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SUMMARY: The Engel (Engel 1977) model of intersecting biopsychosocial Venn circles forms the foundation of the clinical assessment. Belief systems did not feature in the original Engel’s model as an area of attention. This presentation discusses two proposals: (1) that the intersection of the three circles in the Venn biopsychosocial diagram be designated to focus on belief systems; and (2) that belief systems be included in the routine biopsychosocial assessment. Belief systems play a significant role in shaping biological, psychological, and social areas in the lives of all our patients. This will be discussed as an essential part of any clinical assessment. A summary of relevant belief systems will be presented. This presentation will highlight the role of belief systems – whether they be cultural, spiritual, religious, scientific, or mystical - as a contribution to an understanding of our patients. This will thus assist in our clinical formulation, diagnosis, and management. SPEAKER: Dr Lennart Eriksson is a Psychiatrist. Lennart is the son of Swedish missionaries who, in 1952, came to work with the Zulu people in South Africa. After growing up on a mission station he attended Pretoria University. After graduation he spent two years in the Department of Pathology before deciding to enroll in the four year Psychiatry programme. He registered as Psychiatrist in 1984. Lennart’s interest in the role of belief systems in the care of his patients has grown over many years of clinical practice. Clinical practice in South Africa requires some understanding of the many and very different belief systems that shape clinical care in a land with a diverse multi-ethnic patient population. Lennart was the convenor of the Religion and Spirituality Special Interest Group (SIG) affiliated to the South African Society of Psychiatrists for two years. He remains an active member with contributions to journals and congresses. Living in Africa – the cradle of humankind – has encouraged an interest in paleontology and the emergence of a conscious Homo sapiens.