Le médecin expert confronté aux confidences de la personne expertisée

During an expertise, if the expert “discovers” or is entrusted with information concerning an offence, should he report it to the authorities? Could the expert be sanctioned in the absence of denunciation of a tort or criminal act? The answer will be nuanced on a case-by-case basis. The expert confronted with the revelation of a crime or misdemeanor must decide in good conscience what he reveals in his report, or even report it to the prosecution.     

How Experts Adapt Their Gaze Behavior When Modeling a Task to Novices

Domain experts regularly teach novice students how to perform a task. This often requires them to adjust their behavior to the less knowledgeable audience and, hence, to behave in a more didactic manner. Eye movement modeling examples (EMMEs) are a contemporary educational tool for displaying experts’ (natural or didactic) problem-solving behavior as well as their eye movements to learners. While research on expert-novice communication mainly focused on experts’ changes in explicit, verbal communication behavior, it is as yet unclear whether and how exactly experts adjust their nonverbal behavior. This study first investigated whether and how experts change their eye movements and mouse clicks (that are displayed in EMMEs) when they perform a task naturally versus teach a task didactically. Programming experts and novices initially debugged short computer codes in a natural manner. We first characterized experts’ natural problem-solving behavior by contrasting it with that of novices. Then, we explored the changes in experts’ behavior when being subsequently instructed to model their task solution didactically. Experts became more similar to novices on measures associated with experts’ automatized processes (i.e., shorter fixation durations, fewer transitions between code and output per click on the run button when behaving didactically). This adaptation might make it easier for novices to follow or imitate the expert behavior. In contrast, experts became less similar to novices for measures associated with more strategic behavior (i.e., code reading linearity, clicks on run button) when behaving didactically.     

The Stammering Information Programme: a Delphi study

Purpose

To find out what information children, parents and education staff feel would be important to know to support a child who stutters in the educational environment, in order to develop appropriate resources.

Method

A Delphi study was carried out to seek the opinions of experts about the information to include. A structured six stage process was completed in order to gain consensus within four expert panels: children who stutter (CWS) aged 7-11 (n = 25); young people who stutter aged 12-18 (n = 27); parents of children and young people who stutter aged 2-18 (n = 67); and members of the education workforce (n = 35).

Results

In response to the questions, 538 statements were generated across the four expert panels, categorised and reduced to 276. Of the 154 rating questionnaires sent out, 99 were returned (64.2% response rate). The top 32 statements, which were those most highly rated and with the greatest consensus, were retained to inform the resources.

Conclusions

This study demonstrates the value of including service users when devising materials aimed for the benefit of CWS. The methodology employed ensured that ideas, perceptions and needs were representative of a range of people who experience stuttering from different perspectives. The results indicated that each expert panel had different priorities of what should be included. The resulting resources may therefore be considered to have high content validity and would be predicted to meet the needs of those who require them.Educational Objectives: The reader will be able to (1) define the Delphi Approach (2) discuss the development of a user led resource for raising awareness about stuttering.     

The fallibility of memory in judicial processes: Lessons from the past and their modern consequences

The capability of adult and child witnesses to accurately recollect events from the past and provide reliable testimony has been hotly debated for more than 100 years. Prominent legal cases of the 1980s and 1990s sparked lengthy debates and important research questions surrounding the fallibility and general reliability of memory. But what lessons have we learned, some 35 years later, about the role of memory in the judicial system? In this review, we focus on what we now know about the consequences of the fallibility of memory for legal proceedings. We present a brief historical overview of false memories that focuses on three critical forensic areas that changed memory research: children as eyewitnesses, historic sexual abuse and eyewitness (mis)identification. We revisit some of the prominent trials of the 1980s and 1990s to not only consider the role false memories have played in judicial decisions, but also to see how this has helped us understand memory today. Finally, we consider the way in which the research on memory (true and false) has been successfully integrated into some courtroom procedures.     

