Comments on: The Biopsychosocial Model of Health & Illness http://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/ Topics from multidimensional biopsychosocial perspectives Mon, 21 May 2012 00:53:44 +0000 hourly 1 By: Migraine Uncovered – Interview with Dr. Cady, Headache Expert | Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-635781 Migraine Uncovered – Interview with Dr. Cady, Headache Expert | Brain Blogger Mon, 30 Apr 2012 04:13:53 +0000 http://blog.gnif.org/?p=462#comment-635781 [...] readers showed interest in knowing more about migraines basics and how to deal with it from a biopsychosocial perspective. So, we at Brain Blogger sought answers from the premier headache expert, Dr. Roger K. [...] [...] readers showed interest in knowing more about migraines basics and how to deal with it from a biopsychosocial perspective. So, we at Brain Blogger sought answers from the premier headache expert, Dr. Roger K. [...]

]]> By: Niobe Chackshttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-624708 Niobe Chacks Tue, 21 Feb 2012 09:52:44 +0000 http://blog.gnif.org/?p=462#comment-624708 Well;the article is good but it would have been better if Engel elaborated more on the bio-psychosocial model. Well;the article is good but it would have been better if Engel elaborated more on the bio-psychosocial model.

]]> By: Ms T Ahttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-600797 Ms T A Sun, 27 Jun 2010 23:21:08 +0000 http://blog.gnif.org/?p=462#comment-600797 The models do not have to be mutually exclusive. Most health organizations espouse a multidisciplinary approach. Doctors can have this approach by allowing another healthcare provider to do the patient interview (for instance, a nurse, CRNP, PA, etc) and then the doctor coming in later and working collaboratively with the other HCP to reach a treatment plan (in conjunction with the patient, of course). If doctors really wanted to, they could have such services available in their offices. The models do not have to be mutually exclusive. Most health organizations espouse a multidisciplinary approach. Doctors can have this approach by allowing another healthcare provider to do the patient interview (for instance, a nurse, CRNP, PA, etc) and then the doctor coming in later and working collaboratively with the other HCP to reach a treatment plan (in conjunction with the patient, of course). If doctors really wanted to, they could have such services available in their offices.

]]> By: James Pita MDhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-425755 James Pita MD Wed, 04 Feb 2009 18:54:53 +0000 http://blog.gnif.org/?p=462#comment-425755 Agreed, there may not be a "standard scientific model for Dr Engel's BPS theory. Mind-body-social-psychological axis is on-going in real people. We create models to try to explain real, natrual phenomena, the patient lives or dies, gets bettor or worse. Nothing happens in standard pressure or temperature. I have held the hand of a patient having a myocardial infarction and watched her ST segments normalize without mediciation. Did her coronaries dilate from empathy? Was it just a fluke? Some other factor? My energy field? No way of knowing. It just happened in real time, no model.The ulcer is for real, but so much mind-body-behavior is involved in worsening/healing. We have gotten much better at fixing than preventing (fixing is more profitable).JP MD Agreed, there may not be a “standard scientific model for Dr Engel’s BPS theory. Mind-body-social-psychological axis is on-going in real people. We create models to try to explain real, natrual phenomena, the patient lives or dies, gets bettor or worse. Nothing happens in standard pressure or temperature.
I have held the hand of a patient having a myocardial infarction and watched her ST segments normalize without mediciation. Did her coronaries dilate from empathy? Was it just a fluke? Some other factor? My energy field? No way of knowing. It just happened in real time, no model.

The ulcer is for real, but so much mind-body-behavior is involved in worsening/healing. We have gotten much better at fixing than preventing (fixing is more profitable).

JP MD

]]> By: Westyhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-409392 Westy Thu, 15 Jan 2009 01:18:20 +0000 http://blog.gnif.org/?p=462#comment-409392 "In 1977, American Psychiatrist George Engel introduced the major theory in medicine, the BPS Model. The model accounted for biological, psychological, and sociological interconnected spectrums, each as systems of the body."A common misunderstanding. Engels produced nothing that could be remotely described as a standard scientific model. What he did do was argue cogently for the necessity and importance of a biopsychosocial model. May seem like nitpicking, but it is important to get these basic facts right.As to the model itself. I, like most, do not have any in principle problem with such a model, and believe it is an advance in medical thinking.But the way it is often used is troubling. Far too much is simply ascribed to primary psychosocial causation (in particular somatisation, in all its guises) simply because the clinician can't find any immediate primary physical cause. Yet even a cursory glance at the history of such diagnostic reasonings reveals a disturbingly persistent pattern of serious error. Just about every major disease has been 'somatised' at some point by medical science (well, the psychiatric branch of it), and yet they turned out to be primarily (or even entirely) physical disorders. The latest and perhaps most infamous major example being stomach ulcers, which were supposedly (indeed, undisputedly) the archetypal conversion disorder. Except they were not.Lack of clear primary physical causation (even when coupled with the presence serious emotional distress) is not solid evidence of somatisation, it could just as easily be evidence of the current limitation of biophysical medical science or the particular clinician, or both./rant “In 1977, American Psychiatrist George Engel introduced the major theory in medicine, the BPS Model. The model accounted for biological, psychological, and sociological interconnected spectrums, each as systems of the body.”

