Consultation-Liaison Psychiatry Advanced Trainee, Department of Consultation-Liaison Psychiatry, Royal Prince Alfred Hospital, Sydney, Australia.
Australas Psychiatry. 2022 Feb;30(1):55-59. doi: 10.1177/10398562211037333. Epub 2021 Nov 8.
The biopsychosocial (BPS) model remains the predominant theoretical framework underpinning contemporary psychiatric training and practice. Like all models, it has its limitations and its critics. In light of recent censure, The purpose of this article was to (a) review key aspects of the history, development and contemporary utility of the BPS model and, (b) review key contributions of George Engel.
An aetiological model for mental disorders that involves psychological, biological and sociocultural factors has existed since at least the 1940s. The term "biopsychosocial" was arguably first coined by Roy Grinker in 1952. Spurred on by his interest in systems theory, Engel expanded upon the model in 1977 and used it to hypothesise about the integration of mind and body. Despite its shortcomings, the BPS model remains relevant and useful.
心理-社会-生物（BPS）模型仍然是当代精神病学培训和实践的主要理论框架。像所有模型一样，它有其局限性和批评者。鉴于最近的谴责，本文的目的是（a）回顾 BPS 模型的历史、发展和当代实用性的关键方面，以及（b）回顾乔治·恩格尔的主要贡献。
自 20 世纪 40 年代以来，至少存在一种涉及心理、生物和社会文化因素的精神障碍病因学模型。“心理-社会-生物”一词可以说是罗伊·格林克（Roy Grinker）在 1952 年首次提出的。受他对系统理论的兴趣的推动，恩格尔在 1977 年对该模型进行了扩展，并利用它来假设身心的整合。尽管存在缺陷，但 BPS 模型仍然具有相关性和实用性。
