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Positive health: conceptual place, dimensions and implications
1Division of Psychiatric Epidemiology and International Center for Mental Health, Mount Sinai School of Medicine, New York University, New York, NY 10029-6574, USA. juan.mezzich@mssm.edu
Psychopathology
|September 8, 2005
Summary
Positive health, encompassing well-being beyond illness, includes functioning, resources, and quality of life. Integrating these aspects into diagnosis enhances patient care and ethical considerations.
Area of Science:
- Health Sciences
- Medical Sociology
- Psychology
Background:
- The concept of health traditionally focuses on pathology or illness, often neglecting positive aspects.
- The World Health Organization (WHO) constitution anchors health in wholeness, encompassing more than the absence of disease.
Purpose of the Study:
- To examine the concept of positive health as distinct from ill-health.
- To explore the dimensions of positive health, including functioning, resilience, resources, supports, and quality of life.
- To discuss the implications of incorporating positive health into diagnostic models for improved care.
Main Methods:
- Conceptual analysis of the term 'positive health' and its etymological roots.
- Review of recognized aspects of positive health.
- Discussion of the integration of positive health assessments into diagnostic frameworks.
Main Results:
- Positive health is defined as a broader concept than mere absence of disease, rooted in wholeness.
- Key dimensions of positive health identified are functioning/resilience, resources/supports, and quality of life.
- Systematic assessment of positive health can enhance diagnostic models.
Conclusions:
- Shifting focus to positive health alongside pathology offers a more holistic view of the patient.
- Comprehensive diagnostic models that include positive health aspects can improve the effectiveness and ethics of healthcare.
- Recognizing and assessing positive health dimensions is crucial for a complete understanding of an individual's health status.