bluuebunny/crossref_metadata_2025_split huggingface dataset:
Contradictions dans la sublimation 1923-2023
Authors: Richard François 
Published: October 2023

Cet article cherche à montrer, à partir d’une lecture serrée de Le moi et le ça, l’actualité de l’hypothèse freudienne de 1923 sur la sublimation intrinsèquement contradictoire, entre réussite d’une opération de transformation salvatrice de la libido et risque corollaire de déliaison entre Éros et pulsion de mort. Il souligne la grande différence entre la définition précise de la sublimation comme métamorphose du polymorphisme sexuel infantile en polymorphisme artistique et littéraire, et sa définition comme simple désexualisation, laquelle évolue facilement en désublimation dépressive. Lorsque le refoulement ne suffit plus, un clivage apparaît, on tient peut-être là un état limite de la névrose : on peut faire l’hypothèse qu’une vague hallucinatoire menace le moi et appelle un recours à la sublimation comme solution d’urgence. Clivage ou sublimation, telle est alors la question. Des exemples littéraires classiques (Hugo, Breton, Aragon, Gracq) illustrent cette hypothèse – laquelle éclaire aussi les antisublimations modernes, en particulier certaines tendances de l’art contemporain et des contre-cultures adolescentes, pour lesquelles la déliaison est une valeur. D’autres formes de création suggèrent des issues plus positives, où la contradiction entre les pulsions et l’esthétique du sublime est moins tendue.
Sublimations performative et idéative à l’adolescence
Authors: Givre Philippe 
Published: October 2023

Destin pulsionnel « le plus rare et le plus parfait », la sublimation réalise un domptage de l’intensité pulsionnelle tout en en préservant la tension psychiquement vivifiante. À défaut que ce don ait pu provenir de l’Autre, les solutions sublimatoires octroient au sujet un « crédit de subjectivation », grâce à l’instauration d’un dialogue imaginaire avec ses doubles. Pour y réussir, deux modalités sublimatoires sont susceptibles de s’exprimer à l’adolescence : la première, dite performative, autorisée par les activités artistiques, donne accès à une forme d’expression qui préserve au maximum le plaisir de faire ; la seconde, dite idéative, impliquée dans l’investigation scientifique et l’activité intellectuelle, repose quant à elle sur le plaisir de pensée. En restant au plus proche du directement pulsionnel, la sublimation artistique conquiert aux yeux de Freud un statut électif et privilégié, puisqu’elle favorise des possibilités d’autoaffectation de soi par soi via la symbolisation primaire.
La correspondance Sigmund Freud-Marie Bonaparte : un parcours d’analyse en plusieurs temps
Authors: Chervet Emmanuelle 
Published: October 2023

La correspondance de Freud et Marie Bonaparte est le récit d’une véritable analyse, qui commence par l’élucidation de la névrose infantile de Marie. Puis l’élaboration de sa bisexualité alterne avec des mouvements compulsifs qui la poussent à des actes chirurgicaux devant lesquels l’analyse est impuissante. Mais l’élaboration progressive de ses identifications et des deuils afférents lui permet de passer d’une position de victime aux réalisations de l’analyste et de la Princesse, en « dernière des Bonaparte ».
L’économie contrariée des Goncourt. Lecture croisée de Charles Demailly et Renée Mauperin
Authors: Péraud Alexandre 
Published: October 2023

On sait que les Goncourt aiment à condamner les vulgarités de l’argent-roi. Mais cette antienne réactionnaire, et assez balzacienne, ne saurait occulter la critique profonde de l’économie politique qu’entreprennent le Journal et les romans. Tout en refusant les facilités de l’héroïsme économique et du romanesque de l’argent, les Goncourt composent des drames économiques où ils appréhendent les structures du libéralisme telles qu’elles sont intériorisées par les individus, depuis la mécanique de l’équilibre jusqu’aux jeux de compensation en passant par l’utilitarisme et l’idéal de maîtrise bourgeois.L’article se propose de décrypter cette intériorisation à travers les exemples de Charles Demailly et de Renée Mauperin. On s’arrêtera, avec ce dernier, sur la peinture du mariage comme théâtre de l’économie des passions bourgeoises. Mais loin de rejoindre le cortège des romans de la fille mal mariée, le récit transforme la famille Mauperin en laboratoire où s’opposent des modèles économiques antagonistes… entre lesquels les Goncourt se gardent de trancher.
Frontal lobe circulation in patients of schizophrenia with and without cannabis dependence: A comparative study
Authors: Dash Soumya Ranjan , Pattojoshi Amrit , Sahu Amiya Krushna , Sahoo Surjeet 
Published: October 2023

Abstract

Background:
The symptom profile of schizophrenia is related to the regional cerebral circulations as advocated in various studies. Cannabis dependence in schizophrenia is more common than in the general population. Previous studies comparing the frontal lobe function in schizophrenia with and without comorbid cannabis dependence have shown conflicting results. In this study, we compared the blood flow in the frontal lobes of patients of schizophrenia with and without comorbid cannabis dependence.

Aim of the Study:
The aim was to compare the blood flow in the anterior cerebral artery (ACA) and middle cerebral artery (MCA), in patients of schizophrenia with and without cannabis dependence.

Materials and Methodology:
This was a hospital-based cross-sectional study. After fulfilling the inclusion and exclusion criteria 28 patients of schizophrenia with cannabis dependence and 28 patients of schizophrenia without cannabis dependence were selected for the study. The blood flow was assessed using Trans-cranial Doppler (TCD) in the ACA and MCA of the left and right sides in both the study groups through the temporal window.

Results:
A statistically significant difference (P = 0.049) was found in the pulsatility index of the left ACA where it was lower in schizophrenia patients with cannabis dependence (0.97 ± 0.24) in comparison to schizophrenia patients without co-morbid cannabis dependence (1.11 ± 0.28). However, after using Bonferroni correction for multiple comparisons (P < 0.05/12 i.e., P < 0.004), this comparative statistics too lost its significance. No significant difference was found in the mean flow velocity and resistance index of frontal lobe circulation between the two groups.

Conclusion:
Chronic cannabis use is having some sparing effect on vascular resistance in the frontal circulation of schizophrenia patients. However, this effect is not significant enough to alter the pattern of frontal circulation.
Resilience, Social Connectedness, Mental Health Status and Quality of Life in Children of Parents with Mental Illness
Authors: Gogoi Rini , Ali Arif 
Published: October 2023

Background:
Children of parents with a mental illness (COPMI) are at greater risk of psychological and physical ill-health, increased behavioral and developmental difficulties, educational underachievement and lower competency than their peers compared to children of healthy parents. The aim of this study was to find resilience, Social Connectedness, mental health status and quality of life (QoL) in COPMI.

Materials and Methods:
Cross sectional Analytical study was used in the present study. Thirty COPMI with age group of 11–18 years of age, either of the biological parents was diagnosed with severe mental illness (Schizophrenia and Bipolar affective disorder according to international classification of diseases-10) were selected. Socio-demographic data sheet, Connor-Davidson Resilience Scale, KIDSCREEN-27 (QoL), Social Connectedness Scale, Strength and Difficulties Questionnaire (SDQ) were administered.

Results:
The finding shows that 33.3% of COMPI had low level of resilience and a stronger sense of social connectedness (M = 78.63, standard deviation [SD] = 6.83). Psychological wellbeing (M = 20.77, SD = 2.68) was higher than other domains of QoL, followed by autonomy and parents (M = 18.46, SD = 3.43), school environment (M = 14.56, SD = 2.87), physical wellbeing (M = 14.43, SD = 1.88), and peer and social support (M = 10.87, SD = 2.08). The finding shows that in the total difficulty score (SDQ), 26.7% falls under normal category while 73.3% have abnormal scores. Total Difficulties score (SDQ) has a significant negative correlation with QoL [r=-0.520, P = 0.01] and Social Connectedness (r = ‒0.478, P = 0.01).

