The Clinical Applications of the Biopsychosocial Model
In attempting to teach the biopsychosocial model (1–3) to medical students and house staff, I found that few would disagree with the basic concepts, but, for most, the model remained at the level of a homily psychiatrists were wont to give to nonpsychiatric colleagues about the importance of the psyche. While most students recognized that psychological factors were, indeed, important in the management of their patients, such as their personality styles and patterns of psychological defense, few were convinced of the role of the psychological factors in the etiology and pathogenesis of most medical disorders. Another problem with the traditional biopsychosocial model was that the open-ended interacting bio-psychosocial model did not render itself easily to a crisp medical case presentation format -- i.e., chief complaint, present illness, past history, etc.
KeywordsChronic Pancreatitis Personal Dimension Environmental Dimension Biopsychosocial Model Couple Therapy
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