G L Engel’s (1953) theory of homeostasis
The psychiatrist G L Engel is famous for his concept of the‘biopsychosocial model’(BPSM), which has been cited, to date, 14109 times:
Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129-136.
Much less cited but, arguably, a more interesting and significant contribution is Engel’s earlier paper about homeostasis, behavioral adjustment and the concept of health and disease. See details below:
Engel, G. L. (1953). Homeostasis, behavioral adjustment and the concept of health and disease. In R. R. Grinker (Ed.), Mid-century psychiatry: an overview (p. 33–59). C. C. Thomas.
All the phenomena of disease can be derived from interference with attempts at satisfaction of instinctual needs; inner perception of a disturbed equilibrium or unsatisfied need, with the concept of a danger signal; chemical, physiological, psychological and social adaptive devices coping with the stress; and structural or functional damage resulting from the stress and from attempts at adaptation which are inappropriate or unsuccessful.
One thought on “Homeostasis, behavioral adjustment and the concept of health and disease”
You must log in to post a comment.