title: [The relationship between the physician and the psychotherapist in the treatment of somatic diseases].
abstract: Different points of view in regard to psychosomatic approaches to illness are still a deem and questionable matter. Even though recognizing the psychogenic component of certain diseases, it appears that the therapeutic approach to the patient is, as yet, a debatable question, where both physician and psychotherapist, are disputing primacy. The old question of psychogenesis and somatogenesis was displaced to who is the main responsible for the patient's treatment. The psychosomatic old dichotomy became nowadays a physician-psychotherapist divergence. Again, the patient ignored as a person and exercising a therapeutic "power" becomes paramount. It becomes again evident the lack of psychological knowledge on the physician's side, as well as rejection of a somatic reality on the psychotherapist's side. The patient finds, in this "external" conflict, an easy way to project his own anxieties in a very self damaging confusing manner, into those who are supposed to be the helpers. It looks like a new, bizarre and distorted edition of the Oedipical conflict, which shall remain unsolved, perpetuating disease. Both professionals reject themselves in several levels. Rivalry, jealousy, envy, and even psychotic aggression come into the picture in disputing the triumph over the sick body. The concept of "bodyness" should be restudied from a psychological and a somatic perspective, in order to allow for an understanding of a real therapeutic endeavour. Relationship physician-psychotherapist will rally be therapeutic when both will be able to diminish fantasies of omnipotence, possessiveness of the patient, and also when both will realize that the patient is also an active participant of the therapeutic process as human being, integrating the dynamic process structuring his/her own personality in a dialectic action with those who can assist and help professionally.
mesh_terms: D001828:Body Image; D006801:Humans; D007400:Interprofessional Relations; D010820:Physicians; D011602:Psychophysiologic Disorders / Q000523:psychology / Q000628:therapy*; D011613:Psychotherapy
vernacular_title: La relación entre el médico y el psicoterapeuta en el tratamiento de la enfermedad somática.