RT Article T1 FELICITOMETRY: MEASURING THE ‘QUALITY’ IN QUALITY OF LIFE JF Bioethics VO 22 IS 6 SP 307 OP 313 A1 Kowalski, Charles A1 Pennell, Steven A1 Vinokur, Amiram A2 Pennell, Steven A2 Vinokur, Amiram LA English YR 2008 UL https://ixtheo.de/Record/1781881170 AB Following Bernheim,1 we examine aspects of ‘felicitometrics,’2 the measurement of the ‘quality’ term in Quality of Life (QOL). Bernheim argued that overall QOL is best captured as the Gestalt3 of a global self-assessment and suggested that the Anamnestic Comparative Self Assessment (ACSA) approach, in which subjects' memories of the best and worst times of their lives are used to anchor a Visual Analog Scale (VAS), provided a serious answer to the serious question, ‘How have you been?’ Bernheim compares and contrasts the ACSA to multi-item questionnaire QOL instruments, such as the SF-36, concluding that the ACSA has a number of advantages. His discussion assumes that the use of QOL outcomes in clinical trials is both relevant and appropriate. In the present paper, we document the reasonableness of this latter assumption,4 contribute to the characterization of the similarities and differences between multi-item and individualized QOL instruments, and point to some other individualized instruments that may be used in clinical trial contexts. These ‘other individualized instruments’ differ from the ACSA in fundamental ways; but they are individualized in that the subject defines those areas in his/her life that are most important, and these may vary from subject-to-subject. K1 Ethics K1 Outcome variables K1 Clinical Trials K1 Quality of life K1 Measurement DO 10.1111/j.1467-8519.2008.00642.x