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Serious illnesses and their treatments are on the order of the Real. Inevitably, they have psychic repercussions that induce profound modifications. By the psychoanalyst’s attention to transferential phenomena and by his capacity to intervene, he is capable of supporting the work of elaboration produced in the patient but also and in another way, he supports the same work on the side of the caretakers. In the medical milieu, the psychoanalyst cannot work alone ; he is part of a treatment team in which he will have to hollow out a specific place for himself as well as sustain it.