Alexithymia: Difficulty of expression or absence of feeling? A theoretical analysis

Abstract

The aim of this essay is to present a conceptual basis to differentiate emotions from feelings, based on LeDoux and Damasio's ideas, and to use this basis for an approach to Alexithymia's concept and origins, a construct recently developed to explain the difficulty of expressing emotions and feelings. In this approach, it is questioned whether alexithymic individuals do not express or do not have feelings. The conclusion of this essay is that emotions occur normally in alexithymic individuals, but that feelings, which require additional brain circuits in relation to those driven by emotions, are not developed properly. Limitations of this work and suggestions for a research program are presented.