 Vol.5, No.9, 1467-1477 (2013) Health http://dx.doi.org/10.4236/health.2013.59200 The relationship between differentiation of self and satisfaction with life amongst Israeli women: A cross cultural perspective Aya Biadsy-Ashkar, Ora Peleg* Department of Counseling, The Max Stern Yezreel Academic College, Emek Yezreel, Israel; *Corresponding Author: orap@yvc.ac.il, pelegora@gmail.com, b.aya85@gmail.com Received 10 May 2013; revised 15 June 2013; accepted 20 July 2013 Copyright © 2013 Aya Biadsy-Ashkar, Ora Peleg. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT The current study examined the relationships between satisfaction with life and differentiation of self among Jewish and Arab women living in Israel. The sample included 268 participants: 114 Jewish women and 154 Arab women. For both ethnic groups, satisfaction with life was nega- tively correlated with emotional cutoff. Among Arab women, satisfaction with life was found po- sitively associated with I-position, marriage du- ration and education. The examination of cross- cultural differences yielded several findings: Arab women reported higher l evels of emotional reac- tivity and I-position than Jewish women. No cul- tural differences were found in the levels of fu- sion with others, emotional cutoff and satisfac- tion with life. The current findings show that work- ing women, who are highly differentiated, are sa- tisfied with life to a greater extent tha n non-w ork- ing women who are poorly differentiated. In ge- neral, the research findings provide support to the universality of the Family Systems Theory, and to the argument that differentiation of self is an import ant factor which may influence emotio- nal wellbeing in all cultures. Keywords: Differentiation of Self; Emotional Reactivity; I-Position; Emotional Cutoff; Fusion with Others; Satisfaction with Life 1. INTRODUCTION Differentiation of self has become one of the key con- cepts of Bowen’s theory [1]. Bowen argued that differen- tiation of self plays an important role in the individual’s optimal functioning and well being and that it is univer- sal, and accordant to all cultures [2]. The literature sup- ports this argument. In a series of studies differentiation of self was found positively associated with well being [3] and satisfaction (e.g., marital satisfaction) [4], and nega- tively associated with anxiety [e.g., 5-8] and stress [9] in both individualistic and collectivist societies [10]). Yet, it should be noted that due to cross-cultural differences that were found with respect to the dimensions of differentia- tion of self, it was suggested that The DSI-R might oper- ate differently in Eastern and Western societies. To the best of our knowledge, no cross-cultural research has exa- mined the relationship between differentiation of self and satisfaction with life amongst participants from collec- tivist and individualistic societies, living at the same coun- try. 1.1. Differentiation of Self and Satisfaction with Life According to Bowen’s theory, at least four factors are indicators of a person’s levels of differentiation of self: emotional reactivity, emotional cutoff, fusion with others and the ability to take an I-position [8,11]. Emotional re- activity, describes a person’s tendency to react to stress by irrational emotional flooding; fusion with others taps the inclination to create complex and dependent relation- ships with significant others; emotional cutoff, reflects one’s tendency to end inter-personal relationships and cut them off as a way of dealing with tension and con- flicts in symbiotic relationships; “I” position taps the in- dividual’s ability to stand up for himself and independ- ently and autonomously express his/her will. Poorly differentiated people tend to react with a high amount of emotional flooding, focusing their attention more on the emotional episode than on fulfilling tasks. They are likely to create fused relationships, react to stressful events by fusion or emotional cutoff, and expe- Copyright © 2013 SciRes. OPEN A CCESS
 A. Biadsy-Ashkar, O. Peleg / Health 5 (2013) 1467-14 77 1468 rience unstable emotions and mood swings, finding it hard to keep themselves on track for the benefit of cer- tain goals or their own benefit in a reasonable and ratio- nal manner [12]. On the other hand, highly differentiated people are able to adopt a position in inter-personal rela- tionships, adjust their feelings, as well as retain their per- sonal identity within substantial and intimate relation- ships, think, feel and act for themselves [3]. They are able to distinguish between emotional and rational processes and react efficiently and adaptively to stressful conditions [2,8,11,13]. In a series of studies negative links were found be- tween differentiation of self and various anxieties, such as, trait anxiety [8], separation anxiety [5,6,12], social anxiety [7], psychiatric symptoms, depression symptoms [3,14,15] physiological symptoms [10,16], stress [17], and over involved counter-transference behaviors [18]. In addition, positive associations were found between dif- ferentiation of self and psychological adaptation, the abi- lity to solve social problems [19], mental wellbeing and psychological health [3,14,20], marital satisfaction [4], and life satisfaction [21,22]. Satisfaction with life, reflects a sense of contentment and feelings of congruency between wants or needs and accomplishments or resources, and can be taken as a measure of quality of life [23-25]. It is one of the basics of mental wellbeing that may affect the individual on se- veral planes of life. It may influence rational and intel- lectual functioning, as well as physical and mental health [26,27]. Research examining participants from Western socie- ties has corroborated Bowen’s [2] assertion that highly differentiated individuals are more satisfied with their life [28] and marital relations [6]. This association was found to be different between the sexes. Amongst men marital satisfaction was found negatively correlated with emotional reactivity and emotional cutoff, while amongst women marital satisfaction was found negatively associ- ated with emotional cutoff only [4]. 