Abstract
This paper describes a supervision group for senior house officers which focused on the psychodynamics of their working relationships with patients. The SHOs worked in a variety of hospital specialties as well as general practice. The description includes details of how such a group was set up and some of the practical difficulties in maintaining the SHOs' attendance. Brief details are given of the types of cases the SHOs were most eager to discuss, and the nature of the leading anxieties connected with the cases. The SHOs found this type of supervision supportive and enlightening as they developed and improved their clinical skills.
Highlights
This paper describes a supervision group for senior house officers which focused on the psychodynamics of their working relationships with patients
Junior doctors are expected to cope with the emotional turmoil that is engendered by their work, to face new clinical situations which can be deeply disturbing and yet to somehow main tain their own sense of psychic equilibrium
This paper briefly describes a psychodynamic supervision group that was set up for senior house officers from a variety of clinical speci alties, at University College Hospital, London aimed at addressing some of these issues
Summary
This paper describes a supervision group for senior house officers which focused on the psychodynamics of their working relationships with patients. This paper briefly describes a psychodynamic supervision group that was set up for senior house officers from a variety of clinical speci alties, at University College Hospital, London aimed at addressing some of these issues. Such supervision provided a forum for the junior doctors to learn about the nature of anxieties associated with illness and death, defences used in the face of these anxieties and the psychological work involved in mourning. Balint pioneered models for general practitioners to learn more about psychological factors involved in their work (Balint, 1957), we have not read a description of a group which encompasses the work of junior doctors in different hospital specialties
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