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.     

Reduction of sadistic sexual arousal by olfactory aversion: a case study

A sexual sadist was treated by an olfactory aversion procedure for eight weeks. Pre-treatment assessment of sexual arousal showed high levels of response to sadistic stimuli as well as high arousal to non-sadistic heterosexual stimuli. In treatment the inhalation of the gas of an odoriferous chemical agent, valeric acid, was paired with slide presentations of sadistic materials while penile erection was monitored. The aversive stimulus immediately and permanently suppressed the response for the duration of treatment. In separate measurement sessions, with valeric acid absent, deviant response remained suppressed and nondeviant response was unaffected. Post-treatment reassessment revealed very low levels of response to sadistic stimuli. Follow-up sessions showed that the deviant response was absent eight months following the conclusion of treatment.     

Treatment of bisexual pedophilia by a biofeedback-assisted self-control procedure

A bisexual pedophile was treated for 88 days using a biofeedback procedure which displayed his erection response to sexually deviant stimuli on a closed-circuit television monitor. Told to develop a strategy of self-control using the biofeedback, his response to young boys and girls was treated sequentially in a multiple baseline design. His concurrent response to boys, girls and adult males was evaluated in separate generalization sessions. The treatment was successful in suppressing deviant response while maintaining nondeviant response in strength. Debriefing of the client following treatment revealed that he had used a self-developed technique of covert sensitization to suppress deviant response and had used the biofeedback to confirm and validate this self-control strategy.     

Cooperation or Tension? Dyadic Coping in Cystic Fibrosis

Following a rise in the life expectancy of cystic fibrosis (CF) patients, many adults with CF form couple relationships. Yet, dyadic coping has not been previously examined in people with CF. This study examined how adults with CF and their partners cope as a couple with the illness, and what meanings each partner and the couple as a unit attribute to the experience. Seventeen adult CF patients and their partners participated in separate semi‐structured in‐depth interviews. Two main patterns of dyadic coping with CF were identified as follows: cooperation and tension. For couples in cooperation, the marital relationship served as a resource for adaptive coping. These couples were characterized by similarities in their perception of the place of CF in their lives and of their roles in the marital relationship. Couples in tension described the couple relationship as strained by difficulty of accepting the disease, proliferation of negative emotions, and a sense of burden and loneliness in the process of coping. Findings point to the importance of mutual empathy, clear and accepted division of roles between the partners, and open communication for facilitating coping as a couple.     

Changing the Criminal Justice System Response to Sexual Assault: An Empirical Study of a Participatory Action Research Project

In jurisdictions throughout the United States, thousands of sexual assault kits (SAKs; also known as a “rape kits”) have not been submitted by the police for forensic DNA testing. DNA evidence may be helpful to sexual assault investigations and prosecutions by identifying perpetrators, revealing serial offenders through DNA matches across cases, and exonerating those who have been wrongly accused. This paper describes a longitudinal action research project conducted in Detroit, Michigan after that city discovered approximately 11,000 untested sexual assault kits in a police department storage facility. We conducted a root cause analysis to examine individual, organizational, community, and societal factors that contributed to the development of the rape kit backlog in Detroit. Based on those findings, we implemented and evaluated structural changes to increase staffing, promote kit testing, and retrain police and prosecutors so that cases could be reopened for investigation and prosecution. As we conducted this work, we also studied how this action research project impacted the Detroit criminal justice system. Participating in this project changed stakeholders’ attitudes about the utility of research to address community problems, the usefulness of DNA evidence in sexual assault cases, and the impact of trauma on survivors. The results led to new protocols for SAK testing and police investigations, and new state legislation mandating SAK forensic DNA testing.     

Être lesbienne,gay ou bisexuel·le dans une organisation française : le rôle des micro-agressions homonégatives et l’effet médiateur du climat de diversité sexuelle dans le choix de dévoiler ou dissimuler son orientation sexuelle

Lesbians, gays and bisexuals (LGB) can use an array of strategies to reveal or conceal their sexual orientation in the workplace. The purpose of this study is to explore the relationships between perceived homonegative microaggressions in the workplace and those strategies, as well as the mediating effect of LGB-supportive climate in those relationships. A sample of 135 LGB employees has replied to an online questionnaire dealing with these variables. The data were treated through simple linear regressions and the structural equation modelling method. Results highlighted that the effect of microaggressions on sexual identity management in the workplace was mediated by the LGB-supportive climate. There was also a direct and positive relationship between microaggressions and the revealing strategy. Results are discussed in light of the existing literature on the topic. Perspectives at systemic and individual levels to support an LGB-supportive climate and to reduce discrimination experienced by LGB employees are suggested.     

Sexual activity while driving: A content analysis of media reports

Sexual activity while driving fits the definition of distracted driving because it involves the diversion of attention away from the driving task. However, this risky driving behaviour has received little attention compared to other distracted driving activities. To address the lack of research on sexual activity while driving, the internet was searched from April to June 2020 for media reports in which sexual activities occurred within the cabin of a moving vehicle, taking specific note of: gender, the presence of others, time of day, use of substances, the nature of the circumstances surrounding the incident, and whether crashes had occurred. A total of 106 unique and verified cases were identified from 2004 to 2020. The reports involved 76 male (71.7%) and 30 female drivers (28.3%), and there were 43 (40.5%) serious incidents that involved a crash and 23 fatalities (21.7%). In 17 (16.0%) incidents their vehicle hit another car, and a pedestrian or cyclist was hit in 3 (2.8%) incidents. The risk of a serious incident was higher during oral sex or intercourse than solitary activities (i.e. masturbation). A total of 63 (59.5%) mild incidents (without crashes or fatalities) were identified, in which reports included accounts by witnesses or police regarding sexual activity while driving. Given the potential seriousness of incidents, this topic deserves further research to better understand the prevalence and safety implications of sexual activity while driving.     

Conceptualizing bullying in adult professional football: A phenomenological exploration

ObjectivesThe aim of this study was to gain an in-depth insight into male professional footballers' perception of the concept of bullying and to explore the essences of this behavior within this context.Design and MethodSemi-structured interviews were conducted with 18 adult male professional football players in the UK. Data were analyzed in accordance with the principles of Interpretative Phenomenological Analysis.ResultsParticipants highlighted that key themes within Olewus' (1993) seminal definition of bullying are relevant to professional football such as repetition, power, abuse and harm doing. Notably, there were variations in footballers' views of the constituents of these themes which were explained by divergent perceptions of how the football context shaped these components of bullying. It was evident however, that certain common elements of the football environment, such as its inherent masculinity, identity conforming nature and authoritarianism helped to contextualize the players' conceptualizations of bullying.ConclusionsWhile some of the identified themes mirrored classic definitions of bullying, this concept was articulated in an individually nuanced, context dependent fashion. These findings advance bullying literature by demonstrating how professional football shapes perceptions of this concept, while highlighting the importance of contextually tailored intervention program to address bullying.