Michael Balint
Encyclopedia
Michael Balint or Bálint Mihály (December 3, 1896, Budapest
- December 31, 1970, Bristol
) was a Hungarian psychoanalyst
and proponent of the Object Relations
school.
's "Drei Abhandlungen zur Sexualtheorie" (1905) and "Totem und Tabu". He also began attending the lectures of Sándor Ferenczi
, who in 1919 became the world's first university professor of psychoanalysis.
Bálint married Alice Székely-Kovács and about 1920 the couple moved to Berlin, where Bálint worked in the biochemical laboratory of Otto Heinrich Warburg
(1883–1970), the later (1931) Nobel Prize
recipient. His wife worked in a folklore museum. Bálint now worked on his doctorate in biochemistry, while also working half time at the Berlin Institute of psychoanalysis. Both he and his wife Alice in this period were educated in psychoanalysis.
In 1924 the Bálints returned to Budapest
, where he soon assumed a leading role in Hungarian psychoanalysis. During the 1930s the political conditions in Hungary made the teaching of psychotherapy practically impossible, and they emigrated to Manchester
, England. Here Alice died in 1938, leaving Bálint with their son John. In 1944 Bálint remarried, but the relationship soon ended, although they were not divorced until 1952. In 1945 his parents, about to be arrested by the Nazis in Hungary, committed suicide. That year Bálint moved from Manchester to London, continuing his group work with practicing physicians, and obtaining the Master of Science degree in psychology.
In 1949 Bálint met his future wife Enid Flora Eichholz, who worked in the Tavistock Institute of Human Relations with a group of social workers and psychologists on the idea of investigating marital problems. Michael Balint became the leader of this group and together they developed what is now known as the "Balint group": the first group of practising physicians was established in 1950. Michael and Enid married in 1958. In 1968 Balint became president of the British Psychoanalytical Society
.
The Michael-Balint-Institut für Psychoanalyse, Psychotherapie und analytische Kinder- und Jugendlichen- Psychotherapie in Hamburg is named for him.
wrote (almost approvingly) that 'Michael Balint has analysed in a thoroughly penetrating way the intricate interaction of theory and technique in the genesis of a new conception of analysis...[using] the catchphrase, borrowed from Rickman, of a "two-body psychology"'. On that basis, Balint thereafter explored the idea of what he called '"the basic fault": this was that there was often the experience in the early two-person relationship that something was wrong or missing, and this carried over into the Oedipal period (age 2-5)'.
By 1968, then, Balint had 'distinguished three levels of experience, each with its particular ways of relating, its own ways of thinking, and its own appropriate therapeutic procedures'.
'Psychoanalysis begins at level 3 - the level at which a person is capable of a three-sided experience...primarily the Oedipal problems between self, mother, and father'. By contrast, 'the area of the Basic Fault is characterised by a very peculiar exclusively two-person relationship'; while a 'third area is characterised by the fact that there are no external objects in it' - level number 1.
'Therapeutic failure is attributed by Balint to the analyst's inability to "click in" to the mute needs of the patient who has descended to the level of the basic fault'; and he maintained that 'the basic fault can only be overcome if the patient is allowed to regress to a state of oral dependence on the analyst...and experience a new beginning'.
In accordance with the thinking of other members of 'what is known as the British independent perspective
...such as W. R. D. Fairbairn and D. W. Winnicott', great stress was laid upon the creative role of the patient in focal therapy: 'To our minds, an "independent discovery" by the patient has the greatest dynamic power'.
It has been suggested that it was in fact this 'work of Michael Balint and his colleagues which led to time-limited therapies being rediscovered'.
'.
Budapest
Budapest is the capital of Hungary. As the largest city of Hungary, it is the country's principal political, cultural, commercial, industrial, and transportation centre. In 2011, Budapest had 1,733,685 inhabitants, down from its 1989 peak of 2,113,645 due to suburbanization. The Budapest Commuter...
- December 31, 1970, Bristol
Bristol
Bristol is a city, unitary authority area and ceremonial county in South West England, with an estimated population of 433,100 for the unitary authority in 2009, and a surrounding Larger Urban Zone with an estimated 1,070,000 residents in 2007...
