Being biopsychosocial and spiritual interpreted from the patient's narrative

Authors

Keywords:

being, biopsychosocial, medical interview, narrative medicine, patient, physician, religious, spirituality

Abstract

Introduction: The biopsychosocial and spiritual self integrates the biological, psychological, social, and spiritual dimensions of the individual, offering a holistic view of health. This perspective is crucial because it allows us to understand how patients interpret and cope with their health conditions; thus, it provides a comprehensive framework for care and recovery.

Objective: To analyze how the patient's narrative reveals and reflects the interactions between these four dimensions; its importance in the healing process; and the meaning and purpose of the patient's experience through illness.

Opinion: The patient's narrative is a tool that allows patients to express their experiences and emotions; it offers healthcare professionals a deeper understanding of their needs and challenges. Integrating these dimensions would aid in treatment adherence and provide more empathetic and effective professional care.

Conclusions: Interpreting illness from a biopsychosocial and spiritual perspective, through the patient narrative, is essential for holistic healthcare. This integration allows for a better understanding of the patient's experiences and needs, facilitating a treatment approach that promotes not only physical healing but also emotional and spiritual well-being.

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Author Biographies

Yasmany Salazar Rodríguez, Hospital Militar de Matanzas "Dr. Mario Muñoz Monroy"

Especialista de primer grado de MGI y Medicina Interna. Profesor Instructor. Miembro de la Junta directiva del capítulo matancero de la Sociedad de Medicina Interna. Asesor de las revistas médicas estudiantiles de Matanzas y Mayabeque.

Arlés Orihuela-Gómez, Universidad de Ciencias Médicas de Matanzas

Licenciada en Pedagogía y Psicología Infantil. Profesora Auxiliar. 

Jorge Domingo Ortega-Suárez, Universidad de Ciencias Médicas de Matanzas

Máster en Ciencias de la Educación Superior. Doctor en Ciencias Filosóficas. Licenciado en Filosofía.

Yonathan Estrada-Rodríguez, Universidad de Ciencias Médicas de Matanzas

Director de la Revista Científica Estudiantil de Matanzas.

References

1. Beltrán Diaz SM, Ortiz Corredor MI, Pallares Campo L. Modelo biomédico y modelo biopsicosocial: diferencias y similitudes en la salud [Internet]. [Trabajo de grado]. Colombia: Facultad de Psicología, Universidad Cooperativa de Colombia; 2022. [acceso: 12/01/2025]. Disponible en: https://repository.ucc.edu.co/server/api/core/bitstreams/4b27d805-3bbe-4f37-bf82-5e17a0f0aea9/content

2. Tavera Vilchis MA, Ruíz Mauricio LY. Teorías de la complejidad: una mirada desde la Medicina [Internet]. Arch Med Fam. 2023 [acceso: 12/01/2025]; 25(1):43-9. Disponible en: https://www.medigraphic.com/pdfs/medfam/amf-2023/amf231i.pdf

3. Calvo ED. Los modelos biomédico y biopsicosocial en medicina [Internet]. Rev Méd 2023 [acceso: 12/01/2025]; 29(2): 112-17. Disponible en: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1726-89582023000200112

4. Gómez Narváez A, Shiguango Ushpa C. Enfoque de enfermería en el cuidado espiritual del paciente con enfermedad renal crónica [Internet]. [Tesis de Enfermería]. Ecuador: Universidad Nacional de Chimborazo; 2022. [acceso: 12/01/2025]. Disponible en: http://dspace.unach.edu.ec/bitstream/51000/9995/1/G%c3%b3mez%20Narv%c3%a1ez%2c%20A%20y%20Shiguango%20-Ushpa%2c%20C%20%282022%29%20Enfoque%20de%20-enfermer%c3%ada%20en%20el%20cuidado%20espiritual%20de-l%20paciente%20con%20enfermedad%20renal%20cr%c3%b3nica.%20%28Tesis%20de%20Pregrado%29%20Universidad%20Nacion-al%20de%20Chimborazo%29%20Riobamba%2c%20Ecuador..pdf

