"Rumination" and "Silencing the Self" have both been theorised to explain women�s greater vulnerability to depression. Rumination (Nolen-Hoeksema, e.g., 1987, 1991) refers to a passive focus on mood and symptoms, while Silencing the Self (Jack, 1991) refers to the socially-based belief that, broadly speaking, one should actively suppress one�s negative emotions and thoughts within romantic relationships. This thesis proposes that frequent suppression of negative emotional material within romantic relationships (self-silencing) makes that material more likely to be a target for rumination, resulting in greater depressed mood and depressive symptoms. It seems paradoxical that the more one tries to suppress one�s thoughts, the more one thinks about them. Wenzlaff and Luxton (2003) have demonstrated that frequent suppression may make material more accessible and a more likely target of rumination. Study 1 was a pilot investigation. It was found that self-silencing (the broad construct) and thought suppression (a narrower construct) were related, and that both were positively correlated with rumination. Furthermore, thought suppression contributed to the relationship between self-silencing and rumination for women. It was hypothesised that the more women suppress their negative feelings in romantic relationships (what Jack, 1991, describes as "Silencing the Self"), the more they will ruminate about these feelings and experience symptoms of depression. In Studies 2 and 3, the correlations among rumination, self-silencing and depression in adults and high school students were investigated. There were positive correlations among all the measured variables for adults and teenage girls, supporting the hypotheses. Regression analyses showed that for female adults and teenagers, rumination and self-silencing made unique, additive contributions to the prediction of depressive symptoms. In Studies 4 and 5, the causal relationship among self-silencing, rumination and depressed mood was investigated. Participants were asked either to write about a sad event that had happened in their relationships, or a typical (neutral) event. In Study 4, participants were also instructed to write either factually about these events, or to write in a ruminative way about them. Participants� chronic tendencies to self-silence were measured and they were classed as "high" or "low" self-silencers based on a median split. Female participants who chronically self-silenced more frequently and who ruminated experienced the most dramatic decrease in mood. In Study 5 participants wrote factually or suppressed their feelings about sad or neutral events and their tendency to ruminate was measured. Participants were divided into "high" and "low" ruminators based on a median split of their rumination scores. There was no support for the alternative hypothesis that chronic ruminators who suppressed would report depressed mood. Study 6 confirmed that in women, the combination of both chronic self-silencing in romantic relationships and acute rumination resulted in more severe symptoms of depression. Participants were e-mailed daily for one month about their self-silencing, rumination and negative mood. Chronic self-silencing, rumination and depressive symptoms were measured at the start and end of the month. Again, the combination of chronic self-silencing and acute rumination emerged as a better predictor of depressive symptoms than either variable alone. The six studies reported in this thesis support the hypothesis that self-silencing and rumination together explain short term negative mood as well as depressive symptoms even after one month. These studies explain why certain women are more likely to experience depressed mood in the context of romantic relationships. In particular, the combination of being a high self-silencer and ruminating makes one especially vulnerable to depressed mood and depressive symptoms. Clinically, there are already interventions targeted at rumination that are effective in reducing distress. However, the current research demonstrates that self-silencing may also be a promising target for intervention. Self-silencing is based on a wider understanding of the social context of depression. By targeting self-silencing, as well as rumination, depression may be more effectively treated.

The purpose of this dissertation was to undertake a conceptualization and empirical "mapping" of the ethic-of-care domain - often characterized as self-referential and lacking in rigor. The current focus is upon conventional forms of care, involving notions of moral "goodness" as self-silencing and -sacrificial. Employing a "super" circumplex as a prescriptive and descriptive tool, projected item analyses were undertaken as a theoretico-structural clarification of existing scale items, along with a provisional pool of additional items generated as part of Study 1. Based in part on proposed circular criteria, the Conventional Care Scales (CCS) were developed and submitted to a conjoint principal components analysis along with the battery of other care/dependency scale items. An examination of item circular distributions, factor loadings, alpha-contribution plots, and thematic content revealed several factors expressive of two "faces" of conventional care, submissive and ingenuous. These two forms were shown to have unique correlates with measures of adjustment, interpersonal competencies, other factors of the Five-Factor Model, false-self beliefs, and reported distress in narrated accounts of rejected care giving. Gender differences in the association between indices of adjustment and conventional care were also found. The range of conventional care was also extended through the development of scales reflecting other-directed and socially prescribed dimensions of conventional care. The factor structure for the CSS was also replicated in a second sample (Study 2). Participants for Studies 1 and 2 were composed of undergraduate students (N = 302 in both samples) who completed a battery of questionnaires in the first study and the CCS alone in the second study. Anticipating future clinical directions, secondary analyses using structural equation modelling were conducted on an existing data set (N = 92) which included measures of conventional care and perfectionism, along with indices of psychological adjustment and eating disordered attitudes. Results indicated that conventional care, for which there is little research, was more predictive of adjustment and eating disordered attitudes than perfectionism, for which there exists a large clinical literature. This research contributes to an understanding of ways in which an ethic of care can "go awry," as well as proposes a research platform upon which the clinical implications of morality and self-ideals can be investigated. These findings speak to both the constraints and prescriptions that can inform a philosophical ethic of care.