1.2. Differentiation of Self and Satisfaction with Life: Cross Cultural Research Only a few studies have examined the relations be- tween differentiation of self and satisfaction within di- verse ethnic cultural groups, yielding mixed results. One of the first studies conducted among Filipinos partici- pants, was aimed at examining the assumption that diffe- rentiation of self would have a different meaning in the Filippine collectivist context relative to an American in- dividualistic context. Specifically, it was hypothesized that a high level of fusion with others would be associated with low symptomatology and that standing up for one’s beliefs (I-positions) would be harder to maintain due to strong allegiance to the family and community [3]. The Filippine participants reported higher levels of “I” posi- tion, and emotional cutoff, and lower levels of emotional reactivity than their American counterparts. No cultural differences were found in regard to fusion with others. In another research examining differentiation of self, Chung and Gale [29] stated that the need for autonomy and the sense of belonging were shared throughout all societies, but the value of differentiation of self and auto- nomy was emphasized in individualistic societies, while the values of belonging and closeness were perceived more important in collectivistic societies. In addition, Ta- mura & Lau’s study [30] showed that the Japanese tend- ed to over-emphasize fusion with others, and lessen the importance of the separation process, whereas the British participants reported lower levels of fusion with others. In a study which examined differentiation of self among European-American students and Korean students, the Koreans reported lower levels of differentiation of self and “I” position, and higher levels of emotional reactiv- ity, emotional cutoff and fusion with others, in compari- son to their European-American counterparts [29]. In a recent research study, Chung & Gale [31] found that American families were encouraging their members to develop a high level of differentiation of self than Ko- rean families. It was also found that family functioning was positively associated with differentiation of self. Most of the dimensions of family functioning were nega- tively associated with emotional reactivity and emotional cutoff, and positively associated with “I” position within both ethnic groups. These contacts were weak among the Korean participants. In a study conducted among Druze mothers in Israel [12], no differences were found in the levels of differen- tiation of self between Jewish and Druze participants. Yet, Druze mothers reported higher levels of fusion with others and “I” position than their Jewish counterparts. Another recent study conducted among Israeli students, showed that Arab students reported higher levels of “I” position and emotional cutoff, and lower levels of fusion with others and emotional reactivity than Jewish students [10]. Only a few studies examined cross-cultural differences in satisfaction with life. Thus, for example, it was found that Asians put greater importance on the individual’s level of satisfaction with life than did Europeans [25]. In other studies participants from collectivist societies re- ported a lower level of satisfaction with life than partici- pants from individualistic societies [32]. It was argued that among people from Western societies, satisfaction with life was impacted by health and professional status, whereas among people from Eastern societies satisfac- tion with life was impacted mostly by social relation- ships [33]. In a study carried out in Israel comparing Je- wish and Arab women [26], Jewish women reported a Copyright © 2013 SciRes. OPEN A CCESS
 A. Biadsy-Ashkar, O. Peleg / Health 5 (2013) 1467-14 77 1469 higher level of satisfaction with life. Among Arab wo- men, satisfaction with life was positively associated with education and spouses’ support. 1.3. Jewish and Arab Women in Israel The current study was conducted among Jewish and Arab women in Israel. The Jewish women belong to We- stern individualistic culture, whereas the Arab women belong to a minority group and a society defined as Ea- stern and collectivistic [34,35]. The Arabs, citizens of the State of Israel, comprise 20.5% of the total Israeli popu- lation (the majority are Moslems) [36], and are defined as a group, which differs from the Jewish majority by language, religion, culture, historic narrative, geographi- cal areas and education system [35]. The Arab society is in the midst of a change from a collectivistic to an individualistic society. The transition can be observed in many areas, such as the individual’s and women’s status, education, and the transition to a limited, nuclear family [34,37]. At