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Balint Group

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Nicky Quinlan

on 28 June 2013

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Transcript of Balint Group

Born in 1896 in Budapest, son of a GP
Psychoanalytic training in Berlin and Budapest, emigrated to London, worked
at the Tavistock Clinic
With his 3rd wife, Enid, began the training/research seminars for GPs after WW II
In 1957 published “The Doctor, his Patient and the Illness”
“At the center of medicine there is always
a human relationship between a patient
and a doctor.”

-Michael Balint
A Balint Group is
Encounter Group
Traditional Case Consultation Group
M&M Conference
Topic Discussion Group
Personal and Professional

Prescriptive, didactic, advice giving
Functions of a Balint Group
To provide a
place for emotional reflection on troubling cases
To help presenter consider other understandings about the case
To look at blind spots, assumptions
To help members feel less isolated, less shame, more open to learn
To help members
grow and develop
Benefits for Clinicians
Explore difficult or troubling situations
Refine crucially
important patient-doctor
relationship skills
Hear and learn from others’ cases
Connect with others
Experience the
power of a group
Remember what matters about our work
Avoid burnout, increase engagement and resilience
Balint Resources
American Balint Society http://www.americanbalintsociety.org/

International Balint Federation http://www.balintinternational.com/
Ground Rules
Avoid advice
Be it to see it

Name it to tame it

Share it to bear it
Tenets of Balint
1. Does anyone have a case?
2. Clarfiying questions
3. Group 'holds' the case
4. Presenter invited back
What is a good case?
Presentations are spontaneous
Patients we have ongoing relationships with
Patients who we feel conflicted or strongly about
Patients that leave us feeling unfinished,
who we lose sleep over
Patients who we “take home” with us
Patients that bubble up in the moment
Functions of group members
Explore doctor-patient relationship
Look inward, be imaginative, creative, look for less conscious aspects
Attend to and share thoughts, images, fantasies, associations, hypotheses
Differentiate one’s own experience
from presenter’s
Further empathic understandings
Functions of Group Leaders
Create and maintain a safe space
Structure and hold the group over time
Protect presenter and group members
Encourage reflection, empathy and compassion
Attend to group development
Debrief with co-leader after each group
Full transcript