Related Experiment Video
Updated: May 14, 2026

Exploring the Use of Isolated Expressions and Film Clips to Evaluate Emotion Recognition by People with Traumatic Brain Injury
Published on: May 15, 2016
Relationships between alexithymia, affect recognition, and empathy after traumatic brain injury
Dawn Neumann1, Barbra Zupan, James F Malec
1Indiana University School of Medicine, Department of Physical Medicine and Rehabilitation and Rehabilitation Hospital of Indiana, Indianapolis (Drs Neumann, Malec, and Hammond); and Department of Applied Linguistics, Brock University, St Catharines, Ontario, Canada (Dr Zupan).
Individuals with traumatic brain injury (TBI) exhibit higher alexithymia and impaired affect recognition and empathy. Externally-oriented thinking significantly impacts these deficits, particularly in cognitive empathy.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Medicine
Background:
- Traumatic brain injury (TBI) can lead to significant cognitive and emotional deficits.
- Alexithymia, characterized by difficulty identifying and describing emotions, is frequently observed post-TBI.
- Impaired affect recognition and empathy are common challenges following TBI, impacting social functioning.
Purpose of the Study:
- To compare alexithymia, affect recognition, and empathy in adults with and without TBI.
- To investigate the extent to which alexithymia explains variance in affect recognition.
- To determine how alexithymia and affect recognition explain variance in empathy.
Main Methods:
- Sixty adults with moderate-to-severe TBI and 60 matched controls were assessed.
- Participants completed measures of alexithymia (difficulty identifying/describing feelings, externally-oriented thinking), facial/vocal affect recognition, and affective/cognitive empathy.
Main Results:
- TBI participants showed higher alexithymia, poorer affect recognition, and lower empathy than controls.
- Alexithymia explained 12% of facial and 8% of vocal affect recognition variance in TBI.
- Externally-oriented thinking was the primary driver of affect recognition and cognitive empathy deficits.
Conclusions:
- TBI is associated with increased alexithymia and reduced emotional processing.
- Externally-oriented thinking is a key factor in difficulties with affect recognition and cognitive empathy post-TBI.
- Findings highlight the need for clinical interventions targeting emotional processing in TBI rehabilitation.
Related Concept Videos
Empathy
Traumatic Brain Injury l: Introduction
Cognitive Development During Adolescence
Traumatic Memory
The Influence of Affect on Cognition

