The Biopsychosocial Approach or The Fit Traveler

The Biopsychosocial Approach: Past, Present, Future

Author: Richard M Frankel

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. 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.

Table of Contents:

	Tables and Figures
	Foreword
	Acknowledgements
1	The Clinical Application of the Biopsychosocial Model	1
2	Introduction to the Biopsychosocial Approach	21
3	Clinical Practice and the Biopsychosocial Approach	33
4	Fourteen Years of Colds, Conflicts, Cardiac Disease, and Cancer: A Clinical Narrative Illustrating the Biopsychosocial Approach	67
5	A Biopsychosocial Perspective on Mental Disorders: Depression in the Primary Care Setting	82
6	Psychoneuroimmunology: Basic Research in the Biopsychosocial Approach	93
7	The Science of the Art of Medicine: Research on the Biopsychosocial Model of Health Care	109
8	Evidence for the Patient-Centered Clinical Method as a Means of Implementing the Biopsychosocial Approach	123
9	Medical Education Reform at the University of Rochester and the Biopsychosocial Tradition	135
10	An Evidence-Based Infrastructure for Patient-Centered Interviewing	148
11	Improving Biopsychosocial Competence of German Primary Care Physicians in Diagnosing and Treating Somatoform Disorders	164
12	Relationship-Centered Administration: A Case Study in a Community Hospital Department of Medicine	180
13	George Engel and Rochester's Biopsychosocial Tradition: Historical and Developmental Perspectives	199
14	Systems Theory and the Biopsychosocial Model	219
15	Analysis of a Biopsychosocial Correspondence: Models, Mentors, and Meanings	231
16	The Future of the Biopsychosocial Approach	255
App	The Need for a New Medical Model: A Challenge for Biomedicine	269
	Contributors	287
	Index	291

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The Fit Traveler: Take Your Workout With You

Author: Kari Eid

Free stretch band with guide explaining and illustrating the top-20 exercises, in color. Hard case binding with pocket for storing the stretch band. Lay-flat, concealed wire-O-binding. Program delivers a full-body workout, including upper body, lower body, and target areas like thighs and abdomen. Travel, exercise, and diet tips help round out this concise and effective program.