Research suggests that optimal couple functioning depends on adopting a “we” orientation to health. Using qualitative data from 20 male couples in which at least one partner was HIV-positive, we examined how couples viewed their health involvement and its relation to social support. One group described their health as highly interconnected; in a second group, at least one partner viewed health as a personal responsibility. Results revealed that there was not a uniform “we” approach toward health; rather, sero-concordance, sero-discordance, and coping with other chronic illnesses strongly contributed to orientations toward health. Orientations toward health were not found to determine social support.
AcitelliLKBadrH (2005) My illness or our illness? Attending to the relationship when one partner is ill. In: RevensonTAKayserKBodenmannG (eds) Emerging Perspectives on Couples’ Coping with Stress. Washington, DC: American Psychological Association, pp. 121–136.
2.
AcitelliLKRogersSKneeCR (1999) The role of identity in the link between relationship thinking and relationship satisfaction. Journal of Social and Personal Relationships16(5): 591–618.
3.
AronAAronENSmollanD (1992) Inclusion of Other in the Self scale and the structure of interpersonal closeness. Journal of Personality and Social Psychology63(4): 596.
4.
AronAMcLaughlin-VolpeTMashekD. (2004) Including others in the self. European Review of Social Psychology15(1): 101–132.
5.
BadrH (2004) Coping in marital dyads: A contextual perspective on the role of gender and health. Personal Relationships11(2): 197–211.
6.
BadrHAcitelliLKTaylorCLC (2008) Does talking about their relationship affect couples’ marital and psychological adjustment to lung cancer?Journal of Cancer Survivorship2(1): 53–64.
7.
BadrHAcitelliLKCarmackT. (2007) Does couple identity mediate the stress experienced by caregiving spouses?Psychology & Health22(2): 211–229.
8.
BergCAUpchurchR (2007) A developmental-contextual model of couples coping with chronic illness across the adult life span. Psychological Bulletin133(6): 920–954.
9.
BernalGBakerJ (1979) Toward a metacommunicational framework of couple interactions. Family Process18(3): 293–302.
10.
BodenmannG (2005) Dyadic coping and its significance for marital functioning. In: RevensonTAKayserKBodenmannG (eds) Couples Coping with Stress: Emerging Perspectives on Dyadic Coping. Washington, DC: American Psychological Association, pp. 33–49.
11.
BuehlmanKTGottmanJMKatzLF (1992) How a couple views their past predicts their future: Predicting divorce from an oral history interview. Journal of Family Psychology5(3–4): 295–318.
12.
CohenMSChenYQMcCauleyM. (2011) Prevention of HIV-1 infection with early antiretroviral therapy. New England Journal of Medicine365(6): 493–505.
13.
CohnMAMehlMRPennebakerJW (2004) Linguistic markers of psychological change surroundingSeptember11, 2001. Psychological Science15(10): 687–693.
14.
DiazRMAyalaG (2001) Social Discrimination and Health: The Case of Latino Gay Men and HIV Risk. New York: Policy Institute of the National Gay and Lesbian Task Force.
15.
DoohanEMCarrèreSRiggsML (2010) Using relational stories to predict the trajectory toward marital dissolution: The oral history interview and spousal feelings of flooding, loneliness, and depression. Journal of Family Communication10(1): 57–77.
16.
Dunkel SchetterCDolbierC (2011) Resilience in the context of chronic stress and health in adults. Social and Personality Psychology Compass5(9): 634–652.
17.
FeldmanBNBroussardCA (2006) Men’s adjustment to their partners’ breast cancer: A dyadic coping perspective. Health & Social Work31(2): 117–127.
18.
FergusKD (2011) The rupture and repair of the couple’s communal body with prostate cancer. Families, Systems & Health29(2): 95–113.
19.
FrostDM (2012) The narrative construction of intimacy and affect in relationship stories: Implications for relationship quality, stability, and mental health. Journal of Social and Personal Relationships. Epub ahead of print 6August. DOI:10.1177/0265407512454463.
20.
FrostDMForresterC (2013) Closeness discrepancies in romantic relationships implications for relational well-being, stability, and mental health. Personality and Social Psychology Bulletin39: 456–469.
21.
GreenRWernerPD (1996) Intrusiveness and closeness-caregiving: Rethinking the concept of family “Enmeshment.”Family Process35: 115–136.
22.
HoffCCBeougherSCChakravartyD. (2010) Relationship characteristics and motivations behind agreements among gay male couples: Differences by agreement type and couple serostatus. AIDS Care22(7): 827–835.
23.
HolmbergDOrbuchTVeroffJ (2004) Thrice Told Tales: Married Couples Tell Their Stories. Mahwah, NJ: Lawrence Erlbaum Associates.
24.
JohnsonASHallHIHuX. (2014) Trends in diagnoses of HIV infection in the United States, 2002–2011. Journal of the American Medical Association312(4): 432–434.
25.
JohnsonMODilworthSETaylorJM. (2012) Primary relationships, HIV treatment adherence, and virologic control. AIDS and Behavior16(6): 1511–1521.
26.
