The biopsychosocial model: Exploring six impossible things

Families, Systems and Health

Volumn 23, Issue 4, 2005, Pages 426-431

  Epstein, Ronald M ^a   Borrell Carrio, Francesc ^b  

^a UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

^b UNIVERSITY OF BARCELONA   (Spain)

Author keywords

Clinical practice; History of medicine; Philosophy of medicine; Physician patient relations; Theory

Indexed keywords

ATTENTION; CLINICAL PRACTICE; DOCTOR PATIENT RELATION; EDUCATIONAL THEORY; HISTORY OF MEDICINE; MENTAL CAPACITY; PERIPHERAL VISION; PHILOSOPHY; REVIEW; SOCIAL PSYCHOLOGY;

EID: 33745173441     PISSN: 10917527     EISSN: None     Source Type: Journal    
DOI: 10.1037/1091-7527.23.4.426     Document Type: Review

References (25)

1. Borrell-Carrio, F., & Epstein, R. M. (2004). Preventing errors in clinical practice: A call for self-awareness. Annals of Family Medicine, 2, 310-316.
2. Borrell-Carrio, F., Suchman, A. L., & Epstein, R. M. (2004). The biopsychosocial model 25 years later: Principles, practice, and scientific inquiry. Annals of Family Medicine, 2, 576-582.
3. Brown, T. (2003). George Engel and Rochester's biopsychosocial tradition: Historical and developmental perspectives. In R. M. Frankel, T. E. Quill, & S. H. McDaniel (Eds.), The Biopsychosocial Approach: Past, Present, Future (pp. 199-218). Rochester, NY: University of Rochester Press.
4. Davis, F. D. (1997). Phronesis, clinical reasoning, and Pellegrino's philosophy of medicine. Theoretical Medicine, 18, 173-195.
5. Eisenberg, L. (1986). Mindlessness and brainlessness in psychiatry. British Journal of Psychiatry, 148, 497-508.
6. Engel, G. L. (1977, April 8). The need for a new medical model: A challenge for biomedicine. Science, 196, 129-136.
7. Epstein, R. M. (1999). Mindful practice. Journal of the American Medical Association, 282, 833-839.
8. Epstein, R. M. (2003). Mindful practice in action (II): Cultivating habits of mind. Families Systems and Health, 21, 11-17.
9. Epstein, R. M. (in press). Assessment of competence as organized reflection: Implications for learning and values in medical education. New England Journal of Medicine.
10. Epstein, R. M., Alper, B. S., & Quill, T. E. (2004). Communicating evidence for participatory decision making. JAMA: The Journal of the American Medical Association, 291, 2359-2366.
11. Epstein, R. M., Dannefer, E. F., Nofziger, A. C., Hansen, J. T., Schultz, S. H., Jospe N, et al. (2004). Comprehensive assessment of professional competence: The Rochester experiment. Teaching and Learning in Medicine, 16, 186-196.
12. Frankel, R. M., Quill, T., & McDaniel, S. (2003). The future of the biopsychosocial approach. In R. M. Frankel, T. E. Quill, & S. H. McDaniel (Eds.), The Biopsychosocial Approach: Past, Present, Future (pp. 255-268). Rochester NY: University of Rochester Press.
13. Herman, J. (1989). The need for a transitional model: A challenge for biopsychosocial medicine? Families Systems and Medicine, 7, 106-111.
14. James, W. (1975) Pragmatism. Cambridge, MA: Harvard University Press.
15. Ludmerer, K. M. (1999). Time to heal: American medical education from the turn of the century to the era of managed care. New York: Oxford University Press.
16. Makoul, G., Rintamaki, L., Epstein, R., Marvel, M. K., & Frankel, R. (2004, October). Wait a minute: Gauging the effect of physician verbalizations during patients' initial narratives. Presented at the National Communication Association Annual Meeting, Chicago.
17. Marvel, M. K., Epstein, R. M., Flowers, K., & Beckman, H. B. (1999). Soliciting the patient's agenda: Have we improved? JAMA: Journal of the American Medical Association, 281, 283-287.
18. McDaniel, S. H., Campbell, T. L., Hepworth, J., & Lorenz, A. (2005). Family-oriented primary care (2nd ed.). New York: Springer-Verlag.
19. Novack, D. H., Epstein, R. M., & Paulsen, R. H. (1999). Toward creating physician-healers: Fostering medical students' self-awareness, personal growth, and well-being. Academic Medicine, 74, 516-520.
20. Novack, D. H., Kaplan, C., Epstein, R. M., Clark, W., Suchman, A. L., O'Brien, M., et al. (1997). Personal awareness and professional growth: A proposed curriculum. Medical Encounter, 13, 2-7.
21. Novack, D. H., Suchman, A. L., Clark, W., Epstein, R. M., Najberg, E., & Kaplan, C. (1997). Calibrating the physician: Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. JAMA: The Journal of the American Medical Association, 278, 502-509.
22. Plsek P. (2001). Appendix B: Redesigning health care with insights from the science of complex adaptive systems. In Committee on Quality of Health Care in America & Institute of Medicine (Eds.), Crossing the quality chasm: A new health care system for the 21st century (pp. 322-335). Washington, DC: National Academy Press.
23. Schmidt, H. G., Norman, G. R., & Boshuizen, H. P. (1990). A cognitive perspective on medical expertise: Theory and implication [published erratum appears in Academic Medicine 1992 Apr;67(4): 287]. Academic Medicine, 65, 611-621.
24. Tizon, J. L. & Sobre, E. L. (1998). "Humanismo imposible" en la Medicina actual. Humana, 5-8.
25. Zoppi, K., & Epstein, R. M. (2002). Is communication a skill? Communication behaviors and being in relation. Family Medicine, 34, 319-324.