The biopsychosocial approach : past, present, and future / edited by Richard M. Frankel, Timothy E. Quill, Susan McDaniel.

Format:

Book

Contributor:

Frankel, Richard M.

Quill, Timothy E.

McDaniel, Susan H.

Culture Class Collection (University of Pennsylvania)

American Culture Class Collection (University of Pennsylvania)

Language:

English

Subjects (All):

Medicine--Philosophy.

Medicine.

Social medicine.

Psychoneuroimmunology.

Medicine and psychology.

Physical Description:

xii, 298 pages : illustrations ; 24 cm

Place of Publication:

Rochester, NY : University of Rochester Press, 2003.

Summary:

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 made the 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 contains Engel'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.

Contents:

1. The Clinical Application of the Biopsychosocial Model / George L. Engel 1

2. Introduction to the Biopsychosocial Approach / Richard M. Frankel, Timothy E. Quill, Susan H. McDaniel 21

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 33

4. Fourteen Years of Colds, Conflicts, Cardiac Disease, and Cancer: A Clinical Narrative Illustrating the Biopsychosocial Approach / Timothy E. Quill 67

5. A Biopsychosocial Perspective on Mental Disorders: Depression in the Primary Care Setting / Frank V. deGruy 82

Part II Research

6. Psychoneuroimmunology: Basic Research in the Biopsychosocial Approach / Robert Ader 93

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 109

8. Evidence for the Patient-Centered Clinical Method as a Means of Implementing the Biopsychosocial Approach / Moira Stewart 123

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 135

10. An Evidence-Based Infrastructure for Patient-Centered Interviewing / Robert C. Smith 148

11. Improving Biopsychosocial Competence of German Primary Care Physicians in Diagnosing and Treating Somatoform Disorders / Kurt Fritzsche, Manfred Cierpka, Michael Wirsching 164

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 180

Part IV History and Philosophy

13. George Engel and Rochester's Biopsychosocial Tradition: Historical and Developmental Perspectives / Theodore M. Brown 199

14. Systems Theory and the Biopsychosocial Model / Lyman C. Wynne 219

15. Analysis of a Biopsychosocial Correspondence: Models, Mentors, and Meanings / Mary Dombeck, Kathryn Markakis, Laura Brachman, Brinda Dalal, Tobie Olsan 231

16. The Future of the Biopsychosocial Approach / Richard M. Frankel, Timothy E. Quill, Susan H. McDaniel 255

Appendix The Need for a New Medical Model: A Challenge for Biomedicine / George L. Engel 269.

Notes:

"Softcover ed. published in 2003"--T.p. verso.

Includes bibliographical references and index.

ISBN:

1580461026

OCLC:

51764305