832 research outputs found
Psychodynamic approaches to teaching medical students about the doctor-patient relationship: Randomised controlled trial
Aims 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
Balint Vaszonyi Collection
Balint Vazsonyi (March 7, 1936-January 2003) was a Hungarian-American pianist, perhaps best known for playing all thirty-two chronological cycles of Beethovens sonatas. Vazsonyi also was an author who wrote extensively on political science in the Washington Times and other media sources. The collection consists of concert programs, reviews, correspondence, newspaper and magazine articles, recordings, lectures, scrapbooks, brochures, manuscripts, books, and videos related to Vazsonyis performing and teaching careers, the ensembles he was involved in, events in his life, his political involvement, and his relationships with several people and organizations, especially his teacher, Ernst von Dohnanyi, and his management, Kazuko Hillyer International, Inc
Balint seminars: The transatlantic experience through videoconference
Introduction: 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
Balint groups: a doctor-student mutual investment company
Balint Groups were traditionally established as reflective groups by psychoanalyst Michael and Enid Balint for general practitioners to reflect on the doctor-patient relationship. Balint described components of this relationship between doctor and patient including the collusion of anonymity, the doctor as a drug and the mutual investment company. This paper discusses 2 case examples from the perspective of a junior doctor facilitating medical student Balint groups and from the junior doctor participating in a peer group. Comparisons between the doctor and student emotional expression, empathic ability and apparent preconceived ideas of the “doctor role” are discussed, with reflection on potential origins and contributing factors to such internalised views and responses. The author explores potential professional benefits of medical student Balint groups facilitated by junior doctors in influencing empathic response and internalised personas, as discussed through the eyes of Balint’s components of the interpersonal doctor-patient relationship
Review of: The Human Genome Project and Minority Communities - Ethical, Social, and Political Dilemmas (Raymond A. Zilinskas & Peter J. Balint eds.)
Review of the book: The Human Genome Project and Minority Communities -Ethical, Social, and Political Dilemmas (Raymond A. Zilinskas & Peter J. Balint eds., Praeger Publishers 2001). Preface, index, about the contributors. LC 00-032390; ISBN 0-275-96961-4 [160 pp. $54.50.Cloth, 88 Post Road West, Westport, CT 06881]
Is the Balint group an opportunity to mentalize?
The Balint group, a time-tested and efficacious resource for fortifying resilience among helping professionals, is explored in depth in this article through a case vignette. Despite its demonstrated efficacy in assisting professionals handling challenging cases, the Balint method's adoption remains inexplicably limited. We hypothesize that this restraint is due to a deficient understanding of the method's mechanics, operational processes and outcomes. In response, we offer a contemporary interpretation anchored in the theoretical framework of mentalization, aligning with current psychotherapeutic standards. The article underscores the Balint group's remarkable utility, akin to other mentalization-based therapeutic methods, in navigating intricate cases, emotionally demanding situations and circumstances that exceed the expertise and experience of the professional. By highlighting this, we hope to broaden the acceptance of the method, enable systematic assessment of its effectiveness and augment training for group leaders and participant commitment. This endeavour represents both a nod to the research-centric approach originally espoused by Mihály Bálint and an embrace of the growing emphasis on evidence-based methodology in medicine and psychotherapy. Ultimately, we aim to illuminate the potential of the Balint group and promote its extensive application in support of helping professionals
- …
