Psychotherapy and Psychosomatics
Regular Article
Intact Physiological Response to Arousal with Impaired Emotional Recognition in AlexithymiaStone L.A.a · Nielson K.A.a,baDepartment of Psychology, Marquette University, bFoley Center for Aging and Development, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisc., USA
|
|
Log in to MyKarger to check if you already have access to this content.
KAB
Buy a Karger Article Bundle (KAB) and profit from a discount!
If you would like to redeem your KAB credit, please log in.
Save over 20% compared to the individual article price.
Article / Publication Details
Published online: March 01, 2001
Issue release date: March – April
Number of Print Pages: 11
Number of Figures: 2
Number of Tables: 2
ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)
For additional information: https://www.karger.com/PPS
Abstract
Background: The purpose of the present study was to clarify the relationship between the recognition of emotion and physiological response to emotion (i.e. arousal) in alexithymia. Methods: This study investigated differences in physiological arousal state, as measured by continuous heart rate, electrodermal activity (EDA) and self-reported emotional intensity before and after exposure to an emotionally arousing or neutral videotape among 41 high- or low-alexithymic young adult participants. Results: Across subjects, emotionally negative stimuli produced increased physiological arousal. However, high-alexithymic participants exposed to the arousing videotape did not report increased subjective emotional intensity, as did low-alexithymic participants. In addition, the baseline EDA of high-alexithymic participants was significantly higher than that of the low-alexithymic participants. Conclusions: Results support the prediction that alexithymia leads to a decoupling between subjective and physiological arousal when exposed to emotionally negative stimuli. This decoupling may increase alexithymic individuals’ risks for stress-related illness.
© 2001 S. Karger AG, Basel
Related Articles:
References
-
Sifneos PE: Short-Term Psychotherapy and Emotional Crisis. Cambridge, Harvard University Press, 1972.
- Berenbaum H, Irvin S: Alexithymia, anger, and interpersonal behavior. Psychother Psychosom 1996;65:203–208.
- Näätänen P, Ryynänen A, Keltikangas-Järvinen L: The influence of alexithymic characteristics on the self-perception and facial expression of a physiological stress state. Psychother Psychosom 1999;68:252–262.
- Taylor GJ, Bagby RM, Parker JDA: The alexithymia construct: A potential paradigm for psychosomatic medicine. Psychosomatics 1991;32:153–164.
-
Taylor GJ, Taylor HL: Alexithymia; in McCallum M, Piper WE (eds): Psychological Mindedness: A Contemporary Understanding. Mahway, Erlbaum, 1997, pp 77–104.
-
Taylor GJ: The alexithymia construct: Conceptualization, validation, and relationship with basic dimensions of personality. New Trends Exp Clin Psychiatry 1994;10:61–74.
- Okasha A, Ismail MK, Khalil AH, Fiki RE, Soliman A, Okasha T: A psychiatric study of nonorganic chronic headache patients. Psychosomatics 1999;40:233–238.
- Jula A, Salminen JK, Saarijarvi S: Alexithymia: A facet of essential hypertension. Hypertension 1999;33:1057–1061.
- Bourke MP, Taylor GJ, Parker JDA, Bagby RM: Alexithymia in women with anorexia nervosa: A preliminary investigation. Br J Psychiatry 1992;161:240–243.
- Jimerson DC, Wolfe BE, Franko DL, Covino NA, Sifneos PE: Alexithymia ratings in bulimia nervosa: Clinical correlates. Psychosom Med 1994;56:90–93.
-
Pinard L, Negrete JC, Annable L, Audet N: Alexithymia in substance abusers: Persistence and correlates of variance. Am J Addict 1996;5:32–39.
- Cecero JJ, Holmstrom RW: Alexithymia and affect pathology among adult male alcoholics. J Clin Psychol 1997;53:201–208.
