[The bibliography group, between dream and reality in nursing practice]. / Le groupe de bibliographie, entre rêve et réalité de l'exercice infirmier.

The shock of reality that nursing students face when they start out will affect the nursing profession even more in the future, as it faces a recruitment crisis in the midst of renewal. Restoring meaning to the nursing profession is a complex and daunting challenge. By providing access to scientific literature, the bibliography group can contribute to this, based on an Evidence-Based Nursing approach. This initiative, which is beneficial for professionals whose skills development is thus encouraged, is designed to be simple and accessible to as many people as possible.

[L'Atelier créa: a therapeutic mediation group for neonatal parents]. / L'Atelier créa : un groupe thérapeutique à médiation pour les parents en néonatalogie.

The parents of a baby hospitalized in a neonatal unit are confronted with the trauma of premature birth. L'Atelier créa, a creatively-mediated peer group, was designed to give them a space in which to meet and share their experiences. It's a time for talking, imagining and dreaming about the baby. This group is also a form of passage, taking the place of ritual, allowing access to the parent-baby triad, in this sometimes so inhospitable universe.

[Multidisciplinary support in cancer care: Pair working physician/psychologist in the support of children of affected parents by cancer]. / Accompagnement pluridisciplinaire en binôme médecin/psychologue dans le cadre de l'accompagnement des enfants de parents atteints par le cancer.

Supporting children of affected parents by cancer is challenging whether for patients, families and healthcare teams. Several care methods have been developed to support these children (e.g. individual psychological support, support group). However, professionals may feel uncomfortable with their own theoretical and practical limits. Thus, pair working physician/psychologist can make sense in order to melt the different expertise and to provide advices, open discussion and remediation in the family behaviors and feelings. The aim is to help parents communicate with their children about the disease in order to respond appropriately to the child's needs and questions. Our study is observational, around five clinical situations. We deal with parental psychological function, family communication, marital function, and parent-child relationship… Most of the time, children of cancer patients live a stressful experience with major psycho-emotional impact. Inappropriate coping mechanism can be subjected to misperception and lack of interaction with their parents. The question often expressed is the balance between telling the truth and protecting children. However, studies have reported positive effects of interventions around children needs. Thus, the doctor-psychologist pair allows for adaptability of responses to family functioning, children and parents, and thus ensures holistic support for the patient with cancer.

My Silent Story: Conflicted Memories, Silences and Intergenerational Traumas.

This article aims to present the interdisciplinary project "My Story from Silence", conceived in 2022. The project represents a pioneering effort in assembling individuals from diverse communities, characterized by varying ethnic, national, and migratory backgrounds, along a historically dynamic border. Its primary objective was to provide a platform for these participants to articulate and share narratives previously shrouded in silence, offering insights into their historical pasts. Emphasizing reciprocal dialogue for the first time, the initiative fostered an environment where participants engaged in the dual act of narrating their own experiences and attentively listening to the narratives of others. These memories were explored in group workshops on both sides of the border. By combining elements of cultural anthropology fieldwork and analytical psychology, the workshops attempted to address hitherto unaddressed traumas and silent personal memories linked to major traumatic historical events such as fascism and Istrian exodus through the narratives of individuals. Three vignettes will illustrate the workshop dynamic and our Jungian understanding of it.

Cet article a pour objectif de présenter le projet interdisciplinaire « My Story from Silence ¼ conçu en 2022. Ce projet représente un effort pionnier dans le rassemblement d'individus de diverses communautés, caractérisées par des origines ethniques, nationales et migratoires diverses, le long d'une frontière historiquement dynamique. Son objectif principal était de fournir à ces participants un cadre pour exprimer et partager des récits auparavant enfermés dans le silence, offrant un éclairage sur leur passé historique. En mettant pour la première fois l'accent sur le dialogue réciproque, l'initiative a favorisé un environnement où les participants se sont impliqués dans un double acte; raconter leurs propres expériences et écouter attentivement les récits des autres. Ces souvenirs ont été explorés dans le cadre d'ateliers de groupe, des deux côtés de la frontière. En combinant des éléments de l'anthropologie culturelle de terrain et de la psychologie analytique, les ateliers ont tenté d'aborder des traumatismes jusque­là non traités et des souvenirs personnels silencieux liés à des événements historiques traumatisants majeurs tels que le fascisme et l'exode d'Istrie, à travers les récits d'individus. Trois vignettes illustrent la dynamique de l'atelier et notre compréhension jungienne de celle­ci. Les photographies à la fin de l'article fournissent des images d'une table ronde de clôture et de l'installation in situ dans la vieille ville de Koper­Capodistrie, en Slovénie, une ville bilingue au passé troublé dans la zone contestée de la frontière italo­slovène (ex­Yougoslavie).

Este artículo pretende presentar el proyecto interdisciplinario "Mi Historia desde el Silencio", concebido en 2022. El proyecto representa un esfuerzo pionero por reunir individuos de diversas comunidades, caracterizadas por distintos orígenes étnicos, nacionales y migratorios, a lo largo de una frontera históricamente dinámica. Su principal objetivo era proporcionar una plataforma para que los participantes pudieran articular y compartir narrativas previamente silenciadas, ofreciendo una comprensión de sus pasados históricos. Enfatizando por primera vez un diálogo recíproco, la iniciativa fomentó un entorno en el que los y las participantes se comprometieran tanto en el acto de narrar sus propias experiencias como en el de escuchar atentamente las narrativas de otros. Estas memorias se exploraron en talleres grupales a ambos lados de la frontera. Combinando elementos del trabajo de campo de la antropología cultural y de la psicología analítica, los talleres intentaron ­ a través de los relatos de cada participante ­ abordar traumas hasta entonces no abordados y memorias personales silenciadas vinculadas a importantes acontecimientos históricos traumáticos como el fascismo y el éxodo de Istria. Tres viñetas ilustrarán la dinámica del taller y nuestra comprensión Junguiana de la misma. Las fotografías que aparecen al final del artículo ofrecen imágenes de la mesa redonda de clausura y de la instalación en el casco antiguo de Koper­Capodistria (Eslovenia), una ciudad bilingüe con un pasado turbulento situada en la conflictiva zona fronteriza entre Italia y Eslovenia (antigua Yugoslavia).

