L’usure des travailleurs vieillissants à l’épreuve de la nationalité. Le cas des migrants de Tunisie en région parisienne dans la seconde moitié du XXe siècle

If foreign workers are exposed to degraded working and working conditions, they are not necessarily affected by a particularly increased mortality. By analyzing social protection schemes and biographical data, the article shows that this paradoxical situation results from the combination of several factors that contribute to the relative invisibility of the health problems faced by foreign workers. Indeed, if foreign workers constitute an over-selected workforce, the long-term effects of their working conditions remain unknown, because of the particular representations they receive, but also because of the segmentation of the labor market, which induces differentiated trajectories from the point of view of health and its management.     

Representing diabetes: ‘Brightside’ and ‘chaos’ in autobiography

This paper examines six autobiographical sources written by people with type 1 diabetes. In seeking to improve the understanding of diabetic lifeworlds; some of the autobiographies present heroic stories of ‘overcoming’ diabetes while others present a more ‘chaotic’ narrative. Regardless of their form, all the autobiographies highlight how the everyday problems and concerns associated with diabetes can be hidden and silenced. Therefore, I ask the question of how to use autobiographies as sources of evidence, being aware of the power constructs that may have directed their form. Despite this question, I argue that autobiographies remain crucial sources for exploring the experience of everyday life and much of the silencing in the texts reflects spatial and emotional challenges faced by the authors. I also consider the limitations of representation in the autobiographies calling for an understanding that the experience of diabetes carries with it feelings, emotions and affects that are non-representable and so never entirely knowable. Thus, this paper builds on recent geographical research on emotion and ‘contested’ illnesses, especially those that are not obviously visible or are easily hidden.     

La décision médicale et la relation médecin–patient en oncologie

The announcement of the cancer diagnosis and his treatment is an important moment in the set up of the doctor–patient relationship. The law of contracts has long governed the relationship between the doctor and the patient. But the legislature clearly demonstrated its will to consider the patient as full actor of his health, leaving the regime of medical decision, the shared decision. This shared decision is based on an obligation to inform the patient on his health and knows many exceptions (minor patients or adults under guardianship, emergency). In Oncology, the medical decision is a decision coordinated between doctors in the multidisciplinary consultation meetings. This decision is considered as a guarantee of the quality of the medical care. It does not preclude the time of the doctor–patient relationship.     

Finding new ways to practise critically: applying a critical reflection model with Australian health promotion practitioners

Greater support is required in health promotion for practitioners to adopt critical approaches to their practice. Despite recognition of the role that critical reflection can play in supporting critical practice, it is underdeveloped in health promotion. This pilot study aimed to explore the use of critical reflection with health promotion practitioners. Critical postmodernism provided the theoretical perspective and critical reflection methodology guided the study. The data collection method involved the application of a critical reflection model via in-depth semi-structured interviews with two health promotion practitioners who were recruited using purposive sampling. Critical postmodernism and critical health promotion values and principles were the thematic frameworks used to analyse the data. Four types of assumptions were identified across both participants’ narratives: binary opposites and dichotomous thinking; identity and othering; professionalism; and power. Two key themes that evidenced these assumptions were conceptualising power as a commodity, and identity in the Aboriginal and Torres Strait Islander context. Both traditional and critical health promotion practice approaches were evident in participants’ practice. The process of engaging in critical reflection resulted in positive outcomes for the practitioners, including the identification of new, more critical ways of practising. Critical reflection provides a process for developing critical health promotion practice. The designation of critical reflection as a core health promotion competency may enhance the development of critical health promotion. Further research is needed to develop and test a critical reflection model incorporating the values and principles of health promotion with a larger sample of practitioners.     

