دورية أكاديمية
The biopsychosocial model is lost in translation: from misrepresentation to an enactive modernization.
| العنوان: | The biopsychosocial model is lost in translation: from misrepresentation to an enactive modernization. |
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| المؤلفون: | Cormack B; Cor-Kinetic, London, UK., Stilwell P; School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada., Coninx S; Institute for Philosophy II, Ruhr University Bochum, Bochum, Germany., Gibson J; Physiotherapy Department, Royal Liverpool and Broadgreen University Hospitals, Liverpool, UK. |
| المصدر: | Physiotherapy theory and practice [Physiother Theory Pract] 2023 Nov 02; Vol. 39 (11), pp. 2273-2288. Date of Electronic Publication: 2022 May 28. |
| نوع المنشور: | Review; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9015520 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5040 (Electronic) Linking ISSN: 09593985 NLM ISO Abbreviation: Physiother Theory Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: London, UK ; Hillsdale, N.J. : Lawrence Erlbaum Associates, c1990- |
| مواضيع طبية MeSH: | Models, Biopsychosocial*, Humans |
| مستخلص: | Introduction: There are increasing recommendations to use the biopsychosocial model (BPSM) as a guide for musculoskeletal research and practice. However, there is a wide range of interpretations and applications of the model, many of which deviate from George Engel's original BPSM. These deviations have led to confusion and suboptimal patient care. Objectives: 1) To review Engel's original work; 2) outline prominent BPSM interpretations and misapplications in research and practice; and 3) present an "enactive" modernization of the BPSM. Methods: Critical narrative review in the context of musculoskeletal pain. Results: The BPSM has been biomedicalized, fragmented, and used in reductionist ways. Two useful versions of the BPSM have been running mostly in parallel, rarely converging. The first version is a "humanistic" interpretation based on person- and relationship-centredness. The second version is a "causation" interpretation focused on multifactorial contributors to illness and health. Recently, authors have argued that a modern enactive approach to the BPSM can accommodate both interpretations. Conclusion: The BPSM is often conceptualized in narrow ways and only partially implemented in clinical care. We outline how an "enactive-BPS approach" to musculoskeletal care aligns with Engel's vision yet addresses theoretical limitations and may mitigate misapplications. |
| فهرسة مساهمة: | Keywords: Biopsychosocial; George Engel; enactivism; humanism; person-centered care |
| تواريخ الأحداث: | Date Created: 20220601 Date Completed: 20231004 Latest Revision: 20231004 |
| رمز التحديث: | 20231004 |
| DOI: | 10.1080/09593985.2022.2080130 |
| PMID: | 35645164 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1532-5040 |
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| DOI: | 10.1080/09593985.2022.2080130 |