Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1983-3-11
pubmed:abstractText
A subgroup of those patients who are not responsive to analytic treatment, despite meeting the usual criteria of analyzability, is considered. These patients typically have significant addictive, psychosomatic, and post-traumatic problems. They show a characteristic picture, now called "alexithymia." This involves an impairment of the ability to recognize, name, or verbalize emotions. The effects manifest themselves mainly in mixed physiological responses, which call attention to themselves rather than to their meaning or story. These emotions, which are less useable as signals, are dedifferentiated and resomatized. There is also a type of "operative thinking" with marked limitations in wishfulfillment and drive-related fantasy. There is a diminution of symbolization, and with it an impairment in the capacity to elaborate the kind of fantasies that underly neuroses and the related transferences. They also have a seriously diminished emotional involvement with their objects and a lowered capacity for empathy. Lastly, there are frequently associated problems such as anhedonia, impairments in the capacities for self-care, and affect tolerance. The impediments to psychoanalytic treatment resulting from this picture are considered, and some theories of its causation and therapeutic modifications calculated to enable these patients to benefit from psychotherapy are offered.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0091-0600
pubmed:author
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
353-78
pubmed:dateRevised
2006-7-19
pubmed:meshHeading
pubmed:articleTitle
Alexithymia and the effectiveness of psychoanalytic treatment.
pubmed:publicationType
Journal Article, Review, Case Reports