巴林特小组简介.ppt

浙江省社区重性精神疾病管理质量培训班 浙江省社区重性精神疾病管理质量培训班 浙江省社区重性精神疾病管理质量培训班 浙江省社区重性精神疾病管理质量培训班 巴林特小组 * Michael Balint1896-1970psychoanalyst at the Tavistock Clinic in London 1957 Enid Album-Eichholz Balint groups: psychosocial nonsense or a real insight into the doctor-patient relationship? * 医生就是药医患联盟 医生 病人 * 医生需要支持 理解 识别问题 加强联盟 防耗竭 新视角 消除盲点 医生 * 心理动力学基础 共情 移情 反移情 * 巴林特小组的组成 8-12人 * 讨论主题 * 组长的任务——组织和引导 应具备的能力 把握主题 保护案例报告者 鼓励表达，活跃讨论 防止不友好的批评 保护隐私 保持中立 引导性问题 该患者引起我们哪些感受？ 该患者有何特点？ 患者对医生的看法是什么？ 为什么医生在这种情况下会采取这样的治疗方式？ 医生为什么会有如此的情绪反应？ * 小组活动设置 分钟 报告者 全体人员 组长 5-10 介绍案例 听、想 掌控时间和内容 5 阐明问题 听 肯定报告者 扼要归纳2-3个问题 10 回答问题 澄清 禁止解释和建议 30 倾听 表达 协调和掌控 10 个人总结 问题引回报告者 2-3 总结，结束，感谢 * 巴林特小组的目的和意义 了解并评价医师人际沟通能力 促进医患沟通 注意到医患互动关系中的盲点 处理过去觉得无法忍受的患者时感到胜任 针对不同的患者运用不同的访问技巧 善于面对患者施加的压力 不断审视患者的问题 客观分析与患者的接触过程并自我检讨 客观理解患者的行为 职业支持 职业发展 * Br J Gen Pract. 2005 September 1; 55(518): 724–725. Michael Balint — an outstanding medical life Edin Lakasing One of the most notable names in general practice, Michael Balints analysis of the doctor–patient relationship and use of group therapy made him an internationally acclaimed figure.1 Michael Balint was born Mihály Maurice Bergmann in Budapest, Hungary on 3 December 1896, he was the first of two children of a Jewish GP. He observed his fathers practice and from a young age became interested in the doctor–patient relationship. In 1914 he began studying medicine at the Semmelweiss University of Budapest, but shortly after was called to the army in the First World War. He served in Russia and later Italy, where in 1916 an injury to his left thumb meant he was able to return home. His main interests as a student were biochemistry and psychoanalysis. On the recommendation of his girlfriend Alice Székely-Kovács, he read Sigmund Freuds Totem and Tabu, and began attending the lectures of Sándor Ferenczi, who in 1919 became the worlds first Professor of Psychoanalysis. Despite the war interruption, he qualified in 1918 at the early age of 21, and officially changed his name at