Destructiveness, atrocities and healing: epistemological and clinical reflections

In this paper, destructiveness is approached as a multi-dimensional phenomenon where the mental health perspective addresses only one of these dimensions. An attempt is made to locate this phenomenon in the context of epistemological and societal considerations. Critical of mono-dimensional explanations based on causal-reductive epistemology, the paper instead proposes the idea of an 'ecology of destructiveness', according to which mental health professionals cannot possibly continue to assume the role of detached observers. The ordinariness and archetypal fascination of destructiveness are discussed as preventing the psychologizing and pathologizing of it. In addition, it is suggested that 'destructiveness may be a tragic facet of the human condition', without this implying any justification of it. Based on my work with a group of Bosnian ex-camp prisoners, some basic principles of how one can work with survivors of atrocities are derived and discussed. A central feature of this work is the attempt to create an appropriate therapeutic context within which a 'therapeutic presence' and 'therapeutic witnessing' can be developed. Finally, the relevance of Jungian insights to this kind of work is reviewed and the emergence of new types of defences of the self is identified.     

Cognitive mediation of putting: Use of a think-aloud measure and implications for studies of golf-putting in the laboratory

ObjectivesWhereas accounts of skilled performance based on automaticity (Beilock & Carr, 2001; Fitts & Posner, 1967) emphasize reduced cognitive involvement in advanced skill, other accounts propose that skilled performance relies on increased cognitive control (Ericsson & Kintsch, 1995). The objective of this study was to test predictions differentiating the automaticity and cognitive control accounts by assessing thinking during golf putting.DesignThe cognitive processes of less-skilled and more-skilled golfers were examined during putting using concurrent, think-aloud verbal reports. The design included putting conditions that differed in complexity and thus the need to adapt the putt to the particular conditions.MethodPutting complexity was manipulated via changes to putt length and perceived stress during putting. Putts were executed from two starting locations (i.e., the same starting location as the previous putt or a new starting location).ResultsThe analysis showed that, during putting: more thoughts were verbalized overall by more-skilled golfers than less-skilled golfers; both groups verbalized more thoughts overall during higher-complexity putts (i.e., longer distance putts, and putts under higher stress when executed from a new starting location) than lower-complexity putts; and the two groups did not differ significantly in the number of thoughts related to motor mechanics.ConclusionsThe results of this study provide support for a cognitive control account of skilled performance and suggest that the path to skilled performance involves the acquisition of more refined higher-level cognitive representations mediating planning and analysis.     

我国人体器官移植的社会支持系统研究

供体来源不足严重制约了我国器官移植事业的发展。有鉴于此,建立一个非技术的人体器官移植的社会支持系统对促进我国器官移植事业的发展将具有重要意义。通过对该系统各组成部分如法律法规系统、组织管理系统、宣传教育系统、补偿系统的研究,旨在对我国器官移植事业的发展有所裨益。     

Validation de contenu de la version francophone du questionnaire Impact of Event Scale-Revised selon les critères du DSM-5

This study presented the results of a content validity conducted on the French version of the Impact of Event Scale-Revised (IES-R). A panel of three judges proceeded to the evaluation of the items of the IES-R taking into account that it would be completed by an elderly population. The panel evaluated each item's clarity and theoretical pertinence and classified them according to the diagnostic symptoms of the post-traumatic stress disorder (PTSD) of the DSM-5. Results showed that items of the IES-R are quite clear and pertinent theoretically speaking. Regarding the classification of the items describing the criteria for the diagnostic of PTSD, the experts concluded that many items were confusing. Improvement recommendations are presented.     

Embodiment of motor skills when observing expert and novice athletes

If people are shown a dynamic movie of an action such as kicking a soccer ball or hitting a tennis ball, they will respond to it faster if it requires the same effector. This standard congruency effect was reported to reverse when participants viewed static images of famous athletes not actually performing an action. It was suggested that the congruent response was inhibited because of a social contrast effect, based on an implied action, whereby responders viewed themselves as comparatively worse than the professional athlete. The present study recorded hand and foot responses when identifying static images of both famous and novice athletes in soccer and tennis. The action was either explicit or implied. In Experiment 1, a standard congruency effect was found for all images. In Experiment 2, when a response was based on the identity of the athlete rather than their expertise, the standard congruency effect was enhanced for images of novice athletes, but was eliminated for experts, suggesting a social contrast effect. Our study is the first to show that embodiment effects can be seen for implied and explicit action images of both novices and experts, and that static images are capable of eliciting priming effects associated with sport-relevant effector pairings.