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The “separation” of mind and body is often said to have originated with Rene Descartes. Prior to Descartes, medicine, science, philosophy and spirituality were commonly considered aspects of the whole person. With his influence in the 1600’s, the separation of mind and body occurred with mind being linked to religion and metaphysics and body being linked to science and allopathic medicine. In the late 18th century, Anton Mesmer began the trend to re-examine the connection of body and mind. In 1954, the American Society of Psychosomatic Medicine was founded. The term psychosomatic was, and remains, primarily a psychiatrically oriented concept and unfortunately has been considered by many patients and physicians to mean “all in the head.” Behavioral medicine is an emerging interdisciplinary field concerned with the development and integration of sociocultural, psychosocial, behavioral and biomedical knowledge relevant to health and illness and the application of this knowledge to disease prevention, health promotion, etiology, diagnosis, treatment and rehabilitation. As behavioral medicine has expanded during the late 1970s, diverse and innovative behavioral medicine techniques have been effectively applied to various medical populations. This teleconference will explore some of the effects of psychological and behavioral factors on physical illness and the evidence supporting behavioral medicine interventions in many chronic disorders as the approach of choice and at the very least, as a major adjunct even when pharmaceuticals are necessary. A conceptual framework to develop innovative, collaborative models of health care between Mental Health and Primary Care will be considered. PRESENTER BIO Dr. Carl Isihara, M.D Carl Isihara, M.D., Ph.D. has a B.S. Degree in Chemistry from Yale University, a Ph.D. in Micro and Molecular Biology from Case Western Reserve University, and his M.D. Degree from the intensive 2 year Ph.D. to M.D. Program from the University of Miami School of Medicine. He is Board Certified in Internal Medicine and completed his training in Internal Medicine with additional clinical training in Preventive Medicine at the Mayo Clinic in Rochester, Minnesota. Dr. Isihara began his clinical career in 1986 with the Physicians Group which was initially part of the Harvard Community Health Plan which currently exists independently as Harvard Vanguard Medical Associates. Harvard Vanguard, which is a major teaching affiliate of the Harvard Medical School, has consistently ranked as one of the leading health care organizations in the United States. Dr. Isihara was an original member of the Behavioral Medicine Department founded by Dr. Matthew Budd who pioneered the development of the “Ways to Wellness” course which currently exists as the Personal Health Improvement Program. Dr. Isihara has long-standing interests in learning, quality improvement and organizational development and is Clinical Assistant Professor of Medicine at the Harvard Medical School. Dr. Isihara has direct, management experience as Chief of his Internal Medicine Department for 8 years, and currently has over 10 years of involvement in governance and strategic planning as a Trustee and Founding Member on the Board of Directors of both Harvard Vanguard Medical Associates and HealthOne Care Systems. HealthOne is a leader in redesigning the office practice of patient care through its electronic integration across the medical practices of its 5 leading multi-specialty practices in the greater Boston area. He also currently chairs Harvard Vanguard’s Patient Care Assessment and Quality Committee. |
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