A Lacanian view on Balint group meetings: a qualitative analysis of two case presentations

Roy, Kaatje Van; Vanheule, Stijn; Debaere, Virginie; Inslegers, Ruth; Meganck, Reitske; Deganck, Julie

doi:10.1186/1471-2296-15-49

Cited by 6 publications

(5 citation statements)

References 21 publications

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“…The GP has a positive therapeutic role in all consultations, not only in which there is a defi ned pathological process [31,36].…”

Section: From This Perspective the Gp Should Pursue 2 Tasksmentioning

confidence: 99%

Psychology of doctor-patient relationship in general medicine

Turabián¹

2019

Arch Community Med Public Health

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The transcendence of psychological factors of the doctor-patient relationship is given by the fact of its infl uence on results and quality of medical care, improvement in compliance, satisfaction and recall of physician information, and plays a fundamental role in the medical care process: the skills Listening and communication are fundamental parts to make the diagnosis and treatment. Some of these positive consequences arise from the fact that relationships are linked to emotions which have a physiological substrate. The different psychological behaviors of the patient and the doctor (such as verbal and nonverbal communication, affective behavior, beliefs, empathy, listening), symptom perception, shared decision, negotiation, information, persuasion, etc., give different types of relationship. In doctor-patient relationship there is a modality of psychotherapy, where the treatment is based on that relationship, in which the general practitioner and the patient work together to improve psychopathological conditions through the focus on the therapeutic relationship, which brings consequences on thoughts, emotions, and behaviors. The therapeutic function of the doctor-patient relationship can be understood in analogy to dialysis, in which the patient experience of illness passes through the clinician's compassionate equanimity for affective detoxifi cation and cognitive clarifi cation. Also, the work of the general practitioner can be understood as a psycho-physiological doctor-patient relationship process through which the doctor and the patient can infl uence the health of the other. Doctor-patient relationship evaluation has to be carried out jointly by both, doctor and patient, on the effect that both are achieving with that relationship. "The disease is like removing the soil where a tree is planted: the roots are exposed, and you can see how deep and strong they are." Virginia Woolf (1882-1941; English writer).

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“…The GP has a positive therapeutic role in all consultations, not only in which there is a defi ned pathological process [31,36].…”

Section: From This Perspective the Gp Should Pursue 2 Tasksmentioning

confidence: 99%

Psychology of doctor-patient relationship in general medicine

Turabián¹

2019

Arch Community Med Public Health

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“…During the sessions, practitioners present cases, and subsequently, group members provide comments and express their thoughts, ideas, and emotions. This process helps practitioners gain a deeper and more comprehensive knowledge of the problems they experienced, and makes them more capable of understanding their relationships with patients ( Van Roy et al, 2014 , 2015 ). Further, Balint group training improves the competency of GPs in patient encounters and helps them to endure their job and find enjoyment and challenge in their associations with patients ( Airagnes et al, 2014 ; Van Roy et al, 2015 ; Huang H. et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Findings showed that the intervention enhanced fellows' development as physicians. Likewise, Airagnes et al (2014) indicated that Balint group training helped medical students to better handle challenging clinical situations such as those presented by borderline personalities. In the same vein, and L.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of Balint group work on the quality of work life, resilience, and nurse–patient communication skills among psychiatric nurses: a randomized controlled trial

Yousefzadeh,

Dehkordi,

Vahedi

et al. 2024

Front. Psychol.

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BackgroundBalint group training has gained popularity in medical practices as an intervention designed to enhance the quality of life, well-being, and communication skills of healthcare practitioners. Psychiatric nurses, in particular, encounter distinct challenges and stressors inherent in their profession, necessitating the development and implementation of effective interventions to assist them in coping with the difficulties they experience. In this vein, the current study aimed to investigate the effectiveness of Balint group training on quality of work life, resilience, and nurse–patient communication skills among psychiatric nurses.MethodsThirty psychiatric nurses from Razi Hospital in Tehran were recruited via the purposeful sampling method in 2022 and were randomly assigned to either the Balint group, consisting of eight weekly one-hour training sessions, or a control group. Participants completed the Walton Quality of Work Life Questionnaire, Connor-Davidson Resilience Scale, and Communication Skills Scale before and after the intervention. The data were analyzed using the Analysis of Covariance (ANCOVA).ResultsThe study found no significant differences between the Balint group and the control group in terms of quality of work life, resilience, and nurse–patient communication skills.ConclusionFindings suggest that Balint group training was not an effective intervention for improving the well-being and communication skills of psychiatric nurses. However, the study highlights the need for further investigation into the potential factors that may explain the lack of significant gains and offers insights for future research in this area.

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“…In encounters with patients, stress may be caused by uncertainty and fear of making mistakes, which can hardly be avoided [ 15 ] yet is highly related to depression among GPs [ 16 ], or the time pressure that ensues when several patients compete for attention or when a single patient presents with multiple issues [ 7 ]. Although physicians are trained to make extensive use of themselves in the practice of their art [ 17 ], experiences from Balint sessions suggest that they may also struggle with their own subjectivity in relation to the other; they might, for instance, not always be perfectly clear on the position that they are speaking from [ 18 ]. GPs regularly face hostility and even violence when denying patient requests [ 19 ] or as part of a pattern of perpetually boundary-transgressing behaviour [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

The voice of the self: a typology of general practitioners’ emotional responses to situational and contextual stressors

Johnsson

Nordgren

2022

Scandinavian Journal of Primary Health Care

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Objective To develop a comprehensive typology of emotional reactions associated with stress among general practitioners (GPs), grounded in their own experiences. Design Data was generated using observations and unstructured interviews, using Straussian grounded theory as the overarching methodology. The typology was built using multidimensional property supplementation. Setting Eleven health care centres in urban and rural communities in four Swedish regions. Subjects Sixteen GPs and GP residents. Main outcome measures Characteristics of GPs’ emotional reactions in everyday work situations. Results Accounts of negative emotions connected to stress revealed four principal personal needs of the GP: trust, efficacy, understanding, and knowledge. Simultaneous threats to more than one of these needs invariably increased the level of tension. From these more complex accounts, six second-order needs could be identified: integrity, judgment, pursuit, authority, autonomy, and competence. The most extreme encounters, in which all four principal needs were threatened, were characterised by the experience of being reduced into an assistant. Conclusion The considerable resilience of GPs may belie some of the pressures that they are facing while being far from a fail-safe defence against being diverted from purposeful and morally responsible action. Our typology distinguishes between different forms of stress that may affect how GPs carry out their work, and connects to the vast literature on GP wellness. The results of this study could be used to develop tools for self-reflection with the aim of countering the effects of stress, and are potentially relevant to future research into its causes and consequences. Key points What is known •Stress among GPs may have severe consequences for themselves and their patients, and levels of stress appear to be increasing. What this article adds •Stressful situations threaten at least one of four principal needs of the GP: trust, efficacy, understanding, and knowledge. •More complex threats increase the level of tension and bring out second-order needs: integrity, judgment, pursuit, authority, autonomy, and competence. •The wealth of literature on GP stress can be clearly understood through the lens of our four-dimensional typology.

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A Lacanian view on Balint group meetings: a qualitative analysis of two case presentations

Cited by 6 publications

References 21 publications

Psychology of doctor-patient relationship in general medicine

Psychology of doctor-patient relationship in general medicine

The effectiveness of Balint group work on the quality of work life, resilience, and nurse–patient communication skills among psychiatric nurses: a randomized controlled trial

The voice of the self: a typology of general practitioners’ emotional responses to situational and contextual stressors

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