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Original Articles

Cognitive neuropsychology of alexithymia: Implications for personality typology

Pages 332-360 | Published online: 15 Jan 2007

Keep up to date with the latest research on this topic with citation updates for this article.

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Toshiyuki Ohtani, Koji Matsuo, Chihiro Sutoh, Fumiyo Oshima, Yoshiyuki Hirano, Akio Wakabayashi & Eiji Shimizu. (2021) Reduced Brain Activation in Response to Social Cognition Tasks in Autism Spectrum Disorder with and without Depression. Neuropsychiatric Disease and Treatment 17, pages 3015-3024.
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Anthony N. Correro$suffix/text()$suffix/text(), Elizabeth R. Paitel, Steven J. Byers & Kristy A. Nielson. (2021) The role of alexithymia in memory and executive functioning across the lifespan. Cognition and Emotion 35:3, pages 524-539.
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Marco Torrado, Leonor Bacelar-Nicolau, Valentin Skryabin, Mariana Teixeira, Susana Eusébio & Silvia Ouakinin. (2020) Emotional dysregulation features and problem gambling in university students: a pilot study. Journal of Addictive Diseases 38:4, pages 550-566.
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Cinzia Cecchetto, Sebastian Korb, Raffaella Ida Rumiati & Marilena Aiello. (2018) Emotional reactions in moral decision-making are influenced by empathy and alexithymia. Social Neuroscience 13:2, pages 226-240.
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Carolyn A. Watters, Graeme J. Taylor, Lena C. Quilty & R. Michael Bagby. (2016) An Examination of the Topology and Measurement of the Alexithymia Construct Using Network Analysis. Journal of Personality Assessment 98:6, pages 649-659.
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Jurrijn A. Koelen, Liesbeth H.M. Eurelings-Bontekoe & Stefan Kempke. (2016) Cognitive Alexithymia Mediates the Association Between Avoidant Attachment and Interpersonal Problems in Patients With Somatoform Disorder. The Journal of Psychology 150:6, pages 725-742.
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Nerissa S. P. Ho & Tatia M. C. Lee. (2013) Alexithymia: The story of a survivor of childhood traumatic brain injury. Brain Injury 27:10, pages 1199-1205.
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RichardA. Chefetz. (2010) “T” in Interpellation Stands for Terror: Commentary on Paper by Orna Guralnik and Daphne Simeon. Psychoanalytic Dialogues 20:4, pages 417-427.
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Jim Helling. (2009) Non-Declarative Representational and Regulatory Systems in Alexithymia. Journal of Trauma & Dissociation 10:4, pages 469-487.
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ScottE. Culhane, OsvaldoF. Morera, P.J. Watson & RogerE. Millsap. (2009) Assessing Measurement and Predictive Invariance of the Toronto Alexithymia Scale–20 in U.S. Anglo and U.S. Hispanic Student Samples. Journal of Personality Assessment 91:4, pages 387-395.
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Articles from other publishers (68)

