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Un an après les attentats du 13 novembre 2015, Santé publique France, dans le cadre du programme 13-Novembre, a mis en place l'Enquête de santé publique post-attentats de novembre 2015 (ESPA 13 novembre) en direction des civils et intervenants exposés. Parmi les questions posées par l'enquête, se trouve notre question d'intérêt : « Diriez-vous que l'expérience que vous avez vécue vous a changé, d'une manière ou d'une autre ? Pourriez-vous nous expliquer en quoi ? ». Il s'agit de comprendre les changements éprouvés par les civils et les intervenants et de comparer leurs réponses. Une analyse thématique est proposée pour chacun des deux groupes. Les thématiques leurs sont communes mais apparaissent comme qualitativement différentes. L'analyse qualitative est complétée et affinée par des données chiffrées concernant les caractéristiques sociodémographiques des répondants de chaque groupe. Certains répondants (principalement des intervenants hommes) ne ressentent aucun changement. Ils présentent des facteurs de protection spécifiques. Des changements douloureux au niveau relationnel, émotionnel, et psychique impactent surtout la population des femmes civiles. Certains changements prennent malgré tout la forme d'une résilience, voire d'une croissance post-traumatique. Elles supposent un processus de transformation qui passe par une réappropriation de l'existence (pour un quart des civils comme des intervenants) mais aussi par un nouveau rapport au monde (chez les intervenants ayant travaillé dans la nuit du 13 novembre) et à soi (principalement pour les civils, femmes). L'impact des attentats est plus important pour les civils et particulièrement pour les femmes. Le processus de transformation constaté peut conduire à des issues favorables n'évitant cependant pas la souffrance. Il conviendrait de transposer et développer une partie des facteurs de protections repérées chez les intervenants, aux populations civiles. One year after the attacks of November 13, 2015, Santé publique France, within the framework of the 13-November program, set up the Post-Attacks Public Health Survey of November 2015 (ESPA November 13) aimed at exposed civilians and responders. Several open questions are proposed including our question of interest: "Would you say that the experience you have had has changed you, in one way or another? Could you explain to us how? The aim is to understand the effect of attacks on civilians and responders and to compare their responses. A thematic analysis is proposed for each of the two groups. The themes are common to them but appear to be qualitatively different. The qualitative analysis is supplemented and refined by figures concerning the socio-demographic characteristics of the respondents in each group. Some respondents (mainly male workers) do not feel any change. They have specific protective factors. Painful changes at the relational, emotional, and psychic level impact above all female civilians. Some changes take the form of resilience or even post-traumatic growth. They presuppose a process of transformation, which involves a reappropriation of one's existence (for a quarter of civilians and workers alike) but also a new relationship to the world (among workers who worked on the night of November 13) and to oneself (mainly for civilians, women). The impact of the attacks is greater for civilians and particularly women. The process of transformation observed can lead to favorable outcomes that do not, however, avoid suffering. It would be appropriate to transpose some of the protection factors from the responders to the civilian populations. [ABSTRACT FROM AUTHOR]

