Skip to main content
SpringerLink
Log in
Book cover

Person Centered Approach to Recovery in Medicine pp 1–15Cite as

The Role of Patient-Centered and Recovery-Oriented Models in Medicine: An Introduction

  • Chapter
  • First Online:

  • 1026 Accesses

Part of the book series: Integrating Psychiatry and Primary Care ((IPPC))

Abstract

As medicine achieves new scientific findings regarding disease causation and treatment, a human element has receded in actual clinical practice. This has limited the importance of the doctor-patient relationship which has serious implications for medical care as both patient and health-care provider exist in a biopsychosocial matrix. Various international health organizations are now working together to better integrate person-centered and recovery-oriented approaches into general medical care. Such a comprehensive approach to clinical patient care as well as medical research is more than mere psychosomatic medicine but requires attention to issues of functionality in an autonomous manner as well as participation in social groups. Dignity conservation, reaffirmation, and spiritual needs are necessary elements of the doctor-patient relationship. This requires appropriate communication abilities which include such psychosocial information in addition to careful review of biologic systems in both health and disease. The psychosomatic legacy is only part of the journey toward a true patient-centered model. This volume attempts to provide a rationale for its importance and provides clinical and educational examples about how to achieve such goals.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    In November of 2017, The Academy of Psychosomatic Medicine (APM) voted to change its name to the Academy of Consultation-Liaison Psychiatry (ACLP). It followed a similar change in which the American Board of Medical Specialties voted to change the name of the field to Consultation-Liaison Psychiatry.

  2. 2.

    For more information, see the websites illustrating the aims and the mission of the associations and networks working in the area of psychosomatic medicine and person-centered medicine such as the International College of Psychosomatic Medicine (http://www.icpmonline.org/), the Academy of Consultation-Liaison Psychiatry (ACLP) (www.clpsychiatry.org//); the International College of Person-Centered Medicine (ICPM) (http://www.personcenteredmedicine.org); the European Association of Psychosomatic Medicine (EAPM) (http://eapm.org); the American Psychosomatic Society (APS) (http://www.psychosomatic.org/); the World Psychiatric Association section on Psychiatry, Medicine, and Primary Care (http://www.wpanet.org/detail.php?section_id=11&content_id=509); or the European Society for Person-Centered Healthcare (http://pchealthcare.org.uk), just to cite some.

References

  1. World Health Organization (WHO). Constitution of the World Health Organization. Geneva. http://apps.who.int/gb/bd/PDF/bd47/EN/constitution-en.pdf?ua=1.

  2. World Health Organization (WHO). Promotion of mental health. Geneva: WHO. http://www.searo.who.int/entity/mental_health/promotion-of-mental-well-being/en/.

  3. Milstein JM. Introducing spirituality in medical care: transition from hopelessness to wholeness. JAMA. 2008;299(20):2440–1.

    Article  CAS  PubMed  Google Scholar 

  4. Corbin J, Strauss AL. Accompaniments of chronic illness: changes in body, self, biography, and biographical time. Res Sociol Health Care. 1987;6:249–81.

    Google Scholar 

  5. Cloninger CR. Person-centred integrative care. J Eval Clin Pract. 2011;17:371–2.

    Article  PubMed  Google Scholar 

  6. Cox JL. Empathy, identity and engagement in person-centred medicine: the sociocultural context. J Eval Clin Pract. 2011;17(2):350–3.

    Article  PubMed  Google Scholar 

  7. Anthony W. Recovery from mental illness: the guiding vision of the mental health service systems in the 1990s. Psychosoc Rehabil J. 1993;16:11–23.

    Google Scholar 

  8. Slade M. Personal recovery and mental illness. Cambridge: Cambridge University Press; 2010.

    Google Scholar 

  9. Farkas M. The vision of recovery today: what it is and what it means for services. World Psychiatry. 2007;6:68–74.

    PubMed Central  PubMed  Google Scholar 

  10. Whitley R, Drake RE. Recovery: a dimensional approach. Psychiatr Serv. 2010;61(12):1248–50.

    Article  PubMed  Google Scholar 

  11. Resnick SG, Rosenheck R. Recovery and positive psychology: parallel themes and potential synergies. Psychiatr Serv. 2006;57:120–2.

