The Disease-Illness Model

 

 

 

Patient presents problem

 

 

Gathering information

 

 

Parallel search of two frameworks

 

 

 

    Disease framework                                  Illness framework

   

 

    Symptoms                                                                Ideas

     Signs                                                                         Concerns

     Investigations                                                          Expectations     

     Underlying pathology                                            Feelings and thoughts

                                                                                       Effects on life

 

 

     Differential diagnosis                                             Understanding the patient’s

                                                                                       unique experience of illness

                                                                

 

 

 

Integration of the two frameworks

 

Collaborative explanation and planning:

shared understanding and decision making