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The expression of the sexuality of the ageing patient in the care setting, particularly when it concerns the genital area and involves the caregiver without he or she being aware, constitutes a critical situation for the geriatric teams. A psychodynamic reading of these situations is important for the caregiving teams in order to optimise the somatic treatment and to prevent the risk of an unsuitable reactive treatment. This article presents a clinical case as an example., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)