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Chapter 12 - Therapeutic Issues

from Part III - Clinical Issues and Somatic and Psychiatric Pathology

Published online by Cambridge University Press:  07 September 2018

By
John S. Ogrodniczuk ,
David Kealy ,
George A. Hadjipavlou  and
Kristjana Cameron
Edited by
Olivier Luminet ,
R. Michael Bagby  and
Graeme J. Taylor
Olivier Luminet
Affiliation:
Université Catholique de Louvain, Belgium
R. Michael Bagby
Affiliation:
University of Toronto
Graeme J. Taylor
Affiliation:
University of Toronto
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Type
Chapter
Information
Alexithymia
Advances in Research, Theory, and Clinical Practice
 , pp. 190 - 206
Publisher: Cambridge University Press
Print publication year: 2018

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References

Äärelä, E., Saarijärvi, S., Salminen, J.K., et al. (1997). Alexithymic features do not predict compliance with psychotherapy in consultation-liaison patients. General Hospital Psychiatry, 19, 229–233.Google Scholar
Bagby, R.M., Taylor, G.J., and Parker, J.D.A. (1994). The Twenty-item Toronto Alexithymia Scale – II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research, 38, 33–40.Google Scholar
Bagby, R.M., Taylor, G.J., Parker, J.D.A., et al. (2006). The development of the Toronto Structured Interview for Alexithymia: Item selection, factor structure, reliability and concurrent validity. Psychotherapy and Psychosomatics, 75, 25–39.Google Scholar
Balestrieri, M., Isola, M., Baiano, M., et al. (2013). Psychoeducation in Binge Eating Disorder and EDNOS: A pilot study on the efficacy of a 10-week and a 1-year continuation treatment. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity, 18, 45–51.Google Scholar
Baudic, S., Jayr, C., Albi-Feldzer, A., et al. (2016). Effect of alexithymia and emotional repression on postsurgical pain in women with breast cancer: A prospective longitudinal 12-month study. The Journal of Pain, 17, 90–100.Google Scholar
Becker-Stoll, F. and Gerlinghoff, M. (2004). The impact of a four-month day treatment programme on alexithymia in eating disorders. European Eating Disorders Review, 12, 159–163.Google Scholar
Beresnevaite, M. (2000). Exploring the benefits of group psychotherapy in reducing alexithymia in coronary heart disease patients: A preliminary study. Psychotherapy and Psychosomatics, 69, 117–122.Google Scholar
Berking, M., Wupperman, P., Reichardt, A., et al. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy, 46, 1230–1237.Google Scholar
Bollas, C. (1983). Expressive uses of the countertransference: Notes to the patient from oneself. Contemporary Psychoanalysis, 19, 1–34.Google Scholar
Bressi, C., Fronza, S., Minacapelli, E., et al. (2017). Short-term psychodynamic psychotherapy with mentalization-based techniques in major depressive disorder patients: Relationship among alexithymia, reflective functioning, and outcome variables – a pilot study. Psychology and Psychotherapy, 90, 299–313.Google Scholar
Brown, L.J. (1985). On concreteness. Psychoanalytic Review, 72, 379–402.Google Scholar
Burger, A.J., Lumley, M.A., Carty, J.N., et al. (2016). The effects of a novel psychological attribution and emotional awareness and expression therapy for chronic musculoskeletal pain: A preliminary, uncontrolled trial. Journal of Psychosomatic Research, 81, 1–8.Google Scholar
Bydlowski, S., Corcos, M., Jeammet, P., et al. (2005). Emotion-processing deficits in eating disorders. International Journal of Eating Disorders, 37, 321–329.CrossRefGoogle ScholarPubMed
Byrne, G., Bogue, J., Egan, R., et al. (2016). “Identifying and describing emotions”: Measuring the effectiveness of a brief, alexithymia-specific, intervention for a sex offender population. Sexual Abuse, 28, 599–619.Google Scholar
Cameron, K., Ogrodniczuk, J.S., and Hadjipavlou, G. (2014). Changes in alexithymia following psychological intervention: A review. Harvard Review of Psychiatry, 22, 162–178.Google Scholar
