The Need for a Transitional Model: A Challenge for Biopsychosocial Medicine?

PSYCHOBIOLOGY; FAMILY medicine; GENERAL practitioners; NOSOLOGY; FAMILY health

Malaise pervades the secret meeting places of the biopsychosocial community, a sense that a concept of overwhelming appeal has proved inordinately difficult to apply. Some of the problems are intrinsic to the expanded model—difficulty in teaching it or applying it selectively under pressure and the lack of a nosological glossary. The leading cause of its apparent unacceptability may be extrinsic—the feeling among family doctors that talents with which one must be born are required for practicing successfully within its framework. The need for a transitional model is thus suggested and, in this light, the advantages of the split model, recently identified and, unwittingly, widely taught, are considered. [ABSTRACT FROM AUTHOR]

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