The plan of action to announce cancer is in essence a process of objectivation: it consists in the creation, prior to the meeting with a patient, of a well thought-out environment, adaptable to the specificity of each case. Nevertheless, we consider that this plan of action is directed at the conscious and the preconscious of the subject, but also that the main part of what happens during the traumatic atmosphere of the announcement and the anguish it generates is to be situated in the inconscient. Anguish, as a presumed affect responsible for the self-break of the speech, would make it impossible, in our view, to use the poïetic part of the unconscious (Tuchê). In the first part of our work, we have studied the disorders of the post traumatic stress (traumatic neurosis), and the quality of life linked with health, for the patients and the significant others facing the announcement of a lung cancer. The conclusions of this quantitative study are as follows: (i) the numbers of post-traumatic disorders following the announcement are extremely high (ii) the near family is affected in a consequent way (iii) they are mainly responses of stress of the intrusive re-experience type (psychological breaking-in) which prevail, and account for the high values on the Horowitz's scale, as observed in this study. [etc.]