L'Enquête de Santé publique post-attentats du 13 novembre 2015 (ESPA 13 novembre) est une enquête épidémiologique réalisée par Santé publique France, dans le cadre du programme 13 novembre. Le première phase a été réalisée en 2016. Elle interroge les personnes civiles et les intervenants (professionnels et bénévoles) exposés aux attaques afin d'explorer l'impact post-traumatique des attentats sur leur santé ainsi que leur recours aux soins. L'enquête se présente sous la forme d'une série de questions fermées ainsi que de plusieurs questions ouvertes. Nous exposons ici l'analyse des réponses des civils, rédigées entre 8 et 12 mois après les attentats, à la question spécifique suivante : « Si vous avez des enfants, pouvez-vous nous dire si vous pensez que l'expérience que vous avez vécue a eu un effet sur eux, ou sur la relation avec eux ? Pouvez-vous nous expliquer ? ». Il s'agit de connaître l'impact des attentats sur les enfants des civils exposés et sur les relations parents–enfants, ce qui a été peu étudié dans le cadre d'attentats de masse. Nous avons procédé à une analyse thématique des réponses des civils à la question spécifique concernant leurs enfants, en constituant les thématiques générales par réduction de données. L'analyse thématique laisse apparaître quatre thèmes principaux qui concernent l'impact des attentats sur les relations parents–enfants, les changements vécus dans leur rôle de parent, les réactions des enfants et enfin, la manière dont ils ont tenté de protéger leurs enfants. Quelques mois après les attentats de novembre 2015, une partie des participants à l'enquête mettent en avant les changements psychiques qui se sont opérés chez eux : mal-être, peur du monde extérieur, inquiétude concernant la sécurité de leurs enfants. Ils relèvent d'existence de difficultés chez leurs enfants termes de stress, d'insécurité, de perturbations psychiques jusqu'à l'émergence de véritables troubles. S'ils ont tenté de mobiliser leur fonction de protection de multiples façons, une partie d'entre eux indiquent se sentir impuissant et avoir des difficultés à trouver des espaces de soins adaptés. Les enfants de leur côté peuvent également se montrer très protecteur avec leurs parents. Pour certains, cette inquiétude mutuelle a provoqué un resserrement des liens familiaux qui a pour fonction la réassurance du groupe. Santé publique France carried out a web-based epidemiological survey (ESPA 13 Novembre) between 8 and 12 months after the terrorist attacks of the 13 November 2015. This was done in order to explore the post-traumatic psychological impact of the attacks on the directly exposed civilians and responders as well as their use of healthcare services. The survey took the form of a series of closed-ended questions as well as several open-ended questions. We present here an analysis of the responses of civilians to the following specific question: "If you have children, can you tell us whether you think the experience you went through had an effect on them, or on your relationship with them? Can you explain?". To find out about the impact of the attacks on the children of exposed civilians and on parent–child relationships, something that has never been studied in the context of mass attacks. We carried out a thematic analysis of civilians' responses to this specific question, building up general themes by data reduction. The analyses revealed four main themes which relate to the impact of the exposure to terrorist attacks on parent-child relationships, the changes experienced in their role as parents, their children's reactions and, finally, the ways in which they tried to protect their children. The parents highlighted the psychological changes that operated in them, their unease, their fear of the outside world, and their concern for their children's safety. They discussed the consequences of the attacks on their children in terms of stress, insecurity, psychological disturbances, and even of the emergence of real disorders. The parents have tried to fulfil their protective role in a variety of ways, sometimes with a feeling of powerlessness reinforced for some by the difficulty of finding suitable care spaces. Attachment bonds have, for the most part, tightened in these families demonstrating their reassuring function within the group. It seems essential to care for children, and the family as a whole, alongside their parents, in order to re-establish secure attachment bonds which are a factor in resilience. [ABSTRACT FROM AUTHOR]

Despite the interest in grima during the last years due to its relevance as a culturally specific emotion in Spain, we still lack knowledge about its delineation from the experience of disgust. Applying a combination of deductive and inductive methodologies to the study of grima, it was found that most of the experiences of grima referred to squeaking noises and scratching of surfaces, followed by situations related to the disgust domain of envelope violations. Further, it was also observed that the experiences of grima occurred in a variety of contexts, with the exception of the institutional context, although mainly in the educational context. The theoretical and methodological implications of the present research are discussed. [ABSTRACT FROM AUTHOR]

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La place de l'enfant dans notre société a largement évolué au cours des dernières décennies. Cela s'est traduit par de nombreuses politiques publiques visant à lutter contre les inégalités sociales de santé dès le plus jeune âge. Le soutien à la parentalité est l'une des stratégies mises en place et vise notamment à renforcer les liens d'attachement et à favoriser le développement de l'enfant. La qualité de l'attachement et des interactions parents–enfants est corrélée aux représentations que les parents ont de leurs enfants. L'objectif de l'étude est de rapporter les représentations actuelles des parents sur les nouveau-nés dans la population française en général. Dans le cadre de l'étude PERL, une étude annexe a été menée sur les représentations parentales. Les entretiens ont été réalisés auprès des familles témoins. L'analyse s'est basée sur la méthode des catégories conceptuelles pour faire ressortir les éléments saillants relatifs aux représentations parentales et aux sentiments associés à la parentalité. Parmi les discours analysés, les parents ont construit leurs représentations de leur enfant, dès les 4 mois de l'enfant. Ces représentations identifient l'enfant de 4 mois comme étant capable de faire des choix, d'avoir des préférences, d'agir dans l'environnement et de communiquer avec les autres. De plus, la représentation que les parents ont d'eux-mêmes met en évidence les divers sentiments éprouvés à l'égard de la parentalité, de l'exercice de ce nouveau rôle et des nouveaux comportements parentaux envers l'enfant, suite à la perturbation de l'exercice de la parentalité. Les parents éprouvent également divers sentiments associés à la parentalité, à l'exercice de ce nouveau rôle. The child's place in our society has largely evolved over the past few decades. This has led to numerous public policies to tackle social inequalities in health care from an early age. Parenting support is one of the enhanced strategy actions and aims put in place, in particular, to strengthen the bonds of attachment and promote a child's development. The quality of attachment and parent–child interactions is correlated with parents' representations of their children. The objective of the study is to report current parental representations of newborn children in the French population in general. As part of the PERL study, an ancillary study was conducted on parental representations. The interviews were conducted with the control families. The analysis was based on the method of conceptual categories in order to bring out the salient elements relating to parental representations and feelings associated with parenthood. Among the analyzed discourses, parents have constructed the representations of their child, from the child's age of 4 months. These representations identify the 4-month-old child as being capable of making choices, having preferences, acting in the environment, and communicating with others. In addition, parents' representations of themselves highlighted various feelings experienced concerning parenthood, the exercise of this new role, and the new parental behaviors towards the child, as a result of the disruption of being a parent. Parents also experienced a variety of feelings associated with parenting, parenthood, and their new role. [ABSTRACT FROM AUTHOR]

