The Biopsychosocial Approach: Past, Present, Future

by Richard M. Frankel, Timothy Quill, Susan McDaniel, Anthony L. Suchman, Elaine Dannefer

Overview

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.

Product Details

ISBN-13:	9781580460613
Publisher:	BOYDELL & BREWER INC
Publication date:	06/26/2003
Pages:	312
Sales rank:	964,346
Product dimensions:	5.90(w) x 9.00(h) x 0.80(d)

Table of Contents

Clinical Approach of the Biopsychosocial Model - George L. Engel MD
Introduction to the Biopsychosocial Approach (with Timothy Quill and Susan McDaniel) - Richard Frankel
Clinical Practice and the Biopsychosocial Model (with Pieter leRoux, Diane Morse, Anthony Suchman, and Geoffrey Williams) - Ronald M. Epstein
Fourteen Years of Colds, Conflicts, Cardiac Disease and Cancer: A Clinical Narrative Illustrating the Biopsychosocial Model - Patrice J. Proulx
A Biopsychosocial Perspective on Mental Disorders: Depresssion in the Primary Care Setting - Frank deGruy
Psychoneuroimmunology: Basic Research in the Biopsychosocial Approach - Robert Ader
The Science of the Art of Medicine: Research on the Biopsychosocial Model of Health Care (with Richard Frankel, Thomas Campbell, and Edward Deci)Thomas Campbell, and Edward Deci) - Geoffrey Williams
Evidence for the Patient-Centered Clinical Method as a Means of Implementing the Biopsychosocial Model - Moira Stewart
Medical Education Reform at the University of Rochester and the Biopsychosocial Tradition (with Edward Hundert and Lindsey Henson)Henson) - Elaine Dannefer
An Evidence-Based Infrastructure for Patient-Centered Interviewing - Robert C. Smith
Improving Biopsychosocial Competence of German Primary Care Physicians in Diagnosing and Treating Somatoform Disorders (with Manfred Cierpka, and Michael WirschingManfred Cierpka, and Michael Wirsching - Kurt Fritzsche
Relationship-Centered Administration: A Case Study in a Community Hospital Department of Medicine (with Howard Beckman, Susan McDaniel, and Edward Deci)Susan McDaniel, and Edward Deci) - Anthony Suchman
George Engel and Rochester's Biopsychosocial Tradition: Historical and Developmental Perspectives - Theodore Brown
Systems Theory and the Biopsychosocial Model - Lyman Wynne
Analysis of a Biopsychosocial Correspondence: Models, Mentors and Meanings (with Kathryn Markakis, Laura Brachman, Brinda Dalal, and Tobie Olsan)and Tobie Olsan) - Mary Dombeck
The Future of the Biopsychosocial Approach (with Richard Frankel, and Susan McDaniel) - Patrice J. Proulx

Editorial Reviews

For community psychiatrists, this text is virtually 'required reading.' . . . The Biopsychosocial Approach is informative, clearly written, and inclusive. However, one of its most important attributes may be that it is thought provoking. By explaining the origins and implications of the biopsychosocial approach, the authors force us to critically examine the origins and implications of our own beliefs about medicine. This self-examination can help us identify areas for growth in our own practices.

PSYCHIATRIC SERVICES - Daniel Bradford M.D. Ph.D.

This is a work of lasting significance, a guiding light for needed improvements in a health care system that is strong but unbalanced, advanced in technology but lagging in relationships, suffering from serious but curable ailments. FOREWORD MAGAZINE, Fall Trade Show Issue 2003

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This is a work of lasting significance, a guiding light for needed improvements in a health care system that is strong but unbalanced, advanced in technology but lagging in relationships, suffering from serious but curable ailments. FOREWORD MAGAZINE, Fall Trade Show Issue 2003

For community psychiatrists, this text is virtually "required reading." . . . The Biopsychosocial Approach is informative, clearly written, and inclusive. However, one of its most important attributes may be that it is thought provoking. By explaining the origins and implications of the biopsychosocial approach, the authors force us to critically examine the origins and implications of our own beliefs about medicine. This self-examination can help us identify areas for growth in our own practices. --Daniel Bradford, M.D., Ph.D., PSYCHIATRIC SERVICES

From the Publisher