L’indépendance du médecin à nouveau proclamée

In the must-known “Vincent Lambert case”, many jurisdictions have had to adjudicate on what was submitted to them. The latest decision from Châlons-en-Champagne's administrative court almost went unnoticed. However, the judgment turns out to be truly significant. It reminds that the principles of medical doctor's independence and freedom of action are simply fundamentals and unavoidable. The patient management practitioner shall not be regarded as a mere executor of an earlier decision taken by a medical colleague.     

Dental pain related to quality of life and mental health in South Korean adults

High levels of stress, anxiety and depression have been reported in patients with orofacial pain. Dental pain has the potential to reduce quality of life (QOL), and pain relief is important aspect of QOL. The purpose of this study was to assess the relationships of dental pain with QOL and mental health using a nationally representative, population-based study. This study analyzed data from the 2012 Korea National Health and Nutrition Examination Survey (N = 5469). Oral health status was assessed using the oral health questionnaire, and oral examination was performed by trained dentists. Health-related QOL (HRQOL) was evaluated using EQ-5D and EQ-VAS, and mental health was evaluated by questionnaires. Logistic regression was applied to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CI). Among 5469 adults, 1992 (36.42%) presented self-reported dental pain. Participants with anxiety/depression or pain/discomfort, and participants with stress, melancholy, suicidal thought or depression showed significantly higher prevalence of dental pain. After adjusting for covariates, five aspects of QOL and five aspects of mental health were related with dental pain. The AORs (95% CI) for dental pain were 1.39 (1.06–1.81) for mobility, 1.77 (1.19–2.63) for self-care, 1.38 (1.02–1.85) for usual activities, 1.73 (1.43–2.09) for pain/discomfort and 1.50 (1.13–1.98) for anxiety/depression. For mental health status factors, the AORs (95% CI) for dental pain were 1.29 (1.11–1.51) for stress, 1.37 (1.09–1.74) for melancholy, 1.26 (1.01–1.58) for suicidal thoughts, 1.43 (.93–2.19) for consultation to psychiatrist and 1.53 (1.07–2.19) for depression. This study showed that dental pain has an association with lower HRQOL and worse mental health status in South Korean adults.     

The experience of meditation for people with amyotrophic lateral sclerosis and their caregivers – a qualitative analysis

There is a lack of studies about psychological interventions for people with amyotrophic lateral sclerosis (ALS) and their caregivers. We investigated the experience of a meditation training program tailored for ALS needs. People with ALS (pALS) and their caregivers that joined a meditation program for ALS were interviewed at the end of the program. Verbatims were analyzed with a qualitative approach. Both pALS and their caregivers reported a positive impact on their psychological well-being, promoted by an increase in acceptance and non-judgmental attitude. Furthermore, coping strategies seem to improve, with a positive effect on resilience skills. The ALS meditation training program seems to be an effective psychological intervention for the promotion of well-being in pALS and their caregivers.     

Physical activity and psychosomatic-related health problems as correlates of quality of life among university students

This study aimed to investigate the role of psychosomatic problems in the relationship between physical activity and healthrelated quality of life. Participants were a convenience sample of 703 students from a South African university (males = 38.8%, females = 61.2%, mean age = 19.6 years, SD = 1.26 years). The students completed measures of physical activity, psychosomatic-related health problems and quality of life-related. The hypothesised model was tested using structural equation modelling (SEM). The empirical findings revealed that psychosomatic problems mediated the relationship between physical activity and quality of life. In fact, the mediation analyses showed a partial effect of physical activity on quality of life in that those students with less self-reported activity experienced several psychosomatic-related health problems.     

Timelines for difficult times: use of visual timelines in interviewing suicide attempters

The stories of people who attempt suicide are insufficiently reflected in suicide research in psychology. This article outlines a method using a visual timeline during the interviews to explore the narratives of suicide attempts. The method was successfully employed in two studies to collect data on the suicidal process from people with prior experience of suicide attempts. The advantages of the method in collecting comprehensive data, building rapport, and fostering participants’ insight are outlined. Strategies that were used to ensure safety of participants are described in addition to the requirements for interviewers seeking to apply this method.     

Is Philosophy All About the Meaning of Life?

