摘要：This article describes advances in the methodological means suggested by L. S. Vygotsky’scultural-historical concept in association with the theoretical model of person-centereddiagnosis and the practical use of the construct for clinical psychology and medicine.To a great extent, these connections arise from the fact that the cultural-historical concept(because of its humanistic nature and epistemological content) is closely related tothe person-centered integrative approach. The cultural-historical concept correspondsto the ideals of the postnonclassical model of scientific rationality with a number of “key”features. Above all it manifests its “methodological maturity” in coping with open selfdevelopingsystems; being able to cope with such systems is most essential at the modernstage of scientific knowledge.The article gives consideration to the “defining pillars” of the person-centered approachin modern medicine, to the humanistic traditions of the Russian clinical school, and tothe high prospects of such mental constructs as the “subjective pattern of disease” andthe “social situation of personal development in disease” within the context of personcenteredintegrative diagnosis.This article discusses the need for implementation of a cross-cultural study of the subjectivepattern of disease and its correlation with a particular social situation of personalitydevelopment under disease conditions. The goals should be the development andsubstantiation of the model of the person-centered integrative approach, the enhancementof its diagnostic scope, and, subsequently, the improvement of the model of personcenteredcare in modern psychiatry and medicine.
关键词：person-centered approach; person-centered integrative diagnosis (PID);Vygotsky’s cultural-historical concept; subjective pattern of disease; social situation;of development; postnonclassical model of scientific rationality; self-developing;systems
