INTRODUCTION “Don’t treat the disease, treat the patient” [9]. The concept of health has seemed to become complex in definition over the centuries as science improves. “Health is a complete state of physical, mental and social well-being and not merely the absence of disease and infirmity.”-World Health Definition of Health (1948) [9] In order to understand health, different models or frameworks for thinking have been developed which have been useful. The Biomedical model which evolved since the 19th century from Galen’s (Greek physician 200AD) concept of pathogen, focused on removing the disease/disability and not on prevention or general well-being [9]. The Biopsychosocial model however, doesn’t merely focus on the physical state of …show more content…
It is reductionist because it reduces illness to low-level processes such as chemical imbalances, pathogens, genetic predispositions and disorders. According to this model, individuals are not responsible for illnesses caused by factors beyond their control and treatment should include vaccination, surgery and the like which all aim to remove the cause of the illness. In this model of practice, an individual can either be healthy or ill because there is no continuum. That a psychological disorder can lead to an illness but there is no in-between. The biomedical view thus identifies treatment of various parts with the ultimate goal of a cure. If success in this model is defined as a cure, death is defined as ultimate failure, to be avoided at all cost. Patients whose diseases cannot be “cured” are deemed as “incurable”. [7] The Biopsychosocial (BPS) model greatly differs because while the biomedical answers the main question “why do people get sick?” the BPS also answers the question “why else do people get sick?” [9] According to the BPS model, the human being is complex and must be understood as a whole. That there is a relationship between body, mind and environment and that one aspect affects the others. Health and illness are caused by multiple factors and have multiple effects, from the biological or cellular level
Health is not limited to a physical illness that can be cured or alleviated but must encompass the entire individual. It includes spiritual, emotional, social, mental and physical aspects of the individual. All of these areas must be assessed and evaluated when caring or a patient and their families (Chitty, 2007, p. 303).
Naidoo and Wills(2001, p.47) “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ - WHO (1946).” This definition falls into a holistic way of defining health, which believes that there are more areas to look at when thinking of health than just simply the absence of a disease. It considers the cause of why someone is ill and not just simply about ’fixing it’.
But over the past few decades, the definititon and concept of health has evolved to encompass more elements than just the physical well-being of a person. This is partly attributed to various researches and studies that have taken place around the world in the last 60 years. Already in 1948, the World Health Organization declared that health is “a state of complete physical, mental and social well being and not
The biomedical model relies on several assumptions including the concept of mind body dualism with the mind and body seen as separate entities and accepting that they can be treated separately. The body itself was viewed as machine with a broken part that could be repaired or healed by an expert. There is a belief that a disease has its origin in a specific and knowable cause. The sick body can be examined, treated and repaired without taking other factors into consideration. The doctor holds a detached view of the patient and treats the body in isolation without considering other reasons that contribute to the condition.
The biomedical model and the biopsychosocial model are both representations of health commonly accepted in modern society. The biomedical model considers the absence of disease is physical wellness. This model is good practice but it has limitations. On the other hand, the biopsychosocial model takes into account the whole person which has led to extensive research in many aspects of wellness. It addresses more than physical well being as many people now are ill but they have no presence of disease. Socioeconomic status, race, ethnicity and generational differences all play important roles in
Two of the three models of health and healing discussed by Dossey (1999) were Era II Body/Mind Model of the 1950s and Era III Body/Mind/Spirit Model of the 1990s. According to Dossey (1999), post World War II the Medical Doctors noticed that there was proof that the functioning of the human body can be affected by other factors such as stress and emotions which, can lead to diseases such as ulcers and high blood pressure. This model brought to light the realization that treating the human body is complex because when the physical body is not well the mentation of the patient is affected resulting in exacerbation of other
The definition of health is fluid, ever changing and carries different meanings across individuals, societies and cultures. Although it is difficult
A biopsychosocial model is a deep interrelation of all of this three-factor such as biological factors(genetic and physical history), psychological factors (cognition, will, and emotions), and social factors (socioeconomic status, culture, religion, and technology). When a combination of all of this three-factor working together, it will lead to an outcome of an illness, however, each of this factors on its own is very insufficient to lead to an
The biomedical model of health fails to comprise factors such social or environment that relate or associate with illness and also it views very little about the individual`s wellbeing history such as medical history or feelings. Holistically, a person`s well-being doesn’t not depend on physically states only and the biomedical model of health believe that a person is ill or has broken (leg or arm), they can be fixed which would lead to health restoration along with that, this model doesn’t consider that the person have or will be in pain and that pain can lead to many. Through this model, there are high chances of diagnosing wrong illnesses. For example: an individual might repine about back pain and then with biomedical model method (tests), the back might appear ok, but the history of something such insomnia, depression or others would not be viewed.
Another model of health that evolved over time is the physical-mind model. This model purports that a person’s overall state of health or ability to heal can be affected on how or what they think. For instance, that depression or anxiety can negatively impact a critically ill patient’s ability to heal. It also recognized that feelings or emotions can physically manifest as illness. For example, someone who is extremely anxious can give themselves an ulcer, without doing something to physically harm themselves. Simply being under significant stress can cause a physiological response to stimulate the creation of more stomach acid and wears a hole in the lining of the stomach, creating an ulcer. When using this model of health, doctor and nurses can treat a person, mind and body, when they have an illness.
In modern society there is a general consensus that ‘good health’ is something that everyone wants to experience and that each individual knows what this involves. Because there are so many different definitions of health and ill health it can become a very complicated concept. Walsh (2011) states that “In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted.
unlike the biomedical model; it not only focuses on an individual’s biological alterations to understand an illness but also the distal (social, psychological and behavioural) factors for understanding of diseases such as NCDs (Borrell-Carrio et al., 2004). Thus in the present day society where the diseases are driven by social factors, the biopsychosocial model is the most relevant model in addressing the current health care issues.
The World Health Organisation defined health: “State of complete physical and social well-being and not merely the absence of disease and infirmity” (WHO, 1946 p.100). Many factors influence health such as family traits, behaviours, access to quality healthcare and environment (quality of air, bad/good water and housing conditions) (WHO, 1946). The holistic view of health combines the mind (mental), body (physical), emotional and spiritual elements to a person (Ewes & Simnett, 2003).
Illich (1990) even went as to say that themedical proffesion (including pharmaceutical companies and medical equipment suppliers) have a vested interest in illness so they create illnesses which have to be treated by doctors and drugs etc. this means conditions that used to be seen as natural, such as dying or unhappiness have now undergone a social iatrogenesis (doctor caused illness) whereby people cannot handle their own health anymore. postmodernists dislike this use of medical discourse because one theory has more prestige that it should be considered the truth.
The biopsychosocial model of health is a multidimensional approach to health (Lecture 1, 2014). It focuses not only on the biology or physiology of a person, but also includes the psychology of a person and the manner in which society and culture influence health as well (Gurung, 2014). It was developed in the 21st century as an important theoretical framework to approaching health and medicine (Richtig, Trapp, Kapfhamer, Jenull, Richtig & Trapp, 2016).This approach makes the assumption that the mind and body connection is not only relevant but also vital to a person’s entire well being. It takes a holistic approach when treating an individual and can improve health in the