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Prezentarea
ASOCIAIEI BALINT DIN ROMNIA
Data nfiinrii: 25 iulie 1993
Michael BALINT: Psihanalist englez de origine
maghiar
Grupul BALINT: Grup specific alctuit din cei care se
ocup de bolnavi i care se reunesc sub conducerea a unui
sau a doi lideri, avnd ca obiect de studiu relaia medicbolnav prin analiza transferului i contra-transferului
ntre subieci.
Activitatea Asociaiei:
grupuri Balint,
editarea Buletinului,
formarea i supervizarea liderilor,
colaborare la scar internaional.
BIROUL ASOCIAIEI:
Preedinte: Tnde BAKA tundeb13@freemail.hu
Vicepreedinte: Istvn VRADI istvanvaradi1inbox.com
Secretar:
Csilla HEGYI cs_hegyi@yahoo.com
Trezorier:
Albert VERESS alveress@clicknet.ro
Membri: Rita-Lenke FERENCZ, Holger Ortwin LUX,
Attila MUNZLINGER, Ovidiu Popa-Velea, va VERESS.
Cotizaia se achit pn la 31 martie a.c. Cvantumul
ei se hotrte anual de ctre Biroul Asociaiei. n cazul
cnd ambii soi dintr-o familie sunt membrii Asociaiei,
unul din ei poate cere scutirea de la plata abonamentului
la Buletinul Asociaiei, al crui cost se stabilete anual.
Cei care nu achit cotizaia pn la data de 31 martie
a anului n curs nu vor mai primi Buletinul din luna iunie,
iar cei care nu vor plti cotizaia nici pn la data de 31
martie a anului urmtor vor fi penalizai cu o majorare de
50%!!! Cei cu o restan de doi ani vor fi exclui disciplinar
din Asociaie.
Studenii i pensionarii sunt scutii de plata cotizaiei,
fiind necesar doar abonarea la Buletinul Asociaiei.
Cotizaia pentru anul 2009 este de 20 EURO (la
cursul oficial BNR din ziua n care se face plata), n care
se include i abonamentul la Buletin.
Taxa de nscriere n Asociaie este de 20 EURO (nu se
face reducere nici unei categorii socio-profesionale).
Abonamentul cost 6 EURO.
CTRE AUTORI
Se primesc articole cu tematic legat de activitatea
grupurilor Balint din Romnia i din strintate, de orice fel
de terapie de grup, de psihoterapie, de psihologie aplicat
i de alte abordri de ordin psihologic al relaiei medic
- pacient (medicin social, responsabilitate medical,
bioetic, psihosomatic, tanatologie).
Materialele scrise la solicitarea redaciei vor fi
remunerate.
Buletinul este creditat de ctre CMR ca prestator de
EMC, deci orice articol publicat se crediteaz cu 25 de
credite EMC. Abonamentul la Buletin se crediteaz cu 5
credite.
Redactorul ef i / sau lectorul au dreptul de a face
cuvenitele corecturi de form, iar n cazul neconcordanelor
de fond vor retrimite articolele autorilor cu sugestiile
pentru corectare.
Deoarece revista se difuzeaz i n alte ri, articolele
care nu se limiteaz doar la descrierea evenimentelor
balintiene, trebuie s aib un rezumat n limba romn i
englez, de maximum 10 rnduri dactilografiate. Lectorul
i impune responsabilitatea de a face la nevoie corectura
rezumatului
Pentru rigoarea tiinific apreciem menionarea
bibliografiei ct mai complet i mai corect, conform
normelor Vancouver, att pentru articolele din periodice
ANUNURI IMPORTANTE
Asociaia Balint are un site. Adresa: www.balint.xhost.ro
Autorii sunt rugai s se conformeze regulilor de redactare a articolelor.
REZUMAT
Alergia la medicamente este din ce n ce mai frecvent
i poate produce simptome severe ca oc anafilactic, edem
glotic sau urticarie sever sau astm bronic, avnd un
impact dramatic asupra psihicului pacienilor afectai.
