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Medical model is the term coined by psychiatrist R. D. Laing in his ''The Politics of the Family and Other Essays'' (1971), for the "set of procedures in which all doctors are trained." This set includes complaint, history, physical examination, ancillary tests if needed, diagnosis, treatment, and prognosis with and without treatment. The medical model has proven highly successful and even indispensable in many contexts: it is difficult to name a plausible alternative to medical diagnosis and treatment for a depressed skull fracture. The medical model embodies basic assumptions about medicine that drive research and theorizing about physical or psychological difficulties on a basis of causation and remediation. It can be contrasted with other models that make different basic assumptions. Examples include holistic model of the alternative health movement and the social model of the disability rights movement, as well as to biopsychosocial and recovery models of mental disorders. For example, Gregory Bateson's double bind theory of schizophrenia focuses on environmental rather than medical causes. The medical model and these alternative models do not have to be mutually exclusive. A model is not a statement of absolute reality or a belief system, but a tool for helping patients. Thus, utility is the main criterion, and the utility of a model depends on context.〔http://guilfordjournals.com/doi/abs/10.1521/jsyt.22.2.60.23350?journalCode=jsyt〕 ==Other uses== ;In psychology Medical model is a term in psychology, indicating the assumption that abnormal behavior is the result of physical problems and should be treated medically. Sometimes this is clearly true, as with traumatic brain injury. But in other cases there has always been doubt about the medical model. In 1927, Sigmund Freud observed, "Psychoanalysis falls under the head of psychology; not of medical psychology in the old sense, nor of psychology of morbid processes, but simply of psychology."〔http://www.academyanalyticarts.org/origins.htm〕 Among critics of medical psychiatry, Laing observed that because the diagnosis of a mental illness was based on conduct or patient behavior and not on physical pathology, such a "diagnosis" essentially contravened standard medical procedure and hence is not truly within the medical model: physical examination and ancillary tests were conducted, if at all, only after the diagnosis was made. Whereas heart diseases, cancers, and broken bones were diagnosed by evident physical pathology discovered during examination and ancillary tests, a mental illness was diagnosed by examining the patient's behavior rather than physical signs or symptoms. ;The germ theory of disease The rise of modern scientific medicine during the 19th century has a great impact on the development of the medical model. Especially important here was the development of the "germ theory" of disease by European medical researchers such as Louis Pasteur and Robert Koch. During the late 19th and early 20th centuries, the physical causes of a variety of diseases were uncovered, which in turn, led to the development of effective forms of treatment. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「medical model」の詳細全文を読む スポンサード リンク
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