    Article  PubMed  Google Scholar 

  12. Seligman MEP, Csikszentmihalyi M. Positive psychology: an introduction. Am Psychol. 2000;55(1):5–14.

    Article  CAS  PubMed  Google Scholar 

  13. Mezzich JE. Positive health: conceptual place, dimensions and implications. Psychopathology. 2005;38(4):177–9.

    Article  PubMed  Google Scholar 

  14. Cloninger CR. The science of well-being: an integrated approach to mental health and its disorders. World Psychiatry. 2006;5:71–6.

    PubMed Central  PubMed  Google Scholar 

  15. Jeste DV, Palmer BW, Rettew DC, Boardman S. Positive psychiatry: its time has come. J Clin Psychiatry. 2015;76(6):675–83.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Mezzich JE. World psychiatric association perspectives on person-centered psychiatry and medicine. Int J Integr Care. 2010;10:3–7.

    Google Scholar 

  17. Mezzich JE. Psychiatry for the person: articulating medicine’s science and humanism. World Psychiatry. 2007;6:1–3.

    PubMed Central  PubMed  Google Scholar 

  18. Mezzich JE, Botbol M, Christodoulou GN, Cloninger CL, Salloum IM, editors. Person centered psychiatry. Berlin: Springer; 2016.

    Google Scholar 

  19. Miles A. On a medicine of the whole person: away from scientistic reductionism and towards the embrace of the complex in clinical practice. J Eval Clin Pract. 2009;15:941–9.

    Article  PubMed  Google Scholar 

  20. Miles A. Towards a medicine of the whole person--knowledge, practice and holism in the care of the sick. J Eval Clin Pract. 2009;15(6):887–90.

    Article  PubMed  Google Scholar 

  21. Peabody FW. The care of the patient. JAMA. 1927;9:877–82.

    Article  Google Scholar 

  22. Jaspers K. Der Arzt im technischen Zeitalter. Universitas: Zeitschrift für Wissenschaft, Kunst und Literatur. 1959;14(4):337–54. (English translation by Grugan AA). The physician in the technological age. Theor Med Bioeth. 1989;10(3):251–67.

    Google Scholar 

  23. Tournier P. Médicine de la personne. Neuchatel: Delachaux et Niestlé; 1940. (English Tr. The Healing of Persons. Harper Collins Pub, 1965).

    Google Scholar 

  24. Jacob RG, Hugo JA, Dunbar-Jacob J. History of psychosomatic medicine and consultation-liaison psychiatry. In: Ackerman KD, Dimartini AF, editors. Psychosomatic medicine. New York: Oxford University Press; 2015.

    Google Scholar 

  25. Alexander F. Psychological aspects of medicine. Psychosom Med. 1939;1:7–18.

    Article  Google Scholar 

  26. Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.

    Article  CAS  PubMed  Google Scholar 

  27. Lipowski ZJ. Review of consultation psychiatry and psychosomatic medicine. 3. Theoretical issues. Psychosom Med. 1968;30:395–422.

    Article  CAS  PubMed  Google Scholar 

  28. Lipowski ZJ. Review of consultation psychiatry and psychosomatic medicine. II. Clinical aspects. Psychosom Med. 1967;29(3):201–24.

    Article  CAS  PubMed  Google Scholar 

  29. Balint M. The doctor, his patient and the illness. London: Pitman Medical Publishing; 1957.

    Book  Google Scholar 

  30. Lipowski ZJ. What does the word “psychosomatic” really mean? A historical and semantic inquiry. Psychosom Med. 1984;46(2):153–71.

    Article  CAS  PubMed  Google Scholar 

  31. Galdston I. Psychosomatic medicine. AMA Arch Neurol Psychiatry. 1955;74:441–50.

    Article  CAS  PubMed  Google Scholar 

  32. Gitlin DF, Levenson JL, Lyketsos CG. Psychosomatic medicine: a new psychiatric subspecialty. Acad Psychiatry. 2004;28(1):4–11.

