[The changes in our practice: a view from psychoanalysis]

Taking a clinical case illustrative of current practice as a starting point, the authors examine the terms of such practice. They point out the social and cultural factors as determinants of the new manifestations of suffering. Changes in clinical practice, techniques and the relation between disciplines are reviewed, focusing particularly on the interface between Psychoanalysis and Neurological Sciences, as well as other schools of psychotherapy. They highlight the theoretic elements provided by Psychoanalysis that remain valid in the field of Mental Health and are used by non-specialized professionals, as a testimony of the way in which psychoanalysis has impregnated our culture.