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Le présent ouvrage explore de manière stimulante les éclairages apportés par cet ambitieux programme de recherche théorisant et documentant l'influence de l'idéologie, du genre et des biais cognitifs dans la production des décisions de justice. Le rôle, souvent négligé, de facteurs tels que la charge de travail, la dynamique contentieuse, les considérations stratégiques et les interactions entre juges, États, législateurs et justiciables y est examiné en profondeur tant au niveau national que supranational. L'ouvrage aborde en outre la dimension rhétorique du discours judiciaire à l'aune des enseignements des sciences du langage sur les causes de l'indétermination des règles et des preuves juridiques. La décision juridictionnelle offre une analyse multidisciplinaire et multifactorielle captivante de l'acte de juger qui redéfinit notre vision de la fonction judiciaire et interroge les conceptions de neutralité, d'impartialité et de séparation des pouvoirs tenues pour acquises. Que vous soyez un professionnel du droit, un chercheur passionné ou un lecteur soucieux de comprendre la complexité de la justice, cet ouvrage élargira vos horizons et stimulera votre réflexion.

Droit --- Processus judiciaire. --- Logique juridique. --- Psychologie du droit. --- Sociologie juridique. --- Prise de décision. --- Prise de décision. --- Processus judiciaire --- Logique juridique --- Law --- Judicial process --- Sociological jurisprudence --- Decision making. --- Philosophy --- Psychological aspects --- Prise de décision --- Philosophie --- Aspect psychologique

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"This book is about the practice of medicine and the decision-making of the people we entrust with our care. While treatments, technologies and professional roles have evolved over the years, the essential act of decision-making has remained constant. Through personal experience, research and feedback from colleagues across healthcare, the authors examine how metacognition - or thinking about thinking - can provide a toolkit with which to improve the decision-making of all healthcare professionals. The rise of digital tools and AI-based clinical support systems makes this a critical time to grasp how human decision-makers operate and how to best harness the increasing volume of healthcare data available. This is a thought-provoking read for professionals and curious minds alike, packed with ideas and practical advice about how to improve decision-making in healthcare and deliver better outcomes for patients"--

Clinical Decision-Making. --- Decision Support Systems, Clinical. --- Prise de décision clinique. --- Systèmes d'aide à la décision clinique.

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"During author's 33 years as a small animal internal medicine specialist interacting with patients, clients, associates, practice owners, technicians, and referring veterinarians, and teaching students and interns, he realized that there is an absence of principles or strategies to guide veterinary practitioners in the process of rational decision-making on behalf of patients. This sometimes results in decisions which, when examined retrospectively, appear to be irrational, or difficult to justify based on information in medical records. In author's experience, each hospital has a unique culture or philosophy of practice which profoundly influences the way in which its clinicians make decisions. These influences are known as the "hidden curriculum," where clinicians are implicitly expected to adopt systems and protocols that align with the philosophy of the practice. For example, whether a specific practice customarily sends patients home shortly after routine surgery or keeps these cases in the hospital overnight. Some practices encourage their clients to pursue diagnoses while others prioritize therapeutic trials. To mitigate cognitive dissonance and interpersonal conflicts, most clinicians unknowingly modify their behaviors to align with each hospital's expectations. This process of doing what is expected of you or what your employer has done preceding you, is quite understandable. But when scrutinized, this practice tends to diminish care uniquely tailored to each client and patient in lieu of adhering to historical precedents or hospital-based protocols. Such behaviors are often justified by statements such as "That's the way we've always done it." These arguments delay a willingness to embrace new scientific evidence or practice in accord with evolving societal expectations. Many of these expected actions also conflict with what veterinary students have been taught are evidence-based approaches to practice"--

Veterinary Medicine --- Clinical Decision-Making. --- Professional-Patient Relations. --- Médecine vétérinaire --- Médecine vétérinaire --- Relations personnel médical-patient. --- methods. --- Pratique. --- Prise de décision.

