351. The Deficiency Model: An Exploration of Current Approaches to Late-Life Disorders
- Author
-
Armando H. Schmid
- Subjects
Aging ,Attitude to Death ,Frail Elderly ,Personality development ,Degeneration (medical) ,Anxiety ,Developmental psychology ,Life Change Events ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Developmental stage theories ,medicine ,Humans ,Family ,Involution (philosophy) ,030212 general & internal medicine ,Depression (differential diagnoses) ,Aged ,Stereotyping ,Depression ,Social Support ,Social environment ,Freudian Theory ,030227 psychiatry ,Psychiatry and Mental health ,Personality Development ,medicine.symptom ,Psychology - Abstract
Many of the terms used to describe conditions in elderly individuals, whether medical (deterioration, involution, degeneration) or neurobehavioral (impairment, dysfunction), imply deficiency. The complex of distorted views of real impairment, illness, or disability may be described as the deficiency model. Although developmental theory has expanded explosively and could offer an alternative frame of reference to dispel denigration of the elderly condition, late life continues to be viewed as lacking all redeeming aspects, while mortality is considered an obstacle to prolonging life rather than one of its determinants. Deficiency-model thinking has influenced the conduct of epidemiologic, neurobiologic and clinical research, whose results in turn have often been interpreted to reinforce such thinking. It can also distort clinical approaches to diagnosis and treatment of late-life disorders. This paper offers instead an alternative approach that focuses on late life as a developmental task.
- Published
- 1991