Cet article soulève la difficulté majeure que rencontrent certaines institutions spécialisées dans le traitement de l’obésité pédiatrique pour travailler avec les familles. Ces familles sont au cœur de la problématique de ces jeunes : la séparation de l’enfant d’avec ses proches est la base thérapeutique, mais la dépendance est forte et la séparation d’avec les parents, la mère en particulier, difficile. Dans une perspective psychodynamique, les auteurs, chercheurs en psychologie, partent du postulat que l’obésité d’un individu serait révélatrice de conflits (...) intrapsychiques, intersubjectifs, mais aussi d’un symptôme familial transgénérationnel impactant la contenance du groupe. L’institution pourrait alors assurer une fonction substitutive de contenance auprès de ces familles en fragilité d’enveloppes psychiques. À partir d’un exemple clinique institutionnel, l’article montre l’impact dynamique de divers dispositifs thérapeutiques sur l’évolution de l’accompagnement des familles en souffrance de séparation. (shrink)

L’intimité fait l’objet d’une conquête à l’adolescence. Lorsque la construction de l’espace intime se voit menacée, l’attaque de soi peut être une expression agie d’un insupportable vécu d’intrusion. Le cas d’Armel, adolescent de 14 ans hospitalisé pour tentative de suicide par ingestion médicamenteuse, illustre l’importance de la prise en compte des imagos parentales lors de la survenue d’un geste autodestructeur. Celui-ci peut indirectement s’adresser aux parents ressentis comme intrusifs, lorsque plane une menace incestuelle dans la relation. L’empiètement des territoires et (...) une tendance à la confusion entre le narcissisme de l’adolescent et celui de ses parents entravent le processus identificatoire et la subjectivation. Dans un tel contexte, l’espace intime guetté par l’empiètement apparaît tantôt emmuré dans une forteresse hermétique, tantôt poreux. (shrink)

À l’adolescence, le mouvement de désaffiliation peut constituer un élément structurant de l’évolution subjective et la transformation identitaire qui s’ensuit une maturation vers l’âge adulte. Toutefois, dans beaucoup de ces cas de bascule identitaire, la désaffiliation se fait de manière abrupte, secrète, dans un refus total des valeurs des parents et des parents eux-mêmes. Les facteurs qui aboutissent à la désaffiliation familiale sont multiples : fragilité de la construction du moi, défaillances des structures sociales et du fonctionnement familial, primauté de (...) valeurs de performance et de rapidité au détriment des liens. À partir d’une situation clinique de couple recomposé, l’auteur essaye d’analyser les effets des facteurs familiaux, incluant les diverses alliances inconscientes, qui contribuent à une transformation identitaire marquée chez un des enfants. Celle-ci, tournée vers la religion et l’idéologie, s'assoit sur une base de revalorisation narcissique et un chaos de la transmission. (shrink)

À l’adolescence, le mouvement de désaffiliation peut constituer un élément structurant de l’évolution subjective et la transformation identitaire qui s’ensuit une maturation vers l’âge adulte. Toutefois, dans beaucoup de ces cas de bascule identitaire, la désaffiliation se fait de manière abrupte, secrète, dans un refus total des valeurs des parents et des parents eux-mêmes. Les facteurs qui aboutissent à la désaffiliation familiale sont multiples : fragilité de la construction du moi, défaillances des structures sociales et du fonctionnement familial, primauté de (...) valeurs de performance et de rapidité au détriment des liens. À partir d’une situation clinique de couple recomposé, l’auteur essaye d’analyser les effets des facteurs familiaux, incluant les diverses alliances inconscientes, qui contribuent à une transformation identitaire marquée chez un des enfants. Celle-ci, tournée vers la religion et l’idéologie, s'assoit sur une base de revalorisation narcissique et un chaos de la transmission. (shrink)

Sustained attention, a key cognitive skill that improves during childhood and adolescence, tends to be worse in some emotional and behavioural disorders. Sustained attention is typically studied in non-affective task contexts; here, we used a novel task to index performance in affective versus neutral contexts across adolescence (N = 465; ages 11–18). We asked whether: (i) performance would be worse in negative versus neutral task contexts; (ii) performance would improve with age; (iii) affective interference would be greater in younger adolescents; (...) (iv) adolescents at risk for depression and higher in anxiety would show overall worse performance; and (v) would show differential performance in negative contexts. Results indicated that participants performed more poorly in negative contexts and showed age-related performance improvements. Those at risk of depression performed more poorly than those at lower risk. However, there was no difference between groups as a result of affective context. For anxiety there was no difference in performance as a function of severity. However, those with higher anxiety showed less variance in their reaction times to negative stimuli than those with lower anxiety. One interpretation is that moderate levels of emotional arousal associated with anxiety make individuals less susceptible to the distracting effects of negative stimuli. (shrink)

