In a message dated 12/5/2004 2:29:19 PM Eastern Standard Time, [EMAIL PROTECTED] writes:
At 3:35 PM -0500 12/3/04, Scott Lilienfeld wrote:
>Ruth et al.: As a number of authors, including Paul Meehl and Paul
>Blaney, have noted, the term "medical model" actually refers to a
>large number of quite different models, many of which bear little or
>no conceptual relation to each other. A few years ago, I intended to
>begin work on an invited paper on the topic, which I never found
>time to write (one of these days...). But my own admittedly informal
>survey of the literature and of my colleagues revealed the following
>different - yet widespread - meanings of the term "medical model."
>I'd like to argue that most of these meanings are so logically
>disparate as to suggest that the term is logically inchoate.
>
>(1) A model that implies biological etiology of psychological disorders
>(2) A model that implies that psychological disorders should be
>treated biologically
>(3) A model that implies biological mediation of psychological
>disorders (in reality, this is nothing more or less than mind-body
>monism)
>(4) A model that implies that physicians or other medically trained
>personnel should treat psychological disorders
>(5) A model that implies that psychological disorders differ
>categorically/qualitatively from normality (a strange definition
>given that many medical disorders, e.g., Type II diabetes and
>essential hypertension, wouldn't fit this definition either)
>(6) A model that focuses on psychological abnormality rather than
>psychological health
>(7) A model that embraces the notion that the domain of
>psychopathology can be "carved" into meaningful entities described
>by diagnostic labels.
>(8) A model that posits a strong/direct linkage between diagnosis
>and treatment
>
>I'd argue that at the very least that we be explicit about which, if
>any, of these quite different models we are referring to when we use
>the term "medical model." ....Scott
Scott--
Actually, I was referring to yet another aspect of current medical
practice (that psychology is only beginning to approximate): the
formulation of a repertoire of clinical practices of empirically
demonstrated safety and effectiveness, together with sanctions for
deviating from these practices without very strong support.
BTW -- your book is a good start in this direction -- I may finish it
some day ;-) !
--
"No one in this world, so far as I know, has ever lost money by
underestimating the intelligence of the great masses of the plain
people." -H. L. Mencken
* PAUL K. BRANDON [EMAIL PROTECTED] *
* Psychology Dept Minnesota State University *
* 23 Armstrong Hall, Mankato, MN 56001 ph 507-389-6217 *
* http://www.mnsu.edu/dept/psych/welcome.html
Hello . . .
Scott - Would your research on the varied meanings of "Medical Model" support a conjecture that some would ascribe to a multimodal view of mental illness that would simultaneously incorporate subviews (listed above) 1, 2, 3, 8, and modifications to 5 and 6 that read: (5) A model that implies that psychological disorders differ on a continuum from normality and (6) A model that focuses on both psychological health and abnormality.
Paul - I am wondering on what you base your confidence in the practice of medicine? . . . that practice is empirically safe and effective? . . that sanctions are applied when these practices are deviated from without adequate support?
Best,
Sandra
******************************************************
Sandra M. Nagel, Ph.D.
Associate Professor, Psychology
Saginaw Valley State University
166 Brown Hall
7400 Bay Road
University Center, MI 48710
http://www.svsu.edu/~smnagel/research/
Office: (989) 964-4635
Fax: (989) 790-7656
E-Mail: [EMAIL PROTECTED]
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