Field and professional practice of medical psychology

The biopsychosocial approach of medicine 30 years later

Authors

  • Juan José Dapueto Universidad de la República, Facultad de Medicina, Departamento de Psicología Médica. Departamento Clínico de Medicina. Director

Keywords:

MEDICAL PSYCHOLOGY, BIOPSYCHOSOCIAL MODEL, PATIENT-CENTERED CARE

Abstract

Upon the thirtieth anniversary of the creation of the Medical Psychology Department of the School of Medicine, the study presents a discussion on the development of the discipline, both in terms of its field of action and in professional aspects. The foundational basis can be traced up to the Plan 1968 with the contribuition of professors who manily had a background in psychoanalysis, behavioral medicina, and health psychology. The importance of the inclusion of Gerorge Engel’s biopsychosocial model, both theoretically and in the provision of healthcare services is hereby pointed out. Its professional field is described in terms of service and training. In particular, new proposals and challenges arising from a studies plan approved in 2008 are commented, and the approach by Medical Psychology is discussed. Likewise, the approach of a patient-centered medicine medicine is analysed, emphasizing on the improvement of healthcare quality, the development of physicians’ communication skills and professionalism issues.

References

(1) Engel GL. The need for a new medical model: a challenge for biomedicine. Science 1977, 8; 196(4286):129-36.
(2) Engel GL. The clinical application of the biopsychosocial model. J Med Philos 1981; 6(2):101-23.
(3) University of Rochester School of Medicine. Papers of George Libman Engel. URL: https://www.urmc.rochester.edu/libraries/miner/historical_services/archives/faculty/PapersofGeorgeLibmanEngel.cfm. Consulta: 25 octubre 2015.
(4) Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century Committee on Quality of Health Care in America, National Academy Press, Washington DC, 2001. Disponible en http://www.nap.edu/catalog/10027.html. Consulta: 15 octubre 2015.
(5) Berwick DM. What ‘Patient-Centered’ Should Mean: Confessions Of An Extremist. Health Affairs 2009, 28(4):555-565. DOI: 10.1377/hlthaff.28.4.w555)
(6) Epstein RM, Frank P, Fiscella K, G. Shields CG, Sean C. Meldrum SC, Kravitz RL, Duberstein PR. Measuring patient-centered communication in patient–physician consultations: Theoretical and practical issues. Social Science & Medicine 2005, 61:1516–1528.

Published

2016-09-30

How to Cite

1.
Dapueto JJ. Field and professional practice of medical psychology: The biopsychosocial approach of medicine 30 years later. Rev. Méd. Urug. [Internet]. 2016 Sep. 30 [cited 2024 Sep. 7];32(3):197-204. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/168