Balint groups – helping trainee psychiatrists make even better use of themselves

McKensey, Andrew; Sullivan, Leonie

doi:10.1177/1039856215598870

Cited by 20 publications

(28 citation statements)

References 7 publications

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“…Of the included studies, 28 were quantitative, [24][25][26][27][28][29][30][33][34][35][36][37][38][39][40][44][45][46][47][48][49][50][51][52][53][54][55][56] two were qualitative, 31,32 one was interventional 41 and two had mixed methodology. 42,43 Countries of origin Studies originated from Australia, 29,40,48,55 New Zealand, 28,31,38,39 the UK, 30,34,43,47 the USA, 24,26,52 Canada, 35,50 Italy, 25,…”

Section: Methodsmentioning

confidence: 99%

“…27 Several studies involved a combination of countries 40,45,46,49 and six studies did not specify location. 32,37,41,51,53,56 Populations Twenty studies involved psychiatry doctors only, comprising psychiatrists, 25,27,31,32,[37][38][39][40][41][43][44][45]47,48,52 psychiatry trainees 35,42,55 or a combination of both. 24,49 Only three studies provided an indication of subspecialty, including child and adolescent, 36,40 adult 36 and forensic psychiatry.…”

Section: Methodsmentioning

confidence: 99%

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Personal resilience in psychiatrists: systematic review

Howard

Kirkley

2019

BJPsych Bull

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Aims and methodThe concept of personal resilience is relevant to physician well-being, recruitment and retention, and to delivering compassionate patient care. This systematic review aims to explore factors affecting personal resilience among psychiatrists, in particular, those that may impair well-being and those that facilitate resilience practice. A literature search was performed of the Ovid®, Embase®, CINAHL and PsycINFO databases, using keywords to identify empirical studies involving psychiatrists that examined resilience, stress and burnout from the past 15 years.ResultsThirty-three international English language studies were included, showing that a combination of workplace, personal and non-workplace factors negatively and positively influenced well-being and resilience.Clinical implicationsGiven that workplace factors were the most commonly cited, it would appear that any resilience package that predominantly targets interventions at the workplace level would be particularly fruitful. Future research, however, needs to address the absence of a universal measurement of well-being and its moderators so that any potential interventions are better evaluated.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Personal resilience in psychiatrists: systematic review

Howard

Kirkley

2019

BJPsych Bull

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“…A factor also identified in Murray et al's review. Implementing Balint groups, which are common practice in some countries in the fields of mental health and primary care, in secondary care in somatic medicine might offer a forum for such open, non-judgemental reflection and help lower doctors' emotional distress when dealing with patients with MUS [71] - [73].…”

Section: Discussionmentioning

confidence: 99%

What's ‘difficult’? A multi-stage qualitative analysis of secondary care specialists' experiences with medically unexplained symptoms

Maatz¹,

Wainwright

Russell

et al. 2016

Journal of Psychosomatic Research

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Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-pro t purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. AbstractBackground The term 'difficult' is pervasively used in relation to medically unexplained symptoms (MUS) and patients with MUS. This article scrutinises the use of the term by analysing interview data from a study of secondary care specialists' experiences with and attitudes towards patients suffering from MUS.

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“…Embora as referências de grupos Balint sejam frequentes em várias áreas da medicina (Mahoney et al, 2013;Lelorain. et al, 2013;Bar-Sela, Lulav-Grinwald, Mitnik, 2013;McKensey & Sullivan, 2016), em pediatria elas são quase inexistentes (Biermann, Böhm, & Berz, 1968), revisões recentes da literatura recomendam que novas pesquisas sejam realizadas (Van Roy, Vanheule, & Inslegers, 2015;Eider, 2015). Inicia-se aqui um estudo para conhecer a relação médico-paciente na área de pediatria.…”

Section: Introductionunclassified

O Pediatra E Sua Função Apostólica: Percepções De Médicos Residentes Sobre Suas Práticas

Dickstein

Verztman²,

Romão-Dias³

et al. 2017

Psicol Estud

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RESUMO.Este estudo é o resultado de um trabalho pedagógico, realizado com médicos residentes em pediatria em um hospital público no Rio de Janeiro. Durante um mês os residentes se encontraram diariamente com um supervisor para uma conversa sobre as suas consultas ambulatoriais. Os sentimentos que esses atendimentos despertavam nos médicos eram trazidos para os encontros. O foco da consulta era a relação médico-paciente e os padrões defensivos dos médicos. O estudo buscou apreender as estratégias subjetivas, utilizadas pelos médicos pediatras em formação para enfrentar a sua prática clínica cotidiana. Oito residentes do primeiro ano de pediatria foram entrevistados com foco nas questões relacionadas à puericultura. Seguiu-se o Método de Explicitação do Discurso Subjacente (MEDS) no campo da pesquisa qualitativa em que as entrevistas são realizadas com uma mescla de perguntas abertas e outras específicas. Observou-se que o zelo apostólico, ou seja, os padrões defensivos dos profissionais, tal como formulado por Michael Balint, se manifesta como uma exigência acentuada sobre as mães, como uma dificuldade de conhecer a dinâmica da família. É possível que esses comportamentos estejam relacionados à excessiva idealização da mãe e da criança, como demonstrou a análise das nar rativas. O trabalho direcionado para os conceitos idealizados sobre as mães e as crianças pode ajudar no arrefecimento do zelo apostólico nos profissionais em formação. Palavras-chave:Pediatria; relação médico-paciente; psicanálise. THE PEDIATRICIAN AND HIS APOSTOLIC FUNCTION: PERCEPTIONS OF RESIDENT PHYSICIANS ABOUT THEIR PRACTICESABSTRACT. This study is the result of a pedagogical work with medical residents in pediatrics at a public hospital in Rio de Janeiro. The doctors met every day during a month with a supervisor to report about their daily practice. During these meetings they talked about the feelings that arouse in the doctors while they were with their patients. The focus of the consultation was directed on the doctor -patient´s relationship and the defensive patterns doctors may have. The study seeks to learn how subjective strategies used by pediatricians in training are applied in their everyday clinical practice. Eight residents of the first year of Pediatrics were interviewed focusing on issues related to childcare. These interviews were conducted following the Underlying Discourse Unveiling Method (UDUM) in the Field of Qualitative Research in which there are both opens another specific question.It was observed that the apostolic zeal, ie, defensive patterns of professionals, as it was defined by Michael Balint, manifests itself as a strong demand on the mothers, as well as a difficulty in knowing family dynamics. It is possible that these behaviors are related to an excessive idealization of the mother and the child as demonstrated by the analysis of the narratives. The work directed towards the idealized concepts of mothers and infants may be usefin mitigating the apostolic zeal in professionals in training.

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Balint groups – helping trainee psychiatrists make even better use of themselves

Cited by 20 publications

References 7 publications

Personal resilience in psychiatrists: systematic review

Personal resilience in psychiatrists: systematic review

What's ‘difficult’? A multi-stage qualitative analysis of secondary care specialists' experiences with medically unexplained symptoms

O Pediatra E Sua Função Apostólica: Percepções De Médicos Residentes Sobre Suas Práticas

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