<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0211-5735</journal-id>
<journal-title><![CDATA[Revista de la Asociación Española de Neuropsiquiatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Asoc. Esp. Neuropsiq.]]></abbrev-journal-title>
<issn>0211-5735</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Neuropsiquiatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0211-57352019000200002</article-id>
<article-id pub-id-type="doi">10.4321/s0211-57352019000200002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[¿Cómo mejorar la perspectiva integrativa de los médicos clínicos?: una revisión acerca de los grupos Balint y los grupos de reflexión (I)]]></article-title>
<article-title xml:lang="en"><![CDATA[How to improve the integrative approach in clinicians: a review of Balint and reflection groups (I)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tizón]]></surname>
<given-names><![CDATA[Jorge L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Asociación Psicoanalítica Internacional Sociedad Española de Psicoanálisis ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Institut Catalá de la Salut Equipo de Atención Precoz a los Pacientes en Riesgo de Psicosis ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universitat Ramon Llull  ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>39</volume>
<numero>136</numero>
<fpage>19</fpage>
<lpage>43</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0211-57352019000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0211-57352019000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0211-57352019000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Los grupos Balint, tardíamente reconocidos por las especialidades médicas en nuestro país, significaron una importante aportación para la formación y la formación continuada del personal sanitario y, a mi entender, del personal de todos los servicios asistenciales. Pero son solo una aportación para un modelo asistencial: el modelo basado en la asistencia pública, la solidaridad, el comunitarismo y la atención integral. En ese sentido, las ideologías, políticas y economías neoliberales en el ámbito asistencial proponen otro modelo de asistencia y de formación (¿o deformación?) de los médicos y del personal asistencial. Su progresivo avance es una de las explicaciones fundamentales del declive en el uso de procedimientos de formación integral, formación continuada y formación para la reparatividad. Precisamente, esos eran los objetivos básicos de los grupos Balint y de los grupos de reflexión, los que los llevaron a ocupar un lugar relevante durante los años ochenta y noventa del siglo XX en la formación de los especialistas de medicina de familia y comunitaria en numerosos países del &#8220;primer y segundo mundos&#8221; En este trabajo se realiza una breve descripción de la difusión y extensión de los grupos &#8220;tipo Balint&#8221; tanto a nivel nacional como internacional. Apoyándome en otros trabajos anteriores sobre el tema, se apuntan algunas de sus variantes y aplicaciones. Mi perspectiva actual es que los grupos de reflexión, como sistemas de formación y contención del personal comunitario, siguen siendo una técnica o sistema que podría ayudar de forma importante a lograr esos objetivos. Sin embargo, están siendo progresivamente arrinconados en los sistemas de formación occidentales con el silencio cómplice de numerosos administradores y docentes sanitarios, psicoanalistas incluidos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Balint groups, belatedly recognized by medical specialties in our country, meant an important contribution to the training and continuing education of health personnel, and, in my opinion, of personnel across all healthcare services. However, they are only a part of a welfare model: the model based on public assistance, solidarity, communitarianism, and comprehensive care. In this regard, neoliberal ideologies, policies and economies in care settings propose another model of assistance and &#8220;formation&#8221; (or deformation?) of doctors and health care personnel. Its progressive advance is one of the fundamental explanations for the decline in the use of comprehensive training procedures, ongoing training, and training for reparation. Precisely, these were the basic objectives of Balint and reflection groups, which led them to play a relevant part in the training of family and community medicine specialists in many first and second world countries during the eighties and nineties of the twentieth century. In this paper a brief description of the diffusion and extension of Balint-type groups is made, both nationally and internationally. Drawing on other previous works on the subject, some of their variants and applications are pointed out. My current perspective is that reflection groups, as systems of containment and training of care and community personnel, continue to be a technique or system that could provide important support for these objectives. However, they are being progressively cornered in Western training systems with the complicit silence of many health administrators and teachers, including psychoanalysts.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Grupos]]></kwd>
<kwd lng="es"><![CDATA[Formación en salud mental]]></kwd>
<kwd lng="es"><![CDATA[Grupos Balint]]></kwd>
<kwd lng="es"><![CDATA[Grupos de reflexión]]></kwd>
<kwd lng="es"><![CDATA[Psicosomática]]></kwd>
<kwd lng="es"><![CDATA[Psiquiatría de enlace]]></kwd>
<kwd lng="es"><![CDATA[Relación médico-paciente]]></kwd>
<kwd lng="en"><![CDATA[Groups]]></kwd>
<kwd lng="en"><![CDATA[Mental health training]]></kwd>
<kwd lng="en"><![CDATA[Balint groups]]></kwd>
<kwd lng="en"><![CDATA[Reflection groups]]></kwd>
<kwd lng="en"><![CDATA[Psychosomatics]]></kwd>
<kwd lng="en"><![CDATA[Liaison psychiatry]]></kwd>
<kwd lng="en"><![CDATA[Doctor-patient relationship]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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