Abstract
In the present chapter, we review the adverse effects of unforgiveness on physical health and develop an integrative conceptual model involving precursors as well as mechanisms that may function as a foundation for future empirical investigations on forgiveness and its influence on health. This model suggests that a forgiving personality, positive religious coping experiences, and age all impact the likelihood of a person to forgive. From there, we suggest that this forgiveness leads to decreased negative experiences, decreased risky health behaviors and unhealthy coping mechanisms, increased positive experiences, increased relational well-being, and increased spiritual well-being. These serve as mechanisms between forgiveness and better mental health and well-being, as well as between forgiveness and decreased physiological risk factors. These two factors combine and contribute to better physical health outcomes. We conclude with an agenda for future research in light of this model.
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References
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*Avery, C. M. (2008). The relationshipbetween self-forgiveness and health: Mediating variables and implications for well-being. Dissertation Abstracts International, 69(3), 1939B.
Baskin, T. W., & Enright, R. D. (2004). Intervention studies on forgiveness: A meta analysis. Journal of Counseling and Development, 82, 79–90.
*Berry, J. W., & Worthington, E. L., Jr. (2001). Forgivingness, relationship quality, stress while imagining relationship events, and physical and mental health. Journal of Counseling Psychology, 48(4), 447–455.
Berry, J. W., Worthington, E. L., Jr., O’Connor, L. E., Parrott., L., III., & Wade, N. G. (2005). Forgivingness, vengeful rumination, and affective traits. Journal of Personality, 73(1), 183–225.
Booth-Kewley, S., & Friedman, H. S. (1987). Psychological predictors of heart disease: A quantitative review. Psychological Bulletin, 101(3), 343–362.
*Browne, P. E. (2009). Forgiveness therapy: A qualitative study of the forgiveness experience of people who have undergone forgiveness as a counseling intervention. Dissertation Abstracts International, 70(4), 2566B.
*Coates, D. (1997). The correlations of forgiveness of self, forgiveness of others, and hostility, depression, anxiety, self-esteem, life adaptation, and religiosity among female victims of domestic violence. Dissertation Abstracts International, 58(5), 2667B.
*Edmondson, K. A. (2005). Forgiveness and rumination: Their relationship and effects on psychological and physical health. Dissertation Abstracts International, 65(12), 6694B.
Enright, R. D., & Fitzgibbons, R. P. (2000). Helping clients forgive: An empirical guide for resolving anger and restoring hope. Washington, DC: American Psychological Association.
*Farrow, T. F. D., & Woodruff, P. W. R. (2005). Neuroimaging of forgivability. In E. L. Worthington, Jr. (Ed.), Handbook of forgiveness (pp. 259–272). New York, NY: Brunner-Routledge.
Fisher, M. L., & Exline, J. J. (2006). Self-forgiveness versus excusing: The roles of remorse, effort, and acceptance of responsibility. Self and Identity, 5(2), 127–146.
*Friedberg, J. P., Suchday, S., & Srinivas, V. S. (2009). Relationship between forgiveness and psychological indices in cardiac patients. International Journal of Behavioral Medicine, 16(3), 205–211.
*Green, M., DeCourville, N., & Sadava, S. (2012). Positive affect, negative affect, stress, and social support as mediators of the forgiveness-health relationship. Journal of Social Psychology, 152(3), 288–307.
Harrell, J., Hall, S., & Taliaferro, J. (2003). Physiological responses to racism and discrimination: An assessment of the evidence. American Journal of Public Health, 93, 243–248.
*Harris, A. H. S., & Thoresen, C. E. (2003). Strength-based health psychology: Counseling for total human health. In B. Walsh (Ed.), Counseling psychology and optimal human functioning (pp. 199–227). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
*Harris, A. H. S. & Thoresen, C. E. (2005). Forgiveness, unforgiveness, health, and disease. In E. L. Worthington, Jr. (Ed.), Handbook of forgiveness (pp. 321–334). New York, NY: Brunner-Routledge.
*Hernandez, D. H. (2006). Hostility, forgiveness, and cardiovascular reactivity to stress: Does forgiveness mediate or moderate the relation between hostility and cardiovascular reactivity to anger-eliciting laboratory experiences? Dissertation Abstracts International, 66(9), 5089B.
*Ingersoll-Dayton, B., Campbell, R., & Ha, J. (2009). Enhancing forgiveness: A group intervention for the elderly. Journal of Gerontological Social Work, 52(1), 2–16.
