The possibility of preventing some major familial maladjustment following the diagnosis of severe haemophilia in the frame of free discussion group was explored. Five couples, 3 with a familial history of haemophilia and 2 without met 5 times over a 2 year period with 3 staff members for a full day. Transcripts of tape recorded sessions were analyzed. Parents with no familial history were apparently more affected but had a more dynamic approach towards hemophilia than the others. They benefited more from the program. Four of the five families were able to treat their child at home before 4 years of age. This new approach seems to help parents to adjust to this severe chronic disease and staff members to reconsider their interaction with parents.