Bodily Sensations Research Articles

How to attain oneness through internal affectivity (neigan)? Divergent responses in the philosophy of the Cheng brothers

ABSTRACT This article examines the neo-Confucian response to the question, “How to achieve the state of oneness,” as put forth by Cheng Yi and Cheng Hao. While both philosophers achieve this state through internal affectivity, their interpretations diverge significantly. Cheng Yi views internal affectivity as an inherent goodness that emanates from the pre-manifested mind but warns against emotional instability and desires. He thus rejects the notion of “teaching benevolence through perception.” (yijue xunren) and instead emphasizing the primacy of the unmanifested mind in attaining oneness. Conversely, Cheng Hao stresses the inward perception of bodily sensations and supports “teaching benevolence through perception.” He argues that through sensory arousal and the transformation of vital energy, the mind and body can achieve harmony, thereby embodying the benevolence present in “heaven, earth, and all things.” This divergence in their approaches to oneness reflects their differing responses to Buddhism and contrasting views on human nature.

Can You Stop Your Mind and Your Daily Activities?

The paper investigates meditation as a state of consciousness that isolates an individual from the attitude of everyday life and the perspective of practical actions. It is an “ethnography of the mind” instead of the place. The paper analyses self-reports from meditators’ self-observations as part of hatha yoga practice and data from semi-structured interviews with hatha yoga teachers. Elements that distract or help people meditate were analysed and interpreted. The features of the meditative state during the practice of sitting meditation are also reconstructed. Attention is paid to three essential aspects that are related to each other when entering the meditative state: emerging thoughts, body sensations, and emotions. The analysis focuses on how practitioners deal with these obstacles; what tactics do they employ to eliminate barriers or redirect attention and include them in the background of the concentration point? What is the role of teaching meditation? What are the effects of meditation from a practitioner’s point of view? Empirical materials obtained from the first-person perspective of the researcher, the author of this article, and his collaborators in the study were also analysed.

Learned Symptom-Specific Fear Toward a Visceral Sensation and Its Impact on Perceptual Habituation.

Impaired habituation of bodily sensations has been suggested as a contributing factor to chronic pain. We examined in healthy volunteers the influence of fear learning toward a nonpainful sensation in the esophagus on the perceptual habituation of this sensation. In a homoreflexive fear learning paradigm, nonpainful electrical sensations in the esophagus were used as a conditioned stimulus (CS). This sensation was presented 42 times before, during, and after fear learning. In the fear learning group ( n = 41), the CS was paired with a painful electrical sensation in the esophagus (unconditioned stimulus [US]). In the control group ( n = 41), the CS was not paired with the US. Ratings for CS intensity, US expectancy, startle electromyogram (EMG), skin conductance responses (SCR), and event-related potentials (ERPs) to the CS were assessed. Compared to the control group, fear learning was observed in the fear learning group as evidenced by potentiated startle responses after the CS relative to ITI ( t (1327) = 3.231, p = .001) and higher US expectancy ratings ( t (196) = 3.17, p = .002). SCRs did not differ between groups ( F1,817 = 1.241, p = .33). Despite successful fear learning, the fear learning group did not show a distinct pattern of habituation to the visceral CS relative to the control group (intensity ratings: F1,77.731 = 0.532, p = .47; ERPs: F1,520.78 = 0.059, p = .94). Acquired fear to nonpainful esophageal sensations does not affect their perceptual habituation patterns.

Echoes of a living body: A mind-body approach on how women victims of intimate partner violence experience their bodies

Intimate partner violence (IPV) against women is a worldwide health problem. IPV impact on women’s embodiment remains embedded in their narratives. However, the subjective complexity of victims’ embodiment and its impact on healthcare still urges to be understood. We aimed to understand (i) how women victims of IPV experience their bodies and (ii) the impact of IPV in their embodiment. From a thematic analysis of six interviews with women victims, four themes arouse: Living body, Reaction to adversities, Impact of violence and Identity. Participants revealed a tendency to perceive negative bodily sensations, the body as restrictive of their ability to react to illnesses and other adversities, and impacts on health and decision-making processes. We encourage healthcare providers to be responsive to the feelings of physical and psychological exhaustion experienced by victims and highlight the potential of promoting positive bodily experiences in the support given to women.

Sense of embodiment with synchronized avatar during walking in mixed reality.

