[Medicine and tobacco: a psychosomatic step?]

One of the first concern in medicine today is focused on illnesses resulting from interacting risk factors. Such an analysis requires a multidisciplinary approach. Smoking behaviour is a well known risk factor and is related to real, symbolic and imaginative life. Starting to smoke is monitored by psychosociological factors as well as smoking habits seems to be combined with biological factors. A smoker's consultation project is presented: individual preliminary talks and group therapy are seen from a psychosomatic point of view including positive connotation and mental imagery training.