MEA Summary Review: ME/CFS and the Biopsychosocial Model – By Dr Keith Geraghty | 29 June 2018


In this latest open-access study funded by the ME Association Ramsay Research Fund, Dr Keith Geraghty and Charlotte Blease examine the controversial biopsychosocial (BPS) model that is still applied in ME/CFS.

They identify several ways the BPS approach can lead to patient distress and harm and compare it with the preferred biomedical model – highlighting implications, and making suggestions, for the clinician-patient relationship.

  “BPS model rhetoric may be partly responsible for influencing the way in which doctors and health professionals perceive the illness, not as a serious physical or organic disease (a biomedical model), but as a psycho-somatic syndrome (a biopsychosocial model).”

“These two models offer very contrasting ideas about what causes ME/CFS and what generates symptoms. The BPS model posits that symptoms are a consequence of patients’ actions and thoughts, whereas the biomedical model asserts that symptoms are a direct result of biological dysfunction, often triggered by infection.”

“The two models are incongruent and hamper progress in understanding the illness and treatment development.”

ME/CFS and the biopsychosocial model (2018)


Dr Geraghty kindly agreed to provide a summary explanation of what his latest research discovered:

“ME/CFS patients consistently report problems with accessing good quality medical care and support. Many recount distressing encounters with doctors. Despite such consistent anecdotal reports, there has been little research into harms and distress in ME/CFS.

  “Engel et al. hoped that the biopsychosocial model would move the focus of medicine away from viewing illness in terms of disease pathology, to a more patient-centred approach that takes account of the individual, their life-course, social history and mental health.”

“Ironically, ME/CFS patients argue that the BPS model applied to their illness downplays the important role of biological abnormalities and over-states the role of psychological and social factors.”

ME/CFS and the biopsychosocial model (2018)


“Our paper sought to investigate the types of harms and distress reported in the literature. The sociologist Ivan Illich published a controversial book, Medical Nemesis, that argued that doctors and the medical community commonly cause harm to patients, not just at the level of the individual patient, but also on a societal level. Such views move harm far beyond simple medical error…”

Read the full review from Dr Geraghty online or as a free download

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