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17 - The Physiology of Feeling Hurt

from PART V - HURT IN APPLIED CONTEXTS

Published online by Cambridge University Press:  04 August 2010

By
Timothy J. Loving ,
Benjamin Le  and
Erin E. Crockett
Edited by
Anita L. Vangelisti
Anita L. Vangelisti
Affiliation:
University of Texas, Austin
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Summary

For better or worse, the interdependency that defines close relationships grants one partner the ability to critically affect the other partner's outcomes. Perhaps nowhere are these double-edged effects better documented than in research on the link between close relationships and physical health or health-relevant physiological parameters; whereas satisfying intimate relationships procure a range of beneficial outcomes (e.g., Coan, Schaefer, & Davidson, 2006), they also have the ability to produce great harm (Robles & Kiecolt-Glaser, 2003). Without question, from the nasty remark to the unexpected breakup, intimate partners hold the power to hurt the feelings and subsequently the health outcomes of one another like few other individuals.

Interestingly, despite the prevalence of hurtful acts, writing a chapter on the physiological consequences of hurt feelings in close relationships presents unique challenges, given the surprising lack of empirical research that directly examines the link between feeling hurt and bodily responses. Ideally, we would review studies that deliberately incorporated stimuli-response designs such that physiological outcomes were assessed subsequent to hurtful acts (e.g., hormone responses when one partner belittles the other); however, few studies have been conducted with these explicit goals in mind. Fortunately, several lines of related research provide critical insight into why and how hurtful acts may “get under our skin.” Specifically this chapter includes work assessing consequences of interpersonal dynamics and contexts that are conceptually similar to those producing hurt feelings that have been empirically linked to physiological parameters.

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Feeling Hurt in Close Relationships , pp. 359 - 375
Publisher: Cambridge University Press
Print publication year: 2009

