Emotional engagement in expressive writing
Clinical and discursive perspectives
HaCohen et al. (2018) identified three types of narratives that emerge
in the context of integrating a difficult event into one’s life story. We use their identification while focusing on the quality
of emotional involvement evidenced in texts, and combining it with an abstract-content text analysis. This allows us to quantify
emotional engagement in Expressive Writing (EW) texts. We analyze personal-experience narratives produced in EW, and examine
whether good EW outcome cases (in terms of well-being improvement) would be characterized with different types of narratives than
poor outcome cases. Results show that texts produced by good outcome cases presented more emotional involvement than poor cases.
Furthermore, good cases presented with a more complex and well-integrated narrative of their story than poor cases. It is
suggested that good outcome participants’ writings are more emotionally involved, integrated and personal. Our findings emphasize
the importance of context-sensitive and function-oriented accounts of EW texts.
Article outline
- Introduction
- Method
- Participants
- Measures
- Writing task
- Measures of well-being
- Brief Symptom Inventory
- Impact of events scale
- Coding for holistic content
- ‘Integrative writing’ [IW] type
- ‘Focus on the negative’ [FN] type
- ‘Deny the negative’ [DN] type
- Coding for abstract content
- Non-evaluative clauses
- Evaluative clauses
- Procedure
- Results
- Holistic content analysis
- Text examples of the holistic content analysis
- Text examples of IW
- Text examples of FN
- Text examples of DN
- Abstract content analysis
- Combined content analysis
- Discussion
- Declaration of interest statement
- Acknowledgements
- Notes
-
References
References (80)
References
Adler, J. M., Lodi-Smith, J., Philippe, F. L., & Houle, I. (2016). The
incremental validity of narrative identity in predicting well-being: A review of the field and recommendations for the
future. Personality and Social Psychology
Review, 20(2), 142–175.
Al-Krenawi, A., Graham, J. R., & Kanat-Maymon, Y. (2009). Analysis
of trauma exposure, symptomatology and functioning in Jewish Israeli and Palestinian
adolescents. The British Journal of
Psychiatry, 1951, 427–432.
Auszra, L., Greenberg, L. S. (2007). Client
emotional productivity. European
Psychotherapy, 71, 139–152.
Auszra, L., Greenberg, L. S., & Herrmann, I. R. (2013). Client
emotional productivity-optimal client in-session emotional processing in experiential
therapy. Psychotherapy
Research, 231, 732–746.
Baikie, K. A., & Wilhelm, K. (2005). Emotional
and physical health benefits of expressive writing. Advances in Psychiatric
Treatment, 11(5), 338–346.
Bamberg, M. (2012). Narrative
analysis. In H. Cooper. (Ed.), APA
handbook of research methods in psychology: Vol. 2. Quantitative, qualitative, neuropsychological, and
biological (pp. 77–94). American Psychological Association.
Berman, R. A., & Katzenberger, I. (2004). Form
and function in introducing narrative and expository texts: A developmental
perspective. Discourse
Processes, 38(1), 57–94.
Berman, R. A., & Ravid, D. (2008). Analyzing
narrative informativeness in speech and writing. In A. Tyler, Y. Kim, & M. Takada. (Eds.), Language
in the context of use: Discourse and cognitive approaches to
language (pp. 71–92). Walter de Gruyter.
Berman, R. A., & Slobin, D. I. (1994). Narrative
structure. In R. A. Berman & D. I. Slobin. Relating
events in narrative: A cross-linguistic developmental
study (pp. 39–84). Erlbaum Publishers.
Boals, A. (2010). Events
that have become central to identity: Gender differences in the centrality of events scale for positive and negative
events. Applied Cognitive
Psychology, 241, 107–121.
Bootzin, R. R. (1997). Examining
the theory and clinical utility of writing about emotional experiences. Psychological
Science, 81, 167–169.
Chafe, W. L. (1994). Discourse,
consciousness, and time: The flow and displacement of conscious experience in speaking and
writing. Chicago University Press.
Daiute, C. (2013). Narrative
inquiry: A dynamic approach. Sage Publications.