A common misunderstanding. Engels produced nothing that could be remotely described as a standard scientific model. What he did do was argue cogently for the necessity and importance of a biopsychosocial model. May seem like nitpicking, but it is important to get these basic facts right.

As to the model itself. I, like most, do not have any in principle problem with such a model, and believe it is an advance in medical thinking.

But the way it is often used is troubling. Far too much is simply ascribed to primary psychosocial causation (in particular somatisation, in all its guises) simply because the clinician can’t find any immediate primary physical cause. Yet even a cursory glance at the history of such diagnostic reasonings reveals a disturbingly persistent pattern of serious error. Just about every major disease has been ‘somatised’ at some point by medical science (well, the psychiatric branch of it), and yet they turned out to be primarily (or even entirely) physical disorders. The latest and perhaps most infamous major example being stomach ulcers, which were supposedly (indeed, undisputedly) the archetypal conversion disorder. Except they were not.

Lack of clear primary physical causation (even when coupled with the presence serious emotional distress) is not solid evidence of somatisation, it could just as easily be evidence of the current limitation of biophysical medical science or the particular clinician, or both.

/rant

]]> By: The Osteopathic Psychiatrist and Depression | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-98016 The Osteopathic Psychiatrist and Depression | GNIF Brain Blogger Fri, 07 Mar 2008 06:17:04 +0000 http://blog.gnif.org/?p=462#comment-98016 [...] informed psychiatry recognizes the biopsychosocial principle that the body is able to affect the mind. Consider for example the phenomenon of chronic [...] [...] informed psychiatry recognizes the biopsychosocial principle that the body is able to affect the mind. Consider for example the phenomenon of chronic [...]

]]> By: Integration of the Biopsychosocial Model in Contemporary Psychiatry | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-98015 Integration of the Biopsychosocial Model in Contemporary Psychiatry | GNIF Brain Blogger Fri, 07 Mar 2008 06:15:48 +0000 http://blog.gnif.org/?p=462#comment-98015 [...] Psychosis involves a disconnection with reality and perceptions outside the range of normality. Moreover, it is the common multifaceted symptom of psychotic disorders often accompanied by behavioral abnormalities and cognitive impairments. In fact, such characteristics are used to differentially classify conditions. Not only do these special illnesses require substantial medical care, but clinical management involves multidimensional schemata pursuant to the biopsychosocial model. [...] [...] Psychosis involves a disconnection with reality and perceptions outside the range of normality. Moreover, it is the common multifaceted symptom of psychotic disorders often accompanied by behavioral abnormalities and cognitive impairments. In fact, such characteristics are used to differentially classify conditions. Not only do these special illnesses require substantial medical care, but clinical management involves multidimensional schemata pursuant to the biopsychosocial model. [...]

]]> By: Personality Influences Health | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-98014 Personality Influences Health | GNIF Brain Blogger Fri, 07 Mar 2008 06:14:51 +0000 http://blog.gnif.org/?p=462#comment-98014 [...] Ancient Asian medicine has long linked emotions and intention to health, however, Western medicine has been less receptive to devising a relationship. Recent lines of psychological studies demonstrate that the way people think, act, and feel about certain situations, events, and ideas greatly influence health behaviors and are represented in the biopsychosocial model of health and illness. [...] [...] Ancient Asian medicine has long linked emotions and intention to health, however, Western medicine has been less receptive to devising a relationship. Recent lines of psychological studies demonstrate that the way people think, act, and feel about certain situations, events, and ideas greatly influence health behaviors and are represented in the biopsychosocial model of health and illness. [...]

