Realizing Engel's Biopsychosocial Vision: Resilience, Compassion, and Quality of Care

摘要: George Engel’s biopsychosocial vision was simultaneously scientific and humanistic. He passionately presented an approach to clinical care correct the progressive distancing of research from lived experience patient. Yet, while science provides ever greater evidence for linkages between subjectively-reported health outcomes, trainees practicing clinicians struggle realize a in pragmatic way. These challenges are magnified by mandate patient autonomy participation care, increased access information, overlaps omissions as multiple professionals try address whole person. Importantly, get stuck implementing model partly because they have not developed capacity resilience, self-awareness, self-monitoring. capacities must accompany efforts help engage more deeply with their patients; otherwise, risk emotional distress, empathic failure, premature closure, withdrawal effective connections patients. This article will explore ways which can be realized through building become self-aware resilient, compassionate action. (Int’l. J. Psychiatry Medicine 2014;47:275-287)