Studii mai vechi (Iamandescu 1880 i 1984;
Iamandescu i colaboratorii, 1994 i 1998) au evideniat
faptul c pacienii cu reacii de tip alergic la medicamente
prezint deseori tulburri fizice, posibil n relaie cu
cantitatea mare de stres perceput de acetia.
Unii dintre aceti pacieni cu comorbiditate psihiatric
reacioneaz disproporionat prin tulburri psihosomatice
REFERATE
ABSTRACT
Allergy to drugs (medicines) is more and more
frequent and could produce often severe symptoms such
as anaphylactic shock, glottal edema or severe urticaria
or asthma, having a dramatic psychological impact on
affected patients.
Previous studies (Iamandescu, 1980 and 1984;
Iamandescu et al., 1994 and 1995) revealed the fact that patients
with allergic-type reactions to drugs display very frequently
psychical disturbances, possibly in relation to the large
amount of stress perceived by them. Some of these patients
with psychiatric co-morbidity show a disproportionate
reaction, manifested as extensive psychosomatic disturbances,
mimicking the psychic and somatic symptoms of a previous
anaphylactic or anaphylactoid reaction, when a new drug
or even when placebo preparations are given. The neurotic
symptoms, very frequently encountered in patients with
allergic-type reactions to drugs (including asthma patients)
appear to be secondarily-induced by the anxious experience
of the drug-provoked accident.
The vulnerability to psychic stress, together with many
life stressors events may represent a potential risk for
developing drug allergy. Their main problem is the risk of
repeating the allergic accidents, especially in patients with
various co-morbidity which need medication. Patients
anxiety and depression and physicians psychological
problems (due to the lethal risk and to malpractice,
concomitant with helplessness) are topics less analyzed in
Balint groups.
Keywords: drug allergy, neurotic symptoms, psychic
vulnerability
Organic reactions
REFERATE
reaction to situation:
1. reactive behavioral syndromes in adult (e.g. fear
of repetitive allergic accidents, inferiority complexes,
isolation);
2. behavioral syndromes in children (e.g. emotional
insecurity, need for protection, lack of self-confidence,
compensatory aggressiveness, isolation;
- at provoking tests, the emotional load may be
increased if the patient presents neurotic, hypochondriac or
hysteric symptoms (3);
- allergic outpatients have a high rate of anxious end
depressive troubles (11);
- female patients with drug allergy have a high score of
hysteria and depression (12);
- patients with drug allergy type reactions poses a
particular psychological background, with high stress
vulnerability. Their levels of vulnerability are higher than
the levels encountered with healthy patients, but lower than
the levels encountered at psychotic patients (13).
REFERATE
Heather Suckling and Lenka Speigt at the 16th International Balint Congress, Brasov, Romania
REFERATE
One could maintain, on the basis of the abovementioned results, that patients with allergic-type reactions
to drugs are, in a large majority, truly neurotic patients:
1) Real neurotic patients with prior drug-like induced
allergy symptoms
Patients presenting with exclusive and extensive
psychosomatic disturbances (mimicking the anaphylactic
subjective symptoms), which occur at every administration
of drugs (or of a placebo), following an initial true allergic
sub-populations:
- Neurotic patients but with a lower number of
symptoms than patients in the group B and without the
noisy psychosomatic disturbances when new drugs or
placebo preparations are given;
- Patients without/ or with low levels of neurotic
complaints.
What appears to be interesting is the difference from
the viewpoint of neurotic symptoms (however, only in a
low number of cases), between patients that are allergic
to drugs (for instance, to penicillin), and those with
pseudo-allergies to drugs (as a rule to aspirin and other
AINS). This difference consisted, in the patients that we
have investigated, in the low level or absence of neurotic
symptoms only in those with pure allergy to drugs.