Gait guidance systems that synchronize the gait rhythm with an avatar in a mixed reality (MR) environment are attracting attention owing to their rehabilitation applications. More effective gait guidance can be achieved by changing body sensations for the sense of embodiment (SoE), which refers to the feeling of owning, controlling, and being inside a body in MR. This study investigated full-body synchronous motion between a human and a virtual avatar to enhance the SoE in walking with actual position changes in the real world. The full-body motion and gait rhythm were measured using body-worn inertial measurement units and a visual avatar was provided through a transparent head-mounted display. The results showed that the SoE of the participants was enhanced under higher synchronization conditions. In addition, questionnaire results showed that the SoE in the synchronous condition was significantly higher than that in the asynchronous condition, and the SoE in the self-avatar condition was significantly higher than that in the other-avatar condition. This indicates that a higher synchronization level with the appearance of an avatar leads to a stronger SoE in the human perception mechanism, which is important for potential application in medical or other fields.

Exploring the relationships between interoceptive awareness and Gestalt resistance processes among counselors‐in‐training

AbstractGestalt therapy is a humanistic approach that emphasizes awareness of one's inner experiences and recognition of resistance processes. However, research exploring the relationship between interoceptive awareness—awareness of internal bodily sensations—and Gestalt resistance processes remains limited. Addressing this gap, our study used a cross‐sectional design to examine how interoceptive awareness correlates with resistance processes among 112 counseling students. Our analysis revealed that higher interoceptive awareness is associated with lower resistance processes such as confluence, introjection, projection, retroflection, deflection, and egotism, with no significant association found with desensitization. The results suggest that improved body awareness could potentially impact resistance levels. This highlights the need to include interoceptive training in counseling programs to enhance therapeutic presence and self‐regulation among trainees. This study offers evidence supporting the influence of interoceptive awareness on resistance processes and suggests that future research should explore ways to integrate these findings into training programs and broader Gestalt therapy practices.

A cross-sectional survey of ocular problems after COVID-19 infection among healthcare workers at a teaching hospital.

The COVID-19 pandemic was caused by severe acute respiratory syndrome coronavirus-2 (SARS-COV2). The impact of the pandemic is becoming more apparent now on various tissues and body organs. Limited knowledge is present about the characteristics, duration, and long-term sequelae of ocular problems post-COVID-19 infection. The purpose of the present study was to evaluate and analyze the ocular problems occurring in healthcare workers after COVID-19 infection. This was a cross-sectional survey study conducted in the Department of Ophthalmology, Patna Medical College and Hospital, Patna. The participants were healthcare workers who were exposed to COVID-19 infection ≥6 months back. A questionnaire was prepared. Responses were evaluated and analyzed. Patient consent and institutional committee permission were taken as per norms. A total of 210 healthcare workers who were infected with COVID-19 >6 months back responded with complete answers. The maximum number of respondents was between the ages of 31 and 60 (73.3%). The pre-covid ocular problems were present in 25% of the participants, especially in those having chronic diseases (such as diabetes, hypertension, or both). Post-ocular problems were faced by 60% of the participants, which was significant (P < 0.01). Dry eye, itching, and foreign body sensations were present in 60% of those facing ocular problems (P < 0.01). Ocular surface manifestations were more common. A knowledge, understanding, and awareness about ocular problems and their long-term sequelae in post-COVID-19-infected patients will help in early diagnosis and better management of such patients.

Interoceptive awareness in a Southeastern US college sample: validation of the multidimensional assessment of interoceptive awareness – version 2

ObjectiveThe Multidimensional Assessment of Interoceptive Awareness, version 2 (MAIA-2) is a commonly utilized self-report instrument to assess individuals’ ability to perceive bodily sensations. The MAIA-2 has displayed variable psychometric properties across samples. Thus, we examine the psychometric properties of the MAIA-2 in a Southeastern United States college sample.ParticipantsOur studies consisted of 710 (study 1) and 66 (study 2) college students.MethodsStudy 1 used a cross-sectional research design where we investigated the factor structure, and measurement invariance (e.g., measured similarly across genders). Study 2 examined the test-retest reliability across a three-week period.ResultsThe MAIA-2 displayed adequate to good internal consistencies and factor loadings, strict invariance, and questionable temporal stability.ConclusionThe MAIA-2 demonstrates adequate psychometric properties in this college sample that were similar to the original MAIA sample characteristics. Contextual and cultural factors may influence the subjective experience of interpreting bodily sensations.