This article defends a conception of philosophy popular outside the discipline but unpopular within it: that philosophy is unified by a concern with the meaning of life. First, it argues against exceptionalist theses according to which philosophy is unique among academic disciplines in not being united by a distinctive subject matter. It then presents a positive account, showing that the issue of the meaning of life is uniquely able to reveal unity between the practical and theoretical concerns of philosophy, while meeting a range of desiderata for a typical specification of subject matter. After showing how recent analytic work on “the meaning of life” has conflated the traditional question with issues of social meaningfulness, it offers an explanation of why the traditional question has become marginalised in philosophy. The reasons are not good, however, so it concludes that philosophy should embrace its popular image.     

Cognitive exercise through body movement: Using a fun and short neuropsychological tool to adapt physical activity and enhance pleasure in individuals suffering from mental illnesses

Mental illness is associated to both metabolic and cognitive deficits. The idea here is to use adapted physical activity (APA) to help both aspects of pathology within a personal-targeted cognitive intervention program in order to enhance self-efficacy and intrinsic motivation. Using a multi-experience neuropsychological tool set (comprising touch pad exercises, wood puzzles and one-on-one semi-structured interviews), the different domains of action, timing, executive functions and social cognition were evaluated in a short 30-minute session. These computerized neuropsychological data were then used to adapt the difficulty of the proposed physical activity. Results obtained in a small group of ten patients revealed that the battery was well accepted. Both quantitative and qualitative results were collected and suggested that after 4 sessions of 2 h activity, the scores were improved for motor planning, motivation and the subjective report of quality of life. These preliminary data are important as they show that new technology can now be used to adapt automatically physical activities to the motor, cognitive and emotional capacities of the targeted individuals. Touch pads may also afford an innovating way to evaluate efficiently cognitive abilities while preserving the pleasure of the moment.     

Effectiveness of cognitive behavioral therapy on health‐related quality of life: An evaluation of therapies provided by trainee therapists

The present study was carried out to examine the treatment effect of cognitive behavioral therapy provided by trainee therapists at a university clinic, focusing on health‐related quality of life (HRQOL) optimism and symptoms. The study was conducted through a repeated measures design and included a treatment group (n = 21), which received cognitive behavioral therapy for an average of 10.7 therapy sessions and a control group (n = 14), that was put on a wait list for 8.6 weeks on average. After treatment, the treatment group improved significantly concerning general health (p = 0.028) and optimism (p = 0.027). In addition, clients improved in several areas within mental health and displayed some reduction in anxiety symptoms. Concurrently, the results also indicated some improvement within the control group, which may have been caused by the initial therapeutic contact, expectancy effects or spontaneous remission. The study concluded that cognitive behavioral therapy provided by trainee therapists may have a positive effect on areas within HRQOL and optimism.     

Embodied Paths in Aging: Body Journeys Towards Enhanced Agency and Self-Attunement

Informed by the Developmental Theory of Embodiment, the article describes the embodied journeys of 31 women, ages 50 to 70 years, who participated in 52 life-history interviews, and delineates the implications of the theory and the research program to the practice of feminist therapy with women in older adulthood. In the domain of Physical Freedom, a core construct of the theory, the research suggests that women at these ages often seek to re-capture experiences of joyful immersion and competence in physical action as well as of moving freely and taking space in the physical territory; safety where it has been violated; and attuned comfort and agency with physical desire. In the domain of Mental Freedom, another core construct of the theory, the research suggests that women in later adulthood aim to challenge long-held constraining ‘feminine’ molds, such as inhabiting the body as an object to be gazed at and as a deficient site, caring for others at the expense of oneself, or acting demure and submissive. Older adulthood seems to be a productive phase for transformations in the way women engage with the world.     

Religious belief and its association with life satisfaction of adolescents in Hong Kong

The present study seeks to understand the association of adolescents’ religious belief with life satisfaction in Hong Kong. Data of 5,812 adolescents’ key demographic information and life satisfaction were gathered through stratified sampling in order to reflect four distinctive adolescent groups in Hong Kong: Hong Kong Mainstream Chinese Students (HKMCS), Non-Chinese Speaking South and south-east Asian Students (NCS), Chinese Immigrant Students (CIS) and Cross-Boundary Students (CBS) from Mainland China. The Multidimensional Students’ Life Satisfaction Scale (MSLSS) was used to explore life satisfaction of the four student groups. Results indicate that there were significantly different levels of life satisfaction across the four groups. Key demographic variables were significantly but dissimilarly associated with different groups of students’ life satisfaction. Religious belief was substantially important for the life satisfaction of NCS in particular. Implications for research, policy and practice are discussed.