Stigmatisation intériorisée et consommation de substances psychoactives : revue systématique de la littérature

IntroductionSubstance use is a very stigmatized condition all over the world. Moreover, lots of people who use drugs or alcohol tend to internalize these stigmas, which can lead to harmful consequences. Corrigan's progressive model of self-stigma suggest that individuals go through four stages to internalize the stigma (aware, agree, apply, harm) and then undergo a stage of resignation and lack of hope and energy called “why try”. Research seems to be increasingly interested in this phenomenon, so we wonder, where we stand in the comprehension of internalized stigma for substances users?ObjectiveThis work aims to systematically review ten-past years studies about self-stigma in substance addiction in order to assess the status of curr ent works in this area.MethodThis systematic review was led inspired by the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statements on the electronic databases PubMed, PsycInfo and PsycArticle. The inclusion criteria were: references published between 2010 and 2020, in French or English language which shows results about self-stigma for psychoactives substances users. A total of 39 studies met the eligibility criteria for inclusion in this review.ResultsSynthesizing findings across the studies revealed some important topics. First, the progressive model seems to be statistically valid among drug and/or alcohol users. Nevertheless, self-stigma of drugs and/or alcohol is not the only condition that entails users. A varieties of other factors (i.e. HIV, sex work) are to be considered in the understanding of stigmatization. In the studies, negative consequences due to self-stigma in substance use were observed such as depression or anxiety symptoms, lower self-esteem and negatives emotions as fear and shame.ConclusionAll these results are to be considered within their limits. In light of these findings, the knowledge acquired will allow professionals to develop new interventions to prevent and to reduce self-stigma of drug and/or alcohol users.     

The many faces of the Still-Face Paradigm: A review and meta-analysis

The Still-Face Paradigm (SFP) designed by Tronick, Als, Adamson, Wise, and Brazelton (Tronick, E., Als, H., Adamson, L., Wise, S., & Brazelton, T. B. (1978). Infants response to entrapment between contradictory messages in face-to-face interaction. Journal of the American Academy of Child and Adolescent Psychiatry, 17, 1–13) has been used for many different purposes in over 80 empirical studies. In the current paper, the nature and correlates of infant behavior in the SFP were examined in a systematic narrative review and a series of meta-analyses. The results of the meta-analyses confirmed the classic still-face effect of reduced positive affect and gaze, and increased negative affect, as well as a partial carry-over effect into the reunion episode consisting of lower positive and higher negative affect compared to baseline. The still-face effect is very robust as it was found regardless of most sample variations such as infant gender and risk status, and regardless of most procedural variations, such as the length of the SFP episodes and the use of intervals between episodes. The few moderator effects that were found in the meta-analyses tended to put findings from the narrative review in a new perspective. Additional meta-analyses confirmed the narrative review in finding that higher maternal sensitivity predicted more infant positive affect during the still-face. Infants’ higher positive affect and lower negative affect during the still-face were predictive of secure attachment at age 1 year. The meta-analytic results for maternal depression were equivocal. Implications for future research include a need for studies testing the role of the adults’ identity (parent versus stranger, mother versus father) to elucidate the relationship-specificity of the still-face effect. Also, the role of maternal sensitivity and temperament as potential moderators of the still-face effect need to be examined further. On a procedural level, the effects of the timing of the still-face and of the duration of the reunion on infant responses deserve future research attention.     

食管癌研究的历史回顾和哲学思考

食管癌研究可分为病因学、发病机制和防治三个部分,涵盖了流行病学、生物化学、病理学、肿瘤学、分子生物学等多个学科。尽管两千多年前,我国学者以开始记载和描述食管癌,但直到近代特别是现代科学技术的进步才对食管癌有了系统的认识。回顾食管癌的研究史,不难看出,正确的研究方法和科学思路在揭示食管癌发病机制和控制食管癌发病率和死亡率中起关键的作用。辨证地剖析机体内部和外界环境之间的关系,人群研究和实验室研究,个体化局部治疗和全身综合治疗,基础和临床研究,传统方法和现代高科技的有机结合,国内外合作研究与小范围研究,研究者与食管癌患者之间的关系等方面的关系,是指导食管癌 研究的重要环节。     

