The Holistic Approach to Medicine

  • Z. J. Lipowski

Abstract

The above quotation from Plato spells out the holistic approach to medicine and bears witness to its ancient roots. The term “holistic,” which derives from Greekholos, or whole, is of more recent vintage, having been introduced by Smuts in 1926.1 It connotes an approach to the study of man in health and in disease, and to medical practice, marked by the concern with the individualas a whole, as a person and a psychophysiological organism interacting with the social and physical environment. A core assumption of the holistic approach, one that Plato2 expressed so concisely, asserts that the whole is more than the sum of its parts. Thus, to understand man fully, one needs to study him as a mind-body complex, a biopsychosocial unit. Study of parts of that unit can never result in complete knowledge of the unit as a whole.

Keywords

Psychosocial Factor Stressful Life Event Holistic Approach Psychosocial Stress Physical Illness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Smuts JD:Holism and Evolution. New York, Macmillan Publishing Co, 1926.Google Scholar
  2. 2.
    Hamilton E, Cairns H (eds):The Collected Dialogues of Plato. New York, Bollingen Foundation, 1961, p 911.Google Scholar
  3. 3.
    Rather LJ:Mind and Body in Eighteenth Century Medicine. Berkeley, University of California Press, 1965.Google Scholar
  4. 4.
    Lipowski ZJ: What does the word “psychosomatic” really mean? A historical and semantic inquiry.Psychosom Med46: 153–171, 1984.PubMedGoogle Scholar
  5. 5.
    Ryle G:The Concept of Mind. London, Hutchinson, 1949.Google Scholar
  6. 6.
    Cassell EJ:The Healer’s Art. Philadelphia, JB Lippincott Co, 1976.Google Scholar
  7. 7.
    Powell RC: Helen Flanders Dunbar (1902–1959) and a holistic approach to psychosomatic problems. The rise and fall of a medical philosophy.Psychiatr Q 49:133–152, 1977.PubMedCrossRefGoogle Scholar
  8. 8.
    Powell RC: Helen Flanders Dunbar (1902–1959) and a holistic approach to psychosomatic problems. The role of Dunbar’s nonmedical background.Psychiatr Q50: 144–157, 1978.PubMedCrossRefGoogle Scholar
  9. 9.
    Alexander F:Psychosomatic Medicine. New York, Norton, 1950.Google Scholar
  10. 10.
    Lipowski ZJ: Psychosomatic medicine in the seventies: An overview.Am J Psychiatry134: 233–244, 1977.PubMedGoogle Scholar
  11. 11.
    Lipowski ZJ: Review of consultation psychiatry and psychiatry and psychosomatic medicine. III. Theoretical issues.Psychosom Med30: 395 - 422, 1968.PubMedGoogle Scholar
  12. 12.
    Lipowski ZJ: Holistic-medical foundations of American psychiatry: A bicentennial.Am J Psychiatry138: 888–895, 1981.PubMedGoogle Scholar
  13. 13.
    Dunbar S:Emotions and Bodily Changes: A Survey of Literature on Psychosomatic Interrelationships:1901–1933. New York, Columbia University Press, 1935.Google Scholar
  14. 14.
    Bertalanffy L von:General System Theory. New York, Braziller, 1968.Google Scholar
  15. 15.
    Dubos R:Man Adapting. New Haven, Yale University Press, 1965.Google Scholar
  16. 16.
    Dubos R:Man, Medicine, and Environment. New York, The New American Library, 1968.Google Scholar
  17. 17.
    Engel GL: A unified concept of health and disease.Perspect Biol Med3: 459–485, 1960.PubMedGoogle Scholar
  18. 18.
    Engel GL: The need for a new medical model: A challenge for bio-medicine.Science196: 129–136, 1977.PubMedCrossRefGoogle Scholar
  19. 19.
