Peut-on réverser avant thrombolyse ? Que ferait le juge face à un infarctus cérébral ?

In an unpacified and somehow violent world, the judge is more and more advised to handle technical and often urgent cases. Committed to judge, the magistrate fulfilled its own mission disregarding the tempo of the uncommon life-threatening emergency. Considering the acute stroke for being one of the most important complications of atrial fibrillation shows how frail and uneasy is for the judge to build its decisions over a large amount of laws. In the case of an anticoagulated patient suffering an ischemic stroke, the practitioner is able to embrace a wide bunch of treatments leading to myriads of effects and modulating the medical responsibility. Adding up deontological aspects, ethics, scientific data (techniques and technology) to summarize medical engagement which stands just aside new patients’ rights leads to consider further the particular functional link between the patient, his disease, his physician and their judge.     

How do children deal with socio-moral conflicts? Self-conscious emotions and conflict resolution in the narratives of institutionalized and noninstitutionalized children

Introduction

Self-conscious emotions play an important role in children's psychosocial functioning.

Sunk cost of local elected representatives in situation of fiscal competition: An example of escalating commitment

Introduction

Competition between French local communities to build infrastructures to attract enterprises and residents could sometimes result in irrational public spending.

Médicaments princeps vs. marché concurrentiel. De la motivation obligatoire,au contrôle des motifs médicaux ?

Physicians are free to prescribe the drugs they consider the best for their patients, and simultaneously required to seek healthcare’ cost-effectiveness — especially after patents expiry. While the physician choice of a given molecule is indisputable, French pharmacists gradually gained a large power to choose the brands on chemicals’ and biologics’ competitive markets. In May 2018, the highest judicial Court decided the physician must expressly motivate his exclusive choice of a given brand, and can not simply refuse the brand’ substitution by pharmacists. This unprecedented requirement is extrapolable to all substitutable drugs in France (registered generics and biosimilars). It raises the possible examination of medical choice motives — but in our opinion, it finishes, rather than it opens the arms race between prescribers and mandatory health insurers in France.     

L’élargissement de l’assistance médicale à la procréation (AMP)

The opening of medically assisted procreation (MPA) for single women and couples of women, that is, apart from medical indications of infertility, raises the main question of the eradication of the father and of the paternal branch of the child's descent, which is difficult to reconcile with respect for the rights of the child, who has the right to know and be cared for his parents, as far as possible (International Convention on Human Rights of the child, Article 7 – 1). Moreover, the MPA claim for women appears to be an opportunity to lift the therapeutic lock to generalize access to artificial procreation, including fertile male/female couples, the most numerous being the target the most lucrative in the procreation market contained to date by the therapeutic objective assigned by the law to the MPA.     

Psychologie en première et en troisième personne : de la « psychologie concrète » à la psychologie clinique

This article presents some basic concepts proposed by G. Politzer, articulated around the concept of “tragic life”, in the literary sense of the composition of a complex of events, actions and people, unity and meaning can only be realized in “first person”. In this context, defining the perimeter of legitimacy of clinical psychology, a “fact” specifically psychological necessarily corresponds to an act which takes existence and feel like segment of a human drama, as an effective act of the singular individual. Critics resulting analyzes relate to the abstract and formal perspective of scientific psychology, which considers classes of facts rather than facts, designing them as entities in themselves, the external I they are demonstrations. The explanatory model which necessarily carries out field of concrete psychology since its causalists schemes have lost sight of the act “first person”. And psychologists would not have noticed that “I remove the psychological facts is destroying them.” (G. Politzer). The person, in his psychic dimension, can only be understood from the person, which makes it possible to specify the field of clinical psychology, and more generally, of any clinical approach.