Showing posts with label research. Show all posts
Showing posts with label research. Show all posts

Monday, October 16, 2017

Uprooting and Stress: Is There a Better Way?


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Imagine this with explosive diarrhea
     

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Nature's Pain Relief

       Dude. I don’t even know where to start. It has been such a whirlwind and at times it feels as if I am barely hanging on, fingers about to slip into the swirling vortex of stress, anxiety, and, at times, depression. Fun times, right? Let’s not forget about the physical effects of this emotional turmoil, as I live with fibromyalgia and small fiber neuropathy, which can be aggravated by stress. Good thing I am not stressed, right? Oh, and diverticulitis and IBS are also affected by stress, so we’re over here playing naked Twister, trying not to soil ourselves. Great visual, right?     
       
So, how did we get here? Trees and heat. Seriously. See, I am not a fan of the heat and grew up in the San Francisco Bay Area, where the use of air conditioners was not something that was common, as the fog would often roll in, working as Mother Nature’s air conditioning. I currently live in the desert. Sure, there are some trees, but nothing like I lived among in the Pacific Northwest, where I was living prior to moving to Texas, then New Mexico. Fortunately, I work from home, so as long as I have an internet connection and WiFi, I’m good. Well, my boyfriend has been putting in for jobs with his company in various states, but all of which had cooler weather and either medicinal or recreational marijuana. Those were our main criteria.
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Animals are friends for life. Not disposable. Not ours to eat or breed.
            Fast forward a few months and DING-DING-DING, we are bound for Durango, Colorado. Oh, and his supervisor wants him there in about two weeks. TWO WEEKS. TWO. MOTHERFUCKING. WEEKS. Not a problem. Let’s just work on finding a place, packing up all of our belongings, including our dogs, a turtle, and fish (because we are not the kind of people who put dogs up on Craigslist for “free” because they are moving to a new place that doesn’t allow pets), and move to another state in two weeks. Simple, right? Fuck.
Image result for dashed hopes            So, in order to ensure that we are not homeless once we arrive in Durango, we took a trip up there. Leaving a little before 5am and getting back after 10pm, it was a long day. But, we met with a realtor who showed us a place that we had been talking with the current tenant and landlord. Everything was going well until Monday morning, today, when I received an email from the current tenant, who stated that the landlord was not satisfied with our background check (namely my credit report), and as such, we would not be considered further for the house that we wanted to rent. Hopes? Dashed to smithereens. My heart sank.
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Guaranteed to make you feel sexy as hell
            Perhaps my mood to hearing that we wouldn’t be able to rent the house we looked at was intensified due to an event that occurred earlier in the day. I have been having terrible post nasal drip for the past few months. It got to the point where I physically collapsed several times, hitting my head on a hard surface a few times due to becoming very lightheaded while trying to clear my throat of stuff that can only be described as having the consistency of cold molasses. I finally conceded to go to our local VA health clinic, where they gave me a shot of an anti inflammatory and prescriptions to the EXACT SAME FUCKING THING I HAD BEEN TAKING. Same dose. They then told me to come back into the clinic within the following week if I am not feeling better.
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Not so Breaking News
Well, I am not feeling better, so I went back to the VA clinic this morning, prior to hearing the news about the place. Good thing too, as I would have probably been placed on a 5150 hold and unable to do the things I need to do in regards to the move, school, and work. After filling out the triage form, I took a seat and waited to be called back to be seen. That would not happen today, as a nurse (?) called me up to the window and told me that they can’t see me anymore since I had been referred out via the Choice program and had a civilian primary care provider now. Well, I saw that person once, for about five minutes, and she didn’t listen to me at all during that time. I was also told the previous week to return to the clinic location if I wasn’t feeling better. See the frustration?
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Not actual house
So, we’re back to square one, looking for a place to live, while residing in a different state, seven hours away. We have expanded our search radius. I didn’t want to, as it snows there and my boyfriend will have to drive in the snow, which is why I wanted to be relatively close to his work, which is in Durango. We will be filling out more applications. One place looks like a murder house, but it’ll do for now, as the owner will be fixing it up more come the warmer months and then put it up for rent for a much higher price I presume.
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You can donate by hitting the word PayPal
I am not one to ask for help lightly. I often pride myself on my ability to do things all by myself. However, I am not sure I will be able to maintain my sanity without a little help. I have been diagnosed with a number of chronic pain conditions, which are intensified by stress. I am trying to keep myself together, as the next month will be very stressful. If possible, if you feel so inclined, I have set up a link via PayPal if you would like to help me to maintain some sanity while we go through this stressful time. My boyfriend’s company isn’t providing any relocation assistance, so it’s just us, our savings, and rescues. After we get settled in the new place, wherever that may be, I will be working on my mental and physical health, finishing up my last course towards my MS degree in Clinical Psychology with a specialization in Applied Research, and hopefully able to breathe once again.


