Van Roy Kaatje, Vanheule Stijn, Debaere Virginie, Inslegers Ruth, Meganck Reitske, Deganck Julie
Department of Psychoanalysis and Clinical Consulting, Ghent University, H, Dunantlaan 2, 9000 Ghent, Belgium.
BMC Fam Pract. 2014 Mar 21;15:49. doi: 10.1186/1471-2296-15-49.
GPs' subjectivity is an intrinsic instrument in their daily work. By offering GPs a platform to present and discuss difficult interactions with patients, Balint group work be might provide them an opportunity to explore and articulate aspects of their subjectivity. In order to get a more profound understanding of what participation in a Balint group can offer, we focused on the process of change that can be observed during Balint group meetings. To that end, this study scrutinized two Balint group case discussions on a micro-level.
Two cases were selected from a larger data set of 68 audio-taped case discussions in four Balint groups. In order to shed light on the type of change that characterizes the presenter's narrative, we used Lacan's theoretical distinction between imaginary and symbolic modes of relating to the other.
In both case discussions, the GPs presenting the case initially appeared to be stuck in a fixed image of a situation, referred to as 'imaginary relating to the other.' Through a range of interactions with the group, the presenters were encouraged to explore different subject positions, which allowed them to broaden their initial image of the situation and to discover other issues at stake. This was referred to as a more symbolic way of relating to the other.
This study throws light on the type of change Balint group participation allows for and on the way this might be achieved. We conclude that Balint group work is potentially beneficial to the participating GPs as well as to the relationship with their patients.
全科医生的主观性是其日常工作中的一种内在工具。通过为全科医生提供一个平台来呈现和讨论与患者的困难互动，巴林特小组工作可能为他们提供一个探索和阐明其主观性方面的机会。为了更深入地理解参与巴林特小组能带来什么，我们聚焦于在巴林特小组会议期间可以观察到的变化过程。为此，本研究在微观层面仔细审查了两次巴林特小组病例讨论。
从四个巴林特小组的68次录音病例讨论的较大数据集中选取了两个病例。为了阐明表征讲述者叙述的变化类型，我们运用了拉康关于与他人关系的想象模式和象征模式的理论区分。
在两次病例讨论中，介绍病例的全科医生最初似乎被困在一种固定的情境形象中，即所谓的“与他人的想象关系”。通过与小组的一系列互动，讲述者被鼓励去探索不同的主体位置，这使他们能够拓宽对情境的初始形象，并发现其他相关问题。这被称为一种与他人更具象征性的关系方式。
本研究揭示了参与巴林特小组所允许的变化类型以及实现这种变化的方式。我们得出结论，巴林特小组工作对参与其中的全科医生以及他们与患者的关系可能具有潜在益处。
