Johnson Alan H, Brock Clive D, Hueston William J
Department of Family Medicine, Medical University of South Carolina, USA.
Fam Med. 2003 Jun;35(6):428-33.
Balint seminars began in London in 1950 on a voluntary basis for general practitioners wishing to explore psychological problems in their practice. By 1964, there was a 36% early dropout rate among the 223 physicians who participated. This study sought to determine if those who leave Balint training during their residency, versus those who continue, have different psychological characteristics.
A retrospective analysis of 206 Medical University of South Carolina family practice residents from 1982 to 1999 was completed. All residents participated in 6 months of required Balint training and then could leave the Balint group or continue for the remaining 2 years. We examined gender and personality attributes, comparing residents who completed 2 years of weekly Balint training and residents who left after 6 months. Personality attributes were measured with the Myers-Briggs Inventory, the Work Environmental Preference Schedule, the Internal-External Locus of Control, the Fundamental Interpersonal Relationship Orientation Behavior test, and the Personal Orientation Inventory.
A total of 132 residents completed 2 years of weekly Balint training, and 74 discontinued training after 6 months. Two-year attendees were significantly more intuitive on the Myers-Briggs Personality Inventory (MBTI). There were no significant differences on other MBTI items, nor were there significant differences in gender or in scores on the other psychological tests.
Based on the rate of discontinuation of Balint training in our sample, Balint work does not appear to be suited to all physicians. With the exception of one MBTI characteristic, no significant differences could be demonstrated between those who did and did not continue participating. Further study is necessary to define other attributes characterizing Balint group attendees and nonattendees.
巴林特研讨会于1950年在伦敦自愿开办，面向希望在其执业过程中探索心理问题的全科医生。到1964年，参与的223名医生中有36%的人提前退出。本研究旨在确定在住院医师培训期间退出巴林特培训的人与继续参加培训的人是否具有不同的心理特征。
对南卡罗来纳医科大学1982年至1999年的206名家庭医学住院医师进行了回顾性分析。所有住院医师都参加了为期6个月的巴林特必修培训，之后可以退出巴林特小组或继续参加剩余两年的培训。我们检查了性别和人格属性，比较了完成两年每周一次巴林特培训的住院医师和6个月后退出的住院医师。人格属性通过迈尔斯-布里格斯性格量表、工作环境偏好量表、内控与外控量表、基本人际关系取向行为测试和个人取向量表进行测量。
共有132名住院医师完成了两年每周一次的巴林特培训，74人在6个月后停止培训。在迈尔斯-布里格斯性格量表（MBTI）上，参加两年培训的人明显更具直觉性。在其他MBTI项目上没有显著差异，在性别或其他心理测试得分上也没有显著差异。
根据我们样本中巴林特培训的退出率，巴林特工作似乎并不适合所有医生。除了一个MBTI特征外，继续参加和未继续参加培训的人之间没有显著差异。有必要进行进一步研究，以确定巴林特小组参与者和非参与者的其他特征。
