A multimodal investigation of emotional responding in alexithymia

The personality construct of alexithymia is thought to reflect a deficit in the cognitive processing and regulation of emotional states. To explore the relations between alexithymia and emotional responding, 50 older adults (28 men, 22 women) were studied across different contexts: (1) initial exposure to an emotion‐evoking movie; (2) second exposure to that stimulus; (3) reports of rumination and social sharing; and (4) describing their emotional response (verbal re‐evocation). Facets of the alexithymia construct were associated at the initial exposure with lower emotional responses at the cognitive‐experiential level, but with higher emotional responses at the physiological level as measured by heart rate. At the second exposure, the results were replicated for physiological responses. Certain facets of alexithymia were associated also with lower reports of rumination and social sharing involving emotional aspects, and with a lower proportion of emotional words related to the emotional stimulus during the verbal re‐evocation.     

Judging approachability on the face of it: the influence of face and body expressions on the perception of approachability

The aim of the current study was to examine how emotional expressions displayed by the face and body influence the decision to approach or avoid another individual. In Experiment 1, we examined approachability judgments provided to faces and bodies presented in isolation that were displaying angry, happy, and neutral expressions. Results revealed that angry expressions were associated with the most negative approachability ratings, for both faces and bodies. The effect of happy expressions was shown to differ for faces and bodies, with happy faces judged more approachable than neutral faces, whereas neutral bodies were considered more approachable than happy bodies. In Experiment 2, we sought to examine how we integrate emotional expressions depicted in the face and body when judging the approachability of face-body composite images. Our results revealed that approachability judgments given to face-body composites were driven largely by the facial expression. In Experiment 3, we then aimed to determine how the categorization of body expression is affected by facial expressions. This experiment revealed that body expressions were less accurately recognized when the accompanying facial expression was incongruent than when neutral. These findings suggest that the meaning extracted from a body expression is critically dependent on the valence of the associated facial expression.     

Coping strategies and perceived social support in fibromyalgia syndrome: Relationship with alexithymia

Fibromyalgia (FM ) is a chronic pain syndrome characterized by high levels of psychological distress and alexithymia, a personality disposition affecting emotional self‐awareness. The main aim of the present study was to investigate for the first time the relationship between alexithymia and coping strategies on the one hand, and alexithymia and perceived social support on the other, in a sample of FM patients. To reach this aim, 153 FM patients completed a battery of tests assessing coping strategies, perceived social support, alexithymia, psychological distress and pain intensity. Four regression analyses were performed to assess whether alexithymia was still a significant predictor of coping strategies and perceived social support, after controlling for psychological distress. High levels of both psychological distress and alexithymia were found in our sample of FM patients. Regarding coping strategies, FM patients reported higher scores on problem‐focused coping, with respect to the other two coping strategies. The regression analyses showed that the externally‐oriented thinking factor of alexithymia significantly explained both problem‐ and emotion‐focused coping, while the difficulty‐describing feelings factor of alexithymia proved to be a significant predictor of perceived social support. Only the variance of dysfunctional coping ceased to be uniquely explained by alexithymia (difficulty identifying feelings factor), after controlling for psychological distress, particularly anxiety. These results highlight a negative relationship between alexithymia and both the use of effective coping strategies and the levels of perceived social support in FM patients. An adequate assessment of both alexithymia and psychological distress should therefore be included in clinical practice with these patients.     

Mixed matters: fluency impacts trust ratings when faces range on valence but not on motivational implications

Facial features that resemble emotional expressions influence key social evaluations, including trust. Here, we present four experiments testing how the impact of such expressive features is qualified by their processing difficulty. We show that faces with mixed expressive features are relatively devalued, and faces with pure expressive features are relatively valued. This is especially true when participants first engage in a categorisation task that makes processing of mixed expressions difficult and pure expressions easy. Critically, we also demonstrate that the impact of categorisation fluency depends on the specific nature of the expressive features. When faces vary on valence (i.e. sad to happy), trust judgments increase with their positivity, but also depend on fluency. When faces vary on social motivation (i.e. angry to sad), trust judgments increase with their approachability, but remain impervious to disfluency. This suggests that people intelligently use fluency to make judgments on valence-relevant judgment dimensions – but not when faces can be judged using other relevant criteria, such as motivation. Overall, the findings highlight that key social impressions (like trust) are flexibly constructed from inputs related to stimulus features and processing experience.     

