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Alexithymia

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446:), when measured, do not statistically correlate with the other components of alexithymia. Such findings have led to ongoing debate in the field about whether IMP is indeed a component of alexithymia. For example, in 2017, Preece and colleagues introduced the attention-appraisal model of alexithymia, where they suggested that IMP be removed from the definition and that alexithymia be conceptually composed only of DIF, DDF, and EOT, as each of these three are specific to deficits in emotion processing. These core differences in the definition of alexithymia, regarding the inclusion or exclusion of IMP, correspond to differences between psychoanalytic and cognitive-behavioral conceptualizations of alexithymia; whereby psychoanalytic formulations tend to continue to place importance on IMP, whereas the attention-appraisal model (presently the most widely used cognitive-behavioral model of alexithymia) excludes IMP from the construct. In practice, since the constricted imaginal processes items were removed from earlier versions of the TAS-20 in the 1990s, the most used alexithymia assessment tools (and consequently most alexithymia research studies) have only assessed the construct in terms of DIF, DDF, and EOT. In terms of the relevance of alexithymic deficits for the processing of negative (e.g., sadness) or positive (e.g., happiness) emotions, the PAQ is presently the only alexithymia measure that enables valence-specific assessments of alexithymia across both negative and positive emotions; recent work with the PAQ has highlighted that alexithymic deficits in emotion processing do often extend across both negative and positive emotions, although people typically report more difficulties for negative emotions. Such findings of valence-specific effects in alexithymia are also supported by brain imaging studies. 794:. The parent's emotional state is important for determining how any child might develop. Neglect or indifference to varying changes in a child's facial expressions without proper feedback can promote an invalidation of the facial expressions manifested by the child. The parent's ability to reflect self-awareness to the child is another important factor. If the adult is incapable of recognizing and distinguishing emotional expressions in the child, it can influence the child's capacity to understand emotional expressions. 537:. The distinguishing factor was their inability to elaborate beyond a few limited adjectives such as "happy" or "unhappy" when describing these feelings. The core issue is that people with alexithymia have poorly differentiated emotions, limiting their ability to distinguish and describe them to others. This contributes to the sense of emotional detachment from themselves and difficulty connecting with others, making alexithymia negatively associated with 40: 781:" to stand for psychogenic alexithymia. For McDougall, the disaffected individual had at some point "experienced overwhelming emotion that threatened to attack their sense of integrity and identity", to which they applied psychological defenses to pulverize and eject all emotional representations from consciousness. A similar line of interpretation has been taken up using the methods of 517:, however, a cognitive disturbance becomes apparent as patients tend to recount trivial, chronologically ordered actions, reactions, and events of daily life with monotonous detail. In general, these individuals can, but not always, seem oriented toward things and even treat themselves as robots. These problems seriously limit their responsiveness to psychoanalytic psychotherapy; 450:
by difficulties some males have with "describing feelings", but not by difficulties in "identifying feelings", in which males and females show similar abilities. Work with the PAQ has suggested that the alexithymia construct manifests similarly across different cultural groups, and those of different ages (i.e., has the same structure and components).
389:(TAS-20), the Perth Alexithymia Questionnaire (PAQ), the Bermond-Vorst Alexithymia Questionnaire (BVAQ), the Levels of Emotional Awareness Scale (LEAS), the Online Alexithymia Questionnaire (OAQ-G2), the Toronto Structured Interview for Alexithymia (TSIA), or the Observer Alexithymia Scale (OAS). It is distinct from the psychiatric 954: 557:(ASD). In a 2004 study using the TAS-20, 85% of the adults with ASD fell into the "impaired" category and almost half fell into the "severely impaired" category; in contrast, among the adult control population only 17% were "impaired", none "severely impaired". Fitzgerald & Bellgrove pointed out that, "Like alexithymia, 929:
is the ability to understand the mental state of oneself or others that underlies overt behavior, and mentalisation-based treatment helps patients separate their own thoughts and feelings from those around them. This treatment is relational, and it focuses on gaining a better understanding and use of
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In a 2008 study alexithymia was found to be correlated with impaired understanding and demonstration of relational affection, and that this impairment contributes to poorer mental health, poorer relational well-being, and lowered relationship quality. Individuals high on the alexithymia spectrum also
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Although there is evidence for the role of environmental and neurological factors, the role and influence of genetic factors for developing alexithymia is still unclear. A single large scale Danish study suggested that genetic factors contributed noticeably to the development of alexithymia. However,
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Studies (using measures of alexithymia assessing DIF, DDF, and EOT) have reported that the prevalence rate of high alexithymia is less than 10% of the population. A less common finding suggests that there may be a higher prevalence of alexithymia amongst males than females, which may be accounted for
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In a study, a large group of alexithymic individuals completed the 64-item Inventory of Interpersonal Problems (IIP-64) which found that "two interpersonal problems are significantly and stably related to alexithymia: cold/distant and non-assertive social functioning. All other IIP-64 subscales were
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is also characterised by core disturbances in speech and language and social relationships". Hill & Berthoz agreed with Fitzgerald & Bellgrove (2006) and in response stated that "there is some form of overlap between alexithymia and ASDs". They also pointed to studies that revealed impaired
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thinking, often to the exclusion of emotional responses to problems. Those who have alexithymia also report very logical and realistic dreams, such as going to the store or eating a meal. Clinical experience suggests it is the structural features of dreams more than the ability to recall them that
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research into alexithymia remains minimal, but promising candidates have been identified from studies examining connections between certain genes and alexithymia among those with psychiatric conditions as well as the general population. A study recruiting a test population of Japanese males found
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is from the Latin "not speaking"), and are "by reason of their immaturity inevitably alexithymic". Based on this fact McDougall proposed in 1985 that the alexithymic part of an adult personality could be "an extremely arrested and infantile psychic structure". The first language of an infant is
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In 2002, Kennedy and Franklin found that a skills-based intervention is an effective method for treating alexithymia. Kennedy and Franklin's treatment plan involved giving the participants a series of questionnaires, psychodynamic therapies, cognitive-behavioral and skills-based therapies, and
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The attention-appraisal model of alexithymia by Preece and colleagues describes the mechanisms behind alexithymia within a cognitive-behavioral framework. Within this model, it is specified that alexithymia levels are due to the developmental level of people's emotion schemas (those cognitive
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Alexisomia is a clinical concept that refers to the difficulty in the awareness and expression of somatic, or bodily, sensations. The concept was first proposed in 1979 by Yujiro Ikemi when he observed characteristics of both alexithymia and alexisomia in patients with psychosomatic diseases.
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Alexithymia can create interpersonal problems because these individuals tend to avoid emotionally close relationships, or if they do form relationships with others they usually position themselves as either dependent, dominant, or impersonal, "such that the relationship remains superficial".
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survivors with PTSD compared to those without. Higher levels of alexithymia among mothers with interpersonal violence-related PTSD were found in one study to have proportionally less caregiving sensitivity. This latter study suggested that when treating adult PTSD patients who are parents,
578:; the mediating factors are unknown and it is possible that alexithymia predisposes to anxiety. On the other hand, while the total alexithymia score as well as the difficulty in identifying feelings and externally oriented thinking factors are found to be significantly associated with 528:
A common misconception about alexithymia is that affected individuals are totally unable to express emotions verbally and that they may even fail to acknowledge that they experience emotions. Even before coining the term, Sifneos (1967) noted patients often mentioned things like
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mentalising skills. The researchers found that all of the patients' symptoms including alexithymia significantly improved, and the treatment promoted affect tolerance and the ability to think flexibly while expressing intense affect rather than impulsive behavior.
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Some individuals working for organizations in which control of emotions is the norm might show alexithymic-like behavior but not be alexithymic. However, over time the lack of self-expressions can become routine and they may find it harder to identify with others.
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Alexithymia is considered to be a personality trait that places affected individuals at risk for other medical and mental disorders, as well as reducing the likelihood that these individuals will respond to conventional treatments to these disorders. The
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Chaotic interpersonal relations have also been observed by Sifneos. Due to the inherent difficulties identifying and describing emotional states in self and others, alexithymia also negatively affects relationship satisfaction between couples.
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signifies "no words for emotions". This label reflects the difficulty experienced by individuals with this condition in recognizing, expressing, and articulating their emotional experiences. Nonmedical terminology, such as "emotionless" and
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Smith R, Kaszniak AW, Katsanis J, Lane RD, Nielsen L (February 2019). "The importance of identifying underlying process abnormalities in alexithymia: Implications of the three-process model and a single case study illustration".
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Preece DA, Becerra R, Robinson K, Allan A, Boyes M, Chen W, et al. (December 2020). "What is alexithymia? Using factor analysis to establish its latent structure and relationship with fantasizing and emotional reactivity".
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In 2017, based on their attention-appraisal model of alexithymia, Preece and colleagues recommended that alexithymia treatment should try to improve the developmental level of people's emotion schemas and reduce people's use of
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An inability to modulate emotions is a possibility in explaining why some people with alexithymia are prone to discharge tension arising from unpleasant emotional states through impulsive acts or compulsive behaviors such as
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structures used to process emotions) and/or the extent to which people are avoiding their emotions as an emotion regulation strategy. There is a large body of evidence currently supporting the specifications of this model.
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Inadequate "differentiation" between self and others by alexithymic individuals has also been observed. Their difficulty in processing interpersonal connections often develops where the person lacks a romantic partner.
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Koponen S, Taiminen T, Honkalampi K, Joukamaa M, Viinamäki H, Kurki T, et al. (2005). "Alexithymia after traumatic brain injury: its relation to magnetic resonance imaging findings and psychiatric disorders".
