1977年美国纽约罗彻斯特大学精神病和心身医学教授恩格尔在“需要新的医学模式 :对生物医学的挑战”一文中提出 ,现代生物医学逐渐演变为生物 心理 社会医学模式是医学发展的必然 ,1980年《医学与哲学》杂志率先介绍了恩格尔教授的文章[1] ,至今已有 2 0多年。此后国内医学界 Engel, professor of psychiatry and psychosomatic medicine at the University of Rochester, New York, 1977, argued in his article “Needs a New Medical Model: Challenges to Biomedicine,” that the evolution of modern biomedicine into a biomedical psychosocial model is an inevitable development of medicine, 1980 << Medicine and Philosophy >> magazine took the lead in introducing Professor Engel’s article [1], so far, more than 20 years. After the domestic medical community