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Clinical diagnosis

Regional Convention of the World Psychiatric Society

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Congress on Preventive Psychiatry
Athens, 1999 Feb. 24-28

The relevance of comprehensive clinical diagnosis to prevention and health promotion


Prevention and health promotion are broad and far-reaching concepts in the lealth field. They involve both clinical and public health concerns, although with somewhat different scopes. Prevention activities are focused on illness, as they attempt to preempt its emergence, identify it as early as possible and minimize its disabling consequences. Health promotion is focused on the positive aspects of health and involves the participation of a broad range of health and social professionals as well as, prominently, of the individuals themselves.
 
Within the framework of the clinical field, namely that of professionals who help individuals presenting disorders or health problems, diagnosis is one of the most central concepts. Clinical diagnosis, however, does not need to be restricted to identifying, describing and differentiating disorders, but it may also usefully cover the context of illness and the positive aspects of the individual's health. An internationally emerging model of diagnosis encompasses a contextualized and standardized formulation of the patient's overall clinical condition, as well as an idiographic or personalized formulation. The major purposes of this paper are to outline evolving perpectives on diagnosis, prevention and health promotion, and then to articulate the relevance of comprehensive diagnosis, an iminently clinical concept, to key public health activities.

J.E. Mezzlich, MD, PhD (1), M.M. Schmolke (2)
(1) Professor of Psychiatry and Director,
International Center for Mental Health,
Mount Sinai School of Medecine, City University of New York
(2) Clinical Psychologist,
Dynamisch-Psychiatrishe Klinik Menterschwaige, Munich

Main Menu

- Introduction
- First things first: Fight the stigma.
- Promotion of the psychosocial health of infants through primary health care.
- Teaching Bioethics in Medical School.
- Strategies for the prevention of suicide: emphasis on suicide attempters with concurrent psychiatric disorder.
- The ICD-10 training kit.
- Aniracetam treatment for lithium-produced cognitive deficits of bipolar patients.
- Brain plasticity and the course of mood disorders: Possible implications for secondary prevention.
- Inherited mental disorders can be prevented.
- Methodological issues in the study of Psychiatric Prevention.
- Co-operative management of chronic mental patients to prevent re-hospitalization.
- Components of a community-based chronic illness support system.
- Mobile units for rural areas in the service of psychiatric prevention.
- Prevention of personality disorders: realistic or utopic?.
- Prevention and treatment strategies should be multidimensional, continuous, multimodal and ecclectic.
- Early education intervention in schools and immediate environment.
- Before prevention.
- The relevance of comprehensive clinical diagnosis to prevention and health promotion.
- Preventive interventions for children of parents with a mental disorder: a multicomponent approach.
- Development and implementation of preventive measures for children with mentally ill parents.
- Nutrition and behavior changing concepts, changing concerns.
- The impact of perinatal care on the prevention of mental diseases.
- The WHO educational program on mental disorders in primary care.
- Biopsychosocial background and prevention of suicide.
- Current psychiatric prevention strategies in Japan.
- A case report regarding current psychiatric prevention strategies in Japan.

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