Images are especially powerful for adolescents and can be a way of expressing suffering. In the often noisy treatment of adolescents there is much to see, without reducing it merely to this manifest aspect. The use of images may also be part of the process of reinforcing and protecting narcissism. Thinking in images, as an intermediary for speech and a procedure that helps construct the psychical dynamic, can be a support for psychotherapeutic work.

Adolescence, 2020, 38, 2, 369-382.