Caslini, M., Rivolta, L., Zapp, L.E., et al. (2015). Psychotherapeutic treatment of eating disorders improve dissociative experiences and impulse regulation but not alexithymia. A case report. Rivista di Psichiatria, 50, 143–147.Google Scholar
Choi-Kan, L.W. and Gunderson, J.G. (2008). Mentalization: Ontogeny, assessment, and application in the treatment of borderline personality disorder. American Journal of Psychiatry, 165, 1127–1135.Google Scholar
Cleland, C., Magura, S., Foote, J., et al. (2005). Psychometric properties of the Toronto Alexithymia Scale (TAS-20) for substance abusers. Journal of Psychosomatic Research, 58, 299–306.Google Scholar
de Groot, J.M., Rodin, G., and Olmsted, M.P. (1995). Alexithymia, depression, and treatment outcome in bulimia nervosa. Comprehensive Psychiatry, 36, 53–60.Google Scholar
de Haan, H.A., Schellekens, A.F., van der Palen, J., et al. (2012). The level of alexithymia in alcohol-dependent patients does not influence outcomes after inpatient treatment. American Journal of Drug Alcohol Abuse, 38, 299–304.Google Scholar
Dimaggio, G., Vanheule, S., Lysaker, P.H., et al. (2009). Impaired self-reflection in psychiatric disorders among adults: A proposal for the existence of a network of semi independent functions. Consciousness and Cognition, 18, 653–664.Google Scholar
Grabe, H.J., Frommer, J., Ankerhold, A., et al. (2008). Alexithymia and outcome in psychotherapy. Psychotherapy and Psychosomatics, 77, 189–194.Google Scholar
Gunther, V., Rufer, M., Kersting, A., et al. (2016). Predicting symptoms in major depression after inpatient treatment: The role of alexithymia. Nordic Journal of Psychiatry, 70, 392–398.Google Scholar
Guttman, H. and Laporte, L. (2002). Alexithymia, empathy, and psychological symptoms in a family context. Comprehensive Psychiatry, 43, 448–455.Google Scholar
Haviland, M.G., Hendryx, M.S., Shaw, D.G., et al. (1994). Alexithymia in women and men hospitalized for psychoactive substance dependence. Comprehensive Psychiatry, 35, 124–128.CrossRefGoogle ScholarPubMed
Haviland, M.G., Warren, W.L., and Riggs, M.L. (2000). An observer scale to measure alexithymia. Psychosomatics, 41, 385–392.Google Scholar
Honkalampi, K., Hintikka, J., Laukkanen, E., et al. (2001). Alexithymia and depression: A prospective study of patients with major depressive disorder. Psychosomatics, 42, 229–234.Google Scholar
Honkalampi, K., Hintikka, J., Tanskanen, A., et al. (2000). Depression is strongly associated with alexithymia in the general population. Journal of Psychosomatic Research, 48, 99–104.Google Scholar
Hungr, C., Ogrodniczuk, J.S., and Sochting, I. (2016). Alexithymia and locus of control among psychiatric outpatients. International Journal of Mental Health and Addiction, 14, 1047–1051.Google Scholar
Joyce, A.S., Fujiwara, E., Cristall, M., et al. (2013). Clinical correlates of alexithymia among patients with personality disorder. Psychotherapy Research, 23, 690–704.CrossRefGoogle ScholarPubMed
Jurist, E.L. (2005). Mentalized affectivity. Psychoanalytic Psychology, 22, 426–444.Google Scholar
Kennedy-Moore, E. and Watson, J.C. (1999). Expressing Emotion: Myths, Realities, and Therapeutic Strategies. New York: Guilford Press.Google Scholar
Kleinberg, J.L. (1996). Working with alexithymic patients in groups. Psychoanalysis and Psychotherapy, 13, 76–85.Google Scholar
Kreitler, S. (2002). The psychosemantic approach to alexithymia. Personality and Individual Differences, 33, 393–407.Google Scholar
Krystal, H. (1979). Alexithymia and psychotherapy. American Journal of Psychotherapy, 1, 17–31.Google Scholar
Lane, R.D. (2008). Neural substrates of implicit and explicit emotional processes: A unifying framework for psychosomatic medicine. Psychosomatic Medicine, 70, 214–231.Google Scholar
Lane, R.D. and Schwartz, G.E. (1992). Levels of emotional awareness: Implications for psychotherapeutic integration. Journal of Psychotherapy Integration, 2, 1–18.CrossRefGoogle Scholar
Leising, D., Grande, T., and Faber, R. (2009). The Toronto Alexithymia Scale (TAS-20): A measure of general psychological distress. Journal of Research in Personality, 43, 707–710.Google Scholar
