Medicine, Health Care and Philosophy 23 (4):631-644 (2020)

Kristian Martiny
University of Copenhagen
Juan Toro
Universidad Nacional de Colombia
Despite the growing interest and supporting evidence for person-centered care, there is still a fundamental disagreement about what makes healthcare person-centered. In this article, we define PCC as operating with three fundamental conditions: personal, participatory and holistic. To further understand these concepts, we develop a framework based on the theory of affordances, which we apply to the healthcare case of rehabilitation and a concrete experiment on social interactions between persons with cerebral palsy and physio- and occupational therapists. Based on the application of the theory, we argue that in order for healthcare to be considered as PCC, professionals need to adopt a personalistic attitude in their care, defined in terms of mutual affordances: how the professional and the person of care acknowledges each other as a person in an interaction. In opposition, we define the functionalistic attitude in terms of object affordances, those related to a concrete goal. We show that PCC requires a balance of personalistic and functionalistic attitudes, since this contributes to a participatory and holistic conception of, and interaction with, the person of care.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1007/s11019-020-09977-w
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 71,355
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

Phenomenology of Perception.Maurice Merleau-Ponty - 1962 - Atlantic Highlands, New Jersey: The Humanities Press.

View all 29 references / Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Bringing a Critical Structural Frame to Person-Centered Care.Alex B. Neitzke - 2013 - American Journal of Bioethics 13 (8):57-58.
Conscientious Objection and Person-Centered Care.Stephen Buetow & Natalie Gauld - 2018 - Theoretical Medicine and Bioethics 39 (2):143-155.
Person-Centered Health Care: Capabilities and Identity.John B. Davis - 2013 - American Journal of Bioethics 13 (8):61-62.
Evidence Based or Person Centered? An Ontological Debate.Rani Lill Anjum - 2016 - European Journal for Person Centered Healthcare 4 (2):421-429.
Extending the Notion of Affordance.Silvano Zipoli Caiani - 2014 - Phenomenology and the Cognitive Sciences 13 (2):275-293.
Is A Purely First Person Account Of Human Action Defensible?Christopher Tollefsen - 2006 - Ethical Theory and Moral Practice 9 (4):441-460.


Added to PP index

Total views
8 ( #1,010,367 of 2,519,575 )

Recent downloads (6 months)
2 ( #271,332 of 2,519,575 )

How can I increase my downloads?


My notes