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Abstract

The UK Primary Health Care Reforms dating from 1990 have resulted in traumatic stress for General Practitioners (GPs) within the UK National Health Service (NHS). Previously, their first task had always been to provide care. Now the objectives are purely economic, focusing on cost-effectiveness and meeting Government targets. This article compares the Balint Model, set out by Michael and Edna Balint in the 1950s, to what is required in the current situation, and shows how group analysis can help GPs come to terms with their new professional identity and how they see their future.

Keywords

Balint Model matrix model of medicine supervision Primary Health Care GPs (General Practitioners)

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References

Balint, E. , Courtenay, M. , Elder, A. , Hull, S. and Julian, P. (1993) The Doctor, the Patient and the Group. Balint Revisited. London and New York: Routledge .

Balint, M. (1957) The Doctor, His Patient and the Illness. New York: International Universities Press.B

Cohen, A.P. (1995) The Symbolic Construction of Community. London: Routledge .

Reprinted, London: Karnac Books , 1984.

Giddens, A. (1997) Modernity and Self-Identity. Cambridge: Polity Press .

Hildebrand, P. (1995) Beyond Mid-Life Crisis. A Psychodynamic Approach to Ageing. London: Sheldon Press .

Hopper, E. (1997) ‘Traumatic experience in the Unconscious Life of Groups: A Fourth Basic Assumption’ , Group Analysis 30(4): 439-470 .

Obholzer, A. and Roberts, V.Z. (1994) The Unconscious at Work. Individual and Organisational Stress in the Human Services. London: Routledge .

Schmidbauer, W. (1993) Hilflose Helfer. Über die seelische Problematik der helfenden Berufe. Hamburg: Rowohlt.

10.

Turquet, P. (1975) ‘The Large Group, Dynamics and Therapy’, in L. Kreeger (ed.) The Large Group. Dynamics and Therapy, pp. 87-144. London: Constable .

11.

Wilke, G. (2001) How to be a Good Enough GP. Oxford: Radcliff Medical Press .

12.

Winnicott, D.W. (1965) The Maturational Processes and the Facilitating Environment: Studies in the Theory of Emotional Development. London: Hogarth Press .

13.

Winnicott, D.W. (1975) ‘Hate in the Countertransference’, in D.W. Winnicott (1975) Through Paediatrics to Psychoanalysis, pp. 194-203. London: Hogarth Press .

Beyond Balint: A Group-analytic Support Model for Traumatized Doctors

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