Will Davies, DPhil, Oxford Uehiro Centre for Practical Ethics, Oxford; Rebecca Roache, MPhil, PhD, Philosophy at Royal Holloway, Royal Holloway, University of London, Egham, UK
Will Davies, DPhil, Oxford Uehiro Centre for Practical Ethics, Oxford; Rebecca Roache, MPhil, PhD, Philosophy at Royal Holloway, Royal Holloway, University of London, Egham, UK.
Br J Psychiatry. 2017 Jan;210(1):3-5. doi: 10.1192/bjp.bp.116.182873.
Psychiatry uncomfortably spans biological and psychosocial perspectives on mental illness, an idea central to Engel's biopsychosocial paradigm. This paradigm was extremely ambitious, proposing new foundations for clinical practice as well as a non-reductive metaphysics for mental illness. Perhaps given this scope, the approach has failed to engender a clearly identifiable research programme. And yet the view remains influential. We reassess the relevance of the biopsychosocial paradigm for psychiatry, distinguishing a number of ways in which it could be (re)conceived.
精神病学不舒服地跨越了对精神疾病的生物和心理社会观点，这是恩格尔的生物心理社会范式的核心思想。这个范式非常雄心勃勃，为临床实践提出了新的基础，也为精神疾病提供了一种非还原论的形而上学。也许考虑到这个范围，这种方法未能产生一个明确可识别的研究计划。然而，这种观点仍然具有影响力。我们重新评估了生物心理社会范式对精神病学的相关性，区分了它可以（重新）构想的几种方式。
