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Psychosomatics 1991; 32:153-164
Copyright © 1991 by Academy of Psychosomatic Medicine
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ORIGINAL RESEARCH REPORTS |
The alexithymia construct. A potential paradigm for psychosomatic medicine
GJ Taylor, RM Bagby and JD Parker
Department of Psychiatry, University of Toronto, Ontario, Canada.
During the past decade, the alexithymia construct has undergone theoretical
refinement and empirical testing and has evolved into a potential new
paradigm for understanding the influence of emotions and personality on
physical illness and health. Like the traditional psychosomatic medicine
paradigm, the alexithymia construct links susceptibility to disease with
prolonged states of emotional arousal. But whereas the traditional paradigm
emphasizes intrapsychic conflicts that are presumed to generate such
emotional states, the alexithymia construct focuses attention on deficits
in the cognitive processing of emotions, which remain undifferentiated and
poorly regulated. This paper reviews the development and validation of the
construct and discusses its clinical implications for psychosomatic
medicine.
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