[Words in light of the reality of symptoms]

In the field of the psychosomatic gynecology and obstetrics always crossed by desire and death, the truth can't be an "external reality". It can only be "truth of the inconscient" whose organic expression (symptoms) is only one part. From this point of view, are the words significant between patient and practician, regarding the limitations both by the words themselves and the limits of what the patient asks and can bear?