The International Journal of Person Centered Medicine Vol 2 Issue 1 pp 104-108 FROM THE FOURTH GENEVA CONFERENCE ON PERSON CENTERED MEDICINE: CONTRIBUTIONS TO THE ADVANCEMENT OF PERSON-CENTERED CARE Personality in Russian psychology and psychiatry Valery N. Krasnov MD MSc Director, Moscow Research Institute of Psychiatry, Moscow, Russian Federation Abstract A review of historical developments in Russian psychiatry that support person-centered approaches is presented. A proper orientation to the patient’s personality and a correct use of the intact personality properties along with an understanding of patient’s values and societal context as the basis for individual treatment policy are rooted in Russian psychiatric tradition which evolved in close interaction with national psychological schools, specifically, the cultural-historical concept of mental development (Vygotsky) and activity theory (Leontyev et al.). Contemporary psychiatric practice is frequently based on other theories. However, there are exceptions, i.e. a naturalistic study that is used as an illustration of effective person- oriented treatment of organic brain damage. This article describes a cohort of patients with organic psychosyndrome (without pronounced dementia features) of predominantly cerebrovascular nature that developed in persons exposed to the Chernobyl nuclear disaster in 1986. Keywords Chernobyl, doctor-patient relationship, humanistic context, multidisciplinary teamwork, person-centered psychiatry, personality as facilitating rehabilitation factor, Russian psychology and psychiatry, Correspondence address Prof. Valery Krasnov, Director, Moscow Research Institute of Psychiatry, Poteshnaya 3, Moscow 107076, Russian Federation. E-mail:
[email protected] Accepted for publication: 14 March 2012 Introduction distant supervision for some therapeutic procedures increase the distance between doctor and patient and reduce the time of face-to-face communication.