Tagged: “resentment”

Forgiveness Interventions Help Depressed Adolescents Cope and Thrive

Ample research has shown that depression is a significant and growing problem for today’s adolescents.  Depression can impair a teenager’s cognitive functioning (i.e., thinking, reasoning, etc.), relationships with parents and peers, academic performance, and for cases of severe depression may even result in suicide attempts. Moreover, adolescent depression is also associated with poor outcomes in adulthood such as low-income levels, low educational aspirations, and high substance use.

Now, two international education and forgiveness specialists believe they may have uncovered one of the keys to reducing adolescent depression and major depressive disorder (MDD).  According to the researchers, their first-of-its-kind study has shown that promoting social skills such as responsibility and self-control could be “particularly salient for the prevention of adolescent depression.”

The new study, A Longitudinal Analysis of Social Skills and Adolescent Depression: A Multivariate Latent Growth Approach, was published in the current issue of the International Journal of Psychological Research (the official publication of the Faculty of Psychology at San Buenaventura University in Medellin, Colombia.). The study authors included Dr. Zhuojun Yao, an educational psychologist and lecturer at Soochow (Suzhou) University in Suzhou, China, and Dr. Robert Enright, of our International Forgiveness Institute.

BACKGROUND: Adolescence is a period of increased vulnerability to depression because of complex changes in biology, cognition, and social domains.  According to the  2019 National Survey on Drug Use and Health (NSDUH), 3.5 million adolescents aged 12 to 17 in the United States (14.4% of the total) had at least one Major Depressive Episode (MDE), and 70% of these adolescents had an MDE with severe impairment in 2018.

Most clinical  depression among children starts in middle adolescence (ages 15-18) and is much higher for those in that age group than for those in early adolescence (ages 13-15). Although there are substantial empirical research studies demonstrating the association between social skills  and adolescent depression, the authors of this study could not locate a single scientific work investigating how the change in social skills influences the change in depression from early to middle adolescence.

THE STUDY: To  address  this  gap  in fundamental knowledge, the researchers in this study questioned how changes in social skills (cooperation, assertion, responsibility, and self-control) influence changes in depression from early to middle adolescence. Using internationally respected measurement tools, the authors measured both social skills and depression in 1,064 participants (half boys, half girls). Those participants were drawn from a separate longevity study by the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (NICHD SECCYD) that ran from 1991 through 2008.

STUDY RESULTS: According to the study authors, adolescents who had more increase in responsibility  and self-control from 5th grade to 9th grade tended to experience a slower increase in depression; while adolescents who had more reduction in cooperation  and assertion from 5th grade to 9th grade tended to experience a faster increase in depression. Overall, the results suggest that responsibility in early adolescence may decrease adolescent depression by protecting adolescents from risk-taking and problematic behaviors in middle adolescence.

These findings have important implications for practices in prevention science, say the authors: “For example, to facilitate adolescents’ cooperative and assertive behaviors, the ethic of care should be emphasized in community and school context. The ethic of care is characterized by a desire to maintain relationships, caring about and responding to others needs, and a responsibility not to cause harm. With a care orientation, adolescents would be more likely to make connections with others and to embrace cooperation for mutual benefit.”

“When used in association with other therapeutic modalities. . .the psychotherapeutic

use of forgiveness can resolve the anger associated with depressive disorders.”

Dr. Robert Enright


IMPLICATIONS FOR FORGIVENESS: Interventions to reduce adolescent depression are becoming more important with each passing day because, as outlined above, adolescent depression also is associated with poor outcomes in adulthood. A 2009 study revealed that at least 27 million Americans take antidepressants, nearly double the number (13.3 million) who did so in the mid-1990s (Olfson & Marcus, 2009). Less understood is the fact that approximately 80% of adult mental disorders begin during childhood and adolescence (Kim-Cohen et al., 2003) and typically include an intense emotional state of anger.

“Anger begins in early childhood and later extends to relationships with significant others, particularly those one wants to trust,” Dr. Enright writes in Forgiveness Therapy, the widely-heralded forgiveness intervention manual he authored with psychiatrist Dr. Richard Fitzgibbons. “Anger from childhood hurts and disappointments with parents and others can be unresolved and later misdirected unconsciously at others. [page 108]

“Once anger develops, three options are available for addressing this powerful and complex emotion: denial, expression (active or passive-aggressive), and forgiveness. If the anger is resolved through a forgiveness process, it can facilitate the healing of the associated sadness, depression and the tendency to ruminate over past hurts.”  [page 108]

According to Dr. Enright, “This study provides yet another compelling reason why we need Forgiveness Education in our schools NOW.”