Conclusion:
The study highlighted the risk of developing emotional and behavioral problems among COPMI. Resilience based intervention is required at school and community level for mental health promotion among children.
Effect of lifestyle interventions to reduce depression, anxiety and stress among married women of reproductive age group: A non-randomised controlled trial in urban slums of Bhubaneswar
Authors: Sharma Sumita , Patnaik Lipilekha , Sahu Trilochan 
Published: October 2023

BACKGROUND:
Women are more prone to develop mental disorders as compared to men and the role of physical activities to reduce its burden by improving self-esteem is appreciable. This study aimed to evaluate the effect of lifestyle interventions to reduce depression, anxiety and stress among women in urban slums.

MATERIALS AND METHODS:
This study was a non-randomized controlled trial carried out in two slums of Bhubaneswar in married women of reproductive age group (15 years-49 years) from June 2019 to September 2021 after approval from the institutional ethics committee. A total of 128 married women were recruited, 64 women in each arm. DASS-21 was used for assessing depression, anxiety, and stress of all participants. The lifestyle intervention program was provided to 64 women in the intervention group and educational materials were provided to the control arm. DASS score was assessed again and compared with follow-up scores in both groups. Descriptive statistics were expressed as frequency, mean, median, and standard deviations. Independent t-test and paired t-tests were done where applicable.

RESULTS:
There was no significant difference in socio-demographic factors and DASS-21 scores in both groups during baseline. Depression, Anxiety, and stress score were significantly lower in the intervention arm than control arm in the follow-up (P < 0.05). There was a significant difference between the pre-intervention and post-intervention levels of depression, anxiety, and stress among the intervention group (P = 0.05).

CONCLUSIONS:
Simple community-based physical activities as in our intervention program focusing on the reduction of depression, anxiety, and stress levels in women may prevent the rising problems of common mental disorders.
Assessing and predicting the trend of cardiovascular risk factors in 40–80-year population based on the Ira-PEN program as an integrated service in primary health care
Authors: Ezzati Farahnaz , Jafarzadeh Mohammad , Darabi Fatemeh 
Published: October 2023

BACKGROUND:
In Iran, half of all mortalities and 79% of those induced by noncommunicable diseases are attributed to cardiovascular diseases. In Iran, due to the high rate of noncommunicable diseases, a modified program (PEN) called Ira-PEN was integrated into the primary care program in health centers. The Ira-PEN program is adapted from the comprehensive WHO-PEN program to estimate the 10-year risk of cardiovascular diseases to control the main risk factors of noncommunicable diseases nationally. This study was conducted to investigate the process of service provision to determine the information needs and the necessary interventions in the comprehensive health service centers of Ardabil Province.

MATERIALS AND METHODS:
The present descriptive and analytical study was conducted in the Ardabil University of Medical Sciences. It used the data available in the registration system of the Health Network. The research population consisted of all people aged between 40 and 80 who visited the comprehensive health service centers to perform risk assessment of cardiovascular strokes in the province from 2018 to the end of 2021. The collected data were added to Excel. FORCAST function was used to predict the future through a linear regression analysis. To compare the final results, which is actually a reduction in mortality due to cardiovascular diseases, the difference test of two mortality rates due to cardiovascular diseases was used in 2018 and 2021. Test of two death proportions was performed through z test and Minitab21 Software.

RESULTS:
The prevalence of cardiovascular disease risk factors was as follows: history of heart attack (0.59%), history of stroke (0.51%), history of diabetes (7.9%), history of high blood pressure (15.7%), and history of prediabetics (12.8%). The probability of suffering from lipid disorder was 26.4% and BMI > 30 was 32.4%. The risk factors of hypertension, abdominal obesity, and smoking showed a decrease in the measurement of disease risk factors during 4 years.

