The aim of this article is to show a theorical and clinical view of the psychosomatic conceptions of Joyce McDougall. The notion of disaffection will be used as a conceptual basic operator. It is a disturbance of the affective economy typical of somatic patients, which promotes an almost total incapacity to keep contact with their own emotions and someone else's. Among others specialities of the clinical psychoanalysis with somatic patients, the professional will be obliged to work as a filter capable to regulate the affluence of excitements that tends to unchain corporal discharges because the impossibility, associated to the disaffection, to use words to make them speakable.
psychosomatics; psychoanalysis; clinical psychology