Ethics in Person Centered Medicine: Conceptual Place and Ongoing Developments

Main Article Content

Juan E Mezzich
James Appleyard
Michel Botbol
Tesfa Ghebrehiwet
Joanna Groves
Ihsan Salloum
Sandra van Dulmen

Abstract

Person centered medicine may be defined by its placing the whole person at the center of health and health care. And because of this, ethics seems to be at the core of person centered medicine.  The bases for this assertion are briefly delineated in this statement along with a capsular review of the articles in this issue of the International Journal of Person Centered Medicine. These articles encompass, among others, a set of papers on ethical standards for person centered health research as well as on incorporating ethics in medical education curricula and on tracing certain person centered medicine traditions to philosophical and human rights breakthroughs.

Article Details

Section
Editorial
Author Biography

Juan E Mezzich, Mount Sinai School of Medicine, New York University

Born in Lima, Peru, of Yugoslavian and Peruvian ancestries. Medical graduate of Cayetano Heredia Peruvian University and president of the University Student Association.Psychiatric residency training, M.Sc. in Academic Psychiatry, and M.A. and Ph.D. in Mathematical and Statistical Psychology, all at Ohio State University, and diplomate of the American Board of Psychiatry and Neurology.Professorial positions in psychiatry, sequentially at Stanford University, California, the University of Pittsburgh, Pennsylvania, and the Mount Sinai School of Medicine, New York University.Doctor Honoris Causa at Athens University (Greece), Cordoba University (Argentina), Cayetano Heredia Peruvian University (Peru), and Cluj-Napoca University, Timisoara University and Oradea University (Romania). Honorary Professorships at Cayetano Heredia Peruvian University and University of Belgrade (Serbia), World Psychiatric Association Honorary Fellow, Simon Bolivar Award of the American Psychiatric Association, Past-President of the American Society of Hispanic Psychiatry, honorary member/fellow of several national psychiatric associations, and visiting professor and lecturer at academic institutions over 80 countries across all continents.Earlier academic and international work: Secretary & Chair (1983-1996) and Honorary Chair (2008-) of the WPA Section on Classification and Diagnostic Assessment; member of the ICD-10 Work Group and the DSM-IV Task Force; chair of the US National Institute of Mental Health Group on Culture, Diagnosis and Care; consultant on the development of the Chinese Classification of Mental Disorders (3rd Ed.), the Japanese Modification of ICD-10, the Third Cuban Glossary of Psychiatry, and the Latin American Guide for Psychiatric Diagnosis (GLADP); and director of the 1993-2003 WPA International Guidelines for Diagnostic Assessment (IGDA).Author/coauthor of over 280 scientific journal articles and book chapters (including sections on diagnosis,   epidemiology, and culture in Kaplan & Sadock's and Tasman et al’s Textbooks of Psychiatry), and of 26 books and monographs, including Images of Latin American Psychiatry (2013), Coercive Treatment in Psychiatry (2011), Conceptual Bases of Psychiatry for the Person (2011), Conceptual Explorations on Person-centered Medicine (2010), Psychiatric Diagnosis: Challenges and Prospects (2009), Cultural Formulation: A Reader for Psychiatric Diagnosis (2008), Psychiatry and Sexual Health: An Integrative Approach (2006), Philosophical & Methodological Bases of Psychiatric Diagnosis (2005), Guía Latinoamericana de Diagnóstico Psiquiátrico (GLADP) (APAL, 2004), WPA International Guidelines for Diagnostic Assessment (IGDA) (2003), Cultural Psychiatry: International Perspectives (2001), Culture and Psychiatric Diagnosis: A DSM-IV Perspective (1996), Psychiatric Epidemiology (1994). Editor, Psychopathology, (2002-2010), Deputy Editor-in-Chief (2010-2011) and Editor in Chief (2013-  ), Int’l J Person Centered Medicine,  and editorial board member of 15 other medical journals in the Americas, Europe, Asia, and Africa.WPA Secretary General (1996-2002), Vice-President and President-Elect (2002-2005), President (2005-2008), and Council Member (2008- ). President (2009-2013) and then Secetary General (2013- ) of the International Network , now International College, of Person-centered Medicine.Current Work: 1) Person-centered Psychiatry and Medicine: Organization of the 2008, 2009, 2010 and 2011 Geneva Conferences on Person-centered Medicine, and Conferences in London (2007), Paris (2008), and Uppsala (2008) on Psychiatry for the Person; thematic publication of several monographs and journal editorials & papers, and initiating the International Network for Person-centered Medicine in collaboration with the World Medical Association, the World Health Organization and 25 other international medical and health bodies, 2) International diagnostic systems, particularly ICD-11, Person-centered Integrative Diagnosis, and Latin American Guide for Psychiatric Diagnosis, through monographs, journal papers, and conferences, 3) Culture-informed clinical concepts and procedures, including the Cultural Formulation, the Personal Health Scale, the Multi-ethnic Bicultural Scale, and the Multicultural Quality of Life Index through publications, conferences and research projects.

