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Affective agnosia

A core affective processing deficit in the alexithymia spectrum

Dados Bibliográficos

ID19536552
AutoresRichard D Lane (0000-0002-4074-1407, University of Arizona, autor correspondente), Mark Solms (0000-0003-4828-3882, University of Cape Town), Karen L Weihs (0000-0001-5985-8560, University of Arizona), Alex Hishaw (University of Arizona), Ryan Smith (0000-0002-4448-185X, University of Arizona)
Ano2020
Volume14
Fascículo1
Data de publicação2020-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBioPsychoSocial Medicine (JOURNAL)
Identificadores do periódicoISSN: 1751-0759 • E-ISSN: 1751-0759
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/s13030-020-00184-w
OpenAlexW3083173604
IdiomaEN
Citações recebidas3
Referências citadas80

Affective agnosia, an impairment in knowing how one feels emotionally, has been described as an extreme deficit in the experience and expression of emotion that may confer heightened risk for adverse medical outcomes. Alexithymia, by contrast, has been proposed as an over-arching construct that includes a spectrum of deficits of varying severity, including affective agnosia at the more severe end. This perspective has been challenged by Taylor and colleagues, who argue that the concept of affective agnosia is unnecessary. We compare these two perspectives by highlighting areas of agreement, reasons for asserting the importance of the affective agnosia concept, errors in Taylor and colleagues’ critique, and measurement issues. The need for performance-based measures of the ability to mentally represent emotional states in addition to metacognitive measures is emphasized. We then draw on a previously proposed three-process model of emotional awareness that distinguishes affective response generation, conceptualization and cognitive control processes which interact to produce a variety of emotional awareness and alexithymia phenotypes - including affective agnosia. The tools for measuring these three processes, their neural substrates, the mechanisms of brain-body interactions that confer heightened risk for adverse medical outcomes, and the differential treatment implications for different kinds of deficits are described. By conceptualizing alexithymia as a spectrum of deficits, the opportunity to match specific deficit mechanisms with personalized treatment for patients will be enhanced

Agnosia · Alexithymia · Cognition · Cognitive psychology · Conceptualization · Developmental psychology · Psychiatry · Action Observation and Synchronization · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Psychology · Psychosomatic Disorders and Their Treatments

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Obras citantes distintas3
Citações por ano0,5
Intervalo de citações2020 - 2023 (4)
Velocidade de citaçãohistorical
Altamente citadoNão
Tipos de citaçãoNeutras: 3
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