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The biopsychosocial model of illness: a model whose time has come (2017) Wade, DT & Halligan, PW

Discussion in 'Other psychosomatic news and research' started by MSEsperanza, Sep 25, 2021.

  1. MSEsperanza

    MSEsperanza Senior Member (Voting Rights)

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    Wade DT, Halligan PW. The biopsychosocial model of illness: a model whose time has come. Clin Rehabil. 2017 Aug;31(8):995-1004. doi: 10.1177/0269215517709890. PMID: 28730890.

    https://journals.sagepub.com/doi/10.1177/0269215517709890?icid=int.sj-full-text.similar-articles.2

    Abstract
    The biopsychosocial model outlined in Engel’s classic Science paper four decades ago emerged from dissatisfaction with the biomedical model of illness, which remains the dominant healthcare model.

    Engel’s call to arms for a biopsychosocial model has been taken up in several healthcare fields, but it has not been accepted in the more economically dominant and politically powerful acute medical and surgical domains. It is widely used in research into complex healthcare interventions, it is the basis of the World Health Organisation’s International Classification of Functioning (WHO ICF), it is used clinically, and it is used to structure clinical guidelines.

    Critically, it is now generally accepted that illness and health are the result of an interaction between biological, psychological, and social factors. Despite the evidence supporting its validity and utility, the biopsychosocial model has had little influence on the larger scale organization and funding of healthcare provision.

    With chronic diseases now accounting for most morbidity and many deaths in Western countries, healthcare systems designed around acute biomedical care models are struggling to improve patient-reported outcomes and reduce healthcare costs. Consequently, there is now a greater need to apply the biopsychological model to healthcare management.

    The increasing proportion of healthcare resource devoted to chronic disorders and the accompanying need to improve patient outcomes requires action; better understanding and employment of the biopsychosocial model by those charged with healthcare funding could help improve healthcare outcome while also controlling costs.
     
  2. MSEsperanza

    MSEsperanza Senior Member (Voting Rights)

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    Sorry for posting another annoying paper but given the latest utterances of diverse spokespersons of the Royal Colleges, it seems to me that this line of thinking is more widespread among doctors, also in the UK, than I had thought.

    From the abstract, I found the following line of thinking most remarkable:

    "With chronic diseases now accounting for most morbidity and many deaths in Western countries, healthcare systems designed around acute biomedical care models are struggling to improve patient-reported outcomes and reduce healthcare costs. Consequently, there is now a greater need to apply the biopsychological model to healthcare management."


    Geraghty's criticsm of the BPS approach to ME/CFS is referenced here:

    "Some people have suggested that its [the BPS model's] use may harm patients.[29] It is likely that both models [the biomedical and the BPS] may be associated with harm, but the harm arises from a misuse, the failure to recognize the limitations of a model."

    Regarding Covid 19, see also:

    https://www.s4me.info/threads/rehab...hillips-m-turner-stokes-l-wade-d-et-al.22396/
     
    Last edited: Sep 25, 2021
    Kirsten, alktipping, MEMarge and 5 others like this.
  3. rvallee

    rvallee Senior Member (Voting Rights)

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    There's a big typo in the title, it's missing a few words: "The BPS model of illness, a model whose time has come to pass".

    The BPS model is literally responsible for the stagnation of medicine in this area. This is like arguing to throw a gigantic cistern of fuel on top of a fire because the previous attempts to do this have made the fire that much bigger so now we need a bigger tank and must plan for the even bigger tank of fuel that will be needed to throw on the massively larger fire because the problem is that it's decided how much fuel to throw on the fire based on how large it is.

    But the thing about a very large fire is that it erases all traces of those caught in it. Just leaves nothing behind. Or as some would say: problem solved. The problem of medical complaints, that is. Only ever that.
     
    Sean, SNT Gatchaman, Kirsten and 3 others like this.

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