Hostname: page-component-848d4c4894-x24gv Total loading time: 0 Render date: 2024-05-12T01:54:21.330Z Has data issue: false hasContentIssue false

To be or not to be emotionally aware and socially motivated: How alexithymia impacts autism spectrum disorders

Published online by Cambridge University Press:  23 July 2019

Luigi Pastore
Affiliation:
Department of Education, Psychology, Communication, University of Bari, 70121 Bari, Italy. luigi.pastore@uniba.ithttps://www.researchgate.net/profile/Luigi_Pastore
Sara Dellantonio
Affiliation:
Department of Psychology and Cognitive Sciences, University of Trento, 38068 Rovereto, Italy. sara.dellantonio@unitn.itgianluca.esposito@unitn.ithttps://www.researchgate.net/profile/Sara_Dellantoniohttp://abp.dipsco.unitn.it
Claudio Mulatti
Affiliation:
Department of Developmental Psychology and Socialisation, University of Padua, 35131 Padua, Italy. claudio.mulatti@unipd.ithttp://dpss.psy.unipd.it
Gianluca Esposito
Affiliation:
Department of Psychology and Cognitive Sciences, University of Trento, 38068 Rovereto, Italy. sara.dellantonio@unitn.itgianluca.esposito@unitn.ithttps://www.researchgate.net/profile/Sara_Dellantoniohttp://abp.dipsco.unitn.it Social & Affiliative Neuroscience Lab, Psychology Program, Nanyang Technological University, HSS-04-14, Singapore. gianluca.esposito@ntu.edu.sghttps://blogs.ntu.edu.sg/sanlab/

Abstract

Autism often co-occurs with alexithymia, a condition characterized by no or diminished awareness of emotions that significantly impacts an individual's social relationships. We investigate how the social motivation of autistics would be eroded by comorbidity with alexithymia and why this diminished motivation would be difficult for non-autistic people to perceive and reciprocate.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Berthoz, S. & Hill, E. L. (2005) The validity of using self-reports to assess emotion regulation abilities in adult with autism spectrum disorder. European Psychiatry 20:291–98.Google Scholar
Bird, G. & Cook, R. (2013) Mixed emotions: The contribution of alexithymia to the emotional symptoms of autism. Translational Psychiatry 3:e285. doi:10.1038/tp.2013.61.Google Scholar
Bird, R. & Richardson, D.C. (2011) The role of alexithymia in reduced eye-fixation in autism spectrum conditions. Journal of Autism and Developmental Disorders 41:556–64.Google Scholar
Bird, R., Silani, G., Brindley, G., White, S., Frith, U. & Singer, T. (2010) Empathic brain responses in insula are modulated by levels of alexithymia but not autism. Brain 133(5):1515–25.Google Scholar
Fitzgerald, M. & Bellgrove, M. A., (2006) The overlap between alexithymia and Asperger's syndrome. Journal of Autism and Developmental Disorders 36(4):573–76. 10.1007/s10803-006-0096-z.Google Scholar
Fujiwara, E. (2018) Looking at the eyes interferes with facial emotion recognition in alexithymia. Journal of Abnormal Psychology 127(6):571–77. doi:10.1037/abn0000361.Google Scholar
Gallagher, S. & Varga, S. (2015) Conceptual issues in autism spectrum disorder. Current Opinion in Psychiatry 28(2):127–32.Google Scholar
Hadjikhani, N., Åsberg Johnels, J., Zürcher, N. R., Lassalle, A., Guillon, Q., Hippolyte, L., Billstedt, E., Ward, N., Lemonnier, E. & Gillberg, C. (2017) Look me in the eyes: Constraining gaze in the eye-region provokes abnormally high subcortical activation in autism. Scientific Reports 7:3163. doi:10.1038/s41598-017-03378-5.Google Scholar
Hill, E., Berthoz, S. & Frith, U. (2004) Cognitive processing of own emotions in individuals with autistic spectrum disorder and in their relatives. Journal of Autism and Developmental Disorders 34(2):229–35.Google Scholar
Lumley, M. A., Neely, L. C. & Burger, A. J. (2007) The assessment of alexithymia in medical settings: Implications for understanding and treating health problems. Journal of Personality Assessment 89(3):230–46. doi:10.1080/00223890701629698.Google Scholar
Oakley, B. F. M., Brewer, R., Bird, G. & Catmur, C. (2016) Theory of mind is not theory of emotion: A cautionary note on the Reading the Mind in the Eyes test. Journal of Abnormal Psychology 125(6):818–23. doi:10.1037/abn0000182.Google Scholar
Poquérusse, J., Pastore, L., Dellantonio, S. & Esposito, G. (2018) Alexithymia and autism spectrum disorders: A complex relationship. Frontiers in Psychology. 9:1196. doi: 10.3389/fpsyg.2018.01196.Google Scholar
Samson, A. C., Huber, O. & Gross, J. J. (2012) Emotion regulation in Asperger's syndrome and high-functioning autism. Emotion 12(4):659–65. doi:10.1037/a0027975.Google Scholar
Swart, M., Kortekaas, R. & Aleman, A. (2009) Dealing with feelings: Characterization of trait alexithymia on emotion regulation strategies and cognitive-emotional processing. PLOS ONE 4(6):e5751. doi:10.1371/journal.pone.0005751.Google Scholar
Taylor, G. J., Bagby, R. M. & Parker, J. D. A. (1997) Disorders of affect regulation: Alexithymia in medical and psychiatric illness. Cambridge University Press.Google Scholar
Timoney, R. L. & Holder, M. D. (2013) Emotional processing: Deficits and happiness. Assessing the measurement, correlates, and well-being of people with alexithymia. Springer.Google Scholar
Vanheule, S., Desmet, M., Megank, R. & Bogaerts, S. (2007) Alexithymia and interpersonal problems. Journal of Clinical Psychology 63:109–17.Google Scholar
Wotschack, C. & Klann-Delius, G. (2013) Alexithymia and the conceptualization of emotions: A study of language use and semantic knowledge. Journal of Research in Personality 47:514–23.Google Scholar