Understanding Emotions in Adolescents: Validation of the Indonesian Version of the Adolescent Alexithymia Scale

Adolescence, marked by significant changes, often leads to emotional tension and instability associated with alexithymia. This study aimed to validate the Indonesian version of the Adolescent Alexithymia Scale, hypothesizing that its internal structure was unidimensional. Participants included 70 adolescents aged 13 to 18 years (M_age = 16.44; SD = 1.44). Data were collected using the Indonesian version of the Adolescent Alexithymia Scale, consisting of 24 items representing the four alexithymia indicators. The results revealed that the scale has a unidimensional internal structure, with 11 valid items, and sufficient validity and reliability coefficients. These items collectively represent the four main characteristics of alexithymia. The most dominant indicator is the difficulty in identifying and distinguishing between feelings and emotional bodily sensations. This research implies that this scale needs to be tested on different populations and in different contexts.

Somatic small body map protocol: renegotiating trauma with LGBTQIA+ service users

ABSTRACT Background LGBTQIA+ service users suffer microaggressions on a daily basis within a heterosexual, cisgendered society. They may become so accustomed to feeling unsafe that this becomes unconsciously considered the norm. Context A Somatic Small Body Map Protocol has been devised that introduces a lived experience of a safe environment. The protocol has been used with twenty service users in an individual setting. This paper explores specific responses from three different service users. Approach The protocol integrates psychodynamic art therapy with Somatic Experiencing in order to create a guided process that pendulates between somatic verbal feedback and the lived experience of the creative process, moving back and forth between inner sensations and their visual expression on paper, changing constantly in response. Outcomes The service users report positive feedback following the protocol that includes reduced anxiety, greater awareness of the effects of social homophobia on their psychological and physiological states and improved ability to contact difficult emotions without being overwhelmed. Conclusions The protocol may be useful within art therapy as a somatic tool to renegotiate trauma connected to microaggressions, increase awareness of bodily sensations and support the capacity to tolerate potentially overwhelming emotions. Implications for research The necessity of integrating somatic techniques when working with trauma is widely acknowledged. The protocol offers a structured tool to facilitate this, and specific training is being organised for its use. It may be adapted for use with other minority identities or in general to renegotiate any situation where a person has felt unsafe. Plain-language summary People who are lesbian, gay, bisexual, transgender, queer, intersex, asexual or otherwise differ (LGBTQIA+) from heteronormative conventions concerning gender, biological sex or sexual orientation can often feel unsafe outside their home. They may be so accustomed to this, they don’t consider it unusual. To help change this, the art therapist has produced a guided process based around the completion of a small body outline that is coloured in according to the person’s physical sensations. Art therapist and service user then explore together what could be represented in the area external to the body outline in order to help the person feel as safe as possible. They will proceed to track the felt sensations created by these reassuring things, and explore what changes are now necessary inside the body outline to reflect how their feelings have transformed in this new environment. This paper examines three service users’ reactions to this experience. The process combines art therapy with Somatic Experiencing, the name given to techniques that use verbal communication to work with body sensations. The therapist supports the service user in contacting their body’s sensations and describing them so that they can be represented inside the outline. The body’s response to what has been drawn can then be explored. By introducing positive things during difficult moments, the art therapist can help the person become less anxious about feeling painful things. Many people believe that working somatically with body sensations is key when working with trauma and the art therapist hopes that this guided somatic art therapy process will be useful for other art therapists. She offers specific training for its use. This process may be helpful not just for LGBTQIA + people but for everyone who has felt unsafe at any time.

States of consciousness and interoceptive hypersensibility: A study in patients with insomnia disorder.

