The word alexithymia literally means “no words for emotion”, from the Greek a for "lack", lexis for "word" and thymia for "emotion". Alexithymia is a maladaptive psychological disorder characterized by the inability to identify and verbally describe emotions and feelings in oneself as well as in others.
People who suffer from alexithymia are limited in their ability to experience fantasies or dreams or to think in an imaginative way. Rather, they portray an externally focused way of thinking, relying on facts and specifics. People with alexithymia are often described by others, including their loved ones, as cold and aloof. They severely lack empathetic abilities and have great difficulty in effectively understanding and responding to other people’s feelings.
Alexithymia in individuals is a variable characteristic that can be measured by researchers and psychologists through multiple choice questionnaires or surveys. Each answer has a predetermined score. The total score of the questionnaire is analyzed to indicate the presence or lack of alexithymia in a particular individual. Research that relies on these measurements has shown that those who score high in alexithymia are severely limited in their ability to form and maintain intimate relationships. Lower scores show only difficulty in relationships.
In the past, alexithymia was classified and limited to psychosomatic disorders, which are disorders that involve physical symptoms of the body that are created or exacerbated by the mind. For example, someone who is very angry but does not express his or her anger may develop a stomachache. Alexithymia as a psychosomatic disorder manifests in the form of bodily complaints and symptoms of an individual who can not effectively express emotion. However, research has revealed that alexithymia can be present in individuals who do not suffer from psychosomatic disorders or physical complaints.
There are two types of alexithymia, state and trait alexithymia. State alexithymia has a specific cause and is usually a temporary condition. Post traumatic stress disorder (PTSD), caused by experiencing a horrific event, is one example that is known to trigger state alexithymia. Trait alexithymia is thought to be a characteristic inherent in one's personality. This type can be inborn or caused by events that occur in one’s early childhood, such as abuse or neglect from a primary caregiver.
Dear previous posts: I've just been researching AS and found this info about alexithymia. My husband sounds like these other men and I am like the other wives. My suggestion to all wives is *not* to stay with someone who hits you. On the positive side, you may find it helpful to find an outlet for your need to connect with people such as a job(if you don't work); volunteering; or attending a church where you can participate in the activities of the church. I have a large family that fills many of my needs; also a business that I've had many years; and a church family that has welcomed me and has encouraged me to participate. -womantowoman48
- anon50557
15
I know this story all too well- he will not change - he is not withholding- he cannot do what you are asking - it would be like asking someone to change their eye color - it can't happen. In my HB's case it is genetic. His father was this way. He has one son who is the same way. My HB is genius level- works a job that requires extreme intelligence and does it well. Operates purely on a logic based system. i think back to when we were dating and he said the right things to get me interested. The way it works is that he can say what he thinks you want to hear but he has no clue that there should be meaning behind his words. He thought it was a guy thing until he met my brothers- very European emotional types. He is a good provider- can fix anything - will answer any logic based or factual question that you ask him, but will walk away from emotional conversations. He can be silent for days or weeks- never asks for sex. Can sit in the same positions watching sports for hours but does not have a favorite team or player. Doesn't participate in holidays, birthdays, etc. Frustrating beyond belief. I am starting to not care about him at all. I will be leaving - no rush - there is no fighting if I ignore the situation which is where I am right now.
- anon49978
14
My husband and I have been together for a long time and we have a beautiful family. However we fight and the fight is always about one thing, I feel he doesn't love me. He says it all the time, but I just don't see any emotion behind it. He says he is satisfied in our relationship, I don't see that he is truly happy or whole. He avoids any situation that may cause emotion. I am depressed because I feel neglected and unsure of where I stand in his life. Like I said he will say he loves me, he will do whatever I tell him to do (aka dishes) and everyone says I have a great husband, but there is no intimacy and sex is just about the physical and not the emotional. I feel love has nothing to do with any facet of our relationship. He has after all these years learned what to do to not make me mad. He will buy flowers, jewelry, etc. But it's as if he's doing what he can to keep me quiet. When I bring up my unhappiness he stares blankly, he says he don't know how he feels. I've cried and cried and said I wanted a divorce because I couldn't take it, and he still will stare blankly with no emotion. He looks down on me and says I am way too sensitive. I know as a woman I probably will always be more sensitive, but it is hard to live with someone that you aren't sure of how they feel about you, or worse, if they feel anything for you at all. The only emotion I have seen is anger and when he gets fed up with me trying to pull emotion out of him he has left, eventually he comes back with an unemotional "sorry" and he has a real need for live to go back to the routine (an emotionless marriage). I wish there was something I could do because I love this man and I think we would both be happier if he could express his feelings, hell, even know what his feelings are because he doesn't know. He is willing to talk to me, but it is about daily life, like kids, work, etc. It has been hard on me and I feel like I am the one that is crazy, I am on antidepressants, and sometimes I just want to run away from it all. After awhile, I have actually wanted to be cold like him, but I don't have that ability, I love and I love hard and I can't help expressing it. What do I do?
