Cognitive,Emotional, and Language Processes in Disclosure

Previous studies have found that writing about upsetting experiences can improve physical health. In an attempt to explain this phenomenon, 72 first-year college students were randomly assigned to write about either their thoughts and feelings about coming to college or about superficial topics for three consecutive days. Measures of language use within the writing samples and cognitive measures of accessibility and schematic organisation were collected in the weeks before and after writing. As in previous studies, writing about college was found to reduce health centre visits for illness and to improve subjects' grade point average. Text analyses indicated that the use of positive emotion words and changes in words suggestive of causal and insightful thinking were linked to health change. Improved grades, although not linked to these language dimensions, were found to correlate with measures of schematic organisation of college-relevant themes. Implications for using written language to understand cognitive and health processes are discussed.     

Writing About Upsetting Family Events: A Therapy Analog Study

This therapy analog study investigated whether a writing intervention based on contextual therapy would have positive effects on physical, mental, and relational health. One-hundred-and-three college students were randomly assigned to write about either an upsetting family event/issue from childhood or a trivial event during a four-day period. As anticipated, relative to the control participants, those in the experimental condition reported an increase in negative mood and physical symptoms immediately after writing each day. Also as anticipated, the experimental participants also reported feeling better about themselves and their topics at post-test. Unexpectedly, there were either no significant differences or differences in the unpredicted direction between the control and experimental groups in physical, psychological, and relational functioning at posttest and follow-up. However, post-hoc analyses revealed differential changes within the experimental group as a function of the personal relevance and the degree of previous disclosure of the topics. Limitations of written expression as a therapeutic tool are discussed.     

Opening up in the classroom: effects of expressive writing on graduate school entrance exam performance

Our study sought to determine whether experimental disclosure could improve exam performance and psychological health in students taking a graduate school entrance exam. Students preparing for the GRE, MCAT, LSAT, or PCAT were randomly assigned to write expressively about their upcoming exam or to a neutral writing condition. Participants completed measures of depressive symptoms and test anxiety before and after writing, and exam scores were collected. The experimental disclosure group had significantly higher test scores and significantly lower pre-exam depressive symptoms than the neutral writing group. Although benefits for depressive symptoms were found in expressive writers regardless of exam type, the advantage of expressive writing for test performance was only observed in students taking the MCAT or LSAT.     

WRITING ABOUT EMOTIONAL EXPERIENCES AS A THERAPEUTIC PROCESS

Abstract— For the past decade, an increasing number of studies have demonstrated that when individuals write about emotional experiences, significant physical and mental health improvements follow. The basic paradigm arid findings are summarized along with some boundary conditions Although a reduction in inhibition may contribute to the disclosure phenomenon changes in basic cognitive and linguistic processes during writing predict better health. Implications for theory and treatment are discussed.     

Effets de l’expression écrite d’un événement positif et négatif sur le niveau d’anxiété d’étudiants de différentes disciplines

This study concerns the field of writing and its influence on the emotional state of writers (Pennebaker, 2002). In this field of research, participants are usually requested to express their feelings and emotions following the occurrence of negative events. It is thus important to collect data concerning the influence of positive experiences. By contrast, our study aimed at exploring the impact of expressive writing in two opposite contexts. One context concerns a negative experience (exam's failure) and the other context refers to a positive experience (exam's success). Expressive writing is usually studied in relation to mental (mostly depression) and physical health of the participants. The impact of expressive writing affect on the writers’ anxiety has more rarely been investigated. This is the reason why we have examined the effect of writing on the levels of anxiety of writers. Writing expertise has also been shown to depend on academic disciplines. To fulfill these different goals, undergraduate students (n = 119) belonging to three different university discipliones (arts, sciences and psychology students) responded to the S-Anxiety scale and when then required to write about their feeling concerning the positive or negative topics. The level of anxiety was again measured afterwards. The main question under investigation is to know if emotion regulation (in the sense of Lepore et al., 2002) would vary as a function of the nature of the described event. We hypothesize that variations in anxiety would depend on these events and that impact of emotional regulation would also differ according to the students’ curses. The results show that sciences students are not as verbose (measures in terms of verbal volume) than arts and psychology students. Moreover, emotional content of writing has been analyzed with Emotaix-Tropes (Piolat and Bannour, 2009a). Whatever the course, students produced both positive and negative lexicon for the two topics. However, positive lexicon was proportionally more important in the Success and an inverse result was observed in the Failure situation. The anxiety level was higher following the use of negative valence lexicon and was lower following the use of lexicon of positive valence. The short term beneficial effect of disclosure is thus not observed in case of a negative event. In addition, students with a scientific curse showed more variations in their emotional state.     

Effects of disclosure of traumatic events on illness behavior among psychiatric prison inmates

To assess the health effects of writing about traumatic events in a clinical population, 98 psychiatric prison inmates were randomly assigned to 1 of 3 conditions in which they were asked to write about their deepest thoughts and feelings surrounding upsetting experiences (trauma writing condition), write about trivial topics (trivial writing control), or go about their daily routine without writing (no-writing control). Both writing groups wrote for 20 min per day for 3 consecutive days. Participants in the trauma condition reported experiencing more physical symptoms subsequent to the intervention relative to those in the other conditions. Despite this, controlling for prewriting infirmary visits, sex offenders in the trauma writing condition decreased their postwriting infirmary visits. These results are congruent with predictions based on stigmatization and inhibition.     

