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Updated: May 28, 2026

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[Alexithymia and specific relationship patterns in a clinical sample].

Sandra Hermes1, Uta Bierther, Regina A Kurth

  • 1Klinik für Psychosomatik und Psychotherapie, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Friedrichstraße 28, 35392 Gießen.

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
|October 5, 2011
PubMed
Summary
This summary is machine-generated.

Alexithymia, difficulty with emotion regulation, is linked to significant interpersonal problems and non-assertive relationship patterns in psychiatric patients. This highlights the need for targeted therapeutic approaches.

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Area of Science:

  • Psychiatry and Psychology
  • Clinical Psychology
  • Psychosomatic Medicine

Context:

  • Alexithymia is a personality trait characterized by difficulties in identifying, processing, and describing emotions.
  • Interpersonal problems are a common reason for individuals to seek psychotherapy.
  • Understanding the relationship between alexithymia and interpersonal difficulties is crucial for effective treatment.

Purpose:

  • To investigate the association between alexithymia, specific relationship patterns, and interpersonal problems.
  • To examine these relationships in a clinical inpatient sample undergoing psychosomatic medicine and psychotherapy.

Summary:

  • The study assessed 152 inpatient psychiatric patients using the Toronto-Alexithymia-Scale-26 (TAS-26), Relationship Patterns Questionnaire-II (RPQ-II), and Inventory of Interpersonal Problems (IIP).
  • Results indicated that higher alexithymia scores correlated with lower self-assertion and increased overall interpersonal problems.
  • The interpersonal style associated with alexithymia included cold, socially avoidant, nonassertive, and exploitable behaviors.

Impact:

  • Alexithymia is associated with distinct relationship patterns and interpersonal problems in patients with mental disorders at the start of inpatient psychotherapy.
  • These interpersonal difficulties, including the therapeutic alliance, significantly predict psychotherapy outcomes.
  • Clinicians should pay specific attention to the interpersonal challenges faced by alexithymic patients during treatment.