Skip to main content
SpringerLink
Log in

The Disease-Illness Distinction: A Model for Effective and Practical Integration of Behavioural and Medical Sciences

  • Chapter
Book cover Illness Behavior

Abstract

In spite of significant potential, the actual impact of the behavioural sciences on medicine, the delivery of health care, and the issues of health and illness in general, has for the most part been negligible (Agras, 1982)! The purpose of this chapter is to examine some of the reasons for this failure and to present a detailed description of a model which, by providing a method for integrating behavioural and medical sciences, can help contribute to the solution.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Agras, W. S. (1982). Behavioural Medicine in the 1980’s: Nonrandom connections. Journal of Consulting and Clinical Psychology, 50, 797–803.

    Article  PubMed  Google Scholar 

  • Anastasi, A. (1976). Psychological testing (4th ed.). New York: MacMillan Publishing.

    Google Scholar 

  • Anderson, J. R. (Ed.). (1981). Cognitive skills and their acquisition. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Baddeley, A. (1976). The psychology of memory. New York: Basic Books.

    Google Scholar 

  • Bailey, D. B. (1984). A triaxial model of the interdisciplinary team and group process. Exceptional Children, 51, 17–25.

    PubMed  Google Scholar 

  • Bakal, D. A. (1979). Psychology & medicine: Psychobiological dimensions of health and illness. New York: Springer Publishing.

    Google Scholar 

  • Bakal, D. A. (1982). The psychobiology of chronic headache. New York: Springer Publishing.

    Google Scholar 

  • Bandura, A. (1977). Self-efficacy: Toward a unifying of behavioural change. Psychological Review, 84, 191–215.

    Article  PubMed  Google Scholar 

  • Baron, R. J. (1985). An introduction to medical phenomenology: I can’t hear you while I’m listening. Annals of Internal Medicine, 103, 606–611.

    PubMed  Google Scholar 

  • Barondess, J. A. (1979). Disease and illness -a crucial distinction. The American Journal of Medicine, 66, 375–376.

    Article  PubMed  Google Scholar 

  • Bemiller, C. R., Pepine, C. J., and Rogers, A. K. (1973). Long-term observations in patients with angina and normal coronary arteriograms. Circulation, 47, 36–43.

    PubMed  Google Scholar 

  • Black, A. H., Cott, A., & Pavloski, R. P. (1977). The operant learning theory approach to biofeedback. In G. E. Schwartz, & J. Beatty (Eds.), Biofeedback: Theory and research (pp. 89–127). New York: Academic Press.

    Google Scholar 

  • Bortz, W. M. (1984). The disuse syndrome. The Western Journal of Medicine, 141, 691–694.

    PubMed  Google Scholar 

  • Bower, G. H., & Hilgard, E. R. (1981). Theories of learning. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Cassel, E. J. (1982). The nature of suffering and the goals of medicine. The New England Journal of Medicine, 306, 639–645.

    Article  PubMed  Google Scholar 

  • Cott, A. (in press). Practical applications of the disease-illness distinction model: New concepts in health-care delivery through the optimal integration of medical and behavioural sciences. Canadian Journal of Public Health.

    Google Scholar 

  • Cott, A., & Gandz, J. (1984). Behavioural medicine: A new approach to managing performance problems. Business Quarterly, 49, 29–37.

    Google Scholar 

  • Cott, A., & Goldberg, W. M. (1985). Doctors’ notes to employers and insurers. Canadian Family Physician, 31, 1919–1925.

    PubMed  Google Scholar 

  • Cott, A., & Pavloski, R. P. (1985). Behavioural medicine: A process for managing performance problems. Canadian Psychology, 26, 160–167.

    Article  Google Scholar 

  • Cott, A., Pavloski, R. P., & Black, A. H. (1979). Reducing epileptic seizures through operant conditioning of central nervous system activity: Procedural variables. Science, 203, 73–75.

    Article  PubMed  Google Scholar 

  • Eichner, E. R. (1983). Exercise and heart disease: Epidemiology of the exercise hypothesis. The American Journal of Medicine, 75, 1008–1023.

    Article  PubMed  Google Scholar 

  • Estes, VJ. K. (Ed.). (1978). Handbook of learning and cognitive processes (Vol. 5). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Fabrega, M., & Van Egeren, L. (1976). A behavioural framework for the study of human disease. Annals of Internal Medicine, 84, 200–208.

