Alexithymia as a personality construct: concept, clinical, etiology and therapeutic approach.

Authors

  • Mabel Lusiardo Psychologist
  • Mariana Rodrigo Psychologist

DOI:

https://doi.org/10.35954/SM2011.30.1.6

Keywords:

Alexithymia; Therapeutic Approach; Psychology.

Abstract

The term alexithymia was coined by Dr. Peter Sifneos (1), a Harvard psychiatrist, to refer to a disorder of the cognitive-affective sphere that affects the way people experience and express their emotions. The first observations were made in patients with psychosomatic disorders, which led to the erroneous belief that there was an etiological relationship between alexithymia and psychosomatic illness. Alexithymia has also been observed in patients with pathologies such as chronic psychogenic pain (2), substance abuse disorders (3,4), masked depressions (4), sexual perversions (5), character neuroses (6) as well as life-threatening asthma (7). However, not all patients with psychosomatic or other pathology exhibit alexithymic features.

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References

(1) SIFNEOS PE. Short-term psychotherapy and emotional crisis. Cambridge; Harvard University Press, 1972.

(2) BLUMER D, HEILBRONN MI. Chronic pain as a variant of depressive disease. J Ner Ment Dis 1982; 170:381-406.

(3) KRYSTAL H. Alexithymia and psychotherapy. Am J Psychotherapy 1979; 33:17-31.

(4) WUMNSER L. Psychoanalitic considerations of the etiology of compulsive drug use. J Am Psychoanal Assoc 1974; 22:820-843.

(5) MCDOUGALL J. Alexithymia: A psychoanalytic viewpoint. Psychotherapy and Psychosomatics 1982; 38:8-90.

(6) KRYSTAL H. Alexithymia and the effectiveness of psychoanalytic treatment. Int J Psychoanal. Psychother 1982; 9:353-378.

(7) PLAZA V GINER J, PICADO C, SUREDA B, SERRANO J, CASAN P, ET AL. Control of ventilation, breathlessness perception and alexithymia in near-fatal asthma. J Asthma 2006; 43:1-6.

(8) NEMIAH JC, SIFNEOS PE. Affects and fantasy in patients with psychosomatic disorders. In 0. W. Hill Modern trends in psychosomatic medicine 2. London: Butter-worths, 1970.

(9) BARSKY AJ, KLERMAN GL. OVERVIEW: Hypochondriasis, bodily and complants and somatic styles. American J Psychiatry 1983; 140:273-283.

(10) LANE RD, SCHWARTZ GE. Levels of emotional awareness: A cognitive-developmental theory and its application to psychopathology. Am J Psychiatry 1987; 144:133-144.

(11) MARTY P, DE M’LJZAN M. La pensée opératoire. Rev Fr Psychoanal 1956; (Suppl 27):1345-1356.

(12) TAYLOR GJ. Alexithymia: Concept, measure and implications for treatment. Am J Psychiatry 1984; 141:725-732.

(13) ROSS ED, MESULAM MM. Dominant language functions of right hemisphere? Arch Neurol 1979; 36:144-149.

(14) ROSS ED, RUSH AJ. Diagnosis and neuroanatomical correlates of depression in brain- damage patients. Arch. Neurol 1981; 38:1344-1355.

(15) ROSS ED. The aprosodias. Arch Neurol 1981; 38:561-570.

(16) TAYLOR GJ, BAGBY RM. Measurement of alexithymia: Recomendations for clinical practice and future research. Psychiatric Clinics of North America 1988; 11:351-366.

(17) APFEL RJ, SIFNEOS PE. Alexithymia: Concept and measurement. Psychotherapy and Psychosomatics 1979; 32:180-190.

(18) GARDOS G, SXHNEIBOLK S, MIRIN SM, WOLK PC, ROSENTHAL K. Alexithymia: Towards validation and measurement. Compreh Psychiat 1984; 25:278-282.

(19) TAYLOR GJ, DODDY K, NEWMAN A. Alexithymic characteristics in patients with inflammatory bowel disease. Can J Pshychiat 1981; 26:470-474.

(20) BAGBY RM, TAYLOR GJ, ATKINSON L. Alexithymia: A comparative study of three self- report measures. J Psychosomatic Res 1988; 32:107-116.

(21) KLEIFER JH, KINSMAN RA. The development of an MMPI alexithymnia scale. Psychotherapy and Psychosomatics 1980; 34:17-24.

(22) TAYLOR GJ, RYAN DP. BAGBY RM. Toward the development of new self-report alexithymia scale. Psychotherapy and Psychosomatics 1985; 44:191-199.

(23) BAGBY PM, TAYLOR GJ, PARKER JD. Construct validity of the Toronto Alexithymia Scale. Psychotherapy and Psychosomatics 1988; 50:29- 34.

(24) BAGBY PM, TAYLOR GJ, RYAN, D. Toronto Alexithymia Scale: Relattion ship with personality and psychopathology measures. Psychotherapy and Psychosomatics 1986; 45:207-215.

(25) TAYLOR G J, BAGBY PM, RYAN DP, PARKER JD, DOODY KF, KEEFE P. Criterion validity of the Toronto Alexithymia Scale. Psychosomatic Medicine 1988; 50:500-509.

(26) TAYLOR GJ, BAGBY PM, PARKER J, RYAN DP, CITRON K. Factor validity of the Toronto Alexithymia Scale with a clinical sample. Psychosomatic Medicine 1988; 50:205-206.

(27) RODRIGO G, LUSIARDO M, NORMEY L. Alexithymia: Reliability and validity of the Spanish version of the Toronto Alexithymia Scale. Psychotherapy and Psychosomatics 1989; 51:162-168.

(28) RODRIGO G, LUSIARDO M. Factor structure of a Spanish version of Toronto alexithymia scale. Psychother Psychosomatics 1992; 58:197-201.

(29) RUESCH J. The infantile personality. Psychosomatic Medicine 1948; 10:134-144.

(30) RUESCH J. Disturbed communication: The clinical assessment of normal and pathological communicative behavior. New York: Norton, 1957.

(31) ACKLIN MW, BERNAT E. Depression, alexitymia and pain prone disorder: A. Rorschach study. J Personality Assessment 1987; 51:462- 479.

(32) EXNER J E. The Rorschach: A comprehensive system (Vol. 1: Basic Foundations). New York: Wiley & Sons, 1986.

(33) COHEN K, DEMERS-DESROISIERS LA, CATCHLOVE RFH. THE SAT 9: A quantitative scoring system for the AT9 test as a measure of symbolic function central to alexithymic presentation. Psychotherapy and Psychosomatics 1983; 39:77-88.

(34) SIFNEOS PE. Alexithymia and its relationship to hemisphere specialitation, affect, and creativity. Psychiatric Clinics of North America 1983; 11:287-292.

(35) APFEL-SAVITZ R, SILVERMAN 0, BENNETT MI. Group psychotherapy of patients with somatic illnesses and alexitymia. Psychotherapy and Psychosomatics 1977; 28:323-329.

(36) STEPHANOS SA. Concept of analytical treatment for patients with psychosomatic disorders. Psychotherapy and Psychosomatics 1972; 20:170-187.

Published

2011-12-31

How to Cite

1.
Lusiardo M, Rodrigo M. Alexithymia as a personality construct: concept, clinical, etiology and therapeutic approach. Salud Mil [Internet]. 2011 Dec. 31 [cited 2026 Apr. 19];30(1):48-52. Available from: https://revistasaludmilitar.uy/ojs/index.php/Rsm/article/view/272

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