Thank you for reading and feel free to share this post with others 😀 

Tuesday, June 3, 2014

Not a Willy Nilly Girl

I am not, nor from what I can recall having ever been, a willy-nilly sort of a person. Research is my friend and I try to gather as much information as I can before making any large (and sometimes small) decisions. It can be purchases such as when I bought my previous car, I examined the fuel efficiency, the cost of estimated maintenance, durability, resale value, and which features I wanted and which dealership carried what I wanted. I also research before buying televisions, booking hotels (price comparisons and reviews on various sites), and even the very Chromebook model that I am currently writing this blog post on...basically, I research EVERYTHING. Heck, it makes sense that it is part of my job too, since I actually enjoy it. I also researched the best environmentally friendly homemade laundry detergent since we use the gray water from the washing machine to water a section of our backyard. I even researched the best homemade dog treats (which I now do once a week instead of store bought since the dogs had some unpleasant reactions after they had some Milkbones the last time.
            So, it shouldn’t surprise anyone that I also do my research when it comes to moving and living in various states. Fortunately, the nature of my military background required me to live along the coast, and as a San Francisco Bay Area native, that never bothered me one iota. Sure, I have been stationed in some places that I was not too fond of for one reason or another (basically anywhere on the East Coast...sorry, just not my preference), but I was able to make do, knowing that I wouldn’t be there forever. I have lived up and down both the East and West Coasts, and traveled to close to two dozen foreign countries. None of that prepared me for where I am currently living though.
            While I conduct background research on 99% of the choices I make, I moved to Texas to follow my heart. Good thing he’s worth it, because I am not fond of this state. When filling out my “dream sheet” (basically requesting where I want to be stationed based on the openings and my rate/rank), I researched the areas where the billets were located. I know what I like and what’s important for me to feel comfortable. None of those things are located here in Texas (or at least not in the area where I live). Some of the things that I like to know about a place to help me in making decisions on where to live include:
●       Temperature
●       Outdoor activities
●       Political atmosphere
●       Eco-consciousness
●       Cost of living
See, I don’t think that is too much to consider when thinking about where to live. All of those things are important to me and can help me to thrive if given the right conditions. For temperatures, growing up in NorCal, it was rare when it hit 100 degrees, and when it started to get warm, say around 80 degrees, at least there was a cool breeze coming in from the San Francisco Bay and you knew that Mother Nature’s air conditioning (a nice thick layer of fog) would roll in. Here in Texas, a few days before summer “officially” began, we had already experienced a week of 90+ degree temperatures and broke the triple digit barrier. This week we are expected to be over 100 degrees for a few days at least, which makes me not so happy. You see, the heat makes me irritable. Sure, you think it makes you irritable, but it’s a little more intense for me, as it gives me both headaches and stomach aches. My eyes are photophobic, so the glaring sun doesn’t help much and my ethnic background is basically all of the pale cultures that you can think of...which makes me Casper the Friendly Ghost white and I burn very easily. I also don’t like the feel of the heat from the sun on my skin...so Texas is splendid for me. Can you feel the sarcasm as it drenches you, akin to the beads of sweat that form on your brow, the drops that trickle down your back, ending their journey in your butt crack?
