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TRANSACT--a model for integrating clinical practice and longitudinal research

C B Liden, C A Nichter, T F Murphy

    Seminars in Perinatology
    |October 1, 1982
    PubMed
    Summary

    Understanding high-risk infants requires moving beyond the biomedical model to a biopsychosocial approach. This involves integrating diverse perspectives and methodologies for a comprehensive view of infant development.

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    Area of Science:

    • Developmental Psychology
    • Neonatal Medicine
    • Clinical Research

    Background:

    • Traditional biomedical models are insufficient for understanding high-risk infants.
    • A reductionistic approach limits comprehension of complex developmental trajectories.
    • Existing disciplinary and methodological boundaries hinder progress.

    Purpose of the Study:

    • To advocate for a paradigm shift in studying high-risk infants.
    • To propose a more integrated and comprehensive approach to infant research and care.
    • To encourage the adoption of a biopsychosocial model.

    Main Methods:

    • Critique of the limitations of the biomedical model.
    • Emphasis on the transactional nature of infant development.
    • Advocacy for breaking down interdisciplinary and inter-methodological barriers.

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    Main Results:

    • The limitations of a purely biomedical approach are highlighted.
    • A biopsychosocial model is proposed as a more effective framework.
    • The need for synthesizing diverse perspectives and methodologies is emphasized.

    Conclusions:

    • A transactional, multifactorial construct is necessary for understanding high-risk infants.
    • Overcoming traditional boundaries is crucial for advancing research.
    • The proposed T.R.A.N.S.A.C.T. model offers a framework for future development.