CONCLUSIONS:
Identification of the common risk factors in the region helps to focus interventions on effective prevention and treatment measures and adopt evidence-based policies in order to reduce these risk factors. Since the investigated risk factors are rooted in inappropriate behaviors and lifestyles, by modifying these behaviors and changing lifestyles, their prevalence can be reduced and reducing these risk factors will lead to a reduction in the prevalence of cardiovascular diseases.
Development of an exclusive breastfeeding intervention based on the theory of planned behavior for mothers with preterm infants: Study protocol for a mixed methods study
Authors: Okhovat Shirin , Janighorban Mojgan , Kazemi Ashraf 
Published: October 2023

BACKGROUND:
Despite the significance and benefits of exclusive breastfeeding, its rate among infants, especially preterm infants, is not optimal. Based on evidence, the mother's attitude toward breastfeeding, the subjective norm, and the mother's perceived behavioral control play a role in initiation and continuation of breastfeeding; so the interventions that consider these factors may be useful for breastfeeding premature infants. The aim of this study is to design and develop an exclusive breastfeeding intervention based on the theory of planned behavior for mothers with preterm infants.

MATERIALS AND METHODS:
This exploratory, sequential, mixed methods study will be conducted in three phases. In the first phase, a qualitative study will be conducted based on the theory of planed behavior, to describe the exclusive breastfeeding beliefs of the mothers with preterm infants, the barriers to breastfeeding, and to explain the ways to overcome them. Moreover, the items of the Predictors Of Exclusive Breastfeeding Questionnaire are prepared based on the theory of planned behavior. In the second phase, the intervention plan is designed based on the literature review and the findings of the qualitative study, and it is approved by a panel of experts. Additionally, the psychometric properties of the questionnaire are evaluated and confirmed qualitatively and quantitatively. In the third phase, the developed intervention is implemented and evaluated.

CONCLUSION:
Implementation of supportive educational interventions based on scientific theories can be a step toward improving the rate of onset and continuation of breastfeeding in mothers with preterm infants. Development of interventions based on evidence, identified beliefs, and perceived barriers of the mothers with preterm infants can provide the foundation for more effective interventions according to cultural, social, and religious contexts.
Attitude, perception, and feedback of graduate medical students on teaching–learning methodology in pathology courses: A call for curricular modernization in Morocco
Authors: Oqbani Kenza , Birouk Mounsif , Abbaoui Sanae , Chaouir Souad , Al Idrissi Najib , Ahid Samir 
Published: October 2023

BACKGROUND:The difficulty of understanding the pathology courses and the student's dissatisfaction with the pathology modules is a universal problem. The principal aim of our survey was to assess the perception and satisfaction of teaching pathology by graduate medical students from nine Moroccan faculties of medicine.MATERIALS AND METHODS:This study was conducted among graduate medical students regarding their preferences in pathology teaching modalities, their satisfaction with the current lecture-based courses, their perception of pathology as a specialty, and their thoughts on whether and how such curricula should be modernized. A qualitative and comparative analysis was performed. The differences in modalities of teaching used were investigated.RESULTS:We received 274 completed surveys from graduate Moroccan medical students. Seventy-five (27.9 %) students were dissatisfied with the actual lecture-based courses. A total of 131 students (48.5%) considered that the methodology of teaching and learning used in their faculty is insufficient for learning, understanding, and memorizing pathology courses. Additionally, 233 students (86.3 %) considered that the curriculum should be modernized. The majority supported the implementation of case reports (74%), hospital-based rotation in the pathology department (68.7%), and virtual slides (60%) as the most preferred didactic methods.CONCLUSIONS:This survey based-study highlighted the limits of the current pathology teaching curriculum in Morocco, insufficiently in line with the aspirations of students. Furthermore, students' responses regarding their knowledge of the pathology laboratory functioning as well as their opinions toward considering pathology as a future career were very surprising, converging toward a huge lack of attractiveness of this discipline.
The challenges of the Iranian nursing system in addressing community care needs
Authors: Ezzati Ebrahim , Molavynejad Shahram , Jalali Amir , Cheraghi Mohammad-Ali , Jahani Simin , Rokhafroz Dariush 
Published: October 2023