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Copyright of Environnement, Risques & Santé is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gériatrie et Psychologie Neuropsychiatrie du Vieillissement is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In its seven theses, this article discusses: (a) how different qualitative sociology is from other approaches; (b) the role of 'casing' in generating both units of analysis and settings; (c) the theoretical and empirical work of adjudicating what some emergent phenomena is a case of; (d) the 'modelization' through writing of our case as a research object; (e) the rhetorical construction of causality and the central role of 'puzzles' on it; (f) the reflexive epistemological vigilance about the role of the participant observer in producing the knowledge they generate; and (g) the reconceptualization of qualitative sociology as a type of epistemological package, and of theorization, in consequence, as a kind of practical activity. [ABSTRACT FROM AUTHOR]

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We present the analysis of two biographical narratives by an ex-gangster from the Russian city of Kazan. We address the different times in his life – his childhood, youth, and adulthood, his time on the streets, his decision to leave the gang, and his reflections and memories of his past as reconstructed through these different narratives. We analyze the synchronicity of macro, meso, and micro scales of time in his biography and show how his memory of the time in the gang has dramatically changed between the first and second interviews, as he looked retrospectively on his former self from the vantage point of his current law-abiding life. In our analysis, we use the theoretical and conceptual framework of processual sociology and Bakhtin’s concept of chronotope. [ABSTRACT FROM AUTHOR]

À travers l'étude d'un dispositif d'accompagnement socio-sanitaire soutenant le rétablissement de personnes vivant avec une schizophrénie (PASSVers), cet article propose de montrer l'intérêt d'utiliser la méthode d'analyse lexicale Alceste pour évaluer les activités de promotion de la santé. Des entretiens semi-directifs ont été menés auprès d'usagers accompagnés depuis 12 à 20 mois (n = 21), d'infirmiers et travailleurs sociaux (n = 11) et d'aidants familiaux (n = 6). Le corpus a été analysé à l'aide du logiciel Alceste. Chaque population a utilisé un vocabulaire spécifique pour évaluer le dispositif, traduisant différents points de vue vis-à-vis de celui-ci. La mise en contexte du vocabulaire significativement présent dans les classes de discours a montré un effet du dispositif sur chacun des trois groupes. On observe un changement de positionnement chez les professionnels avec un détachement des considérations purement médicales, ainsi qu'un impact de l'accompagnement sur l'état de santé des usagers et sur le bien-être des proches. L'analyse lexicale apparaît particulièrement appropriée pour évaluer un dispositif de promotion de la santé tel que PASSVers. En effet, cet outil d'aide à l'interprétation d'un corpus se base sur la distribution du vocabulaire, en dehors de tout jugement de l'analyste. Ainsi, cette méthode garantit un cadre méthodologique rigoureux pour déterminer les classes de discours à interpréter. La méthode Alceste permet, par une analyse détaillée du vocabulaire, l'étude rigoureuse d'un corpus. Dans l'évaluation du dispositif PASSVers, elle a permis de mettre en évidence les points de vue spécifiques à chaque groupe, et d'identifier les bénéfices du programme pour chacun d'entre eux. Through the study of a social and health care program supporting the recovery of people living with schizophrenia (PASSVers), this article aims to show the interest of using the Alceste lexical analysis method to evaluate health-promoting activities. Semi-structured interviews were conducted with users supported for 12 to 20 months (n = 21), nurses and social workers (n = 11), and family caregivers (n = 6). The corpus was analyzed using Alceste software. Each population used a specific vocabulary to evaluate the program, reflecting different viewpoints towards it. The contextualization of the vocabulary significantly present in the discourse classes highlighted the program's effects on each of the three groups. We noticed a shift in posture among professionals with a detachment from purely medical concerns, as well as the impact of the support on the health of the users and on the well-being of their relatives. Lexical analysis appeared particularly relevant for evaluating a health promotion program such as PASSVers. Indeed, this tool for interpreting a corpus is based on the distribution of vocabulary, excluding any judgment by the analyst. Thus, this method ensures a rigorous methodological basis for determining the classes of discourse to be interpreted. The Alceste method enables the rigorous study of a corpus through a detailed analysis of the vocabulary. In the evaluation of the PASSVers program, it allowed us to highlight the specific points of view of each group, and to identify the benefits of the program for each of them. [ABSTRACT FROM AUTHOR]

