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.
{"title":"PERSON-CENTERED INTEGRATIVE DIAGNOSIS: CONCEPTS AND PROCEDURES","authors":"I. Salloum, J. Mezzich","doi":"10.5750/ijpcm.v8i3.890","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i3.890","url":null,"abstract":"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.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"307 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124368851","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}
Background: A relationship and communication matrix and collaborative assessment and care, as part of a set of elicited principles and strategies, are hallmarks of person-centered medicine and health care. Their formulation and cultivation have been predicated on both humanistic and scientific grounds. Objectives: This paper is aimed at articulating the bases, key concepts, and strategies for establishing common ground among clinicians, patient, and family for organizing all person-centered clinical care, starting with clinical interviews. Method: For addressing these objectives, a selective review of the clinical literature was conducted. This was complemented by contrasting the findings with the results of similar papers and reflecting on their implications. Results: One of the broadest and most compelling factors for organizing person centered clinical care effectively in general, and particularly concerning interviewing, assessment, and diagnosis as well as treatment planning and implementation, seems to be setting up common ground among clinicians, patient, and family. Crucial dynamic matrices of common ground seem to be (1) assembling and engaging the key players for effective care, (2) establishing empathetic communication among these players, (3) organizing participative diagnostic processes toward joint understanding of the presenting person’s personhood and health (both problems and positive aspects), and (4) planning and implementing clinical care through shared decision making and joint commitments. Critical guiding considerations for common ground appear to include holistic informational integration, taking into consideration the person’s chronological and space context, and attending to his or her health experience, preferences, and values. Among the most promising strategies for operationalizing common ground is the formulation of a narrative integrative synthesis of clinical and personal information as joint distillation of the assessment process and as foundation for planning care. These considerations also serve as framework for the delineation and organization of effective clinical interviewing. Discussion: These findings are supported, first, by historical and anthropological research, which elucidates health care as part of social cooperation for the preservation and promotion of life. Common ground appears substantiated by the principles of person centered medicine, and represents one of its most clear projections. Also supportive of common ground is recent research on the positive perceptions of clinicians on procedures that are culturally informed and consider personal experience and values. Conclusions: It appears that the establishment of a common ground among clinicians, patient, and family is a critical step for the effective person-centered organization of clinical care in general and for interviewing, diagnosis, and treatment planning in particular.
{"title":"SETTING A COMMON GROUND FOR COLLABORATIVE CARE AND CLINICAL INTERVIEWING","authors":"J. Mezzich","doi":"10.5750/ijpcm.v8i3.889","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i3.889","url":null,"abstract":"Background: A relationship and communication matrix and collaborative assessment and care, as part of a set of elicited principles and strategies, are hallmarks of person-centered medicine and health care. Their formulation and cultivation have been predicated on both humanistic and scientific grounds. Objectives: This paper is aimed at articulating the bases, key concepts, and strategies for establishing common ground among clinicians, patient, and family for organizing all person-centered clinical care, starting with clinical interviews. Method: For addressing these objectives, a selective review of the clinical literature was conducted. This was complemented by contrasting the findings with the results of similar papers and reflecting on their implications.\u0000\u0000Results: One of the broadest and most compelling factors for organizing person centered clinical care effectively in general, and particularly concerning interviewing, assessment, and diagnosis as well as treatment planning and implementation, seems to be setting up common ground among clinicians, patient, and family. Crucial dynamic matrices of common ground seem to be (1) assembling and engaging the key players for effective care, (2) establishing empathetic communication among these players, (3) organizing participative diagnostic processes toward joint understanding of the presenting person’s personhood and health (both problems and positive aspects), and (4) planning and implementing clinical care through shared decision making and joint commitments. Critical guiding considerations for common ground appear to include holistic informational integration, taking into consideration the person’s chronological and space context, and attending to his or her health experience, preferences, and values. Among the most promising strategies for operationalizing common ground is the formulation of a narrative integrative synthesis of clinical and personal information as joint distillation of the assessment process and as foundation for planning care. These considerations also serve as framework for the delineation and organization of effective clinical interviewing.\u0000\u0000Discussion: These findings are supported, first, by historical and anthropological research, which elucidates health care as part of social cooperation for the preservation and promotion of life. Common ground appears substantiated by the principles of person centered medicine, and represents one of its most clear projections. Also supportive of common ground is recent research on the positive perceptions of clinicians on procedures that are culturally informed and consider personal experience and values.\u0000\u0000Conclusions: It appears that the establishment of a common ground among clinicians, patient, and family is a critical step for the effective person-centered organization of clinical care in general and for interviewing, diagnosis, and treatment planning in particular.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121112411","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}
The idea that the Indian Medical Association (IMA) could host a congress on person-centered medicine (PCM) was presented at the 10th Geneva Conference on PCM in April 2017. The idea was well received and accepted by Prof. Ketan Desai, then President of the World Medical Association (WMA) and former President of the IMA. Soon thereafter preparations began as a collaborative effort of IMA and the International College of Person Centered Medicine (ICPCM). A contract was signed by representatives of IMA and ICPCM stipulating the framework and the financial issues of the congress.
