Social life emotional well-being

Axis IV Quality of life (patients own perceptions about the level of their physical and emotional well-being, their functioning, the social support they receive and the fulfillment of their personal and spiritual aspirations)... 

Changes in health-related quality of life Social and emotional well-being Life Satisfaction... 

Finally, apatient quality-of-life assessment should be performed regularly. Agents that appear clinically equivalent may differ substantially in resulting quality of life. Inquiry should be made regarding general well-being, emotional function, and social function. Social function may include assessment of the ability to perform routine... 

One area of research related to abuse or neglect has to do with how well a person fits within his or her social environment. One researcher, Marsha Linehan (1993), has talked about how a poor fit with the social environment (viz., not fitting into the family, school life, or other important social networks) may cause psychiatric problems if the poorness of fit causes the person to feel like an outsider or to feel constandy invalidated or put down. Many of my clients have told me that they have not felt part of their families or that they did not fit well into society in general, or have described themselves as black sheep. Abuse and neglect lead to an invalidating environment, but so can mismatches of personalities within families or mismatches of behavioral patterns with social norms. Furthermore, there is evidence that the way emotion is expressed in families can be associated with a poorness of fit that can influence the course of drug problems. 

---