Disadvantages of a biopsychosocial approach
Biopsychosocial model
The biopsychosocial model (abbreviated "BPS") is a general model or approach positing that biological, psychological (which entails thoughts, emotions, and behaviors), and social (socio-economical, socio-environmental, and cultural) factors, all play a significant role in human functioning in the context of disease or illness. Indeed, health is best understood in terms of a combination of biological, psychological, and social factors rather than purely in biological terms.[1] Furthermore, critics of this model have further proposed that spiritual constructs also effect an individuals disease or illness. This is in contrast to the traditional, reductionist biomedical model of medicine that suggests every disease process can be explained in terms of an underlying deviation from normal function such as a pathogen, genetic or developmental abnormality, or injury.[2] The concept is used in fields such as medicine, nursing, health psychology and sociology, and particularly in more specialist fields such as psychiatry, health psychology, family therapy, chiropractic, clinical social work, and clinical psychology. The biopsychosocial paradigm is also a technical term for the popular concept of the "mind–body connection", which addresses more philosophical arguments between the biopsychosocial and biomedical models, rather than their empirical exploration and clinical application.[3]
The model was theorized by psychiatrist George L. Engel at the University of Rochester, and putatively discussed in a 1977 article in Science,[2] where he posited "the need for a new medical model." He discusses his model in detail in his paper in the American Journal of Psychiatry [Engel GL The clinical application of the biopsychosocial model, American Journal of Psychiatry 1980;137:535-544] where he discusses the fate of a hypothetical patient, a 55 year old Mr Glover who has a second heart attack six months after his first. Engel elegantly indicates that Mr Glover's
The biopsychosocial model (abbreviated "BPS") is a general model or approach positing that biological, psychological (which entails thoughts, emotions, and behaviors), and social (socio-economical, socio-environmental, and cultural) factors, all play a significant role in human functioning in the context of disease or illness. Indeed, health is best understood in terms of a combination of biological, psychological, and social factors rather than purely in biological terms.[1] Furthermore, critics of this model have further proposed that spiritual constructs also effect an individuals disease or illness. This is in contrast to the traditional, reductionist biomedical model of medicine that suggests every disease process can be explained in terms of an underlying deviation from normal function such as a pathogen, genetic or developmental abnormality, or injury.[2] The concept is used in fields such as medicine, nursing, health psychology and sociology, and particularly in more specialist fields such as psychiatry, health psychology, family therapy, chiropractic, clinical social work, and clinical psychology. The biopsychosocial paradigm is also a technical term for the popular concept of the "mind–body connection", which addresses more philosophical arguments between the biopsychosocial and biomedical models, rather than their empirical exploration and clinical application.[3]
The model was theorized by psychiatrist George L. Engel at the University of Rochester, and putatively discussed in a 1977 article in Science,[2] where he posited "the need for a new medical model." He discusses his model in detail in his paper in the American Journal of Psychiatry [Engel GL The clinical application of the biopsychosocial model, American Journal of Psychiatry 1980;137:535-544] where he discusses the fate of a hypothetical patient, a 55 year old Mr Glover who has a second heart attack six months after his first. Engel elegantly indicates that Mr Glover's