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16 - The Healing Powers of Expressive Writing

Published online by Cambridge University Press:  25 January 2010

By
Janel D. Sexton  and
James W. Pennebaker
Edited by
Scott Barry Kaufman  and
James C. Kaufman
Scott Barry Kaufman
Affiliation:
Yale University, Connecticut
James C. Kaufman
Affiliation:
California State University, San Bernardino
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Summary

Over the past 20 years, the value of expressive writing has made the transition from anecdotal folk wisdom to a large and growing body of scientific research. Specifically, expressing thoughts and feelings about a traumatic event can improve one's mental and physical health (Frattaroli, 2006; Pennebaker, 1997; Smyth, 1998). As social and health psychologists, we give an overview of this line of research that began in the 1980s and has continued to proliferate up to the present. We now know that writing can have an impact on a broad range of physiological, physical, and mental states across many types of people. Non-health-related benefits have also been uncovered, and these are discussed as well. After describing the standard expressive writing paradigm and its application to creative writers, we discuss the role that language plays in this picture, including how language use can predict health benefits.

THE EXPRESSIVE WRITING PARADIGM

The procedure is simple and straightforward: Participants are asked to reflect on their deepest thoughts and feelings about a traumatic event. In the original studies, participants were randomly assigned to write about either an emotional topic or a control topic for 15 to 20 minutes each session for three to five sessions completed over the course of several days or weeks. One writing session was completed per day, and participants were often given the freedom to decide what time of day to write.

Type
Chapter
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The Psychology of Creative Writing , pp. 264 - 274
Publisher: Cambridge University Press
Print publication year: 2009

