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Social support encompasses a family of related concepts developed to explain why involvement in personal relationships is good for health and well-being. The term came into use in the mid-1970s to explain the wide-ranging empirical evidence that social relationships protect our health. A burst of research followed linking social support to diverse outcomes, including increased life span, better physical and mental health, recovery from illness, greater quality of life and well-being, and improved morale, productivity, and performance at school and work.

Research on social support occurs across the health and social science disciplines and includes study of (a) social integration and support networks, (b) perceived available support, and (c) enacted and received support. Communication is germane to each of these areas. We communicate to create and maintain social networks, and the social structures that emerge shape our interaction. Our perception of support available to us is colored by perceptual schema for the social world. Enacting and receiving support for stress often involves communicating, and features of those conversations affect how we respond. Social support is not always positive. How we communicate support can differentiate helpful from unhelpful support, and communication strategies enable us to manage dilemmas of social support.

Social Support Networks

Social integration in a variety of types of social ties is linked to improved mental and physical health. Several theoretical explanations for this effect have been proposed. Participation in social roles can enhance self-concept and give meaning and purpose to life. Social interactions can be a source of stimulation and positive affect. Relationships also regulate our behavior. In contrast, networks full of conflicting roles, hostile interactions, or inducements to unhealthful behaviors can be harmful. In the late 1980s, Teri Albrecht and Mara Adelman brought social support to the attention of communication scholars with their proposal that uncertainty reducing communication was a key pathway through which support networks facilitated personal control.

A social network perspective is distinctive in examining how structural features of the linkages among people shape the communication of support. For example, networks of different size, density (a measure of interconnectedness among links), and heterogeneity afford different kinds of resources and opportunities. Similarly, the study of social capital explores how services, resources, and trust measured at the community level benefit members.

Perceived Available Social Support

Perceived available support refers to a belief that one is cared for, valued, and part of a network of mutual aid. Many scholars regard perceived available support as a cognitive schema. Viewing the social world as supportive buffers individuals from the otherwise negative effects of stressful life events. Believing others care for us can lead us to appraise life circumstances as less stressful. When we do experience stress, the perception that others are there for us leads us to seek help and to positively evaluate others' responses, thus facilitating adaptive coping.

Perceived available support may also reflect an assessment of relationships as trusting, intimate, accepting, and responsive. The presence of these relational qualities may satisfy fundamental human needs and create an environment conducive to coping when stresses arise. Alternatively, the absence of such relationships may create relational disappointment, conflict, and distress.

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