Somatoform disorders as disorders of affect regulation: A development perspective

International Review of Psychiatry

Volumn 18, Issue 1, 2006, Pages 13-24

  Waller, Elisabeth ^a   Scheidt, Carl Eduard ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ALEXITHYMIA; AUTONOMIC DYSFUNCTION; COMPREHENSION; CONSCIOUSNESS; DISEASE ASSOCIATION; DISEASE COURSE; EMOTIONAL ATTACHMENT; EMOTIONAL DISORDER; EMPIRICISM; EXPERIENCE; HUMAN; MEDICAL RESEARCH; MOOD DISORDER; PRIORITY JOURNAL; PSYCHOLOGICAL THEORY; PSYCHOTHERAPY; PSYCHOTRAUMA; REVIEW; SOMATIZATION; SOMATOFORM DISORDER;

AFFECTIVE SYMPTOMS; DEFENSE MECHANISMS; EMOTIONS; HUMANS; INTERNAL-EXTERNAL CONTROL; OBJECT ATTACHMENT; PATIENT ACCEPTANCE OF HEALTH CARE; PSYCHOTHERAPY; SOMATOFORM DISORDERS; TREATMENT OUTCOME;

EID: 32044432831     PISSN: 09540261     EISSN: None     Source Type: Journal    
DOI: 10.1080/09540260500466774     Document Type: Review

References (102)

1. Ainsworth, M. D. S., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment. Hillsdale, NJ: Lawrence Erlbaum Associates.
2. Alexander, F. (1950). Psychosomatic medicine. Basics and fields of application. London: Allen & Urwin.
3. Bach, M., & Bach, D. (1996). Alexithymia in somatic disease: A comparative study. Psychotherapy and Psychosomatics, 65, 150-152.
4. Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994a). The Twenty-Item Toronto Alexithymia Scale I. Item selection and cross validation of the factor structure. Journal of Psychosomatic Research, 38, 23-32.
5. Bagby, R. M., Taylor, G. J., & Parker, J. D. A. (1994b). The Twenty-Item Toronto Alexithymia Scale II. Convergent discriminant, and concurrent validity. Journal of Psychosomatic Research, 38, 33-40.
6. Bankier, B., Aigner, M., & Bach, M. (2001). Alexithymia in DSM-IV disorders. Psychosomatics, 43, 235-240.
7. Bass, C., & Murphy, M. (1995). Somatoform and personality disorders: Syndromal comorbidity and overlapping developmental pathways. Journal of Psychosomatic Research, 39, 403-427.
8. Becker-Stoll, F., Delius, A., & Scheitenberger, S. (2001). Adolescents' non-verbal emotional expression during negotiation of a disagreement with their mothers: An attachment approach. International Journal of Behavioral Development, 25, 344-353.
9. Beebe, B., & Lachmann, F. M. (1988). The contribution of mother-infant mutual influence to the self and object representations. Psychoanalytic Psychology, 5, 305-337.
10. Beutler, L. E., Daldrup, R. J., Engle, D., & Oro'-Beutler, M. E. (1987). Effects of therapeutically induced affect arousal on depressive symptoms, pain and beta-endorphins among rheumatoid arthritis patients. Pain, 20, 325-334.
11. Blumberg, P. (1997). Attachment and the organization of affective experience. Dissertation, University of Michigan.
12. Bridges, K. W., & Goldberg, D. P. (1985). Somatic presentation of DSM III psychiatric disorders in primary care. Journal of Psychosomatic Research, 29, 563-569.
13. Bucci, W. (1997a). Psychoanalysis and Cognitive Science. New York: The Guilford Press.
14. Bucci, W. (1997b). Symptoms and symbols: A multiple code theory of somatization. Psychoanalytic Inquiry, 17, 151-172.
15. Buchheim, A., & Mergenthaler, E. (2000). The relationship among attachment representation, emotion-abstraction patterns, and narrative style: A computer-based text analysis of the adult attachment interview. Psychotherapy Research, 10, 390-407.
16. Buck, R. (1980). Nonverbal behavior and the theory of emotion: The facial feedback hypothesis. Journal of Personality & Social Psychology, 38, 811-824.
17. Çalikusu, C., Yücel, B., Polat, A., & Baykal, C. (2002). Expression of anger and alexithymia in patients with psychogenic excoriation. A preliminary report. International Journal of Psychiatry in Medicine, 32, 345-352.