References

Heath I (2005): Promotion of disease and corrosion of medicine. Canadian Family Physician; 51:1320-22.

Christodoulou GN, (2010): Moral theories and medicine for the person. International Journal of Integrated Care. Vol 10. Supplement: 48-49.

Slater L (2006) Person-centredness: a concept analysis. Contemp Nurse. 23: 135-144.

Heath I (2010): Person-centered prevention and health promotion. International Journal of Integrated Care. Vol 10. Supplement: 92-93.

Cassell E (2010): The person in medicine. International Journal of Integrated Care. Vol 10. Supplement: 50-51.

Van Staden W, (2011). Developing World’s Perspectives on Ethics and Person-centered Care. International Journal of Person-centered Medicine 1: 14-17.

Brooker D (2007): Person-centred dementia care: making services better. London: Jessica Kingsley Publishers.

Mezzich JE, Kirisci L, Salloum IM (2011): Project on Developing Measures to Assess Progress towards People‐centered Care. Technical Report, International College of Person Centered Medicine, New York.

Appleyard J (in press): Introduction to Ethical Standards for Person-centered Health Research. International Journal of Person Centered Medicine.

Bouësseau MC (in press): Strengthening Research Ethics Review Systems. International Journal of Person Centered Medicine.

Christodoulou GN and Christodoulou A (in press): Person centered perspective on the Madrid Declaration. International Journal of Person Centered Medicine.

Vallotton MB, Fluss SS, Sjölin-Forsberg G (in press): The protection of the person is central in CIOMS International Ethical Guidelines. International Journal of Person Centered Medicine.

Caballero F, Monge D, Garcia de Leonardo C, Abengozar R, and Perez-Miranda J (in press): Curricular journey on ethics and professionalism and its impact on students’ attitudes. International Journal of Person Centered Medicine.

Rajan D (in press): Research Supporting Health Policy Development: Contextualizing Evidence for People-Centred Care in Low and Middle Income Countries. International Journal of Person Centered Medicine.

Kirisci L, Reynolds M, and Tarter R (in press): Quick screen to detect current and future substance use disorder in female adolescents. International Journal of Person Centered Medicine.

Janca A and Balaratnasingam S (in press): Normality, abnormality and mental disorder in a person-centered continuum. International Journal of Person Centered Medicine.

Farver-Vestergaard I, Early F, Fuld J, and Pedersen CG (in press): Exploring the interactional sphere of a systemic self-management intervention for chronic obstructive pulmonary disease (COPD). International Journal of Person Centered Medicine.

Jones P (in press): Exploring the dimensions of recovery and user experience. International Journal of Person Centered Medicine.

Kipman SD (in press): French roots and contributions in person centered medicine and the emergence of a Francophone Observatory. International Journal of Person Centered Medicine.