Full Description
For thousands of years, Western culture has dichotomized science and art, empiricism and subjective experience, and biology and psychology. In contrast with the prevailing view in philosophy, neuroscience, and literary criticism,George Engel, an internist and practicing physician, published a paper in the journal Science in 1977 entitled "The Need for a New Medical Model: A Challenge for Biomedicine." In the context of clinical medicine, Engel madethe deceptively simple observation that actions at the biological, psychological, and social level are dynamically interrelated and that these relationships affect both the process and outcomes of care.
The biopsychosocial perspective involves an appreciation that disease and illness do not manifest themselves only in terms of pathophysiology, but also may simultaneously affect many different levels of functioning, from cellular to organ system to person to family to society. This model provides a broader understanding of disease processes as encompassing multiple levels of functioning including the effect of the physician-patient relationship.
This book, which containsEngel's seminal article, looks at the continuing relevance of his work and the biopsychosocial model as it is applied to clinical practice, research, and education and administration.
Contributors include: Thomas Inui,Richard Frankel, Timothy Quill, Susan McDaniel, Ronald Epstein, Peter Leroux, Diane Morse, Anthony Suchman, Geoffrey Williams, Frank Degruy, Robert Ader, Thomas CampbelL, Edward DecI, Moira Stewart, Elaine Dannefer, Edward Hundert, Lindsey Henson, Robert Smith, Kurt Fritzsche, Manfred Cierpka, Michael Wirsching, Howard Beckman, and Theodore Brown.
Contents
Tables and Figures
Foreward - Thomas S. Inui
Acknowledgements
Introduction
1. The Clinical Application of the Biopsychosocial Model - George L. Engel
2. Introduction to the Biopsychosocial Approach - Richard M. Frankel, Timothy E. Quill, Susan H. McDaniel
Part I: Clinical Applications
3. Clinical Practice and the Biopsychosocial Approach - Ronald M. Epstein, Diane S. Morse, Geoffrey C. Williams, Pieter leRoux, Anthony L. Suchman, Timothy E. Quill
4. Fourteen Years of Colds, Conflicts, Cardiac Disease, and Cancer: A Clinical Narrative Illustrating the Biopsychosocial Approach - Timothy E. Quill
5. A Biopsychosocial Perspective on Mental Disorders: Depression in the Primary Care Setting - Frank V. deGruy
Part II: Research
6. Psychoneuroimmunology: Basic Research in the Biopsychosocial Approach - Robert Ader
7. The Science of the Art of Medicine: Research on the Biopsychosocial Model of Health Care - Geoffrey C. Williams, Richard M. Frankel, Thomas L. Campbell, Edward L. Deci
8. Evidence for the Patient-Centered Clinical Method as a Means of Implementing the Biopsychosocial Approach - Moira Stewart
Part III: Education and Administration
9. Medical Education Reform at the University of Rochester and the Biopsychosocial Tradition - Elaine F. Dannefer, Edward M. Hundert, Lindsey C. Henson
10. An Evidence-Based infrastructure for Patient-Centered Interviewing - Robert C. Smith
11. Improving Biopsychosocial Competence of German Primary Care Physicians in Diagnosing and Treating Somatoform Disorders - Kurt Fritzsche, Manfred Cierpka, Michael Wirsching
12. Relationship-Centered Administration: A Case Study in a Community Hospital Department of Medicine - Anthony L. Suchman, Howard B. Beckman, Susan H. McDaniel, Edward L. Deci
Part IV: History and Philosophy
13. George Engel and Rochester's Biopsychosocial Tradition: Historical and Developmental Perspectives - Theodore M. Brown
14. Systems Theory and the Biospychosocial Model - Lyman C. Wynne
15. Analysis of a Biospychosocial Correspondence: Models, Mentors, and Meanings - Mary Dombeck, Kathryn Markakis, Laura Brachman, Brinda Dalal, Tobie Olsan
Part V: Conclusion
16. The Future of the Biospychosocial Approach - Richard M. Frankel, Timothy E. Quill, Susan H. McDaniel
Appendix
Contributors
Index
