Apologies for this longer than normal post...but we have much to discuss! Judging by the response to last week's post on the Biopsychosocial (BPS) Model, it is clearly a subject that is exercising the minds of a lot of physio/physical therapists. Not wanting to play a kind of 'dog-whistle' politics - where someone lights a torch under an incendiary issue and then walks away - I wanted to take in the flavour of the discussion before coming back to the blog to compose some reflections. So firstly, thanks to everyone who took the time to share their thoughts on the subject last week. The conversation felt thoughtful, courteous and respectful of people's different positions. In … [Read more...] about The biopsychosocial model revisited
It's quite common these days to see advocates of a more 'holistic' healthcare practice championing the Biopsychosocial (BPS) Model. In areas where healthcare has become increasingly complex - where people's individual values and beliefs can't be avoided, and where people's social context affects their lives so palpably that a biomechanical approach to assessment and treatment is simply inadequate - the BPS model is promoted as a way forward. But is it as sound as people seem to think? The BPS model was initially proposed by George Engel as a ‘unified concept of health and disability’ (Engel 1960) and was based on a very particular form of positivist psychology called General Systems … [Read more...] about Is the Biopsychosocial Model all it’s cracked up to be?
One of the biggest challenges facing the physiotherapy profession, for much of its history, has been the necessity of defining what it is and what it isn't. Prior to World War I, masseuses struggled to show that they could provide a legitimate, trusted and affordable alternative to the poorly trained hacks, prostitutes and doctors who practiced a few rudimentary physical therapies. After WWI the focus shifted to being an ally to doctors in the development of rehabilitation. By the middle of the 20th century, definitions of physiotherapy became embedded in legislation that gave us access to publicly funded health care and some protection of title. By the 1960s, people were agitating … [Read more...] about Capturing physiotherapy