Related Content
Search Google Scholar for:
|
|
Science 8 April 1977: Vol. 196. no. 4286, pp. 129 - 136 DOI: 10.1126/science.847460
|
|
Articles
Science, Vol 196, Issue 4286, 129-136
Copyright © 1977 by American Association for the Advancement of Science
The need for a new medical model: a challenge for biomedicine
GL Engel
The dominant model of disease today is biomedical, and it leaves no room within tis framework for the social, psychological, and behavioral dimensions of illness. A biopsychosocial model is proposed that provides a blueprint for research, a framework for teaching, and a design for action in the real world of health care.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES:
- Biopsychosociospiritual Medicine and Other Political Schemes.
- J. P. Bishop (2009)
Christ Bioeth
| Abstract »
| Full Text »
| PDF »
- Disparities in rheumatoid arthritis disease activity according to gross domestic product in 25 countries in the QUEST-RA database.
- T Sokka, H Kautiainen, T Pincus, S Toloza, G da Rocha Castelar Pinheiro, J Lazovskis, M L Hetland, T Peets, K Immonen, J F Maillefert, et al. (2009)
Ann Rheum Dis
68, 1666-1672
| Abstract »
| Full Text »
| PDF »
- Therapeutic Factors in Group Counseling: Implications for Audiologic Rehabilitation.
- S. A. Erdman (2009)
Aural Rehabilitation and Its Instrumentation
16, 15-28
| Abstract »
| Full Text »
| PDF »
- The Case of the Proliferating Paradigms.
- J. Coulehan (2009)
Qual Health Res
19, 1379-1382
| PDF »
- Illness explanations among patients with medically unexplained symptoms: different idioms for different contexts.
- M. B. Risor (2009)
Health (London)
13, 505-521
| Abstract »
| PDF »
- Living with Ankylosing Spondylitis: The Patient's Perspective.
- K. E. Hamilton-West and L. Quine (2009)
J Health Psychol
14, 820-830
| Abstract »
| PDF »
- Understanding and Addressing Psychological and Social Problems: the Mediating Psychological Processes Model.
- P. Kinderman (2009)
International Journal of Social Psychiatry
55, 464-470
| Abstract »
| PDF »
- A Science of Connectedness.
- K. C. Stange (2009)
Ann. Fam. Med
7, 387-395
| Full Text »
| PDF »
- School Functioning in Adolescents With Chronic Pain: The Role of Depressive Symptoms in School Impairment.
- D. E. Logan, L. E. Simons, and K. J. Kaczynski (2009)
J. Pediatr. Psychol.
34, 882-892
| Abstract »
| Full Text »
| PDF »
- Foucauldian Diagnostics: Space, Time, and the Metaphysics of Medicine.
- J. P. Bishop (2009)
J Med Philos
34, 328-349
| Abstract »
| Full Text »
| PDF »
- Quantitative Clinical Rheumatology: Why Is a Test for Anti-CCP Antibodies Included in Most Routine Care for Rheumatoid Arthritis While a HAQ/MDHAQ Remains Largely a Research Tool?.
- T. PINCUS, Y. YAZICI, and M. J. BERGMAN (2009)
J Rheumatol
36, 1563-1564
| Full Text »
| PDF »
- Testing Gender as a Moderator of Associations Between Psychosocial Variables and Functional Disability in Children and Adolescents with Chronic Pain.
- K. J. Kaczynski, R. L. Claar, and D. E. Logan (2009)
J. Pediatr. Psychol.
34, 738-748
| Abstract »
| Full Text »
| PDF »
- The rise and fall of the biopsychosocial model.
- S. N. Ghaemi (2009)
The British Journal of Psychiatry
195, 3-4
| Abstract »
| Full Text »
| PDF »
- The Political Economy Of U.S. Primary Care.
- L. G. Sandy, T. Bodenheimer, L. G. Pawlson, and B. Starfield (2009)
Health Aff.
28, 1136-1145
| Abstract »
| Full Text »
| PDF »
- New developments in the diagnosis of fibromyalgia syndrome: Say goodbye to tender points?.
- W. S. WILKE (2009)
Cleveland Clinic Journal of Medicine
76, 345-352
| Abstract »
| Full Text »
| PDF »
- The Generalist Approach.
- K. C. Stange (2009)
Ann. Fam. Med
7, 198-203
| Full Text »
| PDF »
- Toward a Restorative Medicine--The Science of Care.
- J. C. Harris (2009)
JAMA
301, 1710-1712
| Full Text »
| PDF »
- Situational, Psychosocial, and Physical Health--Related Correlates of HIV/AIDS Risk Behaviors in Homeless Men.
