The rise and fall of the biopsychosocial model
S. Nassir Ghaemi
http://bjp.rcpsych.org/cgi/content/full/bjprcpsych;195/1/3
It was conceived by a doctor of physical medicine. The article state's
that Ingel's model is the best true model of cause but it is also
useless in practice because doctors don't know how to apply it. The
majority of medical research - even in psychiatry - is still biomedical
model.
The outernet - the recording of everything digitally - means doctors may
be able to use the biopsychosocial model after all.
Frustratingly I can't find the article where I read the original story.
It was a story of a patient whose symptoms return. The doctor was
puzzled. In the interview he found out the patient's dog had died. The
grief caused the patient stopped taking their medication and their
symptoms returned. The patient hadn't told the doctor that they'd
stopped taking their meds. It was a good doctor who conducted a thorough
interview and had the sense to investigate the effects of the death of a
pet. THe patient in his misery and because of his psychology he didn't
tell the doctor they'd stopped taking their medication.
As more and more of life's information becomes available in electronic
form the potential for better healthcare and accurate diagnosis is high.
The smartphone is the first step towards this. Sophisticated data
systems can reduce the need to peruse large amounts of information and
advanced algorithms will be able to interpret the information required
for a diagnosis far faster than a doctor can, and with the perfect
reliability of an electronic system. The opportunity for research will
be extraordinary as datasets expand to include voluminous variables.
Finally medicine can move into a time when doctors can use the
biopsychosocial model because they'll have all the information about an
individual's life availabe through the outernet.
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