Does Writing About Suicidal Thoughts and Feelings Reduce Them?

To assess whether writing with cognitive change or exposure instructions reduces depression or suicidality, 121 undergraduates screened for suicidality wrote for 20 minutes on 4 days over 2 weeks. They were randomly assigned to reinterpret or to write and rewrite traumatic events/emotions, or to write about innocuous topics. The three groups (N = 98) who completed pre-, post-, and 6-week follow-up were not different on suicidality or depression. All subjects reported fewer automatic negative thoughts over the 2 weeks; they also reported higher self-regard but more health center visits at follow-up. Suicidal thoughts may be more resistant than physical health to writing interventions.     

Experimental manipulations of perspective taking and perspective switching in expressive writing

Previous studies suggest that those who naturally vary their pronoun use over the course of expressive writing subsequently report the greatest improvements in physical and mental health. To explore possible perspective taking or perspective switching effects, two studies manipulated writing perspectives about emotional events from either a first-person, second-person, or third-person perspective. In Study 1, 55 students were randomly assigned to one of the three writing perspectives and were asked to write from the same perspective for three 5-minute writing sessions. In Study 2, 129 students wrote for three 5-minute sessions, one from each perspective in a counterbalanced order. The results showed that writing from a first-person perspective conferred more perceived benefits and was associated with using more cognitive mechanism words, whether engaged in perspective taking or perspective switching.     

Experimental manipulations of perspective taking and perspective switching in expressive writing

Previous studies suggest that those who naturally vary their pronoun use over the course of expressive writing subsequently report the greatest improvements in physical and mental health. To explore possible perspective taking or perspective switching effects, two studies manipulated writing perspectives about emotional events from either a first-person, second-person, or third-person perspective. In Study 1, 55 students were randomly assigned to one of the three writing perspectives and were asked to write from the same perspective for three 5-minute writing sessions. In Study 2, 129 students wrote for three 5-minute sessions, one from each perspective in a counterbalanced order. The results showed that writing from a first-person perspective conferred more perceived benefits and was associated with using more cognitive mechanism words, whether engaged in perspective taking or perspective switching.     

Emotional expression in cyberspace: searching for moderators of the Pennebaker disclosure effect via e-mail.

Research has shown that writing about emotional topics can positively influence physical and mental health. The current study tested the efficacy of an e-mail-based writing treatment and shows how such an implementation can aid in the search for moderators. Participants (N = 546) were randomly assigned to either a long- or short-interval traumatic writing condition or to a nonemotional writing control condition. In contrast to previous disclosure research, participants received and submitted their writing responses via e-mail. Health outcomes were assessed weekly for 5 weeks after treatment and were reported at the conclusion of the study. Results supported the effectiveness of an e-mail-based writing treatment in producing positive health outcomes and successfully identified several moderators of the writing treatment effect. The moderators implicated varied depending on the nature of the health outcome assessment.     

The Impact of Counselor and Participant Gender on Willingness to Discuss Relational Topics: Development of the Relationship Disclosure Scale

The current investigation examined people's willingness to disclose personal information about their intimate relationships to counselors. This was accomplished by asking 431 students to indicate how willing they would be to discuss 25 relationship topics, as measured by the newly developed Relationship Disclosure Scale (RDS), with female and male counselors. The results indicated that people's willingness to disclose their intimate relationships to counselors depended on their own gender, the gender of the counselor, and the particular relationship topics assessed by the RDS. In addition, several personality variables associated with relational-esteem and relational-consciousness were found to be associated with women's willingness to engage in relationship disclosure with male and female counselors. These findings underscore the impact of gender and personality on counseling disclosure tendencies. The discussion focuses on gender and the use of the RDS in research and counseling settings.     

Exposure Through Written Emotional Disclosure: Two Case Examples

Written disclosure is a procedure in which individuals repeatedly write about the most traumatic experience of their lives with as much emotion as possible. Research has demonstrated that, relative to a control writing condition, written disclosure is associated with improvements in physical and psychological functioning. As a result of these findings, there has been suggestion that written disclosure may be used as a primary intervention for psychological distress. In this paper, two case studies are presented in which written disclosure was used as an intervention for trauma-related psychopathology. The written disclosure procedure resulted in significant symptom improvements for one individual but not for the other. Differences between the two cases are highlighted and the strengths and weaknesses of the written disclosure procedure as a stand-alone intervention are considered.     

Expressive writing can increase working memory capacity

The effect of emotional disclosure through expressive writing on available working memory (WM) capacity was examined in 2 semester-long experiments. In the first study, 35 freshmen assigned to write about their thoughts and feelings about coming to college demonstrated larger working memory gains 7 weeks later compared with 36 writers assigned to a trivial topic. Increased use of cause and insight words was associated with greater WM improvements. In the second study, students (n = 34) who wrote about a negative personal experience enjoyed greater WM improvements and declines in intrusive thinking compared with students who wrote about a positive experience (n = 33) or a trivial topic (n = 34). The results are discussed in terms of a model grounded in cognitive and social psychological theory in which expressive writing reduces intrusive and avoidant thinking about a stressful experience, thus freeing WM resources.     

