Social support is broad term encompassing a variety of constructs, including support perceptions (perceived support) and receipt of supportive behaviors (received support). Of these constructs, only perceived support has been regarded as consistently linked to health, and researchers have offered differing assessments of the strength of the received-perceived support relationship. An overall estimate of the received-perceived support relationship would clearly further the dialogue on the relationship between received and perceived support and thus assist in the theoretical development of the field. This study evaluated all available studies using the Inventory of Socially Supportive Behaviors (ISSB; Barrera, Sandler, & Ramsey, 1981, American Journal of Community Psychology, 9, 435-447) and any measure of perceived social support. Using effect sizes from 23 studies, we found an average correlation of r = .35, p < .001. Implications of this estimate for further development of models of social support as well as interventions to enhance social support are discussed.
Objective and Method
Research on emotion and pain has burgeoned. We review the last decade’s literature, focusing on links between emotional processes and persistent pain.
Results
Neurobiological research documents the neural processes that distinguish affective from sensory pain dimensions, link emotion and pain, and generate central nervous system pain sensitization. Psychological research demonstrates that greater pain is related to emotional stress and limited emotional awareness, expression, and processing. Social research shows the potential importance of emotional communication, empathy, attachment, and rejection.
Conclusions
Emotions are integral to the conceptualization, assessment, and treatment of persistent pain. Research should clarify when to eliminate or attenuate negative emotions, and when to access, experience, and express them. Theory and practice should integrate emotion into cognitive-behavioral models of persistent pain.
Three distinct components of the citizenship principle have been identified in the literature: a political principle of democracy, a juridical status of legal personhood and a form of membership and political identity. The modern paradigm of citizenship was based on the assumption that these components would neatly map onto one another on the terrain of the democratic welfare state. Globalization, new forms of transnational migration, the partial disaggregation of state sovereignty and the development of human rights regimes have rendered this model anachronistic. Only if the various elements of the citizenship principle are disaggregated and reinstitutionalized on independent levels of governance, some national, some supranational, will the exclusiveness constitutive of the ideal of citizenship be tempered with the demands of justice.
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