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16 - The Will to Live as an Indicator of Well-Being and Predictor of Survival in Old Age

Published online by Cambridge University Press:  05 August 2012

By
Sara Carmel
Edited by
Leonard W. Poon  and
Jiska Cohen-Mansfield
Sara Carmel
Affiliation:
Ben-Gurion University of the Negev
Leonard W. Poon
Affiliation:
University of Georgia
Jiska Cohen-Mansfield
Affiliation:
Tel-Aviv University
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Summary

ABSTRACT

The will to live (WTL) is presented in this chapter as an important indicator of general well-being due to its diagnostic and prognostic value. Conceptually, the WTL is defined as the psychological expression of a natural instinct of human beings – the striving for life, which is comprised of rational and irrational components, and can be self-assessed. The WTL can be measured by a single item or by four- and five-item scales. All three tools showed good psychometric characteristics and generated similar results in four large-scale studies of elderly Israelis, two of which used a longitudinal design. The WTL was also a powerful predictor of long-term survival among old women.

Conceptually, considering that the WTL not only expresses a state of general well-being, but also one's commitment to life and the desire to continue living, it is a unique and valuable indicator of well-being. Empirical findings lend support to its special features. Practically, the tools for evaluating the WTL are parsimonious, easy to use, and well accepted by older people. All of these lead us to recommend using the WTL for diagnostic and prognostic purposes.

INTRODUCTION

The will to live (WTL) is perceived as the psychological expression of the basic, natural, and built-in instinct of every living creature – the striving for life. This existential concept has been addressed in philosophy, poetry, and prose, but until recently it has not attracted much attention in the behavioral sciences.

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Understanding Well-Being in the Oldest Old , pp. 281 - 289
Publisher: Cambridge University Press
Print publication year: 2011

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References

Beadle, G. F., Yates, P. M., Najman, J. M., Clavarino, A., Thomson, D., Williams, G., et al. (2004). Illusions in advanced cancer: The effect of belief systems and attitudes on quality of life. Psychological Oncology, 13, 26–36.CrossRefGoogle ScholarPubMed
Brody, J. E. (2007). A common casualty of old age: The will to live. The New York Times (Nov. 2007). http://query.nytimes.com/gst/fullpage.html.Google Scholar
Butler, R. N. (1963). The life review: An interpretation of reminiscence in the aged. Psychiatry, 26, 65–76.CrossRefGoogle ScholarPubMed
Carmel, S. (1995). Concerns, attitudes and wishes about the use of life-sustaining treatments among elderly persons in Israel. Comprehensive Science Report, U.S.A. – Israel Binational Science Foundation (BSF), Jerusalem, Israel.Google Scholar
Carmel, S. (2001). The will to live: Gender differences among elderly persons. Social Science and Medicine, 52, 949–958.CrossRefGoogle Scholar
Carmel., S. (2008). Driving-related adaptation patterns among elderly drivers in Israel: Description, antecedents and well-being outcomes. Final Science Report, Ran Naor Foundation for the Advancement of Road Safety Research, Ramat Hasharon, Israel.
Carmel, S., Baron-Epel, O., & Shemi, G. (2007). The will to live and survival at old age: Gender differences. Social Science and Medicine, 65, 518–523.CrossRefGoogle Scholar
Carmel, S., & Bernstein, J. (2003). Gender differences in physical health and psychosocial well-being among four age groups of elderly people in Israel. International Journal of Aging and Human Development, 56, 113–131.CrossRefGoogle ScholarPubMed
Carmel, S., Iecovich, E., & Sherf, M. (2007). Reality and desires in respect to provision of health care services to various groups of elderly persons by age, sick fund, geographical region, ethnicity, and socioeconomic status. Final Science Report, Israel National Institute for Health Policy and Health Services Research, Tel Hashomer, Israel.
Carmel, S., & Lazar, A. (1998). Health and well-being among elderly persons: The role of social class and immigration status. Ethnicity and Health, 3, 31–43.CrossRefGoogle ScholarPubMed
Carmel, S., & Mutran, E. (1997). Wishes regarding the use of life-sustaining treatments among elderly persons in Israel: An explanatory model. Social Science and Medicine, 45, 1715–1727.CrossRefGoogle ScholarPubMed
Carmel, S., & Tovel, H. (2008). Determinants of successful aging. Unpublished results.
Chochinov, H. M., Hack, T., Hassard, T., Kristjanson, L. J., McClement, S., & Harlos, M. (2005). Understanding the will to live in patients nearing death. Psychosomatics, 46, 7–10.CrossRefGoogle Scholar
Chochinov, H. M., Tataryn, D., Clinch, J. J., & Dugeon, D. (1999). Will to live in the terminally ill. Lancet, 354, 816–819.CrossRefGoogle Scholar
Conwell, Y., Duberstein, P. R., & Caine, E. D. (2002). Risk factors for suicide in later life. Biological Psychiatry, 52, 193–204.CrossRefGoogle ScholarPubMed
Ellison, D. L. (1969). Alienation and the will to live. Journal of Gerontology, 24, 361–367.CrossRefGoogle ScholarPubMed
Erikson, E. (1968). Identity: Youth and crisis. Canada: North and Company.Google Scholar
Frankl, V. E. (1972). Man's search for meaning. New York: Washington Square Press.Google Scholar
Selye, H. (1976). The stress of life. New York: McGraw Hill.Google Scholar
Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. In Brink, T.L.(ed.), Clinical gerontology: A guide to assessment and intervention (pp. 165–173). New York: Haworth Press.Google Scholar
Zalsman, G., Aizenberg, D., & Sigler, M. (1998). Geriatric Depression Scale Short Form: Validity and reliability of the Hebrew version. Clinical Gerontologist, 18, 3b–9b.CrossRefGoogle Scholar

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