[Intervention models in the medical consultation on a patient base in the area of mental discomfort. Epistemological considerations and indications for starting specialist treatment].

The report focuses on the possible models activated in GP-patient consultation. Psychological discomfort treated according to the traditional doctor-patient model relates to a positivistic epistemological construct typical of the science of nature in which the doctor is more interested in the symptom than the patient. A "relational" model linked to a personalized concept of the operation will consider the patient's recognition, experience and subjective feelings. In particular it is suggested that collaboration between doctor and psychotherapy will start the patient on a process of maturation and emancipation.