[Accompanying young girls who are victims of incest, a necessarily holistic approach]. / Accompagner les jeunes filles victimes d'inceste, une approche nécessairement holistique.

Accompanying child and adolescent victims of incest towards reconstruction requires professionals trained in the specificities of this intra-family sexual violence. The Jean-Bru shelter, which takes in young girl victims, has developed the expertise of a complementary multi-partner approach and offers socio-educational, medical-psychological and legal support, for the benefit of a personalized global project that also includes the family link.

Attitudes and predictive factors of psychological distress and occupational burnout among dentists during COVID-19 pandemic in Turkey.

The aim of this study was to evaluate the factors affecting the ability and willingness of dentists to work during the COVID-19 pandemic and the effect of this situation on occupational burnout. A 51-question survey, including demographic and pandemic questions and the Maslach Burnout Inventory (MBI), was used as a data collection method and administered to dentists in Turkey via the internet in two stages. A link to the survey (onlineanketler.com) was sent to the participants by e-mail or social media (WhatsApp©). A total of 442 dentists in the first stage and 264 dentists in the second stage answered the questionnaire. The second stage of the survey only applied to dentists who are assigned within the scope of COVID-19 measures in Turkey. Standard descriptive statistics, the chi-square test, independent samples t test and the Kruskal-Wallis test were used for statistical analysis. Most of the participants showed higher stress levels. Occupational burnout levels of participants according to filiation service (serve/FP, did not serve/FN) were 34.4% and 17.6%, respectively. The FP group showed significantly higher stress levels than the FN group. It is important to consider how these results, collected during an infectious disease epidemic, reflect the effects of psychological distress and burnout on dental staff. Trial Registration Number and Date of Registration: NCT04605692-10/27/2020. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12144-021-01764-x.

[Becoming a father in the face of symbolic wounds in filiation: a case of male infertility]. / Devenir père à l'épreuve des blessures symboliques dans la filiation.

With the intention of having a child and the subsequent question of filiation, "becoming a mother" as well as "becoming a father" always involve a risk. In both men and women, the plan to have a child or to become pregnant can lead to the revival of unresolved conflicts that can question the very organisation of their being. Sterility then comes as a defence against the risk of collapse.

[Interactive guidance, a tool to support fathers]. / La guidance interactive, un outil pour accompagner les pères.

The meeting between a father and his child when it is hindered by a still painful early history can benefit from specific support through interactive guidance therapy. This tailor-made support, through the viewing of filmed sequences of play between the father and his son, helps him to get in touch with the current interactions as the veils of the past are cleared. Through the experience of the video, the father discovers his skills and thus gradually develops confidence in his parenting abilities, enabling him to take his place as a father in the succession of generations.

[Who decides what data should be recorded in the medical history in relation to the biological origin?] / ¿Quién decide qué datos deben constar en la historia clínica en relación con el origen biológico?

There is an increasing request by patients or their representatives not to have some data registered in their clinical history or if such data exists to be deleted. Without doubt, this is so because such clinical data is accessed by various professionals who in most cases are not directly involved in caring for such patients. On the other hand, such data is copied and iteratively and unnecessary reproduced in various discharge reports and others forms. The problem arises when such controversial data refer to particularly sensitive clinical aspects such as assisted reproduction techniques, which invades personal and family privacy. Therefore, the question is who determines what data should be recorded in the medical records and according to what criteria should be taken that decision?

[Reflecting on a religious conversion event in a clinical setting]. / Penser un événement de conversion religieuse en clinique.

What should be the clinical approach to the event represented by a religious conversion, adherence or attraction to extreme groups and ideas? It requires a conceptual analysis, an ethical and epistemological approach at the centre of social situations presenting a high level of ambiguity, tinged even with a certain sense of unreality, as is being experienced in France.

[The parents' experience of school refusal in adolescence]. / Le vécu parental du refus scolaire anxieux à l'adolescence.