Contesting a Pandemic: The WHO and the Council of Europe

Contemporary risks are often understood as fundamentally uncertain. This uncertain status can be mobilized within political debates surrounding risks. Such a challenge serves to destabilize scientific claims. The World Health Organization’s (WHO) management of the 2009/10 spread of the H1N1 virus became a site of one such contestation. Debate within the Council of Europe particularly served to criticize the action of the WHO. This resulted in a definitional and policy contestation between the two institutions. The WHO accounted for its actions through allusions to (seemingly stable) scientific facts, using epidemiological evidence of influenza and its management based on normal science. In contrast, in criticizing public expenditure and panic, the Council of Europe critics problematized the stability of the science employed by the WHO. This included fundamental aspects of scientific knowledge such as the measurability of morbidity and mortality caused by H1N1 and the effect of vaccination against influenza viruses. This criticism relied upon the ability to destabilize the WHO’s scientific knowledge, a process made possible through understandings of the uncertain nature of the science of risk (post-normal science). The case study illustrates that potential for previous-established and seemingly stable scientific facts to become destabilized and problematized during contestations of risk management.     

Career exploration via cooperative education and lifespan occupational choice

Career exploration by Antioch College students who graduated between 1946 and 1955 (N=73) was studied to determine relationships between the occupational categories of cooperative education jobs taken in college (obtained from a campus archive) and subsequent work histories (obtained from surveying the graduates at about 70 years). Five hypotheses were tested. Results supported four of the hypotheses, with partial support for the fifth. Co-op jobs taken by the sample represented each of 23 occupational classifications, and most graduates took post-graduate jobs in occupational functions and contexts they had explored as co-op students. High levels of individuality in use of the co-op program and in career paths were found. Four co-op-to-career patterns were described, based on the degree to which functions and contexts were explored during college and career; a case study was included to exemplify each pattern. Gender differences were revealed in the patterns, but not the group data. Job context was particularly important in defining these patterns. Implications for research and practice were discussed tentatively, however given the lack of a control group, characteristics of the study sample, and particularities of the historical era studied, the ability to generalize beyond the study sample is limited.     

藏族学生控制源、社会支持与心理健康的研究

目的探讨玉树民族中学藏族学生控制源、社会支持与心理健康的关系。方法采用心理健康、内外控制源和领悟社会支持量表。结果①不同性别学生心理健康总分差异显著,社会支持和控制源得分差异不显著。②不同年级学生在控制源差异显著,其余变量差异不显著。③除家庭支持外,心理控制源、社会支持及其各维度与心理健康显著相关。④控制源和朋友支持对心理健康有很好的预测作用。结论控制源和社会支持在一定程度上对心理健康有预测作用。     

国外精神性研究述评

随着精神性对社会的意义越来越被人们所重视,心理学对精神性的讨论也越来越热烈。本文从精神性的研究历程将其分为宗教的精神性、人文的精神性以及科学的精神性,同时对目前国外科学精神性的相关研究和方法进行阐述,最后对精神性研究存在的问题加以总结述评并对今后研究提出展望。     

The Importance of Community Context for Young Women’s Occupational Aspirations

The effects of community context on occupational aspirations are examined in a national sample of young women in high school in the USA in 1979 (n = 2,210). Multilevel statistical models indicate that young women living in counties with a lower divorce rate, a lower percentage of women working, and more people employed in the wholesale and retail industrial sector tended to be less likely to aspire to paid work than young women living in areas with a higher divorce rate, a higher percentage of women working, and fewer people employed in the wholesale and retail industrial sector. Community context does not affect the level of young women’s occupational aspirations as predicted by prior scholarship. An earlier version of this paper was presented at the 2006 Southern Sociological Society Annual Meetings. The author thanks John Reynolds, Patricia Yancey Martin, Irene Padavic, Robert Kunovich, Jennifer Keene, Mary Guy, and the editor and reviewers at Sex Roles for their helpful comments on previous drafts of this paper.     

印象管理与心理健康表现之相关

本研究旨在考察中国人印象管理与心理健康表现的相关.研究采用印象管理问卷和一般健康问卷,对某石油国企员工进行调查,发现印象管理程度越高的人,其心理健康程度越差;自我推销和威胁策略与焦虑失眠呈正相关;迎合策略与躯体化症状呈正相关,但和严重抑郁呈负相关;示弱策略与社交障碍呈正相关;做秀策略与心理健康各维度均没有显著相关.结果表明不同的印象管理策略对心理健康有不同的影响.