    Article  PubMed  Google Scholar 

  33. Lipsitt DR. Psychosomatic medicine: history of a “new” specialty. In: Blumenfield M, Strain JJ, editors. Psychosomatic medicine. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 3–20.

    Google Scholar 

  34. Boland RJ, Rundell J, Epstein S, Gitlin D.: Consultation-Liaison Psychiatry vs Psychosomatic Medicine: What’s in a name? Psychosomatics. 2018;59(3):207–10.

    Article  PubMed  Google Scholar 

  35. Söllner W, Creed F, European Association of Consultation-Liaison Psychiatry and Psychosomatics Workgroup on Training in Consultation-Liaison. European guidelines for training in consultation-liaison psychiatry and psychosomatics: report of the EACLPP workgroup on training in consultation-liaison psychiatry and psychosomatics. J Psychosom Res. 2007;62(4):501–9.

    Article  PubMed  Google Scholar 

  36. Leentjens AF, Rundell JR, Diefenbacher A, Kathol R, Guthrie E. Psychosomatic medicine and consultation-liaison psychiatry: scope of practice, processes, and competencies for psychiatrists working in the field of CL psychiatry or psychosomatics. [corrected] a consensus statement of the European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) and [corrected] the Academy of Psychosomatic Medicine (APM). Psychosomatics. 2011;52(1):19–25.

    Article  PubMed  Google Scholar 

  37. Lipowski ZJ. Psychosomatic medicine: past and present. Part II. Current state. Can J Psychiatr. 1986;31(1):8–13.

    Article  CAS  Google Scholar 

  38. Lipowski ZJ. Psychosomatic medicine: past and present. Part III. Current research. Can J Psychiatr. 1986;31(1):14–21.

    Article  CAS  Google Scholar 

  39. Lipowski ZJ. Consultation-liaison psychiatry at century's end. Psychosomatics. 1992;33(2):128–33.

    Article  CAS  PubMed  Google Scholar 

  40. Oken D. Current theoretical concepts in psychosomatic medicine. In: Kaplan HI, Sadock BJ, editors. Comprehensive textbook of psychiatry, vol. 2. 5th ed. Baltimore, MD: Williams & Wilkins; 1989. p. 1160–9.

    Google Scholar 

  41. Fava GA, Belaise C, Sonino N. Psychosomatic medicine is a comprehensive field, not a synonym for consultation liaison psychiatry. Curr Psychiatry Rep. 2010;12(3):215–21.

    Article  PubMed  Google Scholar 

  42. Deter HC. History, concepts and aims of internationally active societies in psychosomatic and behavioural medicine. Biopsychosoc Med. 2016;10:34. https://doi.org/10.1186/s13030-016-0085-1.eCollection.

    Article  PubMed Central  PubMed  Google Scholar 

  43. Park EM, Sockalingam S, Ravindranath D, Aquino PR, Aggarwal R, Nemeroff SF, Gerkin JS, Gitlin DF, Academy of Psychosomatic Medicine’s Early Career Psychiatrist Special Interest Group. Psychosomatic medicine training as a bridge to practice: training and professional practice patterns of early career psychosomatic medicine specialists. Psychosomatics. 2015;56(1):52–8.

    Article  PubMed  Google Scholar 

  44. Deter HC, Orth-Gomér K, Wasilewski B, Verissimo R. The European Network on Psychosomatic Medicine (ENPM)—history and future directions. Biopsychosoc Med. 2017;11:3. https://doi.org/10.1186/s13030-016-0086-0.eCollection2017.

    Article  PubMed Central  PubMed  Google Scholar 

  45. Wise TN. Psychosomatics: past, present and future. Psychother Psychosom. 2014;83(2):65–9.

    Article  PubMed  Google Scholar 

  46. Wise TN, Balon R. Psychosomatic medicine in the 21st century: understanding mechanisms and barriers to utilization. In: Balon R, Wise T, editors. Clinical challenges in the biopsychosocial interface. Update on psychosomatics for the 21st century. Basel: Karger; 2015. p. 1–9.