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Hill EL, Berthoz S (November 2006). "Response to "Letter to the Editor: The overlap between alexithymia and Asperger's syndrome", Fitzgerald and Bellgrove, Journal of Autism and Developmental Disorders, 36(4)".
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is also implicated in the development of alexithymia, and those with traumatic brain injury are six times more likely to exhibit alexithymia. Alexithymia is also associated with newborn circumcision trauma.
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or manifest outbursts of crying or rage. However, questioning usually reveals that they are quite incapable of describing their feelings or appear confused by questions inquiring about specifics of feelings.
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A significant issue impacting alexithymia treatment is that alexithymia has comorbidity with other disorders. Mendelson's 1982 study showed that alexithymia frequently presented in people with undiagnosed
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objected to the strong focus by clinicians on neurophysiological explanations at the expense of psychological ones for the genesis and operation of alexithymia, and introduced the alternative term "
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Bagby RM, Taylor GJ, Parker JD, Dickens SE (2006). "The development of the Toronto Structured Interview for Alexithymia: item selection, factor structure, reliability and concurrent validity".
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Salminen JK, Saarijärvi S, Aärelä E, Toikka T, Kauhanen J (January 1999). "Prevalence of alexithymia and its association with sociodemographic variables in the general population of Finland".
2581:"Assessing Alexithymia across Asian and Western Cultures: Psychometric Properties of the Perth Alexithymia Questionnaire and Toronto Alexithymia Scale-20 in Singaporean and Australian Samples" 2312:
Bermond B, Clayton K, Liberova A, Luminet O, Maruszewski T, Bitti PE, et al. (2007-08-01). "A cognitive and an affective dimension of alexithymia in six languages and seven populations".
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nor a mental disorder. It is a dimensional personality trait that varies in intensity from person to person. An individual's alexithymia score can be measured with questionnaires such as the
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experiential therapies. After treatment, they found that participants were generally less ambivalent about expressing their emotion feelings and more attentive to their emotional states.
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Michetti PM, Rossi R, Bonanno D, Tiesi A, Simonelli C (2006). "Male sexuality and regulation of emotions: a study on the association between alexithymia and erectile dysfunction (ED)".
582:, and while the total alexithymia score, the difficulty in identifying feelings, and the difficulty in describing feelings factors are also significantly associated with symptoms of 4002:
Lumley MA, Downey K, Stettner L, Wehmer F, Pomerleau OF (1994). "Alexithymia and negative affect: relationship to cigarette smoking, nicotine dependence, and smoking cessation".
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Karakis EN, Levant RF (2012). "Is Normative Male Alexithymia Associated with Relationship Satisfaction, Fear of Intimacy and Communication Quality Among Men in Relationships?".
856:. These links are tentative, and further research will be needed to clarify how these genes relate to the neurological anomalies found in the brains of people with alexithymia. 3390:
Donfrancesco R, Di Trani M, Gregori P, Auguanno G, Melegari MG, Zaninotto S, Luby J (December 2013). "Attention-deficit/hyperactivity disorder and alexithymia: a pilot study".
5099: 938:. Participants in Kennedy and Franklin's study all had anxiety disorders in conjunction with alexithymia, while those in Löf et al. were diagnosed with both alexithymia and 1889: 1053: 731:
diseases. People with alexithymia also show a limited ability to experience positive emotions leading Krystal and Sifneos (1987) to describe many of these individuals as
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of emotions as an emotion regulation strategy (i.e., the mechanisms hypothesized to underlie alexithymia difficulties in the attention-appraisal model of alexithymia).
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Verissimo R, Mota-Cardoso R, Taylor G (1998). "Relationships between alexithymia, emotional control, and quality of life in patients with inflammatory bowel disease".
766:, which is largely responsible for processing emotions. In addition, another neuropsychological model suggests that alexithymia may be related to a dysfunction of the 3167:
Hill E, Berthoz S, Frith U (April 2004). "Brief report: cognitive processing of own emotions in individuals with autistic spectrum disorder and in their relatives".
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Early studies showed evidence that there may be an interhemispheric transfer deficit among people with alexithymia; that is, the emotional information from the
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Jørgensen MM, Zachariae R, Skytthe A, Kyvik K (2007). "Genetic and environmental factors in alexithymia: a population-based study of 8,785 Danish twin pairs".
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Watters CA, Taylor GJ, Quilty LC, Bagby RM (2016-11-01). "An Examination of the Topology and Measurement of the Alexithymia Construct Using Network Analysis".
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Lane RD, Quinlan DM, Schwartz GE, Walker PA, Zeitlin SB (1990-09-01). "The Levels of Emotional Awareness Scale: a cognitive-developmental measure of emotion".
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Tani P, Lindberg N, Joukamaa M, Nieminen-von Wendt T, von Wendt L, Appelberg B, et al. (2004). "Asperger syndrome, alexithymia and perception of sleep".
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Assogna F, Palmer K, Pontieri FE, Pierantozzi M, Stefani A, Gianni W, et al. (February 2012). "Alexithymia is a non-motor symptom of Parkinson disease".
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Pam A, Kemker SS, Ross CA, Golden R (1996). "The "equal environments assumption" in MZ-DZ twin comparisons: an untenable premise of psychiatric genetics?".
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Bagby RM, Parker JD, Taylor GJ (January 1994). "The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure".
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van der Velde, Jorien; Servaas, Michelle N.; Goerlich, Katharina S.; Bruggeman, Richard; Horton, Paul; Costafreda, Sergi G.; Aleman, André (2013-09-01).
2131:"Establishing the theoretical components of alexithymia via factor analysis: Introduction and validation of the attention-appraisal model of alexithymia" 1181:"Establishing the theoretical components of alexithymia via factor analysis: Introduction and validation of the attention-appraisal model of alexithymia" 3468:
Yehuda R, Steiner A, Kahana B, Binder-Brynes K, Southwick SM, Zemelman S, Giller EL (1997). "Alexithymia in Holocaust survivors with and without PTSD".
481:, often marked by a lack of understanding of the feelings of others; difficulty distinguishing between feelings and the bodily sensations of emotional 5833: 2647:"Assessing alexithymia: Psychometric properties of the Perth Alexithymia Questionnaire and 20-item Toronto Alexithymia Scale in United States adults" 1787: 5838: 2234:
Watters CA, Taylor GJ, Bagby RM (June 2016). "Illuminating the theoretical components of alexithymia using bifactor modeling and network analysis".
2105: 1721: 4767:"Association between the Catechol-O-Methyltransferase (COMT) Val¹⁵⁸Met Polymorphism and Alexithymia in Patients with Obsessive-Compulsive Disorder" 6014: 5664: 4722:
Gong P, Liu J, Li S, Zhou X (December 2014). "Serotonin receptor gene (5-HT1A) modulates alexithymic characteristics and attachment orientation".
770:. These studies have some shortcomings, however, and the empirical evidence about the neural mechanisms behind alexithymia remains inconclusive. 4217:
Abramson L, McClelland DC, Brown D, Kelner S (August 1991). "Alexithymic characteristics and metabolic control in diabetic and healthy adults".
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alexithymia should be assessed and addressed also with attention to the parent-child relationship and the child's social-emotional development.
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Kano M, Mizuno T, Kawano Y, Aoki M, Kanazawa M, Fukudo S (1 January 2012). "Serotonin transporter gene promoter polymorphism and alexithymia".
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Preece, David A.; Becerra, Rodrigo; Robinson, Ken; Allan, Alfred; Boyes, Mark; Chen, Wai; Hasking, Penelope; Gross, James J. (December 2020).
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Taylor GJ, Parker JD, Bagby RM (September 1990). "A preliminary investigation of alexithymia in men with psychoactive substance dependence".
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According to Henry Krystal, individuals exhibiting alexithymia think in an operative way and may appear to be superadjusted to reality. In
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Jessimer M, Markham R (July 1997). "Alexithymia: a right hemisphere dysfunction specific to recognition of certain facial expressions?".
2360:"What is alexithymia? Using factor analysis to establish its latent structure and relationship with fantasizing and emotional reactivity" 1563: 785:. McDougall has also noted that all infants are born unable to identify, organize, and speak about their emotional experiences (the word 5855: 5196:
Colin H, Kory F (2008). "Affectionate experience mediates the effects of alexithymia on mental health and interpersonal relationships".
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Shipko S, Alvarez WA, Noviello N (1983). "Towards a teleological model of alexithymia: alexithymia and post-traumatic stress disorder".
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However, there is no consensus on the definition of alexithymia, with debate between cognitive behavioral and psychoanalytic theorists.
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Alexithymia occurs in approximately 10% of the general population and often co-occurs with various mental disorders, particularly with
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Coolidge FL, Estey AJ, Segal DL, Marle PD (February 2013). "Are alexithymia and schizoid personality disorder synonymous diagnoses?".
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Generally speaking, approaches to treating alexithymia are still in their infancy, with not many proven treatment options available.
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Preece, David A.; Mehta, Ashish; Petrova, Kate; Sikka, Pilleriin; Bjureberg, Johan; Becerra, Rodrigo; Gross, James J. (2023-03-01).
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The cognitive behavioral model (i.e., the attention-appraisal model of alexithymia) defines alexithymia as having three components:
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Yelsma P, Marrow S (2003). "An Examination of Couples' Difficulties With Emotional Expressiveness and Their Marital Satisfaction".