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This paper presents the results of a legume-based value chain analysis based on twenty-seven case studies in the H2020 LegValue project and discusses those relating to organic legume-based value chains. The analysis aims to illustrate the diversity of legume-based value chains and to discuss the conditions by which they can successfully meet the growing demand for legumes in the EU. The research is based on a qualitative survey of the value chain stakeholders in the case studies. Regarding organic legumebased value chains, the analysis reveals two types that depend on the stakeholder type at the launch of the value chain, the stakeholder’s primary objective in the chain, and the organic legume species involved. The first value chain type is launched by extension services with an aim of developing the organic production of a single legume species. The second type is launched by a stakeholder (processor or collector) acting further downstream in response to market demand for several legume species. A key success factor for these value chains is the ability of the launcher to ensure close coordination along the chain. To achieve this, several means and tools have been identified: the setting-up of a value chain development project, the implementation of contracting practices, production support programmes (technical assistance, financial support), and market support programmes (information sharing, regulation, facilitators). [ABSTRACT FROM AUTHOR]

Copyright of Scientific Annals of the 'Al. I. Cuza' University, Iasi. Sociology & Social Work / Analele Stiintifice ale Universitatii 'Al. I. Cuza' Iasi Sociologie si Asistenta Sociala is the property of Alexandru Ioan Cuza University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Introduction: Therapeutic patient education (TPE) is a patient-centered approach that requires proper training of healthcare professionals. This study aims to explore representative situations encountered by physicians in their practice where TPE training was useful, which can provide insights for the conception of TPE training programs. Methods: A qualitative approach with both focus groups (FG) and individual interviews with physicians trained in TPE in activity at the Geneva University Hospitals (GUH) was carried out. The data was analyzed using inductive thematic analysis. Results: Two FG of 9 doctors were conducted. Six representative situations emerged from our analysis: non-compliance, maintaining a comprehensive vision for overall care of the patient, the partner patient, matching the patient request to the underlying need, co-constructing the therapeutic action plan, and confronting powerlessness. Discussion: Training in TPE allowed physicians to develop skills to better identify and address these situations. It also favored a change in the posture of the physician, from a posture of teaching and expertise to one of coconstruction and learning. Conclusion: These situations show how much the care of complex patients is present in the medical practice and TPE training a valuable skill to deal with this complexity. TPE training targeted at these activities could have a positive impact on the practice of physicians and patient care. [ABSTRACT FROM AUTHOR]

The coronavirus disease (COVID-19) pandemic necessitated a rapid uptake of remote health care services. This qualitative descriptive study was designed to gain an understanding of older adults' experiences of remote care (telephone or online video conference appointments) for specialized health services during the COVID-19 pandemic. Twenty-one older adults (ages 65 years and older; 8 men and 13 women) living in eastern Canada participated in a semi-structured telephone interview. Data were analysed using qualitative content analysis. The vast majority of older adults were overall satisfied with their remote experiences of specialist care. Advantages to remote care for specialized services included convenience, safety during the pandemic, comfort, efficiency, and ease of visit. Disadvantages included communication not as effective, feeling depersonalized or disembodied, missing the human relationship, and wanting reassurance of physical assessment. It is important that health professionals understand the disadvantages for older adults of remote care visits in order to mitigate them.

Introduction: Physical activity is a major determinant in the prevention of chronic diseases, equally on the side effects of treatments and the consequences of the disease. It improves quality of life, but also reduces morbidity and mortality, and therefore health expenses. A sedentary lifestyle is the fourth cause of premature death in the world, in the context of chronic non-communicable diseases. In France, the prescription for adapted physical activity (APA) has been included in the law since 2016. With the development of "Maisons Sport santé", the Onco'sport program was developed to enable people affected by cancer to participate in adapted physical activity. The objective of our work is to explore the lived experience of cancer patients practicing adapted physical activity as part of the Onco'sport program., Methods: This is a qualitative study of 10 semi-directed individual interviews with patients participating in the Onco'sport program, recruited from the "Maison Sport Santé" from Nîmes and the association "Les Roses du Gard". A phenomenological analysis was carried out with a semiopragmatic approach., Results: For all participants, the APA through a program provides professional supervision of Physical Activity, influences adherence and builds confidence. This program is at the origin of changes in lifestyle habits and improves the relationship with illness and their cancer thanks to the physical and psychological benefits felt. Thus, APA appears as a full-fledged supportive care which requires informing patients and promoting it so that access is facilitated and becomes a standard. Health professionals including general practitioners do not currently have an important place in the promotion of APA, and patients most often obtain documentation on their own or through associations of patient., Conclusion: An APA program like Onco'sport is often the cause of a return to physical activity in patients, brings overall well-being and changes lifestyle habits. It seems important to promote physical activity to patients but also to the general population, given the benefits. This promotion involves easier access to this type of supervised program, financial support and better training of health professionals., (Copyright © 2024 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)