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References

,American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
Arias, I. (1999). Women's response to physical and psychological abuse. In Arriaga, X. B. & Oskamp, S. (Eds.), Violence in intimate relationships (pp. 139–161). Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
Arias, I., & Pape, K. T. (1999). Psychological abuse: Implications for adjustment and commitment to leave violent partners. Violence and Victims, 14, 55–67.Google ScholarPubMed
Aron, A., & Aron, E. N. (1997). Self-expansion motivation and including other in the self. In Duck, S. (Ed.), Handbook of personal relationships (2nd ed., pp. 251–270). Hoboken, NJ: Wiley.Google Scholar
Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117, 497–529.CrossRefGoogle ScholarPubMed
Blascovich, J., & Katkin, E. S. (1993). Cardiovascular reactivity to psychological stress & disease. Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Boscarino, J. A., & Chang, J. (1999). Higher abnormal leukocyte and lymphocyte counts 20 years after exposure to severe stress: Research and clinical implications. Psychosomatic Medicine, 61, 378–386.CrossRefGoogle ScholarPubMed
Cacioppo, J. T., Kiecolt-Glaser, J. K., Malarkey, W. B., Laskowski, B. F., Rozlog, L. A., Poehlmann, K. M., et al. (2002). Autonomic and glucocorticoid associations with the steady-state expression of latent Epstein-Barr virus. Hormones and Behavior, 42, 32–41.CrossRefGoogle ScholarPubMed
Caughlin, J. P., & Vangelisti, A. L. (2000). An individual difference explanation of why married couples engage in the demand/withdraw pattern of conflict. Journal of Social and Personal Relationships, 17, 523–551.CrossRefGoogle Scholar
Christensen, A., & Shenk, J. L. (1991). Communication, conflict, and psychological distance in nondistressed, clinic, and divorcing couples. Journal of Consulting and Clinical Psychology, 59, 458–463.CrossRefGoogle ScholarPubMed
Coan, J. A., Schaefer, H. S., & Davidson, R. J. (2006). Lending a hand: Social regulation of the neural response to threat. Psychological Science, 17, 1032–1039.CrossRefGoogle ScholarPubMed
Coker, A. L., Davis, K. E., Arias, I., Desai, S., Sanderson, M., Brandt, H. M., et al. (2002). Physical and mental health effects of intimate partner violence for men and women. American Journal of Preventive Medicine, 23, 260–268.CrossRefGoogle ScholarPubMed
Denton, W. H., Burleson, B. R., Hobbs, B. V., Stein, M., & Rodriguez, C. P. (2001). Cardiovascular reactivity and initiate/avoid patterns of marital communication: A test of Gottman's psychophysiologic model of marital interaction. Journal of Behavioral Medicine, 24, 401–421.CrossRefGoogle ScholarPubMed
Dickerson, S. S., Gruenewald, T. L., & Kemeny, M. E. (2004). When the social self is threatened: Shame, physiology, and health. Journal of Personality, 72, 1191–1216.CrossRefGoogle ScholarPubMed
Dickerson, S. S., & Kemeny, M. E. (2004). Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. Psychological Bulletin, 130, 355–391.CrossRefGoogle ScholarPubMed
Dickerson, S. S., Kemeny, M. E., Aziz, N., Kim, K. H., & Fahey, J. L. (2004). Immunological effects of induced shame and guilt. Psychosomatic Medicine, 66, 124–131.CrossRefGoogle ScholarPubMed
Eisenberger, N. I., & Lieberman, M. D. (2004). Why rejection hurts: A common neural alarm system for physical and social pain. Trends in Cognitive Sciences, 8, 294–300.CrossRefGoogle ScholarPubMed
Eisenberger, N. I., & Lieberman, M. D. (2005). Why it hurts to be left out: The neurocognitive overlap between physical and social pain. In Williams, K. D., Forgas, J. P., & Hippel, W. (Eds.), The social outcast: Ostracism, social exclusion, rejection, and bullying (pp. 109–127). New York: Psychology Press.Google Scholar
Eisenberger, N. I., Lieberman, M. D., & Satpute, A. B. (2005). Personality from a controlled processing perspective: An fMRI study of neuroticism, extraversion, and self-consciousness. Cognitive, Affective, & Behavioral Neuroscience, 5, 169–181.CrossRefGoogle ScholarPubMed
Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003). Does rejection hurt? An fMRI study of social exclusion. Science, 302, 290–292.CrossRefGoogle ScholarPubMed
Elenkov, I. J., Webster, E. L., Torpy, D. J., & Chrousos, G. P. (1999). Stress, corticotropin-releasing hormone, glucocorticoids, and the immune/inflammatory response: Acute and chronic effects. In Cutolo, M. & Masi, A. T. (Eds.), Neuroendocrine immune basis of the rheumatic diseases (Vol. 876, pp. 1–13). New York: New York Academy of Sciences.Google Scholar
Ewart, C. K., Taylor, C. B., Kraemer, H. C., & Agras, W. S. (1991). High blood pressure and marital discord: Not being nasty matters more than being nice. Health Psychology, 10, 155–163.CrossRefGoogle ScholarPubMed
Glaser, R., Kiecolt-Glaser, J. K., Marucha, P. T., MacCallum, R. C., Laskowski, B. F., & Malarkey, W. B. (1999). Stress-related changes in proinflammatory cytokine production in wounds. Archives of General Psychiatry, 56, 450–456.CrossRefGoogle ScholarPubMed