This exploratory study aimed to investigate the relationship between interoceptive sensibility and quality of consciousness in individuals with insomnia disorder, in order to understand how the modulation of internal states may contribute to modifying the experience of consciousness during sleep difficulties. A total of 37 patients with insomnia disorder (mean age = 46.05 ± 18.16) and 41 healthy good sleepers (mean age = 50.2 ± 12.99) underwent a psychometric sleep and interoceptive sensibility assessment, using Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Multidimensional Assessment of Interoceptive Awareness (MAIA). Moreover, patients with insomnia disorder also completed a quality of consciousness evaluation, using the Phenomenology of Consciousness Inventory (PCI). Patients with insomnia disorder exhibited heightened interoceptive sensibility, particularly in noticing body sensations (p < 0.0001) and emotional awareness (p = 0.032), along with diminished abilities in attention regulation (p = 0.040), not-worrying (p = 0.001), and trusting (p = 0.002). Furthermore, correlations between interoceptive sensibility and multiple aspects of the consciousness state during the insomnia night were identified. Specifically, higher emotional awareness was linked to a 2.49-fold increase in the likelihood of subjectively experiencing altered consciousness states during insomnia. The study sheds light on the relationship between interoceptive sensibility and the subjective state of consciousness during insomnia, emphasising the importance of exploring and considering interoception as part of the therapeutic process for insomnia disorder. Given the exploratory nature of the study and the increased risk of type-I error from numerous correlations, the results should be interpreted with caution. Further research is needed to validate and confirm their robustness.

Features of depressive disorders in patients with multiple sclerosis

Depressive disorders are the most common manifestations of multiple sclerosis. The severity of depressive symptoms depends on many factors: fear of a disabling disease, dependence on loved ones, the frequency of exacerbations. Early diagnosis of affective conditions helps to prescribe therapy in a timely manner, thereby improving the quality of life of patients with multiple sclerosis. The purpose of this study is to investigate the features and manifestations of depressive disorders in patients with multiple sclerosis. Patients and methods: The study involved patients with relapsing-remitting multiple sclerosis who were diagnosed with depressive disorders — the study group, and patients with depressive disorders — the comparison group. At the time of examination, the age of the patients in the study group (113 participants) ranged from 15 to 60 years, with the mean age of 39.7±10.91 years. The duration of the disease was 9.84±0.73 years, while the disability rate by the EDSS was 2.89±0.16 points. The comparison group was represented by patients with disorders of the depressive spectrum (70 patients). The mean age of the patients was 32.81±13.57 years. The age of onset of the disease in patients with depressive disorders was within 22.09±2.09 years, and the duration of the disease with depression was 4.6±3.86 years. Results and discussion: In the study group patients with depressive disorders, the initial manifestations are not pronounced and are within the limits of the average degree of depression. The analysis revealed the dynamics of symptoms depending on the level of depression: with mild depression p&lt;0.001, «loss of appetite» appears more often, with moderate depression p&lt;0.001, the symptoms of «dissatisfaction», «feelings of guilt», and «preoccupation with bodily sensations» appeared, and with severe depression p&lt;0.001, «ideas of self-blame», increased «tearfulness», and changes in «body image» became significant. Meanwhile, in the patients in the comparison group, symptoms of low mood and dissatisfaction, which were often accompanied by feelings of guilt and ideas of self-blame, came to the fore. Conclusion: The symptoms of depressive manifestations in patients with multiple sclerosis differ from those in patients with depressive disorders. When selecting the basic therapy for the treatment of multiple sclerosis with disease modifying drugs, it is necessary to take into account the emotional background of patients, since interferons affect the emotional sphere of multiple sclerosis patients and can cause or intensify depressive experiences.

The flesh of animation: Bodily sensations in film and digital media By SandraAnnett. Minneapolis, MN: University of Minnesota Press. 2024. pp. 288. $29.00 (pbk)

The flesh of animation: Bodily sensations in film and digital media By SandraAnnett. Minneapolis, MN: University of Minnesota Press. 2024. pp. 288. $29.00 (pbk)

Body Aware: Adolescents' and Young Adults' Lived Experiences of Body Awareness.

Paying attention to body sensations has been associated with many positive outcomes such as increased subjective well-being, enhanced emotion regulation, and reduced symptom reports. Furthermore, body awareness has an important therapeutic utility in the treatment of various psychological ailments. Despite its importance in mental health, there is very little research on body awareness during adolescence and young adulthood - important developmental periods characterized by bodily changes and the development of one's relationship to one's body. Therefore, the present qualitative study sought to explore how body awareness is understood, experienced, and described by adolescents and young adults. Four online focus groups were conducted with young people between the ages of 14 and 24 (N = 20). Thematic analyses revealed a multidimensional and highly contextualized understanding and experience of body awareness in this age group. In general, young people reported mainly attending to intense and unpleasant body sensations with a particular attitude (e.g., accepting or avoidant) depending on the type of sensation, leading to a variety of cognitive, emotional, and behavioral reactions to these sensations. These processes were embedded in an underlying schema of beliefs about body awareness and an overarching physical and socio-cultural context. Results further revealed a more nuanced experience and understanding of body awareness in women and in young adults. The present findings can be used as a foundation for the development of body awareness theoretical frameworks and self-report instruments for youth and can aid the generating of hypotheses for future research on body awareness in this age group.