-
Clore GL: Why emotions are felt; in Ekman P, Davidson RJ (eds): The Nature of Emotion: Fundamental Questions. New York, Oxford University Press, 1994, pp 103–122.
-
Dodge KA, Garber J: Domains of emotion regulation; in Garber J, Dodge KA (eds): The Development of Emotion Regulation and Dysregulation. Cambridge, Cambridge University Press, 1991, pp 3–11.
-
Nemiah JC, Sifneos PE: Affect and fantasy in patients with psychosomatic disorders; in Hill OW (ed): Modern Trends in Psychosomatic Medicine. London, Butterworths, 1970, pp 26–34.
- Pennebaker JW, Hughes CF, O’Heeron BC: The psychophysiology of confession: Linking inhibitory and psychosomatic processes. J Pers Soc Psychol 1987;52:781–793.
- Pennebaker JW, Colder M, Sharp LK: Accelerating the coping process. J Pers Soc Psychol 1990;58:528–537.
- Lane RD, Ahern GL, Schwartz GE, Kaszniak AW: Is alexithymia the emotional equivalent of blindsight? Biol Psychiatry 1997;42:834–844.
- Nemiah JC: Alexithymia: Present, past, and future? Psychosom Med 1996;58:217–218.
- Parker JDA, Keightley ML, Smith CT, Taylor GJ: Interhemispheric transfer deficit in alexithymia: An experimental study. Psychosom Med 1999;61:464–468.
- Martin JB, Pihl RO: The Stress-Alexithymia Hypothesis: Theoretical and empirical considerations. Psychother Psychosom 1985;43:169–176.
-
Chrousos GP: Stressors, stress, and neuroendocrine integration of the adaptive response. The 1997 Hans Selye Memorial Lecture; in Csermely P (ed): Stress of Life: From Molecules to Man. New York, New York Academy of Sciences, 1998, pp 311–335.
- Papciak AS, Feuerstein M, Spiegel JA: Stress reactivity in alexithymia: Decoupling of physiological and cognitive responses. J Hum Stress 1985;11:135–142.
- Martin JB, Pihl RO: Influence of alexithymic characteristics on physiological and subjective stress responses in normal individuals. Psychother Psychosom 1986;45:66–77.
- Wehmer F, Brejnak C, Lumley M, Stettner L: Alexithymia and physiological reactivity to emotion-provoking visual scenes. J Nerv Ment Dis 1995;183:351–357.
- Friedlander L, Lumley MA, Farchione T, Doyal G: Testing the alexithymia hypothesis: Physiological and subjective responses during relaxation and stress. J Nerv Ment Dis 1997;185:233–239.
- Roedema TM, Simons RF: Emotion-processing deficit in alexithymia. Psychophysiology 1999;36:379–387.
- Apfel RJ, Sifneos PE: Alexithymia: Concept and measurement. Psychother Psychosom 1979;32:180–190.
- Martin JB, Pihl RO, Dobkin P: Schalling-Sifneos Personality Scale: Findings and recommendations. Psychother Psychosom 1984;41:145–152.
- Bagby RM, Taylor GJ, Ryan DP: The measurement of alexithymia: Psychometric properties of the Schalling-Sifneos Personality Scale. Comp Psychiatry 1986;27:287–294.
- Fukunishi I, Sei H, Morita Y, Rahe RH: Sympathetic activity in alexithymics with mother’s low care. J Psychosom Res 1999;46:579–589.
- Infrasca R: Alexithymia, neurovegetative arousal and neuroticism. Psychother Psychosom 1997;66:276–280.
-
Ahrens S, Deffner G: Empirical study of alexithymia: Methodology and results. Am J Psychother 1986;15:430–447.
- Lane RD, Schwartz GE: Levels of emotional awareness: A cognitive-developmental theory and its application to psychopathology. Am J Psychiatry 1987;144:133–143.