"Rumination" and "Silencing the Self" have both been theorised to explain women�s greater vulnerability to depression. Rumination (Nolen-Hoeksema, e.g., 1987, 1991) refers to a passive focus on mood and symptoms, while Silencing the Self (Jack, 1991) refers to the socially-based belief that, broadly speaking, one should actively suppress one�s negative emotions and thoughts within romantic relationships. This thesis proposes that frequent suppression of negative emotional material within romantic relationships (self-silencing) makes that material more likely to be a target for rumination, resulting in greater depressed mood and depressive symptoms. It seems paradoxical that the more one tries to suppress one�s thoughts, the more one thinks about them. Wenzlaff and Luxton (2003) have demonstrated that frequent suppression may make material more accessible and a more likely target of rumination. Study 1 was a pilot investigation. It was found that self-silencing (the broad construct) and thought suppression (a narrower construct) were related, and that both were positively correlated with rumination. Furthermore, thought suppression contributed to the relationship between self-silencing and rumination for women. It was hypothesised that the more women suppress their negative feelings in romantic relationships (what Jack, 1991, describes as "Silencing the Self"), the more they will ruminate about these feelings and experience symptoms of depression. In Studies 2 and 3, the correlations among rumination, self-silencing and depression in adults and high school students were investigated. There were positive correlations among all the measured variables for adults and teenage girls, supporting the hypotheses. Regression analyses showed that for female adults and teenagers, rumination and self-silencing made unique, additive contributions to the prediction of depressive symptoms. In Studies 4 and 5, the causal relationship among self-silencing, rumination and depressed mood was investigated. Participants were asked either to write about a sad event that had happened in their relationships, or a typical (neutral) event. In Study 4, participants were also instructed to write either factually about these events, or to write in a ruminative way about them. Participants� chronic tendencies to self-silence were measured and they were classed as "high" or "low" self-silencers based on a median split. Female participants who chronically self-silenced more frequently and who ruminated experienced the most dramatic decrease in mood. In Study 5 participants wrote factually or suppressed their feelings about sad or neutral events and their tendency to ruminate was measured. Participants were divided into "high" and "low" ruminators based on a median split of their rumination scores. There was no support for the alternative hypothesis that chronic ruminators who suppressed would report depressed mood. Study 6 confirmed that in women, the combination of both chronic self-silencing in romantic relationships and acute rumination resulted in more severe symptoms of depression. Participants were e-mailed daily for one month about their self-silencing, rumination and negative mood. Chronic self-silencing, rumination and depressive symptoms were measured at the start and end of the month. Again, the combination of chronic self-silencing and acute rumination emerged as a better predictor of depressive symptoms than either variable alone. The six studies reported in this thesis support the hypothesis that self-silencing and rumination together explain short term negative mood as well as depressive symptoms even after one month. These studies explain why certain women are more likely to experience depressed mood in the context of romantic relationships. In particular, the combination of being a high self-silencer and ruminating makes one especially vulnerable to depressed mood and depressive symptoms. Clinically, there are already interventions targeted at rumination that are effective in reducing distress. However, the current research demonstrates that self-silencing may also be a promising target for intervention. Self-silencing is based on a wider understanding of the social context of depression. By targeting self-silencing, as well as rumination, depression may be more effectively treated.

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007 / Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 63-68).

Thesis (M.A.)--Catholic Theological Union at Chicago, 1994. / Vita. Includes bibliographical references (leaves 104-107).

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2008. / Typescript. Includes bibliographical references (leaves 70-72).

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2008. / Typescript. Includes bibliographical references (leaves 81-85).

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2008. / Typescript. Includes bibliographical references (leaves 71-75).

The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Title from PDF of title page (University of Missouri--Columbia, viewed on March 26, 2010). Thesis advisor: Dr. Jamie Arndt. Vita. Includes bibliographical references.

The purpose of this research was to investigate the clinical phenomenon of destructive narcissism. Contemporary Kleinian and neo-Kleinian theoretical perspectives provided the interpretative perspective on the complexities of inaccessible personalities and subtle forms of internal destructiveness. Four research questions were formulated to interrogate the individual and collective experiences of three male patients whose internal worlds seem to be governed by rigid intrapychic structures organized around the dictatorship of a constellation of seemingly impenetrable defensive strategies. These questions were as follows: 1. What emotional states, actions and experiences of self and others characterize the clinical phenomenon designed as destructive narcissism and distinguish it from other forms of character pathology? 2. What early developmental experiences and relationships may have pre-disposed individuals to the development of this type of character pathology? 3. How are the psychodynamic processes of destructive narcissism structured and configured in the psychotherapeutic process and progress? 4. What are the transference/countertransference psychotherapeutic manifestations of the psychodynamics of destructive narcissism? The illustrative-didactic case study method was utilized to discuss pertinent aspects of each patient. This included their early developmental histories, inter- and intrapersonal relationships, their current mental state, defensive strategies and their stated reasons for commencing psychotherapy. In addition, the structure of the psychotherapeutic process with these patients was reviewed in depth. Various psychic and personality features, as unveiled through this process were discussed, as well as the implications of these for the therapeutic endeavor. The features chosen for discussion were: Firstly, the constellation of the internal object world, the capacity for symbolic thought and defensive organizations. Secondly, therapeutic ambivalence, which made psychotherapy untenable, was explored in conjunction with transference/countertransference issues. Thirdly, the shadow sides of psychotherapeutic change with these patients were considered and the issues of therapeutic failure and other treatment possibilities were examined. It was concluded that there need be an important shift with regard to the psychotherapeutic goals for those patients whose condition may be chronic, and for whom it appears that psychotherapy is of little benefit. In essence, the intent of psychotherapy with these patients is to reach the healthy sane patient of the patient within the pathological organization. Attempts to unravel the perverse gratification and protection derived from the domination of the narcissistic structure may not be enough, and the patient's collusion with the internal destructive gang should also be exposed. If this can be achieved, the patient may come to accept the existence of a part of himself as truly destructive. This, in turn, cannot be disowned, therefore the patient has to live with it. Thus, in destructive narcissism, the challenge for the therapist is the extremely difficult task of disentangling the patient's pain from the idealization of internal destructiveness. / KMBT_363 / Adobe Acrobat 9.54 Paper Capture Plug-in