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Introduction : Ce projet de mémoire aborde la question de la décision partagée du traitement 
psychologique et psychiatrique dans la clinique des enfants et adolescents. Ce concept 
représente peu de connaissances dans la littérature, tant d’un point de vue théorique que d’un 
point de vue empirique concernant la clinique des mineurs en comparaison à la clinique des 
adultes. Cette recherche est exploratoire et vise à mieux comprendre la place de l'enfant et des 
parents dans le processus de décision partagée, les enjeux et les limites de celui-ci dans la 
clinique des mineurs, ainsi que la relation que le patient entretient avec la compliance au 
traitement et la satisfaction qu’il en retire concernant sa prise en charge, selon la perspective 
des professionnels en santé mentale. 
Matériel et méthode : Pour explorer la problématique, une recherche qualitative a été menée 
par le biais de seize entretiens semi structurés individuels en visioconférence via Teams avec 
des pédopsychiatres, en suivant le guide d’entretien comme fil rouge de l’interview. Il s’agit 
d’une étude exploratoire réalisée à travers une analyse thématique des entretiens. 
Résultat : L’analyse des entretiens a permis de faire émerger cinq catégories qui sont les 
suivantes : le continuum de la DP (collaboration, négociation, persuasion, manipulation), le rôle 
des parents dans la DP (interlocuteur privilégié, obstacles et facteurs modérateurs), les aspects 
relationnels dans la DP (psychoéducation et positionnement relationnel), l’influence des 
contextes sur la DP (contexte institutionnel en cas de refus de traitement, contraintes logistiques 
et organisationnelles, contraintes de ressources limitées dans les soins de santé) et les résultats 
de la DP (bénéfices sur la satisfaction et la compliance du patient). 
Conclusion : L’approche de prise de DP peut se représenter sous la forme d’un continuum, où 
le professionnel peut user de techniques allant de la collaboration, la négociation, la persuasion, 
jusqu’à la manipulation selon les situations cliniques. Son application varie selon différents 
facteurs tels que l’âge de l’enfant, les pathologies graves et/ou les problèmes intellectuels de 
celui-ci, les situations d’urgence ou les obstacles et les facteurs modérateurs des parents. Elle 
est élaborée en tenant compte, entre autres, de l’importance d’une bonne alliance entre l’enfant 
et le professionnel, d’une démarche psychoéducative, d’une adaptation du professionnel à 
l’enfant et d’une place cruciale des parents. Elle aurait également des conséquences positives 
sur la compliance de l’enfant au traitement et sur sa satisfaction concernant sa prise en charge. Introduction : This dissertation project addresses the issue of shared decision-making on 
psychological and psychiatric treatment in the clinic for children and adolescents. Little is 
known about this concept in the literature, from both a theoretical and empirical point of view, 
concerning the clinic for minors in comparison with the clinic for adults. The aim of this 
exploratory study is to gain a better understanding of the place of children and parents in the 
shared decision-making process, the issues involved and the limits of this process in the juvenile 
clinic, as well as the patient's relationship with treatment compliance and their satisfaction with 
their care, from the perspective of mental health professionals. 
Material and method : To explore the issue, qualitative research was carried out by means of 
sixteen semi-structured individual interviews with child psychiatrists via videoconferencing 
with Teams, using the interview guide as a common thread. This was an exploratory study based 
on a thematic analysis of the interviews. 
Results : Five categories emerged from the analysis of the interviews: the SD continuum 
(collaboration, negotiation, persuasion, manipulation), the role of parents in SD (privileged 
interlocutor, obstacles and moderating factors), relational aspects in SD (psychoeducation and 
relational positioning), the influence of contexts on SD (institutional context in the event of 
refusal of treatment, logistical and organisational constraints, constraints of limited resources 
in healthcare) and the results of SD (benefits on patient satisfaction and compliance). 
Conclusion : The SD approach can be represented as a continuum, in which the professional 
can use techniques ranging from collaboration, negotiation and persuasion to manipulation, 
depending on the clinical situation. Its application varies according to different factors, such as 
the child's age, serious pathologies and/or intellectual problems, emergency situations or the 
parents' obstacles and moderating factors. This is developed taking into account, among other 
things, such as the importance of a good alliance between the child and the professional, a 
psycho-educational approach, adaptation of the professional to the child and the crucial role of 
the parents. Furthermore, it is thought to have a positive impact on children's compliance with 
treatment and their satisfaction with their care.

Prise de décision partagée --- Modèle du rétablissement --- Clinique des mineurs --- Pédopsychiatres --- Recherche qualitative --- Analyse thématique --- Shared decision-making --- Recovery model --- Juvenile clinic --- Child psychiatrists --- Qualitative research --- Thematic analysis --- Sciences sociales & comportementales, psychologie > Traitement & psychologie clinique