Selye H authored 'Homeostasis and heterostasis', which contrasts the concepts of homeostasis and heterostasis in biological systems.
Homeostasis is generally understood as the capability of a system to resist perturbations by maintaining internal variables within a narrow range of values or maintaining internal conditions in a steady or viable state.
The authors of the article argue that applying homeostasis to health promotes a dynamic view of health, where a healthy organism responds to challenges by mobilizing internal resources.
The framework for the relationship between homeostasis and health posits that living systems must continuously undergo internal and behavioral changes to maintain viability.
Homeostasis is a central concept used in biological theory to understand how living systems regulate themselves and coordinate the activities of their parts to maintain function under changing conditions.
Dussault and Gagné-Julien (2015) argue that homeostasis can ground a naturalization of health that avoids reliance on population statistics and accounts for situation-specificity.
In the cybernetic model of homeostasis, when physiological variables are perturbed, feedback mechanisms detect the variation and trigger response mechanisms to return the variables to the reference value established by the setpoint.
“homeostasis would not be possible without setpoints, feedback, and regulation.”
The cybernetic interpretation of homeostasis characterizes the environment primarily as a source of perturbations that an organism must block or compensate for, which limits the understanding of health in relation to the environment.
Bechtel and Bich (2024, 2025) propose a non-cybernetic perspective on homeostasis that questions the identification of homeostasis with feedback mechanisms and instead reframes the notion in the context of the maintenance of the organism.
W. Ross Ashby proposed that the most efficient way to maintain homeostasis is to avoid destabilization by blocking perturbations before they affect the system.
Richards (1953) contrasts the concepts of homeostasis and hyperexis.
The authors of 'Homeostasis and Health: From Balance to Change' argue that employing the notion of homeostasis fosters a dynamic view of health, which contrasts with common views that define health as a complete state of well-being or the absence of disease.
The cybernetic idea of homeostasis posits that feedback mechanisms of error correction maintain physiological variables stable around specific setpoints.
Hall and Hall (2021) define disease in their medical physiology textbook as a state in which “functional balances are often seriously disturbed, and homeostasis is impaired” (p. vii).
William Bechtel and Bich identify three core topics in the debate over homeostasis: (1) setpoints are variable and adjustable rather than fixed; (2) physiological regulation involves anticipating future variation rather than just responding to it; and (3) the notion of a setpoint is inaccurate for describing biological systems.
Medical education often characterizes homeostasis using a cybernetic model based on negative feedback involving a setpoint, which is considered a standard for physiological education.
In 1961, Adolph argued that not all physiological regulation is concerned with maintaining constancy, noting that some regulatory processes depart from homeostasis while still contributing to the survival of the organism.
The concept of homeostasis was adopted and reframed by cybernetics researchers, including Rosenblueth et al. (1943), Wiener (1948), and Ashby (1956).
The cybernetic view of health is limited because it characterizes health as a static ideal state of equilibrium or rest defined by setpoints of physiological variables, rather than accounting for dynamic change.
Dussault and Gagné-Julien (2015) define health as the ability to homeostatically maintain the normal functions of an organism's organs and body to ensure survival.
Bechtel and Bich (2024, 2025) argue that the debate over physiological regulation revolves around the cybernetic interpretation of homeostasis, which is conceived as negative feedback to a setpoint.
Boorse (1977) criticizes the use of homeostasis to naturalize health, arguing that while homeostatic processes are important for physiology, they are insufficient to define health and disease.
Bechtel (1985) developed the argument that understanding health requires the consideration of the environment, a goal that the cybernetic view of homeostasis potentially hinders.
Modern physiological accounts challenge the cybernetic view of homeostasis, which relies on negative feedback mechanisms to restore a fixed setpoint, by arguing that organisms maintain a dynamic adaptive capability rather than a fixed state.
Advocates of homeostatic medicine, such as Wang and Qin (2022), explicitly link the concept of health as homeostasis and disease as dyshomeostasis to Galenic and traditional Chinese medicine.
Three specific problems arise when applying the cybernetic model of negative feedback: overlooking its limitations, equating a single mechanism with a whole phenomenon like homeostasis, and generalizing from a specific mechanism to the functioning of a whole organism.
Advocates of homeostatic medicine explicitly link the concept of health as homeostasis and disease as dyshomeostasis to Galenic and traditional Chinese medicine.
The traditional cybernetic interpretation of homeostasis defines health as the maintenance of stability and balance, where physiological states are preserved or returned to a setpoint after a perturbation.
The notion of homeostasis has been generalized to include all phenomena involving the maintenance of stable variables or regulatory phenomena, and is used in fields including physiology, medicine, developmental biology, ecology, psychophysiology, engineering, and architecture (Lovelock 1983; Berntson et al. 2016; Wang and Ma 2016; Rubenstein and Alcock 2019; Hagen 2021; O’Malley 2024).
Michael et al. (2017) define homeostasis as an 'unpacked' core concept within the paradigm of teaching physiology.
Adolph (1961) challenged the traditional association between biological regulation and balance by arguing that not all regulation aims for constancy, and some regulatory processes contribute to an organism's life while departing from homeostasis.
The cybernetic view of homeostasis associates the concept with negative feedback mechanisms designed to restore a setpoint.
Notions of homeostasis and adaptive functions have been discussed in relation to mental health by researchers including Sterling (2014), Khalsa et al. (2018), Garson (2022), and Plutynski (2023).
Adaptivity, versatility, and change are the three defining features of the framework for the relationship between homeostasis and health.
Bechtel (1985) proposes an account of health as homeostasis, conceptualizing health as the capacity to perform the functions of life, which allows a system to survive and replicate despite environmental fluctuations.
