Re: Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice
I find it remarkable, six decades after the Balints published "The Doctor, His Patient and the Illness", that the second interview (Box 2) should have gone as far as it did before the real reason for the consultation came to light.
The Balints taught us to ask words to the effect "Why have you come to see me TODAY?" This question promptly elicits the patient's underlying fear and concerns. It is THE key question I taught all my students.
I would have thought that the Balints' insights would have been integral to GP training for at least half-a-century.
No reference to the Balints in the article. Is their work unknown in the United States?
Somewhat surprising to find this article in a British medical journal in 2017. For Balint followers, it's 'old hat'.
Competing interests: No competing interests