- anon49893
13
I am almost hyperventilating at reading all the above. The descriptions of these relationships are a facsimile of my situation. There is no point in repeating my situation because the descriptions are numbingly real and accurate and consistent with my own. I have been going crazy for the last three years, trying to put my finger on understanding how my boyfriend can act so coldly, stoic, seemingly without feeling, socially distant, just oddly detached, and yet at the same time have this almost moral standard of care and love. If I show an extreme of any emotion, sad or excited, it throws him off. It's as if he doesn't know how to deal with it. Usually if I try and talk about my feelings, calmly and with care, he sort of seems to divert listening. And if he responds in anyway to my feelings, it comes much, much later. It's as if he doesn't forget, but he takes a long, long time to acknowledge. So many times I have just wanted to say - let me cry on your shoulder, or just comfort me when I feel sad, and it feels like there is a disconnect. Like he just is not able. Even though I can sense he has a concern - he just doesn't know what to do with it. And his behaviour goes beyond your stereotypical - men have a hard time expressing their feelings. And just like the other descriptions he is highly intelligent, super-functional, like he is super handy around the house, very methodical, and can be social although really only does well with one on one. I find though he often seems to 'read' situations the wrong way. He has perplexed me for some time, and there are days that I feel as if I am going crazy. Many people ask me but why do I put up with it? And I think, is there something wrong with me to be attached to someone who is so detached. But the truth is, despite his detachment, he is very loyal, deep down very loving - again probably his order of this need for moral obligation - and I guess I know this, even though it seems he can't show it. But I don't know if I can handle it anymore. Are there any support groups out there? Or research on ways to cope?
- anon48595
12
I can say I can relate to anon18566 whose husband is 61, not romantic and all the other stuff she said about her alexithymic husband. My husband has no emotions about anything, and can't figure out why I get so emotional as I do. He just ignores me for days until I settle down and start talking to him again. I am really sick of his behavior and really can't deal with it anymore. I have threatened to divorce him several times but can't afford it. I don't think I have the patience for him when I expect to get from him what any married woman wants from her husband: sex, understanding and a warm shoulder to cry on and someone to help me make decisions that a couple does together. I feel like I am so alone living with him I could die. I hate the feeling. I wish I knew who to talk to about it. He was diagnosed with alexithymia but nobody about our state seems to know anything about it. What should I do?
- anon46867
10
Wow i'm pretty sure i'm alexithymic and i wouldn't wish this on anyone. People say that they have loved ones who suffer from this but I couldn't fathom having a functional friendship much less a relationship. Alcohol allows me to express my feelings and enjoy the moment but without it i cannot carry on a conversation that doesnt strictly involve facts. So my attempts at maintaining relationships have failed and i keep my friends at bay because i dont even know how to be normal (express myself) around them. I wish someone could help. Talking to my psych doesnt seem to help really becayse if im unable to put my true feelings out there it seems pointless.
- anon37749
9
OMG Does that mean that my name Alexis means "no words?" or "without words"?
- anon34059
8
I was dating a guy who is alexithymic. He is over all a really great guy, very outgoing, social, people friendly. I have read so many web sites to help myself understand more about alexithymia. He just recently broke off our relationship and told me it was because he was protecting me from him. I just want to know if there is anything that I can do on my part to help him cope with what's going on, sometimes he seems so lost and confused, I just want to help. Does anyone have any suggestions for me on what can be done?
- sara14
7
Is alexithymia is a trait or disorder?