Error monitoring is related to processing internal affective states

Detecting behavioral errors is critical for optimizing performance. Here, we tested whether error monitoring is enhanced in emotional task contexts, and whether this enhancement depends on processing internal affective states. Event-related potentials were recorded in individuals with low and high levels of alexithymia—that is, individuals with difficulties identifying and describing their feelings. We administered a face word Stroop paradigm (Egner, Etkin, Gale, & Hirsch, 2008) in which the task was to classify emotional faces either with respect to their expression (happy or fearful; emotional task set) or with respect to their gender (female or male; neutral task set). The error-related negativity, a marker of rapid error monitoring, was enhanced in individuals with low alexithymia when they adopted the emotional task set. By contrast, individuals with high alexithymia did not show such an enhancement. Moreover, in the high-alexithymia group, the difference in the error-related negativities between the emotional and neutral task sets correlated negatively with difficulties identifying their own feelings, as measured by the Toronto Alexithymia Scale. These results show that error-monitoring activity is stronger in emotional task contexts and that this enhancement depends on processing internal affective states.     

La répression émotionnelle et son rôle en psychopathologie

In the context of studies on mechanisms of emotional treatment and regulation in affective blunting, this paper focalizes on those whose objective is to disminish awareness of subjective emotional experience. The cognitive mechanism of repression is first presented, defined as a coping strategy which, used in a habitual way, is conceptualised as a personality dimension. Its role on the whole panel of emotional components and the researches on its underlying cognitive mechanisms, in particular those which may explain the observed memory deficits for negative emotional events, are developed. The paper also presents models of maturation of emotional awareness, differentiating several hypothetic ways of emotional treatment which determine specific emotional subjective experiences. In regard of studies which have explored these modes of emotional treatment in alexithymia, hypotheses on their role in the blunting of affect process and on the quality of subjective experience are proposed.     

With or Without Empathy: Primary Psychopathy and Difficulty in Identifying Feelings Predict Utilitarian Judgment in Sacrificial Dilemmas

Drawing from research on moral judgment and affective dysfunction, we examined how trait psychopathy and alexithymia, which are characterized as empathic deficits, relate to utilitarian moral judgments in sacrificial dilemmas. As predicted, primary and secondary psychopathy traits and alexithymia were associated with reduced empathic concern. However, primary psychopathy and difficulty identifying feelings (one of three alexithymia traits), but not secondary psychopathy and other two alexithymia traits, were associated with utilitarian judgments. Moreover, hierarchical regression analysis showed that primary psychopathy, difficulty identifying feelings, and empathic concern made unique contributions to the prediction of direct harm on the victim, whereas alexithymia traits made weaker contributions. Although the lack of affective empathy is found in psychopathy and alexithymia, the process through which the two traits lead to utilitarian judgment in sacrificial dilemmas may be distinct. The present findings add to the growing literature, contributing to a fuller picture of the relationship between empathy, trait psychopathy, and alexithymia.     

Modulation of long-term memory by arousal in alexithymia: The role of interpretation

Moderate physiological or emotional arousal induced after learning modulates memory consolidation, helping to distinguish important memories from trivial ones. Yet, the contribution of subjective awareness or interpretation of arousal to this effect is uncertain. Alexithymia, which is an inability to describe or identify one’s emotional and arousal states even though physiological responses to arousal are intact, provides a tool to evaluate the role of arousal interpretation. Participants scoring high and low on alexithymia (N = 30 each) learned a list of 30 words, followed by immediate recall. Participants then saw either an arousing (oral surgery) or neutral video (tooth brushing). Memory was tested 24-h later. Physiological response to arousal was comparable between groups, but subjective response to arousal was impaired in high alexithymia. Yet, delayed word recognition was enhanced by arousal regardless of alexithymia status. Thus, subjective response to arousal, i.e., cognitive appraisal, was not necessary for memory modulation to occur.     

