Construct validation of the Rorschach Reality-Fantasy Scale in alexithymia.

The study applies Winnicott's conceptualization of potential space to the alexithymia construct by using a new Rorschach index, the Reality-Fantasy Scale (RFS). The scale uses variables derived from the Rorschach Comprehensive System (Exner, 2000, 2001) to detect different types of psychopathological manifestations conceptualized as forms of collapse of potential space. Following previous research, the present study further evaluates the construct validity of the RFS in a sample of 92 patients with inflammatory bowel disease, categorized on the basis of the Toronto Alexithymia Scale (TAS-20) as alexithymic, indeterminate alexithymia, and nonalexithymic groups. As hypothesized, the RFS significantly correlated with the TAS-20, discriminated among the 3 groups, and showed incremental validity in detecting alexithymia over isolated Rorschach markers. The study supports the exploration of psychoanalytic ideas by empirical, statistically based methods. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Specificity of meta-emotion effects on moral decision-making.

A recently proposed dual process theory of moral decision-making posits that utilitarian reasoning (approving of harmful actions that maximize good consequences) is the result of cognitive control of emotion. This suggests that deficits in emotional awareness will contribute to increased utilitarianism. The present study explored the relative contributions of the different facets of alexithymia and the closely related constructs of emotional intelligence and mood awareness to utilitarian decision making. Participants (N = 86) completed the Toronto Alexithymia Scale, Trait Meta Mood Scale, the Mood Awareness Scale, and a series of high-conflict, personal moral dilemmas validated by Greene et al. (2008). A brief neuropsychological battery was also administered to assess the possible confounds of verbal reasoning and abstract thinking ability. Principal components analysis revealed two latent factors—clarity of emotion and attention to emotion—which cut across all three meta-emotion instruments. Of these, low clarity of emotion—reflecting difficulty in reasoning thoughtfully about one's emotions—predicted utilitarian outcomes and provided unique variance beyond that of verbal and abstract reasoning abilities. Results are discussed in the context of individual differences in emotion regulation. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Alexithymia and affect intensity of art students.

Previous studies have examined the personality traits of artists. Research indicates significant differences between artists, scientists, and individuals from the general population (Feist, 1998; Chamorro-Premuzic, Furnham, & Reimers, 2007). However, studies examining emotion-related traits of artists are relatively rare. Affective styles and traits may distinguish artists from other groups. The present study focuses on two objectives. The first is to examine the degree to which art students present a specific emotional profile including alexithymia and affect intensity, compared with nonart students. The second objective is to examine the degree to which these characteristics predict level of creativity. Creative performance was evaluated based on productions during an art school workshop. Results indicate that art students present a higher level of alexithymia compared with available norms. However, they show also a higher fantasy life, which appears to be an important trait of art students. Finally, results indicate that art students present a higher level of negative intensity than the general population. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Affect and alexithymia determine choice among valued objects.

Why do people choose to surround themselves with possessions? An explanation has been offered by D. A. Norman (2004) in terms of the stimulation of 3 levels of psychological processing that map onto an object’s appearance, its usability, and its ability to evoke reflective processing, including emotion. Two experiments were carried out to investigate participants’ choices among valued objects, and found that affective factors (including links to current and past, euphoric and dysphoric emotion) played a dominant role in predictive modeling. The role was, however, significantly modulated by alexithymia. The extent to which object choice could be predicted was lower for those with higher levels of alexithymia than for those with lower levels. Nevertheless, a prominent linkage to current dysphoria was observed to emerge for higher levels of alexithymia, whose implications are considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional and motivational changes after bilateral lesions of the globus pallidus.

