Abstract
Based on my experience as a psychotherapist working with exiles and my research into the history of mental health projects at MSF, I will focus on the clinical framework proposed by associative and humanitarian institutions for thinking about and treating " the misfortune of others ". Controversies over the types of diagnosis and psychotherapeutic treatment offered to exiles will be discussed from both a historical and clinical perspective. An analysis of the effects of the socio-political context on the production of psychological suffering will open the way to a discussion on the possibility of maintaining caregiving spaces that are sensitive to singularity, yet both in touch with and out of step with this context.