the same time the Arab population has to adhere to social and familial norms and values [37]. This is a stage of transition be- tween tradition and modernity, where an attempt is made to mimic Western culture’s norms, without actually in- corporating them. On the one hand, this process has wea- kened the collectivist familial life as well as the traditio- nal culture’s values, but on the other hand it has not led to the construction of a strong modern identity [38]. Another significant process that is occurring in these societies is the change in the woman’s status. Today, more and more women continue learning after high school and develop careers while receiving support from their fami- lies. This change has made the women in Asian societies an active factor in workforce, and has also provided them with financial stability and independence. However, still, the Asian societies emphasize the traditional collective values, preserving social ties, honor and devotion to their parents, and commitment to social values and norms, such as the woman’s concern for the home and the chil- dren, while retaining the husband’s role as the head of the family [29,39]. 1.4. Summary, Questions and Hypotheses The review of the literature reveals that the few studies that have examined cross cultural differences in the lev- els of differentiation of self and satisfaction with life, yielded mixed results. Specifically, participants from collectivists societies reported higher levels of fusion with others [12,29] and emotional cutoff [3,10,29]. There are no consistent findings regarding I-position and emo- tional reactivity. For example, several researchers found higher levels of I-position [10,12] and emotional reactiv- ity [29] among participants from collectivist societies. In contrast, other researchers found lower levels of I-posi- tion [29] and emotional reactivity [3] among participants from collectivist societies. In several studies participants from collectivist societies reported a lower level of satis- faction with life than participants from individualistic so- cieties [26,32]. To date, no research has examined these differences between two main ethnic groups living in the same coun- try. Specifically, no research has examined the differenc- es between Jews and Arabs living in Israel in this regard. Therefore, the first aim of the present study was to assess the differences between Jewish and Arab women in the levels of differentiation of self and satisfaction with life. The second aim is to assess the relationships between differentiation of self and satisfaction with life. The following hypotheses were thereby tested: 1) Arab women will report higher levels of I-position, emotional reactivity, fusion with others and emotional cutoff than their Jewish counterparts. 2) Jewish women will report a higher level of satisfac- tion with life than their Arab counterparts. 3) Differentiation of self (emotional reactivity, I-po- sition, emotional cutoff, fusion with others) will be posi- tively associated with satisfaction with life among both ethnic groups: Satisfaction with life will be positively correlated with I-position, and inversely correlated with emotional reac- tivity, emotional cutoff and fusion 2. METHOD 2.1. Participants A volunteer sample of women was recruited to take part in the research project. Prospective participants were Arab and Jewish women from northern Israel. In order to recruit Arab women, we chose two elementary schools and two community centers in a northern Israeli city, and two high schools in the “Triangle” as well. All the teach- ers and guides were asked to participate. In order to re- cruit Jewish women three schools and two community centers were chosen in a northern city in Israel, and all teachers and guides were asked to participate in the study. Of 160 Jewish women, 125 returned the questionnaires. Only, 114 were acceptable. Of 160 Arab women, 158 returned the questionnaires. Only 154 were acceptable. The women who were excluded did not complete part of the questionnaires. The final sample consisted of 154 Arab Moslem Women between the ages of 30 - 60 (The mean age was 42.26, SD = 7.93), and 114 Jewish women, between the ages of 30 - 60 (The mean age was 46.39, SD = 8.14) (see Table 1). The study’s sample size was determined by definition of power for regression with 7 variables, while the effect size factor = 0.15, α = 0.05, power = 0.90. The sample size was at least 108 partici- Copyright © 2013 SciRes. OPEN A CCESS
 A. Biadsy-Ashkar, O. Peleg / Health 5 (2013) 1467-14 77 1470 Table 1. Demographic variables of the sample. Arab women (n = 154) Jewish women (n = 114) Total (N = 268) N % N % N % Education level High school 77 50.00 53 46.50 130 48.50 B.A 61 39.60 38 33.30 99 36.90 M.A 15 9.70 18 15.80 33 12.30 Ph.D. 0 0 5 1.90 5 1.90 Employment status employed women 99 64.30 74 64.90 173 64.60 unemployed women 55 35.70 40 35.10 95 35.40 Marital status marred 110 71.40 76 66.70 186 69.40 single 37 24 23 20.20 60 22.40 divorced 6 3.90 12 10.50 18 6.70 Widow 1 0.60 3 2.60 4 1.50 Residence place village 52 33.80 8 7 60 22.40 city 102 66.20 81 74.10 183 68.30 moshav 0 0 16 14 16 6 kibbutz 0 0 9 7.90 9 3.40 pants for each group. All participants in the study met our inclusion criterion of being in an intact family with two biological parents living in the home. 2.2. Measures 2.2.1. Satisfaction with Life Index A (LSIA) The Satisfaction with life Index A is a 20-item self re- port measure