![]() suggest that physicians should “calibrate their instruments,” i.e. In order to use themselves more effectively in their work, Novack et al. Consequently, apart from a vast amount of medical knowledge and technical expertise, they also use themselves as instruments in diagnosis and therapy. Nevertheless, it is said that GPs “have to make decisions about what to say, what to treat, what to ignore, what to observe, what to reflect about and what to turn their backs on” (1979: 470). While guidelines increasingly assist general practitioners (GPs) in making decisions with regard to medical diagnosis and treatment, less attention is given to their subjective experience and interpretation of clinical situations. We conclude that Balint group work is potentially beneficial to the participating GPs as well as to the relationship with their patients. This study throws light on the type of change Balint group participation allows for and on the way this might be achieved. This was referred to as a more symbolic way 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. 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. Two cases were selected from a larger data set of 68 audio-taped case discussions in four Balint groups. To that end, this study scrutinized two Balint group case discussions on a micro-level. 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. 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. GPs’ subjectivity is an intrinsic instrument in their daily work. ![]()
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