This study on adolescent depression is just one of the many research projects undertaken by Drs. Zhuojun Yao and Robert Enright. Others include:

You have said that once we forgive people, then we are ready for the next injustice and we might be able to go ahead a little better the second time. Isn’t that statement self-righteous? I say that because some people and some injustices are much harder to forgive than others. Why do you claim that we just get better and better in our forgiving?

Aristotle made the wise point that as we practice any of the moral virtues, this practice helps us get better in how we appropriate the virtues.  He never implied, nor do I, that the next incident will lead to quicker forgiveness than the first one and the person easier to forgive just because of the practice.  Instead, Aristotle implied this:  We will be more familiar with the process of practicing the virtue and so we may be more efficient and accurate in our next attempt.  Yes, you are correct, in that the next person who hurts us might do so in a very grave way, making it hard to forgive.  Yet, if we bring a lot of experience to this new person and situation, we may get through it more deeply and more quickly than otherwise might have been the case.

To get very concrete about this, suppose that to forgive Person A, you ideally needed two weeks.  To forgive Person B, without your having any prior practice in forgiving, you would need six months to forgive because the incident was so unjust.  Yet, if you have a lot of practice in forgiving, then your forgiving Person B now might take only three months rather than six.  Yes, this is still much longer than what was needed to forgive Person A, but the time needed for this with Person B is shortened precisely because the former practice is aiding your forgiving Person B now.

If I go through the forgiveness process one time only, do you think my anger could diminish so much that I will not have to repeat the forgiveness process?

There are no definitive psychological rules about this.  If you take the time to deeply go through the forgiveness process once, then you may experience a return to a manageable level of anger without having to go through the forgiveness process again.  Please keep in mind that anger in smaller doses can remain in a person’s heart after that person forgives.  So, please do not expect perfection with regard to the emotion of anger.  As long as you are in control of the anger, rather than the anger controlling you, this is a very positive accomplishment.

You talk about having to wait to experience emotional relief when forgiving.  What do you mean by waiting and how long does one wait?

When I use the word “wait” I mean that you are not in complete control of your emotions.  For example, if you are very angry at someone, you cannot just turn on a switch in your brain and then all of a sudden there is no more anger.  Because of this, we have to be patient as our emotions gradually change from anger or sadness or disappointment to more neutral and then possibly to more positive emotions.  There is no precise timeline for this.  You will know that the transformation is working by introspecting and seeing small changes in your anger or sadness.  As you see these small changes emerging, you can keep doing the work of forgiving and then you likely will experience larger and more positive changes in your emotions toward the one who harmed you.

I heard that you recently published a study with your colleagues in which you helped men in prison learn to forgive.  What did you find and why did you focus on prisoners who, it seems to me, need to ask us for forgiveness because of what they did?

Rehabilitation in correctional institutions tends to focus on changing the behavior which led to the sentencing in the first place.  Yet, our research found that about 90% of 103 men whom we surveyed had considerable injustices against them when they were children or adolescents.  One gentleman was thrown out of his home by his mother when he was 10 years old.  He slept under cars at night as his bed.  So often, this kind of cruelty against children can lead to a welling up of hatred and this can lead to crime, arrest, and imprisonment.  Forgiveness Therapy allowed the men to forgive those who abused them which led to a statistically significant decrease in clinical levels of anger, anxiety, and depression to normal or near normal levels.  They also developed more empathy toward people in general.  Those in the control group, without Forgiveness Therapy, did not show this kind of improvement in their mental health, but when they then were given Forgiveness Therapy, they, too, showed similar improvement compared with the original experimental group.  Here is the reference to that research:

Yu, L., Gambaro, M., Song, J., Teslik, M., Song, M., Komoski, M.C., Wollner, B., & Enright, R.D. (2021). Forgiveness therapy in a maximum-security correctional institution: A randomized clinical trial. Clinical Psychology and Psychotherapy.