Gonzaga, G. C., Turner, R. A., Keltner, D., Campos, B., & Altemus, M. (2006). Romantic love and sexual desire in close relationships. Emotion, 6, 163–179.CrossRefGoogle ScholarPubMed
Gottman, J. M., & Krokoff, L. J. (1989). Marital interaction and satisfaction: A longitudinal view. Journal of Consulting and Clinical Psychology, 57, 47–52.CrossRefGoogle ScholarPubMed
Heavey, C. L., Christensen, A., & Malamuth, N. M. (1995). The longitudinal impact of demand and withdrawal during marital conflict. Journal of Counsulting and Clinical Psychology, 63, 797–801.CrossRefGoogle ScholarPubMed
Heffner, K. L., Loving, T. J., Kiecolt-Glaser, J. K., Himawan, L. K., Glaser, R., & Malarkey, W. B. (2006). Older spouses' cortisol responses to marital conflict: Associations with demand-withdraw communication patterns. Journal of Behavioral Medicine, 29, 317–325.CrossRefGoogle ScholarPubMed
Herbert, T. B., & Cohen, S. (1993). Depression and immunity: A meta-analytic review. Psychological Bulletin, 113, 472–486.CrossRefGoogle ScholarPubMed
Heyman, R. E. (2001). Observation of couple conflicts: Clinical assessment applications, stubborn truths, and shaky foundations. Psychological Assessment, 13, 5–35.CrossRefGoogle ScholarPubMed
Heyman, R. E. (2004). Rapid Marital Interaction Coding System. In Kerig, P. K. & Baucom, D. H. (Eds.), Couple observational coding systems (pp. 67–94). Mahwah, NJ: Erlbaum.Google Scholar
Kelley, H. H., & Thibaut, J. W. (1978). Interpersonal relations: A theory of interdependence. New York: Wiley.Google Scholar
Kiecolt-Glaser, J. K., & Glaser, R. (1995). Measurement of immune response. In Cohen, S., Kessler, R., & Gordon, L. G. (Eds.), Measuring stress (pp. 213–229). New York: Oxford University Press.Google Scholar
Kiecolt-Glaser, J. K., & Glaser, R. (2002). Depression and immune function: Central pathways to morbidity and mortality. Journal of Psychosomatic Research, 53, 873–876.CrossRefGoogle ScholarPubMed
Kiecolt-Glaser, J. K., Glaser, R., Cacioppo, J. T., MacCallum, R. C., Snydersmith, M., Kim, C., et al. (1997). Marital conflict in older adults: Endocrinological and immunological correlates. Psychosomatic Medicine, 59, 339–349.CrossRefGoogle ScholarPubMed
Kiecolt-Glaser, J. K., Loving, T. J., Stowell, J. R., Malarkey, W. B., Lemeshow, S., Dickinson, S., et al. (2005). Hostile marital interactions, proinflammatory cytokine production, and wound healing. Archives of General Psychiatry, 62, 1377–1384.CrossRefGoogle ScholarPubMed
Kiecolt-Glaser, J. K., Malarkey, W. B., Chee, M., Newton, T., Cacioppo, J. T., Mao, H., et al. (1993). Negative behavior during marital conflict is associated with immunological down-regulation. Psychosomatic Medicine, 55, 395–409.CrossRefGoogle ScholarPubMed
Kiecolt-Glaser, J. K., Newton, T., Cacioppo, J. T., MacCallum, R. C., Glaser, R., & Malarkey, W. B. (1996). Marital conflict and endocrine function: Are men really more physiologically affected than women?Journal of Consulting and Clinical Psychology, 64, 324–332.CrossRefGoogle ScholarPubMed
Kirkpatrick, L. A., & Davis, K. E. (1994). Attachment style, gender, and relationship stability: A longitudinal analysis. Journal of Personality and Social Psychology, 66, 502–512.CrossRefGoogle ScholarPubMed
Leary, M. R., Springer, C., Negel, L., Ansell, E., & Evans, K. (1998). The causes, phenomenology, and consequences of hurt feelings. Journal of Personality and Social Psychology, 74, 1225–1237.CrossRefGoogle Scholar
Levenson, R. W., & Gottman, J. M. (1983). Marital interaction: Physiological linkage and affective exchange. Journal of Personality and Social Psychology, 45, 587–597.CrossRefGoogle ScholarPubMed
Lieberman, M. D., & Eisenberger, N. I. (2006). A pain by any other name (rejection, exclusion, ostracism) still hurts the same: The role of dorsal anterior cingulate cortex in social and physical pain. In Cacioppo, J. T., Visser, P. S., & Pickett, C. L. (Eds.), Social neuroscience: People thinking about thinking people (pp. 167–187). Cambridge, MA: MIT Press.Google Scholar
Lovallo, W. R. (2005). Stress & health: Biological and psychological interactions (2nd ed.). Thousand Oaks, CA: Sage.
Lovallo, W. R., & Thomas, T. L. (2000). Stress hormones in psychophysiological research: Emotional, behavioral, and cognitive implications. In Cacioppo, J. T., Tassinary, L. G., & Berntson, G. G. (Eds.), Handbook of psychophysiology (2nd ed., pp. 342–367). New York: Cambridge University Press.Google Scholar
Loving, T. J., Heffner, K. L., & Kiecolt-Glaser, J. K. (2006). Physiology and interpersonal relationships. In Vangelisti, A. L. & Perlman, D. (Eds.), Cambridge handbook of personal relationships (pp. 385–405). New York: Cambridge University Press.CrossRefGoogle Scholar
