[Bereavement and its clinical implications, conceptual developments and ways of supporting bereaved families]. / Le deuil et ses implications cliniques, évolutions conceptuelles et modalités de soutien des familles endeuillées.

Bereavement is a natural process whose scope has long been essentially social and collective before it was increasingly limited to the private sphere. In recent years, the redefinition of the various clinical manifestations of grief raises the question of diagnosis when it becomes a disorder and the question of whether or not adapted treatments are necessary in certain situations. We will place the bereavement process in a cultural and social perspective, before focusing on the centrality of rituals as a modality of support and resilience.

[Together in the face of extreme violence: accompanying families after a traumatic event]. / Accompagner les familles après un événement traumatique.

After a traumatic event, families can also be impacted at different levels and require post-immediate or longer-term care. The adaptation of these family care procedures carried out following the attacks of 2015-2016 in France, based on existing clinical arrangements, in a child psychiatry service associated with a medical-psychological emergency unit, is discussed via two clinical examples. These different modalities of follow-up, a family debriefing and a situation of mourning associated with a trauma insist on the necessity to consider the temporality of the follow-up, the use of different theoretical tools, as well as the importance given to rituals and family skills hard hit by the traumatic event.