La responsabilité pénale du psychiatre du fait de son patient

If the criminal liability remains personal, recent case law has tended to broaden the hypotheses for the doctor's criminal liability in the case of unintentional offenses. The question particularly concerns the psychiatrist, because of acts committed by his patient, on the basis of articles 221-6 or 222-19 of the French penal code. However, judicial assessment of the fault and its causal link with the damage does not impose on the psychiatrist an obligation of result, insofar as only serious professional misconduct, manifestly not in accordance with the rules of medical art, are sanctioned.     

L’affaire Lambert et la Convention internationale relative aux droits des personnes handicapées (CIDPH)

While the Conseil d’État once again confirmed the legality of the medical decision to stop treatment of Vincent Lambert, the Cour de Cassation held that the French State is not required to suspend the execution of the said decision pending the opinion of the Committee on the Rights of Persons with Disabilities, a United Nations’ body. Nevertheless, the High jurisdiction does not directly pronounce itself on the question of the binding force of the provisions of the Convention on the Rights of Persons with Disabilities and its additional protocol, nor on the scope of these texts.     

The effects of secondary tasks that involve listening and speaking on young adult drivers with traits associated with autism spectrum disorders: A pilot study with driving simulation

A driver’s license is key to independence for many young adults, including those with autism spectrum disorders (ASDs). However, individuals with ASDs may face special challenges when learning to drive. If effective driver training is to be devised for this demographic, it is important to determine the nature of these challenges. Driving inherently requires multitasking (e.g. steering, speed maintenance, navigation, hazard detection) and drivers are routinely obligated to combine driving with the demands of listening and responding to others, as occurs during driving lessons. Given that individuals who display traits associated with ASDs may have special difficulties with secondary tasks and especially those that involve socialization, we examined the effects of secondary tasks that involve listening and responding to questions while driving. We compared performance when simply driving (the control condition), driving while listening (the audiobook condition), and driving while listening and speaking (the prompt: answer condition). The autism spectrum quotient (AQ:Baron-Cohen, Wheelwright, Skinner, Martin, & Clubley, 2001), a commonly used self-report questionnaire intended to measure traits associated with ASDs in research, was used to identify young drivers with more and fewer traits related to ASDs in a community sample, (None had a clinical diagnosis of ASD.) Consistent with studies of drivers clinically diagnosed with ASDs, we found that high AQ scorers reported greater mental and physical demand, effort, and frustration when driving, and showed more moment-to-moment variability in lane position and hazard reaction compared to low AQ scorers as measured in a driving simulator. Differences between the low and high scorers were typically largest when secondary tasks were imposed, but the predicted interaction between drive condition and AQ group only emerged in terms of steering variability.     

Human factors evaluation of an in-vehicle active traffic and demand management (ATDM) system

This research study focused on the evaluation of an emulated in-vehicle Active Traffic and Demand Management (ATDM) system on Interstate 66 in Northern Virginia. Traditional ATDM systems rely on infrastructure-mounted variable message signs (VMS) to provide information (speed limits, lane availability, etc.) to the traveling public. By providing information about dynamic roadway conditions on an in-vehicle device, the ATDM may improve driving safety and performance by allowing drivers to remain consistently aware of forthcoming traffic conditions and roadway requirements; even when external signage is inaccessible. This study represents an initial investigation of an emulated in-vehicle ATDM to provide developers with design guidance and ensure that unintended consequences, such as distraction, do not undermine the potential benefits.Twenty younger and 20 older participants, accompanied by a member of the research team, experienced the following ATDM features on an in-vehicle device (IVD) mounted to the dashboard: (1) dynamic speed limits, (2) dynamic lane use/shoulder control, (3) High Occupancy Vehicle (HOV) restrictions, and (4) roadway information from variable message signs. The IVD was equipped with auditory and visual alerts notifying the driver when relevant visual information was updated. Research questions addressed distraction and driver behavior associated with use of the system. Qualitative and quantitative participant data was acquired from the instrumented vehicle, various questionnaires, and researcher observation.Several key findings were uncovered: (1) The IVD, as tested, did not warrant classification as a source of distraction according to the NHTSA guidelines; v2) There was a significant difference in eye-glance durations to the IVD when comparing the VMS alerts to both the speed limit and lane management alerts; and (3) The speed limit alert motivated participants to alter their speed (per survey results and participant speed data).     

The effect of the emotional state on driving performance in a simulated car-following task

Emotion is an important factor that influences driving behavior, but the mechanism is unclear. This research explored the effect of the emotional state on simulated driving behavior. Thirty-five licensed drivers participated in this study and completed a car-following task. The angry, happy and neutral states were manipulated during the task. The participants’ driving performance and risk perception were recorded under each emotional state. Trait anger and driving experience were also measured to explore the possible mediating effect. The results showed that the drivers in an angry or happy emotional state tended to maintain less time to collision and take a longer time to brake while following a lead vehicle than the drivers under the neutral condition, suggesting that drivers in emotional states are more dangerous those in neutral states. Moreover, the happy state rendered the drivers more dangerous, which manifested as a lower perceived accident risk than that among the drivers in the angry and neutral states. More specifically, experienced drivers in happy states performed worse with respect to vehicle lateral position control. Recommendations and implications for safety education and further research are discussed.     

