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The Québec Crime Victims Compensation Act currently compensates mostly women and children who are victims of sexual violence in the family. When the law was adopted in 1972, the Québec legislator was not targeting this type of victims and violence. By an analysis of case law in this area, the author seeks to shed light upon a problem resulting from the application of this statute owing to the nature of the violence and the caracteristics of the victims. Following a short description of the areas in which this statute is applied, the author deals with the question of the admissible time period for filing a claim. It is well known that victims of sexual violence in the family are not always able to present a claim within the prescribed period because of the nature of the violence. In order to provide victims with a more adequate response to their needs, the author proposes avenues for statutory interpretation and legislative reform. The author's analysis is inspired by an equity approach that provides access to justice for victims of sexual violence in the family and secures the protection of their fundamental rights.

This article is a tribute to Roger Gentis who was an example for many of us. The title of his latest work, published in 2010 La psychiatrie, ça sert à quoi, au juste? (Psychiatry, what is it for, exactly?) sums up what his work was. This is undoubtedly, why Gentis remains an example for many of us. He was the first to dare asking this question, not like Foucault to question the recognition of madness as a discourse in itself, but as an embodied being who lived on a daily basis with people in psychological distress.

Access to mental health care remains a pressing global issue. In response, policymakers have devised strategies that span from self-care to psychotherapy, hoping to ease the strain. However, reforms over the past two decades have significantly restricted access to psychotherapy, limiting the number of professionals, such as nurses, allowed to practise under stringent conditions. This article examines the effects of Quebec’s public policies on the practice of psychotherapy and mental health interventions. A critical discourse analysis, grounded in Strauss’s theory of negotiated order, was conducted on 48 policy documents and public discourses. The findings reveal that mental health interventions have become disconnected from their therapeutic essence, reduced instead to technical tasks. This shift perpetuates a hierarchical professional landscape, subordinating these practices despite their reliance on the relational dynamics that define effective mental health care. For the nursing profession, the implications are profound. The profession’s contribution to providing timely access to community-based mental health services is being overlooked, stymied by outdated perceptions and policy restrictions.

Keywords: discourse analysis, negotiated order, mental health, primary care, psychotherapy

AbstractHaving demonstrated that the traditional economic model of the market cannot be used in its present form to understand what is happening in the field of medical services, a presentation will be made of the factors affecting the behavior of physicians as purveyors of services, thus showing the importance of analyzing the influence of economic incentives on physician behavior. The analysis consists of measuring the change in the practice profiles of physicians from 1971 to 1973, and evaluating the influence of the fee schedule on this change. This research allows us to show that the personal characterictics of physicians, the characteristics associated with the organization of their practice and the area in which they practise are only very slightly related to the changes in the mix of the medical services produced by physicians; that the change in the profile of practice cannot be associated with changes in the populations' needs, and that the financial incentives incorporated in the fee schedule have been found to be mainly responsible for the shifts observed in the profiles of practice. We conclude by showing how these results are compatible with the hypothesis that physicians can influence demand for medical services.

SummaryFrom Project " PAR.AD.I " fo the Sex of Ange/s : Comments and Arguments About A " Third Sex "First reports from Project PAR.AD.I (from the French />arenté//4doption//dentité, or kinship/adoption/identity) in several Inuit and Québécois communities, together with the " remote view " afforded by Inuit on filiation and transsexualism, bring the author to propose an anthropological debate of a novel concept, that of the " third sex ". The evolution and manifestations of this concept are here traced alongside major intellectual trends (in sociology, anthropology and psychoanalysis) and social movements (socialism, feminism, gay issues) which over the past century have reexamined our society's Judaeo-Christian heritage, mainly as concerns kinship and sexuality and in relation to both epistemological and morality-legality issues.

AbstractPhysicians and Patients in Times of AIDS The Case of MontréalThis article traces thé argumentation of physicians and patients living with AIDS in Montréal. The analysis of their socio-symbolic interaction reveals an array of behaviour, from refusai or déniai to acceptance or even advocacy. Both patients and physicians hâve become observers on an open scène where ways of handling suffering and dying, of redesigning new drug trials, of moral and ethical discourses are tried out and where thé médical as well as thé power of situated agents is questioned. The therapeutic relation seems, indeed, overloaded with interprétations on AIDS as a biological disorder within thé social order, on thé costs to thé health care System, on rôle playing in thé médical world, and ultimately on life's sensé and significance.

AbstractThe objective of this qualitative study was to contrast attitudes towards benzodiazepine (Bz) use stemming from long-term users, aged 50 and up, with their intent to undergo a weaning process. Use aimed at counteracting symptoms of anxiety and insomnia. Twenty-three users (14 women and 9 men) underwent in-depth interviews. Analyses brought-out three types of users that is, the “carefree” style; the “realist” style; the “pragmatic” style. The first group had no qualms with regard to the substance. To their eyes, it was a wisely prescribed medication. For the second group, the substance represented a dangerous drug. Some tried, at their own risk to stop usage without medical supervision. For the last group, the Bz is perceived as half-drug, half-medication, with its own dangers and advantages. All respondents are drug users; however motivation to engage in a weaning process or at least to reduce usage varied greatly, the last two groups being the most open to behavioural change. Attitudes towards the substance, which alternate between medication and drugs, or a combination of both, must be taken into account in an intervention program. Three clinical portraits illustrate these results.

Keywords: attitudes envers les benzodiazépines, sevrage, personnes âgées, attitudes towards benzodiazepines use, weaning process, elderly, actitudes con las benzodiazepinas, desadicción, personas de edad