Alexithymic characteristics and patient-therapist interaction: a video analysis of facial affect display.

Abstract:

:Alexithymia as a disorder of affect regulation entails a patient's reduced ability to process emotional information. The purpose of this study was to evaluate the impact of alexithymia [as measured by the Toronto Alexithymia Scale (TAS)-26, German version] on affective correlates in a dyadic therapeutic interaction (as recorded by the Emotional Facial Action Coding System). Interviews with 12 in-patients with various psychosomatic disorders (anxiety, depression, somatisation) were videotaped and evaluated for facial affect display. The corresponding emotional reactions of the therapists (split screen) were recorded separately. Patients with high alexithymia scores (TAS-26 total score) tended to display less aggressive affects than those with low scores. The therapists' predominant emotional reaction to alexithymic patients was contempt. Our findings underscore the deep-rooted nature of alexithymia as a disorder of affect regulation. Since facial affects play a major role in the regulation of emotional interaction, this disorder may evoke negative reactions of potential caregivers.

journal_name

Psychopathology

journal_title

Psychopathology

authors

Rasting M,Brosig B,Beutel ME

doi

10.1159/000085772

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

105-11

issue

3

eissn

0254-4962

issn

1423-033X

pii

85772

journal_volume

38

pub_type

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