Model of a disease-related group therapy exemplified in Crohn's disease patients

any psychotherapy even though they need it because they usually do not have enough motivation or psychological distress to consider of a psychotherape utic treatment. Using the experience in treating Crohn's disease patients i n a controlled interdiciplinary multicenter study (Jantschek et al. 1998; K eller et al. 1994) general an special difficulties concerning the process o f coping with the disease are shown and as a conclusion a concept of a dise ase oriented group-therapy is derived. In two case examples psychodynamic i nteraction between disease behaviour and medical interventions are presente d a consequence of transference in the doctor-patient relationship.