Transferência e contratransferência: os efeitos clínicos do observador no trabalho em grupos terapêuticos / Transference and countertransference: the observer's clinical effects in therapeutic groups / Transfert et contre-transfert: les effets cliniques de l'observateur dans les groupes thérapeutiques / Transferencia y contratransferencia: los efectos clínicos del observador en el trabajo con grupos terapéuticos

O propósito deste artigo é refletir sobre os conceitos de transferência e contratransferência, articulando-os com a dimensão clínica do lugar do observador no trabalho em grupos terapêuticos. Inicialmente, será feito um percurso histórico sobre tais conceitos na psicanálise. Posteriormente, a noção de transferência será discutida como um vínculo que pode se manifestar pela via da expressão corporal e sensorialidade, enquanto a contratransferência será analisada a partir do campo da intersubjetividade. Esses aspectos serão ilustrados por duas vinhetas clínicas

This paper reflects on the concepts of transference and countertransference in articulation with the clinical dimension of the observer's place in therapeutic groups. After a brief historical overview of these concepts in psychoanalysis, the notion of transference is discussed as a link that can manifest itself via bodily and sensorially. Countertransference, in turn, will be analyzed based on intersubjectivity. These aspects will be illustrated by two clinical vignettes

Cet article reflète aux concepts de transfert et de contre-transfert en articulation avec la dimension clinique de la place de l'observateur dans les groupes thérapeutiques. D'après un aperçu historique de ces concepts en psychanalyse, on discute la notion de transfert en tant que lien qui peut se manifester par l'expression corporelle et la sensorialité. Le contre-transfert, à son tour, sera analysé à partir du domaine de l'intersubjectivité. Ces aspects seront illustrés par deux vignettes cliniques

El propósito de este artículo es reflexionar sobre los conceptos de transferencia y contratransferencia articulándolos con la dimensión clínica del lugar del observador en el trabajo con grupos terapéuticos. Inicialmente, se hará un recorrido histórico sobre tales conceptos en el psicoanálisis. Posteriormente, la noción de transferencia será discutida como vínculo que puede manifestarse por la expresión corporal y la sensorialidad, mientras que la contratransferencia será analizada a partir del campo de la intersubjetividad. Estos aspectos serán ilustrados por dos viñetas clínicas

[Anorexia nervosa and the perinatal period]. / Anorexie mentale et période périnatale.

As a complex pathology, anorexia nervosa interacts with the psychological challenges of pregnancy, and raises questions about how to support the women concerned. As part of a multidisciplinary approach, support groups are particularly important, offering both individual and social support. Child-parent drop-in centers can also provide a supportive space for the psychological work of parenting.

[What tools can be used to create a parent-child group in a transcultural situation?] / Quels outils pour la création d'un groupe parents-enfants en situation transculturelle ?

Welcoming migrant families into an early childhood unit forces professionals to reflect on their clinical practices. When faced with parents with whom the therapeutic alliance is hard to establish and with children with developmental delays, a psychologist and a childcare assistant turn to transcultural psychology to find adapted tools. This text presents the reflections, the set up and the beginning of a parent-child therapeutic group.

Relationship focused mother-infant groups: Preliminary evaluation of improvements in maternal mental health, parenting confidence, and parental reflective functioning.

We report on two preliminary evaluations of a group intervention, targeting vulnerable infants and their mothers within the first 6-months postpartum. The Mother-Baby Nurture® program aims to strengthen the developing infant-mother attachment relationship by increasing maternal mentalizing. These studies were undertaken with pre-post evaluations with the mothers of infants under 10-months of age. The mother-infant dyads participated in ten 2-h group sessions. Study one (N = 69 dyads) included self-reported maternal depression, anxiety, and parenting confidence. In study two (N = 27 dyads), parenting stress and reflective functioning were measured by self-report, and reflective functioning coded on the 5 min speech sample (completed by N = 22). Results from study one confirmed a decrease in depression (p < .001, d = .79) and anxiety (p < .001, d = .72) symptoms, and an increase in mothers' scores for parenting confidence (p < .001, d = -.98). Results from Study Two demonstrated a significant decrease in parenting stress (p < .001, d = .94) and significant improvement in measures of self-report reflective functioning (p = .007, .024; d = .56, .61). These findings are preliminary yet promising indications that this program could be effective in alleviating parenting stress, depression, and anxiety, and improving mother's reflective functioning and parenting confidence. Further research is needed, with a control group and long-term follow-up assessments.

Reportamos sobre dos evaluaciones preliminares de un grupo de intervención, con enfoque en infantes vulnerables y sus madres dentro de los primeros seis meses después del parto. El programa Naturaleza Mamá-Bebé® se propone fortalecer el desarrollo de la relación afectiva infante-madre por medio de incrementar el proceso de mentalización materna. Estos estudios se llevaron a cabo con evaluaciones anteriores y posteriores con las madres de infantes menores de 10 meses de edad. Las díadas madre-infante participaron en diez sesiones de grupo de 2 horas. El Estudio Uno (N=69 díadas) incluyó la auto reportada depresión materna, la ansiedad y la confianza en la crianza. En el Estudio Dos (N=27 díadas) se midieron el estrés de crianza y el funcionamiento con reflexión por medio de auto reportes, y el funcionamiento con reflexión se codificó en base a la Muestra de Cinco Minutos de Charla Oral (completada por N=22). Los resultados del Estudio Uno confirmaron una disminución en los síntomas de depresión (p<.001, d=0.79) y ansiedad (p<.001, d=0.72) y un aumento en los puntajes de las madres en cuanto a confianza en la crianza (p<.001, d=-0.98). Los resultados del Estudio Dos demostraron una significativa disminución en el estrés de crianza (p<.001, d = 0.94) y un significativo mejoramiento en las medidas de funcionamiento con reflexión auto reportadas (p=.007, .024; d=0.56, 0.61). Estos resultados son preliminares, pero aun así indicaciones prometedoras de que este programa pudiera ser eficaz para aliviar el estrés de crianza, la depresión y la ansiedad, y mejorar el funcionamiento con reflexión y confianza en la crianza de la madre. Se necesita una mayor investigación, con un grupo de control y medidas de evaluación a largo plazo.