) was a Hungarian psychoanalyst
Psychoanalysis
Psychoanalysis is a psychological theory developed in the late 19th and early 20th centuries by Austrian neurologist Sigmund Freud. Psychoanalysis has expanded, been criticized and developed in different directions, mostly by some of Freud's former students, such as Alfred Adler and Carl Gustav...
and proponent of the Object Relations
Object relations theory
Object relations theory is a psychodynamic theory within psychoanalytic psychology. The theory describes the process of developing a mind as one grows in relation to others in the environment....
school.
Life
Michael Balint was born Mihály Maurice Bergmann, the son of a practising physician in Budapest. It was against his father's will that he changed his name to Bálint Mihály. He also changed religion, from Judaism to Unitarian Christianity. During World War I Bálint served at the front, first in Russia, then in the Dolomites. He completed his medical studies in Budapest in 1918. On the recommendation of his future wife, Alice Székely-Kovács, Bálint read Sigmund FreudSigmund Freud
Sigmund Freud , born Sigismund Schlomo Freud , was an Austrian neurologist who founded the discipline of psychoanalysis...
's "Drei Abhandlungen zur Sexualtheorie" (1905) and "Totem und Tabu". He also began attending the lectures of Sándor Ferenczi
Sándor Ferenczi
Sándor Ferenczi was a Hungarian psychoanalyst, a key theorist of the psychoanalytic school and a close associate of Sigmund Freud.-Biography:...
, who in 1919 became the world's first university professor of psychoanalysis.
Bálint married Alice Székely-Kovács and about 1920 the couple moved to Berlin, where Bálint worked in the biochemical laboratory of Otto Heinrich Warburg
Otto Heinrich Warburg
Otto Heinrich Warburg , son of physicist Emil Warburg, was a German physiologist, medical doctor and Nobel laureate. He served as an officer in the elite Uhlan during the First World War and won the Iron Cross for bravery. Warburg was one of the twentieth century's leading biochemists...
(1883–1970), the later (1931) Nobel Prize
Nobel Prize
The Nobel Prizes are annual international awards bestowed by Scandinavian committees in recognition of cultural and scientific advances. The will of the Swedish chemist Alfred Nobel, the inventor of dynamite, established the prizes in 1895...
recipient. His wife worked in a folklore museum. Bálint now worked on his doctorate in biochemistry, while also working half time at the Berlin Institute of psychoanalysis. Both he and his wife Alice in this period were educated in psychoanalysis.
In 1924 the Bálints returned to Budapest
Budapest
Budapest is the capital of Hungary. As the largest city of Hungary, it is the country's principal political, cultural, commercial, industrial, and transportation centre. In 2011, Budapest had 1,733,685 inhabitants, down from its 1989 peak of 2,113,645 due to suburbanization. The Budapest Commuter...
, where he soon assumed a leading role in Hungarian psychoanalysis. During the 1930s the political conditions in Hungary made the teaching of psychotherapy practically impossible, and they emigrated to Manchester
Manchester
Manchester is a city and metropolitan borough in Greater Manchester, England. According to the Office for National Statistics, the 2010 mid-year population estimate for Manchester was 498,800. Manchester lies within one of the UK's largest metropolitan areas, the metropolitan county of Greater...
, England. Here Alice died in 1938, leaving Bálint with their son John. In 1944 Bálint remarried, but the relationship soon ended, although they were not divorced until 1952. In 1945 his parents, about to be arrested by the Nazis in Hungary, committed suicide. That year Bálint moved from Manchester to London, continuing his group work with practicing physicians, and obtaining the Master of Science degree in psychology.
In 1949 Bálint met his future wife Enid Flora Eichholz, who worked in the Tavistock Institute of Human Relations with a group of social workers and psychologists on the idea of investigating marital problems. Michael Balint became the leader of this group and together they developed what is now known as the "Balint group": the first group of practising physicians was established in 1950. Michael and Enid married in 1958. In 1968 Balint became president of the British Psychoanalytical Society
British Psychoanalytical Society
The British Psychoanalytical Society was founded by the British psychiatrist Ernest Jones as the London Psychoanalytical Society on October 30, 1913....
.
The Michael-Balint-Institut für Psychoanalyse, Psychotherapie und analytische Kinder- und Jugendlichen- Psychotherapie in Hamburg is named for him.
