Mind and body in multiple code theory. reflections on the concept of alexithymia

Author/s Michela Di Trani, Alessia Renzi, Luigi Solano
Publishing Year 2015 Issue 2015/3
Language Italian Pages 14 P. 105-118 File size 76 KB
DOI 10.3280/RPR2015-003008
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Alexithymia has been defined as a difficulty in identifying and describing feelings, a diminished introspective capacity and a constricted imagination. Currently it has been proposed to use the Multiple Code Theory developed by Wilma Bucci in the conceptualization of alexithymia. The alexithymic condition would correspond to a dissociation between the subsymbolic system and the two symbolic systems, which would result in not having words for emotions. This definition implies, in relation to the concept of alexithymia and to the relationship between mind and body, a complete overcome of the mind/body dualism in the health/disease dynamics that involve affect regulation, and a theoretical confirmation that alexithymia arises in a deficit area rather than in defensiveness, representing a risk factor for the development of both physical and mental diseases.

Keywords: Alexithymia, multiple code theory, relationship between mind and body

  1. Bion W. (1961). Experiences in Groups and other papers. London: Tavistock [Trad. it. (1971). Esperienze nei gruppi. Roma: Armando].
  2. Bion W.R. (1962a). Learning from experience. London: Heinemann [Trad. it. (1972). Apprendere dall’Esperienza. Roma: Armando].
  3. Bion W.R. (1962b). A theory of thinking. International Journal of psychoanalysis, 43, parts 4-5. [Trad. it. (1970). Analisi degli Schizofrenici e Metodo Psicoanalitico. Roma: Armando].
  4. Bucci W. (1997a). Psychoanalysis and cognitive science: A multiple code theory. New York: Guilford [trad.it. (1999). Psicoanalisi e scienza cognitive. Una teoria del codice multiplo. Roma: Fioriti].
  5. Bucci W. (1997b). Symptoms and Symbols. A Multiple Code Theory of Somatization. Psychoanalytic Inquiry, 17, 151-172. DOI: 10.1080/07351699709534117
  6. Bucci W. (2005). Eventi potenzialmente traumatici e processi dissociativi; una relazione sul Codice Multiplo. Giornata di studio presso l’Associazione per la Ricerca in Psicologia Clinica, Milano.
  7. Bucci W. (2009). Lo spettro dei processi dissociativi. Implicazioni per la relazione terapeutica.
  8. In: Moccia G., Solano L., (a cura di), Psicoanalisi e neuroscienze: risonanze interdisciplinari, pp. 29-53. Milano: FrancoAngeli.
  9. Bucci W. (2011). The Role of Embodied Communication in Therapeutic Change: A Multiple Code Perspective. In: Tschacher W. & Bergomi C. (Eds), The Implications of Embodiment: Cognition and Communication, pp. 209-228. Exeter: Imprint Academic.
  10. Carano A., De Berardis D., Gambi F., Di Paolo C., Campanella D., Pelusi L., et al. (2006). Alexithymia and body image in adult outpatients with binge eating disorder. International Journal of Eating Disorders, 39, 332-340. DOI: 10.1002/eat.20238
  11. Caretti V., Craparo G. (2005). La correlazione tra alessitimia e dissociazione in un gruppo di tossicodipendenti e di ex tossicodipendenti. In: Caretti V., La Barbera D. (a cura di), Alessitimia, Valutazione e Trattamento, pp.131-142. Roma: Astrolabio.
  12. Chatzi L, Bitsios P, Solidaki E, Christou I., et al. (2009). Type 1 diabetes is associated with alexithymia in nondepressed, non-mentally ill diabetic patients: a case-control study. Journal of Psychosomatic Research, 67, 307-13. DOI: 10.1016/j.jpsychores.2009.04.011
  13. Conrad R., Schilling G., Langenbuch M., Haidl G., Liedtke R. (2001). Alexithymia in male infertility. Human Reproduction, 16, 587-592. DOI: 10.1093/humrep/16.3.587
  14. Damasio A. (2003). Looking for Spinoza: Joy, sorrow, and the feeling brain. Orlando, Fl: Harcourt [Trad. It. (2003). Alla ricerca di Spinoza: emozioni, sentimenti e cervello. Adelphi: Milano].
  15. De Panfilis C., Ossola P., Tonna M., Catania L., Marchesi C. (2015). Finding words for feelings: The relationship between personality disorders and alexithymia. Personality and Individual Differences,74, 285-291. DOI: 10.1016/j.paid.2014.10.050
  16. De Toffoli C. (2001). Psicosoma: il sapere del corpo nel lavoro analitico. Rivista di Psicoanalisi, 47, 465-486.
  17. De Toffoli C. (2007). Il sapere inconscio inscritto nel corpo. Psiche, 15, 87-102.
  18. Freud S. (1899). L’interpretazione dei Sogni. OSF, Vol. III. Torino: Bollati Boringhieri.
  19. Freud S. (1938). Compendio di Psicoanalisi. OSF vol. XI. Torino: Bollati Boringhieri.