Nous présentons deux évaluations préliminaires d'un groupe d'intervention ciblant des nourrissons vulnérables et leurs mères durant les six premiers mois postpartum. Le programme Mother-Baby Nurture® a pour but de renforcer la relation d'attachement infant-mère qui se développe en augmentant la mentalisation maternelle. Ces études ont été faites avec des évaluations pré-post avec les mères de nourrissons de 10 mois. Les dyades mère-bébé ont participé à dix séances de groupes, de heures chacune. La première étude (N=69 dyades) a inclus une dépression maternelle, de l'anxiété et la confiance de parentage, toutes auto-rapportées. Dans la deuxième étude (N=27 dyades), le stress de parentage et le fonctionnement de réflexion ont été mesurés par auto-déclaration, et le fonctionnement de réflexion a été codé à partir du de l'échantillon Five-Minute Speech Sample (complété par N=22). Les résultats de la première étude ont confirmé une décroissance de la dépression (p<,001, d=0,79) et des symptômes d'anxiété (p<,001, d=0,72) et une augmentation des scores des mères pour ce qui concerne la confiance de parentage (p<,001, d=-0,98). Les résultats de la deuxième étude ont révélé une décroissance importante du stress de parentage (p<,001, d = 0,94) et une amélioration importante dans les mesures de fonctionnement de réflexion auto-rapporté (p=,007, ,024; d=0,56, 0,61). Ces résultats sont préliminaires mais cependant ils s'avèrent présenter des indications prometteuses que ce programme pourrait être efficaces pour soulager et atténuer le stress de parentage, la dépression et l'anxiété, et améliorer le fonctionnement de réflexion des mères ainsi que leur confiance de parentage. De plus amples recherches sont nécessaires, avec un groupe de contrôle et des évaluations de suivi à long terme.

[Emotions, a managerial resource for collective dynamics]. / Les émotions, une ressource managériale en faveur d'une dynamique collective.

The hospital environment is changing profoundly and is the terrain of a strong emotional charge that can generate a significant psychosocial risk. Long perceived as irrational and non-productive, emotions today tend to appear as a resource to professional dynamics. On a daily basis, the study of emotions and group phenomena opens the field of conscious and benevolent management in favor of a collective dynamic.

Reflective functioning and mother-infant relationships among mothers with Borderline Personality Disorder post-therapy.

The stressful nature of parenting infants exacerbates the characteristics of Borderline Personality Disorder (BPD). Consequently, mothers with BPD tend to be emotionally dysregulated, respond impulsively to their infants, and have poorer mother-infant relationships. Few parenting interventions target the specific skill deficits observed in mothers with BPD. This study explored the differences in parental reflective functioning (PRF) and mother-infant relationship quality at baseline and following a 24-week, group parenting intervention for mothers with BPD. PRF and mother-infant relationship quality were assessed from quantitative (N = 23) and qualitative (N = 32) perspectives. Quantitative data (Parental Reflective Functioning Questionnaire) showed a significant improvement in one of the three subscales, Interest and Curiosity, between baseline and post-intervention, and a significant moderate positive association between the subscale Certainty of Mental States and maternal-infant interaction quality post-intervention. Improvements in mother-infant relationship quality were not evident from the observational measure, Nursing Child Assessment Satellite Teaching scale. In contrast, semi-structured interview qualitative data found maternal improvements in parental reflection, coping strategies implemented post-intervention, and quality of mother-infant relationships. Overwhelmingly positive intervention feedback suggested perceived maternal benefits of group format and skills taught. Future studies with larger sample sizes would allow further clarification of such parenting interventions for mothers with BPD.

La naturaleza estresante de criar infantes agudiza las características del Trastorno Límite de la Personalidad (BPD). Por tanto, madres con BPD tienden a estar emocionalmente no reguladas, responder impulsivamente a sus infantes y tener relaciones madre-infante de menor calidad. Pocas intervenciones de crianza se centran en los específicos déficits de habilidades observados en madres con BPD. El presente estudio exploró diferencias en el funcionamiento con reflexión del progenitor y la calidad de la relación madre-infante al punto inicial y al del seguimiento a 24 semanas de la intervención de crianza en grupo para madres con BPD. Se evaluó el funcionamiento con reflexión del progenitor y la relación madre-infante desde la perspectiva cuantitativa (N=23) y cualitativa (N=32). Datos cuantitativos (Cuestionario del Funcionamiento con Reflexión del Progenitor) mostraron un significativo adelanto en una de tres subescalas, Interés y Curiosidad, entre el punto inicial y posterior a la intervención, y una significativa moderada asociación positiva entre la subescala Certeza de Estados Mentales y la calidad de la interacción materno-infantil al momento posterior a la intervención. Las mejoras en la calidad de la relación madre-infante no fueron evidentes con la medida de observación, la escala de la Enseñanza Satélite de Evaluación del Niño Lactante. En contraste, datos cualitativos de entrevista semiestructurada encontraron mejoras maternas en la reflexión del progenitor, estrategias de cómo arreglárselas puestas en práctica después de la intervención, y en la calidad de las relaciones madre-infante. La abrumadoramente positiva información sobre la intervención sugirió que había una percepción materna de beneficios del formato de grupo y las habilidades que se enseñaban. Estudios futuros con grupos mayores permitirán clarificaciones adicionales de tales intervenciones de crianza para madres con BPD.

