Anticipatory problem solving: models for clinical practice and research

Abstract

Summary Problem solving that anticipates a client's future is a fundamental component of primary care. However, adequate models for clinical practice and for research are needed. A paradigm of anticipatory care conceptualized as an interpersonal problem solving process is used as a framework for critical analysis of existing models and for the specification of conceptual and practical bases of new models of anticipatory care. The paper addresses questions concerning problem solving for the model of anticipatory guidance presented by the American Public Health Association and the model developed by Caplan, and the models of preparatory communication developed by Janis and by Leventhal and Johnson. The questions that are used to critique existing models and to specify new ones deal with identification and specification of issues for anticipatory care; its goals, functions, and intended outcomes; appraisal of readiness to participate in and worthwhileness of anticipatory care; the characteristic features of a model's solution phases and strategies of preparation; and the evaluation of the adequacy of anticipatory care. Copyright © 1979, Wiley Blackwell. All rights reserved