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> 'The Balint doctor is seen as taking a firm grip of a patient with tedious physical symptoms and applying a specialised technique of psychiatric enquiry to elicit a psychological, preferably sexual, diagnosis. The correct interpretation is then expected to produce an instant cure.'This amusing caricature, in Elder and Samuel's While I'm here Doctor ,1 has come to typify the response of many to Balint's work. Although the readers of this Journal may have a more informed response, there is undoubtedly a risk that Balint's work will be maligned, marginalised, or even worse, forgotten, by new generations of doctors.In this article, and the succeeding one in the November issue, I will discuss Balint's ideas in both their historical context and their relevance today.It is the fate of the modern GP to consider him or herself over-worked, inadequately rewarded and under appreciated. However, the 1950 account of a visiting Australian, Joseph Collings, makes contemporary general practice seem a cakewalk.He described his reception at a large practice in a densely populated area:> I was made welcome “to see the procession", given a seat and invited to “stay as long as I liked". I was told, not without pride, that “we have seen 500 already today"; and I have no reason to doubt it. During my stay of an hour and a quarter about 120 more patients came in. They were “seen” by three different doctors, who replaced one another with almost bewildering rapidity. No pretence was made at real examination of any of these patients. An …

I came in with a cough and went out with an oedipal complex and castration anxiety (or what Balint work is not!)