Lesser, I.M. (1981). A review of the alexithymia concept. Psychosomatic Medicine, 43, 531–543.Google Scholar
Leweke, F., Bausch, S., Leichsenring, F., et al. (2009). Alexithymia as a predictor of outcome of psychodynamically oriented inpatient treatment. Psychotherapy Research, 19, 323–331.Google Scholar
Ludwig, G., Krenz, S., Zdrojewski, C., et al. (2014). Psychodynamic interventions in cancer care I: Psychometric results of a randomized controlled trial. Psycho-Oncology, 23, 65–74.Google Scholar
Luminet, O., Bagby, R.M., and Taylor, G.J. (2001). An evaluation of the absolute and relative stability of alexithymia in patients with major depression. Psychotherapy and Psychosomatics, 70, 254–260.Google Scholar
Lumley, M.A. and Norman, S. (1996). Alexithymia and health care utilization. Psychosomatic Medicine, 58, 197–202.Google Scholar
Mallinckrodt, B., King, J.L., and Coble, H.M. (1998). Family dysfunction, alexithymia, and client attachment to therapist. Journal of Counseling Psychology, 45, 497–504.Google Scholar
Marty, P. (1980). L’Ordre Psychosomatique. Paris: Payot.Google Scholar
McCallum, M., Piper, W.E., Ogrodniczuk, J.S., et al. (2003). Relationships among psychological mindedness, alexithymia, and outcome in four forms of short-term psychotherapy. Psychology and Psychotherapy, 76, 133–144.Google Scholar
McMain, S., Links, P.S., Guimond, T., et al. (2013). An exploratory study of the relationship between changes in emotion and cognitive processes and treatment outcome in borderline personality disorder. Psychotherapy Research, 23, 658–673.Google Scholar
Meganck, R., Vanheule, S., Inslegers, R., et al. (2009). Alexithymia and interpersonal problems: A study of natural language use. Personality and Individual Differences, 47, 990–995.Google Scholar
Mohaupt, H., Holgersen, H., Binder, P., et al. (2006). Affect consciousness or mentalization? A comparison of two concepts with regard to affect development and affect regulation. Scandinavian Journal of Psychology, 47, 237–244.Google Scholar
Morie, K.P., Nich, C., Hunkele, K., et al. (2015). Alexithymia level and response to computer-based training in cognitive behavioral therapy among cocaine-dependent methadone maintained individuals. Drug and Alcohol Dependence, 152, 157–163.Google Scholar
Moriguchi, Y., Ohnishi, T., Lane, R.D., et al. (2006). Impaired self-awareness and theory of mind: An fMRI study of mentalizing in alexithymia. NeuroImage, 32, 1472–1482.Google Scholar
Nemiah, J.C., Freyberger, H., and Sifneos, P.E. (1976). Alexithymia: A view of the psychosomatic process. In Hill, O.W. (Ed.), Modern Trends in Psychosomatic Medicine, vol. 3, pp. 430–439. London: Butterworths.Google Scholar
Nemiah, J.C. and Sifneos, P.E. (1970). Psychosomatic illness: A problem in communication. Psychotherapy and Psychosomatics, 18, 154–160.CrossRefGoogle ScholarPubMed
Ogrodniczuk, J.S., Piper, W.E., and Joyce, A.S. (2004). Alexithymia as a predictor of residual symptoms in depressed patients who respond to short-term psychotherapy. American Journal of Psychotherapy, 58, 150–161.Google Scholar
Ogrodniczuk, J.S., Piper, W.E., and Joyce, A.S. (2005). The negative effect of alexithymia on the outcome of group therapy for complicated grief: What role might the therapist play? Comprehensive Psychiatry, 46, 206–213.Google Scholar
Ogrodniczuk, J.S., Piper, W.E., and Joyce, A.S. (2008). Alexithymia and therapist reactions to the patient: Expression of positive emotion as a mediator. Psychiatry: Interpersonal and Biological Processes, 71, 257–265.Google Scholar
Ogrodniczuk, J.S., Piper, W.E., Joyce, A.S., et al. (2009). Alexithymia and treatment preferences among psychiatric outpatients. Psychotherapy and Psychosomatics, 78, 383–384.Google Scholar
Ogrodniczuk, J.S., Sochting, I., Piper, W.E., et al. (2012). A naturalistic study of alexithymia among psychiatric outpatients treated in an integrated group therapy program. Psychology and Psychotherapy, 85, 278–291.Google Scholar
