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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.

DOI:10.1016/j.jcbs.2014.03.002
PMID:25473602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4248666/
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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引用本文的文献

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Neural Correlates of Alexithymia Based on Electroencephalogram (EEG)-A Mechanistic Review.基于脑电图(EEG)的述情障碍的神经关联——一项机制性综述
J Clin Med. 2025 Mar 11;14(6):1895. doi: 10.3390/jcm14061895.
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Alexithymia as a mediator between adverse childhood events and the development of psychopathology: a meta-analysis.述情障碍作为童年不良事件与精神病理学发展之间的中介因素:一项荟萃分析。
Front Psychiatry. 2024 Jul 1;15:1412229. doi: 10.3389/fpsyt.2024.1412229. eCollection 2024.
3
Alexithymia and Autistic Traits: Associations With Social and Emotional Challenges Among College Students.述情障碍与孤独症特质:与大学生社交和情感挑战的关联
Front Neurosci. 2021 Oct 21;15:733775. doi: 10.3389/fnins.2021.733775. eCollection 2021.
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The Potential Benefits of Flexibility for Dissemination and Implementation: Acceptance and Commitment Therapy as an Example.灵活性在传播与实施方面的潜在益处:以接纳与承诺疗法为例。
Perspect Behav Sci. 2019 Apr 12;42(2):223-232. doi: 10.1007/s40614-019-00196-0. eCollection 2019 Jun.

本文引用的文献

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Maladaptive functional relations in client verbal behavior.来访者言语行为中的适应不良功能关系。
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An accumulation of negative life events and the construction of alexithymia: a longitudinal and clinical approach.消极生活事件的积累与述情障碍的构建:纵向与临床研究视角。
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Alexithymia and childhood abuse among patients attending primary and psychiatric care: results of the RADEP Study.基层医疗和精神科护理患者中的述情障碍与童年期虐待:RADEP研究结果
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9
The assessment of alexithymia in medical settings: implications for understanding and treating health problems.医疗环境中述情障碍的评估:对理解和治疗健康问题的启示
J Pers Assess. 2007 Dec;89(3):230-46. doi: 10.1080/00223890701629698.
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Alexithymia in the German general population.德国普通人群中的述情障碍。
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