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Services for elders with severe mental illness (SMI) have major deficiencies, among them a lack of adequate psychosocial services. Some analysts have attributed this situation to "double stigmatization" targeting both ageing and mental illness in our societies. Using qualitative methods (23 semi-directed interviews, theme-based content analysis), our exploratory research aims to understand better the perceptions of psychosocial practitioners working in community and institutional settings about the elderly with SMI and their living situations. Our informants evoke living situations marked by a lack of support (isolation), of resources (financial precariousness/poverty) and of power (learned passivity), traits that are related not only to mental illness per se, but also to long term psychiatric institutionalization. For them, the current situation of elders with SMI is the end product of biographies in which life-course, illness-course and life in services and/or institutions join and, sometimes, become indistinguishable. Implications for psychosocial practices are discussed.

Acute necrotic pancreatitis was diagnosed in two patients treated with asparaginase for, in the first case a highly malignant lymphoma and in the second an acute lymphoblastic leukemia. The diagnosis on clinical findings and amylase assay results was confirmed by LDH and/or C reactive protein values and abdominal CT scans. Both patients recovered after drainage of peripancreatic fluid collections, in the first patient by surgical followed by cutaneous drainage and in the second by cutaneous drainage of a pancreatic pseudocyst. In addition to the frequent pancreatic reaction observed during asparaginase treatment, signs of pancreatic necrosis requiring urgent treatment have to be identified. The necrotic nature of the pancreatitis was confirmed by clinical examination, assay to biologic markers and abdominal CT scans, eliminating other causes of the pancreatitis.

The phenomenon of child abuse and neglect has always existed in Western society. Yet, it is only recently that clinicians and researchers have taken a serious look at these problems. This ever growing interest has come about from not only the stunning number of cases identified each year, but also by the extent and gravity of consequences observed among children. Several professionals interested by the issue have put forward a great number of etiological factors to try to explain abuse and neglect within the family unit. However, when assessing the proposed theoretical models (psychiatric/psychological, sociological, systemic), it appears that certain simple factors can play a large role, for instance the history behind parental development, the quality of marital relations, the child-parent relation, the stress and the extent of the social network, but none of these can clearly differentiate abusive families from non abusive families. It seems however that these different explicative factors would be even more valuable if they were considered in interaction rather than taken individually. Inspired by the ecological framework proposed by Bronfenbrenner (1977, 1979), Belsky (1980, 1984) as well as Cicchetti and Rizley (1981) have also developed a model that simultaneously takes into account all of these factors and their interaction.

We generally accept that the planned arrival of a first child is a source of joy for the new parents and that it provides them with a sense of accomplishment. Traditionally, society welcomes the formation of a family unit and looks forward to this passage into the new role of parenthood. However, not only has research on marital relations set aside the popular imagery of romanticism, but it has increasingly given negative connotations to this crisis-prone transition phase. The objective of this article is therefore to review literature concerning the impact of a newborn child on the marital experience, and to nuance the idea that childbirth can lead to crisis situations within the couple. In conclusion, the authors argue that the concept of marital satisfaction needs to be reformulated. Judging from their brief overview of literature, the authors believe the concept to be too narrowly defined and slightly ambiguous. Indeed, researchers have not yet reached a consensus on the definition of marital satisfaction. Furthermore, they tend to operationalize the concept in very different ways. As a result, there is a lot of conclusion and the fact that many researchers use different terms as a synonym of satisfaction is no help. What's more, the assessment of quality in a relationship should not be limited to measuring the level of satisfaction of the two partners. Other dimensions (e.g. adjustment, commitment, cohesion, etc.) deserve consideration in order to give a more complete image of the changes that occur over the years within the couple.

The authors report a case of orbital granulocytic sarcoma complicating a case of acute myeloblastic leukaemia, which was investigated by CT and MRI. CT revealed a moderately contrast-enhanced orbital mass. The MR signal intensity was identical to that of grey matter on T1-weighted sequences and identical to that of white matter on T2-weighted sequences.

The high spatial resolution of computed tomography allows visualisation of the fine structures of the facial skeleton and gives precise information about the anatomy of the nasal cavity, the paranasal sinuses and their relations with adjacent structures. A detailed knowledge of the normal anatomy, particularly of the nasal cavity and ethmoid, is very useful to provide to the surgeon with a precise pre operative surgical map, before transnasal endoscopic ethmoidectomy or management of paranasal sinuses tumors.

The aim of the article is to demonstrate the ever-increasing interest of genetic psychology in the multi-variate analysis of the numerous factors in psychological development. Going beyond the mother-child relation, researchers are turning, more and more, towards physical and family milieu social factors, factors directly linked to the child and forms of family-child adjustment, and this, as much within the context of socio-affective development as that of cognitive development. What is presented is not an exhaustive survey of documentation, but rather an introduction to new, particularly promising, avenues of research.