Abstract
Psychosomatic disorders are a very complex area, both in the etiological and therapeutic sense. A psychosomatic disease in combination with a somatization disorder may be complicated by alexithymia, which further distances the patient from their own emotional states. Group analysis is one of the possible therapeutic approaches since it provides the opportunity to work on emotional interpersonal relationships which have a reciprocal effect on the physical condition. However, in case of “anti-group” activation, as well as in problematic countertransference situations, therapeutic efforts are only partially successful.