]]> By: The Evolving Health | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-98012 The Evolving Health | GNIF Brain Blogger Fri, 07 Mar 2008 06:11:53 +0000 http://blog.gnif.org/?p=462#comment-98012 [...] for evolving health and seemingly apparent psychological associations, American Psychiatrist George Engel introduced a major theory in medicine, the biopsychosocial model of health and illness (1977). The [...] [...] for evolving health and seemingly apparent psychological associations, American Psychiatrist George Engel introduced a major theory in medicine, the biopsychosocial model of health and illness (1977). The [...]

]]> By: Mind and Body in Pain | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-98009 Mind and Body in Pain | GNIF Brain Blogger Fri, 07 Mar 2008 06:08:50 +0000 http://blog.gnif.org/?p=462#comment-98009 [...] Engel’s commitment to revolutionizing the health care sector remains important, for we are all affected as consumers, patients, practitioners, or administrators. His message is notably broad, for the scope of the holistic biopsychosocial model is virtually limitless - from psychiatry, immunology, and public health to pain, sexuality, and everyday life - and defines a wellness balance. This may explain the interconnected nature and difficulty in studying (and perhaps more so in treating disorders involving) these phenomena. [...] [...] Engel’s commitment to revolutionizing the health care sector remains important, for we are all affected as consumers, patients, practitioners, or administrators. His message is notably broad, for the scope of the holistic biopsychosocial model is virtually limitless – from psychiatry, immunology, and public health to pain, sexuality, and everyday life – and defines a wellness balance. This may explain the interconnected nature and difficulty in studying (and perhaps more so in treating disorders involving) these phenomena. [...]

]]> By: Anxiety - More Than Just a Case of Nerves | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-97406 Anxiety - More Than Just a Case of Nerves | GNIF Brain Blogger Thu, 06 Mar 2008 05:27:38 +0000 http://blog.gnif.org/?p=462#comment-97406 [...] Haller’s biopsychosocial sensitivities were evident after her formal narrative, when she entertained questions from the [...] [...] Haller’s biopsychosocial sensitivities were evident after her formal narrative, when she entertained questions from the [...]

]]> By: Vulnerability-Stress-Coping Model for Schizophrenia | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-96978 Vulnerability-Stress-Coping Model for Schizophrenia | GNIF Brain Blogger Wed, 05 Mar 2008 14:26:33 +0000 http://blog.gnif.org/?p=462#comment-96978 [...] vulnerability-stress-coping model attempts to frame psychotic and affective disorders based on a biopsychosocial perspective (Nuechterlein & Dawson, 1984; Nuechterlein et al., 1994; Yank, Bentley, & [...] [...] vulnerability-stress-coping model attempts to frame psychotic and affective disorders based on a biopsychosocial perspective (Nuechterlein & Dawson, 1984; Nuechterlein et al., 1994; Yank, Bentley, & [...]

]]> By: Integrating Schizophrenia Management | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-96976 Integrating Schizophrenia Management | GNIF Brain Blogger Wed, 05 Mar 2008 14:21:20 +0000 http://blog.gnif.org/?p=462#comment-96976 [...] the relapse of psychotic episodes, and treat or prevent (further) co-morbidity. Clinicians employ a combination of pharmacological (neuroleptic) and psychosocial interventions according to the [...] [...] the relapse of psychotic episodes, and treat or prevent (further) co-morbidity. Clinicians employ a combination of pharmacological (neuroleptic) and psychosocial interventions according to the [...]

]]> By: Biopsychosocial Model Transformations and Its Future | GNIF Brain Bloggerhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-96971 Biopsychosocial Model Transformations and Its Future | GNIF Brain Blogger Wed, 05 Mar 2008 14:17:01 +0000 http://blog.gnif.org/?p=462#comment-96971 [...] portrayal of the biopsychosocial model has significantly redefined psychiatry, medicine, and psychology. With the emergence of health [...] [...] portrayal of the biopsychosocial model has significantly redefined psychiatry, medicine, and psychology. With the emergence of health [...]

]]> By: My Medical Blog Community « Coolmristuffhttp://brainblogger.com/2006/02/15/bps-the-biopsychosocial-model-of-health-illness/#comment-92513 My Medical Blog Community « Coolmristuff Mon, 25 Feb 2008 01:44:02 +0000 http://blog.gnif.org/?p=462#comment-92513 [...] as a focal point for attracting new minds beyond the science of the mind-and-brain and into the biopsychosocial [...] [...] as a focal point for attracting new minds beyond the science of the mind-and-brain and into the biopsychosocial [...]

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