Krieger, N., & Sidney, S. (1996). Racial discrimination and blood pressure: The CARDIA study of young black and white adults. American Journal of Public Health, 86(10), 1370–1378.
*Lawler, K. A., Younger, J. W., Piferi, R. L., Jobe, R. L., Edmondson, K. A., & Jones, W. H. (2005). The unique effects of forgiveness on health: An exploration of pathways. Journal of Behavioral Medicine, 28(2), 157–167.
*Lawler-Row, K. A. (2010). Forgiveness as a mediator of the religiosity-health relationship. Psychology of Religion and Spirituality, 2(1), 1–16.
*Lawler-Row, K. A., Hyatt-Edwards, L., Wuenssch, K. L., & Karremans, J. C. (2011). Forgiveness and health: The role of attachment. Personal Relationships, 18(2), 170–183.
*Lawler-Row, K. A. & Piferi, R. L. (2006). The forgiving personality: Describing a life well lived? Personality and Individual Differences, 41(6), 1009–1020.
*Lawler-Row, K. A. & Reed, K. A. (2008). Forgiveness and health in women. In W. Malcolm, N. DeCourville, & K. Belicki (Eds.), Women’s reflections on the complexities of forgiveness (pp. 75–90). New York, NY: Routledge.
Lazarus, R. S. (1999). Stress and emotion: A new synthesis. New York, NY: Springer.
*Louden-Gerber, G. M. (2009). A group forgiveness intervention for adult male homeless individuals: Effects on forgiveness, rumination, and social connectedness. Dissertation Abstracts International, 69(12), 4640A.
Luskin, F. M. (2002). Forgive for good: A proven prescription for health and happiness. San Francisco, CA: Harper Collins.
*McCullough, M. E., & Worthington, E. L., Jr. (1994). Encouraging clients to forgive people who have hurt them: Review, critique, and research prospectus. Journal of Psychology and Theology, 22(1), 3–20.
*Moorhead, H. J. H., Gill, C., Minton, C. A. B., & Myers, J. E. (2012). Forgive and forget? forgiveness, personality, and wellness among counselors-in-training. Counseling and values, 57(1), 81–95.
*Pargament, K. I., Koenig, H. G., & Perez, L. M. (2000). The many methods of religious coping: Development and initial validation of the R-COPE. Journal of Clinical Psychology, 56(4), 519–543.
*Porter, L. G. (2004). Personal narratives as reflections of identity and meaning: A study of betrayal, forgiveness, and health. Dissertation Abstracts International, 64(9), 4666B.
*Putnam, J. W. (2001). Revenge and forgiveness: Mutually exclusive or coexisting constructs? Dissertation Abstracts International, 61(8), 4424B.
*Quenstedt-Moe, G., & Popkess, S. (2014). Forgiveness and health in Christian women. Journal of Religion and Health, 53(1), 204–216.
*Rashid, T. (2004). Enhancing strengths through the teaching of positive psychology. Dissertation Abstracts International, 64(12), 6339B.
*Root, L. M., & McCullough, M. E. (2007). Low-cost interventions for promoting forgiveness. In L. L’Abate (Ed.), Low-cost approaches to promote physical and mental health: Theory, research, and practice (pp. 415–434). New York, NY: Springer.
Seybold, K. S., Hill, P. C., Neumann, J. K., & Chi, D. S. (2001). Physiological and psychological correlates of forgiveness. Journal of Psychology and Christianity, 203(3), 250–259.
*Standard, S. (2004). Effects of a forgiveness intervention on salivary cortisol, DHEA, and psychological variables. Dissertation Abstracts International, 65(4), 2114B.
Strelan, P., & Covic, T. (2006). A review of forgiveness process models and a coping framework to guide future research. Journal of Social and Clinical Psychology, 25(10), 1059–1085.
*Tabak, B. A., & McCullough, M. E. (2011). Perceived transgressor agreeableness decreases cortisol response and increases forgiveness following recent interpersonal transgressions. Biological Psychology, 87(3), 386–392.
*Thoreson, C. E., Harris, A. H. S., & Luskin, F. (2000). Forgiveness and health: An unanswered question. In M. E. McCullough, K. L. Pargament, & C. E. Thoreson (Eds.), Forgiveness: Theory, research, and practice (pp. 254–280). New York, NY: Guilford Press.
*Toussaint, L. L., & Webb, J. R. (2005). Theoretical and empirical connections between forgiveness, mental health, and well-being. In E. L. Worthington, Jr. (Ed.), Handbook of forgiveness (pp. 349–362). New York, NY: Brunner-Routledge.