Effects of Internal, External, and Neutral Attentional Allocation on Post-Event Processing in Social Anxiety

Abstract Purpose Excessive attentional allocation towards threats has been theorized to play a maintaining role in social anxiety disorder (SAD). However, it is unclear if both heightened attentional focus towards internal threats (i.e., interoceptive signals of anxiety) and external threats (i.e., negative social-evaluative cues) are pathogenic. Further, evidence for the causal pathways by which biased attention maintains SAD is limited. The present study tested the effects of experimentally induced internally and externally oriented attention towards threats relative to a neutral control on state anxiety and post-event processing (PEP) in a highly socially anxious sample. Methods During an impromptu speech task, participants (N = 123) were randomized to allocating their attention to their own thoughts, actions, or body sensations (internal condition; n = 41), to an audience member’s reactions and evaluations (external condition; n = 42), or to a neutral object (control condition; n = 40). State anxiety and PEP were assessed immediately following the speech and 24 h later. Results Although no differences between the control condition and the external and internal conditions were observed, participants in the internal condition reported significantly higher state anxiety immediately after the speech and higher PEP 24 h later compared to the external condition. State anxiety immediately after the speech mediated heightened PEP 24 h later among the internal condition compared to the external condition. Conclusions Findings support the theorized maladaptive role of self-focused attention in the maintenance of SAD and suggest that attending internally may be more harmful than attending externally, despite the presence of socio-evaluative threats in the environment.

The effect of anhedonic traits on snack food consumption and interoception of food-related pleasure and bodily sensations

Human eating behaviour is driven by the need to secure energy demands and the desire for pleasure. Signals from the body guide this behaviour, relying on the ability to sense internal sensations. Impaired interoception has been linked to unhealthy eating habits. However, the impact of anhedonia (reduced ability to experience pleasure) on interoception and eating behaviour has not yet been studied and could enhance our understanding of eating behaviour. We conducted a cross-sectional study using self-report measures on 309 Chinese consumers with high (n = 150) and low (n = 159) anhedonic traits to explore differences in interoceptive experiences of snack food consumption. Specifically, we investigated interoceptive awareness, intuitive eating, and food-related pleasure using validated questionnaires. Additionally, we examined snack intake frequency, drivers of snack food consumption and post-ingestive sensations using self-developed questionnaires. We hypothesised that individuals with high anhedonic traits would exhibit low interoceptive awareness and lower intensity of interoceptive sensations linked to snack food consumption. Consistent with our hypotheses, low interoceptive awareness and intuitive eating were observed in individuals with high anhedonic traits. Furthermore, individuals with high anhedonic traits reported lower food-related pleasure, lower healthy snack intake frequency, and lower intensity of post-ingestive sensations for healthy snacks compared to the group with low anhedonic traits. Differences detected between groups were mainly detected for healthy snacking and not unhealthy snacking. Understanding how anhedonic traits relate to food pleasure and bodily sensations related snack consumption can provide novel insights and clarify focus areas for developing strategies supporting interoceptive awareness for long-term dietary behaviour changes.

Trajectories of negative affect prior to and following disordered eating behaviors among women with eating disorder pathology: An examination of the role of state-interoception

ObjectiveAffect regulation theories of eating disorders (ED) posit that negative affect increases in the hours before and decreases following disordered eating behaviors (DEBs) in daily life, yet findings from studies assessing affective changes post-DEBs are mixed. This inconsistency may be due to the previously unassessed role of other transdiagnostic processes in these associations, such as interoception (the ability to sense and integrate information from bodily sensations). To address this research gap, the present study examined whether different interoception dimensions moderated negative affect trajectories surrounding DEBs in the natural environment. Method150 women with ED pathology (Mage = 21.0, SD = 4.1) completed 4 surveys targeting affect and DEBs each day for a 10-day ecological momentary assessment period. Polynomial multilevel models examined negative affect trajectories pre- and post-DEBs (dietary restriction, overeating, loss of control eating), and whether these trajectories varied based on daily interoception dimensions (not distracting, self-regulation, body listening and trust). ResultsNegative affect increased prior to loss of control eating—but not dietary restriction or overeating—and decreased following all DEBs. Further, the magnitude of the decrease in negative affect that emerged post-dietary restriction decreased in strength as daily “not distracting” interoception increased. The other interoception dimensions did not moderate negative affect trajectories surrounding DEBs. ConclusionsAllowing oneself to experience (vs. distract from) uncomfortable bodily sensations may weaken affect dysregulation processes that follow dietary restriction in daily life and are theorized to maintain DEBs. These results provide insight that may strengthen EDs theories, research, and inform interoception-focused interventions.