Investigating the effect of blood alcohol concentration on motorcyclist’s riding performance using an advanced motorcycle simulator

It is largely accepted that drink-driving significantly increases the likelihood that a driver may engage in risk-taking behavior and thus road crash. Although there have been a few studies examining the effect of blood alcohol concentration (BAC) on rider performance in developed countries, there has not been any research on the effect of BAC levels on motorcycle rider’s performance in developing countries. This study is attempted to evaluate the effect of low BAC levels (i.e., ≤0.05 g/dL or 0.05) on riding performance of motorcycle riders in Vietnam using an advanced motorcycle riding simulator. Thirty-four motorcycle riders aged 18–40 complete simulated rides on three BAC levels, namely 0.00, 0.02, and 0.05. Riding performance indicators are measured and compared at different BAC levels. These indicators include average speed, average lateral overtaking distance, brake reaction time, acceleration, deceleration, and frequency of lane change. At the level BAC = 0.02 or lower, the negative effects on the rider’s ability to control a motorcycle safely are statically insignificant. At the level BAC = 0.05, all the performances are impaired and the negative effects become statistically significant. In comparison of between novice participants and experienced participants at the same level of BAC, mean speed and acceleration rates of novice participants are significantly higher than the experienced participant. Based on the findings, the paper further discusses empirical relationships between reduced riding performances and road crash risk, and insights into drink-riding deterrence policy-making with regard to motorcycle riders.     

The impact of cognitive functioning on driving performance of older persons in comparison to younger age groups: A systematic review

Older drivers are at a severely higher risk for motor vehicle crash involvement. Due to the global aging of the population, this increased crash risk has a significant impact on society, as well as on an older individual’s quality of life. For this reason, there is a need for understanding how normal age-related changes in cognition and underlying brain dynamics impact driving performance to identify the functional and neurophysiological biomarkers that could be used to design strategies to preserve or improve safe driving behavior in older persons. This review provides an overview of the literature on age-related changes in cognitive functioning and brain dynamics that impact driving simulator performance of healthy persons. A systematic literature search spanning the last ten years was conducted, resulting in 22 eligible studies. Results indicated that various aspects of cognition, most importantly executive function, complex attention, and dual tasking, were associated with driving performance, irrespective of age. However, there was a distinct age-related decline in cognitive and driving performance. Older persons had a more variable, less consistent driving simulator performance, such as more variable speed adaptation or less consistent lane keeping behavior. Only a limited number of studies evaluated the underlying brain dynamics in driving performance. Therefore, future studies should focus on implementing neuroimaging techniques to further unravel the neural correlates of driving performance.     

Aging drivers and post delineated express lanes: Threading the needle at 70 miles per hour

Post-delineated express lanes represent a combination of driving complexities that are particularly difficult for older drivers to navigate. The narrow geometry and high speeds that are common to this treatment reflect a critical test for drivers whose depth perception, contrast sensitivity, and visual processing speed are reduced. The present study was designed to empirically examine the effects of age and color of express lane delineators on driver behavior. Three groups of participants (aged 18–39, 40–64, and 65 + years old) were required to complete a series of simulated driving scenarios consisting of combinations of single and dual lane configurations, with speed and lane position measured at the beginning and midpoint of each express lane. All drivers were pre-screened on various visual functioning abilities. Drivers in the 65 and older group show significant age-related declines in depth perception, contrast sensitivity, and phoria which were subsequently correlated with a wide range of driving measures including deceleration rate, brake time, jerk, speed, and lane position. Age related perceptual declines were statistically correlated with slower driving speed and wider lane deviations, including a statistically significant increase in the number of excursions beyond the typical 12-foot lane width. Based on these findings, the behavior of senior drivers was identified as a distinct design condition that should govern the design of high-speed, narrow geometric conditions. This age group requires wider lane widths, particularly at the beginning of single-lane post delimited sections, wider buffer areas around the post markers, and dual lane configurations wherever possible.     

Mild functional decline and driving performance of older drivers without a diagnosed dementia: Study of leukoaraiosis and cognitive function

Motor vehicle collisions involving older drivers have increased and become an important social issue. It is known that the decline of cognitive function, including dementia, affects driving performance. A series of studies using the Mini-Mental State Examination (MMSE) and other tests of dementia have attempted to prevent motor vehicle collisions by identifying as early as possible older drivers who may be unable to maintain their driving performance. Further, the performance of older drivers may deteriorate even if they do not have a diagnosis of dementia. Therefore we focused on the relationship between cognitive functioning assessed by the MMSE and diagnosis of leukoaraiosis (LA), or changes in the cerebral white matter, with different aspects of driving behavior resulting from aging. Qualified driving instructors evaluated participants’ driving behaviors on an outdoor driving course at a driving school. Visual search duration and angle at intersections were obtained by wearable wireless sensors. Vehicle speed and minimum vehicle speed were recorded from vehicle speed pulse signals. Duration of signaling and visual searches at unsignalized intersections were recorded using an in-vehicle camera. We assessed instructors’ evaluations and the scores on two instruments to evaluate the effects of MMSE scores and the grade of LA on driving performance were verified. The results suggest that lower MMSE scores and higher LA grade can predict some aspects of poor driving performance in older drivers before they experience dementia or an evident decline in cognitive functioning. Based on these results, we discuss countermeasures that may prevent motor vehicle collisions involving older drivers.     

Relations entre réflexivité d’équipe,mémoire transactive et efficacité interventionnelle perçue chez les policiers-opérateurs du RAID

The objective of this study is to examine the influence of explicit (team reflexivity) and implicit (transactive memory) coordination processes on the perceived interventional effectiveness of specialized elite units (RAID) of the French national police. We test the hypothesis that transactive memory is a mediating process in the relationship between team reflexivity and perceived effectiveness. One hundred and three police-officers representing the seven French police special units replied to a questionnaire. The results show that perceived effectiveness is positively related to task reflexivity and transactive memory. The relationship between task reflexivity and perceived effectiveness is mediated by the integrated component of transactive memory (bootSE = 0.05, 95% BCa CI [0.004, 0.19]). The theoretical and practical implications are discussed with regard to the development of debriefing methods and teamwork training for the development of shared mental models.