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Maintaining and Enhancing Spousal Relationships after a Cancer Diagnosis

by Hoda Badr, PhD

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When one partner has cancer, both partners and their relationship are affected. Although cancer is a health crisis that can wreak havoc on any relationship, many marriages survive, and even flourish, after cancer. Approaching cancer as “our problem” and finding opportunities to continue to connect as a couple can help to minimize both partners’ emotional distress. It is possible to fight the battle against cancer together and to strengthen your relationship.

Approach cancer as a “we disease.”
Learn to recognize the signs that you or your partner is feeling stressed. Explore the different ways you may experience stress, and help each other to relax by reading to each other, massage, taking a bath together, or listening to music.

Make a list of questions, and attend medical appointments together to develop a shared understanding of what to expect. Write down how medical decisions will affect both of you, and make treatment decisions together.

Strategize together about how best to balance work, family, and self-care. Write down all the tasks that need to be done to keep things running (e.g., meal preparation, paying bills) and who is currently responsible for each task. Then, be honest and realistic about what each of you can and cannot do, and accept help. Helping makes others feel good and will benefit both you and your partner. Ask friends or family to do your laundry, walk the dog, or keep others updated on your condition. You and your partner can then use that extra time to spend together.

Talk about cancer together.
Your partner may avoid talking about cancer for fear of upsetting you. If you feel like talking about cancer, bring the subject up and let your partner know that it’s okay to talk about it. Reassure your partner that you don’t expect him or her to have answers; you just want someone who will listen.

Make a list of questions, and attend medical appointments together to develop a shared understanding of what to expect.

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Dr. Hoda Badr

Do not assume that you know what your partner is thinking or feeling about cancer, or that you know what he or she needs from you. Encourage your partner to share emotions and concerns, and ask what he or she needs from you. Sometimes people coping with cancer feel pressured to maintain a positive outlook for the sake of their partner. Just as your partner may have good reasons to be hopeful, he or she may also have good reasons to be worried or upset. Try to support and acknowledge both sets of emotions (not just the positive ones).

Focus attention on your relationship.
After diagnosis, couples often concentrate their resources and energy on coping with cancer. While this shift in focus is natural, couples need to continue to relate as spouses and not let cancer completely dominate their lives. Cancer can affect relationships by altering roles and responsibilities, expectations, and communication patterns. Instead of looking back, look ahead. The way you handle cancer together could chart a new course for your relationship.

When discussing things that need to change in the relationship, pick a time and place that foster relaxation and privacy. Focus on one or two specific issues, and ask for changes in a positive way. Avoid criticism, sarcasm, yelling, interrupting, name-calling, and the rehashing of old wounds. Restating what your partner says to you shows you were listening and allows for correcting misunderstandings.

Assure your partner of your commitment to him or her and to the relationship. Knowing your support will be steadfast and unwavering regardless of what happens can be extremely reassuring and comforting for your partner. Express physical affection even if sexual activity has stopped. Maintain your loving feelings by kissing, hugging, cuddling, and caressing. Physical touch can be therapeutic and lets your loved one know they are dear to you and they are not going through this alone.

Talking with each other about the quality of your relationship (e.g., how good it is, how much you appreciate your partner), fond relationship memories, and hopes for the future can help you to reconnect and reestablish emotional intimacy. Spend quality time together by engaging in leisure activities and staying socially active, but let others know your physical limitations.

The good news is that with thoughtful attention and honest communication, couples can not only maintain their relationships, but also develop a bond that is even stronger and more fulfilling than the bond they had before cancer.

♦ ♦ ♦ ♦ ♦

Dr. Hoda Badr is assistant professor in the department of Behavioral Science at the University of Texas M. D. Anderson Cancer Center.

This article was published in Coping® with Cancer magazine, January/February 2009.