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AbstractThe article deals with the following aspects : principles and values upon which intervention plans recommended for violent patients are based, as well as a description of the clinical framework, at work on two levels. The first level is that of the patient aiming for autonomy and taking responsibility. For this purpose, we developed various mechanisms and tools. These are : the individualized-care plan, the reference person, the resource person, the life situation and re-educative activities, clinical intervention specifically for aggressivity (physical and psychological intervention for the resident and the personnel when there is acting out). The second level of the framework concerns is concerned with care personnel developing on their own ways to deal with violence manifested by the patient. We list several ways to help personnel with this difficult task.

AbstractWith the publication of Quebec's Plan d'Action en Santé Mentale 2005-2010 the province announced an intent to develop a recovery-oriented mental health system. This article provides planners in Quebec, and elsewhere, with an overview of issues pertinent to recovery implementation. It reviews examples of system-level guidelines, program models, practitioner competencies, and measurement tools designed to promote a recovery orientation and suggests how these tools might be used by those charged with implementing recovery in their own jurisdictions. Finally, it raises some of the hard questions about meaning and power that must be addressed during the implementation process.

Based on an analysis of the causes of repeated sexual violence in the African Great Lakes Region, the article shows how the community mental health approach can reestablish the social links and alleviate the suffering of traumatized communities. Using the method of group analysis, the article examines the effects of the conventional criminal justice system in these communities and describes representations of stakeholders in community mental health. In conclusion, the article highlights the necessity of specifying judicial interventions and practises regarding care in the context of community mental health.

Keywords: Violence sexuelle, justice pénale, victime, santé mentale, communauté, Sexual violence, criminal justice, victim, mental health, community, Violencia sexual, justicia penal, víctima, salud mental, comunidad

Our society shows a certain difficulty in accepting the idea that a boy can be sexually abused, although in recent years have seen a heightening of interest for this issue. The taboo surrounding this type of abuse continues, however, thus hindering men from revealing their past. The goal of this study is to understand what brings male survivors of child sexual abuse to seek help and join a support group. Fourteen qualitative interviews were conducted with male survivors and the results underline how important support groups are in helping deal with the aftermath of trauma. At same time, the data show the existence of a major difficulty for men to talk about the abuse and ask for help. This difficulty can be linked to the problem of refusal to accept passivity, sexual identity questions and doubts on their own “normality” that are brought on by the trauma.

Keywords: Abus sexuel, hommes victimes, groupe de parole, enfance, Sexual abuse, men, victims, goup therapy childhood, Abuso sexual, hombres, victimas, grupo de apoyo, infancia

In Canada, and more broadly in a globalized world, the contact of cultures is part of our daily reality. In order to equip individuals so they may draw support from situations of plurality, the didactics of language and culture aim to develop, among language learners, sensibilities and practices which allow them to grasp the complexity of linguistic and cultural diversity. We therefore discuss, in the context of language didactics, inter-, trans-, multi-, and pluri-cultural approaches. This article reviews these designations and their references using two recent international works.

While occupational stress has become a high-profile issue in recent years, participatory observation in a counselling and crisis centre (CAC) shed light on how patients hide their suffering at work. This finding leads to a discussion of the psychiatrization of the social sphere as a phenomenon that may explain these invisibilization processes and underscores why it makes sense to think in terms of occupational segments in competition and sometimes in conflict, rather than in terms of occupational groups, if we wish to arrive at a better understanding of how these processes begin and develop.

In Switzerland, psychiatrists asked to assess the fitness for work of disability insurance benefit applicants have been repeatedly criticized. Challenges to the quality of their assessment reports have led to something akin to a professionalization of assessment, in a context where psychological disability has become a public health problem and is the subject of increasing judicial control. Doctors directly involved in this process are divided on the fairest ways to conduct assessments and, more importantly, on the consequences of a policy that undermines the social rights of mental health patients. This paper is based on an analysis of their writings and a legal case.

Present relations between the leadership teams of the Governments of Quebec and Ottawa may be interpreted by applying the axioms of communication pragmatics as formulated by Paul Watzlawick and his associates in drawing upon the ideas of Gregory Bateson. These axioms and other strategie considerations provide the basis for a game theory of politics that is itself applied to the debates between the leadership teams of Ottawa and those of Quebec. In the game theory of politics, primary concern is focused on tactical possibilities rather than on the usefulness of outcomes. Herein lies the relevancy of the idea of strategie move which has been introduced and developed by Schelling in order to render the theory of games more appropriate for the study of concrete situations.