Previous research has found that news coverage on immigration is often biased in negative ways and that it inspires the formation of negative attitudes towards immigrants. However, academic research about this link between news consumption and attitudes towards immigrants among adolescents remains limited. The current study aims to test this association from a media-exposure and intergroup-contact perspective using survey data from 875 adolescents in Flanders, Belgium. The findings show that only television news consumption, thus no other types of news consumption, (...) was associated with adolescents’ attitudes towards immigrants. Intergroup contact within the friend group, outside the school context, was linked to more positive attitudes. This study nuances earlier findings that news consumption predicts attitudes towards immigrants. Implications for future research are discussed. (shrink)

This CQ department is dedicated to bringing noted bioethicsts together in order to debate some of the most perplexing contemporary bioethics issues. You are encouraged to contact department editor, D. Micah Hester, UAMS/Humanities, 4301 W. Markham St. #646, Little Rock, AR 72205, with any suggestions for debate topics and interlocutors you would like to see published herein.

Adolescents’ and young adults’ practical moral judgments about two interpersonal moral dilemmas, which differed in their moral complexity, were examined using two philosophical frameworks (deontological and consequentialist principles) as tools for psychological analysis. A sample of 234 participants (ages 14–16, 18–19, and 20–21) reasoned about two moral dilemmas, which had been experienced by a subset of adolescents in a pilot study, in two forms: Participants 1) provided open-ended decisions and justification from the perspective of an imagined moral agent and 2) (...) selected a choice from nine fixed reasoning alternatives (half advocating one course and other half advocating the other course of action, plus a relativistic reasoning). The participants’ open-ended responses served as a foundation of coding systems and were analyzed using log-linear analyses, chi-square tests, and a binominal logistic regression. The combination of qualitative and quantitative methods uncovered unexpected but nuanced young people’s moral thinking. Results indicated that female participants were more likely than males to show a unique decision style: “restructuring” of the moral dilemmas/situations, and moral relativism emerged only when asked to select a choice from nine reasoning alternatives and was primarily evidenced among the younger (aged 18–19) female college students. (shrink)

Nul n'est plus fuyant que le mauvais goût. Qu'il soit relatif, ancré dans son temps, frontière sociale ou revendiqué tel une profession de foi artistique. Dans ce Dictionnaire amoureux intime et partial, Nicolas d'Estienne d'Orves vous invite dans son grenier braillard et cocasse. 'Le mauvais goût échappe à toute définition, famille ou clan. Tout comme le bon goût, il est relatif, circonstanciel, ancré dans son temps. Il peut également être une frontière sociale, un racisme de classe. En ce cas, le (...) mauvais goût c'est celui de l'autre, celui qu'on n'a pas et qu'on se défend d'avoir au risque de trahir les siens. Enfin il y a le mauvais goût patenté, revendiqué, qui n'est pas une attitude, une mode, mais une profession de foi artistique, un manifeste esthétique. C'est -sans doute- ce qu'on pourrait appeler le kitsch. C'est-à-dire un style en soi, des formes volontaires, pensées, destinées à déranger la norme. Ce livre sera donc, par essence, partial. Avec le mauvais goût, j'entre dans une zone marécageuse. Est-il possible de faire un livre plus intime, plus narcissique, puisqu'il explore la part d'ombre de ma propre sensibilité? Petit enfant sous Giscard, adolescent sous Mitterrand, j'ai pris racine dans des époques aux esthétiques très contrastées qui seront forcément présentes dans ces pages. Souvenirs intimes, émissions de télévision, films, livres, plats, commerces, personnages imaginaires ou pas, attitudes de tous poils, mon mauvais goût est une auberge qui n'a rien d'espagnole mais tout d'un grenier. Un grenier braillard et cocasse, que j'ai moi-même tenté de ranger pour les besoins de la cause. Le mauvais goût ne se partage pas, en ce qu'il est une exploration de nos propres frontières esthétiques, la ligne de crête entre ce que l'on goûte et ce que l'on recrache. Bienvenue dans mon train fantôme!'"--Page 4 of cover. (shrink)

