Overview:
The biopsychosocial, or multipath approach, is an important model from which to understand any
behavioral or mental disorder. Its use requires that one considers possible biological (e.g. genes,
brain function), psychological (e.g. thoughts, beliefs, attachments) and social (e.g. friends, family
culture or social learning or support) factors in trying to understand the disorder. The biopsychosocial
approach reflects the complexity of all types of psychological disturbance. Note: your book talks about
their “multipath approach” that adds overarching culture as an additional element to consider. This is
not necessary for this exercise.
Instructions:
• Read the following scenario and answer the questions.
Bill is 19 and grew up in a poor area of Boston where drinking is a very popular behavior.
He, himself has been drinking heavily since he was 11 years old. He drinks almost every
day, but when he is particularly anxious, he drinks until he passes out. Anxiety is a problem
for him, particularly social anxiety when he is around people he doesn’t know very well.
His father and his grandfather were both alcoholics; the father drank himself to an early
death when Bill was 14. His mother and older sister do not drink at all, and they have
always told Bill that he is the family’s black sheep, the rebellious one who is destined to be
like his father. His favorite weekend pastime is to go to the local bar and hang out with all of
his friends. He has no friends that are abstinent from alcohol.
• Using the biopsychosocial model as a guide, what do you think causes Bill‘s behavior? What biological, psychological, and/or social factors are influencing Bill’s behavior? Explain.