La nature stressante du parentage des nourrissons exacerbe les caractéristiques du Trouble de la Personnalité Limite (TPL). Par conséquent les mères avec un TPL ont tendance à être émotionnellement dérégulées, réagissant de manière impulsive à leurs bébés et ont des relations mère-bébé moins bonnes. Peu d'interventions de parentage visent les déficits de compétence spécifiques qui sont observés chez les mères avec un TPL. Cette étude a exploré les différences qu'on trouve dans le fonctionnement de réflexion parental et la qualité de la relation mère-bébé au départ et après une intervention de groupe de parentage pour des mères avec un TPL, de 24 semaines. Le fonctionnement parental de réflexion et la qualité de la relation mère-bébé ont été évalués à partir de perspectives quantitatives (N=23) et qualitatives (N=32). Les données quantitatives (Questionnaire de Fonctionnement de Réflexion parental ont montré une amélioration importante dans l'une des trois sous-échelles, Intérêt et Curiosité, entre le départ de l'intervention et la post-intervention, ainsi qu'un lien positive modéré important entre la sous-échelles Certitude des Etats Mentaux et la qualité de l'interaction maternelle-bébé après l'intervention. On n'a pas trouvé d'améliorations de la qualité de la relation mère-bébé à partir de la mesure d'observation échelle d'Formation Satellite de l'Evaluation du Nourrisson. Par contre les données qualitatives de l'entretien semi-structuré a révélé des améliorations maternelles dans la réflexion parentale, dans des stratégies d'adaptation mises en place après l'intervention et dans la qualité des relations mère-bébé. Les retours de l'intervention extrêmement positifs ont suggéré que des bénéfices maternels perçus du format de groupe et des compétences enseignées. Des études avec des échantillons plus grands permettraient une clarification plus poussée sur de telles interventions avec des mères avec un TPL.

Safe haven in adolescence: Improving parental reflective functioning and youth attachment and mental health with the Connecting and Reflecting Experience.

Attachment security provides a well-documented protective developmental function for children exposed to individual- and community-level trauma, yet the effectiveness of prevention and intervention efforts targeting attachment during adolescence has been relatively underexplored. The Connecting and Reflecting Experience (CARE) program is a transdiagnostic, bi-generational, group-based, mentalizing-focused parenting intervention developed to dismantle the intergenerational transmission of trauma and support secure attachment relationships across the developmental spectrum within an under-resourced community. This exploratory study evaluated outcomes among caregiver-adolescent dyads (N = 32) in the CARE condition of a nonrandomized clinical trial at an outpatient mental health clinic within a diverse, urban U.S. community with disproportionate trauma exposure exacerbated by COVID-19. Caregivers predominantly identified as Black/African/African American (47%), Hispanic/Latina (38%), and/or White (19%). At pre- and post-intervention, caregivers completed questionnaires regarding parental mentalizing and their adolescents' psychosocial functioning. Adolescents completed scales regarding attachment and psychosocial functioning. Results showed a significant decrease in caregivers' prementalizing on the Parental Reflective Functioning Questionnaire, improvement in adolescent psychosocial functioning on the Youth Outcomes Questionnaire, and an increase in adolescents' reports of attachment security on the Security Scale. These preliminary findings suggest that mentalizing-focused parenting interventions may be effective in fostering improved attachment security and psychosocial functioning during adolescence.

La seguridad de la afectividad provee una bien documentada función protectora del desarrollo para niños expuestos al trauma individual y comunitario; aun así, la efectividad de los esfuerzos de prevención e intervención enfocados en la afectividad en la adolescencia ha sido relativamente poco explorada. El programa Conexión y Reflexión de la Experiencia (CARE) es una intervención de crianza transdiagnóstica, bigeneracional, con base en el grupo, enfocada en la mentalización, desarrollada para desarmar la transmisión intergeneracional de trauma y apoyar las relaciones de afectividad segura a lo largo del espectro del desarrollo dentro de una comunidad menos equipada con recursos. Este estudio exploratorio evaluó resultados entre díadas cuidador-adolescente (N = 32) bajo la condición CARE de un ensayo clínico no al azar en una clínica de salud mental ambulatoria dentro de una comunidad diversa y urbana en Estados Unidos, expuesta al trauma desproporcionadamente, lo cual fue exacerbado por COVID-19. A los cuidadores predominantemente se les identificó como negros/africanos/afroamericanos (47%), hispanos/latinas (38%), y/o blancos (19%). Antes y después de la intervención, los cuidadores completaron cuestionarios acerca de mentalización del progenitor y el funcionamiento sicosocial de sus adolescentes. Los adolescentes completaron escalas sobre la afectividad y el funcionamiento sicosocial. Los resultados mostraron una significativa disminución de la pre-mentalización en el Cuestionario del Funcionamiento con Reflexión del Progenitor, mejoras en el funcionamiento sicosocial de los adolescentes en el Cuestionario de Resultados de la Juventud, y un aumento en los reportes de los adolescentes sobre la seguridad de la afectividad en la Escala de Seguridad. Estos preliminares resultados sugieren que las intervenciones de crianza enfocadas en la mentalización pudieran ser efectivas para fomentar la mejorada seguridad de la afectividad y el funcionamiento sicosocial durante la adolescencia.

