Dynamic Interactions in the Primary Care Consultation, and an Introduction to Balint Groups

Abstract

Physicians in the primary care setting, such as General Practitioners and doctors working in polyclinics, will encounter patients with varying expectations of the consultation process, especially with regards to their emotional needs. These interactions, shaped by transference and counter-transference, will often induce varying emotional reactions in the physicians, both positive and negative. Understanding the dynamics which drive these interactions, and reflecting upon the physician's own emotional responses, can often lead to a more holistic appreciation of the patient and the therapeutic relationship, and consequently in improved patient care, and enhanced satisfaction for both the patient and physician. This article highlights the above dynamic interactions, and introduces the Balint Group, a platform whereby such themes and processes can be further explored. The processes of the Balint Group, and its benefit for attending members, are discussed.

Gamification of dermatoscopy education using a smartphone mobile platform: A pilot study

“…Lastly, the platform features a virtual Balint group to allow users to discuss challenging dermatoscopy cases, further promoting collaborative learning and enabling users to develop a better understanding and awareness of the doctor-patient relationship. 8 , 9 …”

Tele-Balint under the microscope: What really happens in Tele-Balint groups?

“…[6][7][8] In Singapore, Balint groups have been conducted on an informal basis in certain departments and institutions. 9 However, there exists a gap in understanding the workings and effectiveness of Balint groups in the local context. 9 This is a worthy avenue of exploration, given the many potential benefits that Balint groups can bring, especially in Singapore where there are high extents of stress and burnout among mental health healthcare professionals.…”

“…9 However, there exists a gap in understanding the workings and effectiveness of Balint groups in the local context. 9 This is a worthy avenue of exploration, given the many potential benefits that Balint groups can bring, especially in Singapore where there are high extents of stress and burnout among mental health healthcare professionals. 10 In this COVID-19 period where rates of stress and burnout may be higher than ever, 11 there exists a need for mental health professionals to undergo professional supervision 12 and peer learning sessions.…”