            This brings me to the outdoor part. I lived in Oregon before I moved to Texas, and at least once a week, the dogs and I would go hiking in the forest and nature preserves (Oregon is kind of known for their trees). It was both a good workout (I would wear a weight vest, usually adding an extra 20-30 pounds for our 5-6 mile hikes). During the summer or warmer days, we just went a little earlier in the day, beating the sun and then making it home to sit in front of a fan or open up the windows for a breeze. Nature is and has been a large part of my life. Sure, nature is everywhere, even here, but it’s not the kind of nature I enjoy. I nearly cried the other day because of the fact that I miss trees. Not just the trees themselves, but missed what they represented. You see, I work as a freelance writer and am a full-time graduate student, which means I work from home, on my own schedule. I enjoy the freedom my work allows and I used to use that flexibility in my day to do things that would recharge my mind, such as hiking in the woods with the dogs. I have built my reputation in the writing world and have worked up the ranks to a point where I can earn close to what I used to make as a direct care provider, without clients physically assaulting me or making credible death threats. I now have a little more spare time, since I am making more per page. In the past, such an increase would allow me to spend more time outside, however, here in Texas, I despise the idea of going outside in the heat. Also, there are no forests to wander around and get lost as I recharge. The closest hiking trail to where we live is a sand dune. I kid you not. A. Sand. Dune. That just doesn’t cut it for me. There are a few trees here and there, but NOTHING like what I am used to, nor prefer.
            Okay, now let’s talk about politics. They say polite people don’t talk about death nor politics...but who's to say I’m polite? Back to my roots...I grew up in a liberal family, where differences were accepted and most of my family are registered democrats. Also, the Bay Area is a rather liberal location too, which I am very fortunate to have experienced. I have brought that with me wherever I have lived, as it is part of who I am; like the saying goes…”You can take the girl out of California, but you can’t get rid of the hippie.” Well, maybe I made that up...but regardless, it’s fairly accurate. I have found myself thrust into a land, akin to the Twilight Zone mixed with a zoo. I was aware that places like this existed, but I had never experienced it for myself. I hear that other places in the state are more progressive and liberal, but that is not the case where we live. I am used to being the outcast and outlier of society; this is a bit more extreme. I have found myself living among staunch gun-toting, liberal hating, proud to be oilfield trash republicans who have little tolerance for people who may think differently. I have been told that I don’t belong here since I am not a fan of guns in restaurants and because I don’t think that prayers belong in a public school. I try to understand the thought processes of others, but I just go mad when I try to apply logic to the residents in this area.

            So...yeah. I am planning my escape from this hell hole that is West Texas. We should be sprung from here in less than two years and I am already planning on where we need to move that can tick all of my boxes and allow us to be a happy couple. I feel bad that I am crabby at times due to my location, as that is not entirely his fault (aside from the fact that he grew up in the state). I know what it takes to recharge my mind and body...and Texas just doesn’t have it. So residents of Washington...I may be coming for you soon. Watch out and get out of my way...I think there are trees I need to hug.

Saturday, April 27, 2013

The Facial Feedback Hypothesis: Applications and Implications


ABSTRACT

Is it possible to improve your mood, just by smiling?  Research into the facial feedback hypothesis indicates that there may be some credence to the old adage of “grin and bear it.”  Originally sparked by Charles Darwin in his book, The expression of the emotions in man and animals, in 1872, the concept of physiological changes having an impact on the experience of emotions had been addressed by researchers looking for confirmation ever since.  There have been a myriad of researchers who have addressed the facial feedback hypothesis from many angles.

There are many contributors involved in the expression of an emotion, supplied from external stimuli, internal states, and even culture.  While the exact neurological reason behind the impact outward expression has on emotional experience is still unclear, the psychological effects are evident.

THEORIES AND RESEARCH ON THE FACIAL FEEDBACK HYPOTHESIS

The facial feedback hypothesis is the thought that facial movement can influence emotional experience.  In a well documented experiment, participants were asked to hold a pen in their mouth, either between their lips or with their teeth, then asked to rate the humor of a cartoon (Strack, Martin, & Stepper, 1988).  Holding the pen between their lips, the participants contracted the orbicularis oris muscle, resulting in a frown, and were unable to contract the zygomatic major muscle involved in smiling.  However, those who held the pen between their teeth were able to contract this muscle and forced them to smile.  The results indicated that the participants who smiled while holding the pen in their teeth, were more likely to rate the cartoon as more funny.  This is quite an amazing discovery, considering the cartoon was the same in each condition, with the only difference lying in the contracting of the zygomatic major muscle.

The muscle contracted during the mouth pen holding experiment, the zygomatic major muscle, which causes the cheek muscles to draw lip corners up toward the cheekbones, is the same one that is associated with the Duchenne, or genuine smile.  This type of smile is usually thought of a more felt smile and also involves activation of the orbicularis oculi, or the muscle of the eye that causes the “crow’s feet” in the corners of the eye.  It is hypothesized that an individual experiences greater pleasure when displaying a genuine, Duchenne smile when compared to a non-Duchenne smile, which supports the facial feedback hypothesis (Surakka & Hietanen, 1998).

Another, more recent study, involved participant evaluation ratings regarding the pleasantness of pictures, composed of neutral faces or nature scenes (trees, forests, and landscapes).  The two experimental conditions in this study required the participants to look at the pictures while either elevating their cheeks (similar to a smile), or contracting their eyebrows (associated with frowning).  As with the Strack study, the results confirmed the facial feedback hypothesis, since the participants who were in the smiling group rated the pictures as more pleasant when compared to the frowning group (Dimberg & Söderkvist, 2010).

While there appears to be a plethora of research supporting the facial feedback hypothesis, there have been some opponents who have voiced their own opinions.  One of the first to suggest an alternative to the facial feedback hypothesis was William James who posited in 1884 that instead of a change in the muscles and facial expression producing the emotion, the emotion leads to the changes.  James proposed four steps in the generation of subjective experience of an emotion, which consist of: a sensory stimulus transmitted to the cortex and perceived; the reflex impulses travel to muscle and skin; the changes in these areas are transmitted back to the brain; the return impulses are perceived, and when combines with the original stimulus perception, produce the “object-emotionally-felt” effect (James, 1890).  James’ theory of emotion is similar to the facial feedback hypothesis, but in reverse, starting with the appraisal of the stimuli which leads to a change in the facial muscles, followed by an assessment by the brain, producing the emotional experience.

The Differential Emotions Theory, developed by Carroll Izard in 1971, suggested that the primary components of emotion include neural activity, striate muscle, and subjective experience of the individual.  Izard suggested that each emotion operates as a system of interacting neural, expressive, and experiential components, and upon cognition occurring, the emotion is expressed.  According to the differential emotions theory, emotions retain their adaptive and motivational functions, which aid in social interactions (Abe & Izard, 1999).

Another theory that arose in the light of the facial feedback hypothesis was that of the self-attribution theory of emotion, which suggests that emotions are a mixture of autonomic arousal and cognitive processing (Schachter, 1964).  The interesting part of the self-attribution theory is that the reaction to the emotion being experienced is able to be operationalized, therefore, less subjective, and possibly more reliable than the results gathered during self-reports from participants.

