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. . .  diabetes ). In this man- ner, the biopsychosocial schema can thus account for the social production of disease. McWhinney 3 advanced the model to include a more explicit biological mechanism by which psychosocial phenomena can influence bodily states. For example, stress reactions affect the functioning of the immune system, leading to disease. Thus, the mechanism by whichperturbations atthe psychological levelexert their effects at the biological level is explicated. The historical experience ofthe Marshallese includes colonization, . . .
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