Videoconference to supervise early intensive behavioral intervention: A preliminary evaluation of acceptability

At present, early intensive behavioral intervention (EIBI) for children with autism spectrum disorders is the intervention that has the strongest empirical support. EIBI requires frequent supervision by qualified professionals. Norway, like many other countries, has a shortage of qualified supervisors, particularly in rural regions. This study used a reversal design to investigate how supervisors and supervisees perceive the quality of EIBI supervision and the local team's preparedness when supervision was provided either on-site or via videoconference. Calculations were made on how much time could be saved on travel when part of the supervision was provided via videoconference. There were no significant differences in the supervisors' and supervisees' ratings of on-site and videoconference supervision. Moreover, the supervisors found the local EIBI teams to be better prepared when supervision was provided via videoconference, and the videoconference supervision meetings were shorter. The study discusses the implications of these findings for the accessibility of EIBI and case capacity and proposes some areas for further research.     

Un éclairage de la transition de retraite par l’analyse interprétative phénoménologique (IPA)

IntroductionInterpretative phenomenological analysis (IPA) is a method of qualitative discourse analysis that aims to understand lived experience and the meaning that individuals attribute to it.ObjectivesAfter describing its theoretical foundations and its methodology, this paper applies this method on a research on the experience of retirement transition which collected 28 interviews. It thus aims to show the interest of this method in understanding the psychological and reflexive processes inherent in periods of life marked by transformations.MethodCentred on the way in which people imagine their own transformation of identity at retirement age and on the meaning they give to it, the analysis takes into account the adjustments made to daily life, to the relationship with time, and to social relations. This analysis is based on the detailed study of a case, and then compared to five other cases.ResultsThe need to make a break, manifested by the extent and form of the transformations given on a daily basis, varies according to the subjects, meaning being attributed not only to the break but also to continuity. A temporal experience marked by a present to be reconfigured and interpersonal relationships deemed meaningful, is, on the other hand, very shared.ConclusionBy bringing to light the psychological and reflexive processes of the experience of retirement, this study carried out with reference to the IPA can contribute to nourishing the practices of support for retirement, which are tending to develop.     

Valorisation de la recherche en santé humaine et protection des données à l’ère du numérique

Medical research collects a huge number of medical data sheltered in Data Centers. An European regulation rule (GDRP) or General Data Protection Regulation aims to give an ethic frame to protect personal data and delegate responsability to citizens.     

Responsabilité médicale et angioplastie coronaire : à propos de deux affaires judiciaires

Coronary angioplasty is a constantly evolving discipline whose high technical standards suggest that it is at high risk of accidents and legal claims. In this work, we discussed two judicial cases in which the responsibility of the interventional cardiologist was involved. Coronary angioplasty was the discussed therapeutic act in both cases, resulting in the death of the patients due to inter-procedural complications. Through our analysis, we have observed that in matters of medical liability, court experts will first verify that the doctor has fulfilled his means of obligation. When an interventional cardiology procedure is prescribed, they will rule on the validity of the indication, the conditions under which it was performed, and finally the management of the complication. The majority of coronary angioplasty accidents are therefore considered by the experts as medical hazards. On the other hand, the management of complications is much more often the subject of criticism.     

The Social Correlates to Callous-Unemotional Traits in a Sample of High School Students

Callous-Unemotional (CU) traits are strongly related to early-onset and severe levels of conduct problems. However, much less research has focused on their association with potential problems in adolescents’ social relationships. Further, it is important to determine if CU traits explain variance in important social variables, independent of conduct problems or general personality dimensions related to sociability, like agreeableness. In the current study, we examined the association of CU traits with a range of social variables in a community sample of Italian adolescents (N = 563; 460 girls; mean age = 15.80, SD = 1.50). Measures for the social variables included assessment of peer rejection, adolescents’ prosocial behaviors, satisfaction in peer relationships, and feelings of connection with school and classmates. We also obtained self-report ratings of CU traits, conduct problems (CP) and agreeableness. Analyses showed that CU traits were significantly associated with all the social variables. After controlling for CP and agreeableness, CU traits were still positively associated with ratings of peer rejection and negatively associated with prosocial behavior and satisfaction in relationships with peers. However, the negative associations with feelings of connection to school and peers were no longer significant. These findings provide further support for the clinical usefulness of CU traits and further evidence for potential targets of intervention, particularly focused on the adolescent’s relational skills.     

