42 research outputs found
Vue intĂ©rieure de la mĂ©dication psychiatrique : lâexpĂ©rience des personnes ayant cheminĂ© avec la GAM
Cette recherche aborde la mĂ©dication psychiatrique Ă partir du point de vue des usagers. Des entrevues en profondeur ont Ă©tĂ© rĂ©alisĂ©es auprĂšs de dix personnes utilisatrices en provenance dâune ressource communautaire et alternative en santĂ© mentale. Les rĂ©pondants Ă©prouvent ou ont Ă©prouvĂ© des problĂšmes importants de santĂ© mentale. La majoritĂ© des usagers de notre Ă©chantillon consomme des neuroleptiques. Les participants sĂ©lectionnĂ©s ont cheminĂ© avec lâapproche de la gestion autonome de la mĂ©dication en santĂ© mentale (GAM). La GAM constitue un terrain fertile, car lâapproche favorise la rĂ©flexion critique, la diversitĂ© de pratiques autour de la mĂ©dication psychotrope. Un Ă©tat des connaissances portant sur lâexpĂ©rience subjective de la mĂ©dication est prĂ©sentĂ©. Les effets de la mĂ©dication sur les personnes et leur contexte de vie ainsi que les aspects symboliques ont Ă©tĂ© analysĂ©s. Parmi les effets majeurs de la mĂ©dication, on compte : lâeffet de « gel », la grande fatigue, les difficultĂ©s dâattribution, le dĂ©sir dâarrĂȘt et les effets paradoxaux. La mĂ©dication peut avoir des effets positifs ou nĂ©gatifs sur lâentourage, le travail, les Ă©tudes ou autres implications sociales. Le rapport des usagers relatif Ă la mĂ©dication a Ă©voluĂ© vers un usage planifiĂ©, modulĂ© et moindre. Ă cet effet, les dix usagers sont passĂ©s dâune phase de « novice » Ă une « dâexpert ». Les rĂ©sultats de cette recherche indiquent que la notion dâobservance au traitement doit ĂȘtre revisitĂ©e et la notion dâefficacitĂ© Ă©largie. Cette Ă©tude qualitative dĂ©montre que les versants « intĂ©rieurs » de la mĂ©dication, lâexpĂ©rience subjective et lâintersubjectif apportent une perspective plutĂŽt rare, mais riche, du mĂ©dicament en tant quâobjet social.This research looks at psychiatric medication from the perspective of service users. In-depth interviews were conducted with 10 service users from a community-based, alternative mental health resource. The respondents experience or have experienced serious mental health problems. The majority of service users in our sample take neuroleptics. Selected participants followed the mental-health approach known as GAM: Gaining Autonomy & Medication Management. GAM provides a perfect ground, since this approach encourages critical thinking and promotes diverse practices around psychotropic medication. Current knowledge around the subjective experience of medication is presented. The effects of medication on people and their life contexts are analyzed, as well as their symbolic aspects. Among the main effects of medication are: the âanaesthetizingâ effect, intense fatigue, difficulties of attribution, the desire to quit and paradoxical effects. Medication can have positive or negative effects on oneâs circle of family and friends, work, studies or other social commitments. The relationship between service users and their medication has evolved toward a planned, adapted and reduced use. In this sense, the 10 service users went from a ânoviceâ phase to that of âexpertâ. Results from this research show that the notion of treatment compliance must be revisited, and the concept of efficiency, broadened. This research shows that the âinteriorâ dimensions of medication, the subjective experience and intersubjectivity provide rare and rich insights into medication as a social object
La formation d'une communauté rurale en Nouvelle-France : Beaumont : 1672-1740
Québec Université Laval, BibliothÚque 201
Lâintervention fĂ©ministe intersectionnelle en maison dâhĂ©bergement pour femmes - Une approche axĂ©e sur lâinclusion et le savoir-ĂȘtre
Cet article prĂ©sente une dĂ©marche rĂ©flexive sâĂ©tant dĂ©ployĂ©e au sein de la fĂ©dĂ©ration des maisons dâhĂ©bergement pour femmes (FMHF) du QuĂ©bec (Canada) visant Ă favoriser lâinclusion de femmes discriminĂ©es. Il fait un retour sur les diffĂ©rents contenus abordĂ©s dans le cadre dâune formation de 2 jours, sur lâintervention fĂ©ministe intersectionnelle (IFI) soit : 1) lâintervention fĂ©ministe comme approche critique du modĂšle biomĂ©dical, 2) lâintersectionnalitĂ© en tant que concept permettant de saisir les discriminations vĂ©cues par les femmes, 3) le positionnement (Ă titre de privilĂ©giĂ©es ou dâopprimĂ©es) des intervenantes Ă lâintĂ©rieur de diffĂ©rents systĂšmes dâoppression, 4) le continuum des violences faites aux femmes, 5) les maisons en tant que lieu oĂč les femmes peuvent se sentir contrĂŽlĂ©es ou discriminĂ©es et 6) la dimension sociopolitique de lâintervention fĂ©ministe. Cet article se termine sur quelques faits saillants de lâĂ©valuation externe de cette dĂ©marche
Gaining Autonomy & Medication Management (GAM): new perspectives on well-being, quality of life and psychiatric medication
Altimetry for the future: Building on 25 years of progress