However, these observations cannot be generalized because
we have examined before other patients, which were
highly neurotic and had antecedents of allergic reaction to
penicillin or to other drugs, different from AINS.
Table 2
To conclude (also see table 2):
REFERATE
REFERATE
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Rezumat:
Sindromul metabolic este un factor de risc
important pentru dezvoltarea diabetului zaharat, a
bolii cardiovasculare i pentru mortalitatea prematur.
Domeniul actual de cercetare prezint un interes n cretere
n studierea comorbiditii tulburrilor mentale i somatice
iar n ceea ce privete sindromul metabolic un interes
particular l prezint asocierea acestuia cu tulburrile
psihice. Pn recent, toat atenia cercettorilor a fost
dedicat aproape exclusiv studierii sindromului metabolic
la pacienii cu schizofrenie i legturii dintre acesta i
tratamentul antipsihotic. Mai recent, s-a ridicat problema
unor preocupri similare pentru pacienii cu tulburare
bipolar, depresie i sindromul distresului posttraumatic.
Toate aceste tulburri psihice sunt frecvent asociate cu
sindrom metabolic. Depresia major, sindromul tulburrilor de stres posttraumatic i schizofrenia sunt asociate cu
factorii de risc tradiionali cardiovasculari: hipertensiunea
arterial, obezitatea, dislipidemia aterogena, prevalena
crescut a diabetului zaharat, activitatea fizic sczut.
La muli pacieni psihiatrici, aceti factori de risc sunt
subestimai, tratai insuficient sau modest controlai.
Studiile care vor urma, care au ca obiect gradul asocierii
ntre componentele sindromului metabolic i diferitele
tulburri psihice, vor fi utile n implementarea metodelor
preventive i intervenionale la pacienii psihiatrici cu risc
pentru boli cardiovasculare i diabet zaharat tip 2.
Abstract:
Metabolic syndrome is an important risk factor for
the development of diabetes mellitus, cardiovascular
disease and premature mortality. Recent research presents
a growing interest in studying comorbid mental and
somatic disorders and regarding the metabolic syndrome
a particular interest presents the association between
this syndrome and mental disorders. Until recently full
attention has been devoted almost exclusively to the
metabolic syndrome in patients with schizophrenia and
its relationship to antipsychotic treatment. More recently,
similar concerns have arisen for patients with bipolar
disorders, depression and posttraumatic stress disorder.
All these mental disorders are frequently associated with
metabolic syndrome. Major depression, posttraumatic
stress disorder and schizophrenia are associated with the
traditional cardiovascular risk factors: elevated blood
pressure, obesity, atherogenic dyslipidemia, increased
prevalence of diabetes, low physical activity. In many
psychiatric patients, these risk factors are underestimated,
undertreated or poorly controlled. Further investigation
about the degree of association between the components
10
11
REFERATE
REFERATE
12
13
REFERATE
REFERATE
Bibliografie
1. Toalson P, Ahmed S, Hardy T, Kabinoff G. The metabolic
syndrome in patients with severe mental illnesses. Prim Care
Companion J Clin Psychiatry. 2004; 6(4): 152-158
2. Rosmond R, Bjorntorp P. The hypothalamic pituitary
adrenal axis activity as a predictor of cardiovascular disease,
type 2 diabetes and stroke . J Intern Med. 2000; 247: 188-197
3. Thakore JH, Mann JN and Vlahos I. et al. Increased
visceral fat distribution in drug-naive and drug-free patients with
schizophrenia. Int J Obes Relat Metab Disord. 2002. 26:137- 141
4. Jakovljevic M, Muck-Seler D, and Pivac N. et al. Platelet
5-HT and plasma cortisol concentrations after dexamethasone
Popa Valea
16
Summary
This article discusses the influence of psychoanalytic
ideas on the structure and function of Balint groups
and on the role of the leader in assisting the work of
the group. The article proposes that there are three
key areas of relationship that need to be the focus of
observation in a working Balint group, and further, that
the inter-relationship between these different areas is of
crucial importance: 1) the doctor-patient relationship as
expressed to the group by the presenting doctor discussing
his difficulties with a patient who is troubling him; 2) the
relationship that develops between the presenting doctor
and the other doctors in the group as a case is discussed,
and 3) the relationship between the leader and the work of
the group. Another important relationship for the leader
to consider is that between him and the presenting doctor,
although thoughts about this relationship would often not
be made explicit in a Balint group. Alongside the attention
given to the feelings expressed in these interweaving
relationships, the working method of a Balint group places
an emphasis on free association rather than prepared case
presentation, and on the value of discovering ideas about
things that are unknown or uncertain.
