Flatten Guido, Möller Heidi, Tschuschke Volker
Euregio Institut für Psychosomatik und Psychotraumatologie Annastraße 58-60 D-52062 Aachen Deutschland Euregio Institut für Psychosomatik und Psychotraumatologie.
Institut für Psychologie Universität Kassel Holländische Str. 36-38 34127 Kassel Deutschland Institut für Psychologie, Universität Kassel.
Z Psychosom Med Psychother. 2019 Feb;65(1):4-13. doi: 10.13109/zptm.2019.65.1.4.
How effective are Balint group leaders?
Balint leadership until today is based on views of experts. Empirical research is still lacking. This paper reports about leadership effects in Balint groups measured by the newly developed Balint Group Questionnaire (BGSQ). The questionnaire comprises three scales: Scale 1 - Reflection of Transference Dynamics in the Doctor-Patient Relationship, Scale 2 - Emotional and Cognitive Learning, Scale 3 - Case Mirroring in the Group Dynamic.
87 out of 107 cooperating Balint group leaders had six or more participants who filled out the questionnaire after a Balint session. Based on the scale scores of the BGSQ from 1459 medical participants we found three clusters of differentially effective leadership. 52 leaders (59.8 %) belonged to the most effective cluster in scale 1, 11 leaders (12.6 %) were particularly effective in scale 2, and 21 leaders (24.1 %) in scale 3. Five out of 87 leaders were found most effective for all three scales. No other influencing factors predicted leadership effectiveness.
This is the first quantitative study to differentiate leadership effects on learning processes of participants of Balint groups. The importance for training of Balint group leaders is discussed. More research regarding predictive variables and helpful leadership interventions is needed.
巴林特小组组长的效果如何？
迄今为止，巴林特小组的领导方式基于专家观点。实证研究仍然缺乏。本文报告了通过新开发的巴林特小组问卷（BGSQ）衡量的巴林特小组中的领导效果。该问卷包括三个量表：量表1——医患关系中移情动力学的反映，量表2——情感和认知学习，量表3——小组动力学中的案例反映。
107名合作的巴林特小组组长中，有87名组长有6名或更多参与者在巴林特小组会议后填写了问卷。根据1459名医学参与者的BGSQ量表得分，我们发现了三类不同效果的领导方式。52名组长（59.8%）属于量表1中效果最佳的类别，11名组长（12.6%）在量表2中特别有效，21名组长（24.1%）在量表3中有效。87名组长中有5名在所有三个量表上都被认为是最有效的。没有其他影响因素能够预测领导效果。
这是第一项区分领导方式对巴林特小组参与者学习过程影响的定量研究。文中讨论了对巴林特小组组长培训的重要性。还需要更多关于预测变量和有益领导干预措施的研究。
