Alexithymia and mental imagery

Vividness as the similarity between generated imagery and an internal model

Vividness in visual mental imagery has been relatively under-explored compared to imagery's representational format and neural mechanisms. In this paper, we take a deeper look at vividness and suggest that in re-framing it, we can potentially reconcile disparate findings regarding visual cortex activation during imagery. Unlike traditional views of vividness that define the concept in terms of perception, we frame vividness in terms of imagery's relation to an internal model; the closer the generated imagery is to this model, the more vivid it is. This view is considered alongside existing neuroscientific, psychological, and philosophical research, as well as directions for future research.

Alexithymia modulates the attitudes towards odors but not the olfactory abilities or the affective reactions to odors

Although emotion and olfaction are closely linked, only a few studies have investigated olfactory processing in alexithymia, a condition characterized by altered emotional processing. These results do not allow comprehensive conclusions on whether individuals with alexithymia present lower olfactory abilities or only altered affective reactions and awareness of odors. Three pre-registered experiments were conducted to clarify this relation. We assessed olfactory functions, the affective qualities of odors, the awareness of odors, the attitudes towards them, and the ability to form olfactory images in the mind. Bayesian statistics were used to assess differences between low, medium and high alexithymia groups, and Linear Mixed Models (LMMs) were applied to investigate the modulation of the affective and cognitive components of alexithymia. We observed that individuals with a high level of alexithymia presented the same olfactory abilities, and did not show differences in their rating of odors compared to individuals with low alexithymia levels, while they reported lower levels of social and common odor awareness and a more indifferent attitude towards odors. Olfactory imagery was not affected by alexithymia level, and the affective and cognitive components of alexithymia, when considered separately, modulated olfactory perception differently. Learning more about olfactory perception in individuals with alexithymia leads to a better understanding of how alexithymia impacts the perception of hedonic stimuli coming from different sensory modalities. Our results imply that treatment goals for alexithymia should be the enhancement of the conscious perception of odors, supporting the use of mindfulness-based protocols in the alexithymia treatment.

Erfassung der Lebendigkeit mentaler Vorstellungsbilder

Zusammenfassung. Mentale Vorstellungsfähigkeit bezeichnet ein Konstrukt von enormer Bedeutung für diverse psychische Funktionen (z. B. Motivation, Emotion und Handlungssteuerung). Die Lebendigkeit gilt hierbei als ein zentrales und interindividuell variierendes Merkmal mentaler Vorstellungen. Bislang mangelt es allerdings an validierten deutschsprachigen Fragebögen zur Erfassung der Lebendigkeit. Daher wurden an einer Stichprobe von N = 300 Personen aus der Allgemeinbevölkerung (81 % Studierende) deutschsprachige Versionen des Vividness of Visual Imagery Questionnaire (VVIQ; visuelle Vorstellungen) und des Plymouth Sensory Imagery Questionnaire (PSI-Q; multisensorische Erfassung) adaptiert und validiert. Für den VVIQ und PSI-Q konnten die faktorielle (mittels Exploratory Structural Equation Modeling), konvergente und diskriminante Validität belegt werden. Es ergaben sich akzeptable bis hohe interne Konsistenzen, die Retest-Korrelationen (8 Monate) variierten je nach Subskala. Die Lebendigkeit mentaler Vorstellungen zeigte erwartungskonform negative Zusammenhänge mit Defiziten in der emotionalen Verarbeitung (Alexithymie). Insgesamt stellen die beiden Fragebögen ökonomische, reliable und valide Verfahren dar, um die Lebendigkeit mentaler Vorstellungen zu erfassen.

Reduced calibration between subjective and objective measures of episodic future thinking in alcohol use disorder

BACKGROUND

A reduced capacity to mentally simulate future scenarios could be of clinical importance in alcohol use disorder (AUD). However, little is known about the mechanisms underlying episodic future thinking (EFT) impairment in AUD.

METHODS

We tested patients with severe AUD using two measures of EFT: the individual's own subjective experience of their imaginings (phenomenology) and the objective number of details included in imagined events, as assessed by an independent observer (examination). The comparison between the two measures allowed us to investigate the extent to which the subjective and objective characteristics of EFT are calibrated in healthy and AUD participants matched for age, education, and gender. The possible impact of cognitive functioning and disturbed mood on EFT measures was also investigated.

RESULTS

In terms of objective details of EFT, patients with AUD (n = 40) generated fewer episodic components and more non-episodic components than control participants (n = 40), even when controlling for cognitive functioning. However, self-ratings of phenomenological characteristics indicated that participants with AUD perceived imagined future events at a similar level of detail as control participants. Additionally, there was a significant correlation between objective and subjective measures in healthy individuals but not in the AUD group. A higher depression score in the AUD group was not associated with the EFT measures.

CONCLUSIONS

These results suggest a distorted self-assessment of the richness of imagined future events in individuals with AUD. We discuss these apparent limitations in metacognitive abilities and verbal descriptions of imagined events among individuals with AUD and their clinical implications.

Impaired Performance in Mental Rotation of Hands and Feet and Its Association with Social Cognition in Patients with Complex Regional Pain Syndrome

Objectives. 

So far, dysfunction in mental rotation has been assessed in relation to the left- or right-sided CRPS. Here we examined mental rotation in patients with upper or lower limb CRPS. Considering the potential role of socio-emotional functioning on the perception of body image, we further investigated the association between performance on mental rotation and socio-emotional characteristics.

Methods. 

We examined the performance of 36 patients with upper or lower limb CRPS on the limb laterality recognition. Accuracy and response times for pictures of hands and feet at 4 rotation angles were evaluated. Socio-emotional functioning was measured by the Interpersonal Reactivity Scale and the Toronto Alexithymia Scale.

