Sex Roles

, Volume 63, Issue 3–4, pp 149–164 | Cite as

Who Benefits from Pennebaker’s Expressive Writing Paradigm? Research Recommendations from Three Gender Theories

  • Lillian M. Range
  • Sharon Rae Jenkins
Feminist Forum


Pennebaker’s experimental writing paradigm quantifies who, when, and how people benefit from writing about trauma, but researchers and meta-analyses thus far have rarely considered gender. Gender theories specify useful research strategies. Gender schema theory suggests examining gendered measurement biases, gender-relevant writing content, and whether traditional masculinity predicts benefits. Social role theory suggests assessing physician visits, disclosure history, and privacy as possible moderators of benefits. Socialization theory suggests assessing emotional approach coping, imagined readers, alexithymia, and whether mastery instructions influence benefits. All specify measuring functionally related gender constructs (gender schemas, gender roles, and socialization), asking whether gender proxies co-varying moderators and mediators of benefits, and examining possible linkages between benefits, trauma type, and disclosure. Help-seeking and somatization require integrated theoretical approaches.


Gender schema Gender role Gender socialization Expressive writing Pennebaker 


  1. Alexander, D., & Klein, S. (2001). Ambulance personnel and critical incidents: Impact of accident and emergency work on mental health and emotional well-being. British Journal of Psychiatry, 178, 76–81.CrossRefPubMedGoogle Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: American Psychiatric Association.Google Scholar
  3. Ames, S. C., Patten, C. A., Werch, C. E., Schroeder, D. R., Stevens, S. R., Fredrickson, P. A., et al. (2007). Expressive writing as a smoking cessation treatment adjunct for young adult smokers. Nicotine & Tobacco Research, 9, 185–194.CrossRefGoogle Scholar
  4. Antal, H. M., & Range, L. M. (2005). Psychological impact of writing about abuse or positive experiences. Violence and Victims, 20, 717–728.CrossRefPubMedGoogle Scholar
  5. Aries, E. (1996). Men and women in interaction: Reconsidering the differences. New York: Oxford University Press.Google Scholar
  6. Atkinson, J., & Huston, T. (1984). Sex role orientation and division of labor early in marriage. Journal of Personality and Social Psychology, 46, 330–345.CrossRefGoogle Scholar
  7. Baikie, K. A. (2008). Who does expressive writing work for? Examination of alexithymia, splitting, and repressive coping style as moderators of the expressive writing paradigm. British Journal of Health Psychology, 13, 61–66.CrossRefPubMedGoogle Scholar
  8. Bakan, D. (1966). The duality of human existence: Isolation and communion in Western man. Boston: Beacon.Google Scholar
  9. Barron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.CrossRefGoogle Scholar
  10. Batten, S., Follette, V., Hall, M., & Palm, K. (2002). Physical and psychological effects of written disclosure among sexual abuse survivors. Behavior Therapy, 33, 107–122.CrossRefGoogle Scholar
  11. Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155–162.CrossRefPubMedGoogle Scholar
  12. Bem, S. L. (1984). Androgyny and gender schema theory: A conceptual and empirical integration. Nebraska Symposium on Motivation, 32, 179–226.PubMedGoogle Scholar
  13. Bem, S. L., Martyna, W., & Watson, C. (1976). Sex typing and androgyny: Further explorations of the expressive domain. Journal of Personality and Social Psychology, 34, 1016–23.CrossRefPubMedGoogle Scholar
  14. Berzins, J. I., Welling, M. A., & Wetter, R. E. (1978). A new measure of psychological androgyny based on Personality Research Form. Journal of Consulting and Clinical Psychology, 46, 126–138.CrossRefPubMedGoogle Scholar