In 1980, Ross Buck suggested that there may be two different renderings of the facial feedback hypothesis, the between-subjects and the within-subjects versions.  The between-subjects design suggests that individual differences contribute to the experience of emotions, for example, if one person freely expresses their emotions, they will have a greater response when compared to someone who shows little expression.  Studying of the between-subject version has led to objective supporting evidence, particularly regarding nonexpressive people.  While holding in an emotional expression, it has been noted that there is an increase of heart rate and skin conductance when reacting to a stimuli.  This finding may suggest that facial feedback is not necessary for the experience of an emotion to occur. The within-subject aspect of Buck’s theory holds that when the free expressor is experiencing a given emotion, if they outwardly express rather than stifle the emotion, they will have a greater external response and the emotion will increase in intensity.

Building on Buck’s within-subject aspect of the facial feedback hypothesis, the difference between internalizers and externalizers needs to be addressed.  Individuals in the internalizing group do not freely express emotions, whereas externalizers freely express what they are feeling and experiencing.  According to a somewhat unethical study involving electric shock, those who exaggerated the intensity of the shock were actually experiencing more pain than a group who suppressed their pained expressions while receiving a shock of equal value (Lanzetta, Cartwright-Smith, & Kleck, 1976).  This research also revealed that when compared to the baseline, hiding a facial response to the shock also reduced the galvanic skin response (GSR). These findings suggest that when suppressing, or internalizing the reaction to a stimulus, the experience is actually less intense.  While the externalizer-internalizer distinction doesn’t seem to fit with, and may even contradict the facial feedback hypothesis, they are actually quite similar, since both examine the link between the external expression and the internal experience of emotions.

COGNITIVE LINK BETWEEN THE INTERNAL AND EXTERNAL

There is a complex network of nerves, muscles, and brain functions associated with the expression of an emotion that lies beneath the skin.  Although it has not been empirically shown, research has speculated that the feedback from the muscles of the face and skin during genuine and imitation expressions is sent to the amygdala and the neural network, where it leads to the experience of the expressed emotion (Hennenlotter, Dresel, Castrop, Cebellos-Baumann, Wohlschläger, & Haslinger, 2009).  The amygdala is a key component in the processing of emotions, and has been considered “the gateway to the emotions” (Aggleton & Mishkin, 1986).  Some of the roles of the amygdala include evaluating if a stimulus is dangerous or harmless, pleasant or unpleasant, and is a major contributor to the facial expressions of emotions, both intentional and unintentional (Habel, Windischberger, Derntl, Robinson, Kryspin-Exner, Gur, & Moser, 2007).

In order to research the role of the amygdala in the processing of emotions, researchers used functional magnetic resonance imaging (fMRI) to monitor activity in the brain when exposing participants to pictures of five basic emotions (happiness, sadness, anger, fear, and disgust) along with neutral faces.  Participants were also asked to provide an approximate age for the person that was displaying the emotion.  Results show that when participants attempt to identify which emotion they are seeing, there is activation in the amygdala in both conditions (emotions and age); however, there was far greater activity present when trying to identify the emotion.  This suggests that the amygdala plays a large role in the identification of emotions, as well as appraisal of the emotions viewed (Habel et al., 2007).  It has also been noted that when processing a fearful expression, activity in the orbitofrontal cortex also occurs (Neta & Whalen, 2010).

INTERNALIZERS AND EXTERNALIZERS

As mentioned earlier in Buck’s within-subject version of the facial feedback hypothesis, there are two different kinds of individuals, those that freely express their emotions, externalizers, and those that stifle their expressions, internalizers.  Personal differences between internalizers and externalizers may also dictate which category a person may fall into.  Previous research has suggested that females are more facially expressive than males in emotion-provoking situations.

In a study conducted by Thurnberg and Dimberg (2000), researchers set out to determine whether females were generally more facially reactive, or if they were more emotionally reactive in general, compared to men.  Participants were deceived as to what the exact nature of the experiment was, in order to prevent bias or demand characteristics.  Two groups, composed of either male of female participants, were exposed to fear-relevant and fear-irrelevant stimuli while an electromyography machine monitored the activity from the corrugator supercilii muscle region (activity in this region is associated with the exhibition of the fear expression, which consists of the eyebrows being raised, opening the eyes widely).