- tituslazar1
6
We have been married 61 years. My husband is not a romantic, either verbally with appreciation, compliments, encouragement, or such, not given to hugs, pats on the back, or interested in sex. Has difficulty expressing emotions and I find it cruel and abusive to hold back this communication if deserved. I raised five children who are terrific basically alone, and thank goodness, none are like their father. He has one emotion, though. That is anger. Throws things, breaks things, hits me. I stayed in marriage because, even though I worked all our married lives, two salaries were needed to help our children through schools who are all professionals and successful. I wanted to leave many times but because of what I wanted in help for the children played the hypocrite for all that this was a good marriage, which it wasn't. I am now alone with him at this stage and terribly sad, lonely, and depressed. Thank you for the chance to discuss this.
- anon18566
5
The letter about the married couple- histrinic woman and alexythmic man is interesting, sad and predictable. Alexythymics are competent and confident. For a sensitive woman, hoping to become more thick skinned, he may have seemed like a "knight in shining armor." She probably seemed attractive, warm and loving. She probably hoped that his confidence would rub off on her and that he would take care of her because he seemed so capable. But, when he felt inadequate, scared, stressed, as all human beings in the world feel- no matter how competent, he did not tell her, or even himself these feelings. Instead, he remained cold, or even worse provoked her emotions in such a subtle way that she could only seem crazy if she accused him of doing so. So she became more emotional, feeling alone, and thus became histrionic. As he saw her despair, he developed more self control, realizing that emotions are bad and of no value- while consciously and making sincere efforts to avoid behavior that she specifically told him provokes her. But only that specific behavior that she mentioned, to the letter. So she became more sensitive, he more alexythmic. In truth, he needed a "knight in shining armor" more than she did. He needed a wife who would love him and accept him regardless of his confidence or competence, who would "read" him and reassure him even as he hid his feelings from her and from himself. And her confidence would be built up by being there for him, not the other way around. These types attract each other- and I hope someone's marriage and children benefit from this post.
- anon13860
4
I am trying to learn so much more about people who show no emotions. My sister just moved back home after living away for almost 13 yrs. She was married and I think the marriage became quite bitter and maybe even abusive. She is like a different person now. Just this evening she totaled my mother's car as she was on her way to work and showed no emotion as to what she had done. She called my mother to let her know and was more concerned about getting to work that what had just happened. The police says she was very lucky. She hit a tree. The worst part is that she didn't really know what happened. Maybe she got sleepy b/c she works 10 hrs from 7pm to 5am. The family is just trying to figure her out. She just passed two drug tests with the two jobs she now has. Any help or advice would be greatly appreciated.
- johanna
3
I found this article helpful.
I suspect that my husband may also be alexithymic. The article posted by pat sounds very much like us. However, I wonder if this is yet another elusive psychological category where only some symptoms apply. My hubby does seem mystified about emotions. Yet he does occasionally display anger, even throwing articles across the room. So this seems to defy the categorization. He also seems to fit "schizoidal type".
I only wish I knew how to find a competent counselor who could accurately diagnose. But I doubt there are many, so I will probably continue to live my life emotionally and intellectually alone until my cancer mets finish me.
- anon9154
2
Great article!
There is a free discussion forum devoted to alexithymia called the "ALEXITHYMIA EXCHANGE".
There is some lively conversation going on there exploring this subject.
Dr. Alex
- DoctorAlex
1
I found this on the net and thought they were talking about me and my husband. i haven't stop crying since.
"Some time ago, I met a married couple who have struggled to cope with the husband’s alexithymia for nearly 40 years.
He is completely unable to process or comprehend emotions, and is always focusing on external things. He is socially skilled, non-quirky and does not shows signs of Asperger's syndrome. In fact, he is the most prototypical example of an alexithymic I have ever met. He is always level-headed, operates on a purely functional level. He doesn’t complain about work, he is very handy round the house, willingly tackling big renovation jobs, and is never rude, selfish or abrasive. He's very practical and helpful. He and never gets depressed or self-obsessed. By contrast, his wife is highly emotional and often histrionic.
*She* is the one who is utterly depressed and requires constant, strong medication. But he is unable to relate to her on a feeling level or to soothe her raw emotions. She cites his constant placidity as the main source of her debilitating grief. A battery of psychologists and psychiatrists have been called in over the years, to no avail. A few years ago, they "finally" split up and moved to different areas, but a year later circumstances forced them back together. Despite all the drama and interventions, he hasn't changed a bit, although he does what he can to stop irritating her. She still can't deal with his emotional blankness. I've talked to both of them about it, and as far as I can see there is no prospect of him ever changing. So what advice to offer? Should they continue to work on it, or finally call it quits? It's a tough decision."