- J. A. Stein, A. M. Nyamathi, and J. I. Zane (2009)
American Journal of Men's Health
3, 25-35
| Abstract »
| PDF »
- The Problem of Fragmentation and the Need for Integrative Solutions.
- K. C. Stange (2009)
Ann. Fam. Med
7, 100-103
| Full Text »
| PDF »
- Chinese Health Beliefs of Older Chinese in Canada.
- D. W. L. Lai and S. Surood (2009)
J Aging Health
21, 38-62
| Abstract »
| PDF »
- Tracking the Variability of Authority and Power in the Physician-Patient Relationship.
- L. B. McCullough (2009)
J Med Philos
34, 1-5
| Full Text »
| PDF »
- Is patient-centredness in European hospitals related to existing quality improvement strategies? Analysis of a cross-sectional survey (MARQuIS study).
- O Groene, M J M H Lombarts, N Klazinga, J Alonso, A Thompson, and R Sunol (2009)
Qual. Saf. Health Care
18, i44-i50
| Abstract »
| Full Text »
| PDF »
- The Rebirth of Neuroscience in Psychosomatic Medicine, Part I: Historical Context, Methods, and Relevant Basic Science.
- R. D. Lane, S. R. Waldstein, M. A. Chesney, J. R. Jennings, W. R. Lovallo, P. J. Kozel, R. M. Rose, D. A. Drossman, N. Schneiderman, J. F. Thayer, et al. (2009)
Psychosom Med
71, 117-134
| Abstract »
| Full Text »
| PDF »
- The Rebirth of Neuroscience in Psychosomatic Medicine, Part II: Clinical Applications and Implications for Research.
- R. D. Lane, S. R. Waldstein, H. D. Critchley, S. W. G. Derbyshire, D. A. Drossman, T. D. Wager, N. Schneiderman, M. A. Chesney, J. R. Jennings, W. R. Lovallo, et al. (2009)
Psychosom Med
71, 135-151
| Abstract »
| Full Text »
| PDF »
- Collaborative Treatment for the Psychosomatic Couple.
- J. Thoburn, G. Hoffman-Robinson, L. J. Shelly, and G. Sayre (2009)
The Family Journal
17, 6-13
| Abstract »
| PDF »
- Biopolitics, Terri Schiavo, and the Sovereign Subject of Death.
- J. P. Bishop (2008)
J Med Philos
| Abstract »
| Full Text »
| PDF »
- Globalization, Conflict and Mental Health.
- J. Piachaud (2008)
Global Social Policy
8, 315-334
| Abstract »
| PDF »
- Exposure to Disability and Hearing Loss Narratives in Undergraduate Audiology Curriculum.
- A. L. Berg, M. Canellas, S. Salbod, and R. Velayo (2008)
Am J Audiol
17, 123-128
| Abstract »
| Full Text »
| PDF »
- Determinants of symptoms in functional dyspepsia: gastric sensorimotor function, psychosocial factors or somatisation?.
- L Van Oudenhove, J Vandenberghe, B Geeraerts, R Vos, P Persoons, B Fischler, K Demyttenaere, and J Tack (2008)
Gut
57, 1666-1673
| Abstract »
| Full Text »
| PDF »
- Predicting relapse in Crohn's disease: a biopsychosocial model.
- A Bitton, P L Dobkin, M D Edwardes, M J Sewitch, J B Meddings, S Rawal, A Cohen, S Vermeire, L Dufresne, D Franchimont, et al. (2008)
Gut
57, 1386-1392
| Abstract »
| Full Text »
| PDF »
- The Medical Home: Growing Evidence to Support a New Approach to Primary Care.
- T. C. Rosenthal (2008)
J Am Board Fam Med
21, 427-440
| Abstract »
| Full Text »
| PDF »
- Impact of Spiritual Symptoms and Their Interactions on Health Services and Life Satisfaction.
- D. A. Katerndahl (2008)
Ann. Fam. Med
6, 412-420
| Abstract »
| Full Text »
| PDF »
- Eastern and Western Spiritual Beliefs and Violent Trauma: A U.S. National Community Survey.
- L.-C. Lee, K. M. Connor, and J. R. T. Davidson (2008)
Traumatology
14, 68-76
| Abstract »
| PDF »
- The Test Anxiety Inventory for Children and Adolescents (TAICA): Examination of the Psychometric Properties of a New Multidimensional Measure of Test Anxiety Among Elementary and Secondary School Students.
