Hablar y callar, o del poder y la iatrogenia en un imaginario sociocultural

From a theoretical perspective, simultaneously psychoanalytic and so-ciological, this article shows the risks of an inequality in the relation therapist - patient, when the first one exercises power for having con-fused rolls and status. If it does not take distance, opposite to the cul-tural imaginary, with this power the therapist can give the second blow that aggravates a suffering and come to a practice lacking in listening. This is a latent risk in a culture as the Mexican one, which with great frequency moves to the above-mentioned confusion and to the supremacy of the status on the roll. We depart here from sociological definitions to demonstrate the way in which psychological mechanisms and precise cases are started and they create abuse of power.