« Desire » for the other in cross-cultural clinical psychology

La psychologie clinique ne pourrait se passer de la relation, car elle suppose minimalement la rencontre entre un psychologue et un patient. Cet article explore cette relation au moyen de la notion de rapport à l’Autre, plus particulièrement selon les perspectives des philosophes Emmanuel Lévinas et Martin Buber. La philosophie suscite des questionnements qui peuvent éclairer nos réalités contemporaines. Parmi ces réalités, l’intervention interculturelle en psychologie clinique est choisie comme objet de la réflexion étant donné son importance croissante dans nos sociétés mondialisées. La différence culturelle est ici révélatrice de processus difficilement visibles en contexte de similarité.Clinical psychology could not do without relationship because it must involve at least an encounter between a psychologist and a patient. This paper explores this relationship through the notion of relation to the Other, particularly from the perspectives of philosophers Emmanuel Lévinas and Martin Buber. Philosophy raises questions that may inform our contemporary realities. Among these realities, cross-cultural intervention in clinical psychology is chosen as the object of our reflection, given its growing importance in our globalized societies. Here, cultural difference is revealing of processes that are barely visible in in a more uniform or similar environmen

Intégrer un interprète dans les consultations de médecine familiale : une analyse de discours assistée par ordinateur

We set up a research to explore representations of working with interpreters among family physicians in Quebec City. Focus-groups (FGs) with third year medical students (6, N= 22), residents (4, N= 29) and senior physicians (5, N= 47) were conducted. We made three video vignettes of interpreted medical consultations. Each FG was presented two of them which were separately discussed. Results show that vignettes and status did elicit different discourses. Students seem more preoccupied with the physician-patient relationship whereas seniors discuss more about information. Residents’ discourse point to identity formation issues. Results are discussed in light of Habermas’ communication theory

Intégrer un interprète dans les consultations de médecine familiale: une analyse de discours assistée par ordinateur

We set up a research to explore representations of working with interpreters among family physicians in Quebec City. Focus-groups (FGs) with third year medical students (6, N= 22), residents (4, N= 29) and senior physicians (5, N= 47) were conducted. We made three video vignettes of interpreted medical consultations. Each FG was presented two of them which were separately discussed. Results show that vignettes and status did elicit different discourses. Students seem more preoccupied with the physician-patient relationship whereas seniors discuss more about information. Residents� discourse point to identity formation issues. Results are discussed in light of Habermas� communication theory.Exploramos las representaciones del trabajo con intérpretes entre médicos de familia en Quebec. Se organizaron focus groups (FG) con estudiantes de tercer año de Medicina (6, N= 22), médicos residentes (4, N= 29) y médicos en ejercicio (5, N= 47). Preparamos tres vídeos con consultas médicas con intérprete. Se presentó a cada FG dos de los vídeos, que se comentaron de forma separada. Los resultados hacen explícitos distintos discursos. Los estudiantes parecen más preocupados por la relación médico-paciente, mientras que los médicos se concentran en la información. El discurso de los residentes señala cuestiones relacionadas con la formación de la identidad. Los resultados se analizaron a la luz de la teoría de la comunicación de Habermas

Intestinal SR-BI does not impact cholesterol absorption or transintestinal cholesterol efflux in mice

<p>Reverse cholesterol transport (RCT) can proceed through the classic hepatobiliary route or through the non-biliary transintestinal cholesterol efflux (TICE) pathway. Scavenger receptor class B type I (SR-BI) plays a critical role in the classic hepatobiliary route of RCT. However, the role of SR-BI in TICE has not been studied. To examine the role of intestinal SR-BI in TICE, sterol balance was measured in control mice and mice transgenically overexpressing SR-BI in the proximal small intestine (SR-BIhApoCIII-ApoAIV-Tg). SR-BIhApoCIII-ApoAIV-Tg mice had significantly lower plasma cholesterol levels compared with wild-type controls, yet SR-BIhApoCIII-ApoAIV-Tg mice had normal fractional cholesterol absorption and fecal neutral sterol excretion. Both in the absence or presence of ezetimibe, intestinal SR-BI overexpression had no impact on the amount of cholesterol excreted in the feces. To specifically study effects of intestinal SR-BI on TICE we crossed SR-BIhApoCIII-ApoAIV-Tg mice into a mouse model that preferentially utilized the TICE pathway for RCT (Niemann-Pick C1-like 1 liver transgenic), and likewise found no alterations in cholesterol absorption or fecal sterol excretion. Finally, mice lacking SR-BI in all tissues also exhibited normal cholesterol absorption and fecal cholesterol disposal. Collectively, these results suggest that SR-BI is not rate limiting for intestinal cholesterol absorption or for fecal neutral sterol loss through the TICE pathway.</p>