{"title":"SUMMARY REPORT FROM THE 6TH INTERNATIONAL CONGRESS OF PERSON CENTERED MEDICINE","authors":"J. Mezzich, J. Snaedal","doi":"10.5750/ijpcm.v8i3.892","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i3.892","url":null,"abstract":"The idea that the Indian Medical Association (IMA) could host a congress on person-centered medicine (PCM) was presented at the 10th Geneva Conference on PCM in April 2017. The idea was well received and accepted by Prof. Ketan Desai, then President of the World Medical Association (WMA) and former President of the IMA. Soon thereafter preparations began as a collaborative effort of IMA and the International College of Person Centered Medicine (ICPCM). A contract was signed by representatives of IMA and ICPCM stipulating the framework and the financial issues of the congress.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126877401","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}
Communication between patients and health care providers (HCP) is at the heart of medicine and even more within its person-centered paradigm. Within a person centered medicine (PCM) perspective, it is thus crucial, for both the HCP and the patient, to build on a relationship with the objective to establish a therapeutic alliance and share decision making related to the patient’s health issues and to integrate the subjective aspects (and not only the objective aspects) of these health Issues. After showing that the effects of communication go beyond mere cognitive and affective sharing, particularly in highly emotional relations, this paper’sobjective is to understand more thoroughly what is transmitted in the patients/HCP relation and how some of the child and adolescent developmental psychiatry processes (i.e., early mother–baby interactions and transgenerational transmission of attachment) provide good models to understand this transmission.Building on these models, the paper will discuss how and at which conditions, the HCP’s narrative empathy plays a major role to access to the patient’s subjectivity through the HCP’s subjective experience. It concludes that, therefore, subjectivity of the HCPs should not be seen as a negative side effect of the patient–HCP (or the patient–team) relation but as a crucial clinical tool in person-centered diagnostics and cares if HCPs are properly trained and educated to use their feelings and representations as tools in individual or collective deliberations. But one has to be aware that there is no empathy without subjectivity.
{"title":"COMMUNICATION AND EMPATHY WITHIN PERSON-CENTERED MEDICINE: A DEVELOPMENTAL POINT OF VIEW","authors":"M. Botbol, S. Dulmen","doi":"10.5750/ijpcm.v8i3.888","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i3.888","url":null,"abstract":"Communication between patients and health care providers (HCP) is at the heart of medicine and even more within its person-centered paradigm. Within a person centered medicine (PCM) perspective, it is thus crucial, for both the HCP and the patient, to build on a relationship with the objective to establish a therapeutic alliance and share decision making related to the patient’s health issues and to integrate the subjective aspects (and not only the objective aspects) of these health\u0000\u0000Issues.\u0000\u0000After showing that the effects of communication go beyond mere cognitive and affective sharing, particularly in highly emotional relations, this paper’sobjective is to understand more thoroughly what is transmitted in the patients/HCP relation and how some of the child and adolescent developmental psychiatry processes (i.e., early mother–baby interactions and transgenerational transmission of attachment) provide good models to understand this transmission.Building on these models, the paper will discuss how and at which conditions, the HCP’s narrative empathy plays a major role to access to the patient’s subjectivity through the HCP’s subjective experience.\u0000\u0000It concludes that, therefore, subjectivity of the HCPs should not be seen as a negative side effect of the patient–HCP (or the patient–team) relation but as a crucial clinical tool in person-centered diagnostics and cares if HCPs are properly trained and educated to use their feelings and representations as tools in individual or collective deliberations. But one has to be aware that there is no empathy without subjectivity.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127700509","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}
Health is a consequence of multiple determinants operating in interrelated genetic, biological, behavioral, social, and economic contexts that change as a person develops. The timing and sequence of such events and experiences influence the health and development of both individuals and populations. A life course perspective offers a more joined up approach with significant implications for long term health gain. A three-dimensional picture needs to evolve laterally in the present, longitudinally from earlier life events and likely future projections, and vertically from the advances in the medical sciences.