Panayiotou, G., Leonidou, C., Constantinou, E., et al. (2015). Do alexithymic individuals avoid their feelings? Experiential avoidance mediates the association between alexithymia, psychosomatic, and depressive symptoms in a community and a clinical sample. Comprehensive Psychiatry, 56, 206–216.Google Scholar
Pinna, F., Sanna, L., and Carpiniello, B. (2015). Alexithymia in eating disorders: Therapeutic implications. Psychology Research and Behavior Management, 8, 1–15.Google ScholarPubMed
Porcelli, P., Bagby, R.M., Taylor, G.J., et al. (2003). Alexithymia as predictor of treatment outcome in patients with functional gastrointestinal disorders. Psychosomatic Medicine, 65, 911–918.Google Scholar
Porcelli, P., Leoci, C., Guerra, V., et al. (1996). A longitudinal study of alexithymia and psychological distress in inflammatory bowel disease. Journal of Psychosomatic Research, 41, 569–573.Google Scholar
Porcelli, P. and Mihura, J.L. (2010). Assessment of alexithymia with the Rorschach Comprehensive System: The Rorschach Alexithymia Scale (RAS). Journal of Personality Assessment, 92, 128–136.Google Scholar
Porcelli, P., Tulipani, C., Di Micco, C., et al. (2011). Temporal stability of alexithymia in cancer patients following a psychological intervention. Journal of Clinical Psychology, 67, 1177–1187.Google Scholar
Probst, T., Sattel, H., Henningsen, P., et al. (2017). Alexithymia as a moderator of treatment outcomes in a randomized controlled trial on brief psychodynamic interpersonal psychotherapy for patients with multisomatoform disorder. Psychotherapy and Psychosomatics, 86, 57–59.Google Scholar
Quilty, L., Taylor, G., McBride, C., et al. (2017). Relationships among alexithymia, therapeutic alliance, and psychotherapy outcome in major depressive disorder. Psychiatry Research, 254, 75–79.Google Scholar
Rasting, M., Brosig, B., and Beutel, M.E. (2005). Alexithymic characteristics and patient–therapist interaction: A video analysis of facial affect display. Psychopathology, 38, 105–111.Google Scholar
Rosenblum, A., Cleland, C., Magura, S., et al. (2005). Moderators of effects of motivational enhancements to cognitive behavioral therapy. American Journal of Drug and Alcohol Abuse, 1, 35–58.Google Scholar
Rufer, M., Albrecht, R., Zaum, J., et al. (2010). Impact of alexithymia on treatment outcome: A naturalistic study of short-term cognitive-behavioral group therapy for panic disorder. Psychotherapy and Psychosomatics, 43, 170–179.Google Scholar
Rufer, M., Hand, I., Braatz, A., et al. (2004). A prospective study of alexithymia in obsessive-compulsive patients treated with multimodal cognitive-behavioral therapy. Psychotherapy and Psychosomatics, 73, 101–106.Google Scholar
Rufer, M., Mörgeli, H., Moritz, S., et al. (2014). Alexithymia and non-treatment: An Internet based study of 312 people with chronic anxiety. Comprehensive Psychiatry, 55, 179–187.Google Scholar
Salminen, J.K., Saarijarvi, S., Aairela, E., et al. (1994). Alexithymia – state or trait? One-year follow-up study of general hospital psychiatric consultation out-patients. Journal of Psychosomatic Research, 38, 681–685.Google Scholar
Samur, D., Tops, M., Schlinkert, C., et al. (2013). Four decades of research on alexithymia: Moving toward clinical applications. Frontiers in Psychology, 4, 861.Google Scholar
Schomerus, G., Appel, K., Meffert, P.J., et al. (2013). Personality-related factors as predictors of help-seeking for depression: A population-based study applying the behavioural model of health services use. Social Psychiatry and Psychiatric Epidemiology, 48, 1809–1817.Google Scholar
Sifneos, P.E. (1973). The prevalence of alexithymic characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22, 255–262.Google Scholar
Sifneos, P.E. (1975). Problems of psychotherapy of patients with alexithymic characteristics and physical disease. Psychotherapy and Psychosomatics, 26, 65–70.Google Scholar
Spek, V., Nyklicek, I., Cuijpers, P., et al. (2008). Alexithymia and cognitive behaviour therapy outcome for subthreshold depression. Acta Psychiatrica Scandinavica, 118, 164–167.Google Scholar
