Presents psychomedical paradigm of vocational rehabilitation, discussing psychomedical thinking as prominent, yet unrefined, viewpoint which has been pervasive in history of vocational rehabilitation. Offers basic psychomedical propositions and tenets and discusses alternative viewpoints to psychomedical paradigm. Considers psychomedical paradigm an epistemologically distinct competitor to systemic paradigm in vocational rehabilitation. Recommends cross-paradigmatic research in vocational rehabilitation. (Author/NB)