The significance of blushing for fair- and dark-skinned people

Since blushing is difficult to detect in people with dark skin, their experience of blushing may differ fundamentally from people with fair skin. To investigate this issue, cheek temperature and forehead blood flow were measured in 16 Caucasians and 16 Indians during mental arithmetic and singing. Caucasians (particularly females) thought that they blushed more intensely than Indians, and also reported greater self-consciousness when singing. Vascular responses did not differ between groups. However, skin tone moderated the association between vascular responses and ratings of self-consciousness, blushing intensity, blushing propensity and fear of negative evaluation. These findings support the notion that the visibility of blushing influences the nature of emotions experienced in embarrassing social encounters.     

Evaluating depression severity and remission with a modified Beck Depression Inventory

In an attempt to improve assessment of recovery from depression, a modified Beck Depression Inventory (mBDI) was created that permits endorsement of positive feelings in addition to depressive symptoms. In both normal and clinical samples, the mBDI showed evidence of reliability for measuring varying degrees of depression. In comparison to the original BDI, the mBDI did not significantly improve differentiation in depression severity among depressed individuals and assessment of remission of depressive symptoms. However, the mBDI was significantly better than the original BDI in detecting differences in depression level when overall depression severity was low. Clinical implications for evaluating remission of depression are discussed.     

To Use or Not to Use: The Prenatal Genetic Technology/Worry Conundrum

We conducted an exploratory, qualitative study investigating the factors influencing the use of genetic counseling and prenatal genetic testing for two groups: pregnant women 35 years of age and over (AMA) at the time of delivery and pregnant women with an abnormal maternal serum triple screen (MSAFP3). The convenience sample consisted of 25 semistructured interviews of women/couples and 50 observations of genetic counseling sessions. Worry turned out to be the most important variable influencing decision making about prenatal genetic testing and was greater in the MSAFP3 group than in the AMA group. The women in the AMA group appeared to assign the risk of having a child with Down syndrome to their age category rather than to themselves individually, whereas, the risk perception for women with an abnormal MSAFP3 appeared to have shifted from a general population risk for pregnant women to an individual, personal risk. There was a general lack of understanding and also more misinformation about the MSAFP3 screen compared to amniocentesis. Women in both groups were torn between fear of an invasive test and worry about the health of their fetus for the rest of their pregnancy if they did not undergo amniocentesis.     

The study of early emotion processing in the frontal area using a two-dipole source model

The present study explored early emotion processing in the frontal area using the two-dipole source model. The 21-channel recordings of event-related potentials (ERPs) produced by a pure tone were analyzed in order to assess information processing. In the test conditions, the pure tone followed the presentation of one of two unpleasant sounds to enhance anxiety. In the control condition, only the pure tone was presented. There were two groups of eight subjects, one with low scores for trait anxiety and one with high scores. The ERPs were separately averaged for the groups, as well as for the high- and low-anxiety sound and control session. A negative peak around 120 ms (C2) and a positive peak around 280 ms (C5) after stimulus onset were identified in all the sessions. The two-dipole source model was applied to these two components. In the C2 component, dipole sources were located in the left frontal area in the control sessions, and in the right frontal area in the high-anxiety sessions. This activation pattern was clearer in the group with low trait anxiety. In contrast, with the C5 component, lateralization of the dipole source in the frontal area was not seen. These findings suggest that the frontal area is involved in early emotion processing. A dual-stage model of emotion processing is therefore proposed.