Bolton Derek
King's College London, UK.
BJPsych Bull. 2022 Jul 4;46(4):1-5. doi: 10.1192/bjb.2022.34.
The topic of this article is the biopsychosocial model. My main contention is that - notwithstanding doubts as to what exactly it is, or indeed whether it is anything - there is a coherent account of it, in terms of both applications to particular health conditions and mechanisms with wide application. There is accumulating evidence from recent decades that psychosocial as well as biological factors are implicated in the aetiology and treatment of a large range of physical as well as mental health conditions. The original proposer of the biopsychosocial model, George Engel, back in 1977, was substantially correct about what he saw was on its way.
本文的主题是生物心理社会模型。我的主要观点是——尽管对于它究竟是什么存在疑问，甚至对于它是否存在也有疑问——但从其在特定健康状况中的应用以及具有广泛适用性的机制方面来看，对它有一个连贯的解释。近几十年来，越来越多的证据表明，心理社会因素以及生物因素都与一系列身心健康状况的病因和治疗有关。生物心理社会模型的最初提出者乔治·恩格尔早在1977年就对他所预见的趋势大体上是正确的。
