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A patient's relation with his doctor is organised according to an unconscious process of identification with the aggressor. The technical performances of medicine today, together with the obligation for total transparency concerning the information that is given to patients and the extreme clinical situations that are faced by both doctors and patients, serve to profoundly modify both the bond that exists between carers and the people they care for and the psychical processes at work in this relation. A fragmented system of treatment that dissolves the transferential relation has, it seems, replaced the traditional dual relation that formerly characterised classical medicine. The authors of this paper suggest that this system in fact generates more destructive than structural effects, ultimately subjecting both doctors and patients to the effects of extremely harmful psychical short-circuits.