- P. A. Lowe, S. W. Lee, K. M. Witteborg, K. W. Prichard, M. E. Luhr, C. M. Cullinan, B. A. Mildren, J. M. Raad, R. A. Cornelius, and M. Janik (2008)
Journal of Psychoeducational Assessment
26, 215-230
| Abstract »
| PDF »
- Chronic Pain in Adolescence: Parental Responses, Adolescent Coping, and their Impact on Adolescent's Pain Behaviors.
- L. E. Simons, R. L. Claar, and D. L. Logan (2008)
J. Pediatr. Psychol.
33, 894-904
| Abstract »
| Full Text »
| PDF »
- Gender and Health: The Effects of Constrained Choices and Social Policies.
- L. B. McCullough (2008)
JAMA
300, 968
| Full Text »
| PDF »
- Because one shoe doesn't fit all: A repertoire of doctor-patient relationships.
- M.-T. Lussier and C. Richard (2008)
Can Fam Physician
54, 1089-1092
| Full Text »
| PDF »
- En l'absence de panacee universelle: Repertoire des relations medecin-patient.
- M.-T. Lussier and C. Richard (2008)
Can Fam Physician
54, 1096-1099
| Full Text »
| PDF »
- Individual determinants of primary healthcare utilisation in Gaza Strip, Palestine.
- T Abu-Mourad, A Alegakis, S Shashaa, A Koutis, C Lionis, and A Philalithis (2008)
J Epidemiol Community Health
62, 701-707
| Abstract »
| Full Text »
| PDF »
- Caregivers' Experiences With Major Depression Concealed by Physical Illness in Patients Recruited From Central Ugandan Primary Health Care Centers.
- W. W. Muhwezi, E. S. Okello, S. Neema, and S. Musisi (2008)
Qual Health Res
18, 1096-1114
| Abstract »
| PDF »
- An Integrative Approach to Cultural Competence in the Psychiatric Curriculum.
- K. Fung, L. Andermann, A. Zaretsky, and H.-T. Lo (2008)
Acad Psychiatry
32, 272-282
| Abstract »
| Full Text »
| PDF »
- The Development of an Instrument for Measuring Healing.
- J. P. Meza and G. F. Fahoome (2008)
Ann. Fam. Med
6, 355-360
| Abstract »
| Full Text »
| PDF »
- Recovery and the medical model.
- D. Mountain and P. J. Shah (2008)
Adv. Psychiatr. Treat.
14, 241-244
| Abstract »
| Full Text »
| PDF »
- Explanatory Models for Psychiatric Illness.
- K. S. Kendler (2008)
Am J Psychiatry
165, 695-702
| Abstract »
| Full Text »
| PDF »
- The Psychological Impact of Severe Hand Injury.
- M. GROB, N. A. PAPADOPULOS, A. ZIMMERMANN, E. BIEMER, and L. KOVACS (2008)
J Hand Surg Eur Vol.
33, 358-362
| Abstract »
| Full Text »
| PDF »
- The development and validation of the Office Work Screen.
- G. Gilworth, G. Smyth, J. Smith, and A. Tennant (2008)
Occup. Med.
58, 289-294
| Abstract »
| Full Text »
| PDF »
- Reintegrating Family Therapy Training in Psychiatric Residency Programs: Making the Case.
- D. Rait and I. Glick (2008)
Acad Psychiatry
32, 76-80
| Abstract »
| Full Text »
| PDF »
- Gender Differences in Sleep, Fatigue, and Daytime Activity in a Pediatric Oncology Sample Receiving Dexamethasone.
- S. D. Sanford, J. O. Okuma, J. Pan, D. K. Srivastava, N. West, L. Farr, and P. S. Hinds (2008)
J. Pediatr. Psychol.
33, 298-306
| Abstract »
| Full Text »
| PDF »
- Psychological and Clinical Factors Implicated in Decision Making About a Trial of Low-Dose Tamoxifen in Hormone Replacement Therapy Users.
- G. Rondanina, M. Puntoni, G. Severi, C. Varricchio, A. Zunino, I. Feroce, B. Bonanni, and A. Decensi (2008)
J. Clin. Oncol.
26, 1537-1543
| Abstract »
| Full Text »
| PDF »
- Les problemes psychosociaux -- un defi en promotion de la sante.
- G. Steffgen and S. Recchia (2008)
Global Health Promotion
15, 60-63
| PDF »
- Daily Assessment of Pain in Adults with Sickle Cell Disease.
