{"title":"Humanism and the Humanities in Person Centered Medicine","authors":"J. Mezzich, J. Appleyard, Oscar Cluzet","doi":"10.5750/IJPCM.V7I3.650","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I3.650","url":null,"abstract":"a Editor in Chief, International Journal of Person Centered Medicine; Secretary General, International College of Person Centered Medicine; Professor of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, USA. b President 2013-2017, International College of Person-centered Medicine; Former President, International Association of Medical Colleges; Former President, World Medical Association, London, United Kingdom. c President, Latin American Network for Person Centered Medicine; Academician, National Academy of Medicine of Uruguay; President, Ethics Committee, Medical Council, Uruguay; Professor of Surgery, Faculty of Medicine, University of the Republic, Montevideo, Uruguay.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84025072","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":"Introduction to Art and Literature as Components of Person-Centered Care","authors":"E. Sukhanova","doi":"10.5750/IJPCM.V7I3.646","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I3.646","url":null,"abstract":"The article brings the attention of mental health professionals to the theoretical framework underpinning the contemporary understanding of the dynamics of psychiatric art. Using the semiotics approach to art production and perception, the article makes the connection between the dialogical mechanisms of art and the potential uses of art to counteract stigma, including self-stigmatization. Creative works by patients have long been acknowledged a key source of information in the clinical diagnostic process. Furthermore, because all artistic activity is a communicative act, working with patient art aids the clinician to gain a better understanding of the preserved aspects of a patients’ personality, beyond the pathological syndromes, and build a better rapport, resulting in more successful therapeutic approaches. Gaining an insight into patient art allows the clinician to be more effective in planning specific medical and social rehabilitation strategies. At the community level, outsider art is a powerful tool in anti-stigma campaigns because the dialogic potential inherent in art is conducive to stopping the “vicious cycle” of stigmatization.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89327012","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":"Human Rights and Person Centered Medicine: The Need of the Hour","authors":"J. Appleyard, K. Desai","doi":"10.5750/IJPCM.V7I3.645","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I3.645","url":null,"abstract":"The Universal Declaration of Human Rights recognised that the inherent dignity and the equal and inalienable rights of all members of the human family is the foundation of freedom, justice and peace in the world. Its Article 25 included the Right to Health and medical care. Nearly seventy years later, inspite of the undoubted improvements in global health, it is clear that relying on governments and the recourse to civil and legal rights is insufficent for the continuing improvement in global health and social care. A complementary paradigm shift to a more person and people centered approach is needed to secure universal access to health care and better use of current resources The main components of person centered medicine form the corner stone for successful medical treatment and care for all.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83978315","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":"Brain and Mind in the Creation of Literature","authors":"Hans-otto Thomashoff","doi":"10.5750/IJPCM.V7I3.647","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I3.647","url":null,"abstract":"Evolution consists of preserving and passing on information. Beyond genetics, thinking evolved a way to understand the environment to survive in it. On its constant path to higher levels of abstraction, the psyche generated language as a tool to transmit and store information. Thus, language follows the rules of the psyche which is constantly active in constructing an image of the world. As a part of this constructive process, art and literature evolved. Literature is created by an individual psyche based on its previously stored information merging with the culture the writer lives in. Basic units of the psyche consist of systematic concepts to facilitate interacting with the environment, the most important one being the concept of the self. A healthy psyche inevitably depends on a healthy self-image, a stable concept of the person which consequently demands for a person-centered medicine.