designed for use with adults [40]. The in- ventory was translated and adapted into Hebrew [41], and into Arabic for the purpose of the present study, us- ing Brislin’s back-translation method for cultural re- search [42]. First, a neutral mother-tongue quality Ara- bic-English speaker translated it from English to Arabic. Afterwards, it was translated back from Arabic into Eng- lish by another neutral mother-tongue quality Arabic- English speaker. The inventory was piloted on 20 Arab women. Items wording was corrected and clarified ac- cording to their suggestions. The questionnaire is composed of 12 items which are positively worded, a sample item is “Today I am content, just like I was when I was young”; and 8 items which are negatively worded. A sample item is “Most of the things I do are boring or monotonous”. Each item had three possible answers to choose: “agree”, “disagree”, and “?” (The “question mark” meant that the phrase was irrele- vant for the participant). Participants are asked to record their response on a three-point rating scale, with the an- chors of (2) = “agree” for a positive item, and “disagree” for a negative item, (0) = “agree” for a negative item and “disagree” for a positive item, and (1) = ? For both po- sitive and negative items. The scale item score is calcu- lated from 0 (when participants answered all positive items with “disagree” and all negative items with “agree”) to 40 (when participants answered all positive items with “agree” and all negative items with “disagree”). The cur- rent study reported acceptable internal consistency reli- abilities; Cronbach alphas were α = 0.75 for the Hebrew version, and α = 0.76 for the Arabic version. 2.2.2. The Differentiation of Self Inventory-Revised We assessed levels of differentiation of self using the DSI-R [8], translated into Hebrew [4,17] and to Arabic for the purpose of the present study, using Brislin’s back- translation method for cultural research [42]. First, a neu- tral mother-tongue quality Arabic-English speaker trans- lated it from English to Arabic. Afterwards, it was trans- lated back from Arabic into English by another neutral mother-tongue quality Arabic-English speaker. The in- ventory was piloted on 20 Arab women. Items wording was corrected and clarified according to their sugges- tions. The inventory is a 46-item self-report measure that fo- cuses on adults, their significant relationships, and their current relations with family of origin. It includes four subscales: emotional reactivity (ER), I-position (IP), emotional cutoff (EC), and fusion with others (FO). A sample item is: “People have remarked that I’m overly emotional” (ER). The fusion subscale used in this study was the updated version by Skowron and Schmitt [43], translated to Hebrew using the “back translation” me- thod [4]. Participants respond to items on a six-point Li- kert-type scale, ranging from 1 (not at all true for me) to 6 (very true for me). DSI-R subscale scores were calcu- lated by averaging the mean scores of the items in each category. The DSI-R range is therefore 1 - 6, with higher scores reflecting greater differentiation in IP subscale, and lower scores reflecting greater differentiation in ER, EC and FO subscales. Internal consistency (Cronbach’s alpha) in the current study was 0.67 for DSI full-scale, 0.69 for emotional reactivity, 0.63 for I-position, 0.75 for emotional cutoff, and 0.65 for fusion with others. The Arabic translated questionnaire’s internal consistency was as follow, 0.82 for DSI full-scale, 0.76 for emotional re- activity, 0.60 for I-position, 0.66 for emotional cutoff, and 0.63 for fusion with others. 2.2.3. Background Questionnaire This questionnaire was constructed specifically for the current study to yield information regarding age, marital Copyright © 2013 SciRes. OPEN A CCESS
 A. Biadsy-Ashkar, O. Peleg / Health 5 (2013) 1467-14 77 1471 status, number of children, length of marriage, national- ity and religion. 2.3. Procedure The questionnaires were distributed to 160 Jewish fe- male and 160 Arab female, all of them live in the north of Israel. Each participant received a questionnaire and filled it out privately. Of 125 questionnaires returned by Jewish participants, 114 were valid. Of 158 questionnair- es returned by Arab participants, 154 were valid. Upon the receipt of the approval of school principals’ and the community centers’ managers’ to conduct the study, as well as the receipt of participants’ consent to take part in the research, a meeting was held by two research assis- tants in each center. The meetings with the working wo- men were set up during their recess or after work. The appointments with non-working women were set at the community centers. The research assistants clarified the aims of the study and promised discretion and anonymity. Each participant received a questionnaire and filled it out privately. The assistants were present while completing the questionnaires to ensure comprehension and answer questions. The time taken to fill out the questionnaires was approximately 20 minutes. 