[Prevention within the hospital--thank you for not smoking].
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Biomedical subjects
Publications and source records attributed to B Luban-Plozza.
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Michael Balint recognized early on the problems of future development of medicine. He was able to bridge the bow from psychoanalysis to practical medicine without the need for a new theory. He integrated arguments from basic sciences and patient-oriented schools. M. Balint created something termed a "revolutionary idea" by H. Strotzka, a historic step for the development of psychoanalysis and practical medicine alike. New was the idea to found groups of doctors to achieve informed consensus as a basis for cooperation - a didactic platform. The group deliberates in a case-oriented manner, exchanges experience and thus aids the participants to better understand the patient and his interaction with the physician, improving also conversational competence. Obstacles have been great 20 years ago when we began practising with students (junior group Milan 1969) alone because of the hierarchic structure to sensitize the students for group work and to integrate the "relational perspective" into the curriculum. For medical teaching we need the courage for new approaches. The Ascona-model (WHO) realizes the trend for relational behaviour of students, practitioners and university teachers.
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Psychosocial dynamics within the family are first touched upon. Relationships between brothers and sisters play a special part in this respect, as do other factors related to personality development. It is one of the special tasks of the general practitioner to be alert to the first signs of emotional disturbances, for he is in an ideal position to intervene before more serious symptoms of illness appear. The physician has to acquire a valid picture of the family unit, with its physical and psychological strengths and short-comings. Continued flight from pressure of vital issues can lead to family neurosis in the long run. Then, the sick person is not really the carrier of disease in the traditional sense of germ or genetic consation. He is only a 'symptom' of a much more widely encompassing disease unit that has grasped a social cell like the family. Are we physicians and scientists in a position, as a consequence of our training, to see this possibility, or are such modes of thinking to be left to special fields like medical sociology? The isolated, sick person can show signs derived from a disturbed family relationship, particularly through psychosomatic disorders. Our 'psychosomatic confrontation' therapeutical method is introduced.
Advantages and methods of treating smoking addiction during hospitalisation are described briefly.
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