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79040057","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":"Papa Hemingway or the Tragic Alterity of the Work of Art","authors":"S. Schauder","doi":"10.5750/IJPCM.V7I3.649","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I3.649","url":null,"abstract":"This article examines autofiction in Ernest Hemingway's writing and the entanglement between work of art, biography and psychic conflict in order to articulate science and humanism and to enhance personalized understanding of illness and creativity in artists. Following an interpretative method, the author will analyze Ernest Hemingway’s The Old Man and the Sea after placing this short story in its bio-bibliographic context. She will explore the following hypothesis: in this novel, Hemingway's personal conflict and his posture as a writer are disclosed under the form of allegory. Finally, the artist’s block (i.e. the absence of major publications after the publication of The Old Man and the Sea) and his suicidal act will be considered in the light of infantile traumatism and its reviviscence after the death of Hemingway’s mother.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88878978","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 of the Second Latin American Conference","authors":"J. Mezzich","doi":"10.5750/IJPCM.V7I3.652","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I3.652","url":null,"abstract":"The Second Latin American Conference on Person Centered Medicine (SJLAMCP in Spanish) was held on December 16 and 17, 2016 in Lima, Peru. It was organized by the National Academy of Medicine and the Latin American Network for Person-Centered Medicine (RLAMCP in Spanish) along with San Marcos National University, Catholic University of Santo Toribio de Mogrovejo, Cayetano Heredia Peruvian University and the National Institute of Health of Peru. The event was co-sponsored by the International College of Person Centered Medicine, the Medical Council of Peru, the National Medical Academies of Brazil, Colombia, Chile, Ecuador and Uruguay, and the Brazilian Medical Association.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"333 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74980855","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}
Oscar Cluzet, A. Perales, Fredy Canchihuamán, J. Mezzich
{"title":"Latin American Experiences and Reflections on Science and Humanism in Person Centered Medicine","authors":"Oscar Cluzet, A. Perales, Fredy Canchihuamán, J. Mezzich","doi":"10.5750/IJPCM.V7I3.644","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I3.644","url":null,"abstract":"Background: Person Centered Medicine (PCM) as an innovative programmatic development in medicine and health care has been evolving and maturing in recent years in Latin America, along with similar developments in other world regions. Science and humanism are key concepts in PCM and their articulation has been a main theme of the Lima Declaration 2016 emerging from the Second Latin American Conference of Person Centered Medicine.Objectives: The purpose of this paper is to identify key points on science and humanism as elements of Latin American perspectives on PCM, accompanying and supporting the Lima Declaration 2016 on Science and Humanism. Method: The approach used involved a selective review of the literature, both published and that presented at the Second Latin American Conference on Person Centered Medicine, as well as consultations with Latin American experts on PCM, and reflections among the co-authors on the meaning of the information obtained in the areas of clinical care, education, research, and public health.Results: The elucidated patterns and trends are synthesized, with focus on the articulation of science and humanism. These findings are characterized by the formulation of increasingly specific experiences and reflections that cover the main areas of medical work.Conclusions: The perspectives elucidated from the literature review and ensuing consultations and reflections are allowing the transition from a stage of slogans for action to another of increasingly specific proposals, particularly around the articulation of science and humanism in clinical care, medical education, research and public health.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83824367","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}
Samantha M. Hack, A. Muralidharan, Clayton H. Brown, A. Lucksted, J. Patterson
{"title":"Provider and Consumer Behaviors and their Interaction for Measuring Person-Centered Care.","authors":"Samantha M. Hack, A. Muralidharan, Clayton H. Brown, A. Lucksted, J. Patterson","doi":"10.5750/IJPCM.V7I1.602","DOIUrl":"https://doi.org/10.5750/IJPCM.V7I1.602","url":null,"abstract":"Background\u0000Current research has found that higher rates of person-centered care (PCC) are associated with greater treatment adherence and positive treatment outcomes. However, the instruments used to access PCC primarily collect data on provider behavior, rather than consumer participation in PCC, despite the necessary co-equal and collaborative nature of PCC interactions.