Differences in alexithymia and emotional awareness in exhaustion syndrome and chronic fatigue syndrome

Symptoms of Exhaustion Syndrome (ES) and Chronic Fatigue Syndrome (CFS) are overlapping and create difficulties of differential diagnosis. Empirical studies comparing ES and CFS are scarce. This study aims to investigate if there are any emotional differences between ES and CFS. This cross‐sectional study compared self‐reported alexithymia and observer‐rated emotional awareness in patients with ES (n = 31), CFS (n = 38) and healthy controls (HC) (n = 30). Self‐reported alexithymia was measured with the Toronto Alexithymia Scale‐20 (TAS‐20) and emotional awareness with an observer‐rated performance test, the Level of Emotional Awareness Scale (LEAS). Additionally, depression and anxiety were scored by the Hospital Anxiety and Depression Scale (HADS). Results show that patients with ES expressed higher self‐reported alexithymia in the TAS‐20 compared to HC, but had similar emotional awareness capacity in the observer‐rated performance test, the LEAS. Patients with CFS expressed more difficulties in identifying emotions compared to HCs, and performed significantly worse in the LEAS‐total and spent more time completing the LEAS as compared to HC. Correlation and multiple regressions analyses revealed that depression and anxiety positively correlated with and explained part of the variances in alexithymia scores, while age and group explained the major part of the variance in LEAS. Findings of this study indicate that emotional status is different in patients with ES and CFS with respect to both self‐reported alexithymia and observer‐rated emotional awareness. Emotional parameters should be approached both in clinical investigation and psychotherapy for patients with ES and CFS.     

Automatic mimicry reactions as related to differences in emotional empathy

The hypotheses of this investigation were derived by conceiving of automatic mimicking as a component of emotional empathy. Differences between subjects high and low in emotional empathy were investigated. The parameters compared were facial mimicry reactions, as represented by electromyographic (EMG) activity when subjects were exposed to pictures of angry or happy faces, and the degree of correspondence between subjects' facial EMG reactions and their self-reported feelings. The comparisons were made at different stimulus exposure times in order to elicit reactions at different levels of information processing. The high-empathy subjects were found to have a higher degree of mimicking behavior than the low-empathy subjects, a difference that emerged at short exposure times (17-40 ms) that represented automatic reactions. The low-empathy subjects tended already at short exposure times (17-40 ms) to show inverse zygomaticus muscle reactions, namely "smiling" when exposed to an angry face. The high-empathy group was characterized by a significantly higher correspondence between facial expressions and self-reported feelings. No differences were found between the high- and low-empathy subjects in their verbally reported feelings when presented a happy or an angry face. Thus, the differences between the groups in emotional empathy appeared to be related to differences in automatic somatic reactions to facial stimuli rather than to differences in their conscious interpretation of the emotional situation.     

Dream experience and a revisionist account of delusions of misidentification

Standard accounts of delusion explain them as responses to experience. Cognitive models of feature binding in the face recognition systems explain how experiences of mismatch between feelings of "familiarity" and faces can arise. Similar mismatches arise in phenomena such as déjà and jamais vu in which places and scenes are mismatched to feelings of familiarity. These cognitive models also explain similarities between the phenomenology of these delusions and some dream states which involve mismatch between faces, feelings of familiarity and identities. Given these similarities it makes sense to retain that aspect of the standard account in the face of revisionist arguments that feature binding anomalies which lead to delusions of misidentification are not consciously experienced.     

