[Relationship between the unconscious and motivation in establishing a therapeutic program]

The need for complex psychotherapy is reified by using the combination of group psychotherapy with methods of individual and behavioral therapy as an example. The fact that certain forms of maldevelopment cannot be satisfactorily checked by dynamic group psychotherapy alone is considered to be due not only to the conditioning of, and automatism associated with, neurotic malbehavior. It is especially in the case of inordinate dread and fear of disease, which is generally referred to as nosophobia, that the patient's great difficulty in accepting the possibility of a mental origin or causation of his ailment stands in the way of making effective use of such a therapy. The authors are of the opinion that acceptance by the patient of a mental origin or causation is made difficult especially by the fact that in the case of neurotic maldevelopments the kind and degree of neurotic conflictiveness are lore or less unconscious. This fact, which has not so far received much attention, should be taken into consideration in future research into the unconscious.