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References

Burton, C. M., & King, L. A. (2004). The health benefits of writing about intensely positive experiences. Journal of Research in Personality, 38, 150–163.CrossRefGoogle Scholar
Cameron, L. D., & Nicholls, G. (1998). Expression of stressful experiences through writing: Effects of a self-regulation manipulation for pessimists and optimists. Health Psychology, 17, 84–92.CrossRefGoogle ScholarPubMed
Moor, C., Sterner, J., Hall, M., Warneke, C., Gilani, Z., Amato, R., et al. (2002). A pilot study of the effects of expressive writing on psychological and behavioral adjustment in patients enrolled in a phase II trial of vaccine therapy for metastatic renal cell carcinoma. Health Psychology, 21, 615–619.CrossRefGoogle Scholar
Francis, M. E., & Pennebaker, J. W. (1992). Putting stress into words: Writing about personal upheavals and health. American Journal of Health Promotion, 6, 280–287.CrossRefGoogle Scholar
Frattaroli, J. (2006). Experimental disclosure and its moderators: A meta-analysis. Psychological Bulletin, 132, 823–865.CrossRefGoogle ScholarPubMed
Frisina, P. G., Borod, J. C., & Lepore, S. J. (2004). A meta-analysis of the effects of written disclosure on the health outcomes in clinical populations. Journal of Nervous and Mental Disease, 192, 629–634.CrossRefGoogle ScholarPubMed
Greenberg, M. A., Wortman, C. B., & Stone, A. A. (1996). Emotional expression and physical health: Revising traumatic memories or fostering self-regulation?Journal of Personality and Social Psychology, 71, 588–602.CrossRefGoogle ScholarPubMed
Kaufman, J. C., & Sexton, J. D. (2006). Why doesn't the writing cure help poets?Review of General Psychology, 10, 268–282.CrossRefGoogle Scholar
King, L. A. (2001). The health benefits of writing about life goals. Personality and Social Psychology Bulletin, 27, 798–807.CrossRefGoogle Scholar
King, L. A. (2002). Gain without pain? Expressive writing and self-regulation. In Lepore, S. J. & Smyth, J. M. (Eds.), The writing cure: How expressive writing promotes health and emotional well being (pp. 119–134). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Klein, K., & Boals, A. (2001). Expressive writing can increase working memory capacity. Journal of Experimental Psychology: General, 130(3), 520–533.CrossRefGoogle ScholarPubMed
Lepore, S. J., Fernanadez-Berrocal, P., Ragan, J., & Ramos, N. (2004). It's not that bad: Social challenges to emotional disclosure enhance adjustment to stress. Anxiety, Stress & Coping: An International Journal, 17, 341–361.CrossRefGoogle Scholar
Lepore, S. J., Greenberg, M. A., Bruno, M., & Smyth, J. M. (2002). Expressive writing and health: Self-regulation of emotion-related experience, physiology, and behavior. In Lepore, S. J. & Smyth, J. M. (Eds.), The writing cure: How expressive writing promotes health and emotional well-being (pp. 99–117). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
McGuire, K. M. B., Greenberg, M. A., & Gevirtz, R. (2005). Autonomic effects of expressive writing in individuals with elevated blood pressure. Journal of Health Psychology, 10, 197–207.CrossRefGoogle ScholarPubMed
Meads, C., Lyons, A., & Carroll, D. (2003, May). The impact of the emotional disclosure intervention on physical and psychological health – a systematic review. Report No. 43. Birmingham, UK: West Midlands Health Technology Assessment Collaboration.Google Scholar
Pennebaker, J. W. (1997a). Opening up: The healing power of expressing emotion. New York: Guilford.Google Scholar
Pennebaker, J. W. (1997b). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162–166.CrossRefGoogle Scholar
Pennebaker, J. W., & Beall, S. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95, 274–281.CrossRefGoogle ScholarPubMed
Pennebaker, J. W., & Chung, C. K. (2007). Expressive writing, emotional upheavals, and health. In Friedman, H. S. & Silver, R. C. (Eds.), Foundations of health psychology (pp. 263–284). New York: Oxford University Press.Google Scholar
Pennebaker, J. W., Colder, M., & Sharp, L. K. (1990). Accelerating the coping process. Journal of Personality & Social Psychology, 58(3), 528–537.CrossRefGoogle ScholarPubMed
Pennebaker, J. W., & Francis, M. E. (1996). Cognitive, emotional, and language processes in disclosure. Cognition & Emotion, 10(6), 601–626.CrossRefGoogle Scholar
Pennebaker, J. W., Francis, M. E., & Booth, R. J. (2001). Linguistic Inquiry and Word Count (LIWC): LIWC2001. Mahwah, NJ: Erlbaum.Google Scholar
Pennebaker, J. W., Kiecolt-Glaser, J., & Glaser, R. (1988). Disclosure of traumas and immune function: Health implications for psychotherapy. Journal of Consulting and Clinical Psychology, 56, 239–245.CrossRefGoogle ScholarPubMed
Pennebaker, J. W., & King, L. A. (1999). Linguistic styles: Language use as an individual difference. Journal of Personality and Social Psychology, 77, 1296–1312.CrossRefGoogle ScholarPubMed
Pennebaker, J. W., & Lay, T. C. (2002). Language use and personality during crises: Analyses of Mayor Rudolph Giuliani's press conferences. Journal of Research in Personality, 36, 271–282.CrossRefGoogle Scholar
Pennebaker, J. W., & Seagal, J. D. (1999). Forming a story: The health benefits of narrative. Journal of Clinical Psychology, 55, 1243–1254.3.0.CO;2-N>CrossRefGoogle ScholarPubMed
Petrie, K. J., Booth, R., Pennebaker, J. W., Davison, K. P., & Thomas, M. (1995). Disclosure of trauma and immune response to Hepatitis B vaccination program. Journal of Consulting and Clinical Psychology, 63, 787–792.CrossRefGoogle ScholarPubMed
Petrie, K. J., Fontanilla, I., Thomas, M. G., Booth, R. J., & Pennebaker, J. W. (2004). Effect of written emotional expression on immune function in patients with Human Immunodeficiency Virus infection: A randomized trial. Psychosomatic Medicine, 66, 272–275.CrossRefGoogle ScholarPubMed
Seagal, J. D., & Pennebaker, J. W. (1999, March). Writing and social stigma: Benefits from writing about being a group member. Presented at the annual meeting of the Society of Behavioral Medicine Conference, San Diego.Google Scholar
Sloan, D. M., Marx, B. P., & Epstein, E. M. (2005). Further examination of the exposure model underlying the efficacy of written emotional disclosure. Journal of Consulting and Clinical Psychology, 73, 549–554.CrossRefGoogle ScholarPubMed
Smyth, J. M. (1998). Written emotional expression: Effect sizes, outcome types, and moderating variables. Journal of Consulting and Clinical Psychology, 66, 174–184.CrossRefGoogle ScholarPubMed
Smyth, J. M., Stone, A. A., Hurewitz, A., & Kaell, A. (1999). Effects of writing about stressful experiences on symptom reduction in patients with asthma or rheumatoid arthritis: A randomized trial. Journal of the American Medical Association, 281, 1304–1309.CrossRefGoogle ScholarPubMed
Solano, L., Donati, V., & Pecci, F. (2003). Postoperative course after papilloma resection: Effects of written disclosure of the experience in subjects with different alexithymia levels. Psychosomatic Medicine, 65, 477–484.CrossRefGoogle ScholarPubMed
Spera, S. P., Buhrfeind, E. D., & Pennebaker, J. W. (1994). Expressive writing and coping with job loss. Academy of Management Journal, 37(3), 722–733.Google Scholar
Stirman, S. W., & Pennebaker, J. W. (2001). Word use in the poetry of suicidal and non-suicidal poets. Psychosomatic Medicine, 63, 517–523.CrossRefGoogle Scholar
Taylor, L., Wallander, J., Anderson, D., Beasley, P., & Brown, R. (2003). Improving chronic disease utilization, health status, and adjustment in adolescents and young adults with cystic fibrosis. Journal of Clinical Psychology in Medical Settings, 10, 9–16.CrossRefGoogle Scholar

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