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Alexithymia: definition and example

Alexithymia is a research term for a personality dimension that involves difficulty identifying your own feelings, difficulty describing them to others, and a thinking style focused on external, practical details. It varies by degree across people rather than being something you either have or do not.

Editorially checked

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By EQTiger Editorial. Review status: needs-expert-review. Qualified review is pending; the date records an editorial check.

How researchers measure it

The most common tool is the 20-item Toronto Alexithymia Scale (TAS-20), a self-report questionnaire whose three-factor structure replicated in both clinical and nonclinical samples (Bagby, Parker, and Taylor, 1994). A 2021 overview describes those facets as difficulty identifying feelings, difficulty describing them, and an externally focused thinking style, and treats alexithymia as a fundamental personality dimension (Luminet, Nielson, and Ridout, 2021).

What it can look like

Someone might notice a racing heart and tight stomach before a family visit but, asked how they feel, honestly say, "Fine, I guess. Tired?" Or a partner asks, "Are you upset with me?" and the honest answer is, "I can tell something is off, but I don't know what it is." That is different from hiding a feeling; the word is genuinely hard to find.

How it differs from related ideas

Alexithymia is about difficulty finding and describing your own feelings. It is different from low empathy, which concerns other people's feelings, and from suppression, where you know the feeling and choose not to show it. Someone with high alexithymia may care deeply and still say, "I know I am upset; I just do not have the word."

What it is not

Alexithymia is not coldness, a lack of caring, or a character flaw, and it is not a label to put on a partner during an argument. It is a research concept, and EQTiger does not diagnose it or any other condition. If difficulty recognizing feelings is causing real problems for you, a licensed mental health professional can help you explore it.

Gentle ways to build skill: start with body signals (interoception), use a short list of feeling words (emotional vocabulary), and practice affect labeling after the fact rather than in the heat of the moment.

Back to the glossary or emotions A to Z, or start the free assessment for adult self-reflection. Not therapy or a mental-health screening. EQTiger does not diagnose.

Research notes

  1. R. M. Bagby, J. D. Parker, G. J. Taylor (1994). The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research. Develops the 20-item Toronto Alexithymia Scale (TAS-20), a self-report measure with good internal consistency, test-retest reliability, and a three-factor structure that replicated in clinical and nonclinical samples. pubmed.ncbi.nlm.nih.gov/8126686/
  2. Olivier Luminet, Kristy A. Nielson, Nathan Ridout (2021). Having no words for feelings: alexithymia as a fundamental personality dimension at the interface of cognition and emotion. Cognition and Emotion. Introduces a special issue that describes alexithymia as a multifaceted personality construct marked by difficulty identifying feelings, difficulty describing them to others, and an externally focused, practical thinking style, and reviews how it affects attention, appraisal, memory, language, and behavior. Limits: editorial overview of a special issue. pubmed.ncbi.nlm.nih.gov/33900884/

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