Silent Distress in Adolescence: A Seminar by Anna Maria Speranza

Fiorenzo Ranieri

On 10 October 2026, as part of the training activities organised by the Martha Harris Association for Psychoanalytic Psychotherapy with Children and Adolescents (Associazione Martha Harris di Psicoterapia Psicoanalitica per l’Infanzia e l’Adolescenza), Professor Anna Maria Speranza gave a seminar devoted to silent distress in adolescence.

This article offers a reworking of the material presented and discussed by the speaker, preserving its theoretical perspective, principal clinical references, and implications for psychopathological assessment. It is not a transcript of the seminar, but a considered reconstruction of its main themes, organised in a discursive form to facilitate reading and consultation.

The seminar addressed a question of particular clinical importance: how can we recognise and understand forms of adolescent suffering that may remain unnoticed for a long time because they do not manifest themselves through overtly conflictual or transgressive behaviour?

Distress That Goes Unnoticed

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Borderline Personality Disorder with Severe Functional Impairment in Adolescence

Fiorenzo Ranieri

Fragility and change in borderline adolescence: understanding distress, supporting growth, and fostering continuity of the self.

Borderline personality disorder (BPD) in adolescence is a complex clinical condition, often characterised by intense emotional distress, relational instability, and disorganised behaviour. When personality organisation is associated with low levels of functioning, difficulties manifest themselves with greater intensity and persistence, significantly interfering with the construction of the self, affect regulation, and developmental processes.

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