Now, what we’re going to
do is we’re going to get
into two different approaches
to medicine and health.
One is a little bit more dated, and
one is a little bit more current,
and one is a little bit more specific,
and one of it is a little bit
more inclusive or holistic.
So we’ll start with the BPS model
or the biopsychosocial model.
And what that one does like
the name implies is looking
at three different components or three
different drivers behind our health,
and first being probably the most obvious
are biological factors or
What is happening inside of your body?
So how are you feeling?
Psychological factors are
what’s going on in your mind.
And then the third which is more in the
newer front would be social factors
and we’ll kind of break down
each and we’ll get into that.
Now let’s compare that
to the biomedical model.
So this is a little bit more dated and this
is kind of the traditional way that we
approached medicine and
we approached health,
and that is you had your health,
which was how you’re feeling,
and then we have other factors which
are independent of your health.
Things like your psychological
factors and social factors.
So your health is more directly
associated to your biological drivers
and the other things
are separate issues.
It’s not to say that they’re not important,
but in the past if you were sick,
that was usually attributed to something
physiologically wrong with you.
So you know, if you think of the times in
the past when you were not feeling well,
the mentality was you’re
not feeling well,
you have an illness and I’m going
to treat that illness with medicine
and that’ll get you
back to being healthy,
as opposed to the biopsychosocial model is
looking at it from a different vantage point
and saying well, how
can we be healthy,
and being healthy is not simply
being devoid of an obvious illness.
So, two different ways to approach it.
So we say in the BPS model that a
healthy state is not a steady state.
So just because you’re not visibly sick
that doesn’t mean that you’re healthy,
it’s something that you
want to continue to achieve
and try to get improved
and get better at.
So, you right now, sitting there watching
this, how do you feel right now?
If you don’t have a cough, if
you don’t have a headache,
if I ask you are you healthy
right now, would you say yes?
And it’s not that
that’s a wrong answer,
but the better question is I should be
asking you is how healthy are you right now?
Are you at your peak healthiness?
Have you achieved that
magical state of perfection?
And I’m sure for 99.9% of us the answer
would be no, you could always do better.
Could you have gone to the gym
a little bit more this week,
could you have eaten
a little bit better,
are you eating a bowl of Cheerios right now
or are you eating a bowl
of Cheezies right now?
There are things that we can
do to always do better, right?
So the BPS model thinks
that and believes that
that is a goal as opposed
to the biomedical model,
where you’re trying to say, well,
you’re healthy because you’re not sick.
So we’re going to look at a couple of
comparative characteristics of each
and see how they differ.
So the biomedical model reduces everything
down to simple things like you’re sick
because you had a bacteria or virus and I’m
going to deal with that and you’re done,
as opposed to the BPS model looks at
both macro and micro level of things,
what’s going down right down
-- right at the lower levels,
and what’s happening on
a broader perspective.
So it’s trying to get a more holistic
recall or more complete picture.
With the biomedical model
a single causal factor
as opposed to the BPS is looking at several
different things, bio, psycho, and social.
The biomedical model assumes
something called mind-body dualism
and that is it believes that your mind
and your body are two separate things
and so one doesn’t necessarily
influence the other.
And if you’re sick is because there’s
something wrong with your body
and if you’re having a
psychological disorder it’s
because there’s something
wrong with your mind.
The BPS model believes that these things are
so intertwined that they’re inseparable
and one will directly
influence the other.
In the biomedical model we
emphasize illness over health
as opposed to the BPS model which says
emphasize both health and illness
and looking at things like prevention and
achieving a goal of trying to be healthy.
So if you’re to put all
those factors together
of the biological, the
psycho, and the social
and you try and get some
of the variables for each,
the middle is where you would see
you’re actually achieving good health,
good mental health, and
good overall health.
So biological would be things
like your physical health,
you know how you feel, what is
your genetic predisposition.
Psychological would be things like
self-esteem, coping skills, social --
who’s around you, what’s your peer
network, how are you doing at school,
where do you fall in the socioeconomic
scale, all these things where they overlap
and you’re getting a full picture
is what we’re talking about here.