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Forgiveness in Mind, Body, and Spirit: Healing Emotional
Wounds and Health
Loren Toussaint, Ph.D.
Luther College
Top Ladies of Distinction
June 18, 2013
Defining Forgiveness
Releasing or letting go of negative affect, beliefs, or behaviors toward an offender
Development of positive affect, beliefs, or behaviors toward an offender
Dimensions of Forgiveness• Targets – Self, Others, and God• Methods – Offering, Feeling, and Seeking• State/Trait – Feeling or disposition
Toussaint & Webb (2005)
Our Working Definition
Trait forgiveness involves a tendency to offer, feel, or seek changes from negative to positive cognitions, behaviors, and affect pertaining to offenders that include oneself, others, and God.
State forgiveness involves a process of offering, feeling, or seeking a change from negative to positive cognitions, behaviors, and affect pertaining to specific offenses that are perceived to be perpetrated by oneself, others, or God.
Toussaint & Webb (2005)
What Forgiveness IS and IS NOT
Forgiveness IS Forgiveness IS NOT peace for you and not the offender taking back your power being responsible for how
you feel about your healing a trainable skill regaining emotional control a choice a difficult thing
reconciliation forgoing justice forgetting something painful condoning unkindness excusing poor behavior denying or minimizing your
hurt giving up having feelings about the person who hurt
you
Additional Issues
Decisional vs. emotional Social & cultural influences
Intrapersonal Interpersonal
Religious influences
Benefits of Forgiveness
Interpersonal relationships Social support
HealthMental Physical
HappinessBetter moodSatisfaction with life
BENEFITS OF FORGIVENESSGeneral Populations
MDD Dysth GAD Panic Soc Phob
Sp Phob Agora APD0.00.51.01.52.02.53.03.54.04.5
Yes to both unforgiveness items
Long time to forgive (yes)
Many people R cannot forgive (yes)
Mental Health Outcome
Odd
s R
atio
Net of sex, age, marital status, education, income, race, & anger
Forgiveness and Mental Health
MDD Dysth GAD Panic Soc Phob
Sp Phob Agora APD0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
Yes to both unforgiveness problems items
Problems b/c long time to forgive (yes)
Problems b/c many people R cannot forgive (yes)
Mental Health Outcome
Odd
s R
atio
Net of sex, age, marital status, education, income, race, & anger
Forgiveness and Mental Health
Respondent Diagnosed Physician Diagnosed0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
Yes to both unforgiveness items
Long time to forgive (yes)
Many people R cannot forgive (yes)
Odd
s R
atio
Net of sex, age, marital status, education, income, race, anger, & depression
Forgiveness and Heart Disease
Respondent Diagnosed Physician Diagnosed0.0
0.5
1.0
1.5
2.0
2.5
Yes to both unforgiveness problems items
Problems b/c long time to forgive (yes)
Problems b/c many people R cannot forgive (yes)
Odd
s R
atio
Net of sex, age, marital status, education, income, race, anger, & depression
Forgiveness and Heart Disease
Forgiveness, Mortality, and Mechanisms
Conditional Forgiveness
of OthersMortality
Depressive Affect
Physical Health
Depressive Somatic
Symptoms
.152***
.102***
.016
-.115***
.190+
-.549***
*Toussaint, L., Owen, A. D., & Cheadle, A. C. D. (online first) Forgive to live: Forgiveness, Health, and Longevity. Journal of Behavioral Medicine 10.1007/s10865-011-9362-4.
