A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents’ perspectives

A child's emotional and social development depends on the parents’ provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents’ experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists’ technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.     

The association between risky decision making and attention-deficit/hyperactivity disorder symptoms: A preregistered assessment of need for cognition as underlying mechanism

Attention-Deficit/Hyperactivity Disorder (ADHD) is related to suboptimal decision making in experimental tasks and to real-life risk-taking behavior (RTB) such as substance abuse and unsafe traffic conduct. In this preregistered study, we tested whether these associations are mediated by need for cognition—the extent to which one tends towards, and enjoys, analytical thought. In a large sample of young adults (N = 463, M_age = 19.7 years), we tested whether need for cognition mediated the association between self-reported ADHD symptoms on the one hand and decision-making strategy complexity on an experimental gambling task and self-reported real-life RTB on the other hand. Preregistered confirmatory analyses indicated first that ADHD symptoms were positively associated with real-life RTB, but the association was not mediated by need for cognition. Second, ADHD symptoms were not related to decision-making strategy complexity, and need for cognition was not a significant mediator. Explorative analyses revealed that (a) need for cognition was associated with higher decision-making accuracy and slower reaction time; (b) need for cognition was related to inattentive but not to hyperactive/impulsive ADHD symptoms; (c) need for cognition was associated with health-related RTB but not interpersonal RTB; and (4) only the association between inattention and health-related RTB was mediated by need for cognition. We conclude that need for cognition is not a mediator in the association between ADHD symptoms and RTB. Additionally, we conclude that neither ADHD symptoms nor need for cognition predict decision-making strategy complexity. Implications for both future research and clinical practice are discussed.     

L’annonce d’un décès en milieu hospitalier

Announcing a death is always a delicate moment for close familial members but also for caregivers. Law gives some precisions about how this information must be delivered. Recently the state council judged that the lack of empathy from caregivers and the late of the death announcement can create a damage. This judgement gives more precisions about how a death announcement must be in a hospital. This topic is pretty similar with the information which must be given to close familial members about organ donation. This latter is definitely more exceptional and the procedure is a way more regulated. There are much rules which explain how this information must be delivered.     

Metacognitive components of writing: Construction and validation of the Metacognitive Components of Planning Writing Self-inventory (MCPW-I)

IntroductionWriting and metacognition play an essential function in the learning process, in that writers engage arduous cognitive efforts by selecting and organizing ideas, then reviewing and readjusting them.ObjectiveThe present research aimed to construct and validate a self-report instrument to measure some specific metacognitive processes implicated in writing planning. Two categories of metacognitive components were considered: metacognitive knowledge and self-regulation strategies.MethodBased on exploratory and confirmatory analyses, the Metacognitive Components of Planning Writing Self-inventory (MCPW-I) was constructed and validated. This instrument is composed of three factors: Metacognitive Conditional Knowledge – MCK (6 items), Covert Self-regulation – CSF (4 items), and Environmental self-regulation – ESF (5 items). 1022 undergraduates students engaged in various programs of a French university filled in the inventory.ResultsThe alpha coefficients indicated a reliable internal consistency and the test-retest reliability showed a good temporal stability. Correlational analyses revealed that the CRS factor was related to ESR and MCK factors, and these last two were not correlated with each other. After the analysis of variance, the responses relative to ESR and MCK dimensions differed according to gender, but no differences relatively to the academic disciplines considered was found. Concerning the predictive validity, CSF and MCK were correlated with writing performance.ConclusionThe results confirm the validity and reliability of the MCPW-I which constitutes a new research tool for the study of metacognitive processes of writing.     

Discrepancy in internalized values of workers in extreme situations: Consequences for soldiers and risk for the organization

IntroductionIn the present paper, we address the double-edged role of values among Army personnel and how they can be used in information warfare. We suggest that value discrepancy may impact the agent's trust and consequently, affect behaviour and ultimately destabilize the organization.ObjectivesBased on cognitive dissonance theory and the meaning maintenance model, we hypothesized that exposing trained soldiers to information which confronts their core values and involves both their peers and their institution could promote an overwhelming reaction that could finally alter their trust in the organization.MethodTo examine the proposed model, interviews were conducted with 38 active-duty soldiers that permits to stress the importance of values for their personal life. To complete the interviews, a staged observation was led with the second set of participants (n = 21). Its goal was to evaluate the soldiers’ reaction to a message aiming at their values.ResultsQualitative and quantitative analysis of the Interviews confirmed both the importance of the said values and stressed the ambivalence toward their institution. The results of the staged observation suggested that a low credibility source of information aiming at their central values could lead to a direct emotional reaction, that could potentially lead to a decrease in institutional trust, and therefore ultimately in the organisation performance.ConclusionThe discussion focuses on the consequences of this mechanism, the fundamental necessity for the organization of taking this process into account. Finally, we suggest ways to cope with this risk which can alter strategy deployment and goal achievement.     

