Families of patients hospitalized in treatment-school facilities and the cargegivers share common fantasies of separation-adoption, reparation-destruction and seduction-rejection. In this “adolescent constellation”, parents and staff members regularly find themselves in positions of identification, projection, isomorphism, systematic reflection, echo. These phenomena make things difficult for the caregivers, but their understanding and their elaboration are an opportunity for the patients, their families, and the institution.

Adolescence, 2014, 32, 3, 555-576.