3. RESULTS Means, standard deviations and ranges of all study va- riables are presented in Table 2. In order to test the first hypothesis regarding cultural differences in the levels of differentiation of self, and the second hypothesis regarding cultural differences in the levels of satisfaction with life, we opted for a series of independent sample t-tests (see Table 2). As shown in Table 2, significant cultural differences were found show- ing higher levels of emotional reactivity and I-position among Arab women. No significant differences were found in the levels of fusion with others, emotional cut- off and satisfaction with life, partially supporting Hypo- theses 1, 2. To test the third hypothesis regarding the relationship between differentiation of self and satisfaction with life among Jewish and Arab women, partial correlations were run. As shown in Table 3, satisfaction with life was positively correlated with I-position, and negatively cor- related with emotional cutoff among both Jewish and Arab women. Emotional reactivity and fusion with oth- ers were negatively correlated with satisfaction with life only among the Arab women. This means that among the Arab women, higher level of satisfaction with life was found among those who reported a higher level of I-po- sition and lower levels of emotional reactivity, emotional cutoff and fusion with others. Table 2. Means, Standard Deviations, Ranges, and t-Tests Analyses. Arab women n = 154 Jewish women n = 114 Variable Mean (SD) Min Max Mean (SD) Min Max t (266) 4.00 1.73 3.51 1.82 ER (0.89) 5.91 (0.68) 4.91 −5.18*** 3.08 1.08 3.00 1.00 EC (0.81) 5.50 (0.80) 4.50 −0.78 3.74 1.67 3.74 2.00 FO (0.70) 5.33 (0.63) 5.33 0.01 4.09 2.27 3.89 2.36 IP (0.73) 5.73 (0.73) 5.82 −2.22** 25.53 4.00 24.31 8.00 LSIA (7.41) 40.00 (7.39) 40.00 −1.33 **p < 0.01; ***p < 0.001. Note: ER = Emotional reactivity; EC = Emotional cutoff; FO = Fusion with others; IP = I-position; LSIA = Satisfaction with life (N = 268). Table 3. Partial correlations between differentiation of self subscales and satisfaction with life. Satisfaction with life Differentiation of self subscales Arab women (n = 154) Jewish women (n = 114) ER −0.19* −0.18 EC −0.32** −0.50** FO −0.17* −0.04 IP 0.29** 0.33** *p < 0.05; **p < 0.01. Note: ER = Emotional reactivity; EC = Emotional cutoff; FO = Fusion with others; IP = I-position; LSIA = Satisfaction with life (N = 268). The contribution of differentiation of self to the level of satisfaction with life was examined in a series of hier- archical regression analyses (Table 4). Given that cultu- ral differences were found in two subscales (emotional reactivity and I-position), two separate hierarchal regres- sive analyses were run (for Jewish an Arab women sepa- rately). Background scores of marriage duration, number of children, age, education level and employment status (1 = employed, 0 = unemployed) were entered into the equation regression first. Participants’ satisfaction with life served as the dependent variable. In the second step, women levels of emotional reactivity, emotional cutoff, fusion with others and “I” position were entered to ex- amine the contribution of differentiation of self to satis- faction with life (see Table 4). As shown in Table 4, all regression models were sig- nificant. Background variables and differentiation of self accounted for 34% of the variance in satisfaction with life for the Jewish participants, and 34% of the variance for the Arab participants. The introduction of DSI-R sub- scales asses an explained variance of 0.17 for Jewish Copyright © 2013 SciRes. OPEN A CCESS
 A. Biadsy-Ashkar, O. Peleg / Health 5 (2013) 1467-14 77 1472 Table 4. Results of multiple hierarchical regression analyses, with women’s satisfaction with life as dependent variable and background variables and levels of differentiation of self as independent variables. Arab women (n = 154) Jewish women (n = 114) B SE B SE Step 1 Marriage duration 0.29 0.10 0.43** 0.07 0.080.11 Children number −0.61 0.42 −0.18 0.52 0.580.12 Age −0.08 0.09 −0.09 −0.04 0.09 −0.04 Education 2.40 1.00 0.22* 1.02 0.830.12 Employment status 3.56 1.36 0.23* 4.13 1.520.27** R 2 = 0.22*** R 2 = 0.17** Step 2 Marriage duration 0.27 0.09 0.41** −0.02 0.08−0.04 Children number −0.73 0.40 −0.21 0.77 0.540.18 Age −0.10 0.09 −0.11 −0.01 0.09 −0.01 Education 1.93 0.94 0.18* 0.67 0.770.08 Employment status 2.81 1.29 0.18* 1.99 1.47.13 ER −0.71 0.75 −0.09 −0.15 1.07 −0.01 EC −2.12 0.77 −0.24** −3.63 0.84−0.40*** FO 0.80 1.03 0.08 0.49 1.170.04 IP 2.70 0.69 0.27*** 1.33 0.900.13 R² = 0.12*** R² = 0.17*** R2 = 0.34, F(9,143) = 8.27*** R2 = 0.34, F(9,143) = 5.88*** *p < 0.05; **p < 0. 01; ***p < 0.001. Note: ER = Emotional reactivity; EC= Emotional cutoff; FO = Fusion with others; IP = I-position (N = 268). participants, and 0.12 for Arab participants, creating a to- tal R2 of 0.34. This change in R2 was significantly dif- ferent from the first step. That is, the added contribution of women’s differentiation of self explained further vari- ance in women’s satisfaction with life scores (F(9,103) = 5.88, p < 0.001, among Jewish women and F(9,143) = 8.27, p < 0.001 among Arab women). Partially supporting hypothesis 3, emotional cutoff was inversely correlated with satisfaction with life within both ethnic cultural groups. Correlations between satis- faction with life on the one hand and emotional reactivity and fusion with others on the other hand did not reach significance. For Arab women, satisfaction with life was positively correlated with I-position, as well as with sev- eral background variables. Specifically, satisfaction with life was positively correlated with marriage duration, education and employment, showing that more satisfied Arab women are educated, working and married. More- over, the longer they are married, the more they are sat- isfied with their life. As for