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Family matters can imply a risk or provide an opportunity to work things out in team supervision or analysis of professional practice. Here, the author looks to direct experience of group clinical practice. He first indicates the risk of “familialism” that involves reducing the institution to a family or interpreting the issues faced by professionals according to their personal history. On the contrary, he shows how important it is to consider the place occupied by the families of people attending the institution since they form part of alliances and institutional organisers. Having shown how these two provisions for analysis focus on professionalism (as with Balint groups), he goes on to describe how the participants’ attention and associations of points of view pave the way for a transformation of the “negative” of family issues with “clinical case work”.