Les travaux sur l'étiologie de la radicalisation en lien avec l'islam posent la question de la prise en charge des individus qui ont adhéré à l'idéologie dite « djihadiste ». Cet article propose une analyse qualitative du processus de radicalisation d'Hamza, 15 ans, pris en charge par le Centre de Prévention Contre les Dérives Sectaires liées à l'Islam (CPDSI) suite à plusieurs tentatives de départ sur zone et d'une mise en examen pour préparation d'attentat sur le sol français. L'analyse du discours implicite d'Hamza permet de mettre en évidence la manière dont les recruteurs « djihadistes » ont adapté leur stratégie de communication à ses aspirations cognitives et émotionnelles, au moyen d'un triptyque dimensionnel à la fois émotionnel, relationnel et cognitivo-idéologique, pour lui faire miroiter un motif d'engagement qui lui corresponde. L'analyse du suivi de ce jeune montre la nécessité de l'interdisciplinarité des professionnels afin de se mettre en miroir du discours « djihadiste » pour dénouer ce qu'il a noué, sans réduire le jeune radicalisé à un statut (auteur ou victime), dans un champ spécifique (psychologique, social, politique ou religieux) et dans une dimension donnée (émotionnelle, relationnelle ou idéologique) car cela reviendrait à nier l'existence d'autres possibles, à cliver notre perception et à entrer dans le jeu de Daesh en adoptant, nous aussi, une vision binaire du monde. Face à la rigidité de la pensée radicale « djihadiste », tout l'enjeu des professionnels est donc de mettre à l'épreuve leur souplesse d'esprit pour optimiser leur pratique de prise en charge dans le domaine de la sortie de radicalisation violente. This article offers a qualitative analysis of the radicalization of Hamza, 15 years old, supported by the Prevention Center against Sectarian Drift related to Islam (CPDSI) after several attempts to leave the country and to prepare an attack in France. The premise of the CPDSI's multidisciplinary team relies on the postulate that the reason for the young person's commitment has to be retrieved to help him or her disengage. The specificity of the CPDSI relied on the access to the implicit discourse of the young people who were treated in charge. Thus, it allowed an access to the ideals the recruiters offer to youngster during the process of radicalization (elements that they were not necessarily aware of at the time but they gradually raised awareness throughout their follow-up), from the study of recruiters' conversations, the arguments they used, the videos they exchanged, but also the analysis of their life course, of their ideals before their radicalization, of the traumatic experiences that they have through and the interviews with their relatives. In other words, we tried to collect data on what basically conditioned the commitment of the young people we followed, starting from the premise that to be authoritative, a speech has to make sense'. It is in particular from the discrepancy between the explicit discourse formulated by "jihadist" recruiters and the implicit motivations of young recruits that the CPDSI was able to build its method of disengagement. The study shows that the whole process of radicalization is the result of the interaction of 3 cumulative approaches: emotional (the approach of ISIS is a source of anxiety, based notably on the exacerbation of national dysfunctions, conspiracy theories and decontextualized Qur'anic verses), relational (the group becomes a substituted family where the bonds are fusional and protective; Hamza distanced himself from his kinship system to regenerate himself through a new imaginary, sacred and fantasized filiation) and cognitivo-ideological (the discourse presents the application of the divine law to obtain a better self and a better world). The contemporary "jihadist" discourse can be distinguished by its capacity to individualize or to personalize its offers, proposing, for example, through the Internet, diversified patterns of engagement that resonate with the different psychological, political and social profiles of young people: what Hamza seems to have found within the "jihadist" group is a quick and effective way to answer a problem of unresolved mourning of his grandfather who symbolized his history and his memory. Here is a transition between his personal ill-being linked to the experience of mourning and adherence to a collective ideology related to Islam. Indeed, Hamza is convinced that his ill-being, even brief, will be settled by his adherence to the proposed ideology, the only one able to give meaning to what he just lived and allow him to live with. These approaches bring a cognitive change in Hamza: he redefines himself, redefines others, and redefines his vision of the world. Several transformations of the psychic state of Hamza take place. The vision of the binary world transmitted by the group "jihadist" reassures Hamza because it allows him to categorize his environment, which, simply said, is the place of "good" and "bad guys". Violent radical ideology needs to stagger its values to build a human hierarchy, which will then allow a shift to lived violence as the only way out. We see how, to make himself useful, Hamza no longer has to help the widow and the orphan but has to kill all those who do not save with him the widow and the orphan. This young man goes from a massive fear of death to a death wish. The perpetrator/victim status is reversed: members of the "jihadist" group are considered by Hamza to be the victims of the global conspiracy against Islam and the persecution against Muslims. Conversely, he considers the victims of Daesh abuses responsible for the persecution of his group. The fact that Hamza is no longer able to be moved by the violent videos, nor to feel empathy for the victims of the attacks illustrates that this young man is doubly dehumanized. He himself no longer feels anything and he no longer considers "the others", his future victims, as human beings in their own right. This step allows us to understand the difference between the implicit (search for compensatory solution to calm his anxiety) and the explicit (binary speech related to the ideology of Daesh). The analysis of the follow-up of this young person shows the necessity of the interdisciplinarity of professionals in order to mirror the "jihadist" discourse to untie what it did, without reducing the young radicalized to a status (author or victim), in a specific field (psychological, social, political or religious) and in a given dimension (emotional, relational or ideological) as this would deny the existence of other possibilities. Faced with the rigidity of the radical "jihadist" thinking, the challenge for professionals is to test their flexibility of mind to optimize their practice of follow-ups. [ABSTRACT FROM AUTHOR]

