Foreword: Silence No More
Judith Worell
Section I: Setting the Stage: Social, Biomedical, and Ethical
Issues in Understanding Women's Depression
Chapter 1: Introduction: Culture, Self-Silencing, and Depression: A
Contextual-Relational Perspective
Dana Crowley Jack and Alisha Ali
Chapter 2: The Social Causes of Women's Depression: A Question of
Rights Violated?
Jill Astbury
Chapter 3: Drugs Don't Talk: Do Medication and Biological
Psychiatry Contribute to Silencing the Self?
Richard A. Gordon
Chapter 4: The Itinerant Researcher: Ethical and Methodological
Issues in Conducting Cross-Cultural Mental Health Research
Joseph E. Trimble, María R. Scharrón-del Río, and Guillermo
Bernal
Section II: Self-Silencing and Depression across Cultures
Introduction to Section II: On the Critical Importance of
Relationships for Women's Well-Being
Judith Jordan
Chapter 5: Women's Self-Silencing and Depression in the
Socio-Cultural Context of Germany
Tanja Zoellner and Susanne Hedlund
Chapter 6: Gender as Culture: The Meanings of Self-Silencing in
Women and Men
Linda Smolak
Chapter 7: 'I Don't Express My Feelings to Anyone': How
Self-Silencing Relates to Depression and Gender in Nepal
Dana Jack, Bindu Pokharel, and Usha Subba
Chapter 8: Silencing the Self across Generations and Gender in
Finland
Airi Hautamäki
Chapter 9: The Meaning of Self-Silencing in Polish Women
Krystyna Drat-Ruszczak
Chapter 10: Exploring the Immigrant Experience through
Self-Silencing Theory and the Full Frame Approach: The Case of
Caribbean Immigrant Women in Canada and the U.S.
Alisha Ali
Chapter 11: Deconstructing Gendered Discourses of Love, Power, and
Violence in Intimate Relationships: Portuguese Women's
Experiences
Sofia Neves and Conceição Nogueira
Chapter 12: Authentic Self-Expression: Gender, Ethnicity, and
Culture
Anjoo Sikka, Linda (Gratch) Vaden-Goad, and Lisa K. Waldner
Chapter 13: Silencing the Self and Personality Vulnerabilities
Associated with Depression
Avi Besser, Gordon L. Flett, and Paul L. Hewitt
Chapter 14: Sociopolitical, Gender, and Cultural Factors in the
Conceptualization and Treatment of Depression among Haitian
Women
Guerda Nicolas, Bridget Hirsch, and Clelia Beltrame
Section III: The Health Effects of Self-Silencing
Introduction to Section III: Empowering Depressed Women: The
Importance of a Feminist Lens
Laura S. Brown
Chapter 15: Supporting Voice in Women Living with HIV/AIDS
Rosanna F. DeMarco
Chapter 16: Facilitating Women's Development through the Illness of
Cancer: Depression, Self-Silencing, and Self-Care
Mary Sormanti
Chapter 17: Eating Disorders and Self-Silencing: A Function-Focused
Approach to Treatment
Josie Geller, Sujatha Srikameswaran, and Stephanie Cassin
Chapter 18: Self-Silencing and the Risk of Heart Disease and Death
in Women: The Framingham Offspring Study
Elaine D. Eaker and Margaret Kelly-Hayes
Chapter 19: Silencing the Heart: Women in Treatment for
Cardiovascular Disease
Maria I. Medved
Chapter 20: Disruption of the Silenced Self: The Case of
Pre-Menstrual Syndrome
Jane M. Ussher and Janette Perz
Chapter 21: 'I Wasn't being True to Myself': Women's Narratives of
Postpartum Depression
Natasha S. Mauthner
Chapter 22: Seeking Safety with Undesirable Outcomes: Women's
Self-Silencing in Abusive Intimate Relationships and Implications
for Healthcare
Stephanie J. Woods
COMMENTARY
Janet M. Stoppard
Appendix A: The Silencing the Self Scale
Dana C. Jack is Professor at Fairhaven College of Interdisciplinary
Studies at Western Washington University. Her research examines
women's depression and anger in the US and internationally, and
qualitative research methods. She was a Fulbright Scholar to Nepal
in 2001, and is the author of three books, including Silencing the
Self: Women and Depression.
