Eastern European considerations on the person with the disease at the center of teaching

Main Article Content

Elena Gayvoronskaya


Trends in contemporary medicine within Eastern Europe the whole person should at the centre of care. Educational processes focused on the entire person should start from the beginning of undergraduate medical education and continue over the whole professional life. Systems of knowledge about the whole person with the disease during basic medical education may be mastered with the help of integrative teaching modules using a variety of pedagogical formats. Most relevant here may be a concept of psychosomatic and somatopsychic relations, which shows students the necessity of a personal approach in medicine. The scheme suggested may allow students to learn quickly that the disease is only a part of a larger process which cannot be interrupted until adequate work with the patient’s personality is carried out. Being a synthesis of theoretical views and practical implementation, the model of clinical and organizational aspects of psychosomatics shows the place of the person with the disease in the clinical care process. In this regard, the work with the whole person is posited as the greatest professional objective.

Article Details

Person-centered care: general aspects
Author Biography

Elena Gayvoronskaya, Voronezh N. N. Burdenko State Medical Academy, Voronezh, Russia.

Assistant Professor of Psychiatry and Narcology Department (Lecturer, Researcher, Medical Consultant and Psychotherapist), Voronezh N. N. Burdenko State Medical Academy, Voronezh, Russia. Licensed specialist in Psychiatry, Psychotherapy and Clinical Psychology since 1994 and in Pedagogy since 1999. She defended her Ph.D. Thesis “Psychotherapy in the complex treatment of juvenile uterine bleedings” at the Bekhterev Research Psychoneurological Institute, St. Petersburg in 2001. She was trained in Authentic Movement at the University of Hertfordshire, UK, 2008-2009.  1994-1996, Psychiatrist and Clinical Psychologist at the Voronezh Regional Clinical Psychoneurological Dispensary, Department of Clinical Psychology; 1996-1999Psychotherapist, Psychiatrist and Clinical Psychologist at the Voronezh Regional Clinical Psychoneurological Dispensary, Psychosomatic Day Hospital Department; 1999-2003, Assistant Professor at the Voronezh N. N. Burdenko State Medical Academy, Department of Psychiatry, Narcology and Psychotherapy, the Faculty of Continuing Education; 2003 to present,  Assistant Professor at the Voronezh N. N. Burdenko State Medical Academy, Department of Psychiatry and Narcology. 17 years experience in psychiatry, psychotherapy and clinical psychology including treatment of mental and psychosomatic disorders and psychological problems of adults and adolescents. She possesses substantial skills and wide experience in integrative, dance/movement and body-oriented psychotherapy (group training and individual sessions), psychoanalysis, hypnosis, gestalt therapy, neurolinguistic programming. She has conducted extensive research and publishing in psychosomatic medicine, work psychology, health psychology and person-centered health. She also has had thematic training to work on the above topics with healthy persons. Has a solid experience as senior lecturer and researcher in psychiatry, psychotherapy (integrative approach), clinical psychology, psychosomatic medicine and wellness.She is the author of 50 national and international publications, including five books, such as “Clinical Psychology of Adolescent Gynecology” in Russian and “Separate Aspects of Psychology and Pedagogy” in English. One of her recent significant papers is titled “Integrative dance/movement psychotherapy and the aging process” published in Body, Movement and Dance in Psychotherapy: An International Journal for Theory, Research and Practice (2010).Elena Gayvoronskaya regularly participates and presents reports at  international congresses such as the following: Cornell Seminars on Psychiatry in Salzburg/Austria (2003), XIV International Congress of Psychosomatic Obstetrics and Gynaecology (ISPOG) in Edinburgh/Scotland (2004), 15th World Congress of the World Association for Dynamic Psychiatry (WADP) in St. Petersburg (2007), 19th World Congress on Psychosomatic Medicine in Québec/Canada (2007), 4th European Congress of Psychomotricity “Crossing borders” in Amsterdam (2008), 2th Eastern European Psychiatric Congress in Moscow (2009), WPA Conference “Traditions and Innovations in Psychiatry” in St. Petersburg (2010), International Conference “From Adolescence to Adulthood: Normality and Psychopathology” in Larnaca/Cyprus (2010). 


Neznanov, N.G. (2010). Problems of Postgraduate Education in Psychiatry. Gannushkin Journal of Psychiatry and Psychopharmacotherapy 6 (12) 4-8.

Christodoulou, G.N. (1987). Psychosomatic Medicine. New York: Plenum Press.

Mezzich, J.E., Snaedal, J., Van Weel, C. & Heath, I. (2010). Conceptual Explorations in Person-centered Medicine. International Journal of Integrated Care, 10 (Supplement).

Gayvoronskaya, E.B. & Shalitkina, L.A. (2010). Age-related Psychosomatic Crises as Elements of Age Psychosomatics. Scientific and Medical Paper of the Central Chernozemye Region: Scientific and Practical Journal 39, 37-43.

Garbuzov, V. (1999). Conception of Instincts and Psychosomatic Pathology. St. Petersburg: SOTIS.

Vasserman, L.I., Iovlev, B.V., Karpova, E.B. & Vuks, A.J. (2001). A Technique for Psychological Diagnostics of Types of the Relation to Disease: A Textbook. St. Petersburg: St. Petersburg V.M. Bekhterev Psychoneurological Research Institute Press.

Krasnov, V.N. (2012). Personality in Russian Psychology and Psychiatry. International Journal of Person Centered Medicine. In press.

Smirnova, I.O. & Petrova, N.N. (2010). Clinical and Organizational Aspects of Psychosomatics. Proceedings of XV Congress of Russian Psychiatrists. Moscow: “MEDPRACTICA-M”, p.59.

Gayvoronskaya, E. (2011). Integrative Psychosomatic Therapy and Person-centered Clinical Care. Proceedings of 21th Panhellenic Congress of Psychiatry. Athens, May 5-8, p. 23.