18. Cassidy, J. (1994). Emotion regulation: Influences of attachment relationships. Monographs of the Society for Research in Child Development, 59, 228-249.
19. Cohen, K., Auld, F., & Brooker, H. (1994). Is alexithymia related to psychosomatic disorder and somatizing. Journal of Psychosomatic Research, 38, 119-127.
20. Consedine, N. S., Maggai, C., & Bonanno, G. A. (2002). Moderators of the emotion inhibition-health relationship: A review and research agenda. Journal of General Psychology, 6, 204-238.
21. Cox, B. R., Kuch, K., Parker, J. D. A., Shulman, I. D., & Evans, R. J. (1994). Alexithymia in somatoform disorder patients with chronic pain. Journal of Psychosomatic Research, 38, 523-527.
22. Craig, T. K. J., Boardman, A. P., Mills, K., Daly-Jones, O., & Drake, H. (1993). The South London somatisation study I: Longitudinal course and the influence of early life experiences. British Journal of Psychiatry, 163, 579-588.
23. Damasio, A. R. (1999). The feeling of what happens: Body and emotion in the making of consciousness. San Diego: Harcourt.
24. De Gucht, V., Fischler, B., & Heiser, W. (2004). Neuroticism, alexityhmia, negative affect, and positive affect as determinants of medically unexplained symptoms. Personality and Individual Differences, 36, 1655-1667.
25. De Gucht, V., & Heiser, W. (2003). Alexithymia and somatisation. A quantitative review of the literature. Journal of Psychosomatic Research, 54, 425-434.
26. De Rosnay, M., & Harris, P. L. (2002). Individual differences in children's understanding of emotion: The role of attachment and language. Attachment & Human Development, 4, 39-54.
27. Dodge, K. A., & Garber, J. (1991). Domains of emotion regulation. In J. Garber & K. A. Dodge (Eds), The development of emotion regulation and dysregulation (pp. 3-11). New York: Cambridge University Press.
28. Dozier, M., & Kobak, R. (1992). Psychophysiology in adolescent attachment interviews: Convergent evidence for deactivating strategies. Child Development, 63, 1473-1480.
29. Esterling, B. A., Antoni, M. H., & Kumar, M. (1990). Emotional repression, stress disclosure responses, and Epstein-Barr viral capsid antigen titers. Psychosomatic Medicine, 52, 397-410.
30. Fernandez, A., Siram, T. G., Rajkumar, S., & Chadrasekar, A. N. (1989). Alexithymic characteristics in rheumatoid arthritis: A controlled study. Psychotherapy and Psychosomatics, 51, 45-50.
31. Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York: Other Press.
32. Fraley, R. C., Garner, J. P., & Shaver, P. R. (2000). Adult attachment and the defensive regulation of attention and memory: Examining the role of pre-emptive and post-emptive defensive processes. Journal of Personality & Social Psychology, 79, 816-826.
33. Gross, J. J., & Muñoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science & Practice, 2, 151-164.
34. Harris, P. L. (1999). Individual differences in understanding of emotions: The role of attachment status and psychological discourse. Attachment & Human Development, 1, 307-324.
35. Hendryx, M. S., Haviland, M. G., & Shaw, D. G. (1991). Dimensions of alexithymia and their relationships to anxiety and depression. Journal of Personality Assessment, 56, 227-237.
36. Hofer, M. A. (1995). Hidden regulators: Implications for a new understanding of attachment, separation, and loss. In S. Goldberg, R. Muir & J. Kerr (Eds.), Attachment theory: Social, developmental, and clinical perspectives (pp. 203-230). Hillsdale, NJ: Analytic Press.
37. Kellner, R. (1990). Somatization Theories and research. Journal of Nervous and Mental Diseases, 178, 150-160.
38. King, A. C., Taylor, C. B., & Albright, C. A. (1990). The relationship between repressive and defensive coping styles and blood pressure responses in healthy, middle-aged men and women. Journal of Psychosomatic Research, 34, 461-471.
39. Kobak, R. R., Cole, H. E., Ferenz-Gilles, R., Fleming, W. S., & Gamble, W. (1993). Attachment and emotion regulation during mother-teen problem solving: A control theory analysis. Child Development, 64, 221-245.