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Mazidi, Mahdi; Azizi, Alireza; Becerra, Rodrigo; Gross, James J.; Zarei, Majid; Mirshafiei, Maryam; Preece, David A. (2023-06-07).
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Tabibnia G, Zaidel E (2005). "Alexithymia, interhemispheric transfer, and right hemispheric specialization: a critical review".
2842:"Cross-cultural validation and measurement invariance of the Perth Alexithymia Questionnaire (PAQ): a study in Iran and the USA" 2539:
Taylor GJ, Bagby RM, Parker JD (1992). "The Revised Toronto Alexithymia Scale: some reliability, validity, and normative data".
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of the brain is not being properly transferred to the language regions in the left hemisphere, as can be caused by a decreased
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Preece, David A.; Becerra, Rodrigo; Allan, Alfred; Robinson, Ken; Chen, Wai; Hasking, Penelope; Gross, James J. (2020-11-01).
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The Handbook of Emotional Intelligence: Theory, Development, Assessment, and Application at Home, School, and in the Workplace
570:, and similar social skills deficits. The exact nature of the overlap is uncertain. Alexithymic traits in AS may be linked to 505:
Some alexithymic individuals may appear to contradict the above-mentioned characteristics because they can experience chronic
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Bach M, de Zwaan M, Ackard D, Nutzinger DO, Mitchell JE (1994-05-01). "Alexithymia: relationship to personality disorders".
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and there is "strong empirical support for alexithymia being a stable personality trait rather than just a consequence of
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There are many more psychiatric disorders that overlap with alexithymia. One study found that 41% of US veterans of the
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Lane RD, Ahern GL, Schwartz GE, Kaszniak AW (November 1997). "Is alexithymia the emotional equivalent of blindsight?".
6234: 6090: 5870: 5735: 1023: 261: 2415:"Examining Proposed Changes to the Conceptualization of the Alexithymia Construct: The Way Forward Tilts to the Past" 1986:"Examining Proposed Changes to the Conceptualization of the Alexithymia Construct: The Way Forward Tilts to the Past" 457:
and psychiatrist Graeme J. Taylor have argued that the alexithymia construct is inversely related to the concepts of
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Nemiah JC, Freyberger H, Sifneos PE (1970). "Alexithymia: A View of the Psychosomatic Process". In Hill O (ed.).
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Sifneos PE (1967). "Clinical Observations on some patients suffering from a variety of psychosomatic diseases".
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or anorexia nervosa. The failure to regulate emotions cognitively might result in prolonged elevations of the
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phenomenon characterized by significant challenges in recognizing, expressing, sourcing, and describing one's
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Becerra R, Amos A, Jongenelis S (July 2002). "Organic alexithymia: a study of acquired emotional blindness".
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Feldmanhall O, Dalgleish T, Mobbs D (March 2013). "Alexithymia decreases altruism in real social decisions".
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Parker JD, Taylor GJ, Bagby RM (2001). "The Relationship Between Emotional Intelligence and Alexithymia".
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Typical deficiencies may include problems identifying, processing, describing, and working with one's own
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Cochrane CE, Brewerton TD, Wilson DB, Hodges EL (September 1993). "Alexithymia in the eating disorders".
2079: 344:, denoting 'disposition,' 'feeling,' or 'rage'). The term can be likened to "dyslexia" in its structure. 5634: 3766:
Williams C, Wood RL (March 2010). "Alexithymia and emotional empathy following traumatic brain injury".
1018: 814: 724: 716: 626: 518: 438:, it is often observed that constricted imaginal processes, defined as a lack of spontaneous imagining ( 390: 300:
and Peter Sifneos in 1973 to describe a particular psychological phenomenon. Its etymology comes from
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Vorst HC, Bermond B (2001). "Validity and reliability of the Bermond-Vorst Alexithymia Questionnaire".
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and impulsivity, there is no significant relationship between alexithymia and inattentiveness symptom.
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Vanheule S, Desmet M, Meganck R, Bogaerts S (January 2007). "Alexithymia and interpersonal problems".
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Cox BJ, Swinson RP, Shulman ID, Bourdeau D (1995). "Alexithymia in panic disorder and social phobia".
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Kennedy M, Franklin J (2002). "Skills-based Treatment for Alexithymia: An Exploratory Case Series".
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study in 1997 indicated that alexithymia may be due to a disturbance to the right hemisphere of the
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externally oriented thinking (EOT), characterized by a tendency to not focus attention on emotions.
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Mendelson G (1982). "Alexithymia and chronic pain: prevalence, correlates and treatment results".
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Schechter DS, Suardi F, Manini A, Cordero MI, Rossignol AS, Merminod G, et al. (June 2015).
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Maclaren K (2006). "Emotional Disorder and the Mind-Body Problem: A Case Study of Alexithymia".
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Sifneos PE (1973). "The prevalence of 'alexithymic' characteristics in psychosomatic patients".
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gene influences the transcription of the serotonin transporter that removes serotonin from the
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to be controversial. Those scholars raise concerns about the "equal environments assumption".
865: 833: 791: 538: 534: 242: 234: 130: 39: 6219: 6178: 5973: 5890: 5880: 5843: 5775: 5750: 5740: 5669: 5619: 5436: 5399: 5389: 5350: 5307: 5269: 5259: 5205: 5167: 5132: 5075: 5002: 4954: 4913: 4905: 4866: 4823: 4786: 4778: 4731: 4688: 4637: 4591: 4524: 4481: 4438: 4403: 4366: 4356: 4273: 4226: 4183: 4146: 4099: 4050: 4011: 3974: 3915: 3872: 3829: 3775: 3737: 3702: 3662: 3654: 3613: 3602:"Alexithymia and depression: a prospective study of patients with major depressive disorder" 3574: 3514: 3477: 3442: 3399: 3356: 3313: 3275: 3267: 3226: 3176: 3136: 3128: 3087: 2954: 2950: 2911: 2853: 2814: 2760: 2705: 2658: 2592: 2548: 2486: 2426: 2371: 2321: 2278: 2243: 2189: 2142: 2129:
Preece, David; Becerra, Rodrigo; Allan, Alfred; Robinson, Ken; Dandy, Justine (2017-12-01).
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report less distress at seeing others in pain and behave less altruistically toward others.
661: 606: 454: 297: 161: 60: 4909: 6173: 5953: 5913: 5785: 5582: 2748: 1734: 822: 774: 759: 755: 709: 622: 522: 466: 250: 246: 3180: 2359: 4066: 6019: 5918: 5690: 5509: 5404: 5377: 5274: 5247: 4918: 4893: 4791: 4766: 4371: 4344: 3979: 3962: 3833: 3667: 3642: 3280: 3255: 3141: 3116: 2091: 1615: 1590: 1369: 1350: 988: 818: 778: 728: 618: 563: 269: 5233:
Struggling with the Demon: Perspectives on Individual and Organizational Irrationality
5061:"Men's Sexual Coerciveness, Perceptions of Women's Attachment, and Dating Preferences" 4485: 4054: 2915: 2818: 1824: 1528:
Taylor GJ & Taylor HS (1997). Alexithymia. In M. McCallum & W.E. Piper (Eds.)
6213: 5963: 5928: 5217: 5179: 4665: 4230: 3706: 3534: 3231: 3214: 2678: 2620: 2514: 2456: 2399: 2341: 2162: 2064: 1959: 1783: 1450: 1209: 1152: 1008: 926: 849: 583: 514: 301: 5362: 5327: 5079: 4708: 4544: 4501: 4458: 4246: 4203: 4119: 3963:"Alexithymia and stress-induced brain activation in cocaine-dependent men and women" 3935: 3919: 3892: 3849: 3795: 3419: 3376: 3333: 2780: 2733: 2709: 1932: 1257: 758:, often present in psychiatric patients who have suffered severe childhood abuse. A 47:
A drawing by an artist with alexithymia depicting confusion about one's own emotions
5095: 4843: 4751: 4735: 2298: 935: 747:
It is unclear what causes alexithymia, though several theories have been proposed.
705: 697: 669: 3196: 2858: 2841: 2596: 2490: 2282: 1851: 5487: 5311: 4345:"Shitsu-taikan-sho (alexisomia): a historical review and its clinical importance" 3132: 2694:"Neural correlates of alexithymia: A meta-analysis of emotion processing studies" 1319: 1241: 5795: 5770: 5765: 5171: 763: 597:(PTSD) were alexithymic. Another study found higher levels of alexithymia among 590: 550: 494: 273: 265: 4394:
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5394: 5248:"Four decades of research on alexithymia: moving toward clinical applications" 4870: 4782: 4641: 4278: 4261: 3876: 3779: 3618: 3601: 3518: 3403: 3317: 3271: 3215:"Emanuel Miller lecture: confusions and controversies about Asperger syndrome" 3092: 3075: 2325: 1694: 1677: 1651: 949: 861: 713: 443: 277: 139: 5264: 5209: 4966: 4649: 4151: 4134: 2867: 2764: 2717: 2670: 2604: 2579:
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2498: 2440: 2383: 2333: 2203: 2154: 1775: 5805: 4103: 3658: 3500:"How do maternal PTSD and alexithymia interact to impact maternal behavior?" 836:
within the HTR1A gene. Also, a study examining alexithymia in subjects with
826: 732: 598: 506: 430:
constricted imaginal processes (IMP) characterized by infrequent daydreaming
353: 305: 5413: 5319: 5283: 5087: 5014: 4927: 4835: 4800: 4743: 4700: 4657: 4595: 4536: 4442: 4380: 4287: 4160: 4111: 3988: 3927: 3884: 3841: 3787: 3741: 3676: 3627: 3579:
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found higher alexithymia levels associated with the Val/Val allele of the
829:, found higher levels of alexithymia among those with the G allele of the 625:. Alexithymia is also exhibited by a large proportion of individuals with 5860: 5800: 4958: 4415: 3121:
Cortex; A Journal Devoted to the Study of the Nervous System and Behavior
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with other disorders. Research indicates that alexithymia overlaps with
525:
is frequently exacerbated should these individuals enter psychotherapy.
