Dedicated to the late Bertil Gardell, a Swedish Social Scientist, this text comprises of 18 essays that shares a common vision - the impact of work on the interconnected processes of stress and disease.

The Novartis Foundation Series is a popular collection of the proceedings from Novartis Foundation Symposia, in which groups of leading scientists from a range of topics across biology, chemistry and medicine assembled to present papers and discuss results. The Novartis Foundation, originally known as the Ciba Foundation, is well known to scientists and clinicians around the world.

Health is maintained by the coordinated operation of all the biological systems that make up the individual. The Introduction to Psychoneuroimmunology, Second Edition, presents an overview of what has been discovered by scientists regarding how bodily systems respond to environmental challenges and intercommunicate to sustain health. The book touches on the main findings from the current literature without being overly technical and complex. The result is a comprehensive overview of psychoneuroimmunology, which avoids oversimplification, but does not overwhelm the reader. Single authored for consistency of breadth and depth, with no redundancy of coverage between chapters Covers endocrine-immune modulation, neuro-immune modulation, and the enhancing or inhibiting processes of one or more systems on the others Expanded use of figures, tables, and text boxes

It is a privilege to introduce this unusual book. In a time when most docotrs practise medicine as a technical application of the natural sciences, the authors, both experienced clinicians, combine the use of modem techniques with human understanding and psychological management of their patients in the practice of internal medicine. Many of these patients suffer from "psychosomatic disorders", i. e. diseases in which emotional stresses play a major role in the production of the symptoms and/or signs. But just because such a large proportion of all illnesses seen by physicians fall within this category (whether functional or organic), this book is not only a guide to the theory of psychosomatic medicine; it describes the way in which the authors deal with patients in their daily practice. Based on many years of clinical experience and a critical appraisal of the literature, they have developed and tested an approach to what they describe as "psychological management". This is partly based on psychological and psychiatric principles but differs from specialised "psychotherapy" and can be learned and practised by physicians in combination with their technical medical treatment. Extensive attention is paid to the stresses, ambivalences and incompatibilities which the patients encounter in their communication with the key figures in their family and at work, and to which they have unsuccesfully tried to adapt without having been able to solve the problems actively.

This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social.

It is our pleasure to introduce to the readers of Advances in Psychosomatic Medicine: I, the authors of 88 papers presented at the VIth World Congress of the International College of Psychosomatic Medicine in Montreal, September 13-18, 1981. These papers are re presentative of more than 700 presentations and discussions that occurred in the course of lectures, symposia, panels and workshops. Adam J. Krakowski, M.D., primary editor of this volume, together with Chase P. Kimball, M.D., GUnsel Koptagel-Ila1, M.D. and Hellmuth Freyberger, M.D. are responsible for the solicitation and final editing of the papers included in this volume. Most of the plenary papers presented at the Congress and subsequently received for pub lication are in preparation for a volume to be issued by S. Karger, Basel, Switzerland, as a special number edited by us with the assistance of Drs. Freyberger and Koptagel-Ilal. The papers in cluded in this volume represent the main substance of the Congress. The editors regret that a number of presentations were either re ceived too late or in insufficient form to allow for publication at this time. A number of other papers presented at the Congress have been released for publication in the Journal of Psychosomatic Re search, the Psychiatric Journal of the University of Ottawa, General Hospital Psychiatry, Psychosomatics and other journals.

Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.