`titrebExpression of incest-like. Interest and elements to spot incest-like in clinical practice`/titrebIncest-like is a working which is at the same time psychic and relational, individual or family. It is similar to incest with which it keeps a close relationship. It is also involved in a certain amount of psychic distress. It is at first from equivalents of incest and secrets of incest climate that the location of incest-like is possible; it is in fact their specificities as well as what they induce from a counter-transferential point of view that can indicate to the nursing staff the notion of an incest-like climate which is important to take into account from a therapeutic point of view.