The three stages
Balint 'took an early interest in the mother-infant relationship...a key paper on "Primary Object-Love" dates from 1937'. Thereafter, developing an idea of John Rickman, he argued that 'mental function is quite different, and needs to be described differently, in three-person and two-person relationships, and different in creative activity alone'. LacanLacan
Lacan is surname of:* Jacques Lacan , French psychoanalyst and psychiatrist** The Seminars of Jacques Lacan** From Bakunin to Lacan: Anti-Authoritarianism and the Dislocation of Power, a book on political philosophy by Saul Newman** Lacan at the Scene* Judith Miller, née Lacan...
wrote (almost approvingly) that 'Michael Balint has analysed in a thoroughly penetrating way the intricate interaction of theory and technique in the genesis of a new conception of analysis...[using] the catchphrase, borrowed from Rickman, of a "two-body psychology"'. On that basis, Balint thereafter explored the idea of what he called '"the basic fault": this was that there was often the experience in the early two-person relationship that something was wrong or missing, and this carried over into the Oedipal period (age 2-5)'.
By 1968, then, Balint had 'distinguished three levels of experience, each with its particular ways of relating, its own ways of thinking, and its own appropriate therapeutic procedures'.
'Psychoanalysis begins at level 3 - the level at which a person is capable of a three-sided experience...primarily the Oedipal problems between self, mother, and father'. By contrast, 'the area of the Basic Fault is characterised by a very peculiar exclusively two-person relationship'; while a 'third area is characterised by the fact that there are no external objects in it' - level number 1.
'Therapeutic failure is attributed by Balint to the analyst's inability to "click in" to the mute needs of the patient who has descended to the level of the basic fault'; and he maintained that 'the basic fault can only be overcome if the patient is allowed to regress to a state of oral dependence on the analyst...and experience a new beginning'.
Focal psychotherapy
Along with his wife, Enid Balint, and Paul H. Ornstein, Balint developed a process of brief psychotherapy he termed "focal psychotherapy", in which 'one specific problem presented by the patient is chosen as the focus of interpretation'. The therapy was carefully targeted around that key area to avoid (in part) the risk that 'the focal therapy would have degenerated into long-term psychotherapy or psychoanalysis'. Here as a rule interpretation remained 'entirely on the whole-person adult level...it was the intention to reduce the intensity of the feelings in the therapeutic relationship'.In accordance with the thinking of other members of 'what is known as the British independent perspective
British Independent Group (psychoanalysis)
The Independent or Middle Group of British analysts represents one of the three distinct sub-schools of the British Psychoanalytic Society, and 'developed what is known as the British independent perspective, which argued that the primary motivation of the child is object-seeking rather than drive...
...such as W. R. D. Fairbairn and D. W. Winnicott', great stress was laid upon the creative role of the patient in focal therapy: 'To our minds, an "independent discovery" by the patient has the greatest dynamic power'.
It has been suggested that it was in fact this 'work of Michael Balint and his colleagues which led to time-limited therapies being rediscovered'.
Balint groups
'Michael Balint [as] part of the independent tradition in British psychoanalysis, [was] influential in setting up groups (now known as "Balint groups") for medical doctors to discuss psychodynamic factors in relation to patients'. Such seminars provided opportunities for GPs 'to discuss with each other and with him aspects of their work with patients for which they had previously felt ill equipped. Since his death the continuance of this work has been assured by the formation of the Balint SocietyBalint Society
The Balint Society, founded in 1969, is a supportive and collaborative medical organization of clinicians and teachers who emphasize the importance of the use of emotion and personal understanding in the doctor's work and the therapeutic potential of the doctor-patient relationship...
'.
Works
- Individual Differences of Behaviour in Early Infancy. Dissertation for Master of Science in Psychology. London, 1945.
- Primary Love and Psycho-Analytic Technique. 1956.
- The Doctor, His Patient and the Illness. London: Churchill Livingstone, 1957.
- German translation: Der Arzt, sein Patient und die Krankheit. Stuttgart, Klett, 1966.
- Thrills and Regressions. 1959.
- German translation: Angstlust und Regression. Stuttgart: Klett-Cotta, 1991.
- Basic Fault. 1967.
- The Clinical Diary of Sándor Ferenczi. Edited by Judith Dupont. Translated by Michael Balint and Nicola Zarday Jackson. First cloth edition, 1988.