> [!link]- > zotero_link:: [Poquérusse et al_2018_Alexithymia and Autism Spectrum Disorder.pdf](zotero://select/library/items/F9CBI358) > [!cite]- > citekey:: poquerusseAlexithymiaAutismSpectrum2018 > [!abstract]- > abstract:: > [!keywords]- > keywords:: ✅️, alexithymia, ASD etiology, autism, autism spectrum disorders, personality > [!authors]- > authors:: Jessie Poquérusse, Luigi Pastore, Sara Dellantonio, Gianluca Esposito > [!meta]- > url:: https://www.frontiersin.org/article/10.3389/fpsyg.2018.01196/full > doi:: > [!related]- > related:: priceUnmaskingAutismDiscovering2022 ```dataview TABLE created, updated as modified, tags, type FROM "" WHERE related != null AND contains(related, "poquerusseAlexithymiaAutismSpectrum2018") ``` > [!hypothesis]- > hypothesis:: > [!methodology]- > methodology:: > [!result]- Result(s) > results:: > [!summary]- Summary of Key Points > summary:: ## Notes | <mark class="hltr-grey">Highlight Color</mark> | Meaning | | ---------------------------------------------- | ----------------------------- | | <mark class="hltr-red">Red</mark> | Disagree with Author | | <mark class="hltr-orange">Orange</mark> | Important Point By Author | | <mark class="hltr-yellow">Yellow</mark> | Interesting Point | | <mark class="hltr-green">Green</mark> | Important To Me | | <mark class="hltr-blue">Blue</mark> | Notes After Initial Iteration | | <mark class="hltr-purple">Purple</mark> | Literary Note To Lookup Later | - <mark class="hltr-yellow">"Alexithymia is highly prevalent and plays an important and complex role in ASD, with approximately half of individuals with ASD estimated as having alexithymia, but the nature of its role remains elusive.”</mark> [Page 1](zotero://open-pdf/library/items/F9CBI358?page=1&annotation=2UL99FMG) ^520cc2 - <mark class="hltr-green">"Literally, it indicates the lack of terms to express emotions and moods (a: lack; lexis: word; thymos: mood or emotion, see Lesser, 1981). In fact, a common trait in these patients was their inability to verbalize their emotions, either due to their unawareness of the feelings that corresponded to these emotions or due to their confusion of emotional and bodily feelings.”</mark> [Page 2](zotero://open-pdf/library/items/F9CBI358?page=2&annotation=6SLE6WJ6) ^7745e4 - <mark class="hltr-green">"Their incapacity to speak of their emotions was further accompanied by an impoverished narrative style, especially in the use of figures of speech and metaphors, and by a characteristic aprosodia, as if the emotional experience were uninteresting and extraneous to them.”</mark> [Page 2](zotero://open-pdf/library/items/F9CBI358?page=2&annotation=D2FSJHPL) ^9b7c9d - <mark class="hltr-yellow">"The main characteristics of alexithymia include (1) difficulty identifying feelings and distinguishing between feelings and bodily sensations of emotional arousal, (2) difficulty describing feelings to other people, (3) reduced capacity to fantasize and to imagine, (4) stimulus-bound, externally oriented cognitive style (Nemiah et al., 1976; Krystal, 1988; Taylor et al., 1997; Timoney and Holder, 2013), and, more recently, (5) low perspective-taking as well as difficulty understanding and describing the emotions of others (Saymur et al., 2013).”</mark> [Page 2](zotero://open-pdf/library/items/F9CBI358?page=2&annotation=ER3UY4GP) ^3d4bc2 - <mark class="hltr-yellow">"The lack of emotional awareness has a negative impact on subjective emotion regulation (Connelly and Deney, 2007) and compromises the understanding of others’ emotions, giving rise to problems in social interaction. In particular, because of their difficulty identifying and classifying feelings, people suffering from alexithymia cannot interpret or recognize emotional stimuli (e.g., facial expression or tone of voice), both verbal and nonverbal (Spitzer et al., 2005; Vanheule et al., 2007; Megank et al., 2009). As a consequence, they have difficulty establishing social relationships characterized by intimacy and proximity, understanding the intentions and attitudes of others, and”</mark> [Page 2](zotero://open-pdf/library/items/F9CBI358?page=2&annotation=MB76TNX9) - <mark class="hltr-yellow">"making morally relevant decisions that take into account others’ points of view. These aspects of alexithymia together with the communication and social skills deficits are among the most relevant overlapping elements between alexithymia and ASD”</mark> [Page 3](zotero://open-pdf/library/items/F9CBI358?page=3&annotation=C4NKBEU7) ^554542 - <mark class="hltr-yellow">"Interestingly, behavioral suppression strategies that focus on inhibiting emotion-expressing behavior has been shown to be the strategy used by individuals with ASD, who naturally favor emotional expressive suppression over cognitive reappraisal (Samson et al., 2012, 2015a,b).”</mark> [Page 6](zotero://open-pdf/library/items/F9CBI358?page=6&annotation=IRM6Z8P7) ^e59628 - <mark class="hltr-green">"Alexithymia in itself may cause anxiety and related sleep issues (Tani et al., 2004), and the inability to healthily express and externalize emotions could lead to a variety of psychosomatic manifestations which may be manifested as immune, gastrointestinal, and circadian disruptions, all frequently seen in ASD.”</mark> [Page 6](zotero://open-pdf/library/items/F9CBI358?page=6&annotation=ZS9S8UP6) ^72eeac > [!context]- > ==(How this article relates to other work in the field; how it ties in with key issues and findings by others, including yourself)== > context:: > [!significance]- > ==(to the field; in relation to your own work)== > significance::