Early notions of quality of life can be dated to Aristotle’s (384-322 B.C.) written concepts of ‘the good life’ and ‘living well’. His social ethics and perfect society doctrines explore both individual and society concepts of quality of life: “the most desirable life for the state cannot be known unless we know the nature of the most desirable life for the individual” (trans. Ellwood). In a computerised search of electronic journal databases, the first use of the term quality and life was found in an article written by James Seth in 1889. In ‘The Evolution of Morality’, Seth talks about a moral end to which mankind can aspire: “we must not regard the mere quantity, but also the quality of the ‘life’ which forms the moral end” (p. 43).