Biomedical subjects
Publications and source records attributed to N McLaren.
OBJECTIVE: The aim of this review is to provide an analysis of the epistemic status of the biopsychosocial model. METHOD: A critical comparison of the biopsychosocial model with the general concept of models. RESULTS: In its present form, the biopsychosocial model is so seriously flawed that its continued use in psychiatry is not justified. CONCLUSION: Further development of theory-based models in psychiatry is urgently needed.
Theodor Billroth's contribution to musical theory is discussed and evaluated. Billroth was a close friend of the composer Johannes Brahms and was himself extremely musical. At his death he left the manuscript of a book on musical theory, Wer ist-Musikalisch?, which had gone through four editions by 1912. In it he attempted to answer important questions on the nature of sound perception, the importance of rhythm as a fundamental element in music, the relation of pitch, tone, and volume, and the ways in which to account for the affective power of music. This article outlines the main concepts, contributions, and opinions offered by Billroth.
The Kimberley, the northernmost region of Western Australia, is still largely an empty wilderness. About twice the size of Victoria, it has a permanent population of some 22,000. Since 1987, the Health Department of WA has provided a psychiatric service to the region, but the practice of psychiatry in such a vast and remote area has proven to be very different from that in larger centres. This paper summarises three years' clinical experience in the region.
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As a process of rational enquiry into an empirical field, psychiatry must submit itself to the same discipline as other areas of science. Effectively, it must show that its fundamental premises are both internally and externally consistent, and that its methods of investigation satisfy prevailing criteria of scientific methodology. When psychoanalytic psychology (and hence all psychodynamic models) and behaviourism were analysed from these points of view, they were found wanting. To date, there has been little or no meta-analysis of the third great school of psychiatric theorizing, biological psychiatry. A preliminary analysis establishes sharp limits to the notion that biological psychiatry is the "wave of the future". Like psychoanalysis and behaviourism, it cannot form the basis of a general theory of psychiatry. Since it lacks an adequate theoretical framework, the inescapable conclusion is that psychiatry is nothing more than protoscience.
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