La sécurité de l'attachement offre une fonction protectrice au développement qui est bien prouvée pour les enfants exposés à un trauma individuel et communautaire. Cependant l'efficacité de la prévention et des efforts d'intervention ciblant l'attachement durant l'adolescence a été relativement peu exploré. Le programme de Connecting and Reflecting Experience (CARE, soit Expérience de Lien et de Réflexion) est une intervention de parentage transdiagnostique, bi-générationnel, basée sur un groupe, et ciblé sur la mentalisation développé afin de démonter la transmission intergénérationnelle du trauma et de soutenir des relations d'attachement sécure au travers du spectre développemental au soin d'une communauté manquant de moyens. Cette étude exploratoire a évalué les résultats chez des dyades personne prenant soin de l'adolescent-adolescent (N = 32) dans la condition CARE d'un essai clinique non-randomisé dans une clinique de santé mentale en consultation externe au soin d'une communauté américaine urbaine et diverse avec une exposition au trauma disproportionnée exacerbée par le COVID-19. Les personnes prenant soin des adolescents se sont en grande partie identifiés comme étant Noirs/Africains/Noir Américains (47%), Hispaniques/Latina (38%), et/ou Blanches (19%). Avant et après l'intervention les personnes prenant soin des adolescents ont rempli des questionnaires concernant la mentalisation parentale et le fonctionnement psychosocial de leurs adolescents. Les adolescents ont rempli des échelles concernant l'attachement et le fonctionnement psychosocial. Les résultats montrent une baisse importante de la pré-mentalisation des personnes prenant soin des adolescents concernant le Questionnaire de Fonctionnement de Réflexion Parental, une amélioration du fonctionnement psychosocial de l'adolescent au travers du Questionnaire des Résultats de Jeunesse (Youth Outcomes Questionnaire en anglais) et une augmentation dans les rapports de sécurité d'attachement faits par les adolescents au travers de l'échelle Security Scale. Ces résultats préliminaires suggèrent que les interventions de parentage focalisées sur la mentalisation peuvent être efficaces pour favoriser une sécurité de l'attachement améliorée et le fonctionnement psychosocial durant l'adolescence.

Feasibility of Mindfulness-Based Intervention for Veterans Managing Chronic Pain.

Background. Chronic pain impacts people's activity participation, productivity, mental health, and sense of wellbeing. Purpose. This study aimed to (1) evaluate the feasibility of the Mindfulness-Based Chronic Pain Management (MBCPMTM) program on reducing pain perception and enhancing the quality of life, and (2) understand veterans' experience with the program. Method. The pretest-posttest single-group, mixed-methods design was used. Thirty-one veterans were offered the 12-week intervention. The Pain Catastrophizing Scale (PCS) and the Patient-Reported Outcomes Measurement Information System-29 were administered before and after the program. Focus groups and individual interviews were conducted to understand the experience. Findings. Participants' PCS scores improved (Z = -3.116, p = .002), but the pain intensity did not change significantly. Themes from qualitative data include: (1) We are not alone! (2) I have a sense of awareness, choices, and control; and (3) It does work! Implications. The study shows preliminary feasibility of MBCPMTM for veterans. This promising effect supports future rigorous testing of this intervention.

10-Year oncological outcome report after second conservative treatment for ipsilateral breast tumor event.

Purpose: To analyze long-term oncological outcome after 2nd conservative treatment (2ndCT) for patients with ipsilateral 2nd ipsilateral breast tumor event (2ndIBTE). Materials/methods: In this retrospective observational study (N°F20210402152843), patients with 2ndIBTE underwent 2ndCT (lumpectomy + tumor bed re-irradiation). 3rdIBTE (3rdIBTE-FS), regional relapse- (RRFS) and metastatic disease- (MD-FS) free survivals as well as disease-free (DFS), specific (SS) and overall (OS) survival were analyzed. Late toxicity was reported. Results: Between 09/2000 and 04/2022, 244 patients presented a 2ndIBTE and underwent a 2ndCT. Among them, 113 pts with a minimum follow-up of 60 months were analyzed. Median time interval between 1st and 2ndIBTE was 13.5 years [2-35]. Median 2ndIBTE age was 66.2 years [31-85]. 2ndIBTE were adenocarcinomas (77 %). Tumor size was < 20 mm (86.7 %). 2ndIBTE were grade 1/2 (75 %), with positive hormonal receptor (85 %) and clear surgical margins (no ink on tumor, 90.3 %). In the APBI classification, 21 pts were high-risk (18.6 %), while 77 % were Luminal A/BHer2-. With a MFU of 121.5 months [CI95% 111.7-129.6], 10-year 3rdIBTE-FS was 89 % [83-96]. Then-year RRFS, MDFS, DFS, SS and OS were 94 % [89-100], 89 % [83-96], 78 % [70-87], 95 % [91-100] and 94 % [90 -99] respectively. In multivariate analysis, APBI classification (high-risk; HR2.66 [1.01-7.1], p = 0.049) and tumor size (≥20 mm; HR2.64 [1.02-6.8], p = 0.045) were considered independent prognostic factors for DFS.Ninety-seven late complications were observed (fibrosis 64 %) with 6.2 % G ≥ 3 late toxicity. Cosmetic outcome was excellent/good in 91.2 %. Conclusions: With long follow-up, 2ndIBTE managed with 2ndCT allows second breast preservation without oncological outcome compromise and acceptable G ≥ 3 toxicity.

[Susceptibility Of ABOS Blood Groups To COVID-19 At The National Institute Of Public Health (INSP) Of Mali In 2020]. / Susceptibilite d'Appartenance A Un Groupe Sanguin Specifique Du Systeme Abo Des Personnes Atteintes De COVID-19 A l'Institut National De Sante Publique (INSP) En 2020.

