Munitz H, Rudnick A
Geha Mental Health Center, Petach Tikwa, Israel.
Isr J Psychiatry Relat Sci. 2000;37(4):266-70; discussion 274-7.
Engel's biopsychosocial model of medicine has been widely endorsed by contemporary medicine, at least in theory. Yet, whereas Engel's notion refers mainly to physician-patient communication, the prevalent interpretation of this model is mainly etiological. The present meta-theoretical study examines the relation between the different notions of the model. Using logical analysis and the theory of (critical) rationality, in particular Wettersten's theory of (complementary) styles of rationality, it is argued that the different notions of the model may be complementary, rather than contradictory or incommensurable as usually implied by those holding them.
恩格尔的生物心理社会医学模式至少在理论上已得到当代医学的广泛认可。然而，尽管恩格尔的概念主要涉及医患沟通，但该模式的普遍解释主要是病因学方面的。本元理论研究考察了该模式不同概念之间的关系。运用逻辑分析和（批判性）理性理论，特别是韦特施泰因的（互补）理性风格理论，本文认为该模式的不同概念可能是互补的，而非如持有这些概念的人通常所暗示的那样相互矛盾或不可通约。
