Söllner W, Maurer G, Mark-Stemberger B, Wesiack W
Universitätsklinik für Medizinische Psychologie und Psychotherapie, Innsbruck.
Psychother Psychosom Med Psychol. 1992 Sep-Oct;42(9-10):302-7.
For a period of seven years medical students have had the opportunity to attend Balint-seminars in an intensive training course in the field of "Medical Psychology and Psychotherapy" during their clinical education. In groups of 10-15 students the participants study conscious and subconscious aspects in the relationship between students and patients in the setting of their practical work in hospital. Some of these students additionally hold supporting conversations with mentally and psychosomatically ill patients. This takes place at the Psychotherapeutic Department and at the Department of Psychiatry, both at Innsbruck University, and is supervised in the Balint-seminars. In addition to this psychoanalytically oriented supervision theoretic knowledge (socio-psycho-somatic aspects of illnesses, subconscious aspects in the doctor-patient-relationship, phenomena of transference and counter-transference) is being brought across. In the students' Balint-seminars both patient-related self-experience and the reflection upon the students' social role in hospital acquire special importance. The development of this model of teaching and learning and the experiences which have been achieved over the last seven years are described in this article concerning the practicability for a patient centered model in the education of medical students.
在七年的时间里,医学生在临床教育期间有机会参加“医学心理学与心理治疗”领域的强化培训课程中的巴林特研讨会。参与者以10至15名学生为一组,在医院实际工作场景中研究学生与患者关系中的意识和潜意识方面。其中一些学生还与精神疾病和身心疾病患者进行辅助性交谈。这在因斯布鲁克大学的心理治疗科和精神科进行,并在巴林特研讨会上受到监督。除了这种以精神分析为导向的监督外,还传授理论知识(疾病的社会心理躯体方面、医患关系中的潜意识方面、移情和反移情现象)。在学生的巴林特研讨会上,与患者相关的自我体验以及对学生在医院社会角色的反思变得尤为重要。本文描述了这种教学模式的发展以及过去七年所取得的经验,涉及以患者为中心的模式在医学生教育中的实用性。