{"title":"CONTINUITY AND INTEGRATION OF PERSON-CENTERED ASSESSMENT AND CARE ACROSS THE LIFE CYCLE","authors":"J. Appleyard, M. Botbol","doi":"10.5750/ijpcm.v8i3.891","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i3.891","url":null,"abstract":"Health is a consequence of multiple determinants operating in interrelated genetic, biological, behavioral, social, and economic contexts that change as a person develops.\u0000The timing and sequence of such events and experiences influence the health and development of both individuals and populations. A life course perspective offers a more joined up approach with significant implications for long term health gain. A three-dimensional picture needs to evolve laterally in the present, longitudinally from earlier life events and likely future projections, and vertically from the advances in the medical sciences.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131809755","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}
In celebration of the 57th anniversary of the Cayetano Heredia Peruvian University (CHPU), the Second Colloquium on “Heredian Spirit and Person-Centered Medicine: Humanism and Social Responsibility” was held on September 19, 2018. The colloquium was organized by the Cayetano Heredia student organizations and the Cayetano Heredia Alumni Foundation. The first Colloquium entitled “Heredian Spirit and Person Centered Medicine: From its Roots to the Future,” was held on September 15, 2017 at the Casa Honorio Delgado, and was organized by medical students of the University in collaboration with former students and current professors.
{"title":"REPORT FROM THE SECOND COLLOQUIUM ON HEREDIAN SPIRIT AND PERSON CENTERED MEDICINE: HUMANISM AND SOCIAL RESPONSIBILITY","authors":"Fredy Canchihuamán, J. Mezzich","doi":"10.5750/ijpcm.v8i3.893","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i3.893","url":null,"abstract":"In celebration of the 57th anniversary of the Cayetano Heredia Peruvian University (CHPU), the Second Colloquium on “Heredian Spirit and Person-Centered Medicine: Humanism and Social Responsibility” was held on September 19, 2018. The colloquium was organized by the Cayetano Heredia student organizations and the Cayetano Heredia Alumni Foundation. The first Colloquium entitled “Heredian Spirit and Person Centered Medicine: From its Roots to the Future,” was held on September 15, 2017 at the Casa Honorio Delgado, and was organized by medical students of the University in collaboration with former students and current professors.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131338397","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}
The Latin American Conferences of Person-Centered Medicine have been held annually since 2015 at the initiative of the Latin American Network of Person-Centered Medicine, in close collaboration with the International College of Person Centered Medicine and local Person Centered Medicine organizations, and with the cosponsorship of a range of regional and local health and academic institutions.
{"title":"SUMMARY REPORT OF THE FOURTH LATIN AMERICAN CONFERENCE OF PERSON CENTERED MEDICINE","authors":"Horacio Toro Ocampo","doi":"10.5750/ijpcm.v8i2.796","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i2.796","url":null,"abstract":"The Latin American Conferences of Person-Centered Medicine have been held annually since 2015 at the initiative of the Latin American Network of Person-Centered Medicine, in close collaboration with the International College of Person\u0000Centered Medicine and local Person Centered Medicine organizations, and with the cosponsorship of a range of regional and local health and academic institutions.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"459 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116773959","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}
Resulting from the Fourth Latin American Conference of Person-Centered Medicine held in La Paz, Bolivia on September 7 and 8, 2018, organized by the Latin American Network of Person-Centered Medicine and the National Academy of Medicine of Bolivia under the auspices of the Latin American Association of National Academies of Medicine, the Peruvian Association of Person-Centered Medicine, the Representation in Bolivia of the Pan American Health Organization/WHO, the University of San Andrés (Bolivia), the Franz Tamayo University (Bolivia), San Marcos National University (Peru), and the International College of Person Centered Medicine.