Introduction
A Balint group, when successful, can bring together
the conflicting feelings and semi-chaos of daily life in a
busy general practice, with a rather special atmosphere of
attention, openness to feelings, and attitudes of mind which
are derived from psychoanalysis. Provided care is taken in
17
REFERATE
Rezumat
Articolul discuta influenele ideilor psihanalizei asupra
structurii si funciei grupurilor Balint i asupra rolului
conductorului de grup n moderarea activitii de grup.
In articol se propun trei domenii cheie ale relaiei asupra
crora trebuie s se concentreze munca de grup Balint,
domenii ntre care se stabilesc interrelaii de importan
crucial: 1) relaie medic-pacient adus de medicul care
prezint cazul, scond n eviden dificultile produse de
un pacient problematic; 2) relaia care se stabilete ntre
medicul care aduce cazul i ceilali medici din grup; 3)
relaia dintre conductorul de grup i ntreaga activitate a
grupului. O alt relaie demn de menionat este cea dintre
conductorul de grup i medicul care aduce cazul, dei
aceasta nu apare explicit de obicei. mpreun cu atenia
acordat sentimentelor exprimate n timpul acestor relaii
ce se ntrees, metoda balintian apreciaz mai degrab
asocierea liber de idei dect prepararea unei prezentri
de caz i emiterea de idei asupra unor lucruri necunoscute
sau incerte.
REFERATE
18
Further Reading
REFERATE
Conclusion
Balint groups can help doctors tolerate and think about
much that is otherwise uncertain and unknown in their
daily work. In the current climate which places a strong
emphasis on evidence-based medicine and the scientific
method, it may seem unfashionable to remind readers
how much is unknown (and not amenable to conventional
scientific enquiry) about the meaning and significance of
a doctors daily contact with her patients. Perhaps another
valuable legacy from psychoanalysis to the Balint method
is a belief in the value of studying things that are not so easy
to know about, things that lie within ourselves, attitudes
and feelings that may influence the course of professional
work more than is recognized. Doctors are surrounded
these days by ideas of correct medical practice, about how
things should be done when patients are treated. In a Balint
group we may learn to explore how things really are in our
day-to-day doctor-patient relationships in order to be able
19
REFERATE
Introduction
The doctor-patient communication and interpersonal
relationships have become topics of increasing importance
in patient care. Although patients value good medical
judgment, it is important for them that their physician has
strong interpersonal skills, is easy to talk to and take their
concern seriously. Moreover, a recent longitudinal study
(Newton, Barber, Clardy, Cleveland, & OSullian, 2008)
shown that undergraduate medical education may be a major
determinant differentially affecting the vicarious empathy
of medical students on the basis of gender and/or specialty
choice. The authors consider the significant decrease in
vicarious empathy to be of concern, because empathy is
crucial for a successful physician-patient relationship.
Hojat, Mangione, Nasca, Gonnella, and Magee (2005),
who developed a self-report empathy scale, the Jefferson
Scale of Physician Empathy, emphasized the importance
of health care professionals empathy in improving several
patient outcomes. However, Otani, Kurtz, Harris, and Byrne
(2005) found that patient satisfaction was less likely to be
influenced by the bedside manners of the physicians, showing
that the most important aspects in the physician care were the
explanation of the physician of what was done to the patient
and the length of time that the physician spent with the
patient. Interestingly, in the same study, the most important
aspect of the nurses that affected patients satisfaction was
the personal manner of the nurse. Nurses are perceived and
may be expected to be more nurturing than physicians, since
caring has been described by nurse professionals as the
essence of nursing (Cooper, 2005a; 2005b).