While today's society places considerable importance on schooling and performances, school absenteeism is currently very high. One of the causes is anxiety-based school refusal. This phenomenon affects the adolescent but also has an impact on their family. Exploring the experience of the parents of teenagers presenting anxiety-based school refusal enables these families to be given better support.

The anxiety levels of midwives and nurses working for filiation during COVID-19: A sample of Turkey.

This study examines the anxiety levels of midwives and nurses working for filiation during management of the COVID-19 pandemic(n = 205) The cross-sectional data were collected using State-Trait Anxiety Inventory (STAI-I and II). Having COVID-19 test done and provision of protective equipment affected their STAI-I and II. High anxiety status was found to be those who did not experience fear of carrying the coronavirus to their families (O.R: 1.128), who had diagnosis tests done (O.R:0.888), who had good feeling states before COVID-19 process (O.R:1.076). Information about infection spreads, required equipment and providing social support will lead to a reduction in their anxiety levels in working filiation.

Parentage verification and genetic diversity of the Arabian and Thoroughbred horse populations in Türkiye using microsatellite analysis.

INTRODUCTION: This study aimed to determine the effectiveness of parentage verification in Arabian and Thoroughbred horses in Türkiye using microsatellite markers. A total of 813 Arabian and 959 Thoroughbred horses were genotyped using a total of 17 microsatellite markers. The mean effective number of alleles was 3,34 and the mean number of alleles was 7,41 in Arabian horses. It was calculated that the mean He and Ho values in Arabian horses were 0,677 and 0,680, respectively. The mean effective number of alleles was 3,55 and the mean number of alleles was 6,59 in Thoroughbred horses. It was calculated that the mean Ho and He values in Thoroughbred horses were 0,697 and 0,684, respectively. When the studied Arabian and Thoroughbred horse populations are considered as a single population, the mean FIT, FST and FIS values were found to be 0,063, 0,074 and, - 0,011, respectively. Also, 4 loci in Arabian horses and 3 loci in Thoroughbred horses significantly deviated from HWE. The mean PIC value was 0,63 in Arabian horses and 0,64 in Thoroughbred horses. As a result; the microsatellites including the most informative 15 and 9 loci had a total value of > 0,9999 (11 and 7 loci > 0,999) in each population for PE - 1 and PE - 3, respectively. It has been concluded that parentage verification and genetic identification can be made successfully in the Arabian and Thoroughbred horse populations by using the microsatellite markers panel.

INTRODUCTION: Cette étude visait à déterminer l'efficacité de la vérification de la parenté chez les chevaux arabes et pur-sang de Turquie à l'aide de marqueurs microsatellites. Au total, 813 chevaux arabes et 959 chevaux pur-sang ont été génotypés à l'aide de 17 marqueurs microsatellites. Le nombre effectif moyen d'allèles était de 3,34 et le nombre moyen d'allèles était de 7,41 chez les chevaux arabes. Il a été calculé que les valeurs He et Ho moyennes chez les chevaux arabes étaient respectivement de 0,677 et 0,680. Le nombre effectif moyen d'allèles était de 3,55 et le nombre moyen d'allèles était de 6,59 chez les chevaux pur-sang. On a calculé que les valeurs moyennes de Ho et de He chez les chevaux pur-sang étaient respectivement de 0,697 et de 0,684. Lorsque les populations étudiées de chevaux arabes et de chevaux pur-sang sont considérées comme une seule population, les valeurs moyennes de FIT, FST et FIS sont respectivement de 0,063, 0,074 et ­ 0,011. En outre, 4 loci chez les chevaux arabes et 3 loci chez les chevaux pur-sang s'écartent de manière significative du HWE. La valeur PIC moyenne était de 0,63 chez les chevaux arabes et de 0,64 chez les chevaux pur-sang. Par conséquent, les microsatellites comprenant les 15 et 9 loci les plus informatifs avaient une valeur totale > 0,9999 (11 et 7 loci > 0,999) dans chaque population pour l'EP ­ 1 et l'EP ­ 3, respectivement. Il a été conclu que la vérification de la parenté et l'identification génétique peuvent être effectuées avec succès dans les populations de chevaux arabes et de pur-sang en utilisant le panel de marqueurs microsatellites.