    Google Scholar 

  47. Whatley SD. Borrowed philosophy: bedside physicalism and the need for a sui generis metaphysic of medicine. J Eval Clin Pract. 2014;20(6):961–4.

    Article  PubMed  Google Scholar 

  48. Martin CM, Félix-Bortolotti M. Person-centred health care: a critical assessment of current and emerging research approaches. J Eval Clin Pract. 2014;20(6):1056–64.

    Article  PubMed  Google Scholar 

  49. Leamy M, Bird V, Le Boutillier C, et al. A conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199:445–52.

    Article  PubMed  Google Scholar 

  50. Davidson L, O’Connell MJ, Tondora J, et al. Recovery in serious mental illness: a new wine or just a new bottle? Prof Psychol Res Pr. 2005;36(5):480–7.

    Article  Google Scholar 

  51. Slade M, Amering M, Farkas M, et al. Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry. 2014;13(1):12–20.

    Article  PubMed Central  PubMed  Google Scholar 

  52. Drake RE, Whitley R. Recovery and severe mental illness: description and analysis. Can J Psychiatr. 2014;59(5):236–42.

    Article  Google Scholar 

  53. Vogt H, Ulvestad E, Eriksen TE, Getz L. Getting personal: can systems medicine integrate scientific and humanistic conceptions of the patient? J Eval Clin Pract. 2014;20(6):942–52.

    Article  PubMed  Google Scholar 

  54. El-Alti L, Sandman L, Munthe C. Person centered care and personalized medicine: irreconcilable opposites or potential companions? Health Care Anal. 2017. p. 1–15. https://doi.org/10.1007/s10728-017-0347-5. [Epub ahead of print].

  55. Cornetta K, Brown CG. Balancing personalized medicine and personalized care. Acad Med. 2013;88(3):309–13.

    Article  PubMed Central  PubMed  Google Scholar 

  56. Ziegelstein RC. Personomics. JAMA Intern Med. 2015;175(6):888–9.

    Article  PubMed  Google Scholar 

  57. Ziegelstein RC. Personomics: the missing link in the evolution from precision medicine to personalized medicine. J Pers Med. 2017;7-11:1–5.

    Google Scholar 

  58. Ziegelstein RC. Personomics and precision medicine trans. Am Clin Climatol Assoc. 2017;128:160–8.

    Google Scholar 

  59. Ziegelstein RC. Perspectives in primary care: knowing the patient as a person in the precision medicine era. Ann Fam Med. 2018;16(1):4–5.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy

    Luigi Grassi

  2. Department of Psychiatry, Inova Fairfax Hospital, Falls Church, VA, USA

    Thomas Wise

  3. Johns Hopkins University, Baltimore, MD, USA

    Thomas Wise

  4. George Washington University, Washington, DC, USA

    Thomas Wise

  5. Virginia Commonwealth University, Richmond, VA, USA

    Thomas Wise

  6. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA

    Michelle B. Riba

  7. University of Michigan Comprehensive Depression Center and Psych Oncology Program, University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA

    Michelle B. Riba

Authors
  1. Luigi Grassi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Thomas Wise
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michelle B. Riba
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Luigi Grassi .

Editor information

Editors and Affiliations

  1. Institute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy

    Luigi Grassi

  2. University of Michigan Rogel Cancer Center, Ann Arbor, MI, USA

    Michelle B. Riba

  3. Inova Fairfax Hospital, Johns Hopkins University Inova Fairfax Hospital, Falls Church, VA, USA

    Thomas Wise

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Grassi, L., Wise, T., Riba, M.B. (2019). The Role of Patient-Centered and Recovery-Oriented Models in Medicine: An Introduction. In: Grassi, L., Riba, M., Wise, T. (eds) Person Centered Approach to Recovery in Medicine. Integrating Psychiatry and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-74736-1_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-74736-1_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74735-4

  • Online ISBN: 978-3-319-74736-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation