My friend and colleague, the hypnotherapist Michael Ellner, has just brought this very interesting article in The Times to my attention.
The article looks at new research that suggests that: ‘Writing about a distressing or upsetting experience can help to reduce stress
by changing the way the brain deals with negative emotions.’
The act of putting feelings into words is often cathartic because it helps the
brain to control regions where emotions such as fear and disgust are
processed, scientists have discovered.
The article states:
‘The research could also be medically useful, as it suggests that writing
therapy could help people suffering from psychological conditions such as
social anxiety disorder, phobias or post-traumatic stress. “We do think it has clinical implications,” Dr Lieberman said.’
Yes, yes, yes!
I have been working using writing in health care for nearly ten years now and I am convinced that it has clinical implications. I continually see the transformation that writing can bring about in people.
The research team for thus particular study, led by Matthew Lieberman, at the University
of California, Los Angeles, used functional magnetic resonance imaging (fMRI) of the brain to look at what happens when we write about our emotions. It suggests that the act of writing about distressing experiences can activate the right ventrolateral prefrontal
cortex, the brain’s ‘catharsis centre,’ which then regulates negative feelings by suppressing activity in the amygdala, the area of the brain that processes negative emotions such
as fear.
So what does all this brain science actually mean for the field of writing for personal development, health and well-being?
Well, Dr Lieberman explains:
“Our hypothesis is that this is an unintentional form of emotion regulation. The way we’ve approached this is by looking at the brain, because if you ask people they don’t think that
putting feelings into words serves much of a regulatory function. But when you look at the brain it looks a whole lot like emotion regulation is going on when people put emotions into words.
We see this pattern again and again. What it boils down to is the right ventrolateral prefrontal cortex, which seems to be involved in all different forms of self-control and self-regulation. It appears that if you get this region activated, even if you’re not trying to get it activated, it still
has regulatory consequences. Putting feelings into words is one of the things that turns this region on, and therefore has regulatory benefits.
Hmmm… Very interesting.
I work with people all the time who tell me that suddenly they just woke up in the middle of the night and found themselves writing a poem, or that they found it useful to keep a journal during or after a difficult emotional time in their lives, having not written since school. I think many people do recognise instinctively that there is something beneficial about writing out their emotions.
This new research gives us another tantalising glimpse into what may be happening in our mind-body when we write. But this is only half of the story…
The article goes on to say:
‘The researchers have yet to conduct experiments on people who keep diaries, but Dr Lieberman said that this was likely to be another way in which people activate the ventrolateral prefrontal cortex and thus control their negative thoughts.
It’s certainly one of the inspirations,” he said. “I think that diaries probably serve as a form of daily regulation for those individuals. I would caution, though, that it probably depends on the way in which you write about these feelings.’
And this is what my ongoing work and research is about. I’ve been looking at ‘the way in which you write about these feelings,’ investigating the techniques and approaches that are most helpful for particular groups of people.
My Online Programme in Creative Writing for Personal Development, Health and Wellbeing guides people through a six month process, providing tools and techniques that can help people to continue to use writing in this way. Celia Hunt’s research at the University of Sussex also investigates what is helpful and beneficial, what works and what doesn’t.
Wonderful to see this article and the research being highlighted in this way. This is just the beginning of a very exciting new field of writing as medicine. If you are a practitioner using writing or interested in using writing, or someone who’d like to find out more, why not join our growing community over at http://community.wordsauce.com. We’d love to meet you.




February 17th, 2009 at 3:25 pm (#)
Does the paper say what the sample size was and whether their findings were statistically relevant? Also, how are writing and talking related? Does talking about emotions have a similar effect?
February 17th, 2009 at 4:23 pm (#)
Thanks, Andrej. I have contacted Dr Lieberman at UCLA because I’d love to read more about the study. From what I can gather, the imaging was used to look at the brain whilst self-selected volunteers wrote for 20 minutes. i don;t yet know any further details. The study appears to follow the ‘expressive writing’ of James Pennebaker who has looked at the use of writing in health care from an experimental psychology perspective.
Personally, I am very interested in what a more critical and qualitative approach can tell us about the kinds of techniques that are useful in using writing in health care. I think the key feature of Matthew Lieberman’s study is that we now know that people can learn to purposefully regulate negative emotions – and what the brain looks like when that regulation is happening – and that writing is a way of helping people to do this.
February 17th, 2009 at 7:34 pm (#)
I wonder if this is the same Lieberman study I wrote about almost a year ago in my post “One simple step towards managing emotion“. It sounds like it.
I often teach this to my hypnotherapy clients – I have a little bookmark with this on one side and Dr Herbert Benson’s Relaxation Response practice on the other that I give them.
February 18th, 2009 at 8:39 am (#)
Hi Mike
It does sound like this is the same study, doesn’t it.
I love the idea of the bookmark!
February 18th, 2009 at 8:09 pm (#)
Yes, part of what the bookmark is doing – and I bring this out explicitly – is saying, “This is really, really simple. So simple you can fit it on a bookmark.”
To counterbalance that, in case it seems “too simple to work”, I pull out a brain model and talk about Lieberman’s research in basic terms, showing them where the emotions reside (deep, next to the parts that run the very basic processes of life like breathing and heartbeat) and where the words reside (in the specifically “human” part of the brain). I then talk about how using the words shifts the activation from one part to the other.
February 18th, 2009 at 8:20 pm (#)
Great stuff! Perhaps we can email about this, Mike? It sounds as if you have some really good data.