Investigating the role of alexithymia on the empathic deficits found in schizotypy and autism spectrum traits

Alexithymia, the inability to identify and describe one’s emotional experience, is elevated in many clinical populations, and related to poor interpersonal functioning. Alexithymia is also associated with empathic deficits in individuals with autism spectrum disorders. Accordingly, a better understanding of alexithymia could elucidate the nature of social-cognitive deficits transdiagnostically. We investigated alexithymia and components of empathy in relation to schizotypal and autism spectrum traits in healthy college students. Specifically, we examined higher-order components of empathic processing that involve perspective taking and other-oriented concern, which are reduced in alexithymia.Higher-order empathic processing was inversely correlated with both schizotypal and autism spectrum traits. Bootstrapping techniques revealed that alexithymia had a significant indirect effect on the relationship between higher-order empathy and these personality traits; thus, alexithymia contributes uniquely to their relationship. These findings suggest alexithymia represents one possible mechanism for the development of empathic deficits in these populations.These results are consistent with the perspective that awareness of one’s own emotional state may predicate a successful empathic response to another’s. This work highlights the importance of a consideration of alexithymia in elucidating the nature of empathic deficits in various clinical populations, and points to a potential point of social intervention.     

Observation of couple interactions: Alexithymia and communication behaviors

Alexithymia is conceptualized as a deficit of the cognitive aspect of an emotional response. Alexithymia has been associated with various relational difficulties, but few studies have investigated couple relationships. The present study addresses the imperative need for the advancement of knowledge regarding the impact of alexithymia on couple relationships and, more specifically, on communication behaviors. One hundred and fifty participants (75 couples) completed the Toronto Alexithymia Scale (TAS-20) and their interactions in the laboratory were coded using the Interactional Dimensions Coding System (IDCS). Actor–partner effects were investigated using Multi-level analyses. For women, no relationship was found between self-alexithymia and communication behaviors for self or partner. For men, alexithymia was found to be associated with their own hostility, but also with their partner’s hostility, withdrawal and communication skills. The results are discussed through a social learning perspective.     

Recognition memory for faces: When familiarity supports associative recognition judgments

Recognition memory for single items can be dissociated from recognition memory for the associations between items. For example, recognition tests for single words produce curvilinear receiver operating characteristics (ROCs), but associative recognition tests for word pairs produce linear ROCs. These dissociations are consistent with dual-process theories of recognition and suggest that associative recognition relies on recollection but that item recognition relies on a combination of recollection and assessments of familiarity. In the present study, we examined associative recognition ROCs for facial stimuli by manipulating the central and external features, in order to determine whether linear ROCs would be observed for stimuli other than arbitrary word pairs. When the faces were presented upright, familiarity estimates were significantly above zero, and the associative ROCs were curvilinear, suggesting that familiarity contributed to associative judgments. However, presenting the faces upside down effectively eliminated the contribution of familiarity to associative recognition, and the ROCs were linear. The results suggest that familiarity can support associative recognition judgments, if the associated components are encoded as a coherent gestalt, as in upright faces.     

Identity but not expression memory for unfamiliar faces is affected by ageing

We examined age‐related differences in memory for identity and emotional expression of unfamiliar faces. Younger and older adults were presented with happy and angry faces and were later asked to recognise the same faces displaying a neutral expression. When a face was recognised, they also had to remember what the initial expression of the face had been. In addition, states of awareness associated with both identity and expression memory were assessed with the remember/know/guess paradigm. Older adults showed less recollective experience than younger adults for identity but not for emotional expressions of the faces. This evidence indicates that age‐related differences in memory may depend on the nature of the to‐be‐remembered information, with emotional/social information being remembered as well in older as in younger adults.     

