International journal of person centered medicine最新文献

{"title":"REPORT OF THE THIRD LATIN AMERICAN CONFERENCE","authors":"J. Mezzich","doi":"10.5750/IJPCM.V7I4.681","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I4.681","url":null,"abstract":"","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73799504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Summary Report: 10th Geneva Conference on Person Centered Medicine, May 2017","authors":"J. Snaedal","doi":"10.5750/IJPCM.V7I4.680","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I4.680","url":null,"abstract":"Summary Report","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82840747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Appraising the International College of Person Centered Medicine's Ten Years Promoting Healthy Lives and Well-Being for All","authors":"J. Appleyard","doi":"10.5750/IJPCM.V7I4.670","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I4.670","url":null,"abstract":"The International College of Person-centered Medicine (ICPCM) developed from a network of persons who shared the willingness and determination to contribute to the promotion of health and wellbeing through the person-centered perspective. This approach places the person as the center of health and the goal of health actions. In spite of impressive advances in technology, the quality of care and especially prevention and health promotion have not progressed to the desired extent. It was realized that in everyday clinical practice the person was not receiving the attention he or she deserved. The completion of ten years of consistent work and advocacy with institutional independence and self-sufficiency is a definite accomplishment in itself. This milestone provides a good opportunity to pause and consider what the College has managed to achieve so far. The meaning and implication of person-centered medicine have been clarified with the development of the Person-centered Care Index and the Person- centered Integrative Diagnosis model. From a series of Declarations arising from the Geneva Conferences and the International Congresses held in different regions of the world, an interconnected matrix of practical policies is emerging and the International College feels that the person-centered perspective can contribute to the reestablishment of medical practice with strong ethical commitments and focused on the needs of individual persons as members of the wider population. Person centered medicine restores the equilibrium from the impersonal and reductionist scientific and technological dogma, which by focusing on objects rather than subjects devalues the time for interpersonal interaction, and creates a rift between the person seeking medical care and the damaging demands of over-compartmentalized and commercialized health systems, whereby the quality of care and especially prevention and health promotion have been neglected. The ICPCM believes that these issues need to be seriously addressed and redressed.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76087682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Somatic Symptoms and Somatization: Person-centered Approach to Understanding their Relationships","authors":"Ariel D Falcoff","doi":"10.5750/IJPCM.V7I4.672","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I4.672","url":null,"abstract":"Background: Despite the visible points of overlapping between the psychopathologic concepts of \"somatization\" and \"somatoform disorders\" with those of \"functional symptoms\" and \"somatic syndromes\" of general medicine, there is little literature which clarifies their relationships, making it difficult to formulate common grounds for work between psychiatry and the rest of medicine. Objectives: The purpose of this article is to review and critically analyze current knowledge on the subject, in search for conceptual links between different paradigms involving the underlying phenomena, proposing present and future lines of work according to the basic concepts of the Person Centered Medicine. Methodology: A wide ranging review and critical analysis of the literature on these subjects was conducted, trying to explore the relationship and integration of different paradigms according to the MCP framework and an outline of the author´s current research. Results: A need was found to establish transdisciplinary concepts which leave aside the particular visions of each paradigm, in search for links which may integrate different insights, considering the person as a whole. Therefore, it is essential to analyze carefully the phenomenon from various points of view to elucidate wider conceptualizations so as to reformulate this spectrum of phenomena from an integrative perspective. The possibility of the existence of a “general factor”, both present in the so-called “functional” disorder of general medicine, and in those that in psychopathology are grouped as somatization, is suggested. This general factor could be represented by certain personality dimensions and psychic representations encompassed by complex context variables. Conclusions: It would be valuable to continue with research of this phenomena structure as well as to look for strategies to benefit from the theoretical findings in the health care field, according to the proposals of Person Centered Medicine.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90459864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Applicability and Usefulness of the Latin American Guide for Psychiatric Diagnosis, Revised Version, in Comparison with other International Systems among Latin American Psychiatrists","authors":"J. Saavedra","doi":"10.5750/IJPCM.V7I4.671","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I4.671","url":null,"abstract":"Background: The Latin American Guide to Psychiatric Diagnosis, Revised Version (GLADP-VR) represents an adaptation of the ICD-10 that seeks through a biopsychosocial approach to better reflect the holistic framework and culture of Latin American countries. This revision of the original GLADP included updated Latin American annotations and a new integrated diagnostic model centered on the person. Objectives: The aim of this study was to evaluate among Latin American psychiatrists the levels of applicability and usefulness of the GLADP-VR in comparison with major international diagnostic classification systems. Method: The survey evaluation instrument included questions about fundamental characteristics of a useful diagnostic guide and comparative questions about the acceptability and usefulness of the GLADP-VR, the original ICD-10, DSM-IV and