Jochem M. Jansen. (2023) Mediating effects of impulsivity and alexithymia in the association between traumatic brain injury and aggression in incarcerated males. Aggressive Behavior.
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Nicola Loi, Francesca Ginatempo, Miriam Carta, Francesco Melis, Andrea Manca & Franca Deriu. (2022) Face emotional expressions influence interhemispheric inhibition. Psychophysiology 60:5.
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Bianca Maria Serena Inguscio, Giulia Cartocci, Simone Palmieri, Stefano Menicocci, Alessia Vozzi, Andrea Giorgi, Silvia Ferrara, Paolo Canettieri & Fabio Babiloni. (2023) Poetry in Pandemic: A Multimodal Neuroaesthetic Study on the Emotional Reaction to the Divina Commedia Poem. Applied Sciences 13:6, pages 3720.
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Maxime Escarguel & Massil Benbouriche. (2023) Le rôle de l’alexithymie dans les comportements violents : Une révision des études disponibles à la lumière du modèle de traitement de l’information sociale. Annales Médico-psychologiques, revue psychiatrique.
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Gulay Kenangil, Mehmet Demir, Esma Tur & Fusun Domac. (2021) Alexithymia, depression, and cognition in patients with Parkinson’s disease. Acta Neurologica Belgica 123:1, pages 85-91.
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Andreyanna IVANCHENKO, Olexander TIMCHENKO, Evgenij ZAIKA & Olena ZAVGORODNYA. (2022) Alexithymia phenomenology in psychology: innovative explanatory-functional psychological paradigm. Minerva Psychiatry 63:4.
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Salvatore Iuso, Melania Severo, Antonio Ventriglio, Antonello Bellomo, Pierpaolo Limone & Annamaria Petito. (2022) Psychoeducation Reduces Alexithymia and Modulates Anger Expression in a School Setting. Children 9:9, pages 1418.
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Giulia Gaggero, Andrea Bizzego, Sara Dellantonio, Luigi Pastore, Mengyu Lim & Gianluca Esposito. (2021) Clarifying the relationship between alexithymia and subjective interoception. PLOS ONE 16:12, pages e0261126.
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Danielle M. Fynn, Gilles E. Gignac, Rodrigo Becerra, Carmela F. Pestell & Michael Weinborn. (2021) The Prevalence and Characteristics of Alexithymia in Adults Following Brain Injury: A Meta-Analysis. Neuropsychology Review 31:4, pages 722-738.
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V. V. Kalinin, A. A. Zemlyanaya, K. Y. Subbotin, L. V. Sokolova & E. A. Fedorenko. (2021) The Relationships of Neurobiological and Immune Variables in Patients with Epilepsy: The Role of Alexithymia. Psikhiatriya 19:2, pages 55-62.
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Lorna S. Jakobson & Sarah N. Rigby. (2021) Alexithymia and Sensory Processing Sensitivity: Areas of Overlap and Links to Sensory Processing Styles. Frontiers in Psychology 12.
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Carmelo Mario Vicario, Gabriella Martino, Alex Marcuzzo & Giuseppe Craparo. (2021) No Evidence of Perceptual Pseudoneglect in Alexithymia. Brain Sciences 11:3, pages 376.
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Ana Nunes da Silva. (2021) Developing Emotional Skills and the Therapeutic Alliance in Clients with Alexithymia: Intervention Guidelines. Psychopathology 54:6, pages 282-290.
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Seçkin AYDIN, Ayşegül ESEN AYDIN & Necmettin TANRİÖVER. (2020) Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study. Journal of Surgery and Medicine 4:10, pages 853-856.
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Sarah N. Rigby, Lorna S. Jakobson, Pauline M. Pearson & Brenda M. Stoesz. (2020) Alexithymia and the Evaluation of Emotionally Valenced Scenes. Frontiers in Psychology 11.
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Moussa A. Chalah, Paul Kauv, Ulrich Palm, Jean-Pascal Lefaucheur, Jérôme Hodel, Alain Créange & Samar S. Ayache. (2020) Deciphering the neural underpinnings of alexithymia in multiple sclerosis. Neuroscience Letters 725, pages 134894.
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Ouerchefani Riadh, Ouerchefani Naoufel, Mohamed Riadh Ben Rejeb & Didier Le Gall. (2019) Neuro-cognitive correlates of alexithymia in patients with circumscribed prefrontal cortex damage. Neuropsychologia 135, pages 107228.
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Micaela Maria Zucchelli, Francesca Starita, Caterina Bertini, Fiorella Giusberti & Elisa Ciaramelli. (2019) Intentionality attribution and emotion: The Knobe Effect in alexithymia. Cognition 191, pages 103978.
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Malgorzata Piotrowska-Półrolnik, Paweł Holas, Izabela Krejtz & Bartosz Symonides. (2019) Relationship between alexithymia and variability of blood pressure measured with ABPM in hypertensive patients. General Hospital Psychiatry 60, pages 1-5.
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Angelo Panno, Ainize Sarrionandia, Marco Lauriola & Mauro Giacomantonio. (2018) Alexithymia and risk preferences: Predicting risk behaviour across decision domains. International Journal of Psychology 54:4, pages 468-477.
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Panayiotis Patrikelis, Giuliana Lucci, Athanasia Alexoudi, Stefanos Korfias, Lambros Messinis, Grigorios Nasios, Themistoklis Papasilekas, Damianos Sakas & Stylianos Gatzonis. (2019) Addressing Evidence Linking Secondary Alexithymia to Aberrant Humor Processing. Behavioural Neurology 2019, pages 1-13.
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Kateryna V. Keefer, Graeme J. Taylor, James D. A. Parker & R. Michael Bagby. (2017) Taxometric Analysis of the Toronto Structured Interview for Alexithymia: Further Evidence That Alexithymia Is a Dimensional Construct. Assessment 26:3, pages 364-374.
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Richard A. Chefetz. (2019) Psycho-Neurobiology and Its Potential Influence on Psychotherapy: Being, Doing, and the Risk of Scientism. Psychodynamic Psychiatry 47:1, pages 53-80.
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Angela Sekely, R. Michael Bagby & Piero Porcelli. 2018. Alexithymia. Alexithymia 17 32 .
Lars de Vroege, Wilco H. M. Emons, Klaas Sijtsma & Christina M. van der Feltz-Cornelis. (2018) Psychometric Properties of the Bermond–Vorst Alexithymia Questionnaire (BVAQ) in the General Population and a Clinical Population. Frontiers in Psychiatry 9.
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Cinzia Cecchetto, Raffaella Ida Rumiati & Marilena Aiello. