Consultation Skills and the Work of Michael Balint

Abstract

Many sources claim that Michael Balint revolutionized general practice just as it was beginning to establish itself as a speciality in its own right. Basing most of his concepts on theories of psychoanalysis, Balint set himself the task of finding a ‘space’ for general practice as a separate clinical discipline. Balint believed that it was the GP's ability to provide holistic continual care which stretched from cradle to grave that really separated general practice from hospital medicine. Balint developed many ideas and concepts around the doctor—patient relationship, all of which are still relevant to general practice today. Balint's theories depend heavily on three aspects of general practice: the personal qualities of the GP, the GP's skills and the wider socio-economic and political context of general practice. It is hoped that having an understanding of Balint's ideas and theories can improve the consultation for all GPs both new and experienced.