Apparently We Cannot Live, We are like Infectious Zombies: A Qualitative Research on Personal and Familial Experiences of Health Workers in the Filiation Teams in Turkey during the COVID-19 Pandemic.

This study aims to examine the experiences of health workers in filiation teams in Turkey. The qualitative research model has been used. 375 health workers have participated using a non-probability sampling method. The data were collected over the internet using the questionnaire. The data have been analyzed with the MAXQDA and various code-sub codes-segment maps and code matrices have been used. The results expressed in two dimensions: instrumental and emotional areas. It has been observed that issues such as burnout, loss of motivation, and future anxiety have often been coded due to poor working conditions of the filiation teams, lack of rewards, and other factors. They have been determined as experiencing social stigma along with fear of infecting their families, and therefore have problems with child care, visiting adult family members in the risk group. It is recommended to develop psychosocial support services and improve organizational conditions.

Challenges and Ethical Issues Related to COVID-19 Contact Tracing Teams in Turkey.

OBJECTIVE: The purpose of this study was to determine and evaluate the challenges and ethical issues faced by COVID-19 filiation (contact tracing) teams and report the experiences of team members. METHODS: This is a descriptive study conducted to evaluate the performance of contact tracing field teams established by the Ministry of Health to identify, refer, and follow-up persons who tested positive for COVID-19 and their contacts. Reports were collected from various Turkish medical associations, the Turkish Ministry of Health, online news sources, and online interviews published between 11 March 2020 and 18 April 2021. RESULTS: A total of 32 reports published by the Turkish Ministry of Health, various medical associations in Turkey, and the Turkish Academy of Science, together with a number of online media reports on issues involving contact tracing teams, were reviewed. While the activities of the teams were overall found to be of benefit during the pandemic, numerous factors negatively impacting their success were identified. These factors included insufficient social support, wherein the fundamental bioethical values of solidarity, responsibility, respect, and trust were not adopted on a societal level, as well as issues involving the teams themselves, such as lack of time to properly conduct their work, inadequate communication skills and/or personal issues. CONCLUSION: Studies conducted by the contact tracing teams were of vital importance in managing the pandemic. The teams were especially effective in reaching both educated and uneducated segments of the society, in diagnosing cases, and in informing the public regarding the pandemic. Evaluating the experiences of the contact tracing teams deployed in Turkey is of vital importance to ensure better preparation for any future pandemics.

Clinical outcomes of COVID-19 in hemodialysis patients in the city of Zonguldak, Turkey.

PURPOSE: Patients on maintenance hemodialysis are vulnerable to viral infections like COVID-19 because of the low chance of obedience and complying with rules besides the need for transfer to distant dialysis facilities. We investigated the impact and clinical effect of treatment of COVID-19 in dialysis patients. METHODS: We included patients on maintenance hemodialysis at different healthcare facilities in Zonguldak city. With the diagnosis of the first infected HD case, all other patients who shared the same session were screened. Hospitalized and clinically confirmed cases were included. COVID-19 diagnosis was made based on clinical, biochemical along radiologic findings. RESULTS: 34 (F/M:19/15, mean age 62 ± 13.2 years, dialysis duration 66.9 ± 57.7 months, length of hospital stay 16.2 ± 7.9 days) were diagnosed with COVID-19 infection. The prevalence of COVID-19 was found to be 18.4% of our exposed population. 38.2% of our patients were initially diagnosed by CT screening while asymptomatic. 35.3% had a fever as the first presenting symptom. Lymphopenia was the most common laboratory finding. Except for one, all had at least one comorbidity. Out of 12 (35.3%) patients admitted to ICU 6(17.6%) died. The deceased patients were older, presented with lower serum albumin and lymphocyte count, and had higher CRP and fibrinogen levels. High CRP level on admission was the only significant predictor of mortality. CONCLUSION: Early detection will lower mortality. In this study, with a low prevalence of COVID-19, the importance of early screening of both symptomatic and asymptomatic patients was shown to be highly important. Further studies are still needed to find out the most appropriate medical management.

