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What Is Social Support?  195

                  Instrumental support : Is practical support- people will
               help you out when needed. They will give you a lift to
               the clinic, or do the shopping for you and so on.
                 Appraisal support : The person is encouraged to evaluate
               their own health through information and they are then
               able to put the stressors in context. In this way, the
               stresses and strain of the treatment is put into context
               and the individual realises that they are able to com-
               plete any necessary changes.
                 Emotional support : A “shoulder to cry on” is the tradi-
               tional descriptor for this form of social support. It is
               being loved, cared for, protected emotionally and lis-
               tened to.
                 Esteem support  Is a feeling that you are valued or held in
                           :
               esteem by others. If you feel that you are a competent
               and skilful person you are more likely to be able to cope
               with the stressors.
                               :
                 Information support  Is support in the form of information
               or knowledge which can assist the person in doing the
               right thing to look after themselves- providing feedback
               on how well they are doing, for example.

               For the main part, however, social support is frequently
           divided into either practical support or emotional support:
           either “help with the shopping”, or a “shoulder to cry on”.
               There are a number of methods available to measure
           social support. Phenomenological studies have investigated
           social support (Brown   2005a ,  b  Victor et al.  2002 ) through a
                                      ;
           formal methodological interviewing approach. Although this
           has a number of benefits in terms of getting to the “real
           data”, it can be subjective and time consuming. In contrast to
           this interviewing technique there are a number of psycho-
           metrically developed questionnaires and scales. For example,
           the Social Support Questionnaire (SSQ-SF; Sarason   1986 ;
           Sarason et al.   1983 ,   1987 ). The SSQ-SF is based on two ele-
           ments: the perception of the number of others available to whom
           a person can turn to in times of need and the degree of satisfac-
           tion with the support available. The Medical Outcomes Study:
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