We present a theory of communal coping that describes an optimal pathway to patient adjustment among couples in which one person faces a chronic illness. Communal coping consists of a shared illness appraisal (i.e., person perceives illness as a joint rather than individual problem) and collaboration with a partner to manage the illness. We present a model of the communal coping process that links patient and partner shared illness appraisals to collaboration and a set of supportive interactions that might be reframed as collaboration in the presence of shared illness appraisals. We then outline a model that identifies potential antecedents of communal coping and mechanisms that link communal coping to patient illness adjustment (i.e., enhanced psychological well-being, improved health behaviors, better physical health) and partner psychological well-being. We review the empirical evidence for this model and conclude by identifying several moderator variables, noting potential limitations, and outlining future research directions.

In a study of 199 couples in which one person had type 1 diabetes, we examined how patient appraisal of the diabetes as shared versus individual was associated with collaborative, supportive and unsupportive behavior and whether patient shared illness appraisal was most beneficial for health when it occurred in the context of supportive behavior. We assessed illness appraisal among patients with type 1 diabetes and their partners and had patients complete relationship and health measures. Results showed partners were more likely than patients to hold shared illness appraisals. Patients' shared appraisals were associated with more collaborative and instrumental support, more emotional support, less protective buffering, and more overprotective behavior. When patients and partners were consistent in their shared appraisals, support was highest. Regression analysis showed collaborative and instrumental support, as well as emotional support, was related to better psychological and physical health when patients held shared compared to individual illness appraisals.

This investigation examined the importance of underlying motivations in predicting secure base support behavior, as well as the extent to which support motivations are predicted by individual differences in attachment orientation. Participants were 189 married couples who participated in two laboratory sessions: During a questionnaire session, couples completed assessments of their underlying motivations for providing, and for not providing, support for their partner's exploration (i.e., goal-strivings), as well as assessments of their typical secure base support behavior. In an observational session, couples engaged in a discussion of one member's personal goals, during which the partner's secure base support was assessed. Results revealed a variety of distinct motivations for providing, and for not providing, secure base support to one's partner, as well as theoretically expected links between these motivations and both secure base behavior and attachment orientation. This work establishes motivations as important mechanisms that underlie the effective or ineffective provision of relational support.

In this paper we discuss the advancement of theory and research regarding relationship influences on exploration in adulthood. First, we describe and extend attachment theory’s concept of a secure base and discuss the need for continued theoretical development in this area. Second, we describe an innovative program of research (involving the use of a variety of research methods) that tests some of these theoretical extensions in the context of adult close relationships. In doing so, we show that attachment relationships are important contributors to exploration and growth in adulthood and across the lifespan. Third, we discuss directions for future work and implications of the idea that individuals of all ages grow through attachment.

Deciding to embrace challenging opportunities may present one life context through which individuals may thrive, and these decisions may be influenced by one's significant relationships. Married couples were unobtrusively videotaped as one couple-member was presented with a challenging opportunity and decided whether to accept it. We assessed interpersonal predictors of the decision to accept or forgo the opportunity, predictors of the spouse's support during decision-making, and follow-up thriving outcomes 6 months later. Results indicated that specific support behaviors enacted by the spouse-relational catalyst (RC) support provision-encouraged decision-makers to accept the challenge and that this decision predicted long-term thriving outcomes for the decision-maker. Results also indicated that the spouse's support behavior was influenced by both chronic and experimentally manipulated motivations for providing support, and these motives provide pathways by which relationship satisfaction and attachment security predict the provision of RC support. Implications and directions for future research are discussed.