  20. Kessler H., Schwarze M., Filipic S., Traue H. C., Von Wietersheim J. (2006). Alexithymia and facial emotion recognition in patients with eating disorders. International Journal of Eating Disorders, 39: 245-251. DOI: 10.1002/eat.20228.KorkoliakouP.,ChristodoulouC.,KourisA.,PorichiE.,EfstathiouV.,KaloudiE.,etal.(2014).Alexithymia,anxietyanddepressioninpatientswithpsoriasis:Acase-controlstudy.AnnalsofGeneralPsychiatry,13:2-6.doi:10.1186/s12991-014-0038-7
  21. Lane R.D., Reiman E.M., Axelrod B., Lang-Sheng Y., Holmes A., Schwartz G.E. (1998). Neural correlates of levels of emotional awareness: evidence of an interaction between emotion and attention in the anterior cingulate cortex. Journal of Cognitive Neuroscience, 10, 525-535. DOI: 10.1162/089892998562924
  22. Li S., Zhang B., Guo Y., Zhang J. (2015). The association between alexithymia as assessed by the 20-item Toronto Alexithymia Scale and depression: A meta-analysis. Psychiatry Research, 227: 1-9. DOI: 10.1016/j.psychres.2015.02.006
  23. Martin J.B., Pihl R.O. (1986). Influence of alexithymic characteristics on physiological and subjective stress responses in normal individuals. Psychotherapy and Psychosomatics, 45, 66-77. DOI: 10.1159/000287930
  24. Martínez M.P., Sánchez A.I., Miró E., Lami M.J., Prados G., Morales A. (2015). Relationships between physical symptoms, emotional distress, and pain appraisal in fibromyalgia: The moderator effect of alexithymia. The Journal of Psychology: Interdisciplinary and Applied, 149,115-140. DOI: 10.1080/00223980.2013.844673
  25. Matte Blanco I. (1975). The unconscious as infinite sets. An essay in bi-logic. London: Duckworth [Trad. it. (2000). L’inconscio come insiemi infiniti. Torino: Einaudi].
  26. 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, 26-34. London: Butterworths.
  27. Nemiah J.C., Freyberger H., Sifneos P. E. (1976). Alexithymia: a view of the psychosomatic process. In O. W. Hill (Ed.), Modern trends in psychosomatic medicine, Vol. 3, 430-439. London: Butterworths.
  28. Parker J. D., Wood L.M., Bond B. J., Shaughnessy P. (2005). Alexithymia in young adulthood: A risk factor for pathological gambling. Psychotherapy & Psychosomatics, 74, 51-55. doi 10.1159/000082027.
  29. Lumley M. A., Roby K. J. (1995). Alexithymia and pathological gambling. Psychotherapy & Psychosomatics, 63, 201-206. doi 10.1159/000288960.
  30. Pinaquy S., Chabrol H., Simon C., Louvet J. P., Barbe P. (2003). Emotional eating, alexithymia, and binge-eating disorder in obese women. Obesity Research, 11, 195-201. DOI: 10.1038/oby.2003.31
  31. Solano L. (2010). Some thoughts between body and mind in the light of Wilma Bucci’s Multiple Code Theory. International Journal of Psychoanalysis, 91, 1445-1464. DOI: 10.1111/j.1745-8315.2010.00359.x
  32. Solano L. (2013). Tra mente e corpo. Come si costruisce la salute. Seconda edizione. Milano: Cortina.
  33. Stone L. A., Nielson K. A. (2001). Intact physiological response to arousal with impaired emotional recognition in alexithymia. Psychotherapy & Psychosomatics, 70, 92-102. DOI: 10.1159/000056232
  34. Taylor G.J. (1987). Psychosomatic medicine and contemporary psychoanalysis. Madison, CT: International Universities [Trad. it. (1993). Medicina psicosomatica e psicoanalisi contemporanea. Roma: Astrolabio].
  35. Taylor G.J. (1992). Psychosomatics and self-regulation. In: Barron J.W., Eagle M.N., Wolitzky D.L., Interface of psychoanalysis and psychology, 464-488. Washington, DC: American Psychological Association. Taylor G.J. (1994). The alexithymia construct: conceptualization, validation, and relationship with basic dimensions of personality. New Trends in Experimental and Clinical Psychiatry, 10, 61-74.
  36. Taylor G.J. (2004). Alexithymia: 25 years of theory and research. In: Nyclicek I. Temoshok L., Vingerhoets A. (Eds), Emotional Expression and health, pp. 137-153. Hove and New York: Brunner-Routledge.
  37. Taylor G.J., Bagby R.M., Ryan D.P., Parker J.D.A. (1990). Validation of the alexithymia construct: a measurement-based approach. Canadian Journal of Psychiatry, 35, 290-297.
  38. Taylor G.J., Bagby R.M., Parker J.D.A. (1997). Disorders of affect regulation: alexithymia in medical and psychiatric illness. Cambridge University Press. [Trad. it. (2000). Disturbi della regolazione affettiva. Roma: Fioriti].
  39. Taylor G.J., Bagby R.M. (2013). Psychoanalysis and empirical research: The example of alexithymia. Journal of the American Psychoanalytic Association, 61, 99-133. DOI: 10.1177/0003065112474066
  40. Verissimo R. (2007). Alexithymia and Health Impact in Fibromyalgia. Arquivos de Psiquiatria, 4, 29-36.
  41. Verissimo R. (2008). Alexithymia, psychopathology and pain among patients with lumbago. Journal of Psychosomatic Research, 64, 679.

Michela Di Trani, Alessia Renzi, Luigi Solano, Mente e corpo nella teoria del codice multiplo. Riflessioni sul concetto di alessitimia in "RICERCA PSICOANALITICA" 3/2015, pp 105-118, DOI: 10.3280/RPR2015-003008