To survive, general practice needs to reintroduce the psychodynamic dimension
To survive, general practice needs to reintroduce the psychodynamic dimension
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DOI：
10.1080/14753634.2010.511045
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发表时间：
2010-01-01
影响因子：
0.3
通讯作者：
Davidsen, Annette Sofie
中科院分区：
文献类型：
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作者：
Davidsen, Annette Sofie
迈克尔·巴林特是全科心理治疗史上一位杰出的人物（Gask &麦格拉思，1989）。他声称，全科医生的工作约有三分之一是由某种形式的心理治疗组成的（Balint，1961; Balint，1964），他认为全科医生的咨询是一种内在的治疗性接触，在连续的接触中发展了情感关系。从20世纪50年代到他1971年去世，他在塔维斯托克诊所进行培训小组，为全科医生提供这种心理治疗任务。他的妻子伊妮德·巴林特（Enid Balint）在他去世后继续这项工作。巴林特的一些想法仍然备受争议，并因过于关注心理因素而受到批评（Sowerby，1977年）。参加他的小组从来没有广泛;早期小组的辍学率约为60%，但后来下降到25-30%（Gask等人，1989年）。然而，巴林特的理论影响力仍然无可争议;许多参加他的研讨会的全科医生对整个行业产生了相当大的影响（Osborne，1993; Salinsky，2002）。对一些人来说，这种影响是
Michael Balint is a remarkable person in the history of psychotherapy in general practice (Gask & Mcgrath, 1989). He claimed that about one third of GPs’ work was made up of some form of psychotherapy (Balint, 1961; Balint, 1964), and he saw the consultation in general practice as an encounter that was intrinsically therapeutic with an emotional relationship developing over successive encounters. From the 1950s until his death in 1971, he conducted training groups at the Tavistock Clinic to equip GPs for this psychotherapeutic task. His wife, Enid Balint, continued this work after his death.Some of Balint’s ideas remain highly controversial and have been criticised for focusing too much on psychological factors (Sowerby, 1977). Attendance to his groups was never widespread; the dropout rate from the early groups was about 60% but later decreased to 25–30%(Gask et al., 1989). However, Balint’s theoretical influence remains undisputed; many of the GPs who attended his seminars were to exert considerable influence on the profession as a whole (Osborne, 1993; Salinsky, 2002). By some, this influence was