Couples Coping With the Serious Illness of One of the Partners.

Chronic kidney failure is a serious somatic disease. Addressing the issue of living with a chronic disease means fully considering the patients' entourage, their families, and those close to them, especially their children and spouses. Objectives: The present paper focuses on the couple's psychological experience when one of them suffers from a chronic disease, in this instance kidney disease. In particular, how is the spouse affected by the treatment provided? The aim is not only to see how care for sick people can be improved, but also, more specifically, how relatives and especially partners can receive attention. Methodology: A qualitative approach is not only adopted, being based on the psychotherapeutic follow-up of the partners of patients with chronic kidney disease, but also of the patients themselves, addressing the matter of their life as a couple. Three couples were considered, and two case studies are presented here. The issues that cut across these different situations are examined. Results and Discussion: Some couples show considerable resourcefulness. However, over the years, that capacity for adaptation and inventiveness can also be interrupted by the periods of greater suffering and even despair, especially when the somatic pathology becomes chronic. Many spouses talk about how living with a sick partner weighs down on them, causing severe fatigue. Some aspects of the illness can also become traumatic. The disease regularly disrupts the daily life of the couple and the family. This leads to a reworking of family relations. Each couple has its own history with the condition. As it emerges, it can disrupt the bonds of filiation, especially when the illness is hereditary. Making psychological care more accessible to the partners involved constitutes a major challenge for our hospital care systems.

[From domination to violence]. / De la domination à la violence.

While human life continues thanks to the difference between sexes, women carry alone the fruit of reproduction. This female power arouses in male progenitors a need to dominate which can go as far as violence and murder. The institution, instead of representing a third party helping to facilitate exchange and transfer, proposes separating the sexes through the possibility of intervening medically in the species' reproduction process.

Contratos y recontratos / Contracts and recontracts / Contrats et recontrats / Contratos e recontratos

Este trabajo se apoya en los conceptos contrato narcisista primario y secundario para dar cuenta del proceso de filiación y afiliación de la paciente (caso de Agustina) AU

This work relies on the concepts of primary and secondary Narcissistic Contract to understand the process of affiliation and filiation of the patient (Agustina ́s case) AU

Ce travail s'appuie sur les concepts de contrat narcissique primaire et secondaire pour rendre compte du processus de filiation et du processus d ́adhésiondu patient (cas d ́Agustina) AU

Este trabalho baseia-se nos conceitos de contrato narcísico primário e secundário para dar conta do processo de filiação e afiliaçãodo paciente (caso de Agustina) AU

Launching adoptees into adulthood: Mothers' and fathers' promotion of volitional functioning.

In the psychological literature, there is growing evidence that parental support of children's volitional functioning is one of the most prominent protective factors during adolescence and the transition to adulthood. According to the Self-Determination Theory, children cope best with developmental tasks when they acquire a sense of self-governance and self-endorsed functioning. In the field of adoption research, however, the parental promotion of volitional functioning (PVF) and its relation to the adopted child's development are still underinvestigated. The present study involved 160 Italian internationally adopted adolescents and emerging adults and both their parents. It was aimed at examining the extent to which PVF, as reported by each family member, was related to the child's adoptive filiation. Overall, findings showed significant associations between maternal and paternal PVF and adoptive filiation that, however, varied according to the informant and to the child's gender and age. Results have been discussed in relation to the intervention with adoptive parents and children.