- W. R. Smith, L. T. Penberthy, V. E. Bovbjerg, D. K. McClish, J. D. Roberts, B. Dahman, I. P. Aisiku, J. L. Levenson, and S. D. Roseff (2008)
Ann Intern Med
148, 94-101
| Abstract »
| Full Text »
| PDF »
- Psychosocial Adaptations to Dual Sensory Loss in Middle and Late Adulthood.
- M. Brennan and S. J. Bally (2007)
Trends in Amplification
11, 281-300
| Abstract »
| PDF »
- Religion, Spirituality, and Medicine.
- B. Eichelman (2007)
Am J Psychiatry
164, 1774-1775
| Full Text »
| PDF »
- Religion, Spirituality, and Medicine: Psychiatrists' and Other Physicians' Differing Observations, Interpretations, and Clinical Approaches.
- F. A. Curlin, R. E. Lawrence, S. Odell, M. H. Chin, J. D. Lantos, H. G. Koenig, and K. G. Meador (2007)
Am J Psychiatry
164, 1825-1831
| Abstract »
| Full Text »
| PDF »
- Calculating health and social change: an essay on Jerry Morris and Late-modernist epidemiology.
- D. Porter (2007)
Int. J. Epidemiol.
36, 1180-1184
| Full Text »
| PDF »
- Psychosocial Aspects of Chronic Disease: ESRD as a Paradigmatic Illness.
- D. Cukor, S. D. Cohen, R. A. Peterson, and P. L. Kimmel (2007)
J. Am. Soc. Nephrol.
18, 3042-3055
| Abstract »
| Full Text »
| PDF »
- The medical model is dead long live the medical model.
- P. SHAH and D. MOUNTAIN (2007)
The British Journal of Psychiatry
191, 375-377
| Abstract »
| Full Text »
| PDF »
- Psychosomatic Medicine: The Scientific Foundation of the Biopsychosocial Model.
- D. H. Novack, O. Cameron, E. Epel, R. Ader, S. R. Waldstein, S. Levenstein, M. H. Antoni, and A. R. Wainer (2007)
Acad Psychiatry
31, 388-401
| Abstract »
| Full Text »
| PDF »
- Efficacy of St. John's Wort for Treating Mild to Moderate Depression.
- T. Gahlsdorf, R. Krause, and M. W. Beal (2007)
Complementary Health Practice Review
12, 184-195
| Abstract »
| PDF »
- An Interactive Model of Pain and Myocardial Ischemia.
- S. E. Hofkamp, C. A. Henrikson, and S. T. Wegener (2007)
Psychosom Med
69, 632-639
| Abstract »
| Full Text »
| PDF »
- Acute Emotional Stress and Cardiac Arrhythmias.
- R. C. Ziegelstein (2007)
JAMA
298, 324-329
| Abstract »
| Full Text »
| PDF »
- The Biopsychosocial Formulation Manual: A Guide for Mental Health Professionals.
- S. Guzofski and J. Geller (2007)
Psychiatr Serv
58, 1014-1015
| Full Text »
| PDF »
- Problematic Integration of Uncertainty and Desire in Pregnancy.
- M. Sassi Matthias and A. S. Babrow (2007)
Qual Health Res
17, 786-798
| Abstract »
| PDF »
- lIlness as argumentation: a prolegomenon to the rhetorical study of contestable complaints.
- J. Z. Segal (2007)
Health (London)
11, 227-244
| Abstract »
| PDF »
- The Relevance of Neuroscience to Forensic Psychiatry.
- J. A. Silva (2007)
J Am Acad Psychiatry Law
35, 6-9
| Full Text »
| PDF »
- Perceptions of Elderly Self-Neglect: A Look at Culture and Cohort.
- S. M. S. Filippo, W. Reiboldt, B. White, and J. Hails (2007)
Family and Consumer Sciences Research Journal
35, 215-231
| Abstract »
| PDF »
- Further evidence supporting a psychological component to irritable bowel syndrome * Authors's reply.
- M Castle, G W Libby, L. Van Oudenhove, and J. Tack (2007)
Gut
56, 437-438
| Full Text »
| PDF »
- Prevalence and Correlates of Early Onset Asthma and Wheezing in a Healthy Birth Cohort of 2- to 3-Year Olds.
- J. B. Berz, A. S. Carter, R. L. Wagmiller, S. M. Horwitz, K. K. Murdock, and M. Briggs-Gowan (2007)
J. Pediatr. Psychol.
32, 154-166
| Abstract »
| Full Text »
| PDF »
- Meaning and Action in Employed Mothers' Health Work.
- K. E. Kushner (2007)
Journal of Family Nursing
13, 33-55
| Abstract »
| PDF »
- Work disability in early rheumatoid arthritis: higher rates but better clinical status in Finland compared with the US.
