197,515 research outputs found
Psychodynamic approaches to teaching medical students about the doctor-patient relationship: Randomised controlled trial
No full textAims and method:
To evaluate the effectiveness of two psychodynamic psychotherapy teaching methods, a student psychotherapy scheme (SPS) and participation in a Balint group, in teaching first-year clinical medical students about doctor-patient communication and the doctor-patient relationship. The 28 students, who were randomly allocated to three groups (SPS group, Balint group starting at baseline and Balint group starting at 3 months and acting as partial controls), were rated on a questionnaire testing their knowledge of emotional and psychodynamic aspects of the doctor-patient relationship administered at baseline, at 3 months and at 1 year.
Results:
At 3 months, students in the SPS and Balint groups scored higher than the partial control group, the difference approaching significance at the 5% level. At 1 year, participation in either teaching method led to significantly higher scores compared with baseline.
Clinical implications:
Psychodynamic psychotherapy teaching methods are effective in increasing students’ knowledge of the doctor-patient relationship and potentially also improving their communication skills
Comments on "Linear stability analysis of a non-slipping mean flow in a 2D-straight lined duct with respect to modes type initial (instantaneous) perturbations", by Balint, Balint and Darau
No full textThis paper comments on a number of inaccuracies in the recently-published article by Balint et al. [S. Balint, A.M. Balint, M. Darau, Linear stability analysis of a non-slipping mean flow in a 2D-straight lined duct with respect to modes type initial (instantaneous) perturbations, Appl. Math. Model. 35 (2011) 1081–1095], concerning initial value acoustic perturbations to a steady mean nonslipping flow in a 2D duct: in particular, the neglect of antisymmetric solutions, and their comments on stability. Here, their dispersion relation is briefly rederived and simplified, two numerical results are presented demonstrating the existence of antisymmetric solutions in a specific case, and the inaccuracy in their comments on instability is highlighted
M. Balint, P. H. Ornstein, E. Balint. — La psychothérapie focale. Payot, Coll. Science de l'homme, 1975
No full textBolzinger André. M. Balint, P. H. Ornstein, E. Balint. — La psychothérapie focale. Payot, Coll. Science de l'homme, 1975. In: Bulletin de psychologie, tome 30 n°326, 1976. p. 108
Introduction to Wladimir Granoff's presentation on Balint at Lacan's seminar
No full textThe book, Michael Balint and His World: The Budapest Years edited by Judit Szekacs-Weisz, Raluca Soreanu, Ivan Ward was translated from the French by Professor Dany Nobus.Contextualising Wladimir Granoff’s presentation on Balint at Lacan’s seminar of 26 May 1954, this text offers a brief sketch of Granoff’s life, whilst also outlining his role in the French psychoanalytic community. At the same time, it reflects upon the reasons why so many young psychoanalysts (and psychoanalytic trainees) were attracted to Lacan’s seminar during the 1950s and highlights the close intellectual collaboration between Lacan, Granoff, and other members of the “Société française de Psychanalyse”
Balint seminars: The transatlantic experience through videoconference
No full textIntroduction: The Balint seminar is used in many family medicine residencies to improve and strengthen the patient-doctor relationship: to make better doctors. Given the lack of Balint leaders in developing countries, the family medicine department at the American University of Beirut (AUB) decided to collaborate with the Medical University of South Carolina (MUSC)-with more than 30 years of experience-to start Balint seminars through videoconferencing. Objective: Evaluate the feasibility and effectiveness of Balint seminars conducted through videoconference. Methods: A qualitative research using focus group and leaders' feedback to evaluate feasibility of delivery of Balint seminars through videoconference. A Polycom videoconference was set up between residents at AUB and two credentialed Balint leaders at MUSC. The videoconference was composed of two parts: (i) MUSC faculty facilitating Balint seminars; and (ii) MUSC and AUB faculty debriefing following each Balint session. Results: Twenty-six videoconferences were conducted from 15 February 2013 to 31 March 2014. Four themes emerged: technology and connectivity issues, administrative issues, coordination among different time zones and cultural/contextual issues. The videoconferencing with family medicine residents at AUB seemed quite natural and very familiar to the Balint leaders at MUSC. The seminars encouraged the residents to see things from the patients' perspective, inspiring new thoughts and ideas on how to deal with troubling patients. Conclusion: Videoconference Balint seminars offer a promising way to extend the activity to health care providers in other disciplines, states and countries. Moreover, this format has the potential to increase the number of trained Balint leaders. © The Author 2014. Published by Oxford University Press. All rights reserved
La revisión emocional del encuentro médico-terapéutico en M. Balint, P. Freeling y K. Browne (1957-1967)
No full textThe emotional perspective of the doctor-patient relationship and the trust inherent in this interrelation are analysed through medical narratives published in the 1960s by Michael Balint, Kevin Browne and Paul Freeling. Balint promoted the so-called ‘Balint Groups’ in the Tavistock clinic (London), in which Browne and Freeling participated. Their publications are part of the psychoanalytic and psychosomatic approach, that updated the consideration of the person as a whole and showed the meaning of emotions in illness. Balint, Browne and Freeling highlighted the therapeutic nature of the doctor-patient relationship and underlined the subjectivity and participation of both the professional and the patient in the doctor-patient encounter. The Balint movement and within this framework, the work of Browne and Freeling, joined others that led to promoting the integration of the psychological and the social environment in the definition of the disease and in the practice of medicine at that time. The article also focusses the contrasts between the proposals of Michael Balint and those raised by the American Psychosomatic Society, and other