The authors of 'Homeostasis and Health: From Balance to Change' question whether the teaching of homeostasis leads to overzealous medical attempts to restore 'normal values' instead of accepting observed variations as adaptive.
Additional concepts proposed to address physiological regulation include homeoresis from developmental biology (Waddington 1968) and homeodynamics from systems theory and evolution (Rose 1999).
The authors argue that the notion of homeostasis has been hindered by a narrowed account based on the cybernetic model of negative feedback to a setpoint, which equates health with balance and healing with returning to a normal state.
Homeostasis is generally understood as the capability of a system to resist perturbations by maintaining internal variables within a narrow range of values or by keeping internal conditions in a steady or viable state.
The narrow cybernetic interpretation of homeostasis, which relies on feedback mechanisms and setpoints, emphasizes stability and balance as the primary hallmarks of health, viewing change or imbalance as conditions to be counteracted.
Modell et al. (2015, p. 261) define homeostasis as a system that operates in a way that causes any change to the regulated variable, a disturbance, to be countered by a change in the effector output to restore the regulated variable toward its set point value. Systems that behave in this way are said to be negative feedback systems.
Walter Cannon introduced the term 'homeostasis' to characterize the physiological processes through which organisms maintain internal features within a range of viability.
Homeostasis is a process that depends on measuring variables and eliciting corrective actions, which allows it to account for the situation-specificity of health.
William Bechtel reframed the concept of homeostasis by shifting the focus toward the organism as a whole rather than relying solely on narrow cybernetic feedback mechanisms.
The cybernetic model of homeostasis, which relies on negative feedback to a setpoint, associates health with balance or stability and defines healing as returning to an initial or normal state after a perturbation.
Walter Cannon formulated the early notion of homeostasis, which has been subject to questioning regarding its limits and scope.
The debate regarding whether new concepts are necessary or if existing ideas can be unified under a reconceptualized notion of homeostasis has been ongoing and received new impulse in the last two decades, as noted by Carpenter (2004), Schulkin (2004), Ramsay and Woods (2014), Schulkin and Sterling (2019), and Sterling (2020).
Ramsay and Woods (2014) clarify the distinct roles of homeostasis and allostasis in physiological regulation.
Veen et al. (2020) define health as the ability to maintain homeostasis, which they describe as the maintenance of specific variables within an optimal range regardless of external stimuli.
Billman (2020) stated: "Homeostasis is often invoked as the central organizing principle upon which the discipline of physiology is built, the very concept we need to return to in order to integrate function from molecule to the intact organism."
The notion of homeostasis is widely applied in medicine and medical education, serving as a central concept in physiology textbooks and research articles on medical curricula.
Bechtel and Bich (2024) advocate for a perspective on physiological regulation that focuses on the whole organism rather than single feedback mechanisms, by recovering the core of the original vision of homeostasis.
The authors of the article argue that current accounts connecting health with homeostasis share common limits because they rely, to varying degrees, on a cybernetic perspective of homeostasis based on feedback and setpoints.
The authors' proposed framework for homeostasis may align more closely with hybrid approaches to health and disease, which incorporate both physiological and value-based elements, rather than strictly naturalist or constructivist models.
The concept of homeostasis, as originally formulated by Walter Cannon, has faced questioning regarding its limits and scope, leading to various attempts to reconceptualize it or propose complementary concepts.
Peter Sterling argues that the cybernetic interpretation of homeostasis, which focuses on stabilization, tends to reduce synaptic variations that are essential for normal thought, attention, and mood.
Libretti and Puckett (2023) claim that homeostasis would not be possible without setpoints, feedback, and regulation.
Bechtel and Bich (2024, 2025) developed an account of homeostasis that questions the cybernetic view by focusing on the integrated functioning of the organism.
In medicine, the cybernetic interpretation of homeostasis characterizes health as a stable physiological state that an organism must preserve or return to following a perturbation.
Researchers including Peter Sterling (2014), Khalsa et al. (2018), Garson (2022), and Plutynski (2023) have discussed the concepts of homeostasis and adaptive functions in the context of mental health.
To overcome the limitations of the cybernetic interpretation of homeostasis, the authors argue that the perspective on health must shift from one centered on balance to one acknowledging that a living organism must change itself to maintain viability.
Modell et al. (2015) provide a physiologist's perspective on the concept of homeostasis.
Walter B. Cannon authored 'The Wisdom of the Body', a foundational text on physiological homeostasis, published by W. W. Norton & Company in 1932.
The notion of homeostasis was adopted and reframed by the field of cybernetics, as documented by Rosenblueth et al. (1943), Wiener (1948), and Ashby (1956).
In medicine, homeostasis is utilized to support the concept of health as a regime that requires maintenance.
Dussault and Gagné-Julien (2015) discussed health, homeostasis, and the situation-specificity of normality in Theoretical Medicine and Bioethics.
Various researchers have proposed alternative concepts to homeostasis to emphasize dynamic physiological control, including hyperexis (Richards, 1953), heterostasis (Selye, 1973), rheostasis (Mrosovsky, 1990), allostasis (Sterling and Eyer, 1988), and allodynamics (Berntson et al., 2016).
Christopher Boorse (1977) criticizes the use of homeostasis to define health and disease, arguing that while homeostatic processes are important for physiology, they are insufficient to fully capture the normal functioning of an organism.
Stedman (2012) defines homeostasis as: '1. The state of equilibrium (balance between opposing pressures) in the body with respect to various functions and to the chemical compositions of the fluid and tissues. 2. The processes through which such bodily equilibrium is maintained.'
Many replacement conceptions of homeostasis recognize that what is being maintained is a dynamic adaptive capability rather than a fixed state.