The influence of negative medical diagnoses and verbal and nonverbal support activation strategies on the interactive coping process

Abstract

Sensitive Interaction Systems Theory suggests that complex problems, including adverse medical diagnoses, can create tension in the social support process. In this experiment one member of a romantic couple received medical feedback that either threatened gender roles or was irrelevant. The couple's interaction was covertly recorded for the support activation behaviors displayed by the support seeker and for the interactive coping behaviors offered by the help giver. Both type of support activation and type of problem affected the use of support behavior.Nonverbal support activation behaviors promoted helpers' use ofavoidance interactive coping behaviors, whereasverbal activation behaviors promotedapproach interactive coping behaviors, suggesting a tit-for-tat dynamic. The gender-role relevance of the medical diagnosis also influenced helpers' use of approach behaviors, although not the support seekers' need for support or efforts to elicit support.