- Bagby RM, Parker JDA, Taylor GJ: The twenty-item Toronto Alexithymia Scale. I. Item selection and cross-validation of the factor structure. J Psychosom Res 1994;38:23–32.
- Bagby RM, Taylor GJ, Parker JDA: The twenty-item Toronto Alexithymia Scale. II. Convergent, discriminant, and concurrent validity. J Psychosom Res 1994;38:33–40.
-
Schaefer P: The Effects of Ability to Express Emotion on Physiological and Verbal Responses to Emotionally-Laden Stimuli; Psychology. Milwaukee, University of Wisconsin-Milwaukee, 1994.
-
Schwartz GE: Emotion and psychophysiological organization: A system approach; in Coles MGH (ed): Psychophysiology: Systems, Processes and Applications. New York, Guilford Press, 1986, pp 354–377.
- Taylor G, Doody K, Newman A: Alexithymic characteristics in patients with inflammatory bowel disease. Can J Psychiatry 1981;26:470–474.
-
Nemiah JC: Physiological changes and clinical events during psychotherapy: Commentary. Integr Psychiatry 1985;3:175–176.
- Parker JDA, Taylor GJ, Bagby RM: Alexithymia: Relationship with ego defense and coping styles. Comp Psychiatry 1998;39:91–98.
-
Krystal H: Desomatization and the consequence of infantile psychic trauma. Psychoanalyt Inq 1997;17:126–150.
-
Taylor GJ, Bagby RM, Parker JDA: Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness. Cambrige, Cambridge University Press, 1997, pp 359.
-
Bonanno GA, Singer JL: Repressive personality style: Theoretical and methodological implications for health and pathology; in Singer JL (ed): Repression and Dissociation: Implications for Personality Theory, Psychopathology, and Health. Chicago, University of Chicago Press, 1990, pp 435–470.
- Newton T, Contrada RJ: Alexithymia and repression: Contrasting emotion-focused coping styles. Psychosom Med 1994;56:457–462.
-
Myers LB: Alexithymia and repression: The role of defensiveness and trait anxiety. Pers Indiv Diff 1995;19:489–492.
-
Lazarus RS: Emotion and Adaptation. New York, Oxford University Press, 1991, p 557.
-
Prince JD, Berenbaum H: Alexithymia and hedonic capacity. J Res Pers 1993;27:15–22.
External Resources
- Scheidt CE, Waller E, Schnock C, Becker-Stoll F, Zimmermann P, Lucking CH, Wisching M: Alexithymia and attachment representation in idiopathic spasmodic torticollis. J Nerv Ment Dis 1999;187:47–52.
- Holahan CJ, Moos RH, Holahan CK, Brennan PL: Social context, coping strategies, and depressive symptoms: An expanded model with cardiac patients. J Pers Soc Psychol 1997;72:918–928.
- House JS, Landis KR, Umberson D: Social relationships and health. Science 1988;241:540–545.
- Lane RD, Sechrest L, Reidel R, Weldon V, Kaszniak A, Schwartz GE: Impaired verbal and nonverbal emotion recognition in alexithymia. Psychosom Med 1996;58:203–210.
-
Salovey P, Bedell BT, Detweiler JB, Mayer JD: Coping intelligently: Emotional intelligence and the coping process; in Snyder CR (ed): Coping: The Psychology of What Works. New York, Oxford University Press, 1999, pp 141–164.
- De Jong GM, van Sonderen E, Emmelkamp PMG: A comprehensive model of stress. The roles of experienced stress and neuroticism in explaining the stress-distress relationship. Psychother Psychosom 1999;68:290–298.
- Ryff CD, Singer BH: Biopsychosocial challenges of the new millennium. Psychother Psychosom 2000;69:170–177.
Article / Publication Details
Published online: March 01, 2001
Issue release date: March – April
Number of Print Pages: 11
Number of Figures: 2
Number of Tables: 2
ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)
For additional information: https://www.karger.com/PPS
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

Get Permission