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Understanding alexithymia within a psychoanalytical framework.

Gérard Pirlot1, Maurice Corcos

  • 1Service pedopsychiatrie, Institut M. Monsouris, 42 Boulevard Jourdan, 75014, Paris, France. pirlotg@aol.com

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Summary

This paper defines alexithymia using metapsychology, linking operational thinking and negative hallucination to its development. It explores the genesis of alexithymia through Andrè Green's psychoanalytic concepts.

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Area of Science:

  • Psychiatry
  • Psychology
  • Psychosomatic Medicine

Background:

  • Alexithymia is a concept in psychopathology and medicine, related to operational thinking.
  • Psychoanalytic theory, particularly Marty's 'operative thinking', offers a framework.
  • Andrè Green's metapsychology provides tools to understand alexithymia's origins.

Purpose of the Study:

  • To define alexithymia using metapsychology.
  • To explore the genesis of operational thinking and alexithymia.
  • To link negative hallucination to the development of alexithymia.

Main Methods:

  • Metapsychological analysis of alexithymia.
  • Application of Andrè Green's psychoanalytic concepts.
  • Examination of the relationship between maternal negative hallucination and alexithymia.

Main Results:

  • Alexithymia can be defined metapsychologically through operational thinking and negative hallucination.
  • Maternal negative hallucination creates a psychic structure influencing object representation.
  • This process can pathologically involve the internal perception of affect in alexithymia.

Conclusions:

  • Freudian metapsychology, enhanced by Green, offers a framework for understanding alexithymia.
  • Negative hallucination plays a crucial role in the genesis of alexithymia.
  • Alexithymia involves a defensive, pathological alteration of affect perception.