Loving, T. J., Heffner, K. L., Kiecolt-Glaser, J. K., Glaser, R., & Malarkey, W. B. (2004). Stress hormone changes and marital conflict: Spouses' relative power makes a difference. Journal of Marriage and Family, 66, 595–612.CrossRefGoogle Scholar
MacDonald, G., & Kingsbury, R. (2006). Does physical pain augment anxious attachment?Journal of Social and Personal Relationships, 23, 291–304.CrossRefGoogle Scholar
MacDonald, G., & Leary, M. R. (2005). Why does social exclusion hurt? The relationship between social and physical pain. Psychological Bulletin, 131, 202–223.CrossRefGoogle ScholarPubMed
Malarkey, W., Kiecolt-Glaser, J. K., Pearl, D., & Glaser, R. (1994). Hostile behavior during marital conflict alters pituitary and adrenal hormones. Psychosomatic Medicine, 56, 41–51.CrossRefGoogle ScholarPubMed
Marshall, L. L. (1996). Psychological abuse of women: Six distinct clusters. Journal of Family Violence, 11, 379–409.CrossRefGoogle Scholar
McGuire, M. T., & Raleigh, M. J. (1986). Behavioral and physiological correlates of ostracism. Ethology and Sociobiology, 7, 187–200.CrossRefGoogle Scholar
Miller, A. H. (1998). Neuroendocrine and immune system interactions in stress and depression. Psychiatric Clinics of North America, 21, 443–463.CrossRefGoogle ScholarPubMed
Murray, S. L., Holmes, J. G., MacDonald, G., & Ellsworth, P. C. (1998). Through the looking glass darkly? When self-doubts turn into relationship insecurities. Journal of Personality and Social Psychology, 75, 1459–1480.CrossRefGoogle ScholarPubMed
Pasch, L. A., Bradbury, T. N., & Davila, J. (1997). Gender, negative affectivity, and observed social support behavior in marital interaction. Personal Relationships, 4, 361–378.CrossRefGoogle Scholar
Pimlott-Kubiak, S., & Cortina, L. M. (2003). Gender, victimization, and outcomes: Reconceptualizing risk. Journal of Consulting and Clinical Psychology, 71, 528–539.CrossRefGoogle ScholarPubMed
Rabin, B. S. (1999). Stress, immune function, and health: The connection. New York: Wiley-Liss.Google Scholar
Robles, T. F., & Kiecolt-Glaser, J. K. (2003). The physiology of marriage: Pathways to health. Physiology and Behavior, 79, 409–416.CrossRefGoogle Scholar
Rogers, M. P., & Brooks, E. B. (2001). Psychosocial influences, immune function, and the progression of autoimmune disease. In Ader, R., Felten, D. L., & Cohen, N. (Eds.), Psychoneuroimmunology (3rd ed., Vol. 2, pp. 399–419). San Diego: Academic Press.Google Scholar
Rusbult, C. E., & Arriaga, X. B. (1997). Interdependence theory. In Duck, S. (Ed.), Handbook of personal relationships: Theory, research and interventions (2nd ed., pp. 221–250). Hoboken, NJ: Wiley.Google Scholar
Sanders, V. M., Iciek, L., & Kasprowicz, D. J. (2000). Psychosocial factors and humoral immunity. In Cacioppo, J. T., Tassinary, L. G., & Berntson, G. G. (Eds.), Handbook of psychophysiology (2nd ed., pp. 425–455). New York: Cambridge University Press.Google Scholar
Segerstrom, S. C., & Miller, G. E. (2004). Psychological stress and the human immune system: A meta-analytic study of 30 years of inquiry. Psychological Bulletin, 130, 601–630.CrossRefGoogle ScholarPubMed
Shaver, P. R. (2006). The dynamics of romantic love: Comments, questions, and future directions. In Mikulincer, M. & Goodman, G. S. (Eds.), Dynamics of romantic love: Attachment, caregiving, and sex (pp. 423–456). New York: Guilford.Google Scholar
Spertus, I. L., Yehuda, R., Wong, C. M., Halligan, S., & Seremetis, S. V. (2003). Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse and Neglect, 27, 1247–1258.CrossRefGoogle ScholarPubMed
Sutherland, C. A., Bybee, D. I., & Sullivan, C. M. (2002). Beyond bruises and broken bones: The joint effects of stress and injuries on battered women's health. American Journal of Community Psychology, 30, 609–636.CrossRefGoogle ScholarPubMed
Vangelisti, A. L. (1994). Messages that hurt. In Cupach, W. R. & Spitzberg, B. H. (Eds.), Dark side of interpersonal communication (pp. 53–82). Hillsdale, NJ: Erlbaum.Google Scholar
Vangelisti, A. L., Young, S. L., Carpenter-Theune, K. E., & Alexander, A. L. (2005). Why does it hurt?: The perceived causes of hurt feelings. Communication Research, 32, 443–477.CrossRefGoogle Scholar
Wallston, K. A. (2001). Conceptualization and operationalization of perceived control. In Baum, A., Revenson, T. A., & Singer, J. E. (Eds.), Handbook of health psychology (pp. 49–58). Mahwah, NJ: Erlbaum.Google Scholar
Williams, K. D. (2001). Ostracism: The power of silence. New York: Guilford.Google Scholar
Woods, S. J., & Wineman, N. M. (2004). Trauma, posttraumatic stress disorder symptom clusters, and physical health symptoms in postabused women. Archives of Psychiatric Nursing, 18, 26–34.CrossRefGoogle ScholarPubMed
Woods, S. J., Wineman, N. M., Page, G. G., Hall, R. J., Alexander, T. S., & Campbell, J. C. (2005). Predicting immune status in women from PTSD and childhood and adult violence. Advances in Nursing Science, 28, 306–319.CrossRefGoogle ScholarPubMed

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