  15. Blazina, C., Eddins, R., & Burridge, A. (2007). The relationship between masculinity ideology, loneliness, and separation-individuation difficulties. Journal of Men’s Studies, 15, 101–109.CrossRefGoogle Scholar
  16. Bornstein, R. F. (1995). Sex differences in objective and projective dependency tests: A meta-analytic review. Assessment, 2, 319–331.CrossRefGoogle Scholar
  17. Bornstein, R., Bowers, K., & Bonner, S. (1996). Effects of induced mood states on objective and projective dependency scores. Journal of Personality Assessment, 67, 324–340.CrossRefPubMedGoogle Scholar
  18. Boyatzis, R. E. (1998). Transforming qualitative information: Thematic analysis and code development. Thousand Oaks: Sage.Google Scholar
  19. Burn, S. M. (1996). The social psychology of gender. New York: McGraw-Hill.Google Scholar
  20. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.CrossRefPubMedGoogle Scholar
  21. Cournoyer, R. J., & Mahalik, J. K. (1995). Cross-sectional study of gender role conflict examining college-aged and middle-aged men. Journal of Counseling Psychology, 42, 11–19.CrossRefGoogle Scholar
  22. Cwikel, J., Zilber, N., Feinson, M., & Lerner, Y. (2008). Prevalence and risk factors of threshold and sub-threshold psychiatric disorders in primary care. Social Psychiatry and Psychiatric Epidemiology, 43, 184–191.CrossRefPubMedGoogle Scholar
  23. Danoff-Burg, S., Agee, J. D., Romanoff, N. R., Kremer, J. M., & Strosberg, J. M. (2006). Benefit finding and expressive writing in adults with lupus or rheumatoid arthritis. Psychology and Health, 21, 651–665.CrossRefGoogle Scholar
  24. Deters, P., & Range, L. M. (2003). Does writing reduce PTSD symptoms? Violence and Victims, 18, 569–580.CrossRefPubMedGoogle Scholar
  25. Duncan, E., Gidron, Y., Rabin, E., Gouchberg, L., Moser, A. M., & Kapelushnik, J. (2007). The effects of guided written disclosure on psychological symptoms among parents of children with cancer. Journal of Family Nursing, 13, 370–384.CrossRefPubMedGoogle Scholar
  26. Eagly, A. H. (1987). Sex differences in social behavior: A social-role interpretation. Hillsdale: Erlbaum.Google Scholar
  27. Eagly, A., & Karau, S. (2002). Role congruity theory of prejudice toward female leaders. Psychological Review, 109, 573–598.CrossRefPubMedGoogle Scholar
  28. Eisler, R. M., Skidmore, J. R., & Ward, C. H. (1988). Masculine gender-role stress: Predictor of anger, anxiety, and health-risk behaviors. Journal of Personality Assessment, 52, 133–141.CrossRefPubMedGoogle Scholar
  29. Feiring, C., Simon, V., & Cleland, C. (2009). Childhood sexual abuse, stigmatization, internalizing symptoms, and the development of sexual difficulties and dating aggression. Journal of Consulting and Clinical Psychology, 77, 127–137.CrossRefPubMedGoogle Scholar
  30. Fernández, I., & Páez, D. (2008). The benefits of expressive writing after the Madrid terrorist attack: Implications for emotional activation and positive affect. British Journal of Health Psychology, 13(Pt 1), 31–34.CrossRefPubMedGoogle Scholar
  31. Francis, M. E., & Pennebaker, J. W. (1992). Putting stress into words: The impact of writing on physiological, absentee, and self-reported emotional well-being measures. American Journal of Health Promotion, 6, 280–286.PubMedGoogle Scholar
  32. Frattaroli, J. (2006). Experimental disclosure and its moderators: A meta-analysis. Psychological Bulletin, 132, 823–865.CrossRefPubMedGoogle Scholar
  33. Frayne, A., & Wade, T. D. (2006). A comparison of written emotional expression and planning with respect to bulimic symptoms and associated psychopathology. European Eating Disorders Review, 14, 329–340.CrossRefGoogle Scholar
