This study reports on the experience of women in four community breast
cancer self-help groups in Ontario, Canada. Semi-structured interview
s were conducted with 24 women, asking them about benefits and limitat
ions of their group involvement, and about their perspectives on group
processes and structures. Overall, participants reported their group
involvement to be extremely helpful for navigating the short and long-
term impact of breast cancer. Emotional support benefits included conn
ecting with other breast cancer survivors, feeling understood and shar
ing experiences, providing hope, and sharing healing laughter. Informa
tional and practical support benefits included sharing of important in
formation and learning how to get what you want. Even where there were
concerns about limitations or tensions of group experience, these occ
urred against a backdrop of appreciation and commitment. From the disc
ussion of group processes and structures, a number of issues were iden
tified as problematic. Most notable were how to deal with deaths of gr
oup members and how to balance the group's primary purpose of providin
g mutual support with secondary goals of dealing with group business a
nd engaging in meaningful advocacy. (C) 1997 John Wiley & Sons, Ltd.