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Résumé Objectifs Questionner le vécu subjectif de l'orgasme masculin à partir de témoignages de 923 hommes en couple hétérosexuel : est-il un phénomène complexe ? Se confond-il avec le mécanisme physiologique éjaculatoire ? Le vécu orgasmique est-il commun à tous ou peut-on mettre en évidence des variabilités interindividuelles ? Ces variabilités peuvent-elles être mises en relation avec des caractéristiques sociodémographiques, avec des potentiels troubles sexuels ou des troubles psychologiques ? Méthode Les données ont été recueillies lors d'une enquête nationale concernant la sexualité. Les thématiques ont été extraites suivant la méthode d'extraction de signification de Chung et Pennebaker. Ces thématiques ont été croisées avec des indicateurs sociodémographiques ainsi qu'avec les difficultés sexuelles et psychologiques auto-rapportées. Principaux résultats Dix thèmes relatifs au vécu de l'orgasme masculins ont été identifiés. Ils témoignent de sensations stricto-sensu, ou de sentiments et émotions. Lorsque les éprouvés s'inscrivent dans la temporalité du processus éjaculatoire, les deux étapes physiologiques de l'éjaculation peuvent être distinguées. Les ressentis ne se résument cependant pas au processus physiologique éjaculatoire ; ils sont également à penser en fonction du contexte relationnel de l'orgasme. Des relations significatives entre les thématiques identifiées, les indicateurs sociodémographiques et ceux liés à la vie sexuelles ont été trouvées. L'analyse des effets d'interactions entre troubles psychologiques, sexuels et vécu orgasmique montre que les dysfonctions sexuelles et les troubles psychologiques se potentialisent l'un – l'autre pour donner sens au vécu de l'orgasme masculin. Discussion/conclusion Le vécu orgasmique masculin est un processus bio-psychosocial complexe. Sa mise en mots apporte des informations sur les troubles rencontrés. Investiguer le discours sur l'orgasme pourrait (i) contribuer à contourner les difficultés que les patients rencontrent lorsqu'il s'agit d'aborder leurs difficultés sexuelles ; (ii) offrir des premiers éléments diagnostiques ; et (iii) favoriser l'établissement d'une alliance thérapeutique optimale. Summary Objectives To question the subjective experience of male orgasm based on testimonies of 923 men in heterosexual couples: is male orgasm a complex phenomenon? Can it be assimilated to the physiological mechanism of ejaculation? Is the orgasmic experience common to all or can we highlight interindividual variability? Can these variabilities be related to sociodemographic characteristics, with potential sexual disorders or psychological disorders? Method The data were collected during a national survey on sexuality. The themes were extracted according to the meaning extraction method (Chung and Pennebaker). These themes were crossed with sociodemographic indicators as well as self-reported sexual and psychological difficulties. Main results Ten topics related to the experience of male orgasm have been identified. They are related to sensations, or feelings and emotions. When the feelings are part of the temporality of the ejaculatory process, the two physiological stages of ejaculation can be distinguished. The feelings, however, are not limited to the ejaculatory physiological process; they are also to be thought according to the relational context of orgasm. Significant relationships between identified themes, sociodemographic indicators and those related to sexual life were found. The analysis of the effects of psychological, sexual and orgasmic interactions shows that sexual dysfunction and psychological disorders potentiate each other to give meaning to the experience of male orgasm. Discussion/conclusion The male orgasmic experience is a complex bio-psychosocial process. Its verbalization can brings information on the disorders met. Investigating the orgasm discourse could (i) help to overcome the difficulties that patients encounter in dealing with their sexual difficulties; (ii) provide initial diagnostics; and (iii) support the establishment of an optimal therapeutic alliance. [ABSTRACT FROM AUTHOR]

Le concept de la défaillance des entreprises est polysémique et polymorphe. Ainsi, en examinant les travaux et les recherches, il s’agit de constater que la littérature sur la problématique en question est fragmentée et qu’il n’existe donc pas de théorie unificatrice sur le pourquoi et le comment de la défaillance des entreprises (Crutzen et Van Caillie, 2007a).En effet, l’analyse de la défaillance des entreprises peut être opérée sur plusieurs niveaux, en examinant les aspects économiques,financiers, stratégiques ainsi que les aspects organisationnels et managériaux de l’entreprise (Guilhotd B., 2000).L’objectif de cet article est d’analyser la défaillance des entreprises au Maroc selon la vision des gestionnaires en se basant sur les facteurs,à caractère qualitatif, relevant de l’environnement managérial de l’entreprise. L’objectif est de vérifier l’hypothèse selon laquelle le risque de défaillance est proportionnel au degré de «myopie» de l’entreprise au niveau organisationnel et de gestion. De ce fait, notre démarche d’investigation consiste à évaluer le risque de défaillance auprès d’un échantillon de quatre-vingt entreprises défaillantes identifiées auprès du tribunal de commerce de Marrakech.

