How the tower of information leads to an integrated framework for biopsychosocial ideas |
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| Affiliation: | 1. 12, Rue Marguerite-Séraphine Beving, L-1234, Luxembourg;2. Centre for Health Promotion (ZithaGesondheetsZentrum), Hôpitaux Robert Schuman, ZithaKlinik, 36 Rue Ste Zithe, 2763 Luxembourg, Luxembourg;1. Department of Psychological Sciences, Purdue University, 703 Third Street, West Lafayette, IN 47907-2081, USA;2. Rensselaer Polytechnic Institute, USA;1. Behaviours and Health Risks, Burnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia;2. School of Public Health and Preventive Medicine, Monash University, 99 Commercial Rd, Melbourne, VIC, 3004, Australia;1. Department of Family Medicine, College of Medicine, Ohio State University, Columbus, OH, USA;2. Division of Health Services Management and Policy, College of Public Health, Ohio State University, Columbus, OH, USA;3. Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA;4. Center for Health Equity & Community Engaged Research, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place; Box 1077, New York, NY 10029, USA;1. CSIRO Oceans & Atmosphere Flagship, Private Bag 5, Wembley 6913, Australia;2. School of Earth and Geographical Sciences, The University of Western Australia, 35 Stirling Highway, Crawley 6009, Western Australia, Australia;1. Purdue University, United States;2. Rensselaer Polytechnic Institute, United States |
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| Abstract: | The biopsychosocial model is the prevailing conceptual model in relationship to which clinicians organize their analysis, evaluation and intervention. Since its promotion by Engel, little work has been done to provide a more solid conceptual basis for the relationship between the biological and the psychosocial processes in sickness and in health. We propose such a framework, using the perspective of life forms as information gathering and utilizing systems. We derive the simplest non-trivial model, the four domain model, which consists of the physical domains determining human processes: the environment, the body, the confined memories, and the communicable memories. We then re-visit Engel's case study to contrast our model with his systems approach, and apply it to issues in psychosomatics and the mind-body connection. |
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| Keywords: | Behavioral medicine Biopsychosocial model Mind-body-problem |
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