417:
The psychoanalytic model defines alexithymia as having four components:
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even when depression and other confounding factors are controlled for.
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3117:"Alexithymia, not autism, is associated with impaired interoception" 805:
higher scores on the Toronto Alexithymia Scale among those with the
605:
Single study prevalence findings for other disorders include 63% in
566:
skill in alexithymia, neuroanatomical evidence pointing to a shared
264:. Difficulty in recognizing and discussing emotions may manifest at 241:. While there is no scientific consensus on its classification as a 3641:
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Deficiency in understanding, processing, or describing emotions
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difficulty describing feelings to other people (DDF)
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"Alexithymia". 421:difficulty identifying feelings (DIF) 407:difficulty identifying feelings (DIF) 7: 4626:"Alexithymia and emotion regulation" 410:difficulty describing feelings (DDF) 5856:Developmental coordination disorder 1878:"Alexitimia y sindrome de Asperger" 1408:. Boston, MA: Pearson. p. 68. 621:, 28% in social phobia, and 50% in 296:was introduced by psychotherapists 5125:The American Journal of Psychiatry 3834:10.1097/01.psy.0000181278.92249.e5 3730:The American Journal of Psychiatry 3181:10.1023/B:JADD.0000022613.41399.14 2092:10.1016/B978-0-12-386915-9.00009-7 1351:10.1016/b978-0-12-822290-4.00004-9 381:classify alexithymia as neither a 280:emotion. 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The 5-HTTLPR region on the 5312:10.1016/j.concog.2018.12.004 3707:10.1016/0010-440X(95)90081-6 3133:10.1016/j.cortex.2016.03.021 3057:Acta Medicina Psychosomatica 1984:Taylor GJ, Bagby RM (2021). 1960:10.1016/0010-440X(94)90197-X 1545:"Stichwort Alexi | thymie". 1496:Bar-On R, Parker JD (2000). 1431:The Journal of Men's Studies 1320:10.1097/JGP.0b013e318209de07 1242:10.1016/j.cortex.2012.10.015 1153:10.1016/0022-3999(94)90005-1 846:Catechol-O-methyltransferase 688:headaches, lower back pain, 340: 332:, referring to 'words') and 328: 316: 262:neurodevelopmental disorders 6091:Autism Diagnostic Interview 5871:Sensory processing disorder 5736:Autism and LGBTQ identities 5300:Consciousness and Cognition 5172:10.1207/S15327698JFC0301_03 1024:Somatosensory amplification 497:; and concrete, realistic, 6261: 5979:Tuberous sclerosis complex 5969:Smith–Lemli–Opitz syndrome 5944:MECP2 duplication syndrome 5924:Cornelia de Lange syndrome 5876:Global developmental delay 4362:10.1186/s13030-020-00193-9 4037:Jones BA (November 1984). 2663:10.1016/j.paid.2020.110138 2195:10.1016/j.paid.2023.112375 2147:10.1016/j.paid.2017.08.003 1876:Paula-Perez I (Mar 2010). 1768:10.1016/j.paid.2018.05.011 1202:10.1016/j.paid.2017.08.003 974:Amplification (psychology) 852:neurotransmitters such as 674:inflammatory bowel disease 334: 322: 310: 282:normative male alexithymia 6048:Facilitated communication 5899:22q11.2 deletion syndrome 5515:. New York: Basic Books. 5395:10.1186/s12888-018-1699-6 4871:10.1017/S0001566000000945 4783:10.3349/ymj.2016.57.3.721 4642:10.1016/j.jad.2022.12.065 4279:10.1176/appi.psy.45.6.508 3877:10.1080/02699050110119817 3780:10.1080/13803390902976940 3619:10.1176/appi.psy.42.3.229 3519:10.1007/s10578-014-0480-4 3404:10.1007/s12402-013-0115-9 3318:10.1007/s10803-006-0287-7 3272:10.1007/s10803-006-0096-z 3093:10.1176/appi.psy.48.6.523 2326:10.1080/02699930601056989 2080:"Measures of Alexithymia" 1717:World Health Organization 1695:10.1176/appi.psy.41.5.385 1652:10.1108/14777260510615332 768:anterior cingulate cortex 615:major depressive disorder 555:autism spectrum disorders 387:Toronto Alexithymia Scale 46: 37: 6122:Autism-spectrum quotient 5949:Neurofibromatosis type I 5265:10.3389/fpsyg.2013.00861 5210:10.1177/0265407508096696 4724:Psychoneuroendocrinology 4349:BioPsychoSocial Medicine 4152:10.1161/01.HYP.33.4.1057 3908:Comprehensive Psychiatry 3695:Comprehensive Psychiatry 3647:Psychiatry Investigation 2765:10.2466/pr0.1999.85.1.67 2236:Psychological Assessment 1948:Comprehensive Psychiatry 1004:Psychological mindedness 864:and the entire field of 825:, a receptor that binds 721:autonomic nervous system 696:, nausea, allergies and 690:irritable bowel syndrome 459:psychological mindedness 255:autism spectrum disorder 6053:Lancet MMR autism fraud 6005:Critical autism studies 5904:22q13 deletion syndrome 5866:Intellectual disability 5816:Emotional dysregulation 5713:High-functioning autism 5252:Frontiers in Psychology 4104:10.1038/sj.ijir.3901386 3659:10.4306/pi.2008.5.3.179 2846:Australian Psychologist 1750:Preece D (2018-10-01). 999:Emotional dysregulation 627:acquired brain injuries 549:Alexithymia frequently 239:interpersonal relations 6063:Rapid prompting method 6010:Double empathy problem 6000:Autism rights movement 5566:Emotional Intelligence 4771:Yonsei Medical Journal 4596:10.5840/chiasmi2006819 4443:10.1006/brcg.1997.0900 3812:Psychosomatic Medicine 3742:10.1176/ajp.147.9.1228 3482:10.1002/jts.2490100108 3014:, pp. 29, 246–47. 2364:Journal of Personality 2037:Journal of Personality 1607:10.1098/rspb.1999.0809 1014:Reduced affect display 994:Emotion classification 916:experiential avoidance 870:Traumatic brain injury 725:neuroendocrine systems 635:traumatic brain injury 467:psychological distress 463:emotional intelligence 347:In its literal sense, 320:, meaning 'not') with 6148:Autism-related topics 5722:Associated conditions 5355:10.1375/bech.19.3.158 5235:. Psychosocial Press. 5137:10.1176/ajp.153.7.137 4584:Chiasmi International 4474:Biological Psychiatry 2753:Psychological Reports 2479:Cognition and Emotion 2314:Cognition and Emotion 1019:Somatization disorder 815:serotonin transporter 773:French psychoanalyst 642:personality disorders 545:Associated conditions 519:psychosomatic illness 391:personality disorders 6153:Fictional characters 5891:Associated syndromes 5507:McDougall J (1985). 5486:McDougall J (1989). 5131:(7 Suppl): 137–142. 5068:Violence and Victims 4959:10.3149/jmh.1002.184 3213:Frith U (May 2004). 1443:10.3149/jms.2003.179 1076:No Place for Autism? 809:homozygous long (L) 727:, which can lead to 682:functional dyspepsia 6030:Violence and autism 5826:Comorbid conditions 4560:, pp. 93, 103. 4431:Brain and Cognition 4318:, pp. 190–216. 