This paper is divided into two parts, one describing the course of psychoanalytic theory in psychosomatic medicine, and the other describing the teaching of these theories in psychoanalytic institutes. The authors' evident goal is to further this teaching because there has been a 'certain disenchantment'. Problems have arisen which have to do with thwarted theoretical hopes, disappointing treatment results, and a cleavage between psychoanalysts and other physicians. The article considers these problems from the standpoint of the analyst and does not refer to the feelings and experiences that other physicians have had in their encounters with analysts. The analyst is encouraged to abandon his isolation and join in a multidisciplinary approach to psychosomatic illness.