    Berliner HS, Salmon JW: The holistic alternative to scientific medicine: History and analysis.Int J Health Serv10: 133–147, 1980.PubMedCrossRefGoogle Scholar
  20. 20.
    Svihus RH: On healing the whole person: A perspective.West J Med131: 478–481, 1979.PubMedGoogle Scholar
  21. 21.
    Sobel DS (ed):Ways of Health. Holistic Approaches to Ancient and Contemporary Medicine. New York, Harcourt Brace Jovanovich, 1979.Google Scholar
  22. 22.
    Sigerist HE:Medicine and Human Welfare. New Haven, Yale University Press, 1941.Google Scholar
  23. 23.
    Editorial: The concept of disease.Br Med J2: 751–752, 1979.Google Scholar
  24. 24.
    Campbell EJM, Scadding JG, Roberts RS: The concept of disease.Br Med J2: 757–762, 1979.PubMedCrossRefGoogle Scholar
  25. 25.
    Feinstein AR:Clinical Judgement. Baltimore, Williams & Wilkins, 1967.Google Scholar
  26. 26.
    Susser M:Causal Thinking in the Health Sciences. New York, Oxford University Press, 1973.Google Scholar
  27. 27.
    Barondess JA: Disease and illness—A crucial distinction.Am J Med66: 375–376, 1979.PubMedCrossRefGoogle Scholar
  28. 28.
    Brody H: The systems view of man: Implications for medicine, science, and ethics.Perspect Biol Med17: 71–92, 1973.PubMedGoogle Scholar
  29. 29.
    Fabrega H Jr:Disease and Social Behavior: An Interdisciplinary Perspective. Cambridge, Mass, MIT Press, 1974.Google Scholar
  30. 30.
    Murphy EA:The Logic of Medicine. Baltimore, Johns Hopkins University Press, 1976.Google Scholar
  31. 31.
    Stewart GT: Limitations of the germ theory.Lancet1: 1077–1081, 1968.PubMedCrossRefGoogle Scholar
  32. 32.
    Riegelman R: Contributory cause: Unnecessary and insufficient.Postgrad Med66: 177–179, 1979.PubMedGoogle Scholar
  33. 33.
    Halliday JL:Psychosocial Medicine. A Study of the Sick Society. New York, Norton, 1948.Google Scholar
  34. 34.
    Kaplan HI, Kaplan HS: An historical survey of psychosomatic medicine.J Nerv Ment Dis124: 546–568, 1956.PubMedCrossRefGoogle Scholar
  35. 35.
    Archer J:Every Man His Own Doctor. London, Printed for the Author, 1673.Google Scholar
  36. 36.
    Rather LJ:Mind and Body in Eighteenth Century Medicine. Berkeley, University of California Press, 1965.Google Scholar
  37. 37.
    Tuke DH:Illustrations of the Influence of the Mind upon the Body in Health and Disease. London, Churchill, 1872.Google Scholar
  38. 38.
    Hinkle LE: The concept of “stress” in the biological and social sciences, in Lipowski ZJ, Lipsitt DR, Whybrow PC (eds):Psychosomatic Medicine. Current Trends and Clinical Applications. New York, Oxford University Press, 1977, pp 27–49.Google Scholar
  39. 39.
    Mason JW: A historical view of the stress field.J Hum Stress1: 6–12, 1975.Google Scholar
  40. 40.
    Wolff HG:Stress and Disease. Springfield, III, Charles C Thomas, 1953.Google Scholar
  41. 41.
    Lazarus RS:Psychological Stress and the Coping Process. New York, McGraw-Hill, 1960.Google Scholar
  42. 42.
    Cassel J: Psychosocial processes and “stress”: Theoretical formulation.Int J Health Serv4: 471–482, 1974.PubMedCrossRefGoogle Scholar
  43. 43.
    Dohrenwend BS, Dohrenwend BP (eds):Stressful Life Events: Their Nature and Effects. New York, John Wiley & Sons, 1974.Google Scholar
  44. 44.
    Lipowski ZJ: Psychosocial aspects of disease.Ann Intern Med71: 1197–1206, 1969.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1985

Authors and Affiliations

  • Z. J. Lipowski
    • 1
  1. 1.Clarke Institute of PsychiatryTorontoCanada

Personalised recommendations