The author describes different characteristics of the relationship between patient, symptoms, medication, therapist and context. These factors are analysed from within a setting of group psychotherapy that includes psychopharmacological treatment. The author stresses how drugs perform their specific biochemical action producing in addition a specific psychodynamic impact. He gives an example of the interference of drugs on the relational dependence between patients, therapist and illness. The concept of "effectiveness" of drugs in a treatment is likewise relativised and reinterpreted by patient and therapist, in relation to the institutional and transferral setting of the treatment.
Keywords: Group psychotherapy, psychotropic drugs, combined therapy.