The problems relating to unaccompanied international minors we receive in the « Maisons des Adolescents » are complex. Studies about mental health of these young people are still few. Most of them must go through their identity construction period alone and have often experienced repeated trauma and multiple bereavements. It seems appropriate to receive these young people in a treatment setting, like the cross-cultural consultations, which enables the emergence of cultural representations and takes into account pre, per and post-migration experiences to restore the construction process of identity.
We will present here a therapeutic workshop that uses clothing as a means of mediation. This workshop, headed by an educator and a stylist working in a « Maison des Adolescents », enables work on the body image and its distortions, on self-esteem, on the body envelope and on adolescent body preoccupations. This workshop is both a place for meeting as well as sharing experiences on the subject of being and appearance.
This article discusses individual psychoanalytic psychodrama in a health center for adolescents (« Maison des Adolescents-Maison de Solenn »). After a brief historical and theoretical review, the authors present their treatment setting, which is based on individual psychoanalysis, group psychoanalysis and transcultural psychiatry. The psychodramatic treatment of an internationally adopted young girl will then be displayed.
The new technologies are more and more important in the lives of young people and in our medico-psychiatric consultations. Using the analysis of a clinical case of a suffering young girl, the authors discuss the role of the Internet, virtual spaces and the figure of the double in the construction of identity in adolescence.
The « Maison de Solenn – Maison des Adolescents » offers a psychotherapy unit, allowing us to propose to some of them a psychoanalytical therapy. If some discuss the merits of a psychoanalytical work in adolescence, as the articulation of psychotherapeutic and analytical objectives, the arrangements led in the practice by certain specificities of adolescence, join the creative movement of evolution and diversification of the psychoanalytical practices. It is, however, up to the psychotherapists and psychoanalysts to formalize their practices in order to be able to describe them, subject them to the work of thought through the practice of supervision and internal theoretical and clinical exchanges, and to bring them into more general psychoanalytical debates to assure, by the understanding of the differences and the recognition of the common elements, the fertility of the psychoanalytical approach to adolescent suffering.
Using our in-hospital experience with chronically ill adolescents, we will try to develop the singularity of a clinical treatment such as we envisage it at « Maison des Adolescents », where every day there are consultations in which pediatricians, child psychiatrists, psychologists and other professionals take part. Taking as an example the situation of Stéphane, a diabetic adolescent of Flemish origins, we will give an outline of our interdisciplinary approach, essentially ecumenical, between practical questions of treatment and the realities of family life.
The arrival of the « Maisons des Adolescents » in an already well provided-for landscape of places providing support and care brings us to rethink the way that we cater to adolescents’ clinical needs. The orientation of an adolescent to a specific care facility is never easy. Some « Maisons des Adolescents » have decided that the reception would be carried out by social workers who facilitate the transference both onto the institution and onto its members. The clinical meeting, a highlight in the Maisons des Adolescents’ organization, enables all of the team members to start working with the teenagers. The Clinical meeting also allows for an original clinical experience together with the social workers.
The current article deals with the influence of territorial context on the intervention of teenagers’ treatment centers (modes and axes of intervention). To demonstrate the existence of this relationship, one particular example is used : the Avicennes center (« Maison des Adolescents ») in Bobigny. The article studies the local particularities of the Seine-Saint-Denis department from the points of view of history, specific problems, and local public policies in the fields of social, health and youth affairs. Then it shows the ways these elements impact the choices made for the teenagers’ center functioning where the types of care or the innovations are concerned. More broadly, the article attempts to explain the reasons for the specificities that are currently characterize teenagers’ treatment centers in our country.
The « Maisons des Adolescents » treatment centers of two districts around Paris are built on a network of pluri-professional workers dealing with adolescents. They provide access to low threshold primary and secondary care services, as well as organizing referrals to other services. They also provide support and training to professionals and help them share some difficulties. They enhance the links between professionals, provide training and exchange groups. But they also have some paradoxes, like adults’ ambivalent opinion of adolescence. The fact that psychiatrists are actively involved in settings that sustain « mental health » is also questioned. When clinical referral is needed, the authors underline the effects of their active implication in the local network, in terms of symbolic effects and dynamic effects in the clinical encounter with the adolescent. The most important thing is to make the encounter real and supportive for the identification and identity processes of adolescence.
At the « Maison des Adolescents » de Bobigny, Casita, the reception process is a central element of the treatment setting. Carried out by a pluridisciplinary duo of staff members, who ensure a plurality of readings of the adolescent’s suffering, it is carried out in several appointments, generally over the course of a few weeks. Using a clinical vignette, we will try to show the fundamental functions of the procedural work of receiving, both as an evaluation of the request for treatment, but also as a moment of elaboration before any orientation towards treatment