Jewish women satisfaction with life was posi- tively correlated with employment. However, when em- ployment was introduced to the regression equation to- gether with differentiation of self it did not reach signifi- cance (see Table 4). To further examine the data, a series of two-tailed, in- dependent sample t-tests, each with an alpha of 0.01, were run to examine differences between working and non-working women in the levels of differentiation of self and satisfaction with life. Among Arab women the t-tests yielded significant differences between working and non-working women, showing higher levels of satis- faction with life and lower levels of emotional reactivity and emotional cutoff among employed women. Among Jewish women, significant differences were found, indi- cating higher levels of satisfaction with life and I-posi- tion, and lower levels of emotional cutoff among emplo- yed women (Table 5). 4. DISCUSSION The present study sheds light on several notions of Bowen’s theory, reinforcing the importance of differen- tiation of self to well being. It provides partial support for the assumption that differentiation of self is positive- ly related to satisfaction with life among Jewish and Arab women. Yet the findings yielded several cultural differ- ences. The first hypothesis regarding cultural differences in the level of differentiation of self was partially supported. Arab women reported a higher level of “I” position than their Jewish counterparts, supporting previous research studies pointing to higher levels of “I” position among participants from collectivist societies [3,10,12]. As mentioned previously Arab women in Israel are Table 5. Independent t-test analyses to examine differences between working and non-working women. Variable Non-working women Working women T value Mean (SD) Mean (SD) ER 4.24 (0.87) 3.87 (0.88) t (152) = 2.46* EC 3.33 (0.77) 2.94 (0.80) t (152) = 2.86* FO 3.89 (0.74) 3.65 (0.67) t (152) = 1.97 IP 4.05 (0.71) 4.11 (0.74) t (152 ) = −0.46 Arab women n = 154 LSIA 22.12 (7.21) 27.42 (6.85) t (152) = −4.50*** ER 3.58 (0.59) 3.47 (0.72) t (112) = 0.85 EC 3.34 (0.57) 2.82 (0.85) t (112) = 3.90*** FO 3.67 (0.60) 3.77 (0.65) t (112) = −0.80 IP 3.58 (0.65) 4.05 (0.72) t (112) = −3.47** Jewish women n = 114 LSIA 20.57 (5.47) 26.33 (7.53) t (112) = −4.68*** *p < 0.05; **p < 0.01; ***p < 0.001. Note: ER = Emotional reactivity; EC = Emotional cutoff; FO = Fusion with others; IP = I-position; LSIA = Satis- faction with life (N = 268). Copyright © 2013 SciRes. OPEN A CCESS
 A. Biadsy-Ashkar, O. Peleg / Health 5 (2013) 1467-14 77 1473 undergoing a period of change which is reflected in their status, education, and transition to a limited, nuclear family [34,37]. At the same time they have to adhere to social and familial norms and values [37]. It is possible that in order to improve their status, to struggle for equa- lity and to develop their ego and identity, they have to demonstrate determination, to stand up for themselves, and to fight for their rights more forcefully and asser- tively [44]. It should be noted that Israeli Arab women are part of a minority, and therefore are likely to invest more efforts in improving their own as well as their off- spring’s education and standard of living [45]. Arab women reported higher levels of emotional reac- tivity than their Jewish counterparts. This finding is con- sistent with Chung and Gale’s [29] findings showing higher levels of emotional reactivity among Korean stu- dents than among European-American students. How- ever it refutes other studies’ results indicating lower lev- els of emotional reactivity among participants from col- lectivist societies [3,10]. The reason for this result may lie in the Arab tradition, according to which women, even if they develop a pro- fessional career, are still the sole caretakers at home [46]. It was suggested that though the Arab society in Israel has adopted modern individualistic society values con- cerning women’s status, education and career-develop- ment. The Arab woman is still required to follow social norms, to live up to social expectations in regard to home tasks [38], and to give up their desires. She is not encou- raged to fulfill her own expectations and to make a ca- reer [47]. This day-to-day duty of caring for family mem- bers, and at the same time developing a career, may in- crease Arab women’s levels of stress and anxiety, and thus, boost emotional reactivity. Another possible reason is based upon Haj Yahia’s [48] assertion that despite the rise in the number of people who need psychological help, the Arab society in Israel still tends to perceive emotional and familial problems as a “failure” or a “sin”, resulting in only a small number of people who actually go to therapy and are assisted by therapists. It is likely that the illegitimacy and inability to get help does not allow to reduce emotional reactivity. Interestingly no cultural differences were found in the levels of fusion with others, refuting previous findings [10,26,31]. As mentioned previously, the Arab society is extremely exposed to the Jewish society in Israel, and therefore is undergoing a process of modernization. It is likely that the exposure to Western norms and lifestyle has led to changes in personal and familial customs and behaviors. Thus, for example, many young women work outside the home, study at colleges or universities, and therefore are less involved in the life of the extended family [34]. No