TY - CHAP M1 - Book, Section TI - Psychosocial Issues and Female Sexuality A1 - Hoffman, Barbara L. A1 - Schorge, John O. A1 - Bradshaw, Karen D. A1 - Halvorson, Lisa M. A1 - Schaffer, Joseph I. A1 - Corton, Marlene M. PY - 2016 T2 - Williams Gynecology, 3e AB - Thirty years ago, psychiatrist George Engel coined the term “biopsychosocial model” to describe a developing paradigm for patient care (Engel, 1977). As shown in Figure 13-1, the model encourages treatments that consider the mind and body of a patient as two intertwining systems influenced by a third system—society. This was perhaps the first time a distinction was drawn between “disease” and “illness.” Namely, disease is the pathological process, and illness is the patient’s experience of that process. In keeping with this model, psychological factors have two distinct relationships with women’s reproductive health. At times, they are a consequence (infertility has been linked with psychological distress). At other times, they may be an insidious cause of a health problem (increased hysterectomy rates are noted in women with a low tolerance for the physical discomfort of menstruation). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1125286720 ER -