Summary Street: Interactive Computer Support for Writing

Summary Street is educational software based on latent semantic analysis (LSA), a computer method for representing the content of texts. The classroom trial described here demonstrates the power of LSA to support an educational goal by providing automatic feedback on the content of students' summaries. Summary Street provides this feedback in an easy-to-grasp, graphic display that helps students to improve their writing across multiple cycles of writing and revision on their own before receiving a teacher's final evaluation. The software thus has the potential to provide students with extensive writing practice without increasing the teacher's workload. In classroom trials 6th-grade students not only wrote better summaries when receiving content-based feedback from Summary Street, but also spent more than twice as long engaged in the writing task. Specifically, their summaries were characterized by a more balanced coverage of the content than summaries composed without this feedback. Greater improvement in content scores was observed with texts that were difficult to summarize. Classroom implementation of Summary Street is discussed, including suggestions for instructional activities beyond summary writing.     

Letter Writing: A Creative Tool for School Counselors Working with Adolescents

Letter writing is a therapeutic tool used in many helping professions with many populations. In school counseling, letter writing can be a useful way for school counselors to build relationships and assess student needs. Letter writing may appeal to students who are more introspective and prefer less direct forms of communication (France, Cadieax, & Allen, 1995). Evidence to support school counselors’ use of letter writing with students is underdeveloped. Citing conceptual, empirical, and theoretical support, the authors propose prompting students to write Letters About Themselves (LAT) at the beginning, middle, and end phases of the school year. Considerations for school counselors using letter writing with adolescents are explored.     

Accelerating the coping process

On the basis of previous work, freshmen should evidence improved health after writing about their thoughts and feelings associated with entering college. One hundred thirty subjects were assigned to write either about coming to college or about superficial topics for 20 min on 3 days. One fourth of the subjects in each group wrote during the 1st, 5th, 9th, or 14th week of classes. Physician visits for illness in the months after writing were lower for the experimental than for the control subjects. Self-reports of homesickness and anxiety were higher in the experimental group 2-3 months after writing. By year's end, experimental subjects were either superior or similar to control subjects in grade average and in positive moods. No effects emerged as a function of when people wrote, suggesting that the coping process can be accelerated. Implications for comparing insight treatments with catharsis and for distinguishing between objective and self-report indicators of distress are discussed.     

Alexithymia, emotional disclosure, and health: a program of research

This article reviews a program of research on alexithymia, emotional disclosure, and health. The article first describes two lines of research and then outlines current work attempting to integrate these lines. The first research line involves basic correlational studies on alexithymia's link to health problems; these studies suggest that alexithymia is a potential risk factor for symptoms and illness behavior, although not necessarily organic disease. The second research line involves experimental studies of the health effects of emotional disclosure via expressive writing or talking; these studies suggest that disclosure improves health on average, but that the effects are not that robust and that various moderators likely are involved. The next section of the article describes recent attempts to integrate the two research lines by examining how baseline levels of alexithymia influence the effects of emotional disclosure; these analyses suggest that alexithymia interferes with or attenuates the health benefits of disclosure. Finally, the article describes initial forays into research on interventions with the alexithymic patients. This evolving program of research demonstrates the value of integrating emotion, personality, and health, and highlights the bidirectional relationship between clinical problems and basic research.     

Experimental disclosure and its moderators: a meta-analysis

Disclosing information, thoughts, and feelings about personal and meaningful topics (experimental disclosure) is purported to have various health and psychological consequences (e.g., J. W. Pennebaker, 1993). Although the results of 2 small meta-analyses (P. G. Frisina, J. C. Borod, & S. J. Lepore, 2004; J. M. Smyth, 1998) suggest that experimental disclosure has a positive and significant effect, both used a fixed effects approach, limiting generalizability. Also, a plethora of studies on experimental disclosure have been completed that were not included in the previous analyses. One hundred forty-six randomized studies of experimental disclosure were collected and included in the present meta-analysis. Results of random effects analyses indicate that experimental disclosure is effective, with a positive and significant average r-effect size of .075. In addition, a number of moderators were identified.     

Does altering the writing instructions influence outcome associated with written disclosure?

This study examined the effect of changing the instructional set for written disclosure on psychological and physical health reports among traumatized college students with current posttraumatic stress symptoms. Eighty-two participants were randomly assigned to one of three writing conditions that focused on emotional expression (EE), insight and cognitive assimilation, or to a control condition. Participants assigned to the EE condition reported significant improvements in psychological and physical health 1 month following the writing sessions relative to the other two conditions. The EE participants also reported and displayed significantly greater initial psychophysiological reactivity and subsequent habituation compared with the other two conditions. These findings suggest the importance of emphasizing emotional expression during written disclosure and underscore the importance of examining how modifying the written disclosure protocol can affect outcome.