Dans un monde où la pression sur les résultats est essentielle –avec son corollaire sur la réduction des coûts –le client est souvent le grand oublié de l’approche stratégique. La performance de l’entreprise en matière de connaissance est conditionnée par sacapacité à écouter le client et à avoir une attitude active vis-à-vis de ce dernier. La conception à l’écoute du marché (C.E.M) permet d’explorer, avec méthode et rigueur, les attentes et besoins cachés et latents des clients actuels et potentiels. A travers cet article je vais positionner la méthode CEM par rapport à d’autres méthodes qui ont pour finalité de capter la voix des clients en mettant l’accent sur ses étapes de mise en place

Older adults, 65 years of age and older, living in long-term care (LTC) commonly experience anxiety. This study aimed to understand care providers' perspectives on the barriers to and facilitators of managing anxiety in residents of LTC. Ten semi-structured interviews with care providers in LTC were completed. Framework analysis methods were used to code, thematically analyze, designate codes as barriers or facilitators, and map the codes to the Theoretical Domains Framework. Themes were categorized as acting at the resident, provider, or system level, and were labelled as either barriers to or facilitators of anxiety care. Key barriers to anxiety care at each level were resident cognitive impairment or co-morbidities; lack of staff education, staff treatment uptake and implementation; as well as the care delivery environment and access to resources. There is a need to prioritize measurement-based care for anxiety, have increased access to non-pharmacological treatments, and have a care delivery environment that supports anxiety management to improve the care for anxiety that is delivered to residents.

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Copyright of Ileti-s-im is the property of Universite Galatasaray, Faculty of Communication and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gériatrie et Psychologie Neuropsychiatrie du Vieillissement is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

ABSTRACT: The Florida Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program is designed to support pregnant women and families in developing skills and utilizing resources necessary to promote their children's physical, social, and emotional development. Little evaluation attention has focused on large‐scale, public policy driven home‐visiting programs. Social support provision is a critical component of a successful home‐visiting program; therefore, there is a need to better understand participants’ perceptions of social support provided to them in this context. Forty‐five home‐visiting participants from five Florida MIECHV programs completed semistructured telephone interviews. Participants discussed their experiences with the MIECHV program, including descriptions of their interactions with home visitors. Content analysis revealed that participants experienced multilayered social support from home‐visiting staff. Families needed and received substantial emotional, instrumental, informational, and appraisal support at the individual level. This support was embedded within and strengthened by the strategies and activities of the home‐visiting model of service provision. Results highlight the powerful opportunity home visiting offers as a method of service delivery within the larger system of care to increase social support in families experiencing high risk for negative maternal and child health outcomes. Implications for policy and practice are discussed. [ABSTRACT FROM AUTHOR]

Prephysical activity screening is important for older adults' participating in physical activity. Unfortunately, many older adults face barriers to exercise participation and thus, may not complete proper physical activity screening. The purpose of this project was to conduct a thematic analysis of perceptions and experiences of community-dwelling older adults regarding prephysical activity screening (i.e., Get Active Questionnaire (GAQ) and a standardized exercise stress test). A convenience sample of adults (male n = 58, female n = 54) aged 75 ± 7 years living in the City of London, Ontario, Canada, was used. Participants completed a treadmill stress test and the GAQ at a research laboratory for community-based referrals. One week later, participants completed the GAQ again and were asked questions by a research assistant about their perceptions of the screening process. Thematic analysis of the responses was conducted. The results indicated that older adults view physical activity screening as acceptable, but not always necessary. Also, the experiences expressed by this sample of older adults indicated that physical activity screening can contribute to continued confidence (through reassurance) and can contribute to increased motivation (through yearly fitness results) in exercise participation. In conclusion, older adults may perceive screening as supportive in exercise adoption, if screening is simple, convenient, and supports older adults' motivation and confidence to exercise. [ABSTRACT FROM AUTHOR]