- C P Chung, T Sokka, P G Arbogast, and T Pincus (2006)
Ann Rheum Dis
65, 1653-1657
| Abstract »
| Full Text »
| PDF »
- Fatherhood as a Component of Men's Health..
- C. F. Garfield, E. Clark-Kauffman, and M. M. Davis (2006)
JAMA
296, 2365-2368
| Full Text »
| PDF »
- Barriers to the Integration of Psychosocial Factors in Medicine: Results of a National Survey of Physicians.
- J. A. Astin, K. Soeken, V. S. Sierpina, and B. R. Clarridge (2006)
J Am Board Fam Med
19, 557-565
| Abstract »
| Full Text »
| PDF »
- Preventing incapacity in people with musculoskeletal disorders.
- G. Waddell (2006)
Br. Med. Bull.
| Abstract »
| Full Text »
| PDF »
- Family Medicine's Identity: Being Generalists in a Specialist Culture?.
- H. F. Stein (2006)
Ann. Fam. Med
4, 455-459
| Abstract »
| Full Text »
| PDF »
- Introduction to the Special Issue on Pain: From Pain to Pain-Associated Disability Syndrome.
- L. K. Zeltzer, J. C. I. Tsao, B. Bursch, and C. D. Myers (2006)
J. Pediatr. Psychol.
31, 661-666
| Full Text »
| PDF »
- Definitions of Health Among Healthcare Providers.
- K. Julliard, E. Klimenko, and M. S. Jacob (2006)
Nurs Sci Q
19, 265-271
| Abstract »
| PDF »
- Counseling Psychology in the Era of Genetic Testing: Considerations for Practice, Research, and Training.
- K. P. Kaut (2006)
The Counseling Psychologist
34, 461-488
| Abstract »
| PDF »
- Stress, the Brain and Depression.
- P. E. Veenhuis (2006)
Am J Psychiatry
163, 1301-1302
| Full Text »
| PDF »
- The Problem of the Psychopharmacologist.
- N. Kontos, J. Querques, and O. Freudenreich (2006)
Acad Psychiatry
30, 218-226
| Abstract »
| Full Text »
| PDF »
- Objective Cancer-Related Variables Are Not Associated With Depressive Symptoms in Women Treated for Early-Stage Breast Cancer.
- W. A. Bardwell, L. Natarajan, J. E. Dimsdale, C. L. Rock, J. E. Mortimer, K. Hollenbach, and J. P. Pierce (2006)
J. Clin. Oncol.
24, 2420-2427
| Abstract »
| Full Text »
| PDF »
- The Persistence of Mind-Brain Dualism in Psychiatric Reasoning About Clinical Scenarios.
- M. J. Miresco and L. J. Kirmayer (2006)
Am J Psychiatry
163, 913-918
| Abstract »
| Full Text »
| PDF »
- Toward a Common Language for Function, Disability, and Health.
- A. M Jette (2006)
Physical Therapy
86, 726-734
| Abstract »
| Full Text »
| PDF »
- "Joining the dots" for patients with systemic lupus erythematosus: personal perspectives of health care from a qualitative study.
- E D Hale, G J Treharne, A C Lyons, Y Norton, S Mole, D L Mitton, K M J Douglas, N Erb, and G D Kitas (2006)
Ann Rheum Dis
65, 585-589
| Abstract »
| Full Text »
| PDF »
- The Psychodynamic Formulation: Its Purpose, Structure, and Clinical Application.
- S. Perry, A. M. Cooper, and R. Michels (2006)
Focus
4, 297
| Abstract »
| Full Text »
| PDF »
- 'Why Don't they Get It?' Talk of Medicine as Science. St Luke's Hospital, Panniqtuuq, Baffin Island.
- F. J. Tester and P. McNicoll (2006)
Soc Hist Med
19, 87-106
| Abstract »
| Full Text »
| PDF »
- Targeting Schizophrenia Research to Patient Outcomes.
- W. T. CARPENTER Jr. (2006)
Am J Psychiatry
163, 353-355
| Full Text »
| PDF »
- Health Beliefs and Behaviour of Cervix Cancer Patients.
- P. AwasthiI, R. C. Mishra, and U.P. Shahi (2006)
Psychology Developing Societies
18, 37-58
| Abstract »
| PDF »
- On Addressing Racial and Ethnic Health Disparities: The Potential Role of Patient Communication Skills Interventions.
- D. J. Cegala and D. M. Post (2006)
American Behavioral Scientist
49, 853-867
| Abstract »
| PDF »
|
|