However, how can a doctor develop good interpersonal
relationships with his or her patients, if there is not
enough time to be with each patient? Indeed, one of the
problems in the United States and Canada is the limited
time that physicians devote to their patients consultation
(Anonymous, 2006; Payne, 2003). Patients are more and
more interested in talking with their physicians (Pritchard,
2003), and one of the variables affecting patient satisfaction
is the time that the physician spends with the patient (Otani
et al, 2005).
An emphasis on inter personal relationships astuteness
seen as healing skills was made in a recent interview study
conducted by bioethicists on physicians and complementary
and alternative medicine healers (Churchill and Schenck,
2008). They described eight pivotal skills: do the little
things; take time; be open and listen; find something to
like, to love; remove barriers; let the patient explain; share
authority; and be committed.
Thus, the overall purpose of our study was to investigate
the perceptions and attitudes of university students who
will become health care professionals, toward the health
caretaker-patient relationship. More specifically, Nursing
and Osteopathic Medicine students were surveyed to
address the following research questions:
1. What is the importance attributed by Nursing and
Osteopathic Medicine students to knowing about a patients
feelings, personal, familial, and work related life?
2. What are the participants attitudes toward caring
characteristics in health care professionals?
3. How interested will be the respondents to participate,
once employed in their profession, in organized group
discussions with their colleagues?
4. What are the participants perception about the
adequate consultation length of time between a primary
physician and a patient?
Methods
Sample
Participants in this study were 61 (51.3%) Nursing
and 58 (48.7%) Doctor of Osteopathic (DO) Medicine
* Assistant Professor, College of Medical Sciences, Nova Southeastern University, Fort Lauderdale, Florida, USA
** Professor of Education, Barry University, Miami Shores, Florida, USA
20
Instrument
The empathy scale developed by Hojat, Mangione,
Nasca, Gonnella, and Magee (2005) and the literature about
patient-doctor relationship (Cooper, 2005; Otani, Kurtz,
Harris, & Byrne, 2005; Pritchard, 2003) served as sources
for item generation. The Health Care-Patient Relationship
Questionnaire, developed by the researchers, includes
eight background questions that assess the participants
gender, ethnic group, age, place of birth, degree, number of
courses taken, previous work, and preferred residence. The
attitude and opinion items are presented and grouped in the
following three domains: 1) Knowing about a patients
personal life, including 11 items (e.g., Knowing about the
effect of the illness on family relationships, Problems in the
family), 2) Empathic approach or feelings that could affect
the patients medical outcomes, which includes 9 items
(e.g., Being compassionate with the patients suffering,
Feeling connected to the patient), and 3) Interest in Group
Professional Development, which includes 5 items (e.g.,
Group discussions about new developments/research in
Medicine). All the items in the above domains consist of
Likert Scales ranging from 1 to 4, where 1 is the negative
end of the scale and 4 represents the most positive point
in the scale (with the exception of four negatively worded
items in the Empathetic approach domain). In addition, one
question assesses participants opinions about the ideal
length of a consultation.
First, the questionnaire was submitted for content
validity to four professors (in Nursing, DO, and Physician
Assistant programs), to receive feedback about the
appropriateness of the questions. After modifying two
items based on their comments, the questionnaire was pilot
tested (for clarity of the questions, fluidity, time to complete
the questionnaire) with five university students who did not
participate in this study.
As a measure of internal consistency, a Cronbachs
alpha was calculated for the entire sample op this study
with all the survey items (excluding the background
questions), indicating an overall good reliability coefficient
21
REFERATE
REFERATE
.93 and M = 2.07, SD= 1.02, for DOs and Nursing students,
respectively), t (115) = -3.645, p< .001, with a medium effect
size (ES= -.69).
To assess whether Nursing and DO students differed
in their Empathic Approach or in their opinions whether
certain attitudes or feelings in the health care provider
could affect the patients medical outcome, an independent
samples t-test was conducted. Results indicated that
Nursing students had a significantly lower Empathy score
than DO students (M= 24.40, SD= 3.19 and M = 26.09, SD=
2.30, respectively), t (102.01) = -3.205, p< .01. The effect size
was large (ES=-3.39). However, Nursing students included
significantly more females, more minorities, and more
students who were older than the DO students. Each one
of these demographic variables could explain the result that
Nursing students had lower levels of Empathy than DO
students. To address this issue additional analyses were
conducted based on the demographic variables. Three tests
of significance were conducted to explore whether students
differed in their Empathy based on gender, ethnic group,
and group age. No significant differences were found
between younger and older students (F(2, 106) =1.126, ns) or
between ethnic groups (F (4, 101) = 2.14, ns). However, males
were more empathetic than females (M= 26.02, SD= 2.44
and M = 24.74, SD= 3.08, respectively), t (105.94) = 2.430, p<
.05, with a small effect size (ES= 0.41). Based on these
findings, an Analysis of Covariance (ANCOVA) was
conducted on Empathic Approach by group (Nurses vs.
Dos), controlling for gender differences. Results indicated
that after controlling for gender differences, Nursing
students still had significantly more negative Empathy
scores than DO students (F(1, 107) = 5.042, p <.05).
With respect to the interest of the respondents in
participating in organized professional groups after they
are employed, Nursing students showed, overall, a stronger
interest than DO students in participating in professional
group activities (M= 16.80, SD= 2.57 and M = 15.31, SD=
2.89, respectively), t (116) = 2.957, p< .01, with a medium
effect size (ES =.51). The individual topics in which Nursing
students showed a higher interest than DO students, were
New developments/research in Medicine (M= 3.57, SD=
.59 and M = 3.31, SD= .79, respectively), t (104.716) = 2.04, p<
.05, with a small effect size (ES =.32), Quality of caretaker/
patient relationships (M= 3.52, SD= .67 and M = 3.00, SD=
.87, respectively), t (116) = 3.587, p< .001, with a medium
effect size (ES =.59), and Emotional involvement of the
health caretaker (M= 3.26, SD= .75 and M = 2.74, SD= .96,
respectively), t (107.59) = 3.275, p< .01, with a medium effect
size (ES =.54). Males and females did not differ in their
interest in participating in professional group activities (t
= -.978, ns).
(115)
The last item in the questionnaire assessed how long
should be the average face-to face meeting or consultation
time between a primary physician and a patient. No
significant differences were found between the two groups
of students, 2 (3) = .92, ns. Overall, about half of the students
(n=60, 50%) selected the average length of consultation of
15-20 minutes, and a substantial amount of students (n=44,
22
REFERATE
References
Anonymous (2006). The doctor will see you for exactly
seven minutes. Pediatrics, 117(6), 1914.
Churchill, L. R., Schenck D. (2008). Healing Skills for
Medical Practice; Ann Intern Med.,149:720-724.
Cooper, P.G. (2005a). The essence of nursing: Caring and
coaching. Nursing Forum, 40(2), 43.
Cooper, P. G. (2005b). A call for return to patient-centered
care. Nursing Forum, 40(3), 73- 75.
Hojat, M., Gonnella, J.S., Nasca, T.J., Mangione, S., Vergare,
M., & Magee, M. (2002). Physician Empathy: Definition,
components, measurement, and relationship to gender and
specialty. American Journal of Psychiatry, 159(9), 1563-1569.