  34. Gallagher, P., & Maclachlan, M. (2002). Evaluating a written emotional disclosure homework intervention for lower-limb amputees. Archives of Physical Medicine and Rehabilitation, 83, 1464–1466.CrossRefPubMedGoogle Scholar
  35. Gidron, Y., Peri, T., Connolly, J. F., & Shalev, A. Y. (1996). Written disclosure in posttraumatic stress disorder: Is it beneficial for the patient? Journal of Nervous and Mental Disease, 184, 505–507.CrossRefPubMedGoogle Scholar
  36. González-Morales, M. G., Peiró, J. M., Rodríguez, I., & Greenglass, E. R. (2006). Coping and distress in organizations: The role of gender in work stress. International Journal of Stress Management, 13, 228–248.CrossRefGoogle Scholar
  37. Graf, M. C., Gaudiano, B. A., & Geller, P. A. (2008). Written emotional disclosure: A controlled study of the benefits of expressive writing homework in outpatient psychotherapy. Psychotherapy Research, 18, 389–399.CrossRefPubMedGoogle Scholar
  38. Greenberg, M. A., & Stone, A. A. (1992). Emotional disclosure about traumas and its relation to health: Effects of previous disclosure and trauma severity. Journal of Personality and Social Psychology, 63, 75–84.CrossRefPubMedGoogle Scholar
  39. Greenberg, M. A., Wortman, C. B., & Stone, A. A. (1996). Emotional expression and physical health: Revising traumatic memories or fostering self-regulation? Journal of Personality and Social Psychology, 71, 588–602.CrossRefPubMedGoogle Scholar
  40. Guastella, A. J., & Dadds, M. R. (2006). Cognitive-behavioral models of emotional writing: A validation study. Cognitive Therapy and Research, 30, 397–414.CrossRefGoogle Scholar
  41. Harris, A. (2006). Does expressive writing reduce health care utilization? A metaanalysis of randomized trials. Journal of Consulting and Clinical Psychology, 74, 243–252.CrossRefPubMedGoogle Scholar
  42. Harris, A. H., Thoresen, C. E., Humphreys, K., & Faul, J. (2005). Does writing affect asthma? A randomized trial. Psychosomatic Medicine, 67, 130–136.CrossRefPubMedGoogle Scholar
  43. Jakupcak, M., Salters, K., Gratz, K. L., & Roemer, L. (2003). Masculinity and emotionality: An investigation of men’s primary and secondary emotional responding. Sex Roles, 49, 111–120.CrossRefGoogle Scholar
  44. Jenkins, S. R. (2010). Gender differences. In I. B. Weiner & E. Craighead (Eds.), Encyclopedia of psychology. Hoboken: Wiley. (in press).Google Scholar
  45. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. (1995). Archives of General Psychiatry, 52, 1048–1060.PubMedGoogle Scholar
  46. Kilmartin, C. T. (1994). The masculine self. New York: Macmillan.Google Scholar
  47. Kim, Y. (2008). Effects of expressive writing among bilinguals: Exploring psychological well-being and social behaviour. British Journal of Health Psychology, 13(Pt 1), 43–47.CrossRefPubMedGoogle Scholar
  48. Klest, B., & Freyd, J. J. (2007). Global ratings of essays about trauma: Development of the GREAT code, and correlations with physical and mental health outcomes. Journal of Psychological Trauma, 6, 1–20.CrossRefGoogle Scholar
  49. Kovac, S. H., & Range, L. M. (2000). Writing projects: Lessening undergraduates’ unique suicidal bereavement. Suicide & Life-Threatening Behavior, 30, 50–60.Google Scholar
  50. Kovac, S. H., & Range, L. M. (2002). Does writing about suicidal thoughts and feelings reduce them? Suicide and Life-Threatening Behavior, 32, 428–441.CrossRefPubMedGoogle Scholar
  51. Ladwig, K., Marten-Mittag, B., Erazo, N., & Gündel, H. (2001). Identifying somatization disorder in a population-based health examination survey: Psychosocial burden and gender differences. Psychosomatics: Journal of Consultation Liaison Psychiatry, 42, 511–518.Google Scholar