4306:, pp. 216–248. 1888:(Suppl 3): S85–90. 1601:(1428): 1517–1522. 860:some scholars find 572:clinical depression 559:Asperger's syndrome 223:emotional blindness 149:10% (lifetime risk) 136:Clinical Psychology 33:Emotional blindness 6235:Personality traits 5939:Fragile X syndrome 5746:Autistic catatonia 5467:Krystal H (1988). 5007:10.1002/jclp.20324 4681:Neuropsychobiology 3349:Neuropsychobiology 3026:, pp. 246–47. 2376:10.1111/jopy.12563 2248:10.1037/pas0000169 2049:10.1111/jopy.12563 1733:2018-11-02 at the 1570:on 11 October 2016 792:facial expressions 760:neuropsychological 493:due to restricted 473:Signs and symptoms 436:empirical research 227:neuropsychological 6207: 6206: 6187: 6186: 6084:Diagnostic scales 5984:Williams syndrome 5909:Angelman syndrome 5791:Special interests 5756:Autistic meltdown 5696:Asperger syndrome 5550:978-0-521-45610-4 5522:978-0-946960-70-5 5499:978-0-393-70082-4 5478:978-0-88163-070-1 5441:10.1159/000287568 5049:, pp. 26–46. 4828:10.1159/000107565 4693:10.1159/000329554 4529:10.1159/000083166 4408:10.1159/000287057 4188:10.1159/000012263 4016:10.1159/000288884 3951:, pp. 162–5. 3447:10.1159/000287730 3361:10.1159/000076412 3002:, p. 169-70. 2553:10.1159/000288571 2432:10.1159/000511988 2003:10.1159/000511988 1917:10.1159/000089224 1511:978-0-7879-4984-6 1475:978-1-4833-8427-6 1415:978-0-321-88345-2 1404:Karren K (2014). 1360:978-0-12-822290-4 1285:10.1159/000287827 1113:10.1159/000286529 960:Psychology portal 866:behavior genetics 802:Molecular genetic 662:anxiety disorders 623:substance abusers 539:life satisfaction 243:personality trait 153: 152: 19:Medical condition 6252: 6245:1970s neologisms 6191: 6179:Sensory friendly 6115:Screening scales 5974:Timothy syndrome 5881:Verbal Dyspraxia 5844:Anxiety disorder 5776:Nonverbal autism 5751:Autistic masking 5741:Autistic burnout 5599: 5592: 5585: 5576: 5554: 5535: 5526: 5514: 5503: 5482: 5453: 5452: 5424: 5418: 5417: 5407: 5397: 5373: 5367: 5366: 5343:Behaviour Change 5338: 5332: 5331: 5294: 5288: 5287: 5277: 5267: 5243: 5237: 5236: 5228: 5222: 5221: 5193: 5184: 5183: 5155: 5149: 5148: 5120: 5114: 5113: 5111: 5110: 5104: 5065: 5056: 5050: 5044: 5038: 5037: 5025: 5019: 5018: 5000: 4980: 4971: 4970: 4938: 4932: 4931: 4921: 4898:Neuropsychologia 4889: 4883: 4882: 4854: 4848: 4847: 4811: 4805: 4804: 4794: 4762: 4756: 4755: 4719: 4713: 4712: 4676: 4670: 4669: 4621: 4615: 4609: 4600: 4599: 4579: 4573: 4567: 4561: 4555: 4549: 4548: 4512: 4506: 4505: 4469: 4463: 4462: 4426: 4420: 4419: 4402:(1–4): 148–155. 4391: 4385: 4384: 4374: 4364: 4340: 4331: 4325: 4319: 4313: 4307: 4301: 4292: 4291: 4281: 4257: 4251: 4250: 4214: 4208: 4207: 4171: 4165: 4164: 4154: 4145:(4): 1057–1061. 4130: 4124: 4123: 4087: 4081: 4080: 4078: 4077: 4071: 4065:. Archived from 4034: 4028: 4027: 4010:(3–4): 156–162. 3999: 3993: 3992: 3982: 3958: 3952: 3946: 3940: 3939: 3903: 3897: 3896: 3860: 3854: 3853: 3827: 3806: 3800: 3799: 3763: 3754: 3753: 3736:(9): 1228–1230. 3725: 3719: 3718: 3690: 3681: 3680: 3670: 3638: 3632: 3631: 3621: 3597: 3591: 3590: 3562: 3553: 3552: 3550: 3549: 3543: 3504: 3495: 3486: 3485: 3465: 3459: 3458: 3430: 3424: 3423: 3387: 3381: 3380: 3344: 3338: 3337: 3312:(8): 1143–1145. 3300: 3294: 3293: 3283: 3251: 3245: 3244: 3234: 3210: 3201: 3200: 3164: 3155: 3154: 3144: 3112: 3106: 3105: 3095: 3071: 3065: 3064: 3052: 3046: 3045: 3033: 3027: 3021: 3015: 3009: 3003: 2997: 2991: 2985: 2979: 2978:, p. 432–3. 2973: 2967: 2966: 2938: 2932: 2926: 2920: 2919: 2899: 2893: 2887: 2881: 2878: 2872: 2871: 2861: 2837: 2831: 2830: 2802: 2796: 2795: 2793: 2792: 2744: 2738: 2737: 2704:(8): 1774–1785. 2689: 2683: 2682: 2642: 2636: 2635: 2633: 2632: 2576: 2565: 2564: 2536: 2530: 2529: 2527: 2526: 2470: 2461: 2460: 2434: 2410: 2404: 2403: 2370:(6): 1162–1176. 2355: 2346: 2345: 2320:(5): 1125–1136. 2309: 2303: 2302: 2266: 2260: 2259: 2231: 2225: 2219: 2208: 2207: 2197: 2173: 2167: 2166: 2126: 2117: 2116: 2114: 2113: 2075: 2069: 2068: 2043:(6): 1162–1176. 2031: 2016: 2015: 2005: 1981: 1972: 1971: 1943: 1937: 1936: 1900: 1894: 1893: 1873: 1864: 1863: 1846:(1–2): 124–134. 1835: 1829: 1828: 1808: 1799: 1798: 1796: 1795: 1747: 1738: 1714: 1708: 1707: 1697: 1673: 1664: 1663: 1646:(4–5): 277–289. 1635: 1629: 1628: 1618: 1586: 1580: 1579: 1577: 1575: 1560: 1554: 1553: 1542: 1533: 1526: 1517: 1515: 1503: 1493: 1480: 1479: 1461: 1455: 1454: 1426: 1420: 1419: 1401: 1395: 1389: 1383: 1382: 1372: 1338: 1332: 1331: 1303: 1297: 1296: 1268: 1262: 1261: 1225: 1214: 1213: 1185: 1176: 1165: 1164: 1136: 1125: 1124: 1096: 1090: 1089: 1071: 1065: 1064: 1062: 1061: 1041: 962: 957: 956: 955: 752:right hemisphere 666:sexual disorders 613:, 45% to 50% in 607:anorexia nervosa 455:R. Michael Bagby 343: 337: 336: 331: 325: 324: 319: 313: 312: 298:John Case Nemiah 217: 213: 207: 206: 203: 202: 199: 196: 193: 190: 187: 184: 181: 178: 175: 172: 169: 166: 119: 115: 106: 105: 102: 101: 98: 95: 92: 89: 86: 83: 80: 77: 74: 71: 68: 65: 42: 22: 6260: 6259: 6255: 6254: 6253: 6251: 6250: 6249: 6230:Neuropsychology 6210: 6209: 6208: 6203: 6202: 6188: 6183: 6174:Autism-friendly 6162: 6136: 6110: 6079: 6034: 5988: 5954:Noonan syndrome 5914:CHARGE syndrome 5885: 5820: 5786:Savant syndrome 5723: 5717: 5674: 5655:Pathophysiology 5608: 5603: 5562: 5557: 5551: 5538: 5529: 5523: 5506: 5500: 5485: 5479: 5466: 5462: 5460:Further reading 5457: 5456: 5426: 5425: 5421: 5375: 5374: 5370: 5340: 5339: 5335: 5296: 5295: 5291: 5245: 5244: 5240: 5230: 5229: 5225: 5195: 5194: 5187: 5157: 5156: 5152: 5122: 5121: 5117: 5108: 5106: 5102: 5063: 5058: 5057: 5053: 5045: 5041: 5027: 5026: 5022: 4998:10.1.1.499.8287 4982: 4981: 4974: 4940: 4939: 4935: 4891: 4890: 4886: 4856: 4855: 4851: 4813: 4812: 4808: 4764: 4763: 4759: 4721: 4720: 4716: 4678: 4677: 4673: 4623: 4622: 4618: 4610: 4603: 4581: 4580: 4576: 4572:, p. 93-4. 4568: 4564: 4556: 4552: 4514: 4513: 4509: 4471: 4470: 4466: 4428: 4427: 4423: 4393: 4392: 4388: 4342: 4341: 4334: 4326: 4322: 4314: 4310: 4302: 4295: 4259: 4258: 4254: 4216: 4215: 4211: 4173: 4172: 4168: 4132: 4131: 4127: 4089: 4088: 4084: 4075: 4073: 4069: 4049:(11): 858–859. 