Disorders of Affect Regulation :Alexithymia in Medical and Psychiatric Illness

Publication subTitle :Alexithymia in Medical and Psychiatric Illness

Author: Graeme J. Taylor; R. Michael Bagby; James D. A. Parker  

Publisher: Cambridge University Press‎

Publication year: 1999

E-ISBN: 9780511884955

P-ISBN(Paperback): 9780521778503

Subject: R749 Psychiatry

Keyword: 神经病学与精神病学

Language: ENG

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Disorders of Affect Regulation

Description

An entirely new perspective on how emotions influence mental and physical health. The authors present recent thinking about the development and regulation of emotions, and argue that several common but difficult to treat psychiatric illnesses, including drug addictions, eating disorders, panic disorder and post traumatic stress disorders, are a consequence of an inability to regulate distressing emotions through mental processes. The book also advances a model in which dysregulated emotions may alter other bodily systems and thereby contribute to the development of physical illnesses and diseases. Generously illustrated throughout with clinical vignettes and providing descriptions of innovative therapeutic approaches, this book offers a valuable and stimulating reference for clinicians and researchers alike.

Chapter

Affect development

The role of early relationships

Imagination and the self-regulation of affects

Toward an integrated model

[2] Affect dysregulation and alexithymia

Historical background

The alexithymia construct

Alexithymia and failures in affect regulation

Clinical illustration

Criticisms of the alexithymia construct

Relationships between alexithymia and other constructs

Developmental factors in the etiology of alexithymia

The interpersonal relationships and communicative mode of alexithymic individuals

[3] Measurement and validation of the alexithymia construct

Observer-rated questionnaires

Beth Israel Hospital Psychosomatic Questionnaire

The Alexithymia Provoked Response Questionnaire

Self-report measures

The MMPI Alexithymia Scale

The Schalling-Sifneos Personality Scale

Projective techniques

The Rorschach Alexithymia Indices

The Objectively Scored Archetypal Test

Development of the Toronto Alexithymia Scale

Scale revision and construct refinement

The Twenty-Item Toronto Alexithymia Scale

Translations of the TAS-20

Conclusions and implications

Experimental approaches to construct validation

[4] Relations between alexithymia, personality, and affects

Personality structure

Alexithymia and personality structure

The multidimensional approach

The three-factor model

The five-factor model

Alexithymia, personality, and affects

Clinical illustrations

Case 1

Case 2

Case 3

Case 4

Affect regulation and defense style

Alexithymia and defense style

Deficits and defenses

[5] The neurobiology of emotion, affect regulation, and alexithymia

The neurobiology of emotion

The triune brain

The amygdala and hippocampal system

Ascending and descending regulatory systems

Cerebral laterality and emotion

Cerebral laterality and imaginal processes

The neurobiology of alexithymia

Interhemispheric transfer deficits and alexithymia

Right hemisphere dysfunction and alexithymia

[6] Somatoform disorders

Background

Somatization and deficits in the cognitive processing of emotions

Somatization and dimensions of personality

Clinical illustrations

Empirical studies of alexithymia and somatization

Somatization and chronic pain

Clinical example

Empirical studies of alexithymia and chronic pain

Somatization, dissociation, and trauma

[7] Anxiety and depressive disorders and a note on personality disorders

Anxiety and depression as signal affects

Panic disorder

Clinical illustration

Empirical studies of alexithymia and panic disorder

Posttraumatic stress disorder

Clinical illustration

Empirical studies of alexithymia and PTSD

Somatic depressions

Clinical illustrations

Affect dysregulation in primitive personality disorders

[8] Substance use disorders

Background

Affect regulation failures in substance use disorders

Clinical example

A self-medication hypothesis

Relationships between substance abuse and depressive and anxiety disorders

Clinical example

Comorbidity with personality disorders

Clinical example

Comorbidity with eating disorder

Assessment of regulatory disturbances in substance use disorders

Empirical studies

Toward a comprehensive model

[9] Eating disorders

Background

Self-regulatory disturbances in eating disorders

Impulsivity

Comorbidity with substance use disorders

Relationship with affective disorders

Object relations and ego functions

Clinical illustrations

Case 1

Case 2

Assessment of regulatory disturbances in eating disorders

Empirical studies

Summary and conclusions

[10] Affects and alexithymia in medical illness and disease

Review of psychosomatic models of disease

Personality, emotions, and disease

A dysregulation model of illness and disease

Coronary heart disease

Essential hypertension

Diabetes mellitus

Rheumatoid arthritis

Inflammatory bowel diseases

Cancer

Functional physiological disorders

Clinical illustration

[11] Treatment considerations

A lack of psychological mindedness

Modified psychotherapy

Group therapy

Integrating pharmacotherapy with psychotherapy

The transformation of unmentalized experience

Clinical illustration

Empirical studies comparing different therapeutic modalities

[12] Future directions

Appendix

References

Index

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