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A Conceptual Model of Forgiveness and Health

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Forgiveness and Health

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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Notes

  1. 1.

    *indicates presence of reference in Supplemental Table.

References

*indicates presence of reference in Supplemental Table.

  • *Avery, C. M. (2008). The relationshipbetween self-forgiveness and health: Mediating variables and implications for well-being. Dissertation Abstracts International, 69(3), 1939B.

    Google Scholar 

  • Baskin, T. W., & Enright, R. D. (2004). Intervention studies on forgiveness: A meta analysis. Journal of Counseling and Development, 82, 79–90.

    Article  Google Scholar 

  • *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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Booth-Kewley, S., & Friedman, H. S. (1987). Psychological predictors of heart disease: A quantitative review. Psychological Bulletin, 101(3), 343–362.

    Article  PubMed  Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *Edmondson, K. A. (2005). Forgiveness and rumination: Their relationship and effects on psychological and physical health. Dissertation Abstracts International, 65(12), 6694B.

    Google Scholar 

  • Enright, R. D., & Fitzgibbons, R. P. (2000). Helping clients forgive: An empirical guide for resolving anger and restoring hope. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • *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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • *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.

    Google Scholar 

  • *Lawler-Row, K. A. (2010). Forgiveness as a mediator of the religiosity-health relationship. Psychology of Religion and Spirituality, 2(1), 1–16.

    Google Scholar 

  • *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.

    Google Scholar 

  • *Lawler-Row, K. A. & Piferi, R. L. (2006). The forgiving personality: Describing a life well lived? Personality and Individual Differences, 41(6), 1009–1020.

    Google Scholar 

  • *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.

    Google Scholar 

  • Lazarus, R. S. (1999). Stress and emotion: A new synthesis. New York, NY: Springer.

    Google Scholar 

  • *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.

    Google Scholar 

  • Luskin, F. M. (2002). Forgive for good: A proven prescription for health and happiness. San Francisco, CA: Harper Collins.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *Putnam, J. W. (2001). Revenge and forgiveness: Mutually exclusive or coexisting constructs? Dissertation Abstracts International, 61(8), 4424B.

    Google Scholar 

  • *Quenstedt-Moe, G., & Popkess, S. (2014). Forgiveness and health in Christian women. Journal of Religion and Health, 53(1), 204–216.

    Google Scholar 

  • *Rashid, T. (2004). Enhancing strengths through the teaching of positive psychology. Dissertation Abstracts International, 64(12), 6339B.

    Google Scholar 

  • *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.

    Google Scholar 

  • 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.

    Google Scholar 

  • *Standard, S. (2004). Effects of a forgiveness intervention on salivary cortisol, DHEA, and psychological variables. Dissertation Abstracts International, 65(4), 2114B.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *Turner, P. J. (2009). Impact of PATTS group intervention on forgiveness in children. Dissertation Abstracts International, 70(5), 3190B.

    Google Scholar 

  • 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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • *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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • *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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Worthington, E. L, Jr. (2003). Forgiving and reconciling: Bridges to wholeness and hope. Downers Grove, IL: Intervarsity Press.

    Google Scholar 

  • Worthington, E. L., Jr. (2006). Forgiveness and reconciliation: Theory and application. New York, NY: Routledge.

    Google Scholar 

  • Worthington, E. L., Jr. (2013). Moving forward: Six steps to forgiving yourself and breaking free from the past. Colorado Springs, CO: WaterBrook Multnomah.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

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Correspondence to Caroline R. Lavelock or Everett L. Worthington Jr. .

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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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