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On the basis of metapsychological issues in the representation of trauma, this paper investigates how psychoanalysis supports the re-integration of the traumatic event in minors who, as victims of serious forms of violence, see memory as a threat to their defence strategies and are at risk of psychological collapse. What emerges from the authors’ clinical experience is how the most relevant element in psychotherapy for child and adolescent abuse victims is their potential and ability for representation, as well as the intricate connections between external traumatic factors and internal dispositional factors. From a treatment perspective, referring to the debate on technical adaptations based on the patient’s internal organisation, the authors suggest an approach that, by respecting the internal timeframe of the patient and the fluctuations of transference and psychological functions, alternates between supportive and exploratory functions (especially in cases where the Ego remains relatively intact). The therapeutic objective is to help rebuild meaning around an event that has disrupted not only chronological continuity, but also the subject’s capacity to organise experience within a coherent narrative, affective, and symbolic order.