BACKGROUND:
The nursing system is one of the major and important fields of health and medicine in every country, responsible for providing nursing care and addressing medical and health-related community care needs. The aim of this study was to explain the challenges of the Iranian nursing system in addressing community care needs.

MATERIALS AND METHODS:
A conventional content analysis method was performed in this exploratory qualitative study, and 27 participants were selected through a purposive sampling method based on the inclusion criteria. In-depth semi-structured interviews were conducted with the subjects, and data saturation was achieved in the 27th interview. The main interviews with the participants were individual, in person, and face-to-face, conducted at different times (morning and evening) in a peaceful environment and at the convenience of the participants. The interviews were recorded by the researcher with the participants' consent. The duration of the interviews ranged from 50 to 70 minutes, given the participants' energy and time. Data analyses were done using Graneheim and Lundman approach.

RESULTS:
After conducting the interviews and the simultaneous analysis, three themes were extracted, including the challenging structure in the internal environment, the operating environment, and the social environment, with seven main categories and 26 subcategories. An inadequate number of nurses given the real needs of society, the unbalanced proportion of employed clinical nurses to the real needs of society, poor presence of nurses in community-based nursing services, insufficient attention to the optimization of the work environment, the gap between education and clinical practice in the nursing system, poor mutual accountability of the community, and policies in the health system were seven main categories in this study.

CONCLUSION:
In general, the results showed that the Iranian nursing system faces many micro, meso, and macroscale challenges. It is necessary to plan properly to enhance the accountability of the nursing system to the current community care needs by improving the situation.
Identifying and prioritizing the stressors of obstetrics and gynecology residents
Authors: Mirzaei Alireza , Jamshidian Sepide , Movahedi Minoo , Haghani Fariba 
Published: October 2023

BACKGROUND:
Studies have shown that the obstetrics and gynecology residents face severe burnout and a large number of stressors, and excessive stress could adversely affect performance and quality of patient care. Thus, the current study attempts to identify and prioritize the stressors of obstetrics and gynecology residents at Isfahan University of Medical Sciences.

MATERIALS AND METHODS:
A cross-sectional descriptive-analytical study was conducted on 62 residents and faculty members in the department of obstetrics and gynecology at Isfahan University of Medical Sciences in 2022. Respondents were selected by census method. The stressors of obstetrics and gynecology residents were investigated using a researcher-made, 37-item questionnaire. The questionnaire was prepared based on a literature review and respondents' opinions, then its validity and reliability were confirmed. Collected data were analyzed using the SPSS 20, non-parametric Friedman's test, and descriptive statistics methods.

RESULT:
This study included 46 respondents (74%), 16 faculty members, and 30 residents, who were asked to rate each stressor of the given questionnaire. The residents and their teachers believed that the main stressors were heavy workloads, lack of personal time, long shifts, financial problems, sleep deprivation, and compassion fatigue. Insufficient study time, study workload, and inappropriate assessment systems for residents were among the high-priority stressors, according to the residents. However, the faculty members reported medical errors, unreasonable expectations from residents, and residents' multiple responsibilities as high-priority stressors. According to the Friedman's test, there was a significant difference in rates received from both the faculty members and medical residents (P value <0/001).

CONCLUSION:
The stressors due to the nature of obstetrics and gynecology, medical care, residency training, and medical resident assessment are the highest priority. The findings of this study could be beneficial to the officials in residency training programs to take the necessary corrective actions.