The pioneer work of Dr. M. Balint in the use of psychotherapeutic techniques in medicine inspired the author to establish a discussion seminar with psychiatrists in training in a large teaching hospital. For several years, this group has been engaged in discussing the evaluation and treatment of psychosomatic referrals within the hospital, and this paper is a record of some of the experiences encountered. The work of G. Engel was found to be of great help in providing a conceptual framework for observations. Certain aims of the group were delineated at the outset and consideration is given to the extent to which these have been achieved. It was concluded that the amount of unrecognized psycho-pathology amongst general medical patients is very considerable, and that although serious psychopathology was commonly encountered in psychosomatic disorders, much could often be achieved with the expenditure of a relatively small amount of time. The use of longer-term methods of group psychotherapy is continuing.

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