Stasiewicz, P.R., Bradizza, C.M., Gudleski, G.D., et al. (2012). The relationship of alexithymia to emotional dysregulation within an alcohol dependent treatment sample. Addictive Behaviors, 37, 469–476.Google Scholar
Stingl, M., Bausch, S., Walter, B., et al. (2008). Effects of inpatient psychotherapy on the stability of alexithymia characteristics. Journal of Psychosomatic Research, 65, 173–180.Google Scholar
Subic-Wrana, C., Bruder, S., Thomas, W., et al. (2005). Emotional awareness deficits in inpatients of a psychosomatic ward: A comparison of two different measures of alexithymia. Psychosomatic Medicine, 67, 483–489.Google Scholar
Swart, M., Kortekaas, R., and Aleman, A. (2009). Dealing with feelings: Characterization of trait alexithymia on emotion regulation strategies and cognitive-emotional processing. PLoS One, 4, e5751.Google Scholar
Swiller, H.I. (1988). Alexithymia: Treatment utilizing combined individual and group psychotherapy. International Journal of Group Psychotherapy, 38, 47–61.Google Scholar
Taylor, G.J. (1977). Alexithymia and the counter-transference. Psychotherapy and Psychosomatics, 28, 141–147.Google Scholar
Taylor, G.J. (1984a). Alexithymia: Concept, measurement, and implications for treatment. American Journal of Psychiatry, 141, 725–732.Google Scholar
Taylor, G.J. (1984b). Psychotherapy with the boring patient. Canadian Journal of Psychiatry, 29, 217–222.CrossRefGoogle ScholarPubMed
Taylor, G.J. (2000). Recent developments in alexithymia theory and research. Canadian Journal of Psychiatry, 45, 134–142.CrossRefGoogle ScholarPubMed
Taylor, G.J. (2010). Symbolism, symbolization, and trauma in psychosomatic theory. In Aisenstein, M. and de Aisemberg, E. Rappoport (Eds.), Psychosomatics Today. A Psychoanalytic Perspective, pp. 181–199. London: Karnac.Google Scholar
Taylor, G.J. and Bagby, R.M. (2004). New trends in alexithymia research. Psychotherapy and Psychosomatics, 73, 68–77.Google Scholar
Taylor, G.J. and Bagby, R.M. (2013). Psychoanalysis and empirical research: The example of alexithymia. Journal of the American Psychoanalytic Association, 61, 99–133.Google Scholar
Taylor, G.J., Bagby, R.M., and Parker, J.D.A. (1997). Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness. Cambridge: Cambridge University Press.Google Scholar
Taylor, G.J., Bagby, R.M., and Parker, J.D.A. (2016). What’s in the name “alexithymia”? A commentary on “Affective agnosia: Expansion of the alexithymia construct and a new opportunity to integrate and extend Freud’s legacy”. Neuroscience and Biobehavioral Reviews, 68, 1006–1020.Google Scholar
Terock, J., Janowitz, D., Grabe, H.J., et al. (2017). Alexithymia and psychotherapeutic treatment motivation: Main and interactional effects on treatment outcome. Psychotherapy and Psychosomatics, 86, 185–186.Google Scholar
Terock, J., Janowitz, D., Spitzer, C., et al. (2015). Alexithymia and self-directedness as predictors of psychopathology and psychotherapeutic treatment outcome. Comprehensive Psychiatry, 62, 34–41.Google Scholar
Tolmunen, T., Heliste, M., Lehto, S.M., et al. (2011). Stability of alexithymia in the general population: An 11-year follow-up. Comprehensive Psychiatry, 52, 536–541.Google Scholar
Tolmunen, T., Lehto, S.M., Heliste, M., et al. (2010). Alexithymia is associated with increased cardiovascular mortality in middle-aged Finnish men. Psychosomatic Medicine, 72, 187–191.Google Scholar
Tulipani, C., Morelli, F., Spedicato, M.R., et al. (2010). Alexithymia and cancer pain: The effect of psychological intervention. Psychotherapy and Psychosomatics, 79, 156–163.Google Scholar
Vanheule, S., Desmet, M., Verhaeghe, P., et al. (2007). Alexithymic depression: Evidence for a depression subtype? Psychotherapy and Psychosomatics, 76, 315–316.Google Scholar
Vanheule, S., Verhaeghe, P., and Desmet, M. (2010). In search of a framework for the treatment of alexithymia. Psychology and Psychotherapy, 84, 84–97.Google Scholar
Warnes, H. (1986). Alexithymia, clinical and therapeutic aspects. Psychotherapy and Psychosomatics, 46, 96–104.CrossRefGoogle ScholarPubMed

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