How much longer must medicine's science be bound by a seventeenth century world view?
The exclusion of nonmaterial human phenomena mandated by medical science's continuing allegiance to a 17th century scientific world view has constituted a major obstacle to medicine's scientific maturation as a human discipline. But 20th century conceptual changes even in physics (not to mention the influence of the theory of evolution) now renders that exclusion untenable and in effect legitimizes efforts to devise scientific means appropriate for the human domain. Practical as well as theoretical issues involved in such an undertaking are discussed within the framework of a 20th century scientific world view as represented by the biopsychosocial model, a counterpart to the traditional biomedical model.
Engel
G L
GL
Department of Psychiatry, University of Rochester School of Medicine, N.Y. 14618.
D002983:Clinical Competence; D003933:Diagnosis; D006801:Humans; D010819:Physician's Role; D010817:Physician-Patient Relations; D012586:Science / Q000639:trends*; D012803:Sick Role; D013812:Therapeutics