In order to effectively induce a fear response in the participants, researchers used pictures of snakes, which has been shown to reliably produce an increase in corrugator muscle activity, and are usually consistently rated as being unpleasant.  Participants were also exposed to fear-irrelevant stimuli (flowers), which have been shown to induce either a neutral of slightly positive facial reaction (Dimberg, 1997), in order to determine if the changes in activity were due to the individual or the stimuli.  After exposure to each set of pictures, fear-relevant (snakes) and fear-irrelevant, the participants were asked to rate how unpleasant they experienced the stimuli.

When evaluating the results of the corrugator muscle activity, there was not a significant difference when comparing the fear-relevant and fear-irrelevant stimuli; however, there was a difference in the activity level between the two groups.  It was discovered that females not only produced a larger response than males to the fear-relevant stimuli (snake pictures), but the responses of the females differed between both stimuli as well; females showed a larger corrugator response to the fear-relevant than the fear-irrelevant stimuli.  In this experiment, the participants in the male group would be considered internalizers and the participants in the female group would be considered externalizers, since there was more corrugator muscle activity in response to the fear-stimuli.

Researchers have suggested many reasons as to why this difference between males and females exist, including genetics differences in the central nervous system, cultural influences that have worked to inhibit the fear expression in males (Brody & Hall, 1993), and even a possibility that females are more perceptually sensitive than males (Buck, 1984).  Females may also have a genetically evolved fear response that has developed out of necessity for protection of offspring in dangerous situations.

Many studies have supported the hypothesis of increased facial expressiveness of emotion is correlated with increased physiological arousal.  In a study involving exposing participants to pictures of people exhibiting happiness, sadness, anger, or fear, while monitoring blood pressure and heart rate, researchers discovered that there was a measureable correlation between the stimuli photos and the physiological reactions.  Fear and happiness were linked with and increased heart rate, however, in the fear condition, the heart rate increased more (Schwartz et al., 1981).  This increase in heart rate as a response to fear may be an example of the fight-or-flight response that has evolved in order to keep a species alive and able to escape danger.

The increase in emotional expression among externalizers has been thought of as a form of cathartic discharge, since according to some, emotion must find an exit, and if it cannot be vented outwardly through expression, it is routed inward, resulting in physiological changes.  According to Jones (1948), individuals who outwardly express emotion but show little arousal, or physiological changes, are externalizers; whereas those who show little to no outward emotion, but substantial autonomic physiological activity are internalizers.

When studying the physiological differences between internalizers and externalizers, the results are mixed.  Research involving voluntary facial expressions of anger, disgust, neutral, and control conditions during anger imagery showed that the voluntary facial anger reduced blood flow volume, but did not show an increase in heart rate, contrary to the findings of Schwartz et al. in the previous study (Ianni, Stettner, & Freedman, 1986).

It is suggested by researchers Boden and Dale, that internalizers are individuals who habitually and effectively control their emotions and that there are immediate and significant consequences to such regulation.  While devoting tremendous energy to prevent externalizing behavior from surfacing, there may be not only higher blood pressure and pulse present, but also possibly a diminished memory and cognitive processes (Boden & Baumeister, 1997).  It appears that internalizers may have a way of protecting themselves from unpleasant events, possibly by generating pleasant thoughts; they are able to avoid processing of unpleasant emotions.

WHAT HAPPENS WHEN THE FACIAL FEEDBACK PATHWAY IS BLOCKED?

In a quest to maintain a youthful appearance, many women, and some men, have turned to injections of botulinum toxin, or Botox, to prevent the appearance of wrinkles.  Botox, a deadly poison, causes temporary muscle paralysis by preventing acetylcholine release at the neuromuscular junction, acting as a roadblock to expression formation (Dastoor, Misch, & Wang, 2007).  Patients are advised that Botox will not keep them from expressing themselves, just their facial expressions.  Some of the more popular areas for injection of Botox includes the glabellar rhytides (involved in furrowing of the brow), horizontal forehead lines, and crow’s feet, all areas involved in routine facial expressions (Alam, Barrett, Hodapp, & Arndt, 2007).  With these locations being paralyzed, would the inhibition of facial expressions lead to an interrupted facial feedback pathway?  Since the theory of the facial feedback hypothesis suggests that posing a facial expression should increase the intensity of the emotional experience, inhibiting the facial expression should decrease it.

