Beyond Balint: A Group-analytic Support Model for Traumatized Doctors

Wilke, Gerhard

doi:10.1177/0533316405052383

Cited by 39 publications

(4 citation statements)

References 4 publications

(3 reference statements)

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“…Given the commonly reported toxic working culture of the NHS [17,27], where lack of support and bullying [38,39,46] are frequent, it is unsurprising that both the participants and stakeholders in the current study felt that support could be improved. Previous researchers have demonstrated the benefits of formalised support such as Balint groups [47] and informal, peer support for junior doctors in particular [48,49]. Such support could be of widespread benefit for doctors working across the NHS.…”

Section: Discussionmentioning

confidence: 99%

Recommendations for improving the working conditions and cultures of distressed junior doctors, based on a qualitative study and stakeholder perspectives

Spiers

Kokab

Buszewicz

et al. 2022

BMC Health Serv Res

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Background Doctors, including junior doctors, are vulnerable to greater levels of distress and mental health difficulties than the public. This is exacerbated by their working conditions and cultures. While this vulnerability has been known for many years, little action has been taken to protect and support junior doctors working in the NHS. As such, we present a series of recommendations from the perspective of junior doctors and other relevant stakeholders, designed to improve junior doctors’ working conditions and, thus, their mental health. Methods We interviewed 36 junior doctors, asking them for recommendations for improving their working conditions and culture. Additionally, we held an online stakeholder meeting with a variety of healthcare professionals (including junior doctors), undergraduate medical school leads, postgraduate speciality school leads and NHS policymakers where we asked what could be done to improve junior doctors’ working conditions. We combined interview data with notes from the stakeholder discussions to produce this set of recommendations. Results Junior doctor participants and stakeholders made organisational and interpersonal recommendations. Organisational recommendations include the need for more environmental, staff and educational resources as well as changes to rotas. Interpersonal recommendations include changes to communication and recommendations for better support and teamwork. Conclusion We suggest that NHS policymakers, employers and managers consider and hopefully implement the recommendations set out by the study participants and stakeholders as reported in this paper and that the gold standards of practice which are reported here (such as examples of positive learning environments and supportive supervision) are showcased so that others can learn from them.

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Section: Discussionmentioning

confidence: 99%

Recommendations for improving the working conditions and cultures of distressed junior doctors, based on a qualitative study and stakeholder perspectives

Spiers

Kokab

Buszewicz

et al. 2022

BMC Health Serv Res

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“…Wilke argues that postmodern healthcare conditions no longer foster an idealized, one-to-one doctor-patient relationship (Wilke, 2005). He says that health professionals need help to renegotiate their professional identity in favour of what he calls a ‘group matrix model of medicine’ as interdependent figures in a matrix of complex relationships.…”

Section: Recreating the Matrixmentioning

confidence: 99%

The making of a doctor: the matrix and self

Gerada¹

2019

Group Analysis

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Foulkes’ concept of the matrix, the hypothetical web of communication, has long since left the consulting room and entered the wider sphere of communities, countries, and institutions. This article will discuss how the matrix encompasses a whole profession, that of medical doctors. Together with a deep-rooted sense of identity, which I refer to as the medical self, the medical matrix contributes to doctors’ professional wellbeing but also begins to explain the enormous recent increase in mental illness in the medical profession seen across the world. The article focuses on doctors. However, the ideas are relevant to any group (for example, teachers, the clergy, psychotherapists) which has a strong personal and professional identity, with all its attendant privileges and problems.

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“…studies of clinical supervision [2,[28][29][30][31][32]. The youngest group had initiated the group a few years after settlement and found it important that they had known each other through the early phases in practice.…”

Section: Ethical Statementmentioning

confidence: 99%

Witnesses in the consultation room – Experiences of peer group supervision

Nielsen

Davidsen

2017

Education for Primary Care

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Background: In Denmark group supervision for general practitioners is an established part of continuing professional development. Several different approaches are used, including Balint Groups and Bendix Groups. The aim of this paper is to describe the benefits and challenges of a peer group supervision model with the role of supervisor taken by group members in turn. The setting was a group of general practitioners using a patient-centred consultation model and videorecordings of consultations. Methods and material: As part of a larger study the first author studied this long-established group by observing three group sessions over a period of six months. She conducted two individual, semistructured interviews with each general practitioner who presented consultations at the observed sessions, and held a group interview with the entire group at the end of the observation period. The interviews were recorded digitally and transcribed verbatim. The data were analysed using systematic text condensation. Results and conclusion: Participation seemed to improve communication skills and the ability to take a more patient-centred approach. It increased job satisfaction and prevented burnout. A nonjudgemental environment, respect and acknowledgement of all participants were important for developing confidence and for supporting personal and professional development.

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Beyond Balint: A Group-analytic Support Model for Traumatized Doctors

Cited by 39 publications

References 4 publications

Recommendations for improving the working conditions and cultures of distressed junior doctors, based on a qualitative study and stakeholder perspectives

Recommendations for improving the working conditions and cultures of distressed junior doctors, based on a qualitative study and stakeholder perspectives

The making of a doctor: the matrix and self

Witnesses in the consultation room – Experiences of peer group supervision

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