4036: 4035: 4031: 4001: 4000: 3996: 3960: 3959: 3955: 3947: 3943: 3905: 3904: 3900: 3862: 3861: 3857: 3825:10.1.1.533.7505 3808: 3807: 3803: 3765: 3764: 3757: 3727: 3726: 3722: 3692: 3691: 3684: 3640: 3639: 3635: 3599: 3598: 3594: 3564: 3563: 3556: 3547: 3545: 3541: 3502: 3497: 3496: 3489: 3470:J Trauma Stress 3467: 3466: 3462: 3432: 3431: 3427: 3389: 3388: 3384: 3346: 3345: 3341: 3302: 3301: 3297: 3253: 3252: 3248: 3212: 3211: 3204: 3166: 3165: 3158: 3114: 3113: 3109: 3073: 3072: 3068: 3054: 3053: 3049: 3035: 3034: 3030: 3022: 3018: 3010: 3006: 2998: 2994: 2986: 2982: 2974: 2970: 2940: 2939: 2935: 2927: 2923: 2901: 2900: 2896: 2888: 2884: 2879: 2875: 2839: 2838: 2834: 2804: 2803: 2799: 2790: 2788: 2746: 2745: 2741: 2691: 2690: 2686: 2644: 2643: 2639: 2630: 2628: 2578: 2577: 2568: 2538: 2537: 2533: 2524: 2522: 2472: 2471: 2464: 2412: 2411: 2407: 2357: 2356: 2349: 2311: 2310: 2306: 2268: 2267: 2263: 2233: 2232: 2228: 2220: 2211: 2175: 2174: 2170: 2128: 2127: 2120: 2111: 2109: 2102: 2077: 2076: 2072: 2033: 2032: 2019: 1983: 1982: 1975: 1945: 1944: 1940: 1902: 1901: 1897: 1875: 1874: 1867: 1837: 1836: 1832: 1810: 1809: 1802: 1793: 1791: 1749: 1748: 1741: 1735:Wayback Machine 1715: 1711: 1675: 1674: 1667: 1637: 1636: 1632: 1588: 1587: 1583: 1573: 1571: 1562: 1561: 1557: 1544: 1543: 1536: 1527: 1520: 1512: 1495: 1494: 1483: 1476: 1463: 1462: 1458: 1428: 1427: 1423: 1416: 1403: 1402: 1398: 1390: 1386: 1361: 1340: 1339: 1335: 1305: 1304: 1300: 1270: 1269: 1265: 1227: 1226: 1217: 1183: 1178: 1177: 1168: 1138: 1137: 1128: 1098: 1097: 1093: 1086: 1073: 1072: 1068: 1059: 1057: 1043: 1042: 1038: 1033: 1028: 958: 953: 951: 948: 904: 879: 823:5-HT1A receptor 775:Joyce McDougall 756:corpus callosum 745: 717:sexual behavior 710:substance abuse 644:, particularly 547: 523:substance abuse 475: 370: 306:alpha privative 290: 251:mental disorder 247:medical symptom 221:), also called 215: 211: 163: 159: 125: 117: 113: 62: 58: 20: 17: 12: 11: 5: 6258: 6256: 6248: 6247: 6242: 6237: 6232: 6227: 6222: 6212: 6211: 6205: 6204: 6198: 6197: 6195: 6194:Classification 6185: 6184: 6182: 6181: 6176: 6170: 6168: 6167:Accommodations 6164: 6163: 6161: 6160: 6155: 6150: 6144: 6142: 6138: 6137: 6135: 6134: 6129: 6124: 6118: 6116: 6112: 6111: 6109: 6108: 6103: 6098: 6093: 6087: 6085: 6081: 6080: 6078: 6077: 6076: 6075: 6065: 6060: 6055: 6050: 6044: 6042: 6036: 6035: 6033: 6032: 6027: 6025:TEACCH program 6022: 6020:Neurodiversity 6017: 6012: 6007: 6002: 5996: 5994: 5993:Related issues 5990: 5989: 5987: 5986: 5981: 5976: 5971: 5966: 5961: 5956: 5951: 5946: 5941: 5936: 5931: 5926: 5921: 5919:Cohen syndrome 5916: 5911: 5906: 5901: 5895: 5893: 5887: 5886: 5884: 5883: 5878: 5873: 5868: 5863: 5858: 5853: 5852: 5851: 5841: 5836: 5830: 5828: 5822: 5821: 5819: 5818: 5813: 5808: 5803: 5798: 5793: 5788: 5783: 5778: 5773: 5768: 5763: 5758: 5753: 5748: 5743: 5738: 5733: 5727: 5725: 5719: 5718: 5716: 5715: 5710: 5709: 5708: 5703: 5698: 5693: 5691:Classic autism 5682: 5680: 5676: 5675: 5673: 5672: 5667: 5662: 5660:Sex and gender 5657: 5652: 5647: 5642: 5637: 5632: 5627: 5622: 5616: 5614: 5610: 5609: 5604: 5602: 5601: 5594: 5587: 5579: 5573: 5572: 5561: 5560:External links 5558: 5556: 5555: 5549: 5536: 5527: 5521: 5504: 5498: 5483: 5477: 5463: 5461: 5458: 5455: 5454: 5435:(3): 154–164. 5419: 5382:BMC Psychiatry 5368: 5349:(3): 158–171. 5333: 5289: 5238: 5223: 5204:(5): 793–810. 5185: 5150: 5115: 5074:(5): 935–952. 5051: 5039: 5020: 4991:(1): 109–117. 4972: 4953:(2): 184–195. 4933: 4884: 4865:(3): 349–360. 4849: 4822:(6): 369–375. 4806: 4777:(3): 721–727. 4757: 4714: 4671: 4616: 4614:, p. 161. 4612:McDougall 1985 4601: 4574: 4570:McDougall 1989 4562: 4558:McDougall 1989 4550: 4507: 4480:(9): 834–844. 4464: 4437:(2): 246–258. 4421: 4386: 4343:Oka T (2020). 4332: 4320: 4308: 4293: 4272:(6): 508–516. 4266:Psychosomatics 4252: 4225:(8): 490–494. 4209: 4166: 4125: 4098:(2): 170–174. 4082: 4043:Psychosomatics 4029: 3994: 3973:(2): 115–121. 3953: 3941: 3914:(2): 141–148. 3898: 3871:(7): 633–645. 3855: 3818:(5): 807–812. 3801: 3774:(3): 259–267. 3755: 3720: 3701:(3): 195–198. 3682: 3653:(3): 179–185. 3633: 3612:(3): 229–234. 3606:Psychosomatics 3592: 3573:(2): 219–222. 3554: 3513:(3): 406–417. 3487: 3460: 3441:(2): 122–126. 3425: 3398:(4): 361–367. 3382: 3339: 3295: 3266:(4): 573–576. 3246: 3225:(4): 672–686. 3202: 3175:(2): 229–235. 3156: 3107: 3086:(6): 523–529. 3080:Psychosomatics 3066: 3047: 3028: 3016: 3004: 3000:McDougall 1985 2992: 2990:, p. 246. 2980: 2968: 2933: 2921: 2894: 2882: 2873: 2852:(6): 432–447. 2832: 2797: 2739: 2684: 2637: 2591:(3): 396–412. 2566: 2547:(1–2): 34–41. 2531: 2485:(3): 449–487. 2462: 2425:(3): 145–155. 2405: 2347: 2304: 2277:(6): 649–659. 2261: 2242:(6): 627–638. 2226: 2209: 2168: 2118: 2100: 2070: 2017: 1996:(3): 145–155. 1973: 1954:(3): 239–243. 1938: 1895: 1865: 1830: 1819:(3): 413–434. 1800: 1739: 1709: 1688:(5): 385–392. 1682:Psychosomatics 1665: 1630: 1581: 1555: 1534: 1518: 1510: 1481: 1474: 1456: 1437:(3): 179–186. 1421: 1414: 1396: 1384: 1359: 1333: 1314:(2): 133–141. 1298: 1279:(1–4): 80–89. 1263: 1236:(3): 899–904. 1215: 1166: 1126: 1107:(2): 255–262. 1091: 1085:978-1915271815 1084: 1066: 1035: 1034: 1032: 1029: 1027: 1026: 1021: 1016: 1011: 1006: 1001: 996: 991: 989:Disaffectation 986: 981: 976: 971: 965: 964: 963: 947: 944: 903: 900: 878: 875: 819:synaptic cleft 779:disaffectation 744: 741: 619:panic disorder 564:theory of mind 546: 543: 474: 471: 432: 431: 428: 425: 422: 415: 414: 411: 408: 369: 368:Classification 366: 289: 286: 270:cultural norms 151: 150: 147: 143: 142: 133: 127: 126: 124: 123: 108: 55: 53: 49: 48: 44: 43: 35: 34: 31: 27: 26: 18: 15: 13: 10: 9: 6: 4: 3: 2: 6257: 6246: 6243: 6241: 6238: 6236: 6233: 6231: 6228: 6226: 6223: 6221: 6218: 6217: 6215: 6201: 6196: 6192: 6180: 6177: 6175: 6172: 6171: 6169: 6165: 6159: 6156: 6154: 6151: 6149: 6146: 6145: 6143: 6139: 6133: 6130: 6128: 6125: 6123: 6120: 6119: 6117: 6113: 6107: 6104: 6102: 6099: 6097: 6094: 6092: 6089: 6088: 6086: 6082: 6074: 6071: 6070: 6069: 6066: 6064: 6061: 6059: 6056: 6054: 6051: 6049: 6046: 6045: 6043: 6041: 6040:Controversies 6037: 6031: 6028: 6026: 6023: 6021: 6018: 6016: 6013: 6011: 6008: 6006: 6003: 6001: 5998: 5997: 5995: 5991: 5985: 5982: 5980: 5977: 5975: 5972: 5970: 5967: 5965: 5964:Rett syndrome 5962: 5960: 5957: 5955: 5952: 5950: 5947: 5945: 5942: 5940: 5937: 5935: 5932: 5930: 5929:Down syndrome 5927: 5925: 5922: 5920: 5917: 5915: 5912: 5910: 5907: 5905: 5902: 5900: 5897: 5896: 5894: 5892: 5888: 5882: 5879: 5877: 5874: 5872: 5869: 5867: 5864: 5862: 5859: 5857: 5854: 5850: 5847: 5846: 5845: 5842: 5840: 5837: 5835: 5832: 5831: 5829: 5827: 5823: 5817: 5814: 5812: 5809: 5807: 5804: 5802: 5799: 5797: 5794: 5792: 5789: 5787: 5784: 5782: 5779: 5777: 5774: 5772: 5769: 5767: 5764: 5762: 5759: 5757: 5754: 5752: 5749: 5747: 5744: 5742: 