Patient self-management of disease is increasingly supported by technologies that can monitor a wide range of behavioural and biomedical parameters. Incorporated into everyday devices such as cell phones and clothes, these technologies become integral to the psychosocial aspects of everyday life. Many technologies are likely to be marketed directly to families with ill members, and families may enlist the support of clinicians in shaping use. Current ethical frameworks are mainly conceptualised from the perspective of caregivers, researchers, developers and regulators in (...) order to ensure the ethics of their own practices. This paper focuses on families as autonomous decision-makers outside the regulated context of healthcare. We discuss some morally relevant issues facing families in their decisions to monitor the health-related behaviours of loved ones. An example – remote parental monitoring of adolescent blood glucose – is presented and discussed through the lens of two contrasting accounts of ethics; one reflecting the predominant focus on health outcomes within the health technology assessment (HTA) framework and the other that attends to the broader sociocultural contexts shaping technologies and their implications. Issues discussed include the focus of assessments, informed consent and child assent, and family co-creation of system characteristics and implications. The parents’ decisions to remotely monitor their child has relational implications that are likely to influence conflict levels and thus also health outcomes. Current efforts to better integrate outcome assessments with social and ethical assessments are particularly relevant for informed decision-making about health monitoring technologies in families. (shrink)

C’est une évidence : on ne parle plus aujourd’hui d’une crise succédant à d’autres crises – et préludant à d’autres encore –, mais de « la crise », qui plus est d’une crise globale qui touche aussi bien la finance que l’éducation, la culture, le couple ou l’environnement. Ce constat témoigne d’une véritable mutation : si à l’origine le concept de krisis désignait le moment décisif dans l’évolution d’un processus incertain permettant d’énoncer le diagnostic (et donc la sortie de (...) crise), nous vivons actuellement précisément l’inverse – le moment où surgissent les incertitudes quant aux causes, aux effets, à la possibilité même d’une issue. Afin d’éclairer ce renversement, Myriam Revault d’Allonnes se penche sur le mouvement d’arrachement au passé et à la tradition qui caractérise la modernité, et qui dissout d’un même élan les anciens repères de la certitude qui balisaient la compréhension du monde. Privé de toute forme de transcendance, l’homme moderne se trouve face à un monde redoutablement ambigu et auto-référentiel, qui a vu s’évanouir tour à tour l’idée de temps nouveaux, la croyance au progrès et l’esprit de conquête, modifiant profondément le rapport de l’homme à son vécu et à ses attentes. C’est à partir de cette expérience du temps d’un nouveau genre, à la fois coupée de ses référents passés et dépourvue de lendemains qui chantent, que cet essai stimulant nous invite à reconsidérer de façon inédite la « crise » dans laquelle nous sommes plongés et à y puiser de quoi aller de l’avant. (shrink)

Les travaux sur la parentalité se sont beaucoup intéressés à la mère, ensuite au père et au couple parental. La question de la conjugalité et de ses impacts sur les enfants est venue plus tardivement à propos du bébé puis à propos de l’adolescent. La problématique adolescente réactive non seulement les conflits de dépendance, mais aussi les questions autour de la sexualité génitale. Tant pour le couple que pour l’adolescent, nous n’avons pas affaire à de simples répétitions de la sexualité (...) infantile, mais également à l’impact de la façon dont elle se vit avec ses parts d’inconnu. Le bébé tout comme l’adolescent peuvent apparaître comme des étrangers aux yeux de leurs parents. Cet article tente de montrer les parallèles et les imbrications entre processus d’adolescence et processus de conjugalité. (shrink)

Background: By providing healthcare to adolescents, a major opportunity is created to help them cope with the challenges in their lives, develop healthy behaviour and become responsible healthcare consumers. Confidentiality is a major issue in adolescent healthcare, and its perceived absence may be the main barrier to an adolescent seeking medical care. Little is known, however, about confidentiality for adolescents in primary care practices in Spain.Objective: To ascertain the attitudes of Spanish family doctors towards the right of adolescents to confidentiality (...) in different healthcare situations and in the prescription of treatment.Method: A descriptive postal questionnaire was self-administered by family doctors.Results: Parents of patients under 18 years are always informed by 18.5% of family doctors, whereas parents of those under 16 years are informed by 38.8% of doctors. The patients are warned of this likelihood by 79.3% of doctors. The proportion of doctors supporting confidentiality for adolescents increases with the age and maturity of the patients, whereas workload and previous training has a negative effect.Conclusions: Spanish laws on adolescent healthcare are not reflected by the paternalistic attitude that Spanish primary care doctors have towards their adolescent patients. Doctors need to be provided with up-to-date and clinically relevant explanations on contemporary legal positions. In primary care, more attention should be paid to adolescents’ rights to information, privacy and confidentiality. Doctors should be more aware of the need to encourage communication between teenagers and their parents, while also safeguarding their patients’ rights to confidential care. (shrink)