Alisha Ali is Associate Professor in the Department of Applied
Psychology at New York University. Her research examines social
influences on women's depression, including the effects of
emotional abuse, racism, and harassment. She is currently the
principal investigator on a series of studies examining economic
empowerment for survivors of domestic violence.
"I could not put down this highly interesting volume of essays that
provides some of the most powerful and stunning insights into a
reframing of women's depression! I strongly recommend this
impressive book for all providers of health services as well as for
educators and policy makers."
--Melba J. T. Vasquez, President, American Psychological
Association
"This volume is perhaps the most powerful and poignant account of
the silencing of women's voices across time and culture that has
been published. It is a book that informs. It is a book that
enlightens. It is a book to be treasured, and to be remembered long
after it has been read and placed on the shelf."
--Anthony J. Marsella, Professor Emeritus, Department of
Psychology, University of Hawaii
"The authors in this volume listen to women with a methodological
tuning fork, precise and sensitive to women and context, and they
read women's depression like a smoke alarm on cultural abuses of
power. In the caring and delicate hands of Jack and Ali, women's
narrations of depression signal a global call for justice and
gendered human rights."
--Michelle Fine, Distinguished Professor of Social Psychology,
Women's Studies, and Urban Education, Graduate Center, City
University of New York
"This book demonstrates the importance of self-silencing in the
lives of women (and men) in many societies. The relationship to
depression is useful for clinicians and researchers, and shows a
means of getting at clinically relevant cultural information in a
disciplined and practical way."
--Arthur Kleinman, MD, Esther and Sidney Rabb Professor of
Anthropology, Harvard University, and Professor of Medical
Anthropology and Psychiatry, Harvard Medical School
"A vivid and scholarly portrayal of how gender and cultural
influence interact to shape the expression of mood disorder."
--Zindel V. Segal, Cameron Wilson Chair in Depression Studies and
Professor of Psychiatry, University of Toronto
"What a stunning achievement! In the face of a medical
establishment that views and treats depression as primarily a
problem of faulty neurochemistry, this compelling book argues
persuasively (and with solid evidence) for the powerful role of
oppression in shaping women's mental health. This volume is
required reading for mental health providers, scholars, and
activists interested in understanding and improving women's
lives."
--Lisa A. Goodman, Professor, Department of Counseling and
Developmental Psychology, Boston College
"Overall, Jack and Ali's book is fertile with opportunities for
psychotherapists. Each chapter offers numerous implications for
prevention, intervention and treatment. I echo the book's jacket
quote by Lisa Goodman, PhD, that 'this book should be required
reading for mental health providers, scholars and activists
interested in understanding and improving women's lives'...The gift
of this book is its benefit to everyone."
--Penelope L Norton, Voices: The Art of Science of
Psychotherapy
"Silencing the Self Across Cultures: Depression and Gender in the
Social World is a
valuable contribution to our profession. It is an academic work
that builds upon previous
research."
--PsycCRITIQUES
"A final commentary summarizes the research limitations of the
constructs of self-silencing, depression, and gender, and calls for
continued research on conditions that promote depression. An
excellent review of current research springing from second-wave
feminism. Summing Up: Highly recommended. "
--Choice
"This thorough and impressive book is partly all about connection
between people, and what happens when it's missing or
faulty....There is a lot to digest in this volume, but generally it
is written in an approachable style, notwithstanding the
statistical analyses in some chapters. The inclusion of narratives
from women is welcome, giving voice to the research findings and
providing a human, grounding touch. It is not written for the lay
person, but more for
practitioners, academics and researchers in the field."
--Metapsychology
"Although the length and density of this volume may be daunting, it
reminds readers of the complexity of women's experience and serves
as excellent resource forteaching, planning research, and
organizing effective interventions with diverse groups of women and
men."
--Carolyn Zerbe Enns, PhD, Psychology of Women Quarterly
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