L'Importance de la Relation dans le Changement Thérapeutique: Un Problème en Quête d'une Response Empirique

The lack of empirical support concerning the efficacy of the counsellor as a teacher of interpersonal skills is emphasized. Comparisons of this role of teacher with that of therapist, while complexifying the issue, also points to the need of questionning the necessity per se of the therapeutic relationship so as to better assess its relative importance. Analysis of conditions generally thought to be conducive to therapeutic change leads to the proposal that empirical research should focus on the bodily components of the experiencing process; the author and his students are currently working in this direction by trying to vary the degree of immediacy of the therapist's presence as independent variable, and by comparing, through physiological and perceptual indices, the relative influence of verbal and nonverbal contact.Après avoir mis en relief 1e manque d'évidence concernant l'efficacité du rôle deconseiller-pédagogue, du moins dans l'enseignement des habiletés interpersonnelles, et les équivoques qu'en suscite la comparaison avec le rôle de conseiller-thérapeute, on propose de remettre en question, afin d'en évaluer l'importance réelle dans le changement thérapeutique, la nécessité même du processus relationnel. L'analyse des conditions généralement associées au changement thérapeutique nous amène àproposer de centrer davantage la recherche empirique sur les composantes corporelles du processus expérientiel de ce changement; ce que l'auteur a commencé àfaire, avec quelques étudiants, en cherchant à faire varier le degré d'immédiateté de larelation comme variable indépendante et en comparant, à partir d'indicesphysiologiques et perceptuels, les influences relatives des modalités verbales et nonverbales de cette variable

Adjustment and Self-Esteem of Users and Nonusers of a University Counselling Service

A Version of the Tennessee Self Concept Scale was used to measure self-esteem and adjustment in groups of users and nonusers of the counselling center at a French Canadian University. The sample of 110 male and 50 female college students was divided into subgroups of vocational-educational and personal-problem users and nonusers. Users were found to have significantly lower self-esteem scores than nonusers. When type of problem was controlled these differences appeared to be essentially due to the lower scores of the personal-problem groups. Sex seemed neither related to being a user nor to type of problem.On a utilisé une version du Tennessee Self Concept Scale pour mesurer l'estime de soi et le niveau d'adaptation chez des groupes d'usagers et de non-usagers du service de consultation d'une université canadienne-française. L'échantillon de 110 étudiants et de 50 étudiantes fut réparti en sous-groupes de non-usagers et d'usagers présentant soit des problèmes d'orientation, soit des difficultés personnelles. Les usagers ont obtenu des scores d'estime de soi significativement inférieurs à ceux des non-usagers. En contrôlant la variable type-de-problème, il est apparu que ces différences étaient surtout attribuables aux scores des usagers présentant des difficultés personnelles. La variable du sexe n'a pas semblé être reliée au type de problème présenté ni au fait d'être un usager

Influence de Climat Familial, des Interets des Parents et du Niveau Socio-Economique de la Famille sur le Choix Professionnel

No abstract availabl

Ovarian and peritoneal psammocarcinoma: Results of a multicenter study on 25 patients

International audiencePurpose: Psammocarcinoma (PK) is a rare disease of unknown origin. We aimed to report the characteristics, management and survival of patients operated on for PK within the French Network for Rare Peritoneal Malignancies (RENAPE) expert centers.Patients and methods: All consecutive cases of PK operated within all 26 RENAPE centers between 1997 and 2018 were retrospectively analyzed.Results: Twenty-five patients were identified. The median age was 53 years [range 17–78]. None of the patients had extra peritoneal metastases at diagnosis. A median of 6 cycles of carboplatin-based systemic chemotherapy was delivered in 52% preoperatively (n = 13) and 56% postoperatively (n = 14); associated with placlitaxel for 12 patients. All patients were operated on. The median PCI was 23 [0–33]. Eighty-four percent had a complete cytoreductive surgery through digestive (n = 7), spleen (n = 3), pancreas (n = 1) resections and/or multiple peritonectomies (n = 11). Five patients (20%) had intraperitoneal chemotherapy. Morbidity (Dindo-Clavien ≥3) was 12%. No postoperative death occurred. After a median follow-up of 42 months (range [2–194]), the median overall (OS) and progression-free (DFS) survival times were respectively 128 months and 31 months. Eighteen patients recurred (72%), mainly in the peritoneum (n = 16). Four of them (22%) were reoperated. The 5 and 10-year DFS rates were both 20.3%. The 5 and 10-year OS rates were 62% and 51.7%, respectively. A complete cytoreductive surgery was associated with a better OS and DFS in a univariate analysis.Conclusion: Complete cytoreductive surgery is the cornerstone of the PK's management as a primary treatment. Recurrence remains common and new adjuvant strategies seem needed