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The author's practice is mostly with borderline adolescents, and he questions whether the neurotic adolescent suffers sufficiently or is lacking sufficiently in external gratifications ever to come to analysis during adolescence. The patients who constitute the basis for his clinical experience have usually not been able to achieve satisfactions in their lives. Three types of activities may bring an adolescent and analyst together: a classical analysis, psychotherapy in which the analyst makes use of psychoanalytic insights for understanding, or work with the adolescent's family or those in charge of him or her in the community. In analytic treatment of an adolescent, one must be on guard against applying to troubled adolescents the developmental schemata which are valid only for the normal adolescent. These latter, in spite of vicissitudes, relentlessly follow the usual process of evolution, while the troubled adolescent is troubled precisely because the normal developmental process is in danger of failing. Ladame insists on this distinction between the two groups because of the multiple warnings in the literature against analytic treatment of adolescents. These do not distinguish between the group which requires treatment, often urgently, and a more normal group which should not enter analysis. The former have usually encountered difficulties between the phases of preadolescence and adolescence proper, even if they come to treatment only later. Ladame