23
CUVNTUL DE DESCHIDERE
al dr. Henry Jablonski,
preedintele Federaiei Internaionale Balint:
3
6
2
1
4
9
2
14
4
2
8
2
11
2
12
55
Pe grupe de specialitate:
MEDICI DE FAMILIE
PSIHIATRI
PSIHOTERAPEUI, PSIHOLOGI
STUDENI
ALTELE
60
42
28
12
22
24
25
Minden fa tetejn
Cdrus fa leveln
There is no rose
That blossoms in a (too) small garden
There is no rose like the one
When you love one another
26
patients meet with a doctor a blossom of the cedar tree that manages to care for the patient medically and humanly,
and thus helps the patient to make life a little bit more
endurable, yes, miracles of improvement do also happen.
Does not the last phrase of the song
There is no rose
That blossoms in a (too) small garden
There is no rose like the one
When you love one another
say something about the conditions for the medical
profession too?. If we are to minimise the risk for mechanical
treatment and working too far from the state of our art,
then we as doctors must try as much as possible to free
ourselves from those aspects of the system that threaten
to undermine the doctor-patient relationship and medical
ethical standards. Such skews exist to a varying degree in
all health care systems.
I phrased some of them as questions in my address on
the congress homepage.
In short: Do diminishing social barriers tempt the
doctor to become the friend, lawyer or even accomplice
of his patients? Does the social welfare system or an
authoritarian system transform him into a representative of
the social authorities? Do the drugs available today and the
way they are marketed, combined with the work load and
lack of clinical presence of the doctor tempt him to prescribe
a more or less standardised, too often inadequate (and
costly) medication to his patients? Does the privatisation of
the previously publicly organised health care turn him into
a businessman rather than a doctor? Will evidence based
treatment programmes for various diseases make us lose
the assessment of the patient as a whole person? How is the
relationship affected when doctors and patients come from
vastly different cultural backgrounds?
All these issues can also be addressed in a personal
way by doctors relating to each other in a Balint group.
It will not solve all the problems but it will be helpful in
increasing the awareness and sensitivity of the doctor. In
this way tea-spoon by tea-spoon our clinical work can be
improved. Tea-spoon by tea-spoon such issues can also
be brought into the administrative and political process
of health care. One first administrative step is to make the
time for regular Balint group work available.
I am looking forward to exchanging thoughts, listening
to papers, and to participating in vivid discussions about
the doctor-patient relationship, about the development
of the Balint method as an important supportive tool for
all clincially engaged professionals, and about values in
contemporary medicine.
And again, many thanks to our Romanian hosts!
Dragi colegi i gazde din Romnia,
n numele Federatiei Internaionale Balint doresc s v
spun ct de bucuroi suntem c ne aflm aici. Adresez calde
mulumiri membrilor Comitetului Romn de Organizare
CUVNTUL DE DESCHIDERE
a dr. Baka Tnde, preedintele ABR:
Welcome everybody,
It is much easier to make a speech at the beginning of
an event like our Congress, than at the end of it.
Why is that so?
I think this is because now, at the beginning, on such
a wonderful morning, we are speaking about our plans,
our expectations and dreams with great enthusiasm and
optimism.
In fact, we are going to speak about the perfect
conference which gives us the feeling of having control.
However at the end of this Congress when your feedbacks,
opinions, impressions, memories will follow- which
will certainly be very different-we could also feel some
uncertainty, or even anxiety.
In fact, we will lose control!
This is the risk of any organisation!
In the beginning there was the idea
The idea to organize an International Congress of the
Balint Federation, here in Romania.
This idea was born in the mind of our ex- president,
Berci Veress, at Oxford, eleven years ago.
This idea, like a prematurely newborn child, was
unexpected, spontaneous, maybe it seemed a little
aggressive at that time, although full of life and vitality.
Berci and his wife Eva are very good parents and so the
idea became a fact.
After several years we are here in full opening of the
congress and say thanks for the board of the Federation to
offering us the opportunity of organizing this event here in
the center of Romania.
In my fantasy, Balint-work means for us a parallel
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Planuri de viitor:
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n pauza de cafea