Forgiveness Therapy and forgiveness interventions developed by Dr. Robert Enright are being embraced in a just-released study as promising tools for effectively dealing with what the study calls a “major public health crisis.”
Researchers at the Laureate Institute for Brain Research (Tulsa, OK) have teamed up with those at Stanford University (Stanford, CA) to study the life-long adverse impacts of Early Life Adversity (ELA). The study is titled “Is There an Ace Up Our Sleeve? A Review of Interventions and Strategies for Addressing Behavioral and Neurobiological Effects of Adverse Childhood Experiences in Youth.” It was published just five days ago, March 13, 2020, in the empirical journal Adversity and Resilience Science.
- emotional, physical, or sexual abuse;
- emotional or physical neglect;
- living in a household in which domestic violence occurs;
- growing up in household dealing with substance abuse or mental health problems;
- instability due to parental separation, divorce or incarceration;
- witnessing violence in the home; or,
- having a family member attempt suicide.
Any of those traumatic experiences can lead to what child development specialists call “toxic stress” if encountered by children without adequate adult support. Toxic stress can disrupt early brain development and compromise functioning of the nervous and immune systems. The more adverse experiences in childhood, the greater the likelihood of developmental delays and other problems that can cause life-long complications.
In fact, psychologists say, adults with more adverse experiences in early childhood are also more likely to have health problems including alcoholism, depression, heart disease, diabetes and other chronic diseases as well as impaired cognitive and social development. The report suggests that many adult diseases are, in fact, developmental disorders that begin early in life.
The new ELA publication describes and evaluates existing evidence-based interventions and their outcomes including Forgiveness Therapy. Three of Dr. Enright’s peer-reviewed empirical studies were examined and cited for achieving commendable outcomes compared to those of a control group:
- Female incest survivors (Freedman & Enright, 1996). Results: “significantly greater decrease in levels of depression and anxiety.”
- Women diagnosed with fibromyalgia who had experienced at least two ACEs in their childhood (Lee & Enright, 2014). Results: “increases in forgiveness toward their abuser, lower levels of state anger, and improvements in physical health related to their fibromyalgia symptoms.”
- Female Pakistani adolescents with histories of abuse (Rahman, Iftikhar, Kim & Enright, 2018). Results: Similar findings to the fibromyalgia study “suggesting that Forgiveness Therapy may uphold in a cross-cultural context.”
Those three intervention experiments by Dr. Enright and his research partners are the only Forgiveness Therapy examples cited in the 24-page ELA study that “have shown forgiveness therapy to be effective” in both physically and emotionally healthy ways. The ELA study also postulates that those interventions are effective because in Dr. Enright’s approach “the hypothesized mechanism behind forgiveness therapy involves cognitive restructuring of the abuser and events.”
Based on the evidence gather through this new ELA study, Forgiveness Therapy is one of the promising interventions for children who are experiencing toxic stress without appropriate support from parents or other concerned caregivers. That, they conclude, can help return a child’s stress response system back to normal while reducing negative mental and physical health outcomes later in life.
“Therefore, we conclude that they (Forgiveness Therapy interventions) are well-suited for and hold promise to exert immediate preventive and sustained changes in outcomes for maltreated youth.” – ELA study conclusion, March 13, 2020.
Why is this subject important? Why does it matter?
According to the World Health Organization, as many as 39% of children worldwide are estimated to experience one or more forms of early life adversity, placing a high economic burden on health-care systems—and society in general—through medical costs and lost productivity.
The mission of the Laureate Institute for Brain Research (LIBR) is to “develop novel therapeutics, cures and preventions to improve the well-being of persons who suffer from or are at risk for neuropsychiatric illness.” Dr. Namik Kirlic, the LIBR Principal Investigator for the ELA study, is a clinical psychologist who has devoted his professional life to studying ELA interventions and how to optimize their positive outcomes. Other team members for the ELA study include Zsofia Cohen (Dr. Kirlic’s Research Assistant) and Dr. Manpreet Singh, a psychiatrist and medical doctor at Stanford Health Care.
- Read the full, 24-page ELA study on Adverse Childhood Experiences.
- Learn more about Adverse Childhood Experiences on the Psychology Today website.
- Find out how toxic stress can have damaging effects on learning, behavior, and health across the lifespan at the Harvard University Center on the Developing Child.
- Read about Early Childhood Development on the U.S. Department of Health & Human Services Office of Early Childhood Development website.
Suppose you hurt your knee while running. Further suppose that you want to make an appointment at Sports Medicine to address the issue. Is this selfish? There is a large difference between being selfish (absorbed with yourself at the expense of others) and engaging in self-care (attending to your needs without neglecting others’ needs). Forgiving is good self-care. Our research shows a cause-and-effect relationship between learning to forgive and improvement in heart health for cardiac patients:
Waltman, M.A., Russell, D.C., Coyle, C.T., Enright, R.D., Holter, A.C., & Swoboda, C. (2009). The effects of a forgiveness intervention on patients with coronary artery disease. Psychology and Health, 24, 11-27.
Our research shows a cause-and-effect relationship between learning to forgive and improvement in fibromyalgia symptoms:
Lee, Y-R & Enright, R.D. (2014) A forgiveness intervention for women with fibromyalgia who were abused in childhood: A pilot study. Spirituality in Clinical Practice, 1, 203-217. doi: 10.1037/scp0000025.
A recent meta-analysis showed a statistically significant correlation between degree of forgiveness and a host of different physical issues:
Lee, Y.R. & Enright, R.D. (2019): A meta-analysis of the association between forgiveness of others and physical health. Psychology & Health, 34, 626-643.
So, yes, forgiving does seem advantageous for one’s physical health.
For additional information, see Forgiveness for Individuals.