The Biopsychosocial Model: The End of a Reign of Error

2020 ◽  
Vol 22 (2) ◽  
pp. 71-82
Author(s):  
Niall McLaren

Four decades after the publication of the concept of Engel's “biopsychosocial model” for medicine and its subsequent enthusiastic embrace by psychiatry, it is widely accepted as a valid alternative to the reductionism of biological psychiatry. However, unlike models in mainstream science, the original model has not been developed or expanded. Despite widespread efforts to “talk it up,” Engel's “biopsychosocial model” has failed to have any lasting impact on psychiatry. The reason is simply that it doesn't exist. The logical flaws in Engel's original concept are explored, and some consequences noted.

1993 ◽  
Vol 5 (2) ◽  
pp. 29-36 ◽  
Author(s):  
G.E.M. Panhuysen

SummaryIn biological psychiatry, the biopsychosocial model is broadly supported. This does not mean a rejection of materialism, but of reductionism. Psychological (and social) psychiatry is deemed to be a necessary supplement to biological psychiatry.This is one of the lessons made avalaible by Freud. In addition, there are other lessons to be taken from his work. From his view on the mind-body relationship a useful strategy for theory construction can be abstracted:specify the relevant (neuro)physiologiocal mechanims,specify the relevant mental mechanisms,look for that output of the neurophysiological mechanisms that can also serve as the input of the mental mechanisms, and conversely. Especially the third directive will be of use for adherents of the biopsychosocial model.We may also learn from Freud's mistakes. He rightly used his interactionistic but non-dualistic arguments for the vindication of a relatively autonomous psychological psychiatry. However, he wrongly delayed biological-psychiatric tasks to an indefinite future.


Author(s):  
B. Jouffrey ◽  
D. Dorignac ◽  
A. Bourret

Since the early works on GP zones and the model independently proposed by Preston and Guinier on the first steps of precipitation in supersaturated solid solution of aluminium containing a few percent of copper, many works have been performed to understand the structure of different stages in the sequence of precipitation.The scheme which is generally admitted can be drawn from a work by Phillips.In their original model Guinier and Preston analysed a GP zone as composed of a single (100) copperrich plane surrounded by aluminum atomic planes with a slightly shorter distance from the original plane than in the solid solution.From X-ray measurements it has also been shown that GP1 zones were not only copper monolayer zones. They could be up to a few atomic planes thick. Different models were proposed by Guinier, Gerold, Toman. Using synchrotron radiation, proposals have been recently made.


2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.


1976 ◽  
Vol 21 (8) ◽  
pp. 600-601
Author(s):  
RICHARD F. THOMPSON

2020 ◽  
Vol 26 (11) ◽  
pp. 2427-2447
Author(s):  
S.N. Yashin ◽  
E.V. Koshelev ◽  
S.A. Borisov

Subject. This article discusses the issues related to the creation of a technology of modeling and optimization of economic, financial, information, and logistics cluster-cluster cooperation within a federal district. Objectives. The article aims to propose a model for determining the optimal center of industrial agglomeration for innovation and industry clusters located in a federal district. Methods. For the study, we used the ant colony optimization algorithm. Results. The article proposes an original model of cluster-cluster cooperation, showing the best version of industrial agglomeration, the cities of Samara, Ulyanovsk, and Dimitrovgrad, for the Volga Federal District as a case study. Conclusions. If the industrial agglomeration center is located in these three cities, the cutting of the overall transportation costs and natural population decline in the Volga Federal District will make it possible to qualitatively improve the foresight of evolution of the large innovation system of the district under study.


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