Les difficultés identitaires à l’adolescence sont particulières pour les enfants adoptés car en résonance avec diverses violences traumatiques en instance dans la famille. À partir d’un exemple d’une thérapie familiale, nous discutons de ces traumatismes qui se cumulent et dérégulent les rapports de transmission en entravant les processus de subjectivation des membres de la famille. Aussi, nous devons pouvoir penser le travail psychothérapeutique sous une forme de co-construction pour contenir, puis transformer ces souffrances traumatiques qui hantent le groupe familial.

Le cannabis est envisagé ici comme un instrument de la politique d’aménagement des territoires, au sens où R. Neuburger évoque les territoires de l’intime. Ceci permet la création de nouvelles narrations qui permettent de sortir de l’impasse où le cannabis est le problème pour les parents alors que c’est la solution pour le jeune. Deux vignettes cliniques illustrent cette métaphore et les opportunités qu’elle offre pour la thérapie.

The paper presents and discusses the processes and the results of a Systematic Review of the scientific literature conducted with the aim to become aware of how the antisocial behaviour of adolescents are understood and educationally managed. The results show how the phenomenon is understood mainly through an explanatory and experimental epistemological and methodological approach. Such approach aims at identifying several risks and protection factors that determine/influence AB as well as at defining indications on the practices to be implemented for (...) the design of adequate prevention programmes. Based on these results, the paper proposes some critical reflections on a deterministic conception of AB. (shrink)

Adolescence involves a profound number of changes in all domains of development. Among others, adolescence yields an enhanced awareness and responsibility toward the community, representing a critical age to develop prosocial behaviors. In this study, the mediation role of Trait Emotional Intelligence was detected for the relationship between the dark triad and prosocial behavior based on altruism and equity. A total of 129 healthy late adolescents filled in the Dark Triad Dirty Dozen, measuring Machiavellianism, psychopathy, and narcissism; the Altruistic Action (...) Scale, evaluating behaviors directed at helping others; the Equity Scale, assessing behaviors directed at equity in different forms; and the TEI Questionnaire-Short Form. Results showed that TEI mediated the negative effects of the three dark triad traits on both altruism and equity. This finding suggests that TEI, which relies on a set of dispositions, might reduce the malevolent effects of the dark triad on altruism and equitable behavior in late adolescence. This led to assume that intervention programs focused on improving emotional skills, also in late adolescence, can promote prosociality. (shrink)

There is a paucity of experimental data addressing how peers influence adolescent risk-taking. Here, we examined peer effects on risky decision-making in adults and adolescents using a virtual social context that enabled experimental control over the peer “interactions”. 40 adolescents (age 11-18) and 28 adults (age 20-38) completed a risk-taking (Wheel of Fortune) task under 4 conditions: in private; while being observed by (fictitious) peers; and after receiving ‘risky’ or ‘safe’ advice from the peers. For high-risk gambles (but not medium-risk (...) or even gambles), adolescents made more risky decisions under peer observation than adults. Adolescents, but not adults, tended to resist ‘safe’ advice for high-risk gambles. Although both groups tended to follow ‘risky’ advice for high-risk gambles, adults did so more than adolescents. These findings highlight the importance of distinguishing between the effects of peer observation and peer advice on risky decision-making. (shrink)

Adolescence is an important yet vulnerable period of transition from childhood to adulthood. An increasing number of studies support the traditional Catholic view, which sees teens as prone to making poor decisions when influ­enced by emotions or peer pressure but capable of thriving when guided by parents and religion. However, newer policies of medical societies undermine the traditional supports of family and faith with a permissive approach toward sexual exploration. To counter this unhealthy trend, which seems to be based more (...) on postmodern ideology than robust science, Catholic physicians should become experts in adolescent behavior and sexual health. Physicians should be sensitive to opposing viewpoints but participate only in treatments which are ethical and beneficial for their patients. Specifically, Catholic physicians must avoid contraceptives, abortion, and “gender-affirming” therapies. By using good science and emulating the models of service, Socratic dialogue, and accompaniment, physicians can guide adolescents toward a virtuous, healthy adulthood. (shrink)

