The Rise and Fall of the Biopsychosocial Model: Reconciling Art and Science in Psychiatry

Contents

Contents Preface ix Acknowledgments xi part i: the rise of the biopsychosocial model 1 The Perils of Open-mindedness: Adolf Meyer’s Psychobiology 3 2 So Many Theories, So Little Time: The Rise of Eclecticism 12 3 Riding Madly in All Directions: Roy Grinker’s “Struggle for Eclecticism” 27 4 A New Model of Medicine: George Engel’s Biopsychosocial Model 38 5 Before and After: Precursors and Followers of the Biopsychosocial Model 51 6 Cease-fire: Ending the Psychiatric Civil War 69 part ii: the fall of the biopsychosocial model 7 Drowning in Data 81 8 Teaching Eclecticism 91 9 Psychopharmacology Awry 103 10 The Vagaries of the Real World 112 part iii: what next? 11 The Limits of Evidence-Based Medicine 123 12 Osler’s Ghost 128 13 The Two Cultures 145 14 Between Science and the Humanities 159 15 The Meaning of Meaning: Verstehen Explained 167 16 The Beginning of a Solution: Method-Based Psychiatry 184 17 A New Psychiatric Humanism 198 Afterword: Pre-empting the Straw Man 211 Appendix: How Can We Teach It? A Proposal for Education of Psychiatrists 217 Notes 221 A Brief Glossary of Concepts 233 References 237 Index 247 viii Contents ...