Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness PDF
Preview Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness
The authors of this book provide an entirely new perspective on how emotions influence mental and physical health. They present recent thinking about the development and regulation of emotions and argue that several common but difficult to treat psychiatric illnesses, including drug addictions, eating disorders, panic disorder, and post- traumatic stress disorders, are a consequence of an inability to regulate distressing emotions through mental processes. The book also advances a model in which dysregulated emotions may alter other bodily systems and thereby contribute to the development of physical illnesses and diseases. This book offers a valuable and stimulating reference for clinicians and researchers alike. DISORDERS OF AFFECT REGULATION Alexithymia in medical and psychiatric illness Disorders of affect regulation Alexithymia in medical and psychiatric illness Graeme J. Taylor University of Toronto R. Michael Bagby University of Toronto James D.A. Parker Trent University, Peterborough, Ontario CAMBRIDGE UNIVERSITY PRESS PUBLISHED BY THE PRESS SYNDICATE OF THE UNIVERSITY OF CAMBRIDGE The Pitt Building, Trumpington Street, Cambridge, United Kingdom CAMBRIDGE UNIVERSITY PRESS The Edinburgh Building, Cambridge CB2 2RU, UK www.cup.cam.ac.uk 40 West 20th Street, New York, NY 10011-4211, us A www.cup.org 10 Stamford Road, Oakleigh, Melbourne 3166, Australia Ruiz do Alarcon 13, 28014 Madrid, Spain © Cambridge University Press 1997 This book is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published 1997 First paperback edition 1999 Typeface Bembo io.5/i2pt. System Linotron 202 A catalogue record for this book is available from the British Library Library of Congress Cataloguing in Publication data Taylor, Graeme J. Disorders of affect regulation: alexithymia in medical and psychiatric illness/Graeme J. Taylor, R. Michael Bagby, James D.A. Parker p. cm. Includes bibliographical references and index. ISBN 0 521 45610 x (hardback) 1. Alexithymia. 2. Emotions - Health aspects. 3. Personality and emotion. I. Bagby, R. Michael. II. Parker, James D.A. (James Donald Alexander), 1959- . III. Title. [DNLM: 1. Affective Symptoms. 2. Mental Disorders. 3. Substance Use Disorders, WM 171 T241D 1996] RC540.T39 1996 6i6.89-dc2O 96-8520 CIP DNLM/DLC for Library of Congress ISBN 0 521 45610 x hardback ISBN 0 521 77850 6 paperback Transferred to digital printing 2003 To the memory of my friend and colleague Arthur H. Sohn GJT To the memory of my uncle James W. Bagby in RMB For Anne and Dorothy JDAP Contents Foreword JAMES S. GROTSTEIN XI Acknowledgments xix Acknowledgment of permission for use of material xxi Introduction GRAEME TAYLOR 1 [i] The development and regulation of affects GRAEME TAYLOR, MICHAEL BAGBY AND JAMES PARKER 7 [2] Affect dysregulation and alexithymia MICHAEL BAGBY AND GRAEME TAYLOR 26 [3] Measurement and validation of the alexithymia construct MICHAEL BAGBY AND GRAEME TAYLOR 46 [4] Relations between alexithymia, personality, and affects JAMES PARKER AND GRAEME TAYLOR 67 [5] The neurobiology of emotion, affect regulation, and alexithymia JAMES PARKER AND GRAEME TAYLOR 93 [6] Somatoform disorders GRAEME TAYLOR II4 [7] Anxiety and depressive disorders and a note on personality disorders MICHAEL BAGBY AND GRAEME TAYLOR I38 [8] Substance use disorders GRAEME TAYLOR 166 CONTENTS [9] Eating disorders GRAEME TAYLOR K)0 [10] Affects and alexithymia in medical illness and disease GRAEME TAYLOR 2l6 [n] Treatment considerations GRAEME TAYLOR 248 [12] Future directions JAMES PARKER, MICHAEL BAGBY AND GRAEME TAYLOR 267 Appendix 272 References 274 Index 351
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