Research into how Botox affects emotional experience suggests that when the facial feedback pathway is blocked, the strength of the emotional experience is decreased.  One study compared self-reports of emotional experience of participants before and after they received one of two types of cosmetic facial injections, either Botox or Restylane (Davis, Senghas, Brandt, & Ochsner).  Unlike Botox, Restylane acts as a filler and does not cause temporary muscle paralysis.  In order to evaluate any changes between the pre and post injection responses, emotional response to positive and negative video clips were recorded.  Upon analyzing the within-group results, there were no statistically significant findings, however, when comparing the between-group data, the participants who received Botox injections showed a significant decrease in the strength of emotional experience.  These results suggest that when the facial feedback pathway is inhibited, there is indeed a diminished experience of emotion, confirming the facial feedback hypothesis.

By paralyzing the target muscles, specifically the orbicularis oculi, less Duchenne-type smiles may occur, however, it may also result in a more positive mood.  By reducing the furrowing of the brow associated with negative emotional expressions, it may lead to a more positive emotional expression (Alam et al.).

According to the facial feedback hypothesis, expressing more positive emotions may lead to more smiling and a happier emotion, however, on the other side, by losing the ability to display negative emotions, the expressions of disgust, fear, and anger may be diminished.  With the possibility of losing the ability to express emotions, physicians who perform Botox injections are urged to consult with their patients, especially those who rely on demonstrative facial expressions (actors, salespersons, teachers), a side effect to injections may include distress due to the inability to effectively transmit their emotions (Singh, 2003).

CLINICAL APPLICATIONS

If our emotional states are a result of our facial expressions, it would be presumed that by smiling, individuals who are depressed could improve their mood.  Impairment in the ability to smile may elevate the risk for depression, since according to the facial feedback hypothesis, if an emotion is not able to be expressed, that emotion will not be fully experienced (VanSwearingen, Cohn, & Bajaj-Luthra, 1999).  In addition to not being able to experience the emotion, another side effect to an inability to smile is that some may experience increased social isolation due to their impaired ability to communicate positive emotion in social contexts (Fridlund, 1991).  In a different study of individuals with depression, researchers discovered a positive correlation between patients with a higher level of EMG activity measurements of the corrugator and zygomatic face muscles and more positive treatment outcomes (Greden, Price, Genero, Feinberg, & Levine).
In studies involving individuals without smile impairment, some research has supported that facial expressions can influence emotions.  In an experiment, participants experienced increased positive moods when they engaged in positive facial expressions and decreased positive moods when they engaged in negative facial expressions (Kleinke, Peterson, & Rutledge, 1998).

Since, according to the facial feedback hypothesis, we are able to deliberately control and change our feelings and emotions, we are also able to control the physiological responses associated with them.  This idea would be quite useful in a clinical setting, and has been employed in many relaxation-based therapeutic practices.  It is suggested that relaxing facial and other muscles may produce a positive experience of relaxation, while reducing muscle tension and negative emotions (Duclos & Laird, 2001).

CONCLUSION

The debate over the facial feedback hypothesis, which was started over 200 years ago, is far from being over.  As with any good scientific method, researchers will continue to try to find supporting evidence as well as contrary evidence regarding how, and if, facial expressions do indeed have an impact on the emotional experience.  Some of the debate regards the inner workings of the brain and how it relays information; others are concerned primarily about the objectivity involved in the collection of data.  No matter which side of the hypothesis you may find yourself, you will find controversy, which is a sign of progress.

**References available upon request**