognitive performance measures beyond IQ. In particular, we investigated the psychometric properties of dynamic decision making variables and implicit learning variables and their relation with general intelligence and professional success. N = 173 employees from different companies and occupational groups completed two standard intelligence tests, two dynamic decision making tasks, and two implicit learning tasks at two measurement occasions each. We used structural equation models to test latent state-trait measurement models and the relation between constructs. The results suggest that dynamic decision making and implicit learning are substantially related with general intelligence. Furthermore, general intelligence is the best predictor for income, social status, and educational attainment. Dynamic decision making can predict supervisor ratings even beyond general intelligence.     

Contextualizing rape: Reviewing sequelae and proposing a culturally inclusive ecological model of sexual assault recovery

Consistent evidence demonstrates that many women who encounter the trauma of rape experience a range of both acute reactions and chronic psychological sequelae. This article reviews both the short- and long-term psychological adjustment issues associated with rape. In addition, we propose a culturally inclusive ecological model of sexual assault recovery (CIEMSAR), which integrates and extends existing models to better examine the complex factors leading to differential postrape adjustment. Important components of the CIEMSAR are placing rape in the broader sociocultural context of the United States and explicated socioracial and ethnic factors influencing the recovery process. The five primary factors of CIEMSAR are outlined, including (a) macrosystem or sociocultural context factors; microsystem/individual factors such as (b) assault characteristics, (c) person variables, (d) coping responses; and mesosystems factors such as (e) social-support systems. Suggestions for future research are also provided.