Résumé Si de nombreux facteurs de risque d’erreur ont été identifiés en réanimation, très peu d’études se sont intéressées au vécu du risque d’erreur chez les professionnels. Pourtant, l’approche psychologique du risque montre l’importance de la dimension subjective pour comprendre la manière dont le sujet appréhende le risque. Sur les 40 professionnels de réanimation, 75 % des professionnels vivent le risque d’erreur comme omniprésent. L’étude met en évidence l’existence d’un vécu différencié du risque d’erreur en fonction du niveau d’expérience, de l’encadrement et de coopération. Ces dimensions participent à la création d’une culture collective permettant de vivre le risque comme contrôlé. En revanche, pour les professionnels qui intègrent les services de réanimation, le risque est appréhendé de manière individuelle et est source d’anxiété. Cette étude se centre sur l’identification des situations à risque d’erreur, la manière dont les professionnels les vivent et s’en défendent. Cette approche subjective du risque nous permet de dégager des pistes de réflexion sur les enjeux du vécu du risque en termes de prévention et d’accompagnement des professionnels. Intensive care units are considered as services with a high risk of error. More and more studies have measured the incidence and impact of errors in intensive care units, but few of them are centered on the impact of the risk of error for professionals. This study focuses on the perception of the risk of error, how it is experienced, and the way in which professionals cope with it. Forty professionals (20 physicians, 20 nurses) participated in clinical interviews. We transcribed recordings and analysed the data using a phenomenological approach. The risk of error is omnipresent in intensive care units. For nurses with less than one years experience, the risk of error is associated with important manifestations of anxiety. On the contrary, for doctors and nurses who have worked for more than one year in ICU, their experience and the relationship of cooperation built with colleagues gives them a feeling of control over risky situations. Our results show that it is important to take into account the risk of error in order to better target the support and training for the ICU professionals. [ABSTRACT FROM AUTHOR]

Résumé L’analyse interprétative phénoménologique permet au chercheur d’explorer l’expérience de participants, le sens qu’ils donnent à leur expérience et les mécanismes psychologiques sous-jacents. Elle est devenue une des approches les plus reconnues en psychologie et elle est utilisée de façon croissante dans d’autres disciplines. Étant donné cet intérêt croissant apporté à l’IPA, une introduction française est devenue nécessaire. Cet article débute par un rappel général des fondements conceptuels de l’IPA, suivi d’une revue point par point des étapes d’une recherche interprétative phénoménologique. Cet article traite des différents enjeux soulevés par cette approche et conclut avec plusieurs idées de développements à venir. Interpretative phenomenological analysis (IPA) allows researchers to explore the participants’ experiences, the meaning they gave to those experiences, and the underlying psychological processes. IPA recognizes this as involving a double hermeneutic where the participant is trying to make sense of what is happening to them and the researcher is then trying to make sense of the participant's sense making. IPA has now become one of the best known and most widely used qualitative approaches in psychology. After a first decade of development in the United Kingdom, IPA has become an integral part of the research landscape in health psychology and in clinical psychology, and is increasingly being used in other disciplines. It has helped to raise the awareness of a generation of researchers to what qualitative psychology can contribute, and it has enriched the repertoire of methodological practices available for addressing important issues in health. With the growing interest in IPA, we think it is now timely and valuable to offer a French introduction to this approach. The aim of this paper is to introduce to the French-speaking scientific community the foundations of IPA, the different steps involved in a research project and finally the avenues for developing the approach. This paper begins with a general overview of the theoretical foundations of IPA and its place in the scientific landscape in psychology. This is followed by a step-by-step guide to carrying out an IPA study. This begins with an outline of the structure and the content of the data collection process, and the conduct of the interview as well as the alternative frameworks to face-to-face interview and the recommended sample size. We have paid special attention to the analysis cycle and to the communication, assessment and scope of findings. To carry out good IPA requires grasping its core sensibilities. First, IPA has a commitment to an analysis which moves beyond the descriptive to the interpretative, but an interpretative grounded in the close reading of the participant's account. Second, IPA is strongly idiographic, beginning with the close analysis of each case and only then moving to a second level of analysis of the patterning of convergences and divergences within the corpus. Finally, the article discusses various issues arising from the approach and concludes with some thoughts on the issue of language and on future developments like the contribution of single cases, studies of dyadic and group dynamics and the continued involvement of IPA within mixed methods designs. [ABSTRACT FROM AUTHOR]

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This article orbits two mandated mobilities: moving on and finding shelter – one continual and one oriented toward confinement. Reporting ethnographic fieldwork and archival research in Denver, a city that recently outlawed camping in all open space, this article builds a model of spatial confinement. The article argues that, in concert with other quality of life laws, poverty management sequesters Denver’s poor in what the authors term a spatiotemporal camp, a fluid zone produced by delimiting self-reliance and truncating the ability of individuals to relate to social and physical environments. Incorporating both Agamben’s notion of homo sacer and his conceptualization of the camp with other concepts of the camp derived from theories of abnormality, the authors argue that in effect poverty management measures in Denver simultaneously disperse, concentrate, and conceal its homeless citizens. Because it deprives the undomiciled of the autonomy necessary to conjure home-like spaces, poverty management may exacerbate homelessness. [ABSTRACT FROM AUTHOR]