La maternidad subrogada: retos para el derecho en un mundo globalizado / Surrogacy: challenges for the law in a globalized world / Barriga de aluguel: desafios para o direito em um mundo globalizado

Hay información que los primeros estudios y los primeros nacimientos de niños concebidos mediante fecundación in vitro tuvieron lugar en el último cuarto del siglo XX, pero el primer caso de litigio relacionado con maternidad subrogada (Johnson v. Calvert) se registra a comienzos de los 90 en EE.UU., ante la Corte Suprema de California, esto quiere decir, que la práctica de la maternidad subrogada es relativamente reciente. Los primeros desarrollos jurídicos conocidos son en jurisprudencia; la regulación sobre la materia ha sido posterior. El problema de investigación gira en torno a la pregunta ¿Cuáles son los alcances y límites del Derecho en relación con la maternidad subrogada? Para responderla, se determinan los alcances y límites de intervención del Derecho en relación con la maternidad subrogada en un mundo globalizado. La investigación es teórica con enfoque cualitativo. El método adoptado es el si stémico-estructural-funcional. Aunque comienza haciendo una descripción y comparación entre ordenamientos jurídicos de tres países: Colombia, EE.UU. y España, identifica los elementos esenciales de la maternidad subrogada y termina explicando cómo estos elementos interactúan en el derecho y cómo el derecho interactúa con la ética y la política en el contexto de la maternidad subrogada hoy en día.

There is information that the first studies and the first births of children conceived through in vitro fertilization took place in the last quarter of the 20th century, but the first case of litigation related to surrogacy (Johnson v. Calvert) is registered at the beginning of the 1990s in the USA, before the Supreme Court of California, which means that the practice of surrogacy is relatively recent. The first known legal developments are in jurisprudence, the regulation on the subject has been later. The research problem revolves around the question: what are the scope and limits of the Law in relation to surrogacy? To answer it, the scope and limits of intervention of the Law in relation to surrogacy in a globalized world are determined. The research is theoretical with a qualitative approach. The method adopted is the systemic-structural-functional. Although it begins by making a description and comparison between legal systems of three countries: Colombia, USA and Spain, it identifies the essential elements of surrogacy and ends by explaining how these elements interact in the law and how the law interacts with the ethics and politics in the context of surrogacy today.

Há informações de que os primeiros estudos e os primeiros nascimentos de crianças concebidas por fertilização in vitro ocorreram no último quartel do século XX, mas o primeiro caso de litígio relacionado à barriga de aluguel (Johnson versus Calvert) foi registrado no início da década de 1990 nos Estados Unidos, perante a Suprema Corte da Califórnia, isso significa que a prática da barriga de aluguel é relativamente recente. Os primeiros desenvolvimentos legais conhecidos estão na jurisprudência, já a regulamentação sobre o assunto foi posterior. O problema desta pesquisa tratou da questão: quais são os alcances e limites da lei em relação à barriga de aluguel? Para respondê-la, foram determinados os alcances e limites de intervenção do direito em relação à barriga de aluguel em um mundo globalizado. A pesquisa desenvolvida foi teórica com abordagem qualitativa. O método adotado foi o sistêmico-estrutural-funcional. O artigo inicia descrevendo e comparando os sistemas jurídicos de três países: Colômbia, Estados Unidos e Espanha; em seguida, identifica os elementos essenciais da barriga de aluguel e termina explicando como esses elementos interagem no direito e como o direito interage com a ética e a política no contexto da barriga de aluguel atualmente.

Adoção tardia, filiação e devolução de crianças: uma realidade brasileira / Adopción tardía, filiación y devolución de niños: una realidad brasileña / Late adoption, filiation, and children devolution: a Brazilian reality / Adoption tardive, filiation et retour des enfants: une réalité brésilienne

O artigo trata da questão da adoção a partir da experiência de uma das autoras no Tribunal de Justiça do Rio de Janeiro. Apresenta as formas de adoção brasileiras, algumas em conformidade com as leis, outras realizadas de maneira informal. Examina as vicissitudes da adoção, entre as quais os casos de devolução. Procura, em seguida discutir suas consequências para o psiquismo, baseando-se nas interrogações sobre a filiação feitas pela psicanálise. Conclui com fragmentos da clínica, em que se trata de escutar os envolvidos ­trabalho a ser feito pela equipe de profissionais ­no intuito de facilitar caminhos pelos quais o sujeito venha a fazer para si um lugar e se exercer como sujeito de desejo

