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“Alexisomia”: A shift in focus from Alexithymia

Edited by: Dr Gen Komaki

Collection published: 21 December 2012

Last updated: 28 March 2013

A limited ability to understand, process, or describe one’s own feelings is referred to as alexithymia, literally “no words for feelings”. This concept, first introduced by P.E. Sifneos1), was derived from his observations of psychosomatic patients who had deficits in identifying, describing, and working with their own feelings and who had difficulty distinguishing between their feelings and bodily sensations related to emotions. In addition to psychosomatic patients, alexithymia has recently been used to refer to deficits in the emotional functioning of broader populations and to include common medical and psychiatric disorders (e.g., eating disorders, substance abuse, and posttraumatic stress disorder). In this thematic series, the latest brain imaging findings on the neurological basis of alexithymia are presented. We also present findings on social cognition and the influence of alexithymia on the long-term prognosis of chronic medical illness, and conclude with a discussion of areas that might be the focus future studies of alexithymia, including a shift in focus from alexithymia to “alexisomia”.

1) Sifneos PE. The prevalence of 'alexithymic' characteristics in psychosomatic patients. Psychother Psychosom. 1973; 22(2):255-62


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Neuroimaging studies of alexithymia: physical, affective, and social perspectives

Yoshiya Moriguchi, Gen Komaki BioPsychoSocial Medicine 2013, 7:8 (28 March 2013)

Abstract | Full text | PDF | ePUB | PubMed

Review   Open Access

The alexithymic brain: the neural pathways linking alexithymia to physical disorders

Michiko Kano, Shin Fukudo BioPsychoSocial Medicine 2013, 7:1 (9 January 2013)

Abstract | Full text | PDF | PubMed | Cited on BioMed Central

Review   Open Access

Alexithymia as a prognostic risk factor for health problems: a brief review of epidemiological studies

Masayo Kojima BioPsychoSocial Medicine 2012, 6:21 (17 December 2012)

Abstract | Full text | PDF | PubMed


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