A discursive psychology analysis of emotional support for men with colorectal cancer

Mutual communication processes within Chinese colorectal cancer patient-spousal caregiver dyads: A qualitative study of taking gender into account

PURPOSE

Mutual communication within cancer couples is a complex process. More research is needed to explore the complex process of mutual communication and its nuances presented by various factors in different culture contexts. Gender, a factor embedded in marital relationships, is an important consideration. We thus aim to explore the mutual communication process within Chinese colorectal cancer couples and take gender into account.

METHODS

A qualitative study was conducted by interviewing 20 colorectal cancer patients and 15 spousal caregivers. Inductive thematic analysis was used to analyze the transcripts.

RESULTS

Three themes (mutual communication and support interaction, communication quality, and foundation of mutual communication and collaboration) were developed. Gender was found to have specific impact on emotional disclosure and communication challenges. A preliminary framework of "smile" was constructed to demonstrate the relationship among the three themes and the relationships between the three themes and dyads' psychosocial adaptation to colorectal cancer.

CONCLUSIONS

Study findings demonstrate complex mutual communication processes within colorectal cancer couples and the impact of gender. The findings will contribute to developing more effective colorectal cancer couple-based mutual communication interventions. Health practitioners are suggested to improve mutual communication within colorectal cancer couples in three aspects: relational topics, emotional disclosure and communication skills. Guiding couples to deal with each theme and the relationship among the themes simultaneously is helpful for them to return and smile to their normal life.

Rethinking emotion in discursive psychology: A systemic functional perspective

Emotion, as a classic topic in psychological studies, has been intensively investigated by scholars across disciplines. In discursive psychology, emotion discourse refers to the rich variety and situated uses of emotion words and metaphors. Many studies of emotion in discursive psychology focus on the rhetorical contrasts of emotion. Conceptual analysis is another significant part of emotion discourse, and one that requires further investigation. To reveal how people describe and evoke emotions in discourse, this article starts with a reinterpretation of emotion in discursive psychology, followed by setting up an emotion system from a systemic functional perspective to illustrate how conceptual analysis may be conducted and rhetorical contrasts explored. During the process of establishing the emotion system, the paper elaborates upon the emotion concept and rhetorical contrasts on the basis of four illustrative examples taken from authentic extracts (including news and testimonies). The paper discusses the purpose behind the construction of the emotion system in terms of (1) the constituents in conceptual analysis and rhetorical contrasts of discursive psychology from a functional perspective, (2) the collaboration between conceptual analysis and rhetorical contrasts, (3) the traits of the emotion system as a method of discursive psychology analysis.