PMID: 3766783Oct 1, 1986Paper

Systems and the structuring of meaning: contributions to a biopsychosocial medicine

The American Journal of Psychiatry
M A Schwartz, O P Wiggins

Abstract

The authors discuss the biopsychosocial (systems) model of medicine formulated by George L. Engel. The interaction among systems is explained in terms of selection, negation, and the reduction of the complexity of events. In psychosocial systems, vast possibilities of experience and behavior are selected and negated through structures of meaning. The authors illustrate how meaning organizes the experience and activity of a man suffering a myocardial infarction, a case originally discussed by Engel. The role of meaning in psychosocial systems leads to a discussion of the scientific method for investigating it that is provided by Karl Jaspers' psychology of understanding.

Citations

Jul 1, 1989·Journal of General Internal Medicine·E G MishlerM P Simon
Sep 23, 2008·Journal of Psychosomatic Research·Isabelle VanhoudtFelix I C R S de Jong
May 1, 1988·Comprehensive Psychiatry·M A Schwartz, O P Wiggins
Jul 1, 1987·Comprehensive Psychiatry·M A Schwartz, O P Wiggins
Sep 1, 1989·Family Process·J Z Sadler, Y F Hulgus
Jan 1, 1996·International Journal of Psychiatry in Medicine·C M van der Feltz-CornelisR van Dyck
Mar 1, 1997·The Journal of Nervous and Mental Disease·M A SchwartzM Spitzer
Jan 29, 2014·The Journal of Nervous and Mental Disease·Jose de Leon
Aug 1, 1993·Psychiatry·W T Carpenter
Oct 1, 1991·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·S W Dermer, J L Landeen
Mar 1, 1988·Journal of General Internal Medicine·C KaplanG H Gordon

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