*Toussaint, L. L., Williams, D. R., Musick, M. A., & Everson, S. A. (2001). Forgiveness and health: Age differences in a U.S. probability sample. Journal of Adult Development, 8(4), 249–257.
*Tsuang, M. T., Eaves, L., Nir T., Jerskey, B. A., & Lyons, M. J. (2005). Genetic influences on forgiving. In E. L. Worthington, Jr. (Ed.), Handbook of forgiveness (pp. 245–258). New York, NY: Brunner-Routledge.
*Turesky, D. G., & Schultz, J. M. (2010). Spirituality among older adults: An exploration of the developmental context, impact on mental and physical health, and integration into counseling. Journal of Religion, Spirituality & Aging, 22(3), 162–179.
*Turner, P. J. (2009). Impact of PATTS group intervention on forgiveness in children. Dissertation Abstracts International, 70(5), 3190B.
Wade, N. G., Worthington, E. L., Jr., & Meyer, J. E. (2005). But do they work? A meta-analysis of group interventions to promote forgiveness. In E. L. Worthington Jr. (Ed.), Handbook of forgiveness (pp. 423–439). New York, NY: Brunner-Routledge.
*Webb, J. R. (2003). Spiritual factors and adjustment in medical rehabilitation: Understanding forgiveness as a means of coping. Journal of Applied Rehabilitation Counseling, 34(3), 16–24.
*Webb, J. R., & Brewer, K. (2010). Forgiveness, health, and problematic drinking among college students in Southern Appalachia. Journal of Health Psychology, 15(8), 1257–1266.
*Witvliet, C. V. O. (2005). Unforgiveness, forgiveness, and justice: Scientific findings on feelings and physiology. In E. L. Worthington, Jr. (Ed.), Handbook of forgiveness (pp. 305–320). New York, NY: Brunner-Routledge.
Witvliet, C. V. O., Ludwig, T. E., & Vander Laan, K. L. (2001). Granting forgiveness or harboring grudges: Implications for emotions, physiology, and health. Psychological Science, 12, 117–123.
*Witvliet, C. V. O., Phipps, K. A., Feldman, M. E., & Beckham, J. C. (2004). Posttraumatic mental and physical health correlates of forgiveness and religious coping in military veterans. Journal of Traumatic Stress, 17(3), 269–273.
World Health Organization. (1948). Definition of health. Preamble to the constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June, 1946; signed on 22 July, 1946 by the representatives of 61 States (official records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
Worthington, E. L, Jr. (2003). Forgiving and reconciling: Bridges to wholeness and hope. Downers Grove, IL: Intervarsity Press.
Worthington, E. L., Jr. (2006). Forgiveness and reconciliation: Theory and application. New York, NY: Routledge.
Worthington, E. L., Jr. (2013). Moving forward: Six steps to forgiving yourself and breaking free from the past. Colorado Springs, CO: WaterBrook Multnomah.
Worthington, E. L., Jr., Berry, J. W., & Parrott, L., III. (2001). Unforgiveness, forgiveness, religion, and health. In T. G. Plante & A. C. Sherman (Eds.), Faith and health: Psychological perspectives (pp. 107–138). New York, NY: Guilford Press.
Worthington, E. L., Jr., Lavelock, C. R., Witvliet, C. V. O., Rye, M. S., Tsang, J., & Toussaint, L. (2014). Measures of forgiveness. In G. J. Boyle & D.H. Saklofske (Eds.), Measures of personality and social psychological constructs (pp. 474–502). New York, NY: Elsevier Academic Press.
Worthington, E. L., Jr., & Scherer, M. (2004). Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: Theory, review, and hypotheses. Psychology & Health, 19, 385–405.
Worthington, E. L., Jr., & Sotoohi, G. (2010). Physiological assessment of forgiveness, grudges, and revenge: Theories, research methods, and implications. International Journal of Psychology Research, 5(3/4), 291–316.
Worthington, E. L., Jr., Witvliet, C. V. O., Pietrini, P., & Miller, A. J. (2007). Forgiveness, health, and well-being: A review of evidence for emotional versus decisional forgiveness, dispositional forgivingness, and reduced unforgiveness. Journal of Behavioral Medicine, 30(4), 291–302.
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Lavelock, C.R. et al. (2015). A Conceptual Model of Forgiveness and Health. In: Toussaint, L., Worthington, E., Williams, D. (eds) Forgiveness and Health. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9993-5_3
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