Derogatis, L. R., & Melisaratos, N. (1983). The
brief symptom inventory: An introductory report. Psychological
Medicine, 131, 595–605.
Derogatis, L. R., & Savitz, K. L. (1999). The
SCL-90-R, Brief Symptom Inventory, and matching clinical rating
scales. In M. Maruish. (Ed.), The
use of psychological testing for treatment planning and outcomes assessment (2nd
ed., pp. 679–724). Erlbaum Publishers.
Du Bois, J. W. (1987). The
discourse basis of
ergativity. Language, 631, 805–855.
Ellis, D. & Cromby, J. (2012). Emotional
inhibition: A discourse analysis of disclosure, Psychology &
Health, 27(5), 515–532.
Frattaroli, J. (2006). Experimental
disclosure and its moderators: a meta-analysis. Psychological
bulletin, 132(6), 823.
Greenberg, L. S. (2010). Emotion-focused
therapy: A clinical synthesis. Focus: The Journal of Lifelong Learning in
Psychiatry, 81, 32–42.
Greenberg, L. S. (2015). Emotion-focused
therapy: Coaching clients to work through their feelings. American Psychological Association.
Greenberg, L. S., Auszra, L., & Herrmann, I. R. (2007). The
relationship among emotional productivity, emotional arousal and outcome in experiential therapy of
depression. Psychotherapy
Research, 171, 482–493.
HaCohen, N., Amir, D., & Wiseman, H. (2018). Women’s
narratives of crisis and change: Transitioning from infertility to pregnancy. Journal of Health
Psychology, 23(5), 720–730.
Hill, C. E. (2006). Helping
skills: Facilitating exploration, insight and action. American Psychological Association.
Horowitz, M. J. (1986). Stress
response syndromes (2nd ed.). Northvale, NJ: Jason Aronson.
Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). The
Impacts of Events Scale: a measure of subjective stress. Psychosomatic
Medicine, 411, 209–218.
Imel, Z. E., & Wampold, B. E. (2008). The
common factors of psychotherapy. In S. D. Brown & R. W. Lent. (Eds.), Handbook
of counseling psychology (4th ed.). John Wiley & Sons Inc.
Janoff-Bulman, R. (1992). Shattered
assumptions: Towards a new psychology of trauma. Free Press.
Johnstone, B. (2016). ‘Oral
versions of personal experience’: Labovian narrative analysis and its uptake. Journal of
Sociolinguistics, 20(4), 542–560.
Kovecses, Z. (1995). Introduction:
language and emotion concepts. In J. A. Russel. (Ed.), Everyday
concepts of
emotion (pp. 3–16). Kluwer Academic Publishers.
La Marca, L., Maniscalco, E., Fabbiano, F., Verderame, F., & Schimmenti, A. (2019). Efficacy
of Pennebaker’s expressive writing intervention in reducing psychiatric symptoms among patients with first-time cancer
diagnosis: a randomized clinical trial. Supportive Care in
Cancer, 27(5), 1801–1809.
Labov, W. (1972). Language
in the inner city. University of Pennsylvania Press.
Labov, W. & Waletsky, J. (1967). Narrative
analysis: Oral version of personal experience. In J. Helm. (Ed.), Essays
on the verbal and visual
Arts (pp. 12–44). University of Washington Press.
Landis, J. R., & Koch, G. G. (1977). The
measurement of observer agreement for categorical
data. Biometrics, 33(1), 159–174.
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 S. J. Lepore & J. M. Smyth. (Eds.), The
writing cure: How expressive writing promotes health and emotional
well-being (pp. 99–118). American Psychological Association.
Lepore, S. J., & Smyth, J. M. (2002, Eds.). The
writing cure: How expressive writing promotes health and emotional well-being. American Psychological Association.
Lieblich, A., Tuval-Mashiach, R., & Zilber, T. (1998). Narrative
research: Reading analysis and interpretation. Sage.
Lu, Q., Gallagher, M. W., Loh, A., & Young, L. (2018). Expressive
writing intervention improves quality of life among Chinese-American breast cancer survivors: A randomized controlled
trial. Annals of Behavioral
Medicine, 52(11), 952–962.
