Substantial empirical research has been undertaken on cardiovascular reacti
vity (CVR), however interpretation of this research is hampered by a lack o
f theoretical frameworks. This paper develops a framework initially stimula
ted by evidence demonstrating that the cardiovascular system increases in a
ctivity during communication, and that the extent of this activation depend
s upon numerous and diverse psychosocial factors. We attempt to account for
this phenomenon using recent post-structuralist ideas concerning the const
ructive nature of language and its centrality to an individual's sense of s
elf. Our theoretical framework proposes that the CVR exhibited during langu
age use is explicable in terms of self-construction processes. From this an
alysis we hypothesised that CVR would differ across conversations about pri
vate self, public self and non-self topics, and that these differences woul
d depend upon people's speaking histories. We found that the blood pressure
and heart rate of 102 women was most reactive when they talked in a labora
tory with a stranger about aspects of their private self, and least reactiv
e during non-self talk, whilst their heart rate was most reactive during ta
lk about their public self. Overall the results highlight the inextricable
link between our inherent socialness and our cardiovascular systems.