Beyond the formal definition given above, there is another ultimate, rarely explicit rationale for the biopsychosocial model: eclecticism. Grinker forthrightly argued for a ‘struggle for eclecticism’
4 as opposed to psychoanalytic dogmatism. Yet where Grinker was sober and limited in his goals, Engel was expansive. Grinker identified the key: biopsychosocial advocates really seek eclectic freedom, the ability to ‘individualise treatment to the patient’, which has come to mean, in practice, being allowed to do whatever one wants to do.