Narrative meaning making and integration: Toward a better understanding of the way falling ill influences quality of life

J Health Psychol. 2020 May;25(6):738-754. doi: 10.1177/1359105317731823. Epub 2017 Sep 26.

Abstract

Falling seriously ill is often experienced as a life event that causes conflict with people's personal goals and expectations in life and evokes existential questions. This article presents a new humanities approach to the way people make meaning of such events and how this influences their quality of life. Incorporating theories on contingency, narrative identity, and quality of life, we developed a theoretical model entailing the concepts life event, worldview, ultimate life goals, experience of contingency, narrative meaning making, narrative integration, and quality of life. We formulate testable hypotheses and describe the self-report questionnaire that was developed based on the model.

Keywords: biographical disruption; contingency; interpretation; life events; life goals; meaning making; narrative integration; quality of life; worldview.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health*
  • Goals*
  • Humans
  • Life Change Events*
  • Models, Psychological
  • Psychological Theory
  • Quality of Life*
  • Self Report