Lutgendorf, S. K., & Ullrich, P. M. (2002). Cognitive
processing, disclosure, and health: Psychological and physiological
mechanisms. In S. J. Lepore & J. M. Smyth. (Eds.), The
writing cure: How expressive writing promotes health and emotional
well-being (pp. 177–196). American Psychological Association.
Marin, K. A., & Rotondo, E. K. (2017). Rumination
and self-reflection in stress narratives and relations to psychological
functioning. Memory, 25(1), 44–56.
Marx, B. P., & Sloan, D. M. (2002). The
role of emotion in the psychological functioning of adult survivors of childhood sexual
abuse. Behavior
Therapy, 331, 563–577.
Mergenthaler, E. (1996). Emotion-abstraction
patterns in verbatim protocols: A new way of describing psychotherapeutic processes. Journal of
Consulting and Clinical
Psychology, 641, 1306–1315.
Nir, B., & Katzenberger, I. (2016). Categories
of referential content in expository discussions of
conflict. In J. Perera, M. Aparici, E. Rosado, & N. Salas. (Eds.), Written
and spoken language development across the
lifespan (pp. 271–285). Springer.
Omer, H., & Alon, N. (1994). The
principle of continuity: Unifying treatment and management in disaster and trauma. American
Journal of Community
Psychology, 221, 273–287.
Parrott, W. G. (1995). The
heart and the head: Everyday conceptions of being emotional. In J. A. Russel. (Ed.), Everyday
concepts of
emotion (pp. 73–84). Kluwer Academic Publishers.
Pavlacic, J. M., Buchanan, E. M., Maxwell, N. P., Hopke, T. G., & Schulenberg, S. E. (2019). A
meta-analysis of expressive writing on posttraumatic stress, posttraumatic growth, and quality of
life. Review of General
Psychology, 23(2), 230–250.
Pawley, A. & Syder, F. H. (2000). The
one–clause–at–a–time hypothesis. In H. Riggenbach. (Ed.), Perspectives
on
fluency (pp. 163–98). The University of Michigan Press.
Pennebaker, J. W. (1989). Confession,
inhibition, and disease. In L. Berkowitz. (Ed.), Advances
in experimental social
psychology (Vol. 221, pp. 211–244). Academic Press.
Pennebaker, J. W. (1997). Writing
about emotional experiences as a therapeutic process. Psychological
Science, 8(3), 162–166.
Pennebaker, J. W. (2004). Theories,
therapies, and taxpayers: On the complexities of the expressive writing paradigm. Clinical
Psychology: Science and
Practice, 11(2), 138–142.
Pennebaker, J. W., & Beall, S. K. (1986). Confronting
a traumatic event: toward an understanding of inhibition and disease. Journal of Abnormal
Psychology, 95(3), 274–281.
Pennebaker, J. W., & Chung, C. K. (2011). Expressive
writing: connections to physical and mental health. In H. S. Friendman. (Ed.), The
Oxford handbook of health
psychology (pp. 417–437). Oxford Univ. Press
Pennebaker, J. W., Francis, M. E., & Booth, R. J. (2003). Linguistic
inquiry and word count: LIWC2001 manual. Erlbaum Publishers.
Pennebaker, J. W., & Seagal, J. D. (1999). Forming
a story: The health benefits of narrative. Journal of Clinical
Psychology, 55(10), 1243–1254.
Polanyi, L. (1979). So
what’s the
point? Semiotics 25 (3–4), 207–241.
Ravid, D., & Berman, R. A. (2006). Information
density in the development of spoken and written narratives in English and Hebrew. Discourse
Processes, 41(2), 117–149.
Reese, E., Haden, C. A., Baker-Ward, L., Bauer, P., Fivush, R., & Ornstein, P. A. (2011). Coherence
of personal narratives across the lifespan: A multidimensional model. Journal of Cognition and
Development, 121, 424–462.
Rice, L. N. (1974). The
evocative function of the therapist. In D. A. Waxler & L. N. Rice. (Eds.), Innovations
in client-centered
therapy (pp. 289–311). John Wiley & Sons Inc.
