It’s as if the addict is so accustomed to just acting on impulse that he/she has lost touch with the source of the impulse — ordinarily a negative emotional state such as anxiety, anger, sadness, etc.

iStock_000011300526XSmallThe other day I asked a client in group to discuss his obvious (to me, anyway, and to the other group members) unresolved anger that seemed to bubble up with just about every topic.  I was floored when he frowned at me and snapped, ‘What anger?  I’m not angry!’  The group laughed, but he really believed he wasn’t angry.  What gives?”

It’s long been observed that newly recovering people have difficulty identifying emotions. It’s as if the addicted person is so accustomed to just acting on impulse that he/she has lost touch with the source of the impulse — ordinarily a negative emotional state such as anxiety, anger, sadness, etc.

So that when the addicted person experiences these emotions (or even the small beginnings of them), it’s quickly subsumed in an intense desire to use. Other potential responses aren’t considered. At some point, the addicted person loses awareness of the emotion altogether. It’s become simply a trigger for an automatic response.

I don’t know how many thousands of times I’ve heard people angrily insist that they’re not angry. Traditionally, we attributed it to denial. But I’ve come to wonder if the person with alcoholism even recognizes the emotion. Maybe he/ she really doesn’t know.

There are cultural factors involved, of course. In some cultures, men traditionally suppress any emotion associated with vulnerability, while women suppress feelings of hostility. But that applies to everyone, not just people with addiction.

If you can’t identify the emotion as it happens, how can you possibly change your response to it? I heard one psychologist use the term alexithymic, meaning ‘without words for emotions’. Implying a chronic problem identifying how you feel and also describing it in words to other people.

How to address this in counseling? Usually through feedback, and usually in group. One method asks participants to agree in advance to point out strong negative emotional states to one another, as they occur. The idea is to develop a ‘real time’ feedback system — something that doesn’t exist in everyday life.

Example: Mike has spent five minutes in the group describing his recent problems with his 15 year old daughter.

Mike: I’ll tell you, I’ve had about enough of her crap.

Mary: You sound really angry.

Mike: Angry? No. Frustrated, maybe. Not angry. Just frustrated. Who wouldn’t be?

Mike hasn’t self-diagnosed as a dangerously pissed off dad, so he’s far more likely to mismanage his anger in the heat of the moment.

Eddie: If that was my daughter, I’d be ready to blow. I mean, explode.

Mike: You’re not me.

Eddie: No. But I’ve had teenagers.

Mary: When my husband gets that annoyed, I know I better keep the kids away from him for a while.

Mike: You people are overreacting. I’m frustrated. Anybody would be.

Therapist: They’re just saying how they would feel in a similar situation.

Mike: Like I said, they’re not me.

Mike will probably resolve to avoid the subject in subsequent groups (“they don’t understand”), but he won’t be able to stick to the resolution because in fact, he’s too angry. Our hope is that by increasing his awareness, we’ve introduced a consideration that could hold back an explosion when, in the very near future, the next conflict with his daughter inevitably erupts.

Another good article on alexithymia here, from the “Self” website, and this on Alexithymia and Eating Disorders

1 Comment »

Hi. I’m 27,male and single. I’m not addict. I do Kung Fu. Clinical psychologists couldn’t distinguish and cure my problems. I have many symptoms of Alexithymia and Generalized Anxiety Disorder. I had explained my feelings and my disability to distinguish between my feelings.
I’m worry excessively about things that are unlikely to happen, or feel tense and anxious all day long with no real reason. I also have sleep difficulties. Constant worries running through my head. Feeling like my anxiety is uncontrollable; there is nothing I can do to stop the worrying. Intrusive thoughts about things that make me. A pervasive feeling of apprehension or dread. Inability to relax, enjoy quiet time, or be my yourself. Difficulty concentrating or focusing on things. Having trouble falling asleep or staying asleep because my mind won’t quit. Feeling edgy and restless. These symptoms have exist since childhood to now.
I couldn’t identify and describe emotions in the self. Limited understanding of what caused the feelings. Lack of enjoyment and pleasure-seeking.
Hadi Haghighat. 2013/4/14

Comment by Hadi — April 14, 2013 @ 5:46 am

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