[Evaluation of the institutional setting on psychotic adolescents. Psychoanalytic approach]

Based on a statistical check of how certain teenage psychotics have changed, these changes, even mutative effects on these kinds of problems because of steps taken in the institutional setting, were examined. Within the framework of the mental-health facility, through compulsive repetition, a process implicating both patient and healer in their interrelationship and the possibility of talking about family problems are developed. In the same way, such a setting allows a patient's virtualities to come out and be used because of the objective, transitional and narcissistic aspects that these various opportunities bring into play. Several clinical examples are given, regarding dialectic articulation, with their theory highlighted. The idea of accepting one's own exaggerated narcissism turns out to be fundamental in realizing a teenager's psychotic problems as much as different diachronic and synchronic ways of action, so that, without playing with language, we can qualify the setting as therapeutic.