Still today the scientific community is debating on the clinical autonomy of panic disorder. The cause of PD is explored through a group-analytic perspective. The "internal groups" and an unconscious sense of guilt obstruct the subject’s planning initiatives. The internal “matrix” causes a conflict between the hunger for autonomy and the need of dependency. Contamination between group-analytic theory and clinical practice allows to highlight specific approaches, such as emotional adjustment and implicit self-knowledge. The analysis of alliance rupture-repair sequences allows the patient to internalize mental functions which are able to retain, digest and absorb the interpretations of the therapist and gradually develop trust in the bond.
Keywords: Panic disorder, relational dependence, family background, psycho-anthropological specificity, therapeutic alliance, group-analytic therapy.