Alexithymia is characterized by difficulty identifying and describing one’s own emotion. Identifying and describing one’s emotion involves several cognitive processes, so alexithymia may result from a number of impairments. Here we propose the alexithymia language hypothesis—the hypothesis that language impairment can give rise to alexithymia—and critically review relevant evidence from healthy populations, developmental disorders, adult-onset illness, and acquired brain injury. We conclude that the available evidence is supportive of the alexithymia–language hypothesis, and therefore that language (...) impairment may represent one of multiple routes to alexithymia. Where evidence is lacking, we outline which approaches will be useful in testing this hypothesis. (shrink)
Alexithymia is associated with emotion processing deficits, particularly for negative emotional information. However, also common are a high prevalence of somatic symptoms and the perception of somatic sensations as distressing. Although little research has yet been conducted on memory in alexithymia, we hypothesized a paradoxical effect of alexithymia on memory. Specifically, recall of negative emotional words was expected to be reduced in alexithymia, while memory for illness words was expected to be enhanced in alexithymia.Eighty-five high (...) or low alexithymia participants viewed and rated arousing illness-related , emotionally positive , negative , and neutral words . Recall was assessed 45 min later.High alexithymia participants recalled significantly fewer negative emotion words but also more illness-related words than low alexithymia participants. The results suggest that personal relevance can shape cognitive processing of stimuli, even to enhance retention of a subclass of stimuli whose retention is generally impaired in alexithymia. (shrink)
ABSTRACTWhile some research has now started to suggest that there are long-term memory deficits in alexithymia, short-term memory in alexithymia remained largely unexplored. This study...
Moderate physiological or emotional arousal induced after learning modulates memory consolidation, helping to distinguish important memories from trivial ones. Yet, the contribution of subjective awareness or interpretation of arousal to this effect is uncertain. Alexithymia, which is an inability to describe or identify one’s emotional and arousal states even though physiological responses to arousal are intact, provides a tool to evaluate the role of arousal interpretation. Participants scoring high and low on alexithymia learned a list of 30 words, (...) followed by immediate recall. Participants then saw either an arousing or neutral video . Memory was tested 24-h later. Physiological response to arousal was comparable between groups, but subjective response to arousal was impaired in high alexithymia. Yet, delayed word recognition was enhanced by arousal regardless of alexithymia status. Thus, subjective response to arousal, i.e., cognitive appraisal, was not necessary for memory modulation to occur. (shrink)
High levels of alexithymia are typically associated with impaired memory for emotional, but not neutral words. We conducted two experimental studies to establish if this effect generalises to non-v...
The main aim of the study was to check: attachment-related differences in alexithymia and the mediating role of mind-mindedness in attachment-alexithymia relationship. Method: Attachment, alexithymia and mind-mindedness were measured in the sample of 128 Polish undergraduates. Results: Positive associations were seen between attachment anxiety and overall alexithymia scores and difficulty identifying emotions. Attachment avoidance was positively associated with overall alexithymia score, difficulty describing feelings and externally oriented thinking. Mind-mindedness was not related to neither attachment or (...)alexithymia. Conclusion: There are attachment-related differences in alexithymia, but mind-mindedness seems not to mediate attachment-alexithymia relationship. (shrink)
Breast cancer is a disease that is difficult to face and that often hinders body acceptance. Body changes due to surgery can be very emotionally challenging for those who experience them. The aim of this study is to explore the differences on body image and psychological adjustment on women with breast cancer with high and low alexithymia according to the type of surgery. In this cross-sectional study, 119 women diagnosed with breast cancer were evaluated with different self-report questionnaires. Afterward, (...) patients were divided into two groups to analyze dependent variables according to the type of surgery. The results of the General Linear Model suggest that when patients show high alexithymia combined with having undergone a radical mastectomy, they show higher levels of Hopelessness. Furthermore, in patients with high alexithymia, higher scores of maladaptive coping styles and greater distortion of body image were found. Alexithymia seems to play an important role in the way in which women cope with their disease, especially in those with radical mastectomy. (shrink)
In this paper, I explore how best to conceptualize the nature of alexithymia. I argue that the condition is best understood as a dimensional construct; as such, it is likely that there exist various degrees of alexithymia. Moreover, I explore the merits of two analogies that others have used to try to understand the nature of alexithymia: one characterizes the condition as an analogue of associative visual object agnosia, and the other characterizes it as the emotional equivalent (...) of blindsight. I argue that the analogy with blindsight more adequately portrays the processing deficit involved in mild alexithymia, but that neither the analogy with blindsight nor the analogy with associative visual object agnosia is able to account for the deficit involved in severe alexithymia. Instead, I argue that the deficit involved in severe alexithymia is best understood through an analogy with apperceptive visual agnosia. (shrink)
Alexithymia is a subclinical trait involving difficulty describing and identifying emotions. It is common in a number of psychiatric conditions. Alexithymia in children is sometimes measured by parent report and sometimes by child self-report, but it is not yet known how closely related the two measures are. This is an important question both theoretically and practically, in terms of research design and clinical practice. We conducted a preliminary study to investigate this question in a sample of 6- to (...) 11-year-old neurotypical children and their parents. Parent and child reports were not correlated, and 93% of parents under-estimated their child’s level of alexithymia relative to the child’s self-report. Based on these results, we hypothesize that when asked to report on the child’s alexithymia, children and parents may not be reporting on the same phenomenon, and thus these two measures may not be interchangeable. These provocative findings, however, must be considered preliminary: our analyses were sufficiently powered to detect a strong relation between the two types of report had one existed, but our analyses were not sufficiently powered to distinguish between a small relation and no relation at all. (shrink)
The capacity to perceive internal bodily states is linked to emotional awareness and effective emotional regulation. We explore individual differences in emotional awareness in relation to the fading affect bias, which refers to the greater dwindling of unpleasant compared to pleasant emotions in autobiographical memory. We consider interoceptive awareness and alexithymia in relation to the FAB, and private event rehearsal as a mediating process. With increasing interoceptive awareness, there was an enhanced FAB, but with increasing alexithymia, there was (...) a decreased FAB. Further, the effects of interoceptive awareness were partially mediated by private rehearsal of pleasant events. We provide novel evidence that capacity for emotional awareness and thus effective processing is an important factor predictive of the FAB. Moreover, our results imply an important role for maintaining positive affect in the FAB. Our findings offer new insights into the effects of interoception and alexithymia on autobiographical memory, and support concepts of the FAB emerging as a result of adaptive emotional regulation processes. (shrink)
Autism often co-occurs with alexithymia, a condition characterized by no or diminished awareness of emotions that significantly impacts an individual's social relationships. We investigate how the social motivation of autistics would be eroded by comorbidity with alexithymia and why this diminished motivation would be difficult for non-autistic people to perceive and reciprocate.
Recent literature emphasizes an altered perception of the body in subjects practicing sport to pursue an ideal body image. Sometimes such bodily misperception is associated with the inability to re...
ABSTRACTAlexithymia is characterised by a lack of words for emotional experiences and it has been implicated in deficits in emotion processing. Research in this area has typically focused on judgem...
ABSTRACTIn this conceptual review, we discuss models of emotion and its regulation and identify a spectrum of processes that characterise adaptive adjustment to the affective environment. We descri...
