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Bonnet C.T.,French National Center for Scientific Research | Lepeut M.,Center Hospitalier Of Roubaix
Journal of Motor Behavior

In quiet stance, it is understood that healthy individuals control their posture primarily by a peripheral mechanism for anteroposterior sway and by a proximal mechanism for medialateral sway. The authors proposed the hypothesis that patients suffering from disease-related deficiencies, at their feet and legs, may exaggeratedly adopt proximal control mechanisms at their hip in the anteroposterior and medialateral axes. They critically reviewed the literature to test the proximal control hypothesis against published findings. The selected articles analyzed postural control mechanisms in individuals with diabetic peripheral neuropathy and in healthy controls. The data selected were kinematic and electromyographic. In the anteroposterior axis, 4 authors had previously tested the proposed hypothesis, but the findings are contrasted. In the medialateral axis, one study failed to validate the tested hypothesis. Overall, the published studies did not conform with the proximal control hypothesis. However, these studies did not specifically or deeply test such a hypothesis. The lack of results is critical because individuals suffering from peripheral disease-related deficiencies may be unstable, in part, because of a change in postural control mechanisms. For improvement of their stability and appropriate interventions, scientific explorations of the proximal control hypothesis should be investigated. Two proposals are made to move forward. © Taylor & Francis Group, LLC. Source

Nandrino J.-L.,Charles de Gaulle University - Lille 3 | Gandolphe M.-C.,Charles de Gaulle University - Lille 3 | Alexandre C.,Charles de Gaulle University - Lille 3 | Kmiecik E.,Charles de Gaulle University - Lille 3 | And 2 more authors.
Drug and Alcohol Dependence

Background: Many studies of patients with alcohol dependence (AD) have highlighted their difficulty in identifying both their own emotional state and those of a social partner. We examined (1) the cognitive and affective theory of mind (ToM) abilities of AD patients and (2) how the efficiency of their autobiographical memory (AM) can affect the effectiveness of ToM ability. Method: In a cross-sectional design, AD patients (N= 50) and healthy controls (N= 30) completed a ToM movie paradigm (Versailles-Situational Intention Reading, V-SIR) in which they inferred the intentions of characters in movies depicting social interactions, and the "Reading the Mind in the Eyes" Test (RMET), which assessed the emotional dimension of the ToM. AM was investigated using the "Autobiographical Memory Interview" (AMI) to assess both episodic and semantic components of AM. Results: Concerning ToM, patients with AD showed lower performance in the RMET than control participants, whereas no difference was observed on the V-SIR test. AD patients had lower scores than controls on the AMI, for both episodic and semantic components and for different periods of life. A multiple linear regression analysis also showed that AM deficits might predict lower ToM performance, especially for the RMET task. Conclusions: Patients with AD have a specific affective ToM deficit. They used episodic memories to perceive the emotions of others, whereas controls used preferentially semantic memories to perform the task. Both these deficits could constitute a risk of relapse and should be a target for psychotherapeutic interventions. © 2014 Elsevier Ireland Ltd. Source

Mainguet B.,Lille 2 University of Health and Law | Hamon A.,University Lille2 | Descatoire A.,Center Hospitalier Of Roubaix

Introduction: Physical and psychological complications in obese individuals are important and lead to health spending (about 7% in 2011). Two thirds of adult population in Europe have not sufficient physical activity to maintain a satisfactory health state. To induce behavioral change, play on the adapted physical activity program would strengthen feeling of competence, considered as a powerful vector to change these behaviors. Objectives: The main objective is to enhance the sense of competence in the field of adapted physical activity, and long-term goal is to generate commitment in regular practice. Methods: The management is done in Roubaix Hospital (10 weeks, with two sessions per week, one supervised in STEP 1h30 and the other independently walking). Five patients have participated in this study where we measured psychological variables with SEPOB (the emotional, cognitive and behavioural questionnaire of self-efficacy in weight management) and physical variables using a stress test. © 2015, Springer-Verlag France. Source

Lombard M.,Center Hospitalier Of Roubaix

Bereavement, incessantly present in clinical practice, is a central issue for health-care professionals in their work at the patient's bedside. Research has therefore successively approached the question from a wide variety angles. Starting from the place the deceased occupies at the outcome of loss, the main authors on the subject progressively turn towards the symptomatology of the mourner, or else consider the psychological changes wrought, focusing more on what is going on in the subject's unconscious in terms of loss. Theory has neglected to deal with the most deeply unconscious processes, an aspect hitherto left to one side in considering loss. Level of evidence: Not applicable. © 2016 Elsevier Masson SAS. Source

Lombard M.,Center Hospitalier Of Roubaix

From compromise to sacrifice, the history of mourning today celebrates its centenary. Looking back on the first, notably Freudian, theories reveals the nuances added by successive later approaches. From the deceased to the bereaved, the focus of the expert, like a pendulum, while successively highlighting the main protagonists, overlooks the main actor, situated in between, where the link lies. Jean Allouch calls this a "little bit of self", in a metaphor of a pound of flesh linking the bereaved subject to the object of love, and which is to be left to the deceased by way of a freely conceded sacrifice. Where Sigmund Freud, a century ago, described mourning as a work of substitution, the author now sees it as an act of sheer loss. We are witnessing a change of paradigm: the bereaved lose their status, slipping from the position of (desired) possessor to that of a kidnap victim, suddenly "desiring", experiencing lack. Mourning then comes to look like a scenario in which clients of some mysterious laboratory entrust it with a precious possession that comes back to them as a specimen - and, at this price, the bereaved can let it go.... Level of evidence: Not applicable. © 2016 Elsevier Masson SAS. Source

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