The effectiveness of group interpersonal synchrony in young autistic adults' work environment: A mixed methods RCT study protocol.

Few autistic adults are able to integrate successfully into the world of work given their difficulties adapting to the social and stressful aspects of work environments. Interpersonal synchrony, when two or more individuals share body movements or sensations, is a powerful force that consolidates human groups while promoting the ability to self-regulate and cooperate with others. The abilities to self-regulate and cooperate are crucial for maintaining a calm and productive work environment. This study protocol outlines research that aims to assess the effects of group interpersonal synchrony on prosociality and work-related stress of young autistic adults in their work environment. This mixed-methods randomized controlled trial will investigate two movement-based group synchronous and non-synchronous intervention conditions. The sample will be composed of young adults enrolled in an innovative Israeli program designed to integrate cognitively-abled 18- to 25-year-old autistic adults into the Israeli army work force. The movement-based intervention sessions will take place in groups of 10-14 participants, once a week for 10 weeks. Questionnaires, behavioral collaborative tasks and semi-structured interviews will be conducted. Quantitative data will be collected for each participant at three points of time: before and after the intervention period, and 17 weeks after the end of the intervention. Qualitative data will be collected after the intervention period in interviews with the participants. Little is known about interventions that promote successful integration into social and stressful work environments. The findings are likely to shed new light on the use of group interpersonal synchrony in autistic individuals at work. NCT05846308.

Somatic Symptoms and Its Association With Anxiety and Interoception

In Somatic Symptom Disorder, individuals may misinterpret their symptoms as signs of disease. Meanwhile, interoception refers to an individual’s perception to sense internal body sensations. Interoception may play a role in the regulation of state and trait anxiety. Anxiety, in turn, is associated with somatic symptoms. A comprehensive study regarding somatic symptoms is still required to fill the knowledge gap regarding its relationships with other variables. In this study, 101 university students from Nagoya, Japan, fulfilled four questionnaires related to the study variables. The participants also completed the heartbeat counting task (HCT) to assess interoceptive accuracy and heart rate variability (HRV) measurement. The results showed that health concerns and trait anxiety are associated with somatic symptoms. In addition, the sub-scales Attention Regulation and Self-Regulation determined trait anxiety in an inverse correlation. These results suggest that interoception, particularly interoceptive sensibility, is negatively associated with trait anxiety regarding somatic symptoms. The inverse relationship could be expected, as interoceptive sensibility is a set of positive beliefs about aspects of the individual’s abilities and the tendency to consciously sense signals originating from inside their body.

“Our similarities are different” The relationship between alexithymia and depression

Alexithymia is a multi-faceted personality trait, which is the inability to recognize and describe emotions. It is associated with a multitude of mental health problems, and its implication for the diagnosis and treatment of depression remains unclear. The current study explored the nuances of the relationship between alexithymia and depression in a sample of 210 patients with depression. We assessed alexithymia with the 20-Item Toronto Alexithymia Scale (TAS-20) and depression with the Beck Depression Inventory (BDI-I). The mean TAS-20 score was 57.47 ± 10.63, and the mean BDI-I score was 49.33±9.24. We explored the network structure of alexithymia and depression. Items related to difficulties in identifying, describing, and expressing feelings were prominent in the alexithymia network. Joy, guilt, and self-dislike stand out in the depression network. In our analysis, we were able to show the crescent relationship between depression and alexithymia, with an inflection point at a TAS-20 score of 53. Although the correlation-concordance index was moderate (0.41; 95 %CI: 0.29–0.51), both scales greatly overlap. In the joint network of alexithymia and depression, we could identify bridge (i.e., connecting) items between alexithymia and depression. These were difficulties understanding and relating feelings to physical and body sensations on the alexithymia side, and self-dislike, crying, and somatic concern on the depression side. Taken together, they point to the pivotal role of alexithymia in the somatization/embodiment of emotions and feelings in depression.