L’approche existentielle dans l’accompagnement de personnes au chômage en perte de repères : les processus de construction du sens de la vie et du travail (études de cas)

The guidance design for unemployed people in changing career must increasingly take into account their existential concerns about career meaning. The literature about life and work meaning has highlighted the multifactorial complexity of meaning definition and determinants of meaning. This fact does not facilitate their use in counselling design. Bernaud et al. (2020) “Guidance for life and work meaning” device takes into account this problem; it offers many thinking prospects that organize meaning questioning in order to help people who loosed professional and personal markers. By analyzing an application of this device with the multiple cases method, our article examines how a meaning guidance helps unemployed people in giving a new direction of their career. The study of five cases with chronologic analysis unities shows how various meaning dimensions help people to clarify, to enrich and to transform their initial problematic during accompaniment and how they progress with different rhythms to major personal and vocational decisions.     

On various causes of improper solutions in maximum likelihood factor analysis

In the applications of maximum likelihood factor analysis the occurrence of boundary minima instead of proper minima is no exception at all. In the past the causes of such improper solutions could not be detected. This was impossible because the matrices containing the parameters of the factor analysis model were kept positive definite. By dropping these constraints, it becomes possible to distinguish between the different causes of improper solutions. In this paper some of the most important causes are discussed and illustrated by means of artificial and empirical data.The author is indebted to H. J. Prins for stimulating and encouraging discussions.     

Praise and prevention

I argue that it is possible to prevent (and to be praiseworthy for preventing) an unwelcome outcome that had no chance of occurring. I motivate this position by constructing examples in which it makes sense to explain the non-occurrence of a certain outcome by referring to a particular agent's intentional and willing behavior, and yet the non-occurrence of the outcome in question was ensured by factors external to the agent. I conclude that even if the non-occurrence of an unwelcome outcome is ensured, the agent whose action explains this non-occurrence is praiseworthy for preventing the outcome. My examples are similar in important respects to Frankfurt-type cases. In the second half of the paper, I discuss the relationship between my examples and Frankfurt-type cases involving both actions and omissions. I conclude that while I may be responsible for the consequences of an action even if those consequences are unavoidable, this is not necessarily so for the consequences of omissions.     

Conditions for factor (in)determinacy in factor analysis

The subject of factor indeterminacy has a vast history in factor analysis (Guttman, 1955; Lederman, 1938; Wilson, 1928). It has lead to strong differences in opinion (Steiger, 1979). The current paper gives necessary and sufficient conditions for observability of factors in terms of the parameter matrices and a finite number of variables. Five conditions are given which rigorously define indeterminacy. It is shown that (un)observable factors are (in)determinate. Specifically, the indeterminacy proof by Guttman is extended to Heywood cases. The results are illustrated by two examples and implications for indeterminacy are discussed.     

Do intuitions about Frankfurt-style cases rest on an internalist prejudice?

“Frankfurt-style cases” (FSCs) are widely considered as having refuted the Principle of Alternate Possibilities (PAP) by presenting cases in which an agent is morally responsible even if he could not have done otherwise. However, Neil Levy has recently argued that FSCs fail because (i) our intuitions about cases involving counterfactual interveners (CIs) are inconsistent (we accept that the mere presence of CIs is enough to make us gain but not lose responsibility-underwriting capacities), and (ii) this inconsistency is best explained by the fact that our intuitions about such cases are grounded in an internalist prejudice about the location of mental states and capacities. In response to this challenge, we argue that (i) there is no inconsistency in our intuitions about cases involving CIs, as soon as we draw the comparison properly, and that (ii) intuitions about such cases do not rest on an internalist prejudice, but on a more basic distinction between two kinds of dispositions. Additionally, we discuss some methodological issues that arise when comparing intuitions about thought experiments and end with a discussion of the implications of our argument for the reliability of intuitions about FSCs.     

Clinical Exchange: The Architectural Failure

The Clinical Exchange invites eminent clinicians of diverse persuasions to share, in ordinary language, their clinical formulations and treatment plans of the same psychotherapy patient—one not selected or nominated by those therapists—and then to discuss points of convergence and contention in their recommendations. This Exchange concerns a Mr. L, a 47-year-old, married man presenting for outpatient individual psychotherapy with chief complaints of depression, anxiety, and a lengthy history of vocational underachievement. Drs. Herbert Fensterheim, Leslie Greenberg, and Leigh McCullough, who anchor their practices in the cognitive-behavioral, experiential, and psychodynamic orientations, respectively, are the featured commentators. Finally, Dr. Jerold Gold, the case contributor and Mr. L's psychotherapist, provides a few closing comments.     

Experience from a Staff Support Service

The paper describes an overview of the work of one NHS Staff Support Department, its history, development of a proactive and reactive model, and extent of the work involved. It goes on to give three case studies of bullying in the workplace, all of which are real and ongoing. © 1997 John Wiley & Sons, Ltd.     

教学警示病例在骨科教学中的应用与思考

骨科教学警示病例主要就是指用于教学,并和骨科基本知识理论及伦理有关的误诊误治病例,按照骨科内容相关的原则进行分类.在骨科教学中适当的插入一些警示病例可以起到加深印象、辅助记忆,提高责任意识,强化人性医学的作用.同时我们注意控制警示教育病例的数量;合理穿插、安排教学警示病例,并配合其它教学方法教学,课堂气氛活跃,效果良好,随访结果满意.     

大型教学医院应加强肿瘤疾病数据库的建设

建立恶性肿瘤疾病数据库（carcinoma cases database,CCD）来管理肿瘤患者的临床资料是临床医学信息化、现代化的迫切要求和必然趋势。大型教学医院应充分利用资源优势,遵循可行性、实用性原则,加强CCD的建设,以实现对肿瘤病人临床资料规范、系统、便捷的管理,更好地开展临床、教学和科研工作,评估肿瘤疾病的疗效及完善病例的随访追踪。