This book offers clinicians a long-awaited comprehensive paradigm for assessing object relations functioning in disturbed younger and older adolescents. It gives a clear sense of how object relations functioning is manifest in different disorders, and illuminates how scores on object relations measures are converted into a therapeutically relevant diagnostic matrix and formulation. Outlining the process of object relations assessment, Kelly presents vividly detailed cases of a range of disorders including anorexia nervosa, borderline states, depressive disorders, and trauma. The cases portray (...) the vicissitudes of object relations functioning and disruption that result in a unique structural developmental composite for a given adolescent. A major concern is demonstrating the utility and validity of two object representation measures--The Mutuality of Autonomy Scale and The Social Cognition Object Relations Scale --that are the main ones employed in the assessment of adolescents. MOA and SCORS scores facilitate a multidimensional understanding of the nuances of an adolescent's object relations functioning, and provide clinicians with organized, theory-based data leading to clear, specific treatment directions and guidelines and appropriate therapeutic programming. The book addresses the following questions: * Is individual psychotherapy indicated--will this adolescent benefit from an insight-oriented approach? * What are the likely directions that transference parameters will take in the treatment? * What types of countertransference reactions are likely to be anticipated in a given patient? * Is medication likely to be helpful in making this adolescent more accessible for treatment? Focusing only on adolescents, covering both the TAT and the Rorschach, and utilizing object relations theory as its major interpretive foundation, the book offers practitioners an alternative to general references based on a more actuarial, nomothetic, and atheoretical interpretive approach. It reflects one school of contemporary thought in projective assessment--one that advocates a more phenomenological, theory-based approach to test application and interpretation. (shrink)

This book offers clinicians a long-awaited comprehensive paradigm for assessing object relations functioning in disturbed younger and older adolescents. It gives a clear sense of how object relations functioning is manifest in different disorders, and illuminates how scores on object relations measures are converted into a therapeutically relevant diagnostic matrix and formulation. Outlining the process of object relations assessment, Kelly presents vividly detailed cases of a range of disorders including anorexia nervosa, borderline states, depressive disorders, and trauma. The cases portray (...) the vicissitudes of object relations functioning and disruption that result in a unique structural developmental composite for a given adolescent. A major concern is demonstrating the utility and validity of two object representation measures--The Mutuality of Autonomy Scale and The Social Cognition Object Relations Scale --that are the main ones employed in the assessment of adolescents. MOA and SCORS scores facilitate a multidimensional understanding of the nuances of an adolescent's object relations functioning, and provide clinicians with organized, theory-based data leading to clear, specific treatment directions and guidelines and appropriate therapeutic programming. The book addresses the following questions: * Is individual psychotherapy indicated--will this adolescent benefit from an insight-oriented approach? * What are the likely directions that transference parameters will take in the treatment? * What types of countertransference reactions are likely to be anticipated in a given patient? * Is medication likely to be helpful in making this adolescent more accessible for treatment? Focusing only on adolescents, covering both the TAT and the Rorschach, and utilizing object relations theory as its major interpretive foundation, the book offers practitioners an alternative to general references based on a more actuarial, nomothetic, and atheoretical interpretive approach. It reflects one school of contemporary thought in projective assessment--one that advocates a more phenomenological, theory-based approach to test application and interpretation. (shrink)

Ce texte a déjà paru dans ÉTUDES/INUIT/STUDIES, 24, no 2, 2000, p. 89-113. Québec : Département d'anthropologie de l'Université Laval. Nous remercions Bernard Saladin d'Anglure de nous avoir autorisé à le reproduire ici. Résumé : Les rites inuit de la première fois, qui célèbrent les premières performances effectuées par les enfants et les adolescents inuit, ont été souvent mentionnés par les ethnographes de l'Arctique mais jamais véritablement analysés comme « séquence cérémonielle », pour - Anthropologie.

