The Biopsychosocial Model of Health and Disease New Philosophical an

‘This is an incredibly audacious book. Derek Bolton and Grant Gillett brilliantly succeed in providing the big picture that was lacking in the defense of the biopsychosocial model promoted by Engel 40 years ago.’  - Steeves Demazeux, Assistant Profes

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New Philosophical and Scientific Developments Derek Bolton Grant Gillett

The Biopsychosocial Model of Health and Disease

Derek Bolton · Grant Gillett

The Biopsychosocial Model of Health and Disease New Philosophical and Scientific Developments

Derek Bolton Institute of Psychiatry, Psychology and Neuroscience, Division of Psychology & Systems Sciences King’s College London London, UK

Grant Gillett Bioethics Centre, Division of Health Sciences University of Otago Dunedin, New Zealand

ISBN 978-3-030-11898-3 ISBN 978-3-030-11899-0  (eBook) https://doi.org/10.1007/978-3-030-11899-0 Library of Congress Control Number: 2019930712 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2019. This book is an open access publication. Open Access This book is licensed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this book are included in the book’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the book’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Cover illustration: © Melisa Hasan This Palgrave Pivot imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

The problem area of this essay is set within a broad trend of increasing recognition that crossdisciplinary approaches are needed for addressing the aetiology, prevention and management of diseases. The recognition of this need goes by the name of the ‘biopsychosocial model’, originally proposed by the physician and psychoanalyst George Engel in a paper published in 1977. By now, some 40 years on, the model has a reasonable claim to be the overarching framework for medi