The doctor-patient relationship relies on the doctor's empathic capaci
ty to hold and listen to his patient. Yet, clinicians find it difficul
t to adapt themselves to this pattern. In this paper, the authors unde
rline some regressive aspects involved in the choice of the medical pr
ofession, and the defense mechanisms working against the patient distr
ess. As for the hospital milieu, we emphasize the complex group dynami
cs specially underlying the basic assumptions, in order to with hold a
ggression. As the psychosomathic theory has been obliterated we are in
need of a unitary theoretical pattern; nevertheless, mind-body dualis
m is still alive in the medical training. We assume that clinicians st
ill believe that differences between the mind and its somatic symptoms
do exist, since the acceptance of patients as a mind-body unit, means
taking care of their psychological problems as well.