Age effects on social cognition: faces tell a different story

The authors administered social cognition tasks to younger and older adults to investigate age-related differences in social and emotional processing. Although slower, older adults were as accurate as younger adults in identifying the emotional valence (i.e., positive, negative, or neutral) of facial expressions. However, the age difference in reaction time was largest for negative faces. Older adults were significantly less accurate at identifying specific facial expressions of fear and sadness. No age differences specific to social function were found on tasks of self-reference, identifying emotional words, or theory of mind. Performance on the social tasks in older adults was independent of performance on general cognitive tasks (e.g., working memory) but was related to personality traits and emotional awareness. Older adults also showed more intercorrelations among the social tasks than did the younger adults. These findings suggest that age differences in social cognition are limited to the processing of facial emotion. Nevertheless, with age there appears to be increasing reliance on a common resource to perform social tasks, but one that is not shared with other cognitive domains.     

Categorical perception of anger is disrupted in alexithymia: Evidence from a visual ERP study

High and low alexithymia scorers were confronted with a modified visual oddball task that allowed the study of categorical perception of emotional expressions on faces. Participants had to quickly detect a deviant (rare) morphed face that shared or did not share the same emotional expression as the frequent one. Expected categorical perception effects, which were also neurophysiologically indexed, showed that rare stimuli were detected faster if they depicted a different emotional expression compared to rare stimuli depicting the same emotional expression than the frequent one. Even if no differences were observed at a behavioural level, high alexithymia scorers evidenced overall delayed neurophysiological responses in components related to the attentional processing of rare emotional faces. Moreover, the categorical perception effects for event-related components associated with the attentional processing were smaller in high alexithymia scorers and were even absent for anger. These results show that high alexithymia scorers present discrimination delays that are already observed at the attentional level.     

Can I trust you? Negative affective priming influences social judgments in schizophrenia

Successful social interactions rely on the ability to make accurate judgments based on social cues as well as the ability to control the influence of internal or external affective information on those judgments. Prior research suggests that individuals with schizophrenia misinterpret social stimuli and this misinterpretation contributes to impaired social functioning. We tested the hypothesis that for people with schizophrenia, social judgments are abnormally influenced by affective information. Twenty-three patients with schizophrenia and 35 healthy control participants rated the trustworthiness of faces following the presentation of neutral, negative (threat-related), or positive affective primes. Results showed that all participants rated faces following negative affective primes as less trustworthy than faces following neutral or positive primes. Importantly, this effect was significantly more pronounced for participants with schizophrenia, suggesting that schizophrenia may be characterized by an exaggerated influence of negative affective information on social judgment. Furthermore, the extent that the negative affective prime influenced trustworthiness judgments was significantly associated with patients' severity of positive symptoms, particularly feelings of persecution. These findings suggest that for people with schizophrenia, negative affective information contributes to an interpretive bias, consistent with paranoid ideation, when judging the trustworthiness of others. This bias may contribute to social impairments in schizophrenia.     

Facial attractiveness is appraised in a glance

Those who are physically attractive reap many benefits--from higher average wages to a wider variety of mate choices. Recent studies have investigated what constitutes beauty and how beauty affects explicit social judgments, but little is known about the perceptual or cognitive processing that is affected by aesthetic judgments of faces and why beauty affects our behavior. In this study, the authors show that beauty is perceived when information is minimized by masking or rapid presentation. Perceiving and processing beauty appear to require little attention and to bias subsequent cognitive processes. These facts may make beauty difficult to ignore, possibly leading to its importance in social evaluations.     

Subliminal smells can guide social preferences

It is widely accepted that unconscious processes can modulate judgments and behavior, but do such influences affect one's daily interactions with other people? Given that olfactory information has relatively direct access to cortical and subcortical emotional circuits, we tested whether the affective content of subliminal odors alters social preferences. Participants rated the likeability of neutral faces after smelling pleasant, neutral, or unpleasant odors delivered below detection thresholds. Odor affect significantly shifted likeability ratings only for those participants lacking conscious awareness of the smells, as verified by chance-level trial-by-trial performance on an odor-detection task. Across participants, the magnitude of this priming effect decreased as sensitivity for odor detection increased. In contrast, heart rate responses tracked odor valence independently of odor awareness. These results indicate that social preferences are subject to influences from odors that escape awareness, whereas the availability of conscious odor information may disrupt such effects.