Main Article Content

Ihsan M. Salloum
Juan Mezzich


The person-centered integrative diagnosis (PID) is a model that aims at putting into practice the vision of person-centered medicine affirming the whole person of the patient in context as the center of clinical care and health promotion at the individual and community levels. The PID is a novel model of conceptualizing the process and formulation of clinical diagnosis. The PID presents a paradigm shift with a broader and deeper notion of diagnosis, beyond the restricted concept of nosological diagnoses. It involves a multilevel formulation of health status (both ill and positive aspects of health) through interactive participation and engagement of clinicians, patients, and families using all relevant descriptive tools (categorization, dimensions, and narratives). The current organizational schema of the PID comprises a multilevel standardized component model integrating three main domains. Each level or major domain addresses both ill health and positive aspects of health. The first level is the assessment of health status (ill health and positive aspects of health or well-being). The second level includes contributors to health, both risk factors and protective factors. The third major level includes health experience and values. Experience with the PID through a practical guide in Latin America supported the usefulness and adequacy of the PID model.

Article Details

Regular Articles


Mezzich JE. 2007. Psychiatry for the Person: Articulating Medicine’s Science and Humanism. World Psychiatry 6 (2): 1–3.

Herrman H, Saxena S, Moodie R. 2005. Promoting Mental Health: Concepts, Emerging Evidence, Practice, WHO, Geneva.

World Health Organization. 1999.WHO’s New Global Strategies for Mental Health. Factsheet 217.

U.S. Presidential Commission on Mental Health. 2003. Achieving the Promise: Transforming Mental Health Care in America. Final Report. DHHS Pub N: SMA-03-3832. Rockville, Maryland: Department of Health and Human Services.

World Health Organization European Ministerial Conference on Mental Health. Mental Health Action Plan for Europe: Facing the Challenges, Building Solutions. Helsinki, Finland, January 12–15, 2005. EUR/04/5047810/7.

Patwardhan B, Warude D, Pushpangadan P, Bhatt N. 2005. Ayurveda and Traditional Chinese Medicine: A Comparative Overview. Evidence-Based Complementary and Alternative Medicine 2: 465–473.

Christodoulou GN. (Ed) 1987. Psychosomatic Medicine, Plenum Press, New York.

Anthony W. 1993. Recovery from Mental Illness. The Guiding Vision of the Mental Health Service Systems in the 1990s. Psychosocial Rehabilitation Journal 16: 11–23.

Amering M, Schmolke M. 2007. Recovery – Das Ende der Unheilbarkeit, Psychiatrie-Verlag, Bonn.

World Health Organization. 1946. WHO Constitution, WHO, Geneva.

Mezzich JE, Kirisci L, Salloum IM, Trivedi JK, Kar SK, Adams N, Wallcraft J. 2016. Systematic Conceptualization of Person Centered Medicine and Development and Validation of a Measurement Index. International Journal of Person Centered Medicine 6 (4): 219–247.

INTERNATIONAL JOURNAL OF PERSON CENTERED MEDICINE 2018 VOL 8 NO 3 PP 41-49 12. Mezzich JE, Salloum IM. 2009. Towards a Person-Centered Integrative Diagnosis. In: IM Salloum & JE Mezzich (Eds). Psychiatric Diagnosis: Context and Prospects, Wiley-Blackwell, Oxford, UK, pp. 297–302.

Laın-Entralgo P. 1982. El Diagnostico Medico: Historia y Teoría, Salvat, Barcelona.

Feinstein AR. 1967. Clinical Judgment, Robert E. Krieger, Huntington, NY.

Mezzich JE. This issue. Setting a Common Ground for Collaborative Care and Clinical Interviewing: International Journal of Person Centered Medicine 8(3): 29–40.

Kirmayer L, Mezzich JE, Van Staden W. 2016. Health Experience and Values.

In: JE Mezzich, M Botbol, GN Christodoulou, CR Cloninger, & Salloum IM (Eds). Person Centered Psychiatry, Springer, Switzerland, pp. 179–199.

Mezzich JE. 2012. Towards a Health Experience Formulation for Person- Centered Integrative Diagnosis. International Journal of Person Centered Medicine 2: 188–192.

Mezzich JE, Ustun TB. 2002. International Classification and Diagnosis: Critical Experience and Future Directions. Psychopathology 35 (Special Issue): 55–202.

Banzato CEM, Mezzich JE, Berganza CE. (Eds) 2005. Philosophical and Methodological Foundations of Psychiatric Diagnosis. Psychopathology 38 (Special Issue Jul–Aug).

World Psychiatric Association. 2003. Essentials of the World Psychiatric Association’s International Guidelines for Diagnostic Assessment (IGDA).

British Journal of Psychiatry 182 (Suppl 45): s37–s66.

Mezzich JE, Salloum IM, Cloninger CR, Salvador-Carulla L, Kirmayer L, Banzato CE, Wallcraft J, Botbol M. 2010. Person-Centered Integrative Diagnosis: Conceptual Bases and Structural Model. Canadian Journal of Psychiatry 55: 701–708.

Mezzich JE, Otero A, Saavedra JE, Salloum IM. 2013. The GLADP-VR Person-Centered Diagnostic Formulation: Background, Concepts, and Structure. International Journal of Person Centered Medicine 3: 228–242.

Asociación Psiquiátrica de América Latina (APAL). 2012. Guia Latinoamericana de Diagnostico Psiquiátrico, Versión Revisada (GLADP-VR) (Latin American Guide of Psychiatric Diagnosis, Revised Version). Lima: APAL.

WHPA Health Improvement Card: files/2018-12/ncd_Health-Improvement-Card_web.pdf 25. Saavedra JE, Otero A, Brítez J, Velásquez E, Salloum IM, Zevallos S, Luna Y, Paz V, Mezzich JE. 2017. 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. International Journal of Person Centered Medicine7: 216–224.