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述情障碍的行为分析解读

A Behavior Analytic Interpretation of Alexithymia.

作者信息

Darrow Sabrina M, Follette William C

机构信息

University of Nevada, Reno, Department of Psychology/MS 298, University of Nevada, Reno, Reno, NV 89557, USA.

出版信息

J Contextual Behav Sci. 2014 Apr;3(2):98-108. doi: 10.1016/j.jcbs.2014.03.002.

Abstract

Alexithymia is a term used to describe individuals who seem unable to experience or at least describe emotions. This paper offers a theoretical interpretation of alexithymia from a radical behaviorist perspective. While there have been attempts to explain the etiology of alexithymia, the current analysis is unique in that it provides direct treatment implications. The pragmatic analysis described focuses on the verbal behavior of individuals rather than looking "inside" for explanations. This is supported by a review of experimental research that has failed to find consistencies among alexithymic individuals' physiological responding. Descriptions of the various discriminative and consequential stimulus conditions involved in the complex learning histories of individuals that could result in an alexithymic presentation are provided. This analysis helps situate the alexithymia construct in a broader behavior analytic understanding of emotions. Finally this paper outlines implications for assessment and treatment, which involve influencing discriminative and consequential interpersonal stimulus conditions to shape verbal behavior about emotions.

摘要

述情障碍是一个用来描述那些似乎无法体验或至少无法描述情感的个体的术语。本文从激进行为主义的视角对述情障碍进行了理论阐释。虽然已有对述情障碍病因的解释尝试,但当前的分析具有独特之处,即它给出了直接的治疗启示。所描述的实用分析聚焦于个体的言语行为,而非从“内部”寻找解释。这一观点得到了对实验研究的综述的支持,该综述未能在述情障碍个体的生理反应中找到一致性。文中提供了对个体复杂学习经历中涉及的各种辨别性和结果性刺激条件的描述,这些条件可能导致述情障碍的表现。这一分析有助于将述情障碍这一概念置于对情感的更广泛行为分析理解之中。最后,本文概述了评估和治疗的启示,其中包括影响辨别性和结果性人际刺激条件,以塑造关于情感的言语行为。

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A Behavior Analytic Interpretation of Alexithymia.述情障碍的行为分析解读
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Alexithymia, verbal ability and emotion recognition.述情障碍、言语能力与情绪识别。
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本文引用的文献

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Deficits in early emotional reactivity in alexithymia.述情障碍患者早期情绪反应的缺陷。
Psychophysiology. 2008 Sep;45(5):839-46. doi: 10.1111/j.1469-8986.2008.00674.x. Epub 2008 Jul 4.
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Alexithymia and cognitive behaviour therapy outcome for subthreshold depression.述情障碍与阈下抑郁的认知行为疗法疗效
Acta Psychiatr Scand. 2008 Aug;118(2):164-7. doi: 10.1111/j.1600-0447.2008.01199.x. Epub 2008 May 22.
8
Alexithymia and outcome in psychotherapy.述情障碍与心理治疗的结果
Psychother Psychosom. 2008;77(3):189-94. doi: 10.1159/000119739. Epub 2008 Mar 10.
10
Alexithymia in the German general population.德国普通人群中的述情障碍。
Soc Psychiatry Psychiatr Epidemiol. 2008 Jan;43(1):54-62. doi: 10.1007/s00127-007-0265-1. Epub 2007 Oct 12.

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