In this paper, we develop:
*why describing alexithymia as "transdiagnostic" is not sufficient to understand it from a clinical point of view
*the limitations of the current research & promising future perspectives
*the possibility & benefits of integrating #alexithymia in clinical case formulation

I really hope that this paper will be found by a clinical and research audience. It was a pleasure to co-write this piece, a very rich and fruitful collaboration!

💡New commentary out : "Why #Alexithymia Matters: A Process-Based Framework for a #Transdiagnostic Approach to #Psychopathology" in Clinical Psychology: Science and Pratice, with Olivier Luminet and Kristy Nielson

🔗https://doi.org/10.1037/cps0000332

New preprint: I propose epiphanesthesia as a candidate third functional category of interoceptive content, distinct from homeostatic and affective signals, with a neurobiological hypothesis and four falsifiable predictions involving a dissociation in high-alexithymia individuals.

Critical reading welcome before peer review. Boost toward interoception/alexithymia researchers appreciated.

https://doi.org/10.5281/zenodo.20700796

#Interoception #Alexithymia #Preprint #ActuallyAutistic #Neurodiversity #AuDHD

Related Constructs and Theoretical Differentiation: Situating Epiphanesthesia in Existing Research

This paper introduces epiphanesthesia as a candidate third functional category of interoceptive content, distinct from physiological homeostatic signals and from emotional substrates. Epiphanesthesia is defined by three necessary criteria: the signal indexes structural convergence between previously unintegrated representations rather than affective valence or homeostatic state; it precedes the declarative representation of the convergence it registers; it arises spontaneously, without deliberate attention directed to the interoceptive channel. The paper maps this construct against five research traditions that partially converge on the same phenomenal territory: the aha-experience literature, Damasio’s somatic marker hypothesis, Gendlin’s felt sense, the frisson literature, and embodied cognition. Each tradition documents phenomena that approach the class epiphanesthesia proposes to name while stopping short of it along a specific discriminating dimension. The frisson is proposed as a candidate high-intensity limiting case of epiphanesthesia rather than as a music-specific emotional response, with its emotional quality positioned as downstream of the structural indexing event rather than constitutive of it. A neurobiological hypothesis implicates the anterior insula as the candidate substrate of the signal, receiving input from prefrontal and temporal association areas at the moment of representational convergence and generating a prediction-error response consistent with the Free Energy Principle. Four testable predictions are derived, centred on a predicted dissociation between epiphanesthesic and affective-interoceptive signals in individuals scoring high on alexithymia measures. This dissociation, if confirmed, would supply the first empirical evidence for functionally separable interoceptive channels and reframe a subset of alexithymia presentations as selective deficits in affective, not structural-convergence, interoception.

Zenodo

Lately, I’ve been obsessed with this singer. There is something about her voice that manages to bypass my alexithymia and shake me to my core.

https://youtu.be/r6L-GUOAhGo?is=DozvPm2Jx2FpHZYO

#music #alexithymia #Neurodiversity #ActuallyAutistic #Maphra

Bring Me The Horizon - Doomed (MAPHRA Vocal Cover)

YouTube

Some people read their feelings like a thermometer. Others look, and the feeling stays unreadable. That's alexithymia - difficulty identifying and naming your own emotions, common among autistic and ADHD folk. It isn't an absence of feeling; the body responds, but the label comes slowly or not at all. We've written about what helps, including a body-up approach.

https://tslr.to/Ed7Akp #Alexithymia #ActuallyAutistic #Neurodivergent

Following our recent article on #Alexithymia (https://tslr.to/Ed7Akp), I thought of what an #ADHD and #Autism friendly watch face may look like. Here's what I have come up with (mocked up for Apple Watch). What do you think?

My (#hyperallistic) wife and I have been watching the series "Atypical", about an #autistic high-schooler. Even though the series appears to be better than its reputation, I haven't enjoyed it as much as I expected to, because of an inability to identify with the autistic protagonist Sam. And it isn't just the age difference; I remember quite vividly what high school was like. It's more that I'm atypical even among the atypical — different from Sam in several ways:

(1) #Monotropism versus #kaleidotropy: Sam has a few stereotypically restricted and repetitive interests; for example, Antarctic penguins. Any one of my interests, viewed in isolation, might look like that from the outside — yet unpredictably, at any time, they can easily be pushed aside by other, even more fascinating special interests.

(2) Sensation avoidance versus sensation seeking: Sam must wear noise-cancelling headphones to avoid shutdowns and meltdowns, for example. I do have some sensation-avoidant characteristics; in particular, I detest clothing tags as torture devices. But my attitude toward bright light is an example of the opposite tendency. I wish the bright fluorescent panels at work were even brighter; it annoys me when old ones that are starting to dim aren't promptly replaced. And both at home and at work, I find myself staring at light sources without even thinking about it. It's a stim, or would be if I didn't consciously restrain myself from doing it, reminding myself that it isn't good for my eyes.

(3) Visual thinking versus verbal thinking: although Sam is quite articulate in words, he has a special talent for drawing, and at least some tendency toward "thinking in pictures". Although I have a vivid visual imagination, I can't really draw or paint at all; and even when I see vivid images in my mind, "left-brain" abstraction, logic, and calculation remain firmly in the driver's seat. I have a tendency to remember generalizations, and forget the examples or statistics that established them — which can be inconvenient when I'm trying to persuade someone else to agree.

(4) #Alexithymia versus no alexithymia: Sam has almost as much difficulty perceiving his own emotions as in reading other people's. For example, several episodes are devoted to his struggles to decide whether or not he is in love. By contrast, although I have stereotypically autistic difficulties in reading other people's emotions from their speech and behavior, I have never had any difficulty at all in perceiving my own emotions.

I'd be interested in hearing other people's reactions to the series "Atypical", or to the contrasts I've drawn here.

@autistics

I downloaded a couple of apps that were recommended on the AuDHD Flourishing podcast episode about alexithymia - Animi, and How We Feel.

I've only tested them briefly, but I'm not sure they'll work for me. Perhaps I'm judging too soon, but...

1/

#Alexithymia

For years I thought my emotional system was defective. I was wrong.
Alexithymia is not an absence. It is a “low-noise” operating system optimized for logic rather than biochemical storms. I explore this paradox between neurodivergence and neural architecture in this essay.
You can read it for free (no paywall) here:
https://medium.com/the-unexpected-autistic-life/the-fish-that-no-longer-wanted-to-fly-06a1305113cb?sk=e6828f387679f8ff43429d287970dff4

#autism #actuallyautistic #psychology #audhd #alexithymia #neurodiversity #neurodivergent #science

The Alexithymia Paradox: Why My Brain Processes Logic Instead of Emotion

Between neurodivergence and high-functioning alexithymia: How a “low-noise” neural architecture redefines human connection.

Medium

This has been percolating in my #neurodivergent head for a while now...

I don't think the #autism #spectrum is an adequate way to view autism in the modern context of #neurodiversity.

I think there's a much broader neurodivergence spectrum that encompasses autism, #ADHD, #alexithymia, #RSD, #dyslexia, sensory processing disorder, etc etc.

Us #neurodifferent peeps are so often such an unseparable coagulation of many of the above, it's the only perspective that makes sense to me.

Thoughts?