  52. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
  53. Lepore, S. J. (1997). Expressive writing moderates the relation between intrusive thoughts and depressive symptoms. Journal of Personality and Social Psychology, 73, 1030–1037.CrossRefPubMedGoogle Scholar
  54. Lepore, S. J., & Smyth, J. M. (2002). The writing cure. Washington, DC: American Psychological Association.Google Scholar
  55. Liben, L. S., & Bigler, R. S. (2002). The developmental course of gender differentiation. Monographs of the Society for Research in Child Development, 67 (2, Serial no. 269).Google Scholar
  56. Lumley, M. A., Neely, L. C., & Burger, A. J. (2007). The assessment of alexithymia in medical settings: Implications for understanding and treating health problems. Journal of Personality Assessment, 89, 230–246.PubMedGoogle Scholar
  57. Lytton, H., & Romney, D. M. (1991). Parents’ differential socialization of boys and girls: A meta-analysis. Psychological Bulletin, 109, 267–296.CrossRefGoogle Scholar
  58. Maccoby, E. E. (1990). Gender and relationships: A developmental account. American Psychologist, 45, 513–520.CrossRefPubMedGoogle Scholar
  59. Mahalik, J. R., Good, G. E., & Englar-Carlson, M. (2003). Masculinity scripts, presenting concerns, and help seeking: Implications for practice and training. Professional Psychology: Research and Practice, 34, 123–131.CrossRefGoogle Scholar
  60. Mansfield, A. K., Addis, M. E., & Courtenay, W. (2005). Measurement of men’s help seeking: Development and evaluation of the Barriers to Help Seeking Scale. Psychology of Men and Masculinity, 6, 95–108.CrossRefGoogle Scholar
  61. Masling, J., Rabie, L., & Blondheim, S. (1967). Obesity, level of aspiration, and Rorschach and TAT levels of dependence. Journal of Consulting Psychology, 31, 233–239.CrossRefPubMedGoogle Scholar
  62. McKay, J. R., Rutherford, M. J., Cacciola, J. S., & Kabaskalian-McKay, R. (1996). Gender differences in the relapse experiences of cocaine patients. Journal of Nervous and Mental Disease, 184, 616–622.CrossRefPubMedGoogle Scholar
  63. Meads, C., & Nouwen, A. (2005). Does emotional disclosure have any effects? A systematic review of the literature with meta-analyses. International Journal of Technology Assessment in Health Care, 21, 153–164.PubMedGoogle Scholar
  64. Mitchell, J. T., & Everly, G. S. (2000). Critical incident stress management and critical incident stress debriefing: Evolutions, effects, and outcomes. In B. Raphael & J. P. Wilson (Eds.), Psychological debriefing: Theory, practice, and evidence (pp. 71–90). Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  65. Neff, L., & Karney, B. (2005). Gender differences in social support: A question of skill or responsiveness? Journal of Personality and Social Psychology, 88, 79–90.CrossRefPubMedGoogle Scholar
  66. Nemeroff, C. B., Bremner, J. D., Foa, E. B., Mayberg, H. S., North, C. S., & Stein, M. B. (2006). Posttraumatic stress disorder: A state-of-the-science review. Journal of Psychiatric Research, 40, 1–21.CrossRefPubMedGoogle Scholar
  67. O’Neil, J., Helms, B., Gable, R., David, L., & Wrightsman, L. (1986). The gender role conflict scale: College men’s fear of femininity. Sex Roles, 14, 335–350.Google Scholar
  68. Padesky, C. A., & Hammen, C. L. (1981). Sex differences in depressive symptom expression and help seeking among college students. Sex Roles, 7, 309–320.CrossRefGoogle Scholar
  69. Páez, D., Velasco, C., & González, J. L. (1999). Expressive writing and the role of alexythimia as a dispositional deficit in self-disclosure and psychological health. Journal of Personality and Social Psychology, 77, 630–641.CrossRefPubMedGoogle Scholar
