Due to changes clinically observed in psychopathologies, care models have been evolving. This article focuses on what kind of possible work need to be made with adolescents facing to frequently psychosocial difficulties. In order to meet specific needs varying from one clinical situation to another, the author shows how important it is to create original models of care, wich remain open for change over time. A clinical vignette highlights which features are used to guide for setting up a framework of psychoanalytic therapy. Both the monitoring of verbal and nonverbal expressions from the patients and their transference on to therapists or stakeholders provide essential benchmarks for therapeutic choices.

Adolescence, 2011, T. 29 n°2, pp. 385-395.