Just days before Joël Le Scouarnec's trial for raping or sexually assaulting almost 300 patients, most of them children, begins, clinical psychologist Inès Gauthier, who specialises in treating child sex offenders, argues that this is not an isolated case and highlights the "sophistication" in the way the abuse was carried out. She also emphasises that incest remains an unspoken issue in French society and institutions. IMAGES AND SOUNDBITES