Communimetrics pp 135-146 | Cite as

The Intermed

  • John S. Lyons


Engel (1977) proposed the breakthrough biopsychosocial model for the practice of medicine. In his classic treatise, he argued that understanding medicine required the physician to conceptualize more than just the disease state. Good medical care requires consideration of psychological and social variables as well. Since that time there have been many innovations for improving treatment for patients with psychological and social complications to their medical condition (e.g., Strain et al., 1991). Strategies from physician education to integrating psychiatric, psychological, and social services into primary, secondary, and tertiary medical care have been described. However, despite the fact that the word biopsychosocial has become fully integrated in our lexicon, it has not always been the case that medicine has shifted paradigms from the traditional medical model into a broader model that formally includes the assessment of psychological and social variables that influence treatment decisions and prognosis in health care.


Social Variable Care Complexity Biological Domain Effective Medical Intervention Good Medical Care 
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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • John S. Lyons
    • 1
  1. 1.Endowed Chair of Child and Youth Mental Health ResearchUniversity of Ottawa and the Children‗s Hospital of Eastern OntarioOttawaCanada

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