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THE EXISTENCE OF A DYNAMIC field, the doctor-patient relationship, is an intrinsic condition of any medical action where a doctor and a patient are involved, either in a private or an institutional setting.
The characteristics of that field vary according to the medical attitudes, the social and institutional conditions, and the patient's personality.
Medical attitudes may foster its existence and take advantage of its inherent qualities or utterly ignore its presence. In the latter case, the patient's alienation is greater. Without possibilities for handling anxieties, and oppressed by them, the patient's mental apparatus undergoes different regressive vicissitudes, not always useful. Under such conditions we frequently see ego fragmentations,