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Family Practice Vol. 17, No. 1, 90-93
© Oxford University Press 2000

Selections from Current Literature

Psychoneuroimmunology: validation of the biopsychosocial model

Jeffrey S Trilling

Department of Family Medicine, Health Sciences Center, State University of New York at Stony Brook, Stony Brook, NY 11794-8461, USA.

Trilling JS. Psychoneuroimmunology: validation of the biopsychosocial model. Family Practice 2000; 17: 90–93.

The first 150 words of the full text of this article appear below.

Introduction

The biomedical model has been extraordinarily successful as evidenced by the dramatic technological advances of the 20th century. Medical investigators identified bacteria and viruses as the cause of many diseases, thereby, replacing the attribution models of ‘miasmas' and supernatural forces held by prior generations. While we have witnessed an era marked by exceptional medical advances through scientific reductionism, these have come at the expense of fragmentation and depersonalization of patient care. In this era of mechanistic thinking, George Engel raised concern that the body is viewed as little more than a machine, disease as the breakdown of the machine, and the physician's sole job is to fix the machine once broken.1 Psychosocial variables and their effects on health, i.e. the importance of looking at an illness within the context of the person and their life stresses and habits, if considered at all were deemed to be outside the domain of . . . [Full Text of this Article]

Kiecolt-Glaser JK. Stress, personal relationships, and immune function: health implications. Brain, Behavior, and Immunity 1999; 13: 61–72.
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Comment. Smyth MM, Stone AA, Hurewitz A, Kaell A. Effects of writing about stressful experiences on symptom reduction in patients with asthma or rheumatoid arthritis, a randomized trial. Journal of the American Medical Association 1999; 281: 1304–1309.
Comment. Kiecolt-Glaser JK, Marucha PT, Malarkey WB, Mercado AM, Glaser R. Slowing of wound healing by psychological stress. Lancet 1995; 346: 1194–1196.
Comment. Conclusion


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