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After puberty, the adolescent suffers a double uncertainty concerning his sexual life and his subjectivity: sexual maturity and emotional immaturity are factors of confusion (Verlegenheit in Freud), not devoid of pleasure, whereas the dismissive attitude of others towards his uncertainty about his identity is a factor of shame (Sham); there is no pleasure in experiencing that sort of shame. The cases of narcissistic shame evoked have a common point in that they exhibit actual marks on the skin, on the body. The psychoanalyst’s work will involve attempting a remetaphorisation – distinguishing the word from the thing –, a remeshing of a symbolic breach relating to past generations. But can one be cured of that sort of shame? The cure would be to recognise it and to speak about it, rather than to make it disappear.