National education is a conscious and planned effort to help children develop their potential be spiritually strong, religious, intelligent, a strong personality and noble character and noble skills. For this reason, education not only focuses on the aspect of children's knowledge but also on religion and morals aspects. This education begins in the family through communication patterns that are created between parents and children in the form of interpersonal communication that can increase the religiosity of adolescents. Therefore, this article aims (...) to measure the interpersonal communication within the family. The author uses quantitative methods with technical correlation to determine the relationship between two variables, namely interpersonal communication in the family and youth religiosity, and includes 303 adolescents as a sample. The data were collected using a Likert scale and processed using Excel and SPSS 16 programs in order to obtain the results that the application of good interpersonal communication in families will increase adolescent religiosity. This leads to the conclusion 'there is a mutually influential relationship between interpersonal communication in the family and adolescent religiosity'.CONTRIBUTION: This article contributes to Christian families in increasing interpersonal communication as a pattern of youth formation, because it can increase their religiosity. (shrink)

This thesis seeks to extend the search for the moral implications inherent in the development, possession and threatened use of physical/astrophysical processes and in current understandings of the evolution of the physical universe. ;The nature of moral/theological discussion will not be a primary concern although clearly some residual position that such discussion is meaningful is presupposed. Neither is the nature of science or the scientific method at issue. It is assumed that both theology and science have long since negotiated the (...) confidence crises of adolescence and have mustered the requisite self-esteem regarding their respective disciplines. ;The aim of this work is to present the concept of time-scales as a relevant moral category. It will investigate the use of this concept and its relationship to the other categories developed in the relevant scientific literature. Similarly, the use of this concept will be explored and its influence sought in the analogous documentation from the Catholic tradition. In this investigation the question will be raised as to the validity of and the future of the concept of time-scales as a common moral ground for these two traditions, enhancing convergence and leading toward a more direct collaboration on the question of human survival. (shrink)

Originally published 1970.This book traces the history of the sixth form in Britain from the first decade of this century and follows the continuing debate over its function to the present day. It analyzes what kind of organisation is required to meet the demands of rising numbers and questions whether the needs of older adolescents can be better met in the "new" sixth form of the comprehensive school or in a separate type of sixth-form college. The book also discusses the (...) balance between general and specialized courses. (shrink)

L’article a pour objet l’analyse des interactions verbales entre des adolescents polyhandicapés et des adultes ayant soins. L’objectif de l’étude est de montrer comment le phénomène de répétition qui se distribue nécessairement sur le plan interlocutoire engendre ou facilite le processus d’intercompréhension. Les résultats montrent que la répétition fonctionne comme un processus dialogique dont la dynamique intersubjective contribue à la construction et à l’accomplissement réussi de l’échange conversationnel. Nous comparons et discutons ces résultats relativement à un corpus d’interactions (...) verbales entre des adultes et des enfants au développement typique. (shrink)

L’article a pour objet l’analyse des interactions verbales entre des adolescents polyhandicapés et des adultes ayant soins. L’objectif de l’étude est de montrer comment le phénomène de répétition qui se distribue nécessairement sur le plan interlocutoire engendre ou facilite le processus d’intercompréhension. Les résultats montrent que la répétition fonctionne comme un processus dialogique dont la dynamique intersubjective contribue à la construction et à l’accomplissement réussi de l’échange conversationnel. Nous comparons et discutons ces résultats relativement à un corpus d’interactions (...) verbales entre des adultes et des enfants au développement typique. (shrink)

BackgroundStreet-connected children and youth in low- and middle-income countries have multiple vulnerabilities in relation to participation in research. These require additional considerations that are responsive to their needs and the social, cultural, and economic context, while upholding core ethical principles of respect for persons, beneficence, and justice. The objective of this paper is to describe processes and outcomes of adapting ethical guidelines for SCCY’s specific vulnerabilities in LMIC.MethodsAs part of three interrelated research projects in western Kenya, we created procedures to (...) address SCCY’s vulnerabilities related to research participation within the local context. These consisted of identifying ethical considerations and solutions in relation to community engagement, equitable recruitment, informed consent, vulnerability to coercion, and responsibility to report.ResultsSubstantial community engagement provided input on SCCY’s participation in research, recruitment, and consent processes. We designed an assent process to support SCCY to make an informed decision regarding their participation in the research that respected their autonomy and their right to dissent, while safeguarding them in situations where their capacity to make an informed decision was diminished. To address issues related to coercion and access to care, we worked to reduce the unequal power dynamic through street outreach, and provided access to care regardless of research participation.ConclusionsAlthough a vulnerable population, the specific vulnerabilities of SCCY can to some extent be managed using innovative procedures. Engaging SCCY in ethical research is a matter of justice and will assist in reducing inequities and advancing their health and human dignity. (shrink)