The author presents some reflections regarding the psychodynamic consultation with an adolescent girl admitted to Child Neuropsychiatry.
Within a society, a group, a couple or a family, there is sometimes the fantasy of being able to cure one’s ills by punishing this or that individual, exiling one or the other, looking for a scapegoat which will have to change for all, often without rethinking the mode of operation of the system. Almost always the symptom of one is the expression of a social set, family, relational dysfunctional factors, as instance. In the clinical work in child neuropsychiatry we started by looking for the origin of the symptoms in the stories of parents and patients, then we made a progress trying to imagine together the dissociated, the unrepresentable and the un-represented. We have thus evolved from concrete history by directing our attention towards the thinking function, in the patient as in the parents, deepening the theme of the interaction between thoughts and fantasies of the parents and fantasies and thoughts of the sons. The au-thor presents a clinical vignette regarding a teenage girl and her family.
Keywords: Adolescence, psychiatry, unconscious fantasy, couples therapy, aggression, violence