cultural differences were found in the levels of emotional cutoff, corroborating Peleg et al.’s [12] find- ings. An explanation suggested by Sharabi [38] is that the encounters with Jewish women help Arab women to express their wishes and desires, and to have direct dia- logues, instead of disconnecting and cutting off. The regression analyses yielded for both ethnic groups negative correlations between emotional cutoff and satis- faction with life. For Arab women positive correlations were found between I-position and satisfaction with life, partially confirming hypothesis 3. These findings support previous studies, showing positive connections between differentiation of self on the one hand, and emotional wellbeing [20], satisfaction with life [21,22], and marital satisfaction [4] on the other hand. A possible explanation for the association between satisfaction with life and I-position among Arab women relies on Bowen’s theoretical approach [11], according to which a high level of differentiation of self allows higher levels of psychological adaptation, emotional wellbeing, physical and mental health. This is due to the fact that a well-differentiated person is better able to guard his in- timacy and autonomy, function more efficiently, while taking a stand in inter-personal relationships, showing proficiency in problem-solving and focusing on goals important to him/her. Possibly, all this might allow wo- men to feel stronger and more substantial. Also it might help them to struggle for their self fulfillment and self appreciation as well as to create the basis for agreeable and satisfactory familial and intimate relations [24,25]. As for the connection between emotional cutoff and satisfaction with life, it is likely that a vicious circle emerges: women with high levels of emotional cutoff find it difficult to regulate their emotions when they ex- perience intimate relationships. Given that they feel hi- gher levels of tension and anxiety, they emotionally dis- tance themselves in order to cope with feelings of anxi- ety. Paradoxically, distance from others may in turn in- crease feelings of loneliness and anxiety [14,49,50,51], thus decreasing their satisfaction with life. Interestingly, a significant effect was found for mar- riage duration among Arab women, showing that the lon- ger they were married, the higher their level of satisfac- tion with life. This finding contradicts previous research conducted among women from individualistic societies [4,52]. It is likely that women from collectivist societies tend to define themselves by their marriage, and believe in marriage as a source of support and self satisfaction [53]. Jewish women, conversely, belong to an individua- listic society which emphasizes achieving satisfaction and self-fulfillment not only by means of marriage, but also by career-development [46], hobbies and social con- tacts. This issue merits further investigation. The analyses yielded another interesting effect point- ing to higher levels of satisfaction with life among work- Copyright © 2013 SciRes. OPEN A CCESS
 A. Biadsy-Ashkar, O. Peleg / Health 5 (2013) 1467-14 77 1474 ing women (Jewish and Arab) than among non working women. This finding is consistent with previous studies pointing to positive correlations between satisfaction with life on the one hand and employment [52,54], and educa- tion [26] on the other hand. A possible explanation for this may be related to the accession of Arab women to the labor market, as well as to the improvement in the working women’s economic situation which allows a hi- gher standard of living, which in turn may lead to a hi- gher level of satisfaction [25,55]. In addition to econo- mic welfare, being employed plays a big role in feeling worthwhile, providing a feeling of self-fulfillment, self pride and self confidence [56]. In contrast, women who stay at home most of their time may feel less appreciated, bored and moody [52,56]. In regard to differentiation of self, working women (Arab and Jewish) reported a lower level of emotional cutoff than non-working women, partially confirming Kulick and Ryan’s [26] findings. In addition, Jewish working women reported higher levels of “I” position than non-working women. It should be noted that for Arabs, working women reported higher level of I-posi- tion too, but the result did not reach significance. It is suggested that Working women are likely to deal a lot with issues related to their working conditions, [45], try- ing to achieve equal rights and to advance their career [56] (e.g., asking for assistance and raise, tight schedule, and superiors’ criticism). All these tasks require verbal confrontation and may lead to a greater ability to manage direct dialogues instead of disengaging and disconnect- ing. Arab working women reported a lower level of emo- tional reactivity than non-working women. This finding supports previous studies [12], showing that women who performed many tasks (running a household and holding a job) reported a lower level of anxiety concerning leav- ing the children at home than women who performed only their traditional tasks. It was suggested that mothers who preferred to be employed and liked their job were less anxious about employment-related separations [12]. These women hold more liberal views on mothering and working and have husbands with similar views. Another possible explanation is that the rapid moder- nization that the Arab population in Israel is going