KayserKSormantiMStrainchampsE (1999) Women coping with cancer. Psychology of Women Quarterly23(4): 725–739.
27.
KellasJK (2005) Family Ties: Communicating Identity Through Jointly Told Family Stories This paper is based on the author’s dissertation study and was presented on the Top Four Panel of the Family Communication Division at the National Communication Association Convention, November 2003, Miami, FL. Communication Monographs72(4): 365–389.
28.
KellasJK (2010) Narrating family: Introduction to the special issue on narratives and storytelling in the family. Journal of Family Communication10(1): 1–6.
29.
LeeREMcGinnisKASallisJF. (1997) Active vs. passive methods of recruiting ethnic minority women to a health promotion program. Annals of Behavioral Medicine19(4): 378–384.
30.
LewandowskiGWNardoneNRainesAJ (2010) The role of self-concept clarity in relationship quality. Self and Identity9(4): 416–433.
31.
LewisMAMcBrideCMPollakKI. (2006) Understanding health behavior change among couples: An interdependence and communal coping approach. Social Science & Medicine62(6): 1369–1380.
32.
LipkusIMRanbyKWLewisMA. (2013) Reactions to framing of cessation messages: Insights from dual-smoker couples. Nicotine & Tobacco Research15(12): 2022–2028.
33.
LyonsEJMehlMRPennebakerJW (2006) Pro-anorexics and recovering anorexics differ in their linguistic Internet self-presentation. Journal of Psychosomatic Research60(3): 253–256.
34.
LyonsRFMichelsonKDSullivanK. (1998) Coping as a communal process. Journal of Social and Personality Psychology15(5): 579–605.
35.
ManneSBadrH (2008) Intimacy and relationship processes in couples’ psychosocial adaptation to cancer. Cancer112(Suppl. 11): 2541–2555.
36.
MashekDJShermanMD (2004) Desiring less closeness with intimate others. In: MashekDJAronAP (eds) Handbook of Closeness and Intimacy. Mahwah, NJ: Lawrence Erlbaum Associates, pp. 343–356.
37.
Michael-TsabariNLaveeY (2012) Too close and too rigid: Applying the Circumplex Model of Family Systems to first-generation family firms. Journal of Marital and Family Therapy38(Suppl. 1): 105–116.
38.
MitchellJWPetrollAE (2012) Factors associated with men in HIV-negative gay couples who practiced UAI within and outside of their relationship. AIDS and Behavior17: 1329–1337.
39.
PatrickHKneeCRCanevelloA. (2007) The role of need fulfillment in relationship functioning and well-being: A self-determination theory perspective. Journal of Personality and Social Psychology92(3): 434.
40.
PennebakerJWStoneLD (2003) Words of wisdom: Language use over the life span. Journal of Personality and Social Psychology85(2): 291–301.
41.
PennebakerJWMayneTJFrancisME (1997) Linguistic predictors of adaptive bereavement. Journal of Personality and Social Psychology72: 863–871.
42.
ReidDWDaltonEJLaderouteK. (2006) Therapeutically induced changes in couple identity: The role of we-ness and interpersonal processing in relationship satisfaction. Genetic, Social, and General Psychology Monographs132(3): 241–284.
43.
RevensonTAKayserKEBodenmannGE (2005) Couples Coping with Stress: Emerging Perspectives on Dyadic Coping. Washington, DC: American Psychological Association.
44.
RohrbaughMJMehlMRShohamV. (2008) Prognostic significance of spouse we talk in couples coping with heart failure. Journal of Consulting and Clinical Psychology76(5): 781.
45.
RohrbaughMJShohamVSkoyenJA. (2012) We-talk, communal coping, and cessation success in a couple-focused intervention for health-compromised smokers. Family Process51(1): 107–121.
46.
SeiderBHHirschbergerGNelsonKL. (2009) We can work it out: Age differences in relational pronouns, physiology, and behavior in marital conflict. Psychology and Aging24(3): 604–613.
47.
SheldonKMJoinerTEPettitJW. (2003) Reconciling humanistic ideals and scientific clinical practice. Clinical Psychology: Science and Practice10(3): 302–315.
48.
SimmonsRAGordonPCChamblessDL (2005) Pronouns in marital interaction: What do “You” and “I” say about marital health?Psychological Science16(12): 932–936.
49.
SkerrettK (1998) Couples adjustment to the experience of breast cancer. Families, Systems & Health16(3): 281–298.
50.
SlatcherRBVazireSPennebakerJW (2008) Am “I” more important than “we”? Couples’ word use in instant messages. Personal Relationships15(4): 407–424.
51.
SrivastavaAThompsonSB (2009) Framework analysis: A qualitative methodology for applied policy research. Journal of Administration & Governance4(2): 72–79.
52.
WalshJCMandaliaSGazzardBG (2002) Responses to a 1 month self-report on adherence to antiretroviral therapy are consistent with electronic data and virological treatment outcome. AIDS16: 269–277.
53.
WernerPDGreenRJGreenbergJ. (2001) Beyond enmeshment: Evidence for the independence of intrusiveness and closeness-caregiving in married couples. Journal of Marital and Family Therapy27: 459–472.
