Problematic Integration Theory, Appraisal Theory, and the Bosom Buddies Breast Cancer Support Group

Abstract

Problematic integration (Babrow, 1992) and appraisal (Lazarus, 1991) theories are utilized to analyze the beneficial coping and social support produced within the discourse of Bosom Buddies, a breast cancer support group. Transcripts of eight weekly group meetings were coded for assessments of the probabilities and evaluations of outcomes, information seeking, and information avoidance, as well as for positive reappraisal, problem-focused coping, sense making (Harber & Pennebaker, 1992), and emotional disclosure (Pennebaker, 1997). Results indicated that all constructs other than information avoidance, especially those drawn from problematic integration theory, were employed regularly. Most constructs were prevalent in these real-time interactive conversations. Practical applications of the constructs are recommended for breast cancer support group members and facilitators.