DSM-5, and suggestions to improve the guide. The sample included 127 Latin American psychiatrists with an interest on Diagnosis and Classification and membership in one of the 17 national psychiatric societies affiliated with Latin American Psychiatric Association (APAL). They were sent the evaluation instrument by e-mail. Thirty-seven (29.1%) responses were obtained. There were no indications of demographic bias among respondents and no-respondents.The vast majority of respondents answered the questionnaire completely. Ninety-two percent reported knowing the GLADP-VR before the survey and 65.6% had actually used it before.Results: The most commonly used diagnostic system was the original ICD-10 (86.5%), followed by the GLADP-VR (56.8%). Regarding applicability, the diagnostic system recognized as the most user-friendly was the ICD-10 followed by the GLADP-VR, with the most difficult being the DSM-5. Concerning diagnostic accuracy, the GLADP-VR was found most useful; and the DSM-5 was least useful. Regarding usefulness for clinical care and professional practice, the ICD-10 was rated highest, followed by the GLADP-VR, and lowest was DSM-5. The least valued in this regard was the DSM-5. Regarding usefulness for yielding a complete view of the clinical situation, the GLADP-VR was best (83.3%), and DSM-5 was the lowest. Concerning cultural and psychosocial contextualization, the GLADP-VR was considered most useful, well above ICD-10 and the DSMs. Furthermore, the GLADP-VR was considered more useful for teaching and research by about 80% of psychiatrists, superior to the other diagnostic systems.Discussion: The findings of this study on the most prevalent use of ICD-10 are consistent with the results of a survey conducted earlier by the World Psychiatric Association across the world. In addition, in the present study less than half of the respondents used regularly the DSMs. The findings of the present study concerning the GLADP-VR were quite consistent with the corresponding findings of an earlier preliminary evaluation of the GLADP-VR. This seems to be related to the GLADP-VR comprehensive personalized diagnost","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91141091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2017 Geneva Declaration Ten Years Promoting Healthy Lives and Well-being for All","authors":"International College of Person Centered Medicine","doi":"10.5750/ijpcm.v7i4.683","DOIUrl":"https://doi.org/10.5750/ijpcm.v7i4.683","url":null,"abstract":"","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90775589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"6th International Conference on Person Centered Medicine","authors":"J. Mezzich","doi":"10.5750/IJPCM.V7I4.682","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I4.682","url":null,"abstract":"","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75342962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Person-Centered Approach to Oncology and Palliative Care","authors":"P. Glare","doi":"10.5750/ijpcm.v8i1.728","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i1.728","url":null,"abstract":"The advent of evidence-based medicine (EBM) saw a marked improvement in clinical decision making when compared to the “this is what works best in my experience” approach, which preceded it. Aside from the fact that there is goodquality evidence available for only a fraction of treatments, a limitation of EBM is that it focuses primarily on identifying the best treatment of a disease and does not allow for differences in patients’ goals, priorities, and expectations or how they cope with their illness. This biomedical focus of EBM is particularly problematic for patients with chronic, incurable illnesses (which include many cancers), for whom a person-centered approach is superior. This article explores what it means to take a person centered approach to oncology and palliative care. In particular, the ambiguity of the term “personalized medicine” in oncology is considered, and seen to be represent a narrow version of “personalized”—in the sense of personalized car number plates and monogrammed shirts—not personalized in the sense of the treatment reflecting the patient’s values, goals, and expectations for care. Furthermore, taking a person-centered approach is an active process that does not equate with acquiescing to whatever the patient requests. As an example, in the emotional, high stakes decision to transition from cancer treatment to palliative care/ hospice or not, patients may reject hospice even when it’s in their best interests (i.e., hospice enrolment). A person-centered physician will understand this situation and attempt to advise the patient to choosing the initially disliked option that may be ultimately the right choice.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90441296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bibliotherapy: The Therapeutic use of Fiction and Poetry in Mental Health","authors":"A. Peterkin, Smrita Grewal","doi":"10.5750/IJPCM.V7I3.648","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I3.648","url":null,"abstract":"Background: An overview of the way in which bibliotherapy has been defined and implemented historically is provided.Objectives: The purpose of this paper is to examine the effectiveness of using fiction and poetry as a therapeutic modality in mental health. Methods: A systematic review of the literature was conducted following the elements of the 2009 PRISMA statement. Results: This literature review demonstrated a lack of empirical studies examining the therapeutic effect of poetry or fiction in a mental health context. However, three studies indicated benefit for patients with symptoms of depression or anxiety, or for those experiencing difficulties coping with a diagnosis of cancer. Bibliotherapy can however be considered to be a promising modality within the growing field of narrative medicine. Conclusions: The use of poetry or fiction in therapy appears to be beneficial when used in a group context with a skilled facilitator. Larger randomized control trials examining this form of bibliotherapy in a variety of mental health conditions and settings are now required.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78582455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lima Declaration","authors":"J. Mezzich","doi":"10.5750/ijpcm.v7i3.651","DOIUrl":"https://doi.org/10.5750/ijpcm.v7i3.651","url":null,"abstract":"","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"91 1-3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72468894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}