\u0000\u0000\u0000Objectives\u0000The objective of the current study was to test the hypotheses that: (1) the Perceived Involvement in Care Scale (PICS) consumer information subscale and the consumer decision making subscale are not correlated with the PPPC subscales and, (2) consumer perceptions of person-centeredness and of consumer involvement in care are significant independent explanatory variables for the theoretically or quantitatively grounded outcomes of therapeutic alliance, treatment adherence, and mental health care system mistrust.\u0000\u0000\u0000Methods\u0000Cross-sectional survey data was collected from 82 mental health care consumers receiving services at two Veterans Health Administration (VHA) facilities. Participants completed surveys on perceptions of PCC, consumer involvement in care, therapeutic alliance, medication adherence, and mental health care system mistrust.\u0000\u0000\u0000Results\u0000Significant correlation between the consumer participation and PCC subscales was mixed. Higher levels of PCC were associated with greater therapeutic alliance, less suspicion of mental health care systems, less perception of lack of support from providers, and less beliefs about group disparities in care. Consumer involvement was only significantly related to suspicion of mental health care systems.\u0000\u0000\u0000Discussion and Conclusions\u0000These findings may be a function of the locus of each outcome variable. When conducting PCC research investigators should consider how the outcomes they are examining inform the method through which they measure patient-centeredness.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"39 1","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2017-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81874264","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}
Samantha M Hack, Anjana Muralidharan, Clayton H Brown, Alicia A Lucksted, Jennifer Patterson
{"title":"Provider and Consumer Behaviors and their Interaction for Measuring Person-Centered Care.","authors":"Samantha M Hack, Anjana Muralidharan, Clayton H Brown, Alicia A Lucksted, Jennifer Patterson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Current research has found that higher rates of person-centered care (PCC) are associated with greater treatment adherence and positive treatment outcomes. However, the instruments used to access PCC primarily collect data on provider behavior, rather than consumer participation in PCC, despite the necessary co-equal and collaborative nature of PCC interactions.</p><p><strong>Objectives: </strong>The objective of the current study was to test the hypotheses that: (1) the Perceived Involvement in Care Scale (PICS) consumer information subscale and the consumer decision making subscale are not correlated with the PPPC subscales and, (2) consumer perceptions of person-centeredness and of consumer involvement in care are significant independent explanatory variables for the theoretically or quantitatively grounded outcomes of therapeutic alliance, treatment adherence, and mental health care system mistrust.</p><p><strong>Methods: </strong>Cross-sectional survey data was collected from 82 mental health care consumers receiving services at two Veterans Health Administration (VHA) facilities. Participants completed surveys on perceptions of PCC, consumer involvement in care, therapeutic alliance, medication adherence, and mental health care system mistrust.</p><p><strong>Results: </strong>Significant correlation between the consumer participation and PCC subscales was mixed. Higher levels of PCC were associated with greater therapeutic alliance, less suspicion of mental health care systems, less perception of lack of support from providers, and less beliefs about group disparities in care. Consumer involvement was only significantly related to suspicion of mental health care systems.</p><p><strong>Discussion and conclusions: </strong>These findings may be a function of the locus of each outcome variable. When conducting PCC research investigators should consider how the outcomes they are examining inform the method through which they measure patient-centeredness.</p>","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"7 1","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"7TH INTERNATIONAL CONGRESS OF PERSON CENTERED MEDICINE","authors":"J. Mezzich","doi":"10.5750/IJPCM.V6I3.597","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I3.597","url":null,"abstract":"Congress Presidents: Yoshitake Yokokura, President of JMA and Jon Snaedal, \u0000President of ICPCM \u0000Organizing Committee: International College of Person Centered Medicine, \u0000ICPCM: Jon Snaedal (President,), Juan E. Mezzich (Secretary General), Jim \u0000Appleyard (Board Advisor), Michel Botbol (Board Member), Tesfamicael \u0000Ghebrehiwet (Board Member), Helen Millar (Board Member), Ihsan Salloum \u0000(Board Member), Werdie Van Staden (Board Member), and Japan Medical \u0000Association.","PeriodicalId":89680,"journal":{"name":"International journal of person centered medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89304487","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}