5739: 5737: 5734: 5732: 5729: 5728: 5726: 5724:and phenomena 5720: 5714: 5711: 5707: 5704: 5702: 5699: 5697: 5694: 5692: 5689: 5688: 5687: 5684: 5683: 5681: 5677: 5671: 5668: 5666: 5663: 5661: 5658: 5656: 5653: 5651: 5648: 5646: 5643: 5641: 5638: 5636: 5633: 5631: 5628: 5626: 5623: 5621: 5618: 5617: 5615: 5611: 5607: 5600: 5595: 5593: 5588: 5586: 5581: 5580: 5577: 5571: 5567: 5564: 5563: 5559: 5552: 5546: 5542: 5537: 5533: 5528: 5524: 5518: 5513: 5512: 5505: 5501: 5495: 5491: 5490: 5484: 5480: 5474: 5470: 5465: 5464: 5459: 5450: 5446: 5442: 5438: 5434: 5430: 5423: 5420: 5415: 5411: 5406: 5401: 5396: 5391: 5387: 5383: 5379: 5372: 5369: 5364: 5360: 5356: 5352: 5348: 5344: 5337: 5334: 5329: 5325: 5321: 5317: 5313: 5309: 5305: 5301: 5293: 5290: 5285: 5281: 5276: 5271: 5266: 5261: 5257: 5253: 5249: 5242: 5239: 5234: 5227: 5224: 5219: 5215: 5211: 5207: 5203: 5199: 5192: 5190: 5186: 5181: 5177: 5173: 5169: 5165: 5161: 5154: 5151: 5146: 5142: 5138: 5134: 5130: 5126: 5119: 5116: 5101: 5097: 5093: 5089: 5085: 5081: 5077: 5073: 5069: 5062: 5055: 5052: 5048: 5043: 5040: 5035: 5031: 5024: 5021: 5016: 5012: 5008: 5004: 4999: 4994: 4990: 4986: 4979: 4977: 4973: 4968: 4964: 4960: 4956: 4952: 4948: 4944: 4937: 4934: 4929: 4925: 4920: 4915: 4911: 4907: 4903: 4899: 4895: 4888: 4885: 4880: 4876: 4872: 4868: 4864: 4860: 4853: 4850: 4845: 4841: 4837: 4833: 4829: 4825: 4821: 4817: 4810: 4807: 4802: 4798: 4793: 4788: 4784: 4780: 4776: 4772: 4768: 4761: 4758: 4753: 4749: 4745: 4741: 4737: 4733: 4729: 4725: 4718: 4715: 4710: 4706: 4702: 4698: 4694: 4690: 4686: 4682: 4675: 4672: 4667: 4663: 4659: 4655: 4651: 4647: 4643: 4639: 4635: 4631: 4627: 4620: 4617: 4613: 4608: 4606: 4602: 4597: 4593: 4589: 4585: 4578: 4575: 4571: 4566: 4563: 4559: 4554: 4551: 4546: 4542: 4538: 4534: 4530: 4526: 4522: 4518: 4511: 4508: 4503: 4499: 4495: 4491: 4487: 4483: 4479: 4475: 4468: 4465: 4460: 4456: 4452: 4448: 4444: 4440: 4436: 4432: 4425: 4422: 4417: 4413: 4409: 4405: 4401: 4397: 4390: 4387: 4382: 4378: 4373: 4368: 4363: 4358: 4354: 4350: 4346: 4339: 4337: 4333: 4329: 4324: 4321: 4317: 4312: 4309: 4305: 4300: 4298: 4294: 4289: 4285: 4280: 4275: 4271: 4267: 4263: 4256: 4253: 4248: 4244: 4240: 4236: 4232: 4228: 4224: 4220: 4213: 4210: 4205: 4201: 4197: 4193: 4189: 4185: 4181: 4177: 4170: 4167: 4162: 4158: 4153: 4148: 4144: 4140: 4136: 4129: 4126: 4121: 4117: 4113: 4109: 4105: 4101: 4097: 4093: 4086: 4083: 4072:on 2012-07-14 4068: 4064: 4060: 4056: 4052: 4048: 4044: 4040: 4033: 4030: 4025: 4021: 4017: 4013: 4009: 4005: 3998: 3995: 3990: 3986: 3981: 3976: 3972: 3968: 3964: 3957: 3954: 3950: 3945: 3942: 3937: 3933: 3929: 3925: 3921: 3917: 3913: 3909: 3902: 3899: 3894: 3890: 3886: 3882: 3878: 3874: 3870: 3866: 3859: 3856: 3851: 3847: 3843: 3839: 3835: 3831: 3826: 3821: 3817: 3813: 3805: 3802: 3797: 3793: 3789: 3785: 3781: 3777: 3773: 3769: 3762: 3760: 3756: 3751: 3747: 3743: 3739: 3735: 3731: 3724: 3721: 3716: 3712: 3708: 3704: 3700: 3696: 3689: 3687: 3683: 3678: 3674: 3669: 3664: 3660: 3656: 3652: 3648: 3644: 3637: 3634: 3629: 3625: 3620: 3615: 3611: 3607: 3603: 3596: 3593: 3588: 3584: 3580: 3576: 3572: 3568: 3561: 3559: 3555: 3540: 3536: 3532: 3528: 3524: 3520: 3516: 3512: 3508: 3501: 3494: 3492: 3488: 3483: 3479: 3476:(1): 83–100. 3475: 3471: 3464: 3461: 3456: 3452: 3448: 3444: 3440: 3436: 3429: 3426: 3421: 3417: 3413: 3409: 3405: 3401: 3397: 3393: 3386: 3383: 3378: 3374: 3370: 3366: 3362: 3358: 3354: 3350: 3343: 3340: 3335: 3331: 3327: 3323: 3319: 3315: 3311: 3307: 3299: 3296: 3291: 3287: 3282: 3277: 3273: 3269: 3265: 3261: 3257: 3250: 3247: 3242: 3238: 3233: 3228: 3224: 3220: 3216: 3209: 3207: 3203: 3198: 3194: 3190: 3186: 3182: 3178: 3174: 3170: 3163: 3161: 3157: 3152: 3148: 3143: 3138: 3134: 3130: 3126: 3122: 3118: 3111: 3108: 3103: 3099: 3094: 3089: 3085: 3081: 3077: 3070: 3067: 3062: 3058: 3051: 3048: 3043: 3039: 3032: 3029: 3025: 3020: 3017: 3013: 3008: 3005: 3001: 2996: 2993: 2989: 2984: 2981: 2977: 2972: 2969: 2964: 2960: 2956: 2952: 2948: 2944: 2937: 2934: 2931:, p. 37. 2930: 2925: 2922: 2917: 2913: 2909: 2905: 2898: 2895: 2892:, p. 38. 2891: 2886: 2883: 2877: 2874: 2869: 2865: 2860: 2855: 2851: 2847: 2843: 2836: 2833: 2828: 2824: 2820: 2816: 2812: 2808: 2801: 2798: 2786: 2782: 2778: 2774: 2770: 2766: 2762: 2758: 2754: 2750: 2743: 2740: 2735: 2731: 2727: 2723: 2719: 2715: 2711: 2707: 2703: 2699: 2695: 2688: 2685: 2680: 2676: 2672: 2668: 2664: 2660: 2656: 2652: 2648: 2641: 2638: 2626: 2622: 2618: 2614: 2610: 2606: 2602: 2598: 2594: 2590: 2586: 2582: 2575: 2573: 2571: 2567: 2562: 2558: 2554: 2550: 2546: 2542: 2535: 2532: 2520: 2516: 2512: 2508: 2504: 2500: 2496: 2492: 2488: 2484: 2480: 2476: 2469: 2467: 2463: 2458: 2454: 2450: 2446: 2442: 2438: 2433: 2428: 2424: 2420: 2416: 2409: 2406: 2401: 2397: 2393: 2389: 2385: 2381: 2377: 2373: 2369: 2365: 2361: 2354: 2352: 2348: 2343: 2339: 2335: 2331: 2327: 2323: 2319: 2315: 2308: 2305: 2300: 2296: 2292: 2288: 2284: 2280: 2276: 2272: 2265: 2262: 2257: 2253: 2249: 2245: 2241: 2237: 2230: 2227: 2224:, p. 29. 2223: 2218: 2216: 2214: 2210: 2205: 2201: 2196: 2191: 2187: 2183: 2179: 2172: 2169: 2164: 2160: 2156: 2152: 2148: 2144: 2140: 2136: 2132: 2125: 2123: 2119: 2107: 2103: 2101:9780123869159 2097: 2093: 2089: 2085: 2081: 2074: 2071: 2066: 2062: 2058: 2054: 2050: 2046: 2042: 2038: 2030: 2028: 2026: 2024: 2022: 2018: 2013: 2009: 2004: 1999: 1995: 1991: 1987: 1980: 1978: 1974: 1969: 1965: 1961: 1957: 1953: 1949: 1942: 1939: 1934: 1930: 1926: 1922: 1918: 1914: 1910: 1906: 1899: 1896: 1891: 1887: 1883: 1879: 1872: 1870: 1866: 1861: 1857: 1853: 1849: 1845: 1841: 1834: 1831: 1826: 1822: 1818: 1814: 1807: 1805: 1801: 1789: 1785: 1781: 1777: 1773: 1769: 1765: 1761: 1757: 1753: 1746: 1744: 1740: 1736: 1732: 1729: 1725: 1723: 1718: 1713: 1710: 1705: 1701: 1696: 1691: 1687: 1683: 1679: 1672: 1670: 1666: 1661: 1657: 1653: 1649: 1645: 1641: 1634: 1631: 1626: 1622: 1617: 1612: 1608: 1604: 1600: 1596: 1592: 1585: 1582: 1569: 1565: 1559: 1556: 1551: 1549: 1541: 1539: 1535: 1531: 1525: 1523: 1519: 1513: 1507: 1502: 1501: 1492: 1490: 1488: 1486: 1482: 1477: 1471: 1467: 1460: 1457: 1452: 1448: 1444: 1440: 1436: 1432: 1425: 1422: 1417: 1411: 1407: 1400: 1397: 1393: 1388: 1385: 1380: 1376: 1371: 1366: 1362: 1356: 1352: 1348: 1344: 1337: 1334: 1329: 1325: 1321: 1317: 1313: 1309: 1302: 1299: 1294: 1290: 1286: 1282: 1278: 1274: 1267: 1264: 1259: 1255: 1251: 1247: 1243: 1239: 1235: 1231: 1224: 1222: 1220: 1216: 1211: 1207: 1203: 1199: 1195: 1191: 1190: 