This study investigated motivational changes in a 44 year-old man (PJ) who developed considerable reduction in spontaneous activity and speech, flat affect, social withdrawal, loss of interest, inability to "feel," and lack of concern regarding his medical condition after bilateral, focal, anoxic lesions of the globus pallidus. PJ and 30 male controls performed a task designed to parse hedonic evaluation, or liking, from incentive motivation, or wanting. Affective stimuli were presented on a computer screen and subjects controlled viewing time by pressing keys. PJ's liking and wanting of unpleasant stimuli was similar to that of controls. In response to pleasant stimuli, PJ showed normal ratings of wanting and hedonic appreciation, but significantly reduced viewing time or made no responses. Active withdrawal from liked stimuli could constitute the basic mechanism underlying poor motivation and social withdrawal associated with globus pallidus damage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood Sexual Abuse, Disordered Eating, Alexithymia, and General Distress: A Mediation Model.

Drawing from trauma-related theory (e.g., M. F. Schwartz & P. Gay, 1996), this article presents a model of associations among child sexual abuse (CSA), psychological distress, alexithymia, and disordered eating (DE). Structural equation modeling was used to test this conceptual model with a sample of female college students (N = 589). Results indicate that CSA is not directly associated with DE. Instead, CSA is associated with psychological distress, which is further related to alexithymia. Additionally, bootstrapping analyses were used to show that distress and alexithymia mediate the relationship between CSA and DE. Finally, restrictive eating behaviors and attitudes mediate between alexithymia and bulimic behaviors. This latter pathway was shown to be important to the model by the analysis of a 2nd, nested model. Although this model is only one of many possible, these results point to a weak but significant complex relation between CSA and DE. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment, Social Competencies, Social Support, and Psychological Distress.

In this survey study of 430 undergraduates, elements of the social competencies and interpersonal processes model (B. Mallinckrodt, 2000) were tested. Two social competencies were hypothesized to mediate the direct effects of 2 independent variables, attachment anxiety and avoidance, on 2 outcomes, psychological distress and perceived social support. Social self-efficacy was expected to be a significant mediator only for attachment anxiety. Emotional awareness, construed as low levels of alexithymia, was expected to be a significant mediator only for attachment avoidance. A bootstrap method was used to estimate the significance of indirect effects. Structural equation analyses suggested that, instead of specialized significant parings of one mediator with one independent variable, both social self-efficacy and emotional awareness served as significant mediators for both attachment anxiety and attachment avoidance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Culture and alexithymia: Mean levels, correlates and the role of parental socialization of emotions.

Two studies examined the relationship between culture and alexithymia. In Study 1, mean levels and correlates of alexithymia were examined in 3 cultures: European American (EA), Asian American (AA), and Malaysian college students. Both Asian groups had higher alexithymia levels than the EA group. Somatization was more strongly associated with alexithymia in the Asian groups than in the EA group. Mood and life satisfaction were associated with alexithymia in similar ways across groups. In Study 2, the relations among culture, gender, retrospective reports of parental socialization of emotions, and alexithymia were examined among EA and AA college students. Cultural and gender differences were found in alexithymia and emotion socialization levels. Most important, parental emotion socialization mediated the relations among culture, gender, and alexithymia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alexithymia, memory of emotion, emotional awareness, and perfectionism.

The Toronto Alexithymia Scale (TAS-20; R. M. Bagby, J. D. A. Parker, & G. J. Taylor, 1994) is a self-assessment instrument designed to measure deficits in metaemotional functioning (e.g., difficulties in identifying and describing emotions). Four studies were carried out to examine the association between the TAS-20 and (a) performance measures of meta-emotional functioning (memory of emotion and emotional awareness; Studies 1-2) and (b) measures of perfectionistic standards that may possibly be involved in the self-assessment of abilities--difficulties (Studies 3-4). The TAS-20 failed to correlate in the predicted direction with the performance measures but showed sizable correlations with measures of perfectionism. Moreover, perfectionism was found to predict TAS-20 scores independent of depression, anxiety, and somatic complaints. The results are discussed in terms of the TAS-20 measuring primarily certain aspects of meta-emotional self-efficacy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)