[The Bomoko workshop in a day hospital for obese adolescents]. / L'atelier Bomoko en hôpital de jour pour adolescents obèses.

The Bomoko workshop of the Maison de Solenn-Maison des adolescents of the Cochin hospital is aimed at obese adolescents who are treated at the day hospital during a therapeutic education day. It was born from the common and multidisciplinary desire of a team to propose an innovative device combining psychomotricity and Photolanguage® to encourage the connection between body sensations, emotions and thoughts. Thanks to the time of body mediation, the work of expression and psychic elaboration is facilitated during the Photolanguage®.

[Multidisciplinary care of an adolescent with somatic disorders]. / Parcours de soins pluridisciplinaire d'un adolescent aux troubles somatiques.

Theo's clinical observation illustrates the management of a 14-year-old adolescent with unexplained somatic symptoms. His symptoms can be integrated into what the classification of mental illnesses calls a somatic symptom disorder, with a depressive comorbidity. The description of the care pathway shows the gradual acceptance of psychological suffering by the adolescent and his parents in a service where different professionals are involved, with sufficient time for a good therapeutic alliance to be built.

[Psychomotricity and socio-aesthetics, physical therapy interventions for obese teenagers]. / Psychomotricité et socio-esthétique, des médiations corporelles pour l'adolescent obèse.

The project to lose weight is not simply a matter of changing behaviour. Obese teenagers must draw on other strategies, including those which require them to learn to love their body. In this respect, psychomotricity and socio-aesthetics are two complementary approaches which can be used as part of a teenager's care in the day hospital.

[My stomach, the monster under my bed]. / Mon ventre, ce monstre caché sous mon lit.

Care for patients with eating disorders is complex and plurimodal. Care plans need to be adapted in order to take into account the body in crisis. A series of hospital admissions combined with specific psychomotor approaches, can contribute to the patient being reappropriated with their own body.

Bodily expression of psychological distress in adolescents: a qualitative study.

INTRODUCTION: The bodily expression of psychological disorders is one of the leading motives for consultations in adolescent medicine. The diagnostic entity corresponding to DSM-5 "Somatic symptom and related disorders" is sparsely used in the English-language literature, especially for adolescents. Qualitative studies on this topic mostly concern the experiences of healthcare professionals. This study seeks to explore the experience of adolescents expressing psychological distress through their body. METHODS: This exploratory research took place in a Paris hospital department of adolescent medicine. Our sampling method was purposive. For inclusion, patients had to be aged 11-24 years, with a "somatic symptom disorder" meeting the DSM-5 criteria. Semi-directive interviews were proposed with visual narration inspired by photoelicitation. Thematic analysis allowed us to explore the data with an inductive approach. RESULTS: Thirty adolescents were interviewed; they were 14-22 years old and mostly had somatic symptom or functional neurological disorders. Three principal themes emerged from our analysis of the interview contents: the personal, including bodily, experience of the disorder, the experience of relationships, and the question of what is visible through the body. CONCLUSION: This research allowed us to discuss the reversal of generations, the function of the DSM-5 diagnosis, illuminated by sociology, and finally, cultural pathways. It shows the importance of recognizing the reality of the adolescents' bodily feelings, reassuring them by ruling out serious causes, and supporting their search for meaning. It is important to think about a specific framework of family therapy that can make effective use of this experience of the reversal of generations.