Abstract

Alexithymia represents a multifaceted personality construct defined by difficulties in recognizing and verbalizing emotions and externally oriented thinking. According to clinical observations, experience of negative affects is exacerbated and experience of positive affects is decreased in alexithymia. Findings from research based on self-report indicate that all alexithymia facets are negatively associated with the experience of positive affects, whereas difficulties identifying and describing feelings are related to heightened negative affect. Implicit affectivity, which can be measured using indirect assessment methods, relates to processes of the impulsive system. The aim of the present study was to examine, for the first time, the relations between alexithymia components and implicit and explicit positive and negative affectivity in healthy adults. The 20-item Toronto Alexithymia Scale, the Implicit Positive and Negative Affect Test and the Positive and Negative Affect Schedule (PANAS) were administered to two hundred and forty-one healthy individuals along with measures of depression and trait anxiety. Difficulties identifying feelings were correlated with explicit negative trait affect, depressive mood and trait anxiety. Difficulties describing feelings showed smaller but also significant correlations with depressive mood and trait anxiety but were not correlated with explicit state or trait affect as assessed by the PANAS. Externally oriented thinking was not significantly correlated with any of the implicit and explicit affect measures. According to our findings, an externally oriented, concrete way of thinking appears to be generally unrelated to dispositions to develop positive or negative affects. Difficulties identifying feelings seem to be associated with increased conscious negative affects but not with a heightened disposition to develop negative affects at an automatic response level.

Highlights

  • Alexithymia is a cognitive-affective disturbance that is characterized by impairments in the experience, regulation and communication of emotions (Nemiah and Sifneos, 1970; Taylor and Bagby, 2000)

  • The alexithymia component Difficulties identifying feelings was significantly correlated with Difficulties describing feelings (r = 0.47; p < 0.05) but not with Externally oriented thinking: r = 0.05; p = 0.46)

  • Difficulties describing feelings was significantly correlated with Externally oriented thinking: r = 0.33; p < 0.001)

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Summary

Introduction

Alexithymia is a cognitive-affective disturbance that is characterized by impairments in the experience, regulation and communication of emotions (Nemiah and Sifneos, 1970; Taylor and Bagby, 2000). The alexithymia construct emerged following attempts of clinicians to specify the emotional deficits of psychosomatic patients (Ruesch, 1948; Sifneos, 1973). These patients showed an unawareness of feelings or an incapacity to put into words what they were experiencing. Their associations were characterized by an absence of fantasy and a detailed recounting of circumstances and events in their environment (Nemiah and Sifneos, 1970). Patients with mental disorders such as panic disorder (De Berardis et al, 2007), somatoform disorders (Waller and Scheidt, 2004) or autistic disorders (Berthoz and Hill, 2005) show frequently high degrees of alexithymia

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