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Abstract

Behavioral medicine is extremely broad. It seeks to understand the full range of psychosocial, behavioral, biomedical, and ecological influences on health and illness and to apply that knowledge to prevention, etiology, diagnosis, treatment, and rehabilitation of disease, health challenges, and problems. This chapter reviews both the breadth of influences behavioral medicine includes and the variety of health concerns to which it is applied. It also documents how “behavior matters,” how behavioral influences have substantial impacts across diseases, mortality, disease impacts and disability, and quality of life. It traces the intellectual roots of behavioral medicine in behaviorism, cognitive psychology, psychosomatic medicine, and public health. It goes on to examine key cross-cutting concepts in behavioral medicine, including (a) the nature of behavior and behavior change versus biological and clinical medical perspectives, (b) the fundamental influence of behavior and environment on genetic expression as well as of genes on behavior, (c) reciprocal influence and the ever-present importance of context, (d) responsibility of individuals and communities, and (e) the value of global perspectives.

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Notes

  1. 1.

    This section is drawn from a paper co-authored by Fisher and his colleagues, Marian Fitzgibbon, Russell Glasgow, Debra Haire-Joshu, Laura Hayman, Robert Kaplan, Marilyn Nanney, and Judith Ockene. We are indebted to them for providing permission to draw at length from their paper, the full citation of which is, Fisher, E. B., Fitzgibbon, M. L., Glasgow, R. E., Haire-Joshu, D., Hayman, L. L., Kaplan, R. M., Nanney, M.S., & Ockene, J. K. (2011). Behavior matters. American Journal of Preventive Medicine, 40(5), e15–30.

  2. 2.

    This section is drawn from a paper co-authored by Fisher and his colleagues, Marian Fitzgibbon, Russell Glasgow, Debra Haire-Joshu, Laura Hayman, Robert Kaplan, Marilyn Nanney, and Judith Ockene. We are indebted to them for providing permission to draw at length from their paper, the full citation of which is, Fisher, E. B., Fitzgibbon, M. L., Glasgow, R. E., Haire-Joshu, D., Hayman, L. L., Kaplan, R. M., Nanney, M. S., & Ockene, J. K. (2011). Behavior matters. American Journal of Preventive Medicine, 40(5), e15–30.

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Correspondence to Edwin B. Fisher .

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Fisher, E.B. et al. (2018). Introduction. In: Fisher, E., et al. Principles and Concepts of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-93826-4_1

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