The Silencing the Self Scale (STSS), derived from a longitudinal study of clinically depressed women, measures specific schemas about how to make and maintain intimacy hypothesized to be associated with depression in women. To assess its psychometric properties, the STSS was administered with the Beck Depression Inventory (BDI) to three samples of women: college students (n= 63), residents in battered women's shelters (n= 1401, and mothers (n= 270) (of 4‐month‐old infants) who abused cocaine during pregnancy. The STSS had a high degree of internal consistency and test‐retest reliability and was significantly correlated with the BDI in all three samples.

This chapter introduces the concept of this international book and the relevance of the self-silencing construct to understanding depression and related problems across cultures, contexts, and populations. The chapter summarizes silencing the self theory and situates the theory among other psychological theories of depression. The authors each describe the research that led them to become interested in the idea of this edited volume in which contributors from a range of different countries and settings explore self-silencing, and they provide a summary of the content of the book. The chapter also presents issues arising from research on self-silencing that raise questions for further investigation as well as ideas that relate self-silencing theory to broader constructs of “culture” and “self.” The authors argue that examining how gender-specific norms and social inequality affect self-silencing within relationships and across cultures is necessary for a fuller understanding of depression and its treatment.

And I think on my inside, private things I say to myself, I still really feel that I'm not-I wrote it down-that I'm not patient enough, I'm too selfish. I mean I haven't gotten that self-acceptance, I just haven't. With my husband, 1 would say we, I have to be able to say my feelings of anger or resentment, or wanting things different when they happen.

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Sixty women's narratives about their anger were coded for elements of anger expression. Their decisions regarding how and where to express anger are most strongly influenced by the anticipated reactions of others. Six patterns of bringing anger into relationships or keeping it out were identified. Women bring anger into relationship: (1) positively and directly, with the goal of removing barriers to relationship; (2) aggressively, with the goal of hurting another; and (3) indirectly, through disguising anger with the goal of remaining safe from interpersonal consequences, using strategies of (a) quiet sabotage, (b) hostile distance, (c) deflection, and (d) loss of control. Women keep anger out of relationship (1) consciously and constructively, choosing to express it in positive ways; (2) explosively expressing anger, but not in the presence of another; and (3) through self-silencing, which ranges from conscious to less-conscious awareness of anger and its suppression. Implications of differing patterns for women's health are discussed.