"No one is rich enough to do without a neighbor." Traditional Danish Proverb This bit of Danish folk wisdom expresses an idea underlying much of the current thinking about social support. While the clinical literature has for a long time recognized the deleterious effects of unwholesome social relationships, only more recently has the focus broadened to include the positive side of social interaction, those interpersonal ties that are desired, rewarding, and protective. This book contains theoretical and research contributions by a group of scholars who are charting this side of the social spectrum. Evidence is increasing that maladaptive ways of thinking and behaving occur disproportionately among people with few social supports. Rather than sapping self-reliance, strong ties with others particularly family members seem to encourage it. Reliance on others and self-reliance are not only compatible but complementary to one another. While the mechanism by which an intimate relationship is protective has yet to be worked out, the following factors seem to be involved: intimacy, social integration through shared concerns, reassurance of worth, the opportunity to be nurtured by others, a sense of reliable alliance, and guidance. The major advance that is taking place in the literature on social support is that reliance is being -placed less on anecdotal and clinical evidence and more on empirical inquiry. The chapters of this book reflect this important development and identify the frontiers that are currently being explored.

Within the last decade, social support has become an increasingly popular research topic among professionals in the social sciences. Many empirical studies on social support appeared initially, only to be followed by a spate of theoretical articles attempting to make sense of the growing research literature. A need arose for an integrative overview of both theoretical and practical considerations expressing a consistent perspective on the many unresolved issues in the field. Social Support comprehensively evaluates research and theory from the perspective of both the scientist and human service provider.

Surgery and pharmaceuticals are not the only effective procedures we have to improve our health. The natural human tendency to care for fellow humans, to support them with social networks, has proven to be a powerful treatment as well. As a result, the areas of application for social support intervention have expanded dramatically during the past 20 years. As these areas have expanded, so too has the literature on the theory and measurement of social support. Yet, the literature has focussed on very particular areas. Investigators in the social sciences have mainly focused on the protection that social support confers in the context of stressful life events and transitions, whereas studies in the health sciences have concentrated on the effects of social networks and supports on population mortality and morbidity. Although no single theoretical framework has been widely accepted, there is consensus that both the psychological sense of support and actual expressions of support play critical roles in maintaining health and well being. This book is a state-of-the-art resource for the selection and development of strategies for social support assessment and intervention. Designed for use by behavioral and medical scientists conducting studies of physical illness, psychological adjustment, and psychiatric illness in human populations, this volume presents a broad conceptual framework addressing the role of social support in mental and physical health. The book is divided into four sections. The first provides some historical context as well as a conceptual overview of how social support might influence mental and physical health. The second discusses techniques for measuring social networks and support, and the third addresses the design of different types of support interventions. The final section presents some general comments on the volume and its implications for social support research and intervention. This resource is meant to aid researchers in understanding the conceptual criteria on which measurement and intervention decisions should be made when studying the relations between social support and health. Furthermore, the information provided on both measurement and intervention will be valuable to practitioners interested in designing and evaluating prevention and treatment initiatives. Sponsored by the Fetzer Institute as a follow up to their successful 1995 publication, Measuring Stress, this book will provide the most up to date research on the effects of social support interventions on physical and mental health.

This handbook provides the first collation and integration of social support and family research. Eminent researchers from these fields address conceptual and methodological issues; the role of social support in family relationships; stress; clinical problems; and support needs for families. With its coverage of a broad range of topics, this resource will benefit researchers, clinicians, and graduate students in community, counseling, developmental, health, and cognitive psychology as well as psychotherapy.

While insights sometimes are slow in coming, they often seem obvious when they finally arrive. This handbook is an outcome of the insight that the topics of social support and the family are very closely linked. Obvious as this might seem, the fact remains that the literatures dealing with social support and the family have been deceptively separate and distinct. For example, work on social support began in the 1970s with the accumulation of evidence that social ties and social integration play important roles in health and personal adjustment. Even though family members are often the key social supporters of individuals, relatively little re search of social support was targeted on family interactions as a path to specifying supporter processes. It is now recognized that one of the most important features of the family is its role in providing the individual with a source of support and acceptance. Fortunately, in recen t years, the distinctness and separateness of the fields of social support and the family have blurred. This handbook provides the first collation and integration of social support and family research. This integration calls for specifying processes (such as the cognitions associated with poor support availability and unrewarding faIllily constellations) and factors (such as cultural differences in family life and support provision) that are pertinent to integration.

First Published in 1986. Routledge is an imprint of Taylor & Francis, an informa company.