INTRODUCTION: Several authors have suggested an association between the ABO system (ABOS) and the risk of SARS CoV-2 infection. The objective of the present study was to identify the susceptibility of ABOS blood groups to COVID-19 at the National Institute of Public Health (INSP) of Mali. MATERIAL AND METHODS: This was an unpaired case-control study. The cases (402) were COVID-19 patients, and the controls (5438) were Muslim pilgrims, all of whom had undergone ABO blood grouping at the INSP. Logistic regression was performed to identify factors associated with SARS-CoV-2 infection status using SPSS version25 software. RESULTS: Blood types had the following frequencies: O(34%), B(30%), A(28%), AB(8%) for cases and O(42%), B(27%), A(25%), AB(6%) for controls. COVID-19 positive status was not significantly associated with blood groups A(oR=1.17; CI95%[0.93-1.47]), B(OR=1.11; CI95%[0.89-1.39]) and AB(OR=1.41; CI95%[0.97-2.06]). However, blood group O subjects were 28 times less likely to have COVID-19 than non-O(OR=0.72; CI95%[0.58-0.89). CONCLUSION: The results show that blood group O individuals were less likely to have SARS CoV-2 infection than non-O individuals. This should not affect the use of barrier measures in ABOS groups.

INTRODUCTION: Plusieurs auteurs ont suggéré une association entre le système ABO (SABO) et le risque d'infection au SRAS CoV-2. La présente étude avait pour objectif d'identifier la susceptibilité des groupes sanguins du SABO au COVID-19à l'Institut National de Santé Publique (INSP) du Mali. MATÉRIEL ET MÉTHODES: Il s'agissait une étude cas-témoins non appariée. Les cas (402) étaient des patients COVID-19 et les témoins (5438) des pèlerins musulmans tous ayant fait le groupage sanguin ABO à l'INSP. Une régression logistique fut réalisée afin d'identifier les facteurs associés au statut infectieux à SRAS-CoV-2en utilisant le logiciel SPSS version25. RÉSULTATS: Les groupes sanguins avaient les fréquences suivantes : O(34%), B(30%), A(28%), AB(8%) pour les cas et O(42%), B(27%), A(25%), AB(6%) pour les témoins. Le statut COVID-19 positif n'était pas significativement associé aux groupes sanguins A(OR=1,17; IC95%[0,93-1,47]), B(OR=1,11; IC95%[0,89-1,39]) et AB(OR=1,41; IC95%[0,97-2,06]). Cependant, les sujets du groupe sanguin O étaient 28 fois moins susceptibles de faire la COVID-19 que les non O(OR=0,72; IC95%[0,58-0,89). CONCLUSION: Les résultats suggèrent que les personnes du groupe sanguin O étaient moins susceptibles de faire l'infection par le SRAS CoV-2 que les non O. Cela ne devrait pas influer sur l'utilisation des mesures barrières au sein des groupes SABO.

Susceptibilité d'appartenance à un groupe sanguin spécifique du système Abo des personnes atteintes de COVID-19 à l'Institut national de Santé Publique (INSP) en 2020 / Susceptibility of ABOS blood groups to COVID-19 at the National Institute of Public Health (INSP) Of Mali In 2020

Introduction: Plusieurs auteurs ont suggéré une association entre le système ABO (SABO) et le risque d'infection au SRAS CoV-2. La présente étude avait pour objectif d'identifier la susceptibilité des groupes sanguins du SABO au COVID-19à l'Institut National de Santé Publique (INSP) du Mali. Matériel et méthodes : Il s'agissait une étude cas-témoins non appariée. Les cas (402) étaient des patients COVID-19 et les témoins (5438) des pèlerins musulmans tous ayant fait le groupage sanguin ABO à l'INSP. Une régression logistique fut réalisée afin d'identifier les facteurs associés au statut infectieux à SRAS-CoV-2en utilisant le logiciel SPSS version25. Résultats: Les groupes sanguins avaient les fréquences suivantes : O(34%), B(30%), A(28%), AB(8%) pour les cas et O(42%), B(27%), A(25%), AB(6%) pour les témoins. Le statut COVID-19 positif n'était pas significativement associé aux groupes sanguins A(OR=1,17; IC95%[0,93-1,47]), B(OR=1,11; IC95%[0,89-1,39]) et AB(OR=1,41; IC95%[0,97-2,06]). Cependant, les sujets du groupe sanguin O étaient 28 fois moins susceptibles de faire la COVID-19 que les non O(OR=0,72; IC95%[0,58-0,89). Conclusion: Les résultats suggèrent que les personnes du groupe sanguin O étaient moins susceptibles de faire l'infection par le SRAS CoV-2 que les non O. Cela ne devrait pas influer sur l'utilisation des mesures barrières au sein des groupes SABO.

Introduction: Several authors have suggested an association between the ABO system (ABOS) and the risk of SARS CoV-2 infection. The objective of the present study was to identify the susceptibility of ABOS blood groups to COVID-19 at the National Institute of Public Health (INSP) of Mali. Material and methods: This was an unpaired case-control study. The cases (402) were COVID-19 patients, and the controls (5438) were Muslim pilgrims, all of whom had undergone ABO blood grouping at the INSP. Logistic regression was performed to identify factors associated with SARS-CoV-2 infection status using SPSS version25 software. Results: Blood types had the following frequencies: O(34%), B(30%), A(28%), AB(8%) for cases and O(42%), B(27%), A(25%), AB(6%) for controls. COVID-19 positive status was not significantly associated with blood groups A(OR=1.17; CI95%[0.93-1.47]), B(OR=1.11; CI95%[0.89-1.39]) and AB(OR=1.41; CI95%[0.97-2.06]). However, blood group O subjects were 28 times less likely to have COVID-19 than non-O(OR=0.72; CI95%[0.58-0.89). Conclusion: The results show that blood group O individuals were less likely to have SARS CoV-2 infection than non-O individuals. This should not affect the use of barrier measures in ABOS groups.

[The coat of arms, a tool for group cohesion]. / Le blason, un outil au service de la cohésion de groupe.

