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The Pioneers of Empathy in Health Care


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Enid and Michael Balint

Role: Psychoanalyst and social worker, Enid was the wife and intellectual partner of Michael Balint, who was one of first (if not the first) healthcare professional to use the term “patient-centered” in his seminal 1969 book The Doctor, His Patient and the Illness.

Contribution: Known for their work on the doctor-patient relationship, especially from a psychodynamic and relational perspective.

Relevance: Both focused on the emotional dimensions of healthcare—how trust, empathy, and understanding shape the clinical encounter and outcome. Their emphasis on seeing the patient as a person, not just a biomedical case, is foundational to the concept of healthcare that orients itself around the needs of individuals.

Tie to Market-Driven Care: The couple’s work implies that the “market”, in terms of the lived realities of patients, must be understood through empathy, qualitative insight, and a relational framework. This aligns with LIFT’s belief that solid marketing starts with solid understanding.

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George Engel

Role: Internist and psychiatrist; creator of the biopsychosocial model in the 1970s.

Contribution: Argued that healthcare should integrate biological, psychological, and social dimensions of the patient experience, not just treat diseases in isolation.

Relevance: Engel was reacting against the overly reductionist biomedical model. He believed that patients live in a world of relationships, emotions, cultural context, and personal meaning—and that these must be taken into account to deliver effective care.

Tie to Market-Driven Care: If a health system is truly market-driven, it listens not only to demand signals (appointments, revenue, search volume) but also to the psychosocial realities of the people it serves. Engel’s model provides a framework for integrating those realities into both care delivery and, by extension, the strategic orientation of marketing.

Both Balint and Engel helped shift the orientation of healthcare from institutional logic to human-centered logic. A market-driven healthcare system, when interpreted through this lens, isn’t just one that responds to consumer behavior in a capitalist sense, but one that aligns itself with the needs, motivations, fears, hopes, and beliefs of the people it serves.