Person-Centred Medicine and Subjectivity

  • Michel BotbolEmail author
  • Dusica Lecic-Tosevski


Grounded on the idea that medicine should focus on the patient in the totality of his person and not only on his or her disease, person-centred medicine (PCM) proposes conceptual principles and practical means to reach this goal. This chapter will present these principles and one of the main tools elaborated to implement them: the methodological role of empathy as a way to include the subjectivity of the participants (the patient, their family or their caregivers, and the health professionals—medical and nonmedical) in the medical encounter. Additionally, we refer to relationships of PCM with the PCA.


Person-centred medicine Empathy Patient subjectivity  Evidence-based medicine Person-centred approach Personalized care 


  1. Banzato, C. E. M., Mezzich, J. E., & Berganza, C. E. (2005). Philosophical and methodological foundations of psychiatric diagnosis: Introduction. Psychopathology, 38, 159–161.PubMedCrossRefGoogle Scholar
  2. Botbol, M. (2012). Du manifeste au subjectif: ce qu’est la médecine de la personne [From objectivity to subjectivity: What is Person Centered Medicine]. In S. D. Kipman (Ed.), Manifeste pour la médecine de la personne [Manifesto for Person Centered Medicine]. Paris: Dunod.Google Scholar
  3. Cassel, E. J. (1999). Diagnosing suffering: a perspective. Annals of Internal Medicine, 131, 531–534.CrossRefGoogle Scholar
  4. Cloninger, C. R. (2004). Feeling good: the science of well-being. New York: Oxford University Press.Google Scholar
  5. Heath, I. (2005). Promotion of disease and corrosion of medicine. Canadian Family Physician, 51, 1320–1322.PubMedGoogle Scholar
  6. Hochmann, J. (2012). Une histoire de l’empathie [A history of empathy]. Paris: Odile Jacob.Google Scholar
  7. Kleinman, A. (1988). The illness narratives. New York: Basic Books.Google Scholar
  8. Laín-Entralgo, P. (1982). El Diagnóstico Médico: Historia y Teoría [The medical diagnostic: history and theory]. Barcelona: Salvat.Google Scholar
  9. Lebovici, S. (1999). L’arbre de vieéléments de la psychopathologie du bébé. [The tree of life—Principles of infant psychopathology]. Toulouse: Erès.Google Scholar
  10. Mezzich, J. E., Snaedal, J., Van Weel, C., & Heath, I. (2009). The international network for person-centered medicine: background and first Steps. Accessed 21 July 2012.
  11. Mezzich, J. E., Snaedal, J., Van Weel, C., & Heath, I. (2010a). Introduction to conceptual explorations on person-centered medicine. International Journal of Integrated Care, 10, 330–332.Google Scholar
  12. Mezzich, J. E., Salloum, I., Cloninger, R., Salvador-Carulla, L., Kirmayer, L. G., Banzato, C. E. M., et al. (2010b). Person-centred integrative diagnosis: conceptual bases and structural model. Canadian Journal of Psychiatry, 55(11), 701–708.Google Scholar
  13. Ricoeur, P. (1983). Temps et récit [Time and narrative]. Paris: Le Seuil.Google Scholar
  14. Rogers, C. R. (1961). On becoming a person. Boston: Houghton Mifflin.Google Scholar
  15. Rogers, C. R. (1980). A way of being. Boston: Houghton Mifflin Co.Google Scholar
  16. Rogers, C. R. (1983). Freedom to learn for the 80’s. Columbus: Charles E. Merrill Publishing Company.Google Scholar
  17. Rogers, C. R. (1995). Client-centered therapy. London: Constable (Original work published 1951).Google Scholar
  18. Schwab, M., Kaschka, W. P., & Spina, E. (2010). Pharmacogenetics in psychiatry. Basel: Karger.Google Scholar
  19. Warne, C. (2007). Aristotle’s Nicomachean ethics: Reader’s guide. London: Continuum.Google Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Université de Bretagne OccidentaleBoharsFrance
  2. 2.Belgrade University School of Medicine DirectorInstitute of Mental HealthBelgradeSerbia

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