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The choices, choosing model of quality of life: description and rationale
Author(s) -
Gurland Barry J.,
Gurland Roni V.
Publication year - 2009
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.2110
Subject(s) - psychological intervention , quality of life (healthcare) , process (computing) , quality (philosophy) , computer science , management science , psychology , field (mathematics) , risk analysis (engineering) , cognitive psychology , epistemology , medicine , economics , mathematics , psychotherapist , philosophy , psychiatry , pure mathematics , operating system
Background A previous paper began with a critical review of current models and measures of quality of life and then proposed criteria for judging the relative merits of alternative models: preference was given to finding a model with explicit mechanisms, linkages to a science base, a means of identifying deficits amenable to rational restorative interventions, and with embedded values of the whole person. A conjectured model, based on the processes of accessing choices and choosing among them, matched the proposed criteria. The choices and choosing (c–c) process is an evolved adaptive mechanism dedicated to the pursuit of quality of life, driven by specific biological and psychological systems, and influenced also by social and environmental forces. Objective In this paper the c–c model is examined for its potential to strengthen the science base for the field of quality of life and thus to unify many approaches to concept and measurement. Conclusions A third paper in this set will lay out a guide to applying the c–c model in evaluating impairments of quality of life and will tie this evaluation to corresponding interventions aimed at relieving restrictions or distortions of the c–c process; thus helping people to preserve and improve their quality of life. The fourth paper will demonstrate empirical analyses of the relationship between health imposed restrictions of options for living and conventional indicators of diminished quality of life. Copyright © 2008 John Wiley & Sons, Ltd.