The conflict of loyalty

The author intends to highlight the elements that influence the assumption of the patient by the clinician, about his family autobiography, about his educational and professional autobiography, and about the institutional constraints to which he is linked for reasons of school or theoretical belief. The aim is to show how these data can generate a non-authentic attitude towards care, and the risk of acting to obtain the assumption of a consent rather than the actual assumption of the patient as a person with a uniqueness against which to compare the type of formal and mental setting to be created and shared. At least four levels of conflict of loyalty can be identified: a sentimental level, on the basis of which the clinician can feel that he is betraying his belonging in terms of training and teachers; an aesthetic level, on the basis of which the clinician can find himself in an aesthetic, formal and imitative identification with the teachers; a theoretical level, on the basis of which the clinician may find himself, without warning, not to open his views as he is subject to a censorship of his thinkability; a social or cultural level, on the basis of which the clinician may find himself, in part recognizing him and in part not, to attend to conceptual fashions in vogue within his intellectual community of belonging.