基本説明
A challenging book on the biopsychosocial model; an approach to medicine which considers factors outside the biological process of illness when trying to understand health and disease.
Full Description
To what extent do social factors such as stress cause physical diseases? How do psychological and social factors contribute to the healing process?
The biopsychosocial model is an approach to medicine which stresses the importance of a holistic approach. It considers factors outside the biological process of illness when trying to understand health and disease. In this approach, a person's social context and psychological well-being are key factors in their illness and recovery, along with their thoughts, beliefs and emotions.
Biopsychosocial Medicine examines the concept and the utility of this approach from its history to its application, and from its philosophical underpinnings to the barriers to its implementation. It is severely critical of the failure of modern medicine to treat the patient not the disease, and its neglect of psychological and social factors in the treatment of the ill.
Focusing on chronic disabling ill health, this book takes the examples of arthritis, cancer, diabetes, lower back pain, irritable bowel syndrome and depression to show how the biopsychosocial model can be used in practice. It questions why, even when the biopsychosocial approach has been proved to be more effective than traditional methods in overcoming these disorders, is not more routinely used, and how barriers to its implementation can be overcome.
Controversial and challenging, Biopsychosocial Medicine will be essential reading for all those who feel the biomedical model is failing them and their patients. It will enable readers to understand the model and how it can be implemented, in order to enhance their confidence and success as health professionals.
Contents
1. The history of the biopsychosocial approach in medicine: before and after Engel ; 2. The theoretical basis of the biopsychosocial model ; 3. Remediable or preventable social factors in the aetiology and prognosis of medical disorders ; 4. Remediable or preventable psychological factors in the aetiology and prognosis of medical disorders ; 5. The biopsychosocial approach: a note of caution ; 6. Can neurobiology explain the relationship between stress and disease? ; 7. Fear and depression as remediable causes of disability in common medical conditions in primary care ; 8. How important is the biopsychosocial approach? Some examples from research ; 9. Complementary and alternative medicine: shopping for health in post-modern times ; 10. A case of irritable bowel syndrome that illustrates the biopsychosocial model of illness ; 11. Are the patient-centred and biopsychosocial approaches compatible? ; 12. What are the barriers to health-care systems using a biopsychosocial approach, and how might they be overcome? ; 13. Final discussion: how to overcome the barriers ; 14. Beyond the biomedical to the biopsychosocial: integrated medicine
