Clinical and Personality Contributors to Alexithymia in Neurotic Patients

  • G. Trikkas
  • A. D. Rabavilas
  • G. N. Christodoulou
Conference paper


It is a well documented fact that alexithymia, a term introduced by Sifneos1, has been initially associated with the classical psychosomatic disorders. However, not all psychosomatic patients exhibit alexithymia, while the latter is not rarely found in patients suffering from other somatic or psychopathological conditions2. Thus, 30% of medically ill patients have been found to be alexithymic3, while a frequent presence of alexithymic characteristics has been observed in patients with somatoform disorders4, psychogenic pain5, drug dependence6, masked depression7 and compulsive, narcissistic or borderline personalities8.


Stepwise Regression Analysis Neurotic Disorder Alexithymia Score Neurotic Patient Social Anhedonia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    P. E. Sifneos, “Short-term Psychotherapy and Emotional Crisis”, Harvard University Press, Cambridge (1972).Google Scholar
  2. 2.
    G. J. Taylor, Alexithymia: Concept, Measurement and Implications for Treatment, Amer.J.Psychiat. 141:725 (1984).PubMedGoogle Scholar
  3. 3.
    G. R. Smith, Alexithymia in Medical Patients Referred to a Consultation/Liaison Service. Amer.J.Psychiat. 140:99 (1983).PubMedGoogle Scholar
  4. 4.
    S. Shipko, Alexithymia and Somatization, Psychother.Psychosom. 37:193 (1982).PubMedCrossRefGoogle Scholar
  5. 5.
    G. Mendelson, Alexithymia and Chronic Pain: Prevalence, Correlates and Treatment Results, Psychother.Psychosom. 37:154 (1982).PubMedCrossRefGoogle Scholar
  6. 6.
    H. Krystal and H. Raskin, “Drug Dependence”, Wayne State University Press, Detroit (1970).Google Scholar
  7. 7.
    D. Blumer and H. Heilbronn, Chronic Pain as a Variant of Depressive Disease, J.Nerv.Ment.Dis. 170:381 (1982).PubMedCrossRefGoogle Scholar
  8. 8.
    G. Gardos, S. Schniebolk, S. M. Mirin, P. C. Wolk and K. L. Rosenthal, Alexithymia: Towards Validation and Measurement. Compr.Psychiat. 25:278 (1984).PubMedCrossRefGoogle Scholar
  9. 9.
    G. Trikkas, Contribution to the Clinical and Psychophysiological Study of Anhedonia in Neurotic Patients, Asst. Professorship Thesis. Athens University Medical School, Athens (1984).Google Scholar
  10. 10.
    M. Lesser and B. Z. Lesser, Alexithymia: Examining the Development of a Psychological Concept, Amer.J.Psychiat. 140:1305 (1983).PubMedGoogle Scholar
  11. 11.
    H. Krystal, Alexithymia and Psychotherapy, Amer.J.Psychother. 33:17 (1979).PubMedGoogle Scholar
  12. 12.
    H. J. Eysenck and S. B. G. Eysenck, Manual of the E.P.Q., Hodder and Stoughton, London (1975).Google Scholar
  13. 13.
    C. D. Spielberger, R. L. Gorsuch and R.E. Lushene, Manual for the S.T.A.I., Consulting Psychologists Press, Palo Alto, California (1970).Google Scholar
  14. 14.
    W. W. K. Zung, A Self-Rating Depression Scale, Arch.Gen.Psychiat. 12:63 (1965).PubMedCrossRefGoogle Scholar
  15. 15.
    G. A. Foulds, “Personality and Personal illness”, Tavistock Publications, London (1965).Google Scholar
  16. 16.
    J. Cooper, The Leyton Obsessional Inventory, Psychol.Med. 1:48 (1970).PubMedCrossRefGoogle Scholar
  17. 17.
    I. Pilowski, Dimensions of Hypochondriasis, Brit.J.Psychiat. 113:89 (1967).CrossRefGoogle Scholar
  18. 18.
    A. D. Rabavilas, Characteristics and Relations of Depersonalization Symptoms with Clinical and EDR Measures in Neurotic Patients, Asst. Professorship Thesis, Athens University Medical School, Athens (1981).Google Scholar
  19. 19.
    L. J. Chapman, J. P. Chapman and M. L. Raulin, Scales for Physical and Social Anhedonia, J.Abnorm.Psychol. 35:374 (1976).CrossRefGoogle Scholar
  20. 20.
    R. J. Apfel and P. E. Sifneos, Alexithymia: Concept and Measurement Psychother.Psychosom. 32:180 (1979).PubMedCrossRefGoogle Scholar
  21. 21.
    P. E. Sifneos, Anhedonia and Alexithymia: A Potential Correlation, Paper presented at the Symposium Rush, Presbyterian University, Chicago Ill. (1983).Google Scholar
  22. 22.
    S. Freud, Introductory Lectures on Psychoanalysis, in “The Standard Edition of the Complete Works of S. Freud”, J. Strachey, ed., Hogarth Press, London (1963).Google Scholar
  23. 23.
    J. C. Nemiah, Alexithymia: Theoretical Considerations, Psychother. Psychosom. 28:199 (1977).PubMedCrossRefGoogle Scholar
  24. 24.
    P. E. Sifneos, A Reconsideration of Psychodynamic Mechanisms in Psychosomatic Symptom Formation in view of Recent Clinical Observations, Psychother.Psychosom. 24:151 (1974).PubMedCrossRefGoogle Scholar
  25. 25.
    D. E. Cooper and R. W. Holmstrom, Relationship Between Alexithymia and Somatic Complains in a Normal Sample, Psychother. Psychosom. 41:20 (1984).PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1987

Authors and Affiliations

  • G. Trikkas
    • 1
  • A. D. Rabavilas
    • 1
  • G. N. Christodoulou
    • 1
  1. 1.Department of Psychiatry, Eginition HospitalAthens University Medical SchoolAthensGreece

Personalised recommendations