  70. Pennebaker, J. W. (1993). Putting stress into words: Health, linguistic, and therapeutic implications. Behaviour Research and Therapy, 31, 539–548.CrossRefPubMedGoogle Scholar
  71. Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95, 274–281.CrossRefPubMedGoogle Scholar
  72. Pennebaker, J. W., & Francis, M. E. (1996). Cognitive, emotional, and language processes in disclosure. Cognition and Emotion, 10, 601–626.CrossRefGoogle Scholar
  73. Pennebaker, J. W., Kiecolt-Glaser, J. K., & Glaser, R. (1988). Disclosure of traumas and immune function: Health implications for psychotherapy. Journal of Consulting and Clinical Psychology, 56, 239–245.CrossRefPubMedGoogle Scholar
  74. Pennebaker, J. W., Colder, M., & Sharp, L. K. (1990). Accelerating the coping process. Journal of Personality and Social Psychology, 58, 528–537.CrossRefPubMedGoogle Scholar
  75. Range, L. M., & Kovac, S. H. (2002). Can writing autobiographical essays lessen suicidal thinking? Archives of Suicide Research, 6, 373–382.CrossRefGoogle Scholar
  76. Range, L. M., Kovac, S. H., & Marion, M. (2000). Does writing about the bereavement lessen grief following sudden, unintentional death? Death Studies, 24, 1–19.CrossRefGoogle Scholar
  77. Richards, J. M., Beal, W. E., Seagal, J. D., & Pennebaker, J. W. (2000). Effects of disclosure of traumatic events on illness behavior among psychiatric prison inmates. Journal of Abnormal Psychology, 109, 156–160.CrossRefPubMedGoogle Scholar
  78. Rosenberg, H. J., Rosenberg, S. D., Ernstoff, M. S., Wolford, G. L., Amdur, R. J., Elshamy, M. R., et al. (2002). Expressive disclosure and health outcomes in a prostate cancer population. International Journal of Psychiatry in Medicine, 32, 37–53.CrossRefPubMedGoogle Scholar
  79. Rueger, S., Malecki, C., & Demaray, M. (2008). Gender differences in the relationship between perceived social support and student adjustment during early adolescence. School Psychology Quarterly, 23, 496–514.CrossRefGoogle Scholar
  80. Sandnabba, N. K., & Ahlberg, C. (1999). Parents’ attitudes and expectations about children’s cross-gender behavior. Sex Roles, 40, 249–263.CrossRefGoogle Scholar
  81. Smyth, J. M. (1998). Written emotional expression: Effect sizes, outcome types, and moderating variables. Journal of Consulting and Clinical Psychology, 66, 174–184.CrossRefPubMedGoogle Scholar
  82. Smyth, J., & Pennebaker, J. (2008). Exploring the boundary conditions of expressive writing: In search of the right recipe. British Journal of Health Psychology, 13, 1–7.CrossRefPubMedGoogle Scholar
  83. Smyth, J., Stone, A., Hurewitz, A., & Kaell, A. (1999). Effects of writing about stressful experiences on symptom reduction in patients with asthma or rheumatoid arthritis: A randomized trial. Journal of the American Medical Association, 281, 1304–1309.CrossRefPubMedGoogle Scholar
  84. Solano, L., Pepe, L., Donati, V., Persichetti, S., Laudani, G., & Colaci, A. (2007). Differential health effects of written processing of the experience of a surgical operation in high and low risk conditions. Journal of Clinical Psychology, 63, 357–369.CrossRefPubMedGoogle Scholar
  85. Spence, J., & Hall, S. (1996). Children’s gender-related self-perceptions, activity preferences, and occupational stereotypes: A test of three models of gender constructs. Sex Roles, 35, 659–692.CrossRefGoogle Scholar
  86. Spence, J. T., Helmreich, R., & Stapp, J. (1975). Ratings of self and peers on sex role attributes and their relation to self-esteem and conceptions of masculinity and femininity. Journal of Personality and Social Psychology, 32, 29–39.CrossRefPubMedGoogle Scholar