    PubMed  Google Scholar 

  • Fedoravicius, A. S. (1981). Chronic illness behaviour: A new model, behavioural treatment, and future directions. Behavioural Medicine Update, 18–22.

    Google Scholar 

  • Flor, H. & Turk, D. C. (1984). Etiological theories and treatments for chronic back pain. I. Somatic models and interventions. Pain, 19, 105– 121.

    Article  PubMed  Google Scholar 

  • Fordyce, W. E. (1976). Behavioural methods for chronic pain and illness. St. Louis: Mosby.

    Google Scholar 

  • Fordyce, W. E. (1981). On interdisciplinary peers. Archives of Physical Medicine, 62, 51–53.

    Google Scholar 

  • Fordyce, W. E. (1982). Interdisciplinary process: Implications for rehabilitation psychology. Rehabilitation Psychology, 27, 5–11.

    Article  Google Scholar 

  • Fordyce, W. E., Roberts, A. H., Sternbach, R. A. (1985). The behavioural management of chronic pain: A response to critics. Pain, 22, 113–125.

    Article  PubMed  Google Scholar 

  • Fordyce, W. E., Brockway, J. A., Bergman, J. A., and Spengler, D. (1986). Acute back pain: A control-group comparison of behavioural vs. traditional management methods. Journal of Behavioural Medicine, 9, 127–140.

    Article  Google Scholar 

  • Garfield, S. L. (Ed.). (1982). Behavioural Medicine [Special Issue]. Journal of Consulting and Clinical Psychology, 50.

    Google Scholar 

  • Hall, H. (1980). The back doctor. Toronto: Gage Publishing Ltd.

    Google Scholar 

  • Haynes, R. B, Sackett, D. L., Taylor, D. W., Gibson, E. S., & Johnson, A. L. (1978). Increased absenteeism from work after detection and labelling of hypertensive patients. New England Journal of Medicine, 299, 741–744.

    Article  PubMed  Google Scholar 

  • Haynes, S. N., & Wilson, C. C. (1979). Self-Monitoring. In S. N. Haynes & C. C. Wilson (Eds.), Behavioural assessment, (pp. 206–240). San Francisco: Jossey-Bass.

    Google Scholar 

  • Hearst, E. (Ed.). (1979). The first century of experimental psychology. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Isner, J. M., Salem, D. N., Banas, J. S., & Levine, H. J. (1981). Long-term clinical course of patients with normal coronary arteriography: Follow-up study of 121 patients with normal or nearly normal coronary arteriograms. American Heart Journal, 102, 645–653.

    Article  PubMed  Google Scholar 

  • Keefe, F. J., & Blumenthal, J. A. (1982). Behavioural medicine: Basic principles and theoretical foundations. In F. J. Keefe, & J. A. Blumenthal, (Eds.), Assessment strategies in behavioural medicine, (pp. 3– 16). New York: Grune & Straton.

    Google Scholar 

  • Kemp, H. G., Vokonas, P. S., Cohn, P. F., & Gorlin, R. (1973). The anginal syndrome associated with normal coronary arteriograms. American Journal of Medicine, 34, 735–742.

    Article  Google Scholar 

  • Kumar, R., Stolerman, I. P., Sternberg, H. (1970). Psychopharmocology. Annual Review of Psychology, 21, 595–628.

    Article  PubMed  Google Scholar 

  • Latimer, P. R. (1983). Functional gastrointestinal disorders: A behavioural medicine approach. New York: Springer Publishing.

    Google Scholar 

  • Lavey, E. B., & Winkle, R. A. (1979). Continuing disability of patients with chest pain and normal coronary arteriograms. Journal of Chronic Disease, 32, 191–196.

    Article  Google Scholar 

  • Lipkin, J. O. (1981). Understanding illness behaviour and its importance in the practice of medicine. Behavioural Medicine Update, 2, 15–18.

    Google Scholar 

  • Mackintosh, N. J. (1974). The psychology of animal learning. London: Academic Press.

    Google Scholar 

  • McWhinney, I. R. (1972). Beyond diagnosis: An approach to the integration of behavioural science and clinical medicine. New England Journal of Medicine, 287, 384–387.

    Article  PubMed  Google Scholar 

  • Mechanic, D. (1962). The concept of illness behaviour. Journal of Chronic Disease, 15, 189–194.