1182: 1175: 1173: 1171: 1167: 1162: 1158: 1154: 1150: 1146: 1142: 1135: 1133: 1131: 1127: 1122: 1118: 1114: 1110: 1106: 1102: 1095: 1092: 1087: 1081: 1077: 1070: 1067: 1055: 1051: 1047: 1040: 1037: 1030: 1025: 1022: 1020: 1017: 1015: 1012: 1010: 1009:Prosopagnosia 1007: 1005: 1002: 1000: 997: 995: 992: 990: 987: 985: 982: 980: 977: 975: 972: 970: 967: 966: 961: 950: 945: 943: 941: 937: 931: 928: 927:Mentalisation 924: 919: 917: 911: 907: 901: 899: 895: 891: 887: 883: 877:Relationships 876: 874: 871: 867: 863: 857: 855: 851: 850:catecholamine 847: 843: 839: 835: 832: 828: 824: 820: 816: 812: 808: 803: 799: 795: 793: 788: 784: 783:phenomenology 780: 776: 771: 769: 765: 761: 757: 753: 748: 742: 740: 736: 734: 730: 726: 722: 718: 715: 711: 707: 701: 699: 695: 691: 687: 683: 679: 675: 671: 667: 663: 659: 655: 651: 647: 643: 638: 636: 632: 628: 624: 620: 616: 612: 608: 603: 600: 596: 592: 587: 585: 584:hyperactivity 581: 577: 573: 569: 565: 560: 556: 552: 544: 542: 540: 536: 532: 526: 524: 520: 516: 515:psychotherapy 511: 508: 503: 500: 496: 492: 488: 484: 480: 472: 470: 468: 464: 460: 456: 453:Psychologist 451: 447: 445: 441: 437: 429: 426: 423: 420: 419: 418: 412: 409: 406: 405: 404: 401: 398: 396: 392: 388: 384: 380: 376: 367: 365: 363: 362:alexithymiacs 359: 355: 350: 345: 342: 330: 318: 307: 303: 302:Ancient Greek 299: 295: 287: 285: 283: 279: 275: 271: 267: 263: 258: 256: 252: 248: 244: 240: 236: 232: 228: 224: 220: 219: 205: 157: 148: 144: 141: 137: 134: 132: 128: 122: 121: 109: 104: 57: 56: 54: 52:Pronunciation 50: 45: 41: 36: 32: 28: 23: 5730: 5640:Heritability 5630:Epidemiology 5540: 5531: 5510: 5488: 5468: 5432: 5428: 5422: 5385: 5381: 5371: 5346: 5342: 5336: 5303: 5299: 5292: 5255: 5251: 5241: 5232: 5226: 5201: 5197: 5166:(1): 41–62. 5163: 5159: 5153: 5128: 5124: 5118: 5107:. Retrieved 5071: 5067: 5054: 5042: 5033: 5029: 5023: 4988: 4984: 4950: 4946: 4936: 4901: 4897: 4887: 4862: 4858: 4852: 4819: 4815: 4809: 4774: 4770: 4760: 4727: 4723: 4717: 4687:(2): 76–82. 4684: 4680: 4674: 4633: 4629: 4619: 4587: 4583: 4577: 4565: 4553: 4523:(2): 81–92. 4520: 4516: 4510: 4477: 4473: 4467: 4434: 4430: 4424: 4399: 4395: 4389: 4352: 4348: 4328:Krystal 1988 4323: 4311: 4269: 4265: 4255: 4222: 4218: 4212: 4182:(2): 75–80. 4179: 4175: 4169: 4142: 4139:Hypertension 4138: 4128: 4095: 4091: 4085: 4074:. Retrieved 4067:the original 4046: 4042: 4032: 4007: 4003: 3997: 3970: 3966: 3956: 3944: 3911: 3907: 3901: 3868: 3865:Brain Injury 3864: 3858: 3815: 3811: 3804: 3771: 3767: 3733: 3729: 3723: 3698: 3694: 3650: 3646: 3636: 3609: 3605: 3595: 3570: 3566: 3546:. Retrieved 3510: 3506: 3473: 3469: 3463: 3438: 3434: 3428: 3395: 3391: 3385: 3355:(2): 64–70. 3352: 3348: 3342: 3309: 3305: 3298: 3263: 3259: 3249: 3222: 3218: 3172: 3168: 3124: 3120: 3110: 3083: 3079: 3069: 3060: 3056: 3050: 3041: 3037: 3031: 3024:Krystal 1988 3019: 3007: 2995: 2988:Krystal 1988 2983: 2971: 2949:(1): 17–31. 2946: 2942: 2936: 2924: 2907: 2903: 2897: 2885: 2876: 2849: 2845: 2835: 2813:(1): 75–82. 2810: 2806: 2800: 2789:. Retrieved 2759:(1): 67–77. 2756: 2752: 2742: 2701: 2697: 2687: 2654: 2650: 2640: 2629:. Retrieved 2588: 2584: 2544: 2540: 2534: 2523:. Retrieved 2482: 2478: 2422: 2418: 2408: 2367: 2363: 2317: 2313: 2307: 2274: 2270: 2264: 2239: 2235: 2229: 2185: 2181: 2171: 2138: 2134: 2110:. Retrieved 2083: 2073: 2040: 2036: 1993: 1989: 1951: 1947: 1941: 1911:(1): 25–39. 1908: 1904: 1898: 1885: 1881: 1843: 1839: 1833: 1816: 1812: 1792:. Retrieved 1759: 1755: 1720: 1712: 1685: 1681: 1643: 1639: 1633: 1598: 1594: 1584: 1572:. 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Genova – 1196:: 341–352. 658:schizotypal 591:Vietnam War 495:imagination 440:daydreaming 349:alexithymia 294:alexithymia 274:masculinity 266:subclinical 156:Alexithymia 30:Other names 25:Alexithymia 6214:Categories 6068:Thiomersal 5811:Echopraxia 5761:Hyperlexia 5492:. Norton. 5388:(1): 185. 5109:2023-06-05 5036:: 351–365. 4590:: 139–55. 4076:2006-12-17 3548:2023-06-05 2791:2007-08-10 2657:: 110138. 2631:2023-06-19 2525:2023-06-19 2188:: 112375. 2112:2021-05-01 1882:Rev Neurol 1794:2021-05-01 1574:11 October 1060:2023-05-22 1044:Serani D. 1031:References 790:nonverbal 723:(ANS) and 535:depression 444:aphantasia 442:; compare 393:, such as 235:attachment 140:Psychiatry 6225:Cognition 6073:Chelation 5806:Echolalia 5679:Diagnoses 5670:Therapies 5625:Diagnosis 5306:: 33–46. 5218:144438014 5180:144200365 4993:CiteSeerX 4967:1532-6306 4666:255081636 4650:0165-0327 3820:CiteSeerX 3535:254378167 2868:0005-0067 2718:0149-7634 2679:224870754 2671:0191-8869 2621:251132219 2605:0022-3891 2515:232430204 2499:0269-9931 2457:227946625 2441:0033-3190 2400:218984376 2384:0022-3506 2342:143728880 2334:0269-9931 2204:0191-8869 2163:148867428 2155:0191-8869 2065:218984376 1784:149815915 1776:0191-8869 1762:: 32–44. 1516:pp. 40–59 1451:147645682 1210:148867428 902:Treatment 827:serotonin 733:anhedonic 654:dependent 617:, 34% in 609:, 56% in 599:Holocaust 551:co-occurs 507:dysphoria 491:fantasies 354:impassive 292:The term 288:Etymology 146:Frequency 131:Specialty 5861:Epilepsy 5801:Stimming 5414:29890960 5363:42495760 5328:58594332 5320:30605861 5284:24312069 5100:Archived 5088:28810935 5015:17016830 4928:26801227 4836:17917473 4801:26996573 4744:25247748 4709:26543708 4701:22222552 4658:36566943 4545:37677853 4537:15741757 4502:10963766 4459:29419777 4381:32999684 4288:15546828 4247:12385601 4204:46763537 4161:10205248 4120:22350032 4112:16151475 3989:16575427 3936:15019411 3928:23021894 3893:13877968 3885:12119081 3850:22630865 3842:16204442 3796:34126700 3788:19548166 3677:20046363 3628:11351111 3539:Archived 3527:25008189 3420:20228527 3412:23864438 3377:45311366 3369:14981336 3334:28686022 3326:17080269 3290:16755385 3241:15056300 3189:15162941 3151:27253723 3102:18071100 3044:: 25–37. 2827:10088984 2785:Archived 2781:39620868 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Index


/əˌlɛksɪˈθmiə/
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Specialty
Clinical Psychology
Psychiatry
/əˌlɛksɪˈθmiə/
ə-LEK-sih-THY-mee-ə
neuropsychological
emotions
attachment
interpersonal relations
personality trait
medical symptom
mental disorder
autism spectrum disorder
neurodevelopmental disorders
subclinical
cultural norms
masculinity
feminine
John Case Nemiah
Ancient Greek
alpha privative
impassive
DSM-5
ICD-11
symptom
Toronto Alexithymia Scale
personality disorders

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