Teamwork, an essential component of quality care, is not always self-evident. Working together requires trust and shared objectives. As part of their preparation for the health service, aiming at learning to work in project mode, it is proposed to nursing students in their second year of training to use a pedagogical tool, the coat of arms, to work on group dynamics and the sharing of common values. The aim is to bring the team to give life to its collective identity, in the service of the implementation of its project, based on the individual characteristics of each of its members.

Cinemar a vida: clínica e capitalismo / Movie life: clinic and capitalismo / Filmer la vie: clinique et capitalisme

Neste artigo, retomamos uma trajetória que Gilles Deleuze e Félix Guattari fizeram, sobretudo em O anti-édipo (1972), para mostrar como o capitalismo opera axiomatizando os fluxos desejantes de maneira a centrar na propriedade privada toda a desterritorialização dos processos subjetivos. A reterritorialização única, no caso, no familismo, é também o modo de operar da psicanálise que tem édipo como estrutura, indicam os autores. Aqui, trazemos o cinema como um terceiro acontecimento do final do século XIX, em que uma ordem linguageira e representacional vem a conter as invenções de espaços e tempos de seus primeiros anos. Por fim, voltamo-nos à prática artística e aos processos clínicos que, com o cinema, retomam modos de fazer imagens e fazer a si, e que colocam o cinema como forma que pensa. Apresentamos e discutimos o cinema na clínica retomando os fluxos desejantes e suas possibilidades de encontrar reterritorializações múltiplas, em obras e territórios existenciais.

In this article we resume a trajectory that Gilles Deleuze and Félix Guattari followed, especially in The anti-Oedipus (1972), to show how capitalism operates by axiomatizing desiring flows in a way that centralizes on private property all the deterritorialization of the subjective processes. Unique reterritorialization is also the modus operandi of psychoanalysis which has Oedipus as its structure, indicate the authors. Here we bring cinema as a third event of the late 19th century in which a linguistic and representational order comes to contain the inventions of spaces and times of its early years. Finally, we turn to artistic practice and clinical processes which, with the cinema, take up the ways of making images and oneself, which place cinema as a form that thinks We present and discuss cinema in the clinical processes, retaking the desiring flows and their possibilities of finding multiple reterritorializations in artworks and existential territories.

Dans cet article nous reprenons une trajectoire de Gilles Deleuze et Félix Guattari, notamment dans L'Anti-Œdipe (1972), pour montrer comment le capitalisme opère en axiomatisant les flux désirants afin de centrer toute la déterritorialisation des processus subjectifs sur la propriété privée. La reterritorialisation unique est aussi le mode opératoire de la psychanalyse qui a Œdipe pour structure, indiquent les auteurs. Nous pensons ici le cinéma comme un troisième événement de la fin du XIXe siècle dans lequel un ordre linguistique et figuratif vient calmer les inventions d'espaces et de temps de ses premières années. Enfin, nous nous tournons vers la pratique artistique et les processus cliniques qui, avec le cinéma, reprennent les manières de faire des images et de se faire et qui placent le cinéma comme image qui pense. Nous présentons et discutons le cinéma dans la clinique, reprenant les flux désirants et leurs possibilités de trouver de multiples reterritorialisations, dans des œuvres et des territoires existentiels.

Maturing conversations: developing climate engagement through group dialogues.

Climate change is a threat to global ecosystems, societies and psychological well-being. As a collectively driven phenomena, I argue that it requires collective responses and action. In order to ease the trauma of awakening to, and engaging with, climate and ecological breakdown, I suggest that individuals and communities need to build safe containers and establish support to help us recognize resistance, explore defences and feel into the territory beyond the known and familiar. Using participatory research as a case study, this paper considers the often intense feelings of confusion, tension and fear that can be generated by climate disruption, and the developmental processes that can arise when these feelings are well supported and contained. My experience suggests that when people are given a safe facilitated space to identify and share their feelings and thoughts, fears and hopes, dreams and images with others, it stimulates a creative process of collective engagement and sense-making that has the potential to seed personal and social transformation and action. I suggest that Jungian practitioners in particular can play a valuable role by facilitating dialogues and inquiries which are attuned to collective symbolic processes and which incorporate the imaginal realm of story, dream, and image.

Le changement climatique est une menace pour les écosystèmes globaux, les sociétés et le bien-être psychologique. Je soutiens qu'en tant que phénomène mû par le collectif, il requiert des réponses et des actions collectives. Afin d'alléger le traumatisme de s'éveiller à et de s'impliquer dans la décomposition du climat et de l'écologie, je suggère que les individus et les communautés ont besoin de construire de bons contenants et d'établir du soutien pour aider à reconnaitre les résistances, pour explorer les défenses et pour s'aventurer dans le territoire situé au-delà du connu et du familier. Utilisant la recherche participative comme étude de cas, cet article prend en compte les processus développementaux et les conséquences qui peuvent survenir quand les émotions souvent intenses de confusion, de tension et de peur générées par l'implication avec les réalités de changer les mythes culturels et les manières de vivre sont bien soutenues et bien contenues. Mon expérience suggère que quand on donne aux personnes un espace sûr et cadré par un facilitateur afin d'identifier et de partager leurs émotions et leurs pensées, leurs peurs et leurs espoirs, leurs rêves et images avec d'autres, cela stimule un processus créatif d'implication collective et de recherche de sens, qui a le potentiel pour semer des graines de transformation sociale et personnelle et d'action. Je suggère que les praticiens Jungiens en particulier peuvent jouer un rôle appréciable en facilitant des dialogues et des recherches, qui sont dans l'accordage des processus symboliques collectifs et qui incorporent le domaine imaginal du récit, du rêve et de l'image.