Rude, S., Gortner, E. M., & Pennebaker, J. (2004). Language
use of depressed and depression-vulnerable college students. Cognition &
Emotion, 181, 1121–1133.
Rude, S. S., & Haner, M. L. (2018). Individual
differences matter: Commentary on “Effects of expressive writing on depressive symptoms – A
meta-analysis.” Clinical Psychology: Science and
Practice, 251, p.e12230.
Sabo Mordechay, D., Nir, B., & Eviatar, Z. (2019). Expressive
writing-Who is it good for? Individual differences in the improvement of mental health resulting from expressive
writing. Complementary therapies in clinical
practice, 371, 115–121.
Schroder, H. S., Moran, T. P., & Moser, J. S. (2018). The
effect of expressive writing on the error-related negativity among individuals with chronic
worry. Psychophysiology, 55(2), e12990.
Shen, L., Yang, L., Zhang, J., & Zhang, M. (2018). Benefits
of expressive writing in reducing test anxiety: A randomized controlled trial in Chinese
samples. Plos
One, 13(2), e0191779.
Sloan, D. M., & Marx, B. P. (2004a). A
closer examination of the written disclosure paradigm. Journal of Consulting and Clinical
Psychology, 721, 165–175.
Sloan, D. M., & Marx, B. P. (2004b). Taking
pen to hand: Evaluating theories underlying the written disclosure paradigm. Clinical
Psychology: Science and
Practice, 111, 121–137.
Smyth, J. M., & Pennebaker, J. W. (2008). Exploring
the boundary conditions of expressive writing: In search of the right recipe. British Journal
of Health
Psychology, 13(1), 1–7.
Smyth, J. M., True, N., & Souto, J. (2001). Effects
of writing about traumatic experiences: The necessity for narrative structuring. Journal of
Social and Clinical
Psychology, 201, 161–172.
Sundararajan, L., Kim, C., Reynolds, M., & Brewin, C. R. (2010). Language,
emotion, and health: A semiotic perspective on the writing
cure. In S. C. Hamel. (Ed.), Semiotics:
Theory and
applications (pp. 65–97). Nova Science.
Toolan, M. (1988). Narrative:
A critical linguistic introduction. Routledge.
Tuval-Mashiach, R. (2006). Where
is the story going? Narrative forms and identity construction in the life stories of Israeli men and
women. In D. P. McAdams, R. Josselson, & A. Lieblich. (Eds.), Identity
and story: Creating self in
narrative (pp. 249–268). American Psychological Association.
Tuval-Mashiach, R., Freedman, S., Bargai, N., Boker, R., Hadar, H., & Shalev, A. Y. (2004). Coping
with trauma: Narrative and cognitive perspectives. Psychiatry: Interpersonal and Biological
Processes, 67(3), 280–293.
Walsh, F. (2002). Bouncing
forward: Resilience in the aftermath of September 11. Family
Process 411, 34–36.
Waters, T. E., Shallcross, J. F., & Fivush, R. (2013). The
many facets of meaning making: Comparing multiple measures of meaning making and their relations to psychological
distress. Memory, 21(1), 111–124.
Wigren, J. (1994). Narrative
completion in the treatment of trauma. Psychotherapy: Theory, Research, Practice,
Training, 31(3), 415–423.
Zinken, J., Zinken, K., Wilson, J. C., Butler, L., & Skinner, T. (2010). Analysis
of syntax and word use to predict successful participation in guided self-help for anxiety and
depression. Psychiatry
Research, 179(2), 181–186.
Cited by (1)
Cited by one other publication
Azuaje, Gamar, Kongmeng Liew, Rebecca Buening, Wan Jou She, Panote Siriaraya, Shoko Wakamiya & Eiji Aramaki
2023.
Exploring the use of AI text-to-image generation to downregulate negative emotions in an expressive writing application.
Royal Society Open Science 10:1
This list is based on CrossRef data as of 20 september 2024. Please note that it may not be complete. Sources presented here have been supplied by the respective publishers.
Any errors therein should be reported to them.