psychoanalytic movements, regarding the doctor-patient relationship.Se analiza la perspectiva emocional de la relación médico-paciente y la confianza propia de esta interrelación, a través de publicaciones y relatos médicos de Michael Balint, Kevin Browne y Paul Freeling, aparecidos en la década de 1960. Balint promovió en la clínica Tavistock (Londres) los llamados ‘Grupos Balint’ en los que participaron Browne y Freeling. Sus publicaciones se enmarcan en la aproximación psicoanalítica y psicosomática, enfoque que actualizó la consideración de la persona como un todo y mostró el significado de las emociones en la enfermedad. Balint, Browne y Freeling destacaron el carácter terapéutico de la relación médico-paciente y subrayaron la subjetividad y la participación tanto del profesional como del paciente, en el encuentro médico-paciente. El movimiento Balint y en ese marco, la obra de Browne y Freeling, se sumó a otras que llevaron a promover la integración de lo psicológico y el entorno social en la definición de la enfermedad y en la práctica de la medicina de ese tiempo. El artículo pone de manifiesto los contrastes entre las propuestas de Michael Balint y las planteadas por la Escuela Psicosomática norteamericana y otros movimientos de origen psicoanalítico, respecto a la psicogenia y a la relación médico-paciente
Balint Groups as a Driving Force of Ego Development
No full textThis paper gives an overview of one of the main components in the process of Balint
groups. The paper is based on the authors' research on the work of Balint groups and
the study of literature which deals with the development of ego and the role of Balint
groups in the development of participants’ ego. This field is of great interest to the Balint
movement and education in medicine. The special place in the discussions on the Balint
method is given to the issue of benefit and the nature of influence of the Balint groups on
participants. The Balint movement is of special interest for Croatia since it was perhaps
among the first in the world to introduce Balint seminars as an official part of education
of family doctors. The Croatian Society of Balint Groups as early as in 1970's became
a part of the International Federation of Balint Groups. Professor Betlheim was
Michael Balint's friend and his followers introduced the method not only in medicine
but also in other professions: social work, pedagogy, psychology, sociology etc. The Balint’s
method is also very interesting and useful to stomatologists, orthopedists and physiotherapists.
Croatian dentists joined the Balint Groups in 1983 and orthopaedists in
1987. These were the unique cases in the European context. The Balint groups are very
efficient and necessary in the process of strenghtening ego and selfawarness of these professionals.
The paper also discusses the increase of the doctor's self-awareness and selfconsciousness
during the process of training in the Balint Groups. The Balint Groups
only insist on the doctor-patient relationship and do not interfere with the unconscious
of the doctor’s preoccupations. The approach of Enid Balint strives to find harmony between
the Balint’s approach and the psychoanalytic approach to the object of the research.
According to her understanding, the development of the group atmosphere is
similar to the one in the family. The authors reach a similar conclusion in their research
Chertok (L.) et Michel-Wolfromm (H.). — La méthode de Balint et l’approche psychosomatique. Balint (M.). — Examen du malade par lui-même. Rev. Méd. Psychosomatique 1961, n° 2, pp. 17-29
No full textTurbiaux Marcel. Chertok (L.) et Michel-Wolfromm (H.). — La méthode de Balint et l’approche psychosomatique. Balint (M.). — Examen du malade par lui-même. Rev. Méd. Psychosomatique 1961, n° 2, pp. 17-29. In: Bulletin de psychologie, tome 20 n°252, 1967. p. 119
Doctors at times of national instability: What Balint seminars reveal
No full textBackground: It is not known in what ways is the doctor whose practice is secure in a clinic challenged to maintain a therapeutic doctor–patient relationship when confronting a flood of immigrants within a country that is politically volatile, internally fractionalized, and surrounded by sporadic military incursions? Methods: During Balint seminars, a family medicine resident presents a troubling case which all group members reflect upon from the perspective of the doctor, the patient, and their relationship. Balint leaders later debrief and review the work of the group. Lebanon has passed through many political, social, and religious conflicts and was affected by the onset of the Syrian Civil War in 2010. The Balint leaders had begun to see in resident case presentations reflections of war’s disruption of the doctor–patient relationship. Two Balint leaders reviewed a log of all the cases between 2013 and 2016. Results: In our observations, the discussion of the presented cases mirrored the cultural, social, religious, and political context of the country. First, the political situation was reflected in the dynamics of the group: agitation, conflicts, hopelessness, and a search for norms. Second, the residents subconsciously chose words in their discussion that reflect the country’s situation. Third, the presented case was stirred by a tragic war-related event. Conclusions: The social/political/religious context in which the physician is practicing distracts the doctor from fulfilling his/her professional role. Balint seminars are an example of direct, experiential learning that provide an excellent opportunity for the special training of primary care physicians who deal with refugees and citizens to self-reflect on war’s impact on them and their profession. © The Author(s) 2018
A 2D description of the single crystal thin plate growth from the melt by micro- pulling- down method. Part 2
No full textThis paper is the second part of a 2D description of a single crystal thin plate growth by micro-pulling–down (μ-PD) method. This part concerns the following aspects: temperature distribution and melt flow in the melt–crystal system (section 2); impurity distribution (section 3). Numerical illustration concerning the above aspects are given for the growth of a thin Si plate of 0.0001 [m] by using COMSOL Multiphysics software. The advantage of this description is that it helps in the better understanding of the impurity dispersion in meniscus and may help the
improvement of crystal quality
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