BENEFITS OF FORGIVENESSVulnerable Populations
Low Forgiveness Moderate Forgiveness
High Forgiveness.0
1.0
2.0
3.0
4.0
5.0
6.0
Suicide Risk
Others
Self
Ave
rage
Lev
el
Low Fo
rgiv
enes
s
Mod
erate
Forg
iven
ess
High F
orgi
vene
ss64.0
66.0
68.0
70.0
72.0
74.0
76.0
Shame and Guilt
Others
Self
Ave
rage
Lev
el
Forgiveness & Police Officers
Low Forgiveness Moderate Forgiveness
High Forgiveness.0
.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
Depression
Others
Self
Ave
rage
Lev
el
Low Forgiveness Moderate Forgiveness
High Forgiveness.0
.2
.4
.6
.8
1.0
1.2
1.4
1.6
Perceived Stress
Others
Self
Ave
rage
Lev
el
Low Forgiveness Moderate Forgiveness
High Forgiveness5.0
5.2
5.4
5.6
5.8
6.0
6.2
Social Support
Others
Self
Ave
rage
leve
l
Forgiveness & Police Officers, cont.
Forgiveness & College Students
College students: Vulnerable? Yes!
Forgiveness & College Students
TRIM* TFS DFS EFS* RFS*.000
.050
.100
.150
.200
.250
.300
.350
.400
.450
.500
ControlREACHFFG
Ave
rage
Cha
nge
(1 -
5 s
cale
)
REACH
FFG
Change in Forgiveness
Indirect Benefits of Training
Positive Traits
Trait Forgiveness
Perceived Stress
Gratitude
Forgiveness & AIDS
50 100 150 200 250 300 350 4000
10
20
30
40
50
60
Forgiveness
CD
4 P
erce
nt
Forgiveness & Fibromyalgia
Forgiveness & Fibromyalgia
Baseline 1-Week 2-Week 3-Week2.0
2.5
3.0
3.5
4.0
4.5
5.0
ForgivenessFibromyalgiaFatigue
Ave
rage
Lev
el
Forgiveness in Sierra Leone
Hard work in the classroom by teachers and students
And more hard work!!
Forgiveness in Sierra Leone
Benevolence Avoidance
-0.4
-0.2
0
0.2
0.4
0.6
0.8
Forgiveness Training Control
Adj
uste
d A
vera
ge C
hang
e P
re -
Pos
t In
terv
enti
on
Forgiveness in Sierra Leone
Negative Affect Satisfaction w/ Life
Gratitude Stress Depression0
1
2
3
4
5
6
7
Forgiveness Training
Control
Adj
uste
d A
vera
ge
A team effort
HOW TO OBTAIN THE BENEFITS OF FORGIVENESS
Four Approaches to Promoting ForgivenessEnright’ Forgiveness TherapyREACHForgive for GoodRelease!Restore
Enright’s Forgiveness Therapy
Uncovering Defenses Anger Shame
Decision Change of heart Consider forgiveness Commit
Work Reframe Empathy Context
Deepening Meaning Purpose Humility Universality
REACH Model
Recall Empathize Altruistic Commit Hold on
Forgive for Good Model
Gratitude and openness to beauty and bounty – focus on positive
Reframe/challenge unrealistic expectationsYou can’t make people treat you wellUnenforceable rules
Change victimization storyTaking things too personallyBlame game
Stress management
Gratitude, Beauty, Bounty, Focus on Positive
Simple techniques for living a more forgiving life
Release! Model
Narrative Therapy Prayer RET
Restore Model
Self-Forgiveness Acceptance Benefit-finding Commitment Key methods
Prayer Narrative therapy
Interpersonal
Stress
Intrapersonal
Stress
An Intervention Model
Unforgiveness Poor Health (e.g., cancer)
QOL
Forgivenessof Others
Forgivenessof Self
Questions about Forgiving Oneself Is it the best alternative?
Self-acceptanceNarcissism
How do you promote it appropriately? Why is it so important?
Review
What is forgiveness?Complex and multidimensional
What are its benefits?Social, health, well-being
How do you promote it?FT, REACH, FFG, Release!, Restore
Contact
Loren Toussaint Department of Psychology
Luther College700 College Dr.Decorah, IA 52101
[email protected] www.luther.edu/psychology/faculty/toussaint