El cambio climático es una amenaza a los ecosistemas globales, a las sociedades y al bienestar psicológico. Como fenómeno colectivo sostengo que el mismo requiere de respuestas y acciones colectivas. Sugiero que, para aliviar el trauma de despertar e interactuar con la crisis climática y ecológica, individuos y comunidades necesitan construir espacios seguros de contención y establecer formas de apoyo que posibiliten el reconocimiento de las resistencias, defensas y sentimientos hacia el territorio más allá de lo familiar y conocido. Utilizando como estudio de caso la investigación participativa, el presente trabajo considera los procesos y resultados que pueden emerger cuando los sentimientos a menudo intensos, de confusión, tensión y miedo generados por el involucramiento con la realidad de mitos culturales y estilos de vida cambiantes son contenidos y reciben un adecuado sostén. Mi experiencia sugiere que cuando a las personas se les ofrece un espacio seguro y facilitador para identificar y compartir sus sentimientos y pensamientos, miedos y esperanzas, sueños e imágenes con otros, se estimula un proceso creativo de participación colectiva y producción de sentido que tiene el potencial de sembrar la transformación y acción personal y social. Sugiero que analistas Junguianos en particular pueden jugar un rol valioso en la facilitación de estos diálogos e indagaciones, que están en sintonía con procesos simbólicos colectivos e incorporan la dimensión imaginal de la narrativa, las imágenes y los sueños.

[School bullying and group violence: How to occupy a place in the group by exclusion]. / Harcèlement scolaire et violence groupale : comment occuper une place dans le groupe par l'exclusion.

The prevalence of school bullying (a deliberate, repeated act of verbal, physical or relational/social aggression occurring in a situation of inequality, including cyberbullying) is high in France (10 %) as well as in other countries like the United States (more than 40 % of school children have experienced harassment at some point in their school cursus). This frequency varies by country, source of observation, school, class, and age of children. Self-questionnaires where children have to self-identify as harassing or being harassed involve a clear bias of underevaluation (even for harassed children who can feel ashamed to report explicitly harassment). The method of peer nomination of who, according to each child, has harassed or has been harassed in recent months out of all children in a class, based on mean results, is the most objective method. However, it depends on the participation rate and is not easy to implement, as some professionals consider it to be based on a denunciatory system. The fight against school bullying is a priority with regard to its possible psychological, physical and educational effects on the harassed child/adolescent, but also on the harassing child/adolescent and the spectators. In addition, the consequences of harassment are amplified in our societies by social networks with the use of SMS and Internet on mobile phones and computers. The feeling of being pursued, not only by the harassing youth but also in the eyes of the spectators is no longer limited today to the walls of the school but is also found in other environments where the harassed child/adolescent could previously recuperate from harassement (home, places of extracurricular activity, etc.). Combating school bullying requires breaking the silence and understanding its mechanisms by questioning the roles and functions of all the actors. Bullying appears to be a question of place, a place to show leadership and power but also to gain popularity for the harassing child/adolescent, a place to maintain in the group for the spectators, and a place to defend or to be established for the harassed youth. The presence of spectators, essential to the existence and maintenance of school bullying, distinguishes it from abuse; without spectators, the show cannot take place. There are indeed various actors in harassment, all of them having a major role (roles of stalker, harassed and spectator), and without which the group dynamic could not continue. It opens new perspectives of intervention based on collective responsibility but also individual responsibility, knowing that if only one spectator opposes him/herself to school bullying, harassment can stop. A part focused on each of these protagonists is presented and discussed in this article. However, there is no typology that could be reported here regarding the harassed person, the harassing one or the spectator. A model linking the various protagonists of harassment is presented and proposes that interventions take place simultaneously on these different levels, by focusing on each actor separately but also jointly in the group concerned by school bullying using discussion and role-playing. This work focuses on the ability of cognitive empathy (ability to understand the emotions of others), apparently preserved even in harassing children, and more precisely on the transition from cognitive empathy to emotional empathy (ability to experience the emotions that others feel by putting oneself in their place). If one of the fundamentals of harassment relies on an issue of place, as hypothesized, role-playing and simulation games that consist of "putting oneself in the place of the other" can be powerful mobilizers to combat harassment by allowing a change in points of view, perspectives, positions, relational modalities and behaviors. It is also important to extend interventions to larger groups representing institutions (family, school, society) with their systems of rules and laws that guarantee ethics and protect the individual within institutions. Finally, it is necessary to be aware of the possible risk of antiharassment measures, to create or reinforce an identity of harasser, harassed and/or spectator. For this reason, neither the harassed child/adolescent is designated in this article as "the victim", nor the harassing child/adolescent as "the author". The substantives (and not adjectives), the victim and the author, suggest the existence of a permanent identity persisting even outside the context of harassment and defining the individual. Similarly, the proposal of a specialized consultation in psychology and child psychiatry for harassed or harassing children/adolescents does not seem appropriate with regard to this identity issue. This underlines the importance of antibullying interventions to help build spaces for thinking where all individuals can express their feelings and experience the feelings of others, in a secure framework based on human values and clear rules, respected both at an individual and collective level, and supported by fair institutions.

Psychotherapy Within Occupational Therapy Literature: A Scoping Review.

Background. Recent changes in the Canadian regulatory landscape have prompted reflections on the role and scope of occupational therapy in the provision of psychotherapy. Purpose. To document how psychotherapy has been explored in occupational therapy literature. Method. We conducted a scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review (PRISMA-ScR) guidelines by searching eight databases (e.g., Medline, AMED, CINAHL, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews, Sociological Abstracts, and ProQuest Dissertations & Theses). Articles included at the full-text stage were subjected to a narrative synthesis. Findings. A total of 207 articles met the criteria for inclusion, spanning 93 years. 47.3% of these articles represented non-empirical literature, with only 14% representing effectiveness studies, suggesting that this body of literature remains in an early stage of development. Implications. Occupational therapists have been writing about and practicing psychotherapy for nearly a century, yet there remains an important opportunity to develop and evaluate occupation-based psychotherapy approaches. Effectiveness studies are needed.