40. Kooiman, C. G., Bolk, J. H., Brand, R., Trijsburg, R. W., & Rooijmaans, H. G. M. (2000). Is alexithymia a risk factor for unexplained physical symptoms in general medical outpatients?. Psychosomatic Medicine 62, 768-778.
41. Kosturek, A., Gregory, R. J., Sousou, A. J., & Trief, P. (1998). Alexithymia and somatic amplification in chronic pain. Psychosomatics, 39, 399-404.
42. Krause, R. (2004). Affekt, Schmerz, Konversion. In R. Sandweg (Ed.), Chronischer Schmerz und Zivilisation. Organstörungen, psychische Prozesse und gesellschaftliche Bedingtheiten (pp. 71-84). Göttingen: Vanderhoeck & Ruprecht.
43. Krystal, H. (1997). Desomatization and the consequences of infantile psychic trauma. Psychoanalytic Inquiry, 17, 126-150.
44. Krystal, H. (1979). Alexithymia and psychotherapy. American Journal of Psychotherapy, 33, 17-31.
45. Laible, D. J., & Thompson, R. A. (2000). Mother-child discourse, attachment security, shared positive affect, and early consciousness development. Child Development, 71, 1424-1440.
46. Laible, D. J., & Thompson, R. A. (1998). Attachment and emotional understanding in preschool children. Developmental Psychology, 34, 1038-1045.
47. Lane, R. D., & Pollermann, B. Z. (2002). Complexity of emotion representations. In L. F. Barrett & P. Salovey (Eds), The wisdom in feeling: Psychological processes in emotional intelligence (pp. 271-293). New York: The Guildford Press.
48. Lane, R. D., Quinlan, D. M., Schwartz, G. E., Walker, P. A., & Zeitlin, S. B. (1990). The Levels of Emotional Awareness Scale: A cognitive-developmental measure of emotion. Journal of Personality Assessment, 55, 124-134.
49. Lane, R. D., & Schwarz, G. E. (1987). Levels of emotional awareness: A cognitive-developmental theory and its application to psychopathology. American Journal of Psychiatry, 144, 133-143.
50. Lane, R. D., Sechrest, L., & Riedel, R. (1998). Socio-demographic correlates of alexithymia. Comprehensive Psychiatry, 39, 377-385.
51. Le Doux, J. (1996). The emotional brain. New York: Simon and Schuster.
52. Leibowitz, J., Ramos-Marcuse, F., & Arsenio, W. F. (2002). Parent-child emotion communication, attachment and affective narratives. Attachment & Human Development, 4, 55-67.
53. Lemche, E., Klann-Delius, G., Koch, R., & Joraschky, P. (2004). Mentalizing language development in a longitudinal attachment sample: Implications for alexithymia. Psychotherapy and Psychosomatics, 73, 366-374.
54. Levant, R. F. (1998). Desperately seeking language: Understanding, assessing, and treating normative male alexithymia. In W. S. Pollack & R. F. Levant (Eds), New Psychotherapy for men (pp.35-56). New York: John Wiley & Sons.
55. Lipowski, Z. J. (1987). Somatization: The experience and communication of psychological distress as somatic symptoms. Psychotherapy & Psychosomatics, 47, 160-167.
56. Lütkenhaus, P., Grossmann, K. E., & Grossmann, K. (1985). Infant-mother attachment at twelve month and style of attachment with a stranger at the age of three years. Child Development, 56, 1538-1542.
57. Lumley, M. A. (2004). Alexithymia, emotional disclosure, and health: A program of research. Journal of Personality, 72, 1271-1300.
58. Lumeley, M. A., Asselin, L. A., & Norman, S. (1997). Alexithymia in chronic pain patients. Comprehensive Psychiatry, 38, 160-165.
59. Lumley, M. A., Stettner, L., & Wehmer, F. (1996). How are alexithymia and physical illness linked? A review and critique of pathways. Journal of Psychosomatic Research, 41, 505-518.
60. Main, M., & Goldwyn, R. (1985-1996). Adult attachment scoring and classification system. Unpublished scoring manual. University of California at Berkeley, Department of Psychology.
61. Martin, J. B., & Pihl, R. O. (1985). The stress-alexithymia hypothesis: Theoretical and empirical considerations. Psychotherapy & Psychosomatics, 43, 169-176.
62. Merten, J., & Brunnhuber, S. (2004). Facial expression and experience in emotion in psychodynamic interviews with patients suffering from a pain disorder. Psychopathology, 7, 266-271.
63. Mikuliner, M., & Orbach, I. (1995). Attachment styles and repressive defensiveness: The accessibility and architecture of affective memories. Journal of Personality and Social Psychology, 68, 917-925.
64. Millard, R. W., & Kinsler, B. L. (1992). Evaluation of constricted affect in chronic pain: An attempt using the Toronto Alexithymia Scale. Pain, 50, 287-297.
65. Monsen, J. T., Eilersten, D. E., Melgård, T., & Ødegård, P. (1996). Affects and affect consciousness: Initial experience with the assessment of affect integration. Journal of Psychotherapy Practice and Research, 5, 238-249.
66. Monsen, K., & Monsen, J. T. (2000). Chronic pain and psychodynamic body therapy: A controlled outcome study. Psychotherapy: Theory, Research, Practice, Training, 37, 257-269.
67. Montebarocci, O., Codispoti, M., Baldaro, B., & Rossi, N. (2004). Adult attachment style and alexithymia. Personality & Individual Differences, 36, 499-507.
68. Nelson, K. (1999). Event representation, narrative development, and internal working models. Attachment & Human Development, 1, 239-251.
69. Nemiah, J. C., & Sifneos, P. E. (1970). Affect and fantasy in patients with psychosomatic disorders. In O. W. Hill (Ed.), Modern trends in psychosomatic medicine, Vol. 2 (pp. 26-34). London: Butterworth Press.
70. Niaura, R., Herbert, P. N., & McMahon, N. (1992). Repressive coping and blood lipids in men and women. Psychosomatic Medicine, 54, 698-706.
71. Nickel, R., & Egle, U. T. (1999). Therapie somatoformer Schmerzstörungen. Manual zur psychodynamischen-interaktionellen Gruppentherapie. Stuttgart: Schattauer.
72. Noyes, R. J., Langbehn, D. R., Happel, R. L., Stout, L. R., Muller, B. A., & Longley, S. L. (2001). Personality dysfunction among somatizing patients. Psychosomatics, 42, 320-329.
73. Pennebaker, J. W. (1989). Confession, inhibition, and disease. In L. Berkowitz (Ed.), Advances in experimental social psychology, Vol. 22 (pp. 211-244). Orlando, FL: Academic Press.
74. Pennebaker, J. W., Hughes, C. F., & O'Heeron, R. C. (1987). The psychophysiology of confession: Linking inhibitory and psychosomatic processes. Journal of Personality & Social Psychology, 52, 781-793.
75. Pennebaker, J. W., & Seagal, J. D. (1999). Forming a story: The health benefits of narrative. Journal of Clinical Psychology, 55, 1243-1254.
76. Pilowsky, L., & Spence, N. D. (1976). Pain, anger, and illness behavior. Journal of Psychosomatic Research, 20, 411-416.
77. Polan, H. J., & Hofer, M. A. (1999). Psychobiological origins of infant attachment and separation responses. In J. Cassidy & P. R. Shaver (Eds), Handbook of attachment: Theory, research, and clinical applications (pp. 162-180). New York: Guilford Press.
78. Porcelli, P., Zaka, S., Leoci, C., Centone, S., & Taylor, G. J. (1995). Alexithymia in inflammatory bowel disease. Psychotherapy & Psychosomatics, 64, 49-53.
79. Raphael, K. G., Marbach, R. M., & Gallagher, R. M. (2000). Somatosensory amplification and affective inhibition are elevated in myofascial face pain. Pain Medicine, 1, 247-253.
80. Scheidt, C. E., Waller, E., Schnock, C., Becker-Stoll, F., Zimmermann, P., & Wirsching, M. (1999). Alexithymia and attachment representation in Torticollis Spasmodicus. Journal of Nervous and Mental Disease, 187, 47-52.
81. Schilte, A. F., Portegijs, P. J. M., Blankenstein, A. H., van der Horst, H. E., Latour, M. F. F., van Eijk, J. Th. M., & Knottnerus, A. (2001). Randomised controlled trial of disclosure of emotionally important events in somatization in primary care. British Medical Journal, 323, 86-89.