In 2018 we celebrated 25 years of development of radar altimetry, and the progress achieved by this methodology in the fields of global and coastal oceanography, hydrology, geodesy and cryospheric sciences. Many symbolic major events have celebrated these developments, e.g., in Venice, Italy, the 15th (2006) and 20th (2012) years of progress and more recently, in 2018, in Ponta Delgada, Portugal, 25 Years of Progress in Radar Altimetry. On this latter occasion it was decided to collect contributions of scientists, engineers and managers involved in the worldwide altimetry community to depict the state of altimetry and propose recommendations for the altimetry of the future. This paper summarizes contributions and recommendations that were collected and provides guidance for future mission design, research activities, and sustainable operational radar altimetry data exploitation. Recommendations provided are fundamental for optimizing further scientific and operational advances of oceanographic observations by altimetry, including requirements for spatial and temporal resolution of altimetric measurements, their accuracy and continuity. There are also new challenges and new openings mentioned in the paper that are particularly crucial for observations at higher latitudes, for coastal oceanography, for cryospheric studies and for hydrology. The paper starts with a general introduction followed by a section on Earth System Science including Ocean Dynamics, Sea Level, the Coastal Ocean, Hydrology, the Cryosphere and Polar Oceans and the ââGreenâ Ocean, extending the frontier from biogeochemistry to marine ecology. Applications are described in a subsequent section, which covers Operational Oceanography, Weather, Hurricane Wave and Wind Forecasting, Climate projection. Instrumentsâ development and satellite missionsâ evolutions are described in a fourth section. A fifth section covers the key observations that altimeters provide and their potential complements, from other Earth observation measurements to in situ data. Section 6 identifies the data and methods and provides some accuracy and resolution requirements for the wet tropospheric correction, the orbit and other geodetic requirements, the Mean Sea Surface, Geoid and Mean Dynamic Topography, Calibration and Validation, data accuracy, data access and handling (including the DUACS system). Section 7 brings a transversal view on scales, integration, artificial intelligence, and capacity building (education and training). Section 8 reviews the programmatic issues followed by a conclusion
Altimetry for the future: building on 25 years of progress
In 2018 we celebrated 25âŻyears of development of radar altimetry, and the progress achieved by this methodology in the fields of global and coastal oceanography, hydrology, geodesy and cryospheric sciences. Many symbolic major events have celebrated these developments, e.g., in Venice, Italy, the 15th (2006) and 20th (2012) years of progress and more recently, in 2018, in Ponta Delgada, Portugal, 25 Years of Progress in Radar Altimetry. On this latter occasion it was decided to collect contributions of scientists, engineers and managers involved in the worldwide altimetry community to depict the state of altimetry and propose recommendations for the altimetry of the future. This paper summarizes contributions and recommendations that were collected and provides guidance for future mission design, research activities, and sustainable operational radar altimetry data exploitation. Recommendations provided are fundamental for optimizing further scientific and operational advances of oceanographic observations by altimetry, including requirements for spatial and temporal resolution of altimetric measurements, their accuracy and continuity. There are also new challenges and new openings mentioned in the paper that are particularly crucial for observations at higher latitudes, for coastal oceanography, for cryospheric studies and for hydrology.
The paper starts with a general introduction followed by a section on Earth System Science including Ocean Dynamics, Sea Level, the Coastal Ocean, Hydrology, the Cryosphere and Polar Oceans and the âGreenâ Ocean, extending the frontier from biogeochemistry to marine ecology. Applications are described in a subsequent section, which covers Operational Oceanography, Weather, Hurricane Wave and Wind Forecasting, Climate projection. Instrumentsâ development and satellite missionsâ evolutions are described in a fourth section. A fifth section covers the key observations that altimeters provide and their potential complements, from other Earth observation measurements to in situ data. Section 6 identifies the data and methods and provides some accuracy and resolution requirements for the wet tropospheric correction, the orbit and other geodetic requirements, the Mean Sea Surface, Geoid and Mean Dynamic Topography, Calibration and Validation, data accuracy, data access and handling (including the DUACS system). Section 7 brings a transversal view on scales, integration, artificial intelligence, and capacity building (education and training). Section 8 reviews the programmatic issues followed by a conclusion