5. Salazar-Rodríguez Y, Rojas-Moreno VL, Ruíz-Hernández I. Medicina Narrativa: una aliada del método clínico [Internet]. MedEst. 2024 [acceso: 12/01/2025];4(3): e252. Disponible en: https://revmedest.sld.cu/index.php/medest/article/view/252

6. Vergara Rodrigo PJ. Medicina narrativa en pediatría: docencia y práctica [Internet]. Andes pediatr. 2024 [acceso: 12/01/2025]; 95(3): 233-5. Disponible en: https://andespediatrica.cl/index.php/rchped/article/view/5083/4790

7. Charon R. Narrative medicine [Internet]. Palgrave Encyclopedia of the Health Humanities. Cham: Springer International Publishing; 2022. [acceso: 12/01/2025]. Disponible en: https://link.springer.com/referenceworkentry/10.1007/978-3-030-26825-1_36-1

8. Ortega-Suárez J D, Afonso-de-León JA. Importancia de la aplicación de conocimientos sobre santería por el facultativo en la entrevista médica [Internet]. Rev Med Electrón. 2024 [acceso: 12/01/2025]; 46:e5583. Disponible en: http://scielo.sld.cu/pdf/rme/v46/1684-1824-rme-46-e5583.pdf

9. Heras Brasero MM, Hofstadt Román CJ. Necesidades espirituales, religiosas y comunicación en cuidados paliativos [Internet]. Rev Esp Comun Salud. 2024 [acceso: 12/01/2025]; 15(1):116-32. Disponible en: https://e-revistas.uc3m.es/index.php/RECS/article/view/8494/6660

10. Duarte FB. La medicina narrativa en la quinta era de la medicina [Internet]. EIDON. Revista española de bioética. 2023 [acceso: 12/01/2025]; (59):27-40. Disponible en: https://www.revistaeidon.es/index.php/revistaeidon/article/view/194/170

11. Rondón CJ. El valor de las narrativas en el ejercicio de la Medicina Interna [Internet]. Acta Med Col. 2024 [acceso: 12/01/2025];49(2):e3135. Disponible en: https://www.actamedicacolombiana.com/ojs/index.php/actamed/article/view/3135

12. Andrade RP, Iturralde JP. Medicina narrativa, un complemento a la historia clínica formal [Internet]. Ref Fac Cienc Médic Univ Cuenca. 2017 [acceso: 12/01/2025]; 35(2):60-4. Disponible en: https://publicaciones.ucuenca.edu.ec/ojs/index.php/medicina/article/view/1724

13. Charon R. Knowing, seeing, and telling in medicine [Internet]. The Lancet. 2021 [acceso: 12/01/2025]; 398(10316):2068-70. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10424249/

14. Ribeiro SA, Bonine de Melo AJ. Expresión de la espiritualidad en los cuidados paliativos: una revisión narrativa [Internet]. Rev Bioét. 2024 [acceso: 12/01/2025]; 31:e3506. Disponible en: https://www.scielo.br/j/bioet/a/xCMQ4Dn3TCkq3K6XVP9gxfp/?lang=es#

15. Bernardino do Khemilly C. Espiritualidad aplicada a la medicina [Internet]. Rev Bioét. 2023 [acceso: 12/01/2025]; 30(4):870-82. Disponible en: https://www.scielo.br/j/bioet/a/QDxjsmPfF6DK7cYCd4fXrYb/?lang=es

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Published

2025-10-10

How to Cite

1.
Salazar Rodríguez Y, Orihuela-Gómez A, Ortega-Suárez JD, Estrada-Rodríguez Y. Being biopsychosocial and spiritual interpreted from the patient’s narrative. Rev. cuba. med. mil [Internet]. 2025 Oct. 10 [cited 2025 Nov. 28];54(4):e025076298. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/76298

Issue

Vol. 54 No. 4 (2025): October - December (In Progress)

Section

Opinion Article

License

Copyright (c) 2025 Yasmany Salazar Rodríguez, Arlés Orihuela-Gómez, Jorge Domingo Ortega-Suárez, Yonathan Estrada-Rodríguez

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