Biopsychosocial medicine is the theoretical platfor for stress medicine
NB – Swedish web site for Stress Medicine = see www.stressmedicin.se
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Biopsychosocial Medicine and Bo von Schéele, Ph D in psychology and professor in medical engineering greets you Welcome to Biopsychosocial Medicine web site
1.
The history of this
new started company refers to the development of Stress Medicine in Sweden,
which is associated with Bo von Schéele’s dissertation 1986 “Assessment of a
multifaceted treatment of negative stress: a cognitive and cardiovascular
approach”, Department of Psychology, Uppsala University. It constitutes a
point of departure for development of stress medicine in Sweden. The concept
of Stress Medicine is based on a biopsychosocial medicine systems integrating
paradigm with applied psychophysiology as the platform. Applied
psychophysiology refers here to integration of psychology
(cognitive-behavioral and behavioral dynamic approach based on George Kelly´s
man as a scientist-paradigm) and physiology (medical physiology where the
base is an integration of cardiovascular-, metabolic- and autonomic nervous
systems). Focus is on life style- and society related diseases where also
autoimmune and some cancer diseases are included as well as cardiovascular
and psychosocial related ones. Stress is defined as strain on a system,
e.g. low temperature in winter or an individual´s appraisal of threat in a
social situation. When stress is reasonable intense and the stressor decrease
or is functional coped with within relative short time it is mostly not
harmful. But if it (the stressor or appraisal of threat also when it is not
“objectively” present) is sustained it is an increasing challenge for health
(negative feedback means return to “base” while positive feedback means
growth, e.g. love behaviors). Sometimes the effect of the stressor on
biopsychosocial systems seems to “return to base” but it can be masked by
buffering, supporting systems which over time can be depleted (von Schéele
& von Schéele, 1999) and a complex stress related disease can be
developed. Burn outs is one example where metabolic buffering systems are
depleted. Unfortunately this is not always measured or considered in
assessment of patients with complex stress related diseases. Medicine is defined as “art of healing”
and not pharmacological interventions, which unfortunately has become how the
word medicine is used. This shows how powerful marketing can be.
Biopsychosocial medicine uses pills as temporary support when it is needed,
which often is not the case in life styles- and society related diseases.
ASPIRE is an example on intervention package to be learn and individual
tailored/implemented. |
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More on our focus;
Research - focusing here on “theory without data is empty
and data without theory is blind” (based on I. Kant thinking), that is trying
to integration systems theory with biopsychosocial empirical data using a
combination of human and artificial intelligence knowledge development to
generate a useful, concrete platform for health care systems.
Innovation – concerns new ways to working on theory,
methodology and clinical assessments as well as interventions (e.g. a new kind
of evidenced based validation approach for biopsychosocial cancer
interventions).
Development – concerns bringing innovations into
practical use – clinically including involvement of self-care, or non-clinical
approaches
Services – focuses on providing individuals with
biopsychosocial based services at our SET centers or on the web. As we see
health promotion, stress prevention and rehabilitation of stress related
dysfunctions as mainly an educational and knowledge implementation matter SET
focuses on providing needed tools – our code name is “man as a health creator”
- including biofeedback for different interests groups. Our SET center will be
opened during the spring, actually reopened while we have been working with
this concept since late 1980-ties but within a non-profit organization.
Basic
statements: “.. If we break up a living organism by isolating its different
parts it is only for the sake of ease in analysis and by no means in order to
conceive them separately. Indeed when we wish to ascribe to a physiological
quality its values and true significance we must always refer it to this whole
and draw our final conclusions only in relation to its effects in the whole”
(Bernard, 1865) in A Despopoulos & silbernagl (1991) Color Atlas of
Physiology: N.Y.: Thieme.
A
functional approach to medicine (defined as “art of healing” – and not as “(use
of) pills”) requires a biopsychosocial scientifically well developed knowledge
platform which also can be of clinical value – including not only group
perspective but also of value for each single patient in terms of validation of
treatment efficacy. Moreover, a biopsychosocial intervention focuses on
identification of dysfunction and their relations to symptoms while
dysfunctions are the main targets for interventions. Furthermore, a
biopsychosocial intervention focuses on “skills before pills” which means
active involvement of the patients as an educated coworker in her/his own
rehabilitation. Unfortunately biopsychosocial medicine is at present at an
early stage in its scientific development suffering from a functional
multidisciplinary system integrating theory/approach as well as a methodology
which can treat complex interactions in multifaceted interventions identifying
both at group and individual levels. But meanwhile, hopefully, much work is
done for development of knowledge, its validation, methodological and clinical
assessments and interventions we do have some basics to built and rely on.
These are tools and instruments developed within applied psychophysiology where
we can identify and follow crucial cardiovascular, autonomic and metabolic
parameters during interventions. While utilizing those potentials (see more
during “services”) much knowledge, innovation, development needs to be done –
see www.ipbm.se “evolution and health”.