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The four humors or circulating fluids of the body—blood, black bile, yellow bile, and phlegm—were out of balance.
The goal of treatment was to restore balance among the humors.
The Greeks also believed that the mind was important.
They described personality types associated with each of the four humors, with
blood being associated with a passionate temperament,
black bile with sadness
yellow bile with an angry disposition
phlegm with a laid- back approach to life.
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Proposed by Engel, this model comprises biological, psychological, and social mechanisms, all influencing one another. At the centre of this is health and illness.
Illness is caused by many factors at many different levels, and responsibility for health falls on the individual and society, rather than the medical profession alone.
Similarly, treatment considers physical (e.g. physiotherapy), psychological (e.g. counselling, CBT), and social factors (e.g. improving social support), rather than physical or pharmacological alone (e.g. medication, surgery).
All of this then contributes to treating the whole person to maximize treatment outcomes in a holistic approach.
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