The Siblings of Individuals with Mental Retardation: A Quantitative Integration of the Literature

The sibling relationship has recently become the focus of much research in developmental psychology. The family system perspective implies the presence of a sibling with mental retardation will impact on the psychological development and functioning of their typically developing siblings. Past reviews of the literature have found this impact to be negative but there is the suggestion of positive consequences to having a sibling with mental retardation. The present meta-analysis sought to quantitatively integrate 25 studies and 79 effect sizes from the literature on the siblings of individuals with mental retardation. A small negative effect for having a sibling with mental retardation was discovered that could not be attributed to a publication bias or some other artifact. This negative effect was greatest for direct observation measures, measures of psychological functioning, especially depression, and for children. Limitations to this meta-analysis and directions for future research are discussed.     

Choices in Life: A Clinical Tool for Facilitating Midlife Review

A critical developmental task of midlife involves reviewing one's past as well as preparing for one's future. The ability to identify past choices, task responsibility for them, and utilize developing patterns in future decision making is seen as a critical component of continued adult development. The Choicemap offers a structured clinical tool to guide such a midlife review. Engaging in this process assists adults in developing choicemaking skills, and provides a powerful clinical intervention.     

The Social Contextual Approach and Rural Adolescent Substance Use: Implications for Prevention in Rural Settings

Adolescents in rural areas use substances at rates comparable to urban adolescents; understanding causes of rural adolescent substance use is critical if prevention efforts are to succeed. The present review has three primary goals: (1) to define rural, (2) to evaluate the empirical evidence regarding correlates and causes of rural adolescent substance use from a social contextual framework (L. V. Scaramella, R. D. Conger, R. Spoth, & R. L. Simons, in press), and (3) to discuss the malleability of theoretically based risk or protective factors in rural settings. The review concludes with a discussion of the difficulties and challenges of implementing prevention programs in rural areas.     

Forgiveness: Who Does It and How Do They Do It?

Forgiveness is a suite of prosocial motivational changes that occurs after a person has incurred a transgression. People who are inclined to forgive their transgressors tend to be more agreeable, more emotionally stable, and, some research suggests, more spiritually or religiously inclined than people who do not tend to forgive their transgressors. Several psychological processes appear to foster or inhibit forgiveness. These processes include empathy for the transgressor, generous attributions and appraisals regarding the transgression and transgressor, and rumination about the transgression. Interpreting these findings in light of modern trait theory would help to create a more unified understanding of how personality might influence forgiveness.     

Sexual assault on college campuses: Is an ounce of prevention enough?

This article provides a construct-by-construct review of the effectiveness of sexual asault prevention programs in modifying sexual assault-related attitudes, cognitions, emotions, and behaviors. This article also discusses variables that may moderate program effectiveness, variables that may mediate program effectiveness, methodological issues, programs for special populations, and iatrogenic effects. In general, sexual assault prevention programs have been shown to be effective in producing short-term reductions in rape-supportive attitudes. There is insufficient evidence, however, to conclude that such programs are effective in reducing the incidence of sexual assault.     

儿童阅读与心理理论间的关系

阅读与心理理论(theory of mind, ToM)在儿童发展过程中都发挥着重要的作用,梳理文献发现两者可能存在双向促进作用。儿童通过与家长或老师的共享阅读,启动联合注意,使用心理状态术语进行对话,进一步根据社会想象力,模拟社会互动,从而促进儿童心理理论发展。另一方面,在阅读过程中,心理理论能够助力儿童从宏观的阅读观的建立、元认知阅读策略的使用、故事情境模型的构建,到微观具体的短语、句子、语篇和多文本的理解等能力的提高,这些证据揭示了心理理论可以从多方面促进儿童阅读能力的发展。进一步的神经生理证据发现,阅读和心理理论这两个过程的神经活动是有一定重叠的。由此推测,两者可能具备潜在的双向促进关系。未来需要更深入和长期的纵向追踪研究为两者的关系提供丰富的实证证据。此外,还应进行更多中国的低龄儿童的研究。随着科技的发展和线上课程的盛行,也应更多关注多媒体内容阅读对儿童心理理论的影响。