82. Smyth, J. M. (1998). Written emotional expression: Effect size, outcome types, and moderating variables. Journal of Consulting and Clinical Psychology, 66, 174-184.
83. Spangler, G., & Zimmermann, P. (1999). Attachment representation and emotion regulation in adolescence: A psychobiological perspective on internal working models. Attachment & Human Development, 1, 270-290.
84. Spence, N. D., Pilowsky, I., & Minniti, R. (1985/86). The attribution of affect in pain clinic patients: A psychophysioligical study of the conversion process. International Journal of Psychiatry in Medicine, 15, 1-11.
85. Sriram, T. G., Chatuverdi, S. K., Gopinath, P. S., & Shanmugam, V. (1987). Controlled study of alexithymic characteristics in patients with psychogenic pain disorder. Psychotherapy and Psychosomatics, 47, 11-17.
86. Steele, H., Steele, M., Croft, C., & Fonagy, P. (1999). Infant-mother attachment at one year predicts children's understanding of mixed emotions at six years. Social Development, 8, 161-178.
87. Steimer-Krause, E., Krause, R., & Wagner, G. (1990). Prozesse der Interaktionsregulierung bei schizophren und psychosomatisch erkrankten Patienten. Studien zum mimischen Verhalten in dyadischen Interaktionen. Zeitschrift für Klinische Psychology, 19, 32-49.
88. Stern, D. N. (1985). The interpersonal world of the infant. New York: Basic Books.
89. Šubić-Wrana, C., Bruder, S., Thomas, W., Lane, R. D., & Köhle, K. (2005). Emotional awareness deficits in inpatients of a psychosomatic ward: A comparison of two different measures of alexithymia. Psychosomatic Medicine, 67, 483-489.
90. Šubić-Wrana, C., Bruder, S., Thomas, W., Gaus, E., Merkle, W., & Köhle, K. (2002). Verteilung des Persönlichkeitsmerkmals Alexithymie bei Patienten in stationärer Psychosomatischen Behandlung - gemessen mit TAS-20 und LEAS. Psychotherapie Psychosomatik Medizinische Psychologie, 52, 454-460.
91. Taylor, G. J., & Bagby, R. M. (2004). New trends in alexithymia research. Psychotherapy & Psychosomatics, 73, 68-77.
92. Taylor, G. J., Bagby, R. M., & Parker, J. D. A. (1997). Disorders of affect regulation: Alexithymia in medical and psychiatric illness. Cambridge: University Press.
93. Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59, 25-52.
94. Troisi, A., D'Argenio, A., Peracchio, F., & Petti, P. (2001). Insecure Attachment an alexithymia in young men with mood symptoms. Journal of Nervous & Mental Disease, 189, 311-316.
95. Waller, E., & Scheidt, C. E. (2004). Somatoform disorders as disorders of affect regulation A study comparing the TAS-20 with non-self-report measures of alexithymia. Journal of Psychosomatic Research, 57, 239-247.
96. Waller, E., Scheidt, C. E., & Hartmann, A. (2004). Attachment representation and illness behavior in somatoform disorders. Journal of Nervous & Mental Disease, 192, 200-209.
97. Waller, E., Scheidt, C. E., & Waller, N. (in prep). Deficits in affect regulation and somatoform disorders: The role of dismissing attachment representations.
98. Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Review, 96, 234-254.
99. Weinberger, D. A., Schwartz, G. E., & Davidson, R. J. (1979). Low-anxious, high-anxious, and repressive coping styles: Psychometric patterns and behavioral and physiological responses to stress. Journal of Abnormal Psychology, 88, 369-380.
100. Wise, T. N., Mann, L. S., Mitchell, J. D., Hryvniak, M., & Hill, B. (1990). Secondary alexithymia: An empirical validation. Comprehensive Psychiatry, 31, 284-288.
101. Zeijlmans van Emmichoven, I. A., van IJzendoorn, M. H., De Ruiter, C., & Brosschot, J. F. (2003). Selective processing of threatening information: Effects of attachment representation and anxiety disorder on attention and memory. Development & Psychopathology, 15, 219-237.
102. Zimmermann, P., Maier, M. A., Winter, M., & Grossmann, K. E. (2001). Attachment and adolescents' emotion regulation during a joint problem-solving task with a friend. International Journal of Behavioral Development, 25, 331-343.