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George Engel and the origin of the biopsychosocial model, Study notes of Medicine

1,2 It was at this time that he began developing his integrative theory for the biopsychosocial model. David H. Rosen, MD. George L. Engel, MD, circa 1977.

Typology: Study notes

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18 The Pharos/Winter 2020
George Engel and
the origin of the
biopsychosocial model
Biological
Age, Gender, Genetics
Physiologic Reactions
Tissue Health
Psychological
Mental Health
Emotional Health
Beliefs and Expectations
Sociological
Interpersonal Relationships
Social Support Dynamics
Socioeconomics
pf3

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George Engel and

the origin of the

biopsychosocial model

Biological

Age, Gender, Genetics

Physiologic Reactions

Tissue Health

Psychological

Mental Health

Emotional Health

Beliefs and Expectations

Sociological

Interpersonal Relationships

Social Support Dynamics

Socioeconomics

Dr. Rosen (AΩA, University of Missouri-Columbia School of Medicine, 1970) is Affiliate Professor, Department of Psychiatry, Oregon Health and Science University in Portland, OR.

D

r. George L. Engel (AΩA, Johns Hopkins University School of Medicine, 1938) was born in New York City in 1913. He grew up in Manhattan with his uncle, Emanuel Libman, MD, a prominent clini- cian and medical scientist who is best known for his work on bacterial endocarditis. Engel was educated at Dartmouth College, where he completed his undergraduate degree in chemistry in 1934, and Johns Hopkins University School of Medicine, where he received his medical degree in 1938. He went on to do an internship at Mount Sinai Hospital in New York City, where he encountered physicians who incorporated the psychological aspects of disease in their clinical practice. During his internship, he was influenced by his attending

physician Soma Weiss, MD (AΩA, Weill Cornell Medical College, 1923). Although originally skeptical of psycho- analysis and psychosomatics, through research at Harvard Medical School, under the supervision of Weiss at the Brigham and Women’s Hospital, and through his own experience of psychoanalysis, Engel changed his views about medicine. In 1946, Engel accompanied colleague John Romano, MD (AΩA, University of Rochester School of Medicine and Dentistry, 1948) to the University of Rochester Medical Center to establish a new psychiatry department. Engel was board certified in both medicine and psychiatry, and subsequently developed a unique approach by having a joint appointment in medicine and psychiatry. He later established the Division of Psychosocial Medicine. By the mid 1970s, Engel edited the journal Psychosomatic Medicine, followed by numerous books and articles.1,2^ It was at this time that he began developing his integrative theory for the biopsychosocial model.

David H. Rosen, MD

George L. Engel, MD, circa 1977.