Results. 

Patients with upper limb pain showed longer RTs to recognize the laterality of hands than feet (P = 0.002), whereas patients with lower limb pain showed longer RTs for feet than hands (P = 0.039). Exploratory correlation analyses revealed that RTs for feet were negatively correlated with the levels of empathic ability to take another’s perspective (P = 0.006) and positively correlated with the level of emotional difficulty in identifying feelings (P = 0.006).

Conclusions. 

This study is the first to report selectively impaired mental rotation of hands vs feet in patients with upper or lower limb CRPS. The findings suggest that impaired mental rotation derives from relative deficits in the representation of the affected limb. Correlations between impaired mental rotation and socio-emotional inability indicate that an altered body schema may be closely associated with impaired social cognitive aspects in CRPS patients.

Cognitive mechanisms of alexithymia in schizophrenia: Investigating the role of basic neurocognitive functioning and cognitive biases

Alexithymia is an important but poorly understood emotional deficit in schizophrenia. We aimed at investigating the role of basic cognitive functions, cognitive biases, and symptom severity in alexithymia among patients with schizophrenia. Sixty patients (31 females) with schizophrenia were assessed with standardized clinical interviews for symptom severity. Cognitive functioning was assessed with neuropsychological tests. A self-report scale (Davos Assessment of Cognitive Biases, DACOBS), as well as two experimental tasks assessing jumping to conclusions (the Fish task) and source monitoring (Action memory task), were used to investigate cognitive biases. Alexithymia was assessed with the Toronto Alexithymia Scale (TAS-20). Alexithymia was related to the severity of hallucinations but not delusions. Patients with a lifetime history of more psychotic symptoms had higher alexithymia. Alexithymia has broad relationships with different cognitive biases, especially in the self-reported measure. These relationships were not affected by neurocognition and symtpoms severity. In particular, difficulties in identification of feelings were related to various cognitive biases. Dysfunctional information processing can thus be considered as potential psychological correlates of alexithymia. The theoretical and clinical implications of our findings are discussed.

Alexithymia: the story of a survivor of childhood traumatic brain injury

INTRODUCTION

Affective abnormalities resulting from traumatic brain injuries can pose major threats to the long-term outcomes of neurorehabilitation, especially when they have gone unattended in the process of rehabilitation. This study reports a case of a 46-year-old woman who survived a severe traumatic brain injury to the right occipital cortex (BA18/19) at the age of 10. While her cognitive recovery was remarkable, she has been living with a significant affective disturbance: difficulty with feeling others' feelings.

METHOD

Neuropsychological tests and self-reported questionnaires capturing the patient's neuropsychological profile, social cognitive abilities, emotional responses, affective awareness and visual imager were administered to the patient.

RESULTS

While cognitive functioning beside attention has recovered well, findings clearly indicate that she is indeed suffering from a high level of alexithymia.

CONCLUSION

It is speculated that the alexithymia observed may relate to the damage to the visual cortex, which is an important neural substrate for visual imagery and/or damage to the bottom-up stimulus-driven attention system in the right hemisphere. This case exemplified a possible organic basis of social affective disturbance, which may be overlooked in the process of neurorehabilitation.

Individual differences in the phenomenology of mental time travel: The effect of vivid visual imagery and emotion regulation strategies

It has been claimed that the ability to remember the past and the ability to project oneself into the future are intimately related. We sought support for this proposition by examining whether individual differences in dimensions that have been shown to affect memory for past events similarly influence the experience of projecting oneself into the future. We found that individuals with a higher capacity for visual imagery experienced more visual and other sensory details both when remembering past events and when imagining future events. In addition, individuals who habitually use suppression to regulate their emotions experienced fewer sensory, contextual, and emotional details when representing both past and future events, while the use of reappraisal had no effect on either kind of events. These findings are consistent with the view that mental time travel into the past and into the future relies on similar mechanisms.

Presentation of keywords by means of interactive drawings

One of the main outstanding problems in keyword mnemotechnics is whether this technique is more effective when the subjects generate their own keywords, or when the keywords are supplied by the experimenter. Both methods have advantages and disadvantages. An alternative method has recently been suggested, in which the keywords are generated by the subjects' peers. In the present study we aimed to investigate whether immediate or delayed recall are affected by keyword generation method (experimenter or peer generation). We also aimed to determine whether the method of keyword generation affects imaging capacity as evaluated by questionnaires or spatial tests. A total of 377 secondary-school students were selected and divided into four groups. All subjects were presented with 30 Latin words. Additionally, the subjects in Group 1 were presented with bizarre images, while the subjects of Group 2 were presented with normal images, in both cases representing the keywords selected by peers as interacting with the Latin words. The subjects in Groups 3 and 4 were likewise presented with normal or bizarre images, respectively, but representing the keywords selected by the experimenters. The subjects' imaging capacity was evaluated by means of the Vividness of Visual Imagery Questionnaire (VVIQ) and the Spatial Test of Primary Mental Abilities (ST-PMA). The results were analysed by multivariate analysis of variance (MANOVA) with three factors (ST-PMA imaging capacity, 2 levels; VVIQ imaging capacity, 2 levels; and mnemotechnic method, 4 levels) and dependent variables immediate recall and delayed recall. All three factors influenced recall. Subsequent univariate analyses of variance indicated that subjects with high ST-PMA score and subjects with high VVIQ score showed better immediate and delayed recall than subjects with low ST-PMA score and subjects with low VVIQ score. Mnemotechnic method (i.e. whether keywords are generated by the experimenter or by peers) significantly affected immediate recall but not delayed recall.