{"title":"LA PAZ DECLARATION 2018 ON PERSON-CENTERED PRIMARY CARE: POPULAR AND SCIENTIFIC KNOWLEDGE, ECOLOGY, AND COMMUNITY PARTICIPATION","authors":"J. Mezzich","doi":"10.5750/ijpcm.v8i2.791","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i2.791","url":null,"abstract":"Resulting from the Fourth Latin American Conference of Person-Centered Medicine held in La Paz, Bolivia on September 7 and 8, 2018, organized by the Latin American Network of Person-Centered Medicine and the National Academy of Medicine of Bolivia under the auspices of the Latin American Association of National Academies of Medicine, the Peruvian Association of Person-Centered Medicine, the Representation in Bolivia of the Pan American Health Organization/WHO, the University of San Andrés (Bolivia), the Franz Tamayo University (Bolivia), San Marcos National University (Peru), and the International College of Person Centered Medicine.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125902561","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}
I wanted to perpetuate a residue of a nonrenewable natural resource such as oil, in art. Making a symbiosis of the perishable with the immortal that is the painting. I seek to convey the effort often invisible and unrecognized. Suddenly immortalize the operating personnel of a factory that performs physical and strong work, which is developed in the oil field. And not only in the Bolivian context but an international one. These industrial landscapes are made of hot paint, such as oil cuts that come out as waste from different operational activities.
{"title":"CULTURAL SPACE AT THE FOURTH LATIN AMERICAN CONFERENCE OF PERSON CENTERED MEDICINE","authors":"Maria Rosa Sanjines Balladares","doi":"10.5750/ijpcm.v8i2.797","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i2.797","url":null,"abstract":"I wanted to perpetuate a residue of a nonrenewable natural resource such as oil, in art. Making a symbiosis of the perishable with the immortal that is the painting.\u0000\u0000I seek to convey the effort often invisible and unrecognized. Suddenly immortalize the operating personnel of a factory that performs physical and strong work, which is developed in the oil field. And not only in the Bolivian context but an international one.\u0000\u0000These industrial landscapes are made of hot paint, such as oil cuts that come out as waste from different operational activities.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116118188","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}
The subject “The Making of a Physician: A Person-Centered Approach” is important today because of the current changing health care environment, where the practice of medicine is being increasingly influenced by growth in science, technology, high cost, rising expectations of the people, and other powerful market forces emerging from the globalization process, which have put medical practice at cross roads. The essence of medicine lies in the therapeutic relationship between the doctor and the patient and our attitude to our patients. It is the person in totality that we are interested in both in health and disease. In reality, the relief of suffering and the cure of a person must be seen as twin obligations of the profession, and true dedication to the cure of the sick. The cure of disease is influenced by our scientific knowledge and growth of science, while the relief of suffering is guided by our compassion to the patient and sharing of patients’ suffering and feelings.
{"title":"THE MAKING OF A PHYSICIAN: A PERSON-CENTERED APPROACH","authors":"Shridhar Sharma, Gautam Sharma","doi":"10.5750/ijpcm.v8i2.794","DOIUrl":"https://doi.org/10.5750/ijpcm.v8i2.794","url":null,"abstract":"The subject “The Making of a Physician: A Person-Centered Approach” is important today because of the current changing health care environment, where the practice of medicine is being increasingly influenced by growth in science, technology, high\u0000cost, rising expectations of the people, and other powerful market forces emerging from the globalization process, which have put medical practice at cross roads.\u0000\u0000\u0000The essence of medicine lies in the therapeutic relationship between the doctor and the patient and our attitude to our patients.\u0000\u0000\u0000It is the person in totality that we are interested in both in health and disease. In reality, the relief of suffering and the cure of a person must be seen as twin obligations of the profession, and true dedication to the cure of the sick. The cure of disease is influenced by our scientific knowledge and growth of science, while the relief of suffering is guided by our compassion to the patient and sharing of patients’ suffering and feelings.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116290529","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}
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