El artículo aborda el tema de la adopción a partir de la experiencia de una de las autoras en el Tribunal de Justicia de Rio de Janeiro. Presenta las formas de adopción brasileñas, algunas de acuerdo con las leyes, otras hechas de manera informal. Examina las vicisitudesde la adopción, incluso los casos de devolución. En seguida, busca discutir sus consecuencias para el psiquismo, basándose en las preguntas sobre la filiación planteadas por el psicoanálisis. Concluye con fragmentos de la clínica, en la cual se trata de escuchar a los implicados ­trabajo que debe realizar el equipe de profesionales ­para facilitar que lo sujeto venga a hacerse un lugar y se ejercer como sujeto de deseo

The article deals with the issue of adoption from the experience of one of the authors in the Court of Justice of Rio de Janeiro. It presents the Brazilian forms of adoption, some in accordance with the laws, others made informally. It examines the vicissitudes of adoption, including the cases of devolution. It then seeks to discuss its consequences for the psychism, based on the process of filiation as it is discussed by psychoanalysis. It concludes, using fragments of the clinic, in which it is about listening to those involved ­work to be done by the team of professionals ­,to facilitate the ways through which the subject will make himself a place and exercise himself as a subject of desire

L'article examine la question de l'adoption sur la base de l'expérience de l'un des auteurs de la Cour de Justice de Rio de Janeiro. Il présente les formes d'adoption brésilienne, certaines conformes aux lois, d'autres réalisées de manière informelle. Il examine les vicissitudes de l'adoption, y compris les cas de dévolution. Ensuite, il cherche à discuter ses conséquences sur le psychisme, à partir des questions d'affiliation posées par la psychanalyse. Il conclut, à partir de fragments de la clinique, qu'il s'agit d'écouter les personnes impliquées -travail à faire par l'équipe de professionnels -, facilitant ainsi les manières dont le sujet puisse faire un lieu pour soi et pour s'exercer en tant que sujet du désir

Filiação no contexto do recasamento / Filiation in the remarrige context

Este trabalho teve como principal objetivo analisar o processo de filiação em famílias no contexto de recasamento e compreender quais fatores o influenciam nesse cenário. Foram entrevistadas duas famílias com configuração familiar mãe e padrasto, onde, as mulheres tinham uma filha em idade escolar, fruto do relacionamento conjugal anterior e os homens não possuíam filhos nem foram casados anteriormente. A metodologia adotou a pesquisa qualitativa e utilizou-se dois instrumentos: Entrevista Semiestruturada com o casal e a técnica do Desenho-Estória com as crianças. A análise dos dados revelou que o processo de filiação no recasamento está atravessado pela necessidade de nomeação desse terceiro na cena familiar pela mãe e a autorização da mesma para que a filiação padrasto-criança se dê integralmente. Destacou-se também a diferença do tempo da criança (filiação) e do adulto (conjugalidade), bem como a necessidade de uma adoção afetiva, além do desejo de ser pai e ser filha.

This article principal aimed was to analyze the process of filiation in families in the remarriage context. Two families were interviewed and had the following family configuration: mother and stepfather, where, the women had a daughter in school age, fruit from the previous conjugal relationship, and the men did not have children neither were previously married. The methodology used was the qualitative research and was drawn on two instruments: Semistructure Interview with the adults and the Draw-a-Story technique with the children.b The data analysis revealed that the filiation process in remarriage is crossed by the need of nomination of this third character in the family scene by the mother as well as her authorization so that the stepfather-child filiation can occur integrally. Also, this research highlighted the difference between the time of the child (filiation) and adult (conjugality), just as the need of a affective adoption of the child, besides the desire of being a father and being a daughter.

Historias de historias: la restitución y sus impactos / Stories of history: restitution and its impacts

En este trabajo abordamos como la Historia se cruza con las pequeñas historias en cada restitución. La restitución es puesta en juego, cada vez, en ellas y la nominación que ha acontecido se conmueve al reanudarse el nudo de la filiación con cada restitución

In this essay we work on how History intersects small stories in each restitution. The filiation is put into play, and the nomination that has taken place is shaken when the knot of filiation is rearmed with each restitution