[Management of traumatic grief in adolescents in a psychotrauma group]. / Prise en charge du deuil traumatique chez l'adolescent dans un groupe psychotrauma.

The sudden loss of a parent during adolescence causes great psychological suffering in the young person as well as multiple reorganizations within the family unit. This traumatic mourning requires appropriate care that takes into consideration both the multiple and complex effects of this loss and the collective and ritual dimensions of mourning. Through two clinical cases, we will discuss the interest of a group care device to address these dimensions.

["The temporality of victims of sexual abuse is longer than the legal obligation of the institution."] / « La temporalité des victimes d'abus sexuels est plus longue que celle de l'obligation légale de l'institution ¼.

From her six years of experience as a social worker at the Maison des adolescents de l'hôpital Cochin in Paris, Irène Jarry has developed the know-how to help caregivers report and support adolescents and their families. In recent years, the care team has reported a steady increase in disclosures of sexual abuse. Irène Jarry provides us with tools to best accompany these young people, while taking into account the traumatic context and its consequences, before reminding us of the useful foundations for any professional.

Disclosure of Sibling Sexual Abuse by Hospitalized Adolescent Girls: Three Case Reports.

Although sibling sexual abuse (SSA) may be the most common type of intrafamilial sexual abuse, it has not been widely studied. The lack of studies makes it very difficult for clinicians to create a comprehensive framework about this complex phenomenon, particularly in comparison with other forms of intrafamilial sexual abuse, such as father-daughter incest. SSA is still underrecognized and underdisclosed but it has the potential to be every bit as harmful as sexual abuse by a parent. The topic rarely finds its way into the more general psychiatry or social work literature. It is imperative to increase healthcare practitioners' awareness of this complex subject to improve their ability to listen to, detect, and manage the disclosures of SSA in adolescent populations. This paper presents vignettes of three 13-to-15-year-old adolescent girls who disclosed SSA during inpatient hospitalization in an adolescent psychiatric and medicine department. These cases illustrate the complexity of SSA, which has been associated with a wide spectrum of both mental and physical symptoms. Adolescent victims of SSA experience serious distress, with various and numerous psychiatric manifestations, including but not limited to depression and suicide attempts, addictive behaviors, post-traumatic stress symptoms, and eating disorders. Physical symptoms should also alert practitioners: adolescent survivors are more likely to be affected by somatic complications such as sexually transmitted diseases, chronic pain, urogenital symptoms, and nutritional disorders. We offer some recommendations to improve the detection and support of distressed adolescents disclosing SSA. Listening to them and offering a protective multidisciplinary response can limit the lasting damage and contribute to the repair process.