Brain potentials to emotional pictures are modulated by alexithymia during emotion regulation

Alexithymia is a personality trait associated with the reduced ability to regulate, identify, and communicate feelings or emotions and is often linked to psychosomatic disorders. The present study used event-related potentials (ERPs) to investigate the relationship between individual differences in alexithymia and emotion regulation. Participants classified as scoring either high or low on the revised form of the Toronto Alexithymia Scale (TAS-20; Taylor, Bagby, & Parker Psychother Psychosom 57:34–41, 1992) were asked to view negative and neutral images, adopting three different regulation strategies (expressive suppression, cognitive reappraisal, and attend) while ERPs were recorded. Results revealed an inverse relationship between TAS scores and emotion-related ERP activity during suppression, but not during reappraisal or a control “attend” condition. These results were observed in both early and late ERP latencies. These findings are interpreted according to potential differences between high- and low-TAS individuals regarding the frequency of prior utilization of suppression-based regulation strategies.     

Current developments in the practice of individual psychoanalytic psychodrama in France

The authors present the history of individual psychoanalytic psychodrama and its current developments as practised in France. They put forward the technique, objectives and rules, along with the indications, limits and risks that ensue from the specific nature of this therapeutic approach. Through its technical adjustments, individual psychoanalytic psychodrama provides a therapeutic option that is appropriate to the defences prevalent in many patients that cause classical psychotherapies to fail: massive inhibition, operative functioning far removed from affects or in false self mode; phobias, disavowal or splitting of the internal psychic life and emotions; prevalence of short discharge circuits in acted-out behaviours and bodily or visceral complaints and expressions. Psychodrama utilizes these defences not in order to eliminate them but to 'subvert' them so that they can continue to carry out their protective role, in particular ensuring narcissistic continuity. At the same time, psychodrama relaxes these defences and facilitates a possible filtering through of the repressed material. Through the number of actors and the diffraction of transference that this allows, psychodrama provides a possibility of adjusting the potentially traumatic effect of the encounter with the object and the instigation of the transference in the regressive dimension induced by any psychotherapeutic process.