A Grounded Theory of Control over Communication Among Individuals with Cancer

Abstract

This study explored the meanings that people attribute to talking about their cancer. Framed by interpersonal and health communication scholarship on privacy management and multiple meanings, we asked cancer survivors to describe how and why they discussed their cancer with others. Interviews (focus group or one-on-one) were conducted with 40 survivors. Using a grounded theory approach, we developed a conceptual framework that describes how communication about cancer may be particularly meaningful because it is something that people feel as though they can control during a highly stressful and turbulent time. However, attempts to manage communication are challenged by constraints imposed by others, such as unfavorable and unpredictable reactions to disclosure, which ultimately place limits on survivors’ control.