- Hardcover: 266 pages
- Publisher: OUP Oxford (7 April 2005)
- Language English
- ISBN-10: 0198530331
- ISBN-13: 978-0198530336
- Product Dimensions: 23.6 x 15.7 x 2 cm
- Average Customer Review: 1.0 out of 5 stars See all reviews (1 customer review)
- Amazon Bestsellers Rank: 3,052,837 in Books (See Top 100 in Books)
- See Complete Table of Contents
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Product Description
Review
Perhaps the surprising thing is that a book published in 2005 called Biopsychosocial Medicine should contain so much controversy. Fortunately, this is a stimulating collection by 13 well-informed and lucid authors who attended a Novartis Foundation symposium; it allows the privilege of being a fly on the wall at what must have been a superb meeting. For those in a hurry, or those who simply like elegant medical writing and thinking, Simon Wessley's foreword provides, with wit, humour, and panache, as good an overview as one will find. (The Lancet, Vol 365 )
Product Description
To what extent do social factors such as stress cause physical diseases? How do psychological and social factors contribute to the healing process? The biopsychosocial model is an approach to medicine which stresses the importance of a holistic approach. It considers factors outside the biological process of illness when trying to understand health and disease. In this approach, a person's social context and psychological well-being are key factors in their illness and recovery, along with their thoughts, beliefs and emotions. Biopsychosocial Medicine examines the concept and the utility of this approach from its history to its application, and from its philosophical underpinnings to the barriers to its implementation. It is severely critical of the failure of modern medicine to treat the patient not the disease, and its neglect of psychological and social factors in the treatment of the ill. Focusing on chronic disabling ill health, this book takes the examples of arthritis, cancer, diabetes, lower back pain, irritable bowel syndrome and depression to show how the biopsychosocial model can be used in practice. It questions why, even when the biopsychosocial approach has been proved to be more effective than traditional methods in overcoming these disorders, is not more routinely used, and how barriers to its implementation can be overcome. Controversial and challenging, Biopsychosocial Medicine will be essential reading for all those who feel the biomedical model is failing them and their patients. It will enable readers to understand the model and how it can be implemented, in order to enhance their confidence and success as health professionals.
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Customer Reviews
Most Helpful Customer Reviews
Format:Paperback
Great title but not a great book for nursing however it has a few relevant parts. written as a dialoge and the information is more of an opinon between medical professionals rather than fact. maybe useful to some.
Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com:
3 reviews
10 of 11 people found the following review helpful
Controversial for a reason
5 Aug 2005
Format:Paperback
For the past two decades medicine has been engulfed in an ideological firestorm that is less about actual patients and their wellbeing than it is about professional promotion and a backlash against a medical model that does not give psychiatrists and psychologists a starring role in healthcare.
Although the editors and contributors of this book pay lip service to the concept of "integrated medicine" the biological portion of the biopsychosocial model is generally limited to the biological psychiatry (neuroscience and neurobiology) paradigm, which focuses primarily on the HPA axis.
This book gives a good overview of the thinking of one side of the raging battle in psychiatry as to how mental illness is defined, what is normal, and what is organic disease. However, I didn't find it to be balanced or mindful.
Just as there is more to medicine than mere mechanics, there is also more to medicine than the "mind." How such polarization is helpful to patients is not adequately addressed, possibly because the wellbeing of patients is not the real focus.
Although a number of organically classified diseases were used as examples, once again, balance was missing. When something is controversial, balance is presenting both sides, yet little or no attention was given to the large bodies of scientific research objectively refuting the stated views of the contributors.
If you want a good overview from a very specific point of view, you will find it here, but it essentially remains a book of self-promotion.
Although the editors and contributors of this book pay lip service to the concept of "integrated medicine" the biological portion of the biopsychosocial model is generally limited to the biological psychiatry (neuroscience and neurobiology) paradigm, which focuses primarily on the HPA axis.
This book gives a good overview of the thinking of one side of the raging battle in psychiatry as to how mental illness is defined, what is normal, and what is organic disease. However, I didn't find it to be balanced or mindful.
Just as there is more to medicine than mere mechanics, there is also more to medicine than the "mind." How such polarization is helpful to patients is not adequately addressed, possibly because the wellbeing of patients is not the real focus.
Although a number of organically classified diseases were used as examples, once again, balance was missing. When something is controversial, balance is presenting both sides, yet little or no attention was given to the large bodies of scientific research objectively refuting the stated views of the contributors.
If you want a good overview from a very specific point of view, you will find it here, but it essentially remains a book of self-promotion.
1 of 1 people found the following review helpful
Egregiously Inaccurate
15 Sep 2011
Format:Paperback
Another exceedingly inaccurate book from Peter White and the "Wessely school." Peter White is the Chief Medical Officer of Swiss Reinsurance which seeks to limit payouts to patients. White's biopsychosocial approach facilitates this denial of benefits.
One example of misinformation:
"I want to come back to the concept of phobia. Michael von Korff talked about back pain patients having a phobia about activity, as do chronic fatigue syndrome patients. One of the ways of overcoming this phobia is through behaviour and exposure." p.197
also see pp.129-130
One example of misinformation:
"I want to come back to the concept of phobia. Michael von Korff talked about back pain patients having a phobia about activity, as do chronic fatigue syndrome patients. One of the ways of overcoming this phobia is through behaviour and exposure." p.197
also see pp.129-130
2 of 4 people found the following review helpful
Purpose of the Book is Clear
8 July 2006
Format:Paperback
The purpose of this book is not to weigh the evidence from biomedical and biopsychosocial models of health; it is to describe the under-represented view of biopsychosocial medicine from various perspectives, all of which purposefully focus on biopsychosocial concerns. Since Engel's description of a biopsychosocial model of health, very few have taken the time to investigate what this model may look like in practice. And this is not a concern only for psychiatry/psychology, a point made in Peter White's compilation. All of healthcare must consider how a new model may be implemented, but it is vital to remember that discussion will always take place outside of the clinic by those within the profession who can or will make the time for analytical discourse. This text aims to evaluate various perspectives of the biopsychsocial model to see if it more adequately represents the modern realities of healthcare, and if it does, then we can decide how to implement a new model. In healthcare, this is a painstakingly slow process; most practitioners will not make the time for it. This is not a fault. As the biopsychosocial model is only 30 years old, it is far too soon to expect that practitioners reasonably understand how such a paradigm shift may manifest itself in the clinic. Give this text a chance. It is will worth the read.
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