9 of 10 people found the following review helpful:
2.0 out of 5 stars
Controversial for a reason, 5 Aug 2005
By profile deleted - Published on Amazon.com
This review is from: Biopsychosocial Medicine: An integrated approach to understanding illness (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.
1 of 1 people found the following review helpful:
1.0 out of 5 stars
Egregiously Inaccurate, 15 Sep 2011
By Justin Reilly, esq. - Published on Amazon.com
This review is from: Biopsychosocial Medicine: An integrated approach to understanding illness (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
2 of 4 people found the following review helpful:
5.0 out of 5 stars
Purpose of the Book is Clear, 8 July 2006
By J. Eubanks - Published on Amazon.com
This review is from: Biopsychosocial Medicine: An integrated approach to understanding illness (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.