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Table 2 Matrix illustrating how the CAS principles are represented in the support networks’ behavior

From: Resilience in advanced cancer caregiving promoted by an intimate partner’s support network: insights through the lens of complexity science. A framework analysis

CAS principle

 

Fuzzy boundaries

Internalized basic rules

Non-linear interactions

Attractor-based behavior

History-based behavior

Tension and paradox

Adaptation

Support network 1

Family 1

Friends 2

Healthcare professional (HP): 0

A1 – A2

B1 – B2

C1

D1 – D3

E1

F1 – F3

G1 – G3

Support network 2

Family 1

Friends 2

HP: 0

A1

B2 – B4 – B5

C2

D1 – D2 – D3

E1 – E2

F1 – F2 – F3

G1 – G2

Support network 3

Family 3

Friends 0

HP: 2

A1 – A2

B1 – B2 – B4 – B5

C2 – C3

D1 – D3

E2

F3

G1 – G2 – G3

Support network 4

Family 3

Friends 0

HP: 0

 

B1 – B2 – B3 – B4 – B5

C1 – C2

D1 – D2 – D3

E2

 

G1 – G2 – G3 – G4

Support network 5

Family 1

Friends 2

HP: 0

A1

B1 – B2 – B4

C1 – C2

D1 – D3

E2

F1

G2

Support network 6

Family 0

Friends 1

HP: 0

A2

B2 – B3

C1 – C4

D1

E1 – E2

F1

G1

Support network 7

Family 0

Friends 1

HP: 0

 

B1 – B2

C1 – C3

D3

E1 – E2

 

G2

Support network 8

Family 0

Friends 0

HP: 1

 

B2

C4

D1

  

G2 – G3

  1. A1: Being aware of other groups in the partner's support network
  2. A2: Sharing emotions and concerns beyond the group's boundaries
  3. B1: Maintaining communication without being intrusive
  4. B2: Reassuring availability of guidance and support with respect for the autonomy of the intimate partner
  5. B3: Acknowledging the intimate partner's emotional vulnerability in an empathic way
  6. B4: Providing reciprocal support and assistance to loved ones
  7. B5: Avoiding being an extra burden to the intimate partner
  8. C1: Reassuring availability and support for autonomy can elicit non-linear behavior
  9. C2: Discussing the future, exhibiting gestures of goodwill, or sharing experiences can evoke non-linear emotional reactions
  10. C3: Explaining the intimate caregiver's situation can elicit non-linear empathic reactions
  11. C4: COVID-19 measures can lead to overly cautious behavior
  12. D1: Feeling meaningful and appreciated
  13. D2: Recognizing sources of joy and spreading positivity throughout the support network
  14. D3: Feeling connected and enjoying each other’s company
  15. E1: Sharing more experiences and forging closer relationships mean assistance is more easily offered and accepted
  16. E2: Making an effort to maintain continuity in meaningful relationships
  17. F1: Reassuring availability for guidance and support is hampered by the context member's own concerns and needs
  18. F2: Empathic involvement can be hindered by the need to cope with one's own emotions
  19. F3: Setting aside pre-existing personal history and issues
  20. G1: Resulting from a worsening prognosis, the communication style adapts to this new reality
  21. G2: Contextualizing the internalized basic rules
  22. G3: Strengthening the feeling of togetherness and maximizing intimate group contact as the prognosis worsens
  23. G4: Allowing for the natural evolution of roles within the system
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BMC Palliative Care

ISSN: 1472-684X

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