Investigating route learning,metacognition, and beacon-based strategies using virtual environments

IntroductionDominant theories of wayfinding may have underestimated the ease with which adults can learn a route, even with minimal exposure to that route.ObjectivesIn this paper we present three different experiments to provide a comprehensive picture of whether adults can learn complex routes consisting of a number of choicepoints, and if so, what strategies they might be employing to do so.Methodand results We found that adults could learn a 15-junction route after only a single experience of the route (Experiment 1) but that they underestimated how good they would be at learning the 15-junction route (Experiment 2). In Experiment 3, we found that when learning a route made up of “T” shaped junctions, participants relied on a “beacon” strategy based on visual matching.ConclusionsCollectively, these findings suggest that adults can learn complex routes, even with as many as 15 choicepoints, very quickly and without the need for repeated exposure. These findings have implications for theories of wayfinding and call into question the need for repeated exposure.     

Personal values and unsanctioned aggression inherent in contact sports: The role of self-regulatory mechanisms,aggressiveness, and demographic variables

IntroductionTo date, research-examining factors related to the sociocognitive self-regulatory mechanisms governing unsanctioned aggression have received scant attention in applied sport psychology.ObjectiveA mediating model as influenced by various demographic variables was applied to explore the relationships between athletes’ personal values and their unsanctioned aggression directly and indirectly through the mediating role of resistive self-regulatory efficacy, moral disengagement, and aggressiveness.MethodA sample of 301 French competitors of different age (young: n = 200 and adult: n = 101), gender (male: n = 172 and female: n = 129), type of sport (high: n = 131 and low contact: n = 170), level of competition (beginner: n = 115, intermediate: n = 110, and advanced: n = 76), and length of practice (brief: n = 109, intermediate: n = 49, and extensive: n = 143) completed a questionnaire assessing the aforementioned variables.ResultsStructural equation modelling demonstrates that self-transcendence and self-enhancement values have only indirect negative and positive effects, respectively, on unsanctioned aggression through the full mediating effect of the mediators. Also, age, gender, and type of sport were predictive only of some personal values and mediators.ConclusionThese findings offer evidence that resistive self-regulatory efficacy, moral disengagement, and aggressiveness are mediators that fully govern the impact of athletes’ personal values and certain demographic variables on their unsanctioned aggression. Several limitations, implications and suggestions for further research are discussed.     

L’ADN,la reine des preuves imparfaites

Due to the progress of science and the stakes of inquiry and sentence, the DNA analysis is subject of a substantial development within the area of criminal procedure. However, the DNA is by no means a perfect evidence and it faces scientific, ethic and legal limits which result in reconsidering the balance between the stakes of punishment and the protection of Fundamental Freedoms.     

L’affaire Lambert et la Convention internationale relative aux droits des personnes handicapées (CIDPH)

While the Conseil d’État once again confirmed the legality of the medical decision to stop treatment of Vincent Lambert, the Cour de Cassation held that the French State is not required to suspend the execution of the said decision pending the opinion of the Committee on the Rights of Persons with Disabilities, a United Nations’ body. Nevertheless, the High jurisdiction does not directly pronounce itself on the question of the binding force of the provisions of the Convention on the Rights of Persons with Disabilities and its additional protocol, nor on the scope of these texts.     

Human factors evaluation of an in-vehicle active traffic and demand management (ATDM) system

This research study focused on the evaluation of an emulated in-vehicle Active Traffic and Demand Management (ATDM) system on Interstate 66 in Northern Virginia. Traditional ATDM systems rely on infrastructure-mounted variable message signs (VMS) to provide information (speed limits, lane availability, etc.) to the traveling public. By providing information about dynamic roadway conditions on an in-vehicle device, the ATDM may improve driving safety and performance by allowing drivers to remain consistently aware of forthcoming traffic conditions and roadway requirements; even when external signage is inaccessible. This study represents an initial investigation of an emulated in-vehicle ATDM to provide developers with design guidance and ensure that unintended consequences, such as distraction, do not undermine the potential benefits.Twenty younger and 20 older participants, accompanied by a member of the research team, experienced the following ATDM features on an in-vehicle device (IVD) mounted to the dashboard: (1) dynamic speed limits, (2) dynamic lane use/shoulder control, (3) High Occupancy Vehicle (HOV) restrictions, and (4) roadway information from variable message signs. The IVD was equipped with auditory and visual alerts notifying the driver when relevant visual information was updated. Research questions addressed distraction and driver behavior associated with use of the system. Qualitative and quantitative participant data was acquired from the instrumented vehicle, various questionnaires, and researcher observation.Several key findings were uncovered: (1) The IVD, as tested, did not warrant classification as a source of distraction according to the NHTSA guidelines; v2) There was a significant difference in eye-glance durations to the IVD when comparing the VMS alerts to both the speed limit and lane management alerts; and (3) The speed limit alert motivated participants to alter their speed (per survey results and participant speed data).