  87. Spera, S. P., Buhrfeind, E. D., & Pennebaker, J. W. (1994). Expressive writing and coping with job loss. Academy of Management Journal, 37, 722–733.CrossRefGoogle Scholar
  88. Stanton, A. L., Danoff-Burg, S., Cameron, C. L., & Ellis, A. P. (1994). Coping through emotional approach: Problems of conceptualization and confounding. Journal of Personality and Social Psychology, 66, 350–362.CrossRefPubMedGoogle Scholar
  89. Stanton, A., Danoff-Burg, S., Cameron, C., Bishop, M., Collins, C., Kirk, S., et al. (2000a). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68, 875–882.CrossRefGoogle Scholar
  90. Stanton, A. L., Kirk, S. B., Cameron, C. L., & Danoff-Burg, S. (2000b). Coping through emotional approach: Scale construction and validation. Journal of Personality and Social Psychology, 78, 1150–1169.CrossRefGoogle Scholar
  91. Stein, M., & Barrett-Connor, E. (2000). Sexual assault and physical health: Findings from a population-based study of older adults. Psychosomatic Medicine, 62, 838–843.PubMedGoogle Scholar
  92. Stewart, A., & Salt, P. (1981). Life stress, life-styles, depression, and illness in adult women. Journal of Personality and Social Psychology, 40, 1063–1069.CrossRefPubMedGoogle Scholar
  93. Stroebe, M., Stroebe, W., Schut, H., Zech, E., & van den Bout, J. (2002). Does disclosure of emotions facilitate recovery from bereavement? Evidence from two prospective studies. Journal of Consulting and Clinical Psychology, 70, 169–178.CrossRefPubMedGoogle Scholar
  94. Swanbon, T., Boyce, L., & Greenberg, M. A. (2008). Expressive writing reduces avoidance and somatic complaints in a community sample with constraints on expression. British Journal of Health Psychology, 13, 53–56.CrossRefPubMedGoogle Scholar
  95. Tenenbaum, H., & Leaper, C. (2002). Are parents’ gender schemas related to their children’s gender-related cognitions? A meta-analysis. Developmental Psychology, 38, 615–630.CrossRefPubMedGoogle Scholar
  96. Thoits, P. (1991). Patterns in coping with controllable and uncontrolable events. In E. M. Cummings, A. L. Greene, & K. H. Karraker (Eds.), Life-span developmental psychology: Perspectives on stress and coping (pp. 235–258). Hillsdale: Erlbaum.Google Scholar
  97. Thom, B. (1986). Sex differences in help seeking for alcohol problems: The barriers to help seeking. British Journal of Addiction, 81, 777–788.CrossRefPubMedGoogle Scholar
  98. Tudiver, F., & Talbot, Y. (1999). Why don’t men seek help? Family physicians’ perspectives on help-seeking behavior in men. Journal of Family Practice, 48, 47–52.PubMedGoogle Scholar
  99. Twenge, J. M. (1999). Mapping gender: The multifactorial approach and the organization of gender-related attributes. Psychology of Women Quarterly, 23, 485–502.CrossRefGoogle Scholar
  100. Vrij, A., Nunkoosing, K., Paterson, B., Oosterwegel, A., & Soukara, S. (2002). Characteristics of secrets and the frequency, reasons and effects of secrets keeping and disclosure. Journal of Community and Applied Social Psychology, 12, 56–70.CrossRefGoogle Scholar
  101. Weinman, J., Ebrecht, M., Scott, S., Walburn, J., & Dyson, M. (2008). Enhanced wound healing after emotional disclosure intervention. British Journal of Health Psychology, 13, 95–102.CrossRefPubMedGoogle Scholar
  102. Zuriff, G. E. (2006). Judgments of similarity are psychological: The importance of importance. American Psychologist, 61, 641.CrossRefPubMedGoogle Scholar

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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Our Lady of Holy Cross CollegeNew OrleansUSA
  2. 2.University of North TexasDentonUSA

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