through, which portrays an increase in working women as one of its expressions. Society may be lowering its expectations from working women, and excusing them for not fully living up to the household-family task-expectations. This attitude may reduce pressure and anxiety levels among working women, whereas non-working women, who are exposed to society’s severe criticism in case they do not function as perfect caregivers. It is valuable to note limitations of the present study as well as some future directions for research. First the pre- sent study relies solely upon the use of self-reports mea- sures. Although self-report measures of internalizing symp- toms appear to be less problematic [57], sole reliance on self reports measures allows for confounding of shared method variance. Thus, it would be useful for future re- search to include the reports of others (e.g., spouses, off- spring), which could allow for multiple informant com- parisons [58]. Second, due to technical problems, our sample cluster was biased and therefore not systematic. Therefore the findings may not be generalized to more diverse ethnic populations. Sample size may have also affected our results, such that power to detect study dif- ferences may have been limited. Thus, this issue merits further investigation with greater sample sized, male par- ticipants and additional cultural groups. Third, it is pos- sible that there are additional variables influencing the research findings. Thus, for instance, it would be worth- while to explore degrees of support women get from their husbands and families in general, and with regard to their work specifically. In a collectivist culture, it is also important to look at community and family pressures leading to social desirability, as well as the women’s tra- ditional and modern roles. Fourth, the internal consisten- cy of differentiation of self sub-scales was not high, mainly in the Arabic version. Comparison of DSI-R scores in samples from different cultures may raise a problem, since mean scores for the entire population may differ from one culture to another. Thus, for example, in Skow- ron’s and Friedlander’s study of the US [8], the mean scores of DSI sub-scales are different than those in [3]. Cross-validation of these findings in participants of Arab and other Eastern and Western groups is needed to deter- mine whether differentiation of self operates in similar ways across different cultural groups. Specifically, it is suggested to average the mean scores of a series of stud- ies in each culture. Finally, the sample included two main groups: The Arab women represent the collectivist soci- ety and the Jewish group represents the individualistic society. It should be noted that the variability in each group may be high, since there are many Jewish families characterized by collectivist patterns, and Arab families who live in big cities and mange modern and individual- istic lifestyle. Therefore it is recommended to further re- search this issue in future research. 5. CONCLUSIONS These limitations notwithstanding, the current research is one of the few studies investigating Bowen theory be- tween two cultural groups. On the whole, the current fin- dings add to the extant literature demonstrating that dif- ferentiation of self is an important factor which may in- fluence emotional wellbeing in all cultures, thus provid- ing validity to Bowen’s [11] intergenerational theory as well as to its universality. It is important that scientists Copyright © 2013 SciRes. OPEN A CCESS
 A. Biadsy-Ashkar, O. Peleg / Health 5 (2013) 1467-14 77 1475 should further research this issue to better understand the role that differentiation of self plays in the lives of peo- ple in general, and in collectivist cultures specifically. In addition, this research offers new insights into the association between differentiation of self and satisfac- tion with life among Arab and Jewish women, as well as among working and non-working women. Specifically, it is suggested that emotional cutoff is the main variable that may harm satisfaction with life, and that the use of I- position is very important among Arab women. Method- ologically, two questionnaires were translated and adapt- ed into Arabic, thus, enabling research to be conducted among Arab participants. Importantly, a number of clinical implications can be derived from the findings of this study. It is suggested that highly differentiated women are more satisfied with life. Therefore, it is strongly recommended that when women experience dissatisfaction, the treatment should be focused on improving their level of differentiation of self. Other important issues that should be addressed in the therapy are marriage duration, education and work, espe- cially among Arab women. Future research is needed to clarify the associations among differentiation of self, marriage duration and culture. Finally, the current re- search findings provide food for thought in terms of the practical ways in which different ethnic group may be assisted. One matter is the importance of not making a sweeping recommendation but rather directing the spe- cific issues related to differentiation of self to a specific target audience. 6. ACKNOWLEDGEMENTS The authors which to thank Helene Hogri for her valuable help in ed- iting the paper, to Edna Guttman for the statistical assistance, and to Rana Bshara for helping in collecting the data. 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