    Article  Google Scholar 

  • Mechanic, D. (1978). Medical sociology (2nd ed.). New York: The Free Press.

    Google Scholar 

  • Meichenbaum, D. (1977). Cognitive-behaviour modification: An integrative approach. New York: Plenum Press.

    Google Scholar 

  • Melvin, J. L. (1980). Interdisciplinary multidisciplinary activities and ACRM. Archives of Physical Medicine Rehabilitation, 61, 379–380.

    Google Scholar 

  • Melzack, R., & Wall, P. (1982). The challenge of pain. New York: Penguin Books.

    Google Scholar 

  • Müssen, P. H., Conger, J. J., & Kagan, J. (1979). Child development and personality (5th ed.). New York: Harper & Row Publishers.

    Google Scholar 

  • Nachemson, A. (1979). A critical look at the treatment for low back pain. Scandinavian Journal of Rehabilitation Medicine, 11, 143–149.

    PubMed  Google Scholar 

  • Nachemson, A. (1982). The natural course of low back pain. In A. A. White & S. L. Gordon, (Eds.), Idiopathic low back pain (pp. 46–51). St. Louis: C. V. Mosby.

    Google Scholar 

  • Nelson, R. O. (1977). Assessment and therapeutic functions of selfmonitoring. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behaviour modification. New York: Academic Press.

    Google Scholar 

  • Nisbett, R., & Ross, L. (1980). Human inference: Strategies and short comings of social judgement. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Ockene, J. S., Shay, M. J., Alpert, J. S., Weiner, B. H., & Dalen, J. E. (1980). Unexplained chest pain in patients with normal coronary arteriograms. New England Journal of Medicine, 303, 1249–1252.

    Article  PubMed  Google Scholar 

  • Parsons, T. (1951). The social system. New York: Free Press.

    Google Scholar 

  • Rotter, J. B. (1966). Generalized expentancies for internal vs. external control of reinforcement. Psychological Monographs, 80, (Whole No.609).

    Google Scholar 

  • Rotter, J. B., Chance, J. E., & Phares, E. J. (1972). Application of a social learning theory of personality. New York: Holt, Rinehart & Winston.

    Google Scholar 

  • Schwartz, G. E. (1982). Testing the biopsychosocial model: The ultimate challenge facing behavioural medicine. Journal of Consulting and Clinical Psychology, 50, 1040–1053.

    Article  PubMed  Google Scholar 

  • Siegel, S. (1976). Morphine analgesic tolerance: Its situation specificity supports a Pavlovian conditioning model. Science, 193, 323–325.

    Article  PubMed  Google Scholar 

  • Siegel, S. (1983). Classical conditioning, drug tolerance, and drug dependence. In Y. Israel, F. B. Glaser, H. Kalant, R. E. Popham, W. Schmidt, R. G. Smart (Eds.), Research advances in alcohol and drug problems (Vol. 7, pp. 207–246). New York: Plenum Press.

    Google Scholar 

  • Szasz, T. S. (1961). The myth of mental illness. New York: Hoeber.

    Google Scholar 

  • Turk, D. C., Meichenbaum, D., & Genest, M. (1983). Pain and behavioural medicine. New York: Guildford Press.

    Google Scholar 

  • Ullmann, L., & Krasner, L. (Eds.). (1965). Case studies in behaviour modification. New York: Holt, Rinehart, and Winston.

    Google Scholar 

  • Waxier, E. B., Kimbiris, D., & Dreifus, L. S. (1971). The fate of women with normal coronary arteriograms and chest pain resembling angina pectoris. American Journal of Cardiology, 28, 25–32.

    Article  Google Scholar 

  • Wooley, S. C., Blackwell, B., & Winget, C. (1978). A learning theory model of chronic illness behaviour: Theory, treatment, and research. Psychosomatic Medicine, 40, 373–401.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Medicine, McMaster University, Canada

    Arthur Cott

Authors
  1. Arthur Cott
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. University of Toronto, Toronto, Canada

    Sean McHugh  & T. Michael Vallis  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Plenum Press, New York

About this chapter

Cite this chapter

Cott, A. (1986). The Disease-Illness Distinction: A Model for Effective and Practical Integration of Behavioural and Medical Sciences. In: McHugh, S., Vallis, T.M. (eds) Illness Behavior. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5257-0_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-5257-0_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5259-4

  • Online ISBN: 978-1-4684-5257-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation