Le silence comme outil thérapeutique dans la dépression : élaboration théorique basée sur une étude de cas

À l'aide d'un exemple clinique, nous élaborons les différentes fonctions que peut avoir le silence dans les thérapies cognitives et comportementales de la dépression. Les silences d'une patiente déprimée, suivie en psychothérapie, sont documentés et analysés. Le silence peut, chez la même personne, tantôt produire un apaisement ou organiser la pensée, donc s'avérer productif, tantôt représenter une tentative d'échapper à du matériel douloureux, donc s'avérer peu productif. Ainsi, le thérapeute aura fondamentalement le choix, soit de respecter ces silences soit de les rompre et de parler. Pour l'aider dans ce choix, nous repérons différentes catégories de silences et les mettons en lien avec la littérature à ce sujet, afin d'introduire le silence comme outil thérapeutique à part entière dans le traitement cognitivo-comportemental de la dépression. © 2013 Association fran4aise de thérapie comportementale et cognitive. Publié par Elsevier Masson SAS. Tous droits réservés.

Ammonium Phosphate/Fly Ash Road Base Construction, HR-294, 1993

The objective of this research project was to evaluate the construction and service performance of ammonium phosphate/fly ash (APFA) treated base courses of crushed fines and/or unprocessed sand. Specific test results related to construction of the test sections were included in the 1987 construction report by Iowa State University. The performance of the experimental sections is dealt with in this final report. This 1986 project demonstrated that in all cases the control sections utilizing a Type B base experienced dramatically less cracking in the surface than the APFA treated base sections. The cost per mix and subsequent surface maintenance costs for the APFA base sections, especially those having a substantial amount of limestone, were higher than the Type B base control sections. This type of construction may prove to be economical only when petroleum product costs escalate.

Situacions vitals i components motivacionals de la personalitat de base en la preadolescència

Con el fin de detectar los determinantes fundamentales que regulan la conducta moral de los niños, este trabajo pretende aportar bases que constituyan un fundamento válido para desarrollar materiales situacionales y motivacionales para los alumnos. El Cuestionario de Situaciones fue elaborado para describir aspectos contextuales, el contenido temático o argumento, protagonistas, reacciones o cursos de acción y la motivación subyacente. Esta información sirvió para extraer situaciones y componentes motivacionales, lo que permitió crear el Cuestionario sobre Razones. Así, era posible preguntar por qué actuaba de una manera específica el niño implicado en tales situaciones. Las razones aportadas por los alumnos quedaron reducidas a las siguientes: arbitrarias, autoritarias, aler céntricas, idealistas y personales. En consecuencia,las situaciones y las razones que explican los cursos de acción fueron utilizadas para elaborar el Test de Motivación Etica. Con 3.448 chicos y chicas, comprendidos entre los 10 Y los 15 años de edad, se han analizado los cambios motivacional es referidos a las diferencias en sexo y edad. Se apuntan implicaciones para la educación moral.

Chirurgie endoscopique endonasale des tumeurs de la base du crane : historique, état de l'art et perspectives d'avenir [Shifting paradigm in skull base surgery: Roots, current state of the art and future trends of endonasal endoscopic approaches].

During the last two decades, endoscopic endonasal approach has completed the minimally invasive skull base surgery armamentarium. Endoscopic endonasal skull base surgery (EESBS) was initially developed in the field of pituitary adenomas, and gained an increasing place for the treatment of a wide variety of skull base pathologies, extending on the midline from crista galli process to the occipitocervical junction and laterally to the parasellar areas and petroclival apex. Until now, most studies are retrospective and lack sufficient methodological quality to confirm whether the endoscopic endonasal pituitary surgery has better results than the microsurgical trans-sphenoidal classical approach. The impressions of the expert teams show a trend toward better results for some pituitary adenomas with the endoscopic endonasal route, in terms of gross total resection rate and probably more comfortable postoperative course for the patient. Excepting intra- and suprasellar pituitary adenomas, EESBS seems useful for selected lesions extending onto the cavernous sinus and Meckel's cave but also for clival pathologies. Nevertheless, this infatuation toward endoscopic endonasal approaches has to be balanced with the critical issue of cerebrospinal fluid leaks, which constitutes actually the main limit of this approach. Through their experience and a review of the literature, the authors aim to present the state of the art of this approach as well as its limits.

Low Cost Techniques of Base Stabilization, HR-312, 1994

This project was initiated in 1988 to study the effectiveness of four different construction techniques for establishing a stable base on a granular surfaced roadway. After base stabilization, the roadway was then seal coated, eliminating dust problems associated with granular surfaced roads. When monies become available, the roadway can be surfaced with a more permanent structure. A 2.8 mi (4.5 km) section of the Horseshoe Road in Dubuque County was divided into four divisions for this study. This report discusses the procedures used during construction of these different divisions. Problems and possible solutions have been analyzed to better understand the capabilities of the materials and construction techniques used on the project. The project had the following results: High structural ratings and soil K factors for the BIO CAT and Consolid bases did not translate to good roadway performance; the macadam base had the best overall performance; the tensar fabric had no noticeable effect on the macadam base; and the HFE-300 performed acceptably.

Influência da espessura de biofilmes feitos à base de proteínas miofibrilares sobre suas propriedades funcionais

O emprego potencial de filmes comestíveis e biodegradáveis em embalagens é condicionado pelas suas propriedades funcionais, que são influenciadas por muitos fatores, inclusive pela espessura. O objetivo deste trabalho foi estudar a influência da espessura dos biofilmes feitos à base de proteínas miofibrilares (de carne bovina e de tilápia-do-nilo) sobre suas propriedades funcionais. Os biofilmes foram preparados a partir de uma solução filmogênica com 1 g de proteínas/100 g de solução. A concentração de plastificante foi de 45 g de glicerina/100 g de proteínas, e o pH foi mantido em 2,7. Após secagem, os filmes foram acondicionados em dessecadores a 58% de umidade relativa e 22°C, por quatro dias. As propriedades mecânicas foram determinadas por teste de perfuração; a permeabilidade ao vapor de água, por um método gravimétrico, e a cor e a opacidade, com colorímetro HunterLab, a 22°C. A força na perfuração, a permeabilidade ao vapor de água, a diferença de cor e a opacidade dos dois biofilmes aumentaram linearmente com a espessura dos corpos-de-prova. A deformação na perfuração foi pouco dependente da espessura e apresentou grande dispersão, em ambos os filmes. A taxa de permeabilidade ao vapor de água diminuiu linearmente com a espessura.

Seleção de genótipos parentais de acerola com base na divergência genética multivariada

Este trabalho teve por objetivo identificar e selecionar genótipos parentais de acerola (Malpighia emarginata L.) adequadas a programas de melhoramento genético. Nove caracteres quantitativos de maior importância agronômica foram usados para determinação da distância genética e formação de grupos similares de acessos. O agrupamento pelo método de Tocher, a partir das distâncias generalizadas de Mahalanobis, possibilitou a divisão de 14 genótipos em três grupos. Com base na divergência genética e no caráter agronômico-chave (teor de vitamina C), destacaram-se como mais promissores os cruzamentos dos genótipos: AM Mole pertencente ao grupo III, com os genótipos PR AM, N° 18, PR 17, PR 16, Eclipse, AM 22 e Dominga, todos pertencentes ao grupo I.

Experimental Macadam Stone Base Des Moines County, HR-175, Construction Report, 1977

In today's era of advanced methods, it is interesting that a centuries-old Roman road-building concept can be the most attractive alternative available. The need for a less expensive road base construction method is very apparent, especially to the county engineer faced with maintaining quality lower traffic volume farm-to-market roads. The revival of the Macadam stone base is one possible solution. Des Moines County believed a Macadam road had excellent possibilities for their particular needs. They proposed a research project designed to eliminate some of the unknown factors of Macadam stone base construction. It is the intent of this research project to develop standardized design procedures and serve as an aid for others in constructing a Macadam base roadway. The Iowa Department of Transportation has published special provisions for the construction of Macadam stone bases that were adopted as the guideline specifications for the research project.

Macadam Base Shoulders, HR-181, 1977

Highway safety and pavement performance can be directly influenced by the type of shoulders that are constructed. Shoulder design alternatives have always been rather limited. Moreover, the use of some of the alternatives has always been restricted by funding limitations. This research project seeks to explore the use of modified macadam base construction for shoulders. This type of shoulder design could offer the designer another option when paved or stabilized shoulders are being considered. Macadam base construction has in the past been shown to be quite strong and freedraining. Two macadam base shoulder designs were developed and constructed for this research project. A new roadway embankment and P.C.C. pavement were constructed on a section of US 6 east of Adel in Dallas County. The macadam base shoulders were constructed adjacent to the pavement as part of the project. The north shoulder was finished with a choke stone course and bituminous surface treatment and the south shoulder was finished with a two (2) inch layer of Type B Class II asphalt concrete. The initial results are considered satisfactory. Follow-up performance evaluation and load bearing tests are planned.

