Engel G L
Am J Psychiatry. 1980 May;137(5):535-44. doi: 10.1176/ajp.137.5.535.
How physicians approach patients and the problems they present is much influenced by the conceptual models around which their knowledge is organized. In this paper the implications of the biopsychosocial model for the study and care of a patient with an acute myocardial infarction are presented and contrasted with approaches used by adherents of the more traditional biomedical model. A medical rather than psychiatric patient was selected to emphasize the unity of medicine and to help define the place of psychiatrists in the education of physicians of the future.
医生对待患者及其所呈现问题的方式，在很大程度上受到其知识组织所围绕的概念模型的影响。本文阐述了生物心理社会模型对急性心肌梗死患者研究与护理的意义，并与更为传统的生物医学模型支持者所采用的方法进行了对比。选择了一名医学而非精神科患者，以强调医学的整体性，并帮助确定精神科医生在未来医生教育中的地位。
