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The Rise and Fall of the Biopsychosocial Model


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Table of Contents

PrefaceAcknowledgmentsPart I: The Rise of the Biopsychosocial Model1. The Perils of Open-mindedness: Adolf Meyer's Psychobiology2. So Many Theories, So Little Time: The Rise of Eclecticism3. Riding Madly in All Directions: Roy Grinker's "Struggle for Eclecticism"4. A New Model of Medicine: George Engel's Biopsychosocial Model5. Before and After: Precursors and Followers of the Biopsychosocial Model6. Cease-fire: Ending the Psychiatric Civil WarPart II: The Fall of the Biopsychosocial Model7. Drowning in Data8. Teaching Eclecticism9. Psychopharmacology Awry10. The Vagaries of the Real WorldPart III: What Next?11. The Limits of Evidence-Based Medicine12. Osler's Ghost13. The Two Cultures14. Between Science and the Humanities15. The Meaning of Meaning: Verstehen Explained16. The Beginning of a Solution: Method-Based Psychiatry17. A New Psychiatric HumanismAfterword: Pre-empting the Straw ManAppendix: How Can We Teach It? A Proposal for Education of PsychiatristsNotesA Brief Glossary of ConceptsReferencesIndex

About the Author

S. Nassir Ghaemi, M.D., M.P.H., is a professor of psychiatry at Tufts University School of Medicine and director of the Mood Disorders Program at the Tufts Medical Center in Boston. He also serves on the faculty of Harvard Medical School. He has written several books including Mood Disorders: A Practical Guide; A Clinician's Guide to Statistics and Epidemiology in Mental Health: Measuring Truth and Uncertainty; A First-Rate Madness: Uncovering the Links between Leadership and Mental Illness; and The Concepts of Psychiatry: A Pluralistic Approach to the Mind and Mental Illness, the last also published by Johns Hopkins.


Ghaemi's book is highly relevant. It is also very well written and appears meticulously researched, and it should be of interest to everyone with a professional relation to psychiatry. Hereby recommended. -- Anders Jorgensen Acta Psychiatrica Scandinavica Provocative... Ghaemi claims that one should leave muddled views behind and recognize that humanism in medicine is compatible with the bio-physiological model. The author offers William Osler's humanism and Karl Jasper's method-based existentialist psychiatry as exemplars. Essential. Choice This is a thoughtful and well-researched book. At minimum, it is an essential read for academic psychiatrists and residents involved in teaching and learning. More broadly, it is a good read for anyone interested in the historical and philosophical aspects of psychiatric theories. -- Hamid R. Tavakoli, MD Psychiatric Times Impassioned and thoughtful... Ghaemi has produced both a penetrating analysis of the ascent of the biopsychosocial model as a psychiatric theory-of-everything and a weapon designed to bring about its decline. -- Nicholas Kontos, M.D. Journal of Clinical Psychiatry A provocative and valuable piece of scholarship. -- Gerald N. Grob Bulletin of the History of Medicine This book is especially suited for those who want to ponder the direction of our field and who worry about the theoretical disorientation of modern psychiatry and our resulting need for deep organizing principles. Ghaemi's grasp is wide. His book will be as much disturbing as satisfying but will provide the reader a sense of where our field has been and where it may need to go. -- Kenneth S. Kendler, M.D. American Journal of Psychiatry It may become an influential, revolutionary book... Stimulating and thought provoking. -- Victor A. Colotla PsycCRITIQUES A psychiatrist criticizes the idea of psychiatric disease as a product of biological and social factors. Science News

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