Una nova eina per a l’estudi del paper i les filigranes. Anàlisi i desenvolupament d’una base de dades per a l’estudi del paper i de les filigranes: font per a l’elaboració de la història del paper a Espanya

L’aspiració de trobar una eina que pugui ajudar a identifi car els papers atenent les sevescaracterístiques sorgeix a fi nal segle XVIII amb les primeres descripcions de les filigranespapereres i va prenent cos al segle XIX com a ciència auxiliar de la codicologia.Des de les últimes dècades del segle XX, les filigranes han anat adquirint un interès creixententre els restauradors de document gràfi c —com una eina més per a la presa de decisions i pera la valoració del procés de restauració— i entre els documentalistes, historiadors, museòlegsi bibliòfils —per a la datació i autenticació de les obres— i, fins i tot, en investigacionspolicials i jurídiques per aclarir algun fet delictiu. No obstant això, durant aquests 150 anys, l’estudi del paper a través de les filigranes papereres a Espanya no ha experimentat cap avenç significatiu pel que fa als mètodes i procediments seguits per a l’obtenció i gestió deles dades. En l’àmbit europeu, encara que a partir dels anys 90 sorgeixen noves propostesd’estudi, aquestes limiten la investigació a l’anàlisi de la filigrana sense assolir una visió global del plec sortit de la forma.

Thin Asphalt Concrete Pavement on Crushed Rock Base - Cass County, Construction Report, HR-2075, 1997

The road paving cost continues to increase and the backlog of projects waiting for funding is growing. Finding a more cost-effective way to use the available money to pave roads will result in more miles of road being paved with the same amount of money. This project is in Cass County on G35 between US 71 and Norway-Center. It consists of a thin layer of asphalt over a base designed to achieve stability while having some permeability. This project was paved in 1996. An asphalt cement concrete pavement was chosen for the project based on cost, convenience, and historic portland cement concrete problems in Cass County. The new pavement gives quicker access time to farms and residences.

La articulación de ámbitos sociales a partir de la base temporal

Uno de los objetivos de la investigación ha consistido, en un primer nivel de análisis, en conseguir una tipología general de la forma de vinculación entre los ámbitos de TP (trabajo productivo), TR (trabajo reproductivo) y TL (disponibilidad de tiempo libre) a partir de datos e indicaciones cuantitativas. Después de diversos ensayos, los resultados y el procedimiento más simple y eficaz se han conseguido a partir de dimensiones indicativas del empleo del tiempo para cada uno de los ámbitos. Por tanto, una vez construidas las tipologías de cada uno de los ámbitos, se toma el tiempo, en este artículo, como referente o sustrato para la constitución de modos de vida cotidiana. Los tipos de modos de vida cotidiana serán a su vez la base de la intervención por entrevistas en la segunda y tercera parte de la investigación. El artículo muestra cómo el tiempo, en tanto que instrumento y soporte para la construcción de los modos de vida, pasa a ser un descritor y clasificador de grupos sin necesidad de recurrir directamente a las variables categoriales: sexo, categorías sociales, edad, etc. Este artículo es parte de una investigación cuyos resultados aparecen en este mismo número de PAPERS. El artículo tiene autonomía y entidad por sí mismo pero la lectura del resto de los artículos de este número facilitará su contextualización.

Evaluation Study of Pit Run Gravel Asphalt Treated Base Mixtures with Various Percentages of Crushed Limestone, R-217, 1968

In November of 1966, an investigation of the rigid Class I asphalt treated base specification, requiring 70 per cent crushed limestone, was initiated. It was felt that it might be possible to modify the need for crushed particles, in the construction of basis on heavy duty roads, at a savings, by using more local materials, without sacrificing strength and/or durability. This is a short study on typical sources of pit run gravel, with various percentages of limestone. It is conducted with an eye open to the possibility that our specifications may be modified. The possibility that further investigation may be desirable is not ignored.