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Cover_Layout 1 13/07/2020 16:38 Page 1 Journal of the Balint Society Vol. 47 2019 The Balint Society motif kindly designed by Mr Victor Pasmore, C.B.E. Printed by J&B Print, 32A Albert Street, Newton Stewart, DG8 6EJ. Tel: 01671 404123. Copyright reserved. BALINT SOCIETY, LONDON. © Complete Book_Layout 1 13/07/2020 16:37 Page 1 JOURNAL OF THE BALINT SOCIETY Vol. 47, 2019 Contents Page Journal Introduction ........................................................................................................ 2 The Balint Society ........................................................................................................... 2 Calendar of Events 2019-20............................................................................................ 3 The Web Site ................................................................................................................... 4 Editorial........................................................................................................................... 5 Personal papers: Balint Groups: Intention and Impact – Dr Jeffrey Sternlieb ............................... 6 Response to Jeff’s Paper – Dr John Salinsky ........................................................ 11 Balint Retreat Proceedings-Pakistan – Dr M. Shameel Khan .............................. 15 From Membership to Leadership – Scarlett Tankard .......................................... 21 The Balint Essay Prize Winner 2019..................................................................... 24 The Balint Essay Prize Runner-up 2019............................................................... 29 Balint Memorial lecture 2019 – Dr Peter Toon..................................................... 31 Liztening and Reflecting – Oxford Keynote Address 2018 – Dr John Salinsky.. 40 Iranian Balint Groups – Dr Ray Brown................................................................ 44 Balint Group in Iran – Dr Fatemeh Moonesi ....................................................... 47 A Personal Reflection-Dr Jonathon Olds ............................................................. 49 Shared Celebrations – Dr Ceri Dornan, Professor Orsolya Papp-Zipernovszky and Esti Rimmer............................ 54 Papers: Before Enid was Enid: The Birth of Couple Psychoanalysis - Professor Brett Kahr........................ 57 Opening Others’ Eyes to Balint Work – Dr Ceri Dornan and Dr Louise Ivinson 66 Collusion of Anonymity: The Manager, his Players and the Team – Mark Budow, Andrew Elder and Donald E Nease ................................... 74 Obituary: Professor Marshall Marinker – Dr Paul Sackin.................................................... 79 Reports: President’s Report – Dr Caroline Palmer ............................................................. 81 Report for the Journal on the May events 2019 – Dr Caroline Palmer ............... 84 Regional Reports................................................................................................... 88 Book Review: The Inner World of Medical Students: Listening to their voices in Poetry Dr Peter Shoenberg......................................................................................104 A Fortunate Man – Dr Liz Lee ..............................................................................106 Announcements: The Balint Society Council 2018-19 ......................................................................108 Guidance for Contributors ....................................................................................108 Editor: Tom McAnea Cover image: ‘Physicians disputing while the patient suffers’ Johann Geyer 1807-1885 – Courtesy of The Wellcome Collection Complete Book_Layout 1 13/07/2020 16:37 Page 2 The Balint Society The Balint Society was founded in 1969 to continue the work begun by Michael and Enid Balint in the 1950s. The aim of the Society is to help general practitioners towards a better understanding of the emotional content of the doctor-patient relationship. The Balint method consists of regular case discussion in small groups under the guidance of a qualified group leader. The work of the group involves both training and research. The Society welcomes membership from any health or social care professional who works with patients and clients. We also welcome others who wish to explore professional relationships with their public using the Balint method. Students are especially welcome. Balint weekends are held each year in Northumberland or Yorkshire, Whalley Abbey, Lancashire, Oxford and now Ireland, alternating between Belfast and Sligo. Balint study days are also supported around the United Kingdom. The Society is always ready to help with the formation of new Balint groups. The Group Leaders’ Workshop provides a forum for all Balint-group leaders including GP Course Organisers to discuss their work. Leader training groups are also available as part of weekends. The Society is a member of the International Balint Federation which co-ordinates Balint activities in many countries and organises an International Balint Congress every two years. The Journal appears annually and is circulated to all members. There is an annual Essay competition with a prize of £500. 2 Journal of Balint Society Complete Book_Layout 1 13/07/2020 16:37 Page 3 Calendar of events 2019-20 11th-15th September 2019: International Balint Federation Congress in Porto, Portugal, hosted by the Portuguese Balint Society. 20th-22nd September 2019: Oxford Balint Weekend, Corpus Christi College, Oxford. 1st November 2019: Balint Society Leadership Day in Scotland, Edinburgh (for Scotland only). 6th December 2019: Bristol Balint Study Day 14th February 2020: Balint Study Day and Annual Dinner in Birmingham. 27th-29th March 2020: Whalley Balint weekend (Lancashire) 5th June 2020: London leadership training day 25th-26th June 2020: 2 day event in Newcastle. To include Balint groups, Leadership training groups and a Balint Psychodrama group. 2nd-4th October 2020: Oxford weekend at Corpus Christi Balint Group Leaders & Allied Professional Workshop: The Tavistock Clinic, 120 Belsize Lane, Hampstead NW3. 8-10pm Tuesday, November 5th 2019 Tuesday February 4th 2020 Thursday 14th May 2020 Vol. 47, 2019 3 Complete Book_Layout 1 13/07/2020 16:37 Page 4 International meetings Our Society is a member of the International Balint Federation (IBF) and our members are welcome to apply to attend international meetings. It is something well worth considering, to experience the similarities and differences within the Balint family. Events can be found on the IBF website: www.balintinternational.com The Balint Society Website: www.balint.co.uk We would encourage you to use our website as the first port of call for information about the Society and our events. We are continually adding information and resources. Suggestions for pages, content and comments on usability are welcome. The website is being modified to allow application for events and membership to be done online. For those familiar with WordPress, we now have a large Plug-in called CiviCRM, which will, we hope, keep all our data together and allow us to be more efficient in keeping information up to date and using it more effectively for your benefit. We have expert help, but are also interested in input from members with enthusiasm for websites and WordPress, so do let us know if you would like to be involved ([email protected]). The Balint Society Essay Prize The Council of the Balint Society awards a prize of £500 each year for the best essay on the Balint Group and the clinician-patient relationship. Entry is open to all except for members of the Balint Society Council. The judges are members of the Balint Society Council and their decision is final. Entries will be considered for publication in the Journal of the Balint Society. The prizewinner will be announced at the Annual General Meeting. Essays should be based on the writer’s personal experience and should not have been published previously. Length of essay is not critical. Where clinical histories are included the identity of the patients should be suitably concealed. All references should conform to the usual practice in medical journals. Options for submission: • By post: 3 copies are required signed with a nom de plume and accompanied by a sealed envelope containing the writer’s identity and contact details. Please type on one side of A4 paper using size 12 font and double spacing. • By email: entries will be printed and anonymised before going to the judges. Please type using size 12 font and double spacing. Entries must be received by 1st May 2020 and sent to: Ceri Dornan, e-mail - [email protected] Guidance for contributors Please see http://balint.co.uk/journal-of-the-balint-society/ for details of our confidentiality statement. 4 Journal of Balint Society Complete Book_Layout 1 13/07/2020 16:37 Page 5 Editorial 2019 Doctors and patients do not always have the same agenda, even in the modern medicine of shared decision-making and exploring ideas, concerns and expectations. This year’s cover shows the 19th century German artist Johann Geyer’s satire on doctors in the previous century and their obsession with professional reputation and intellectual vanity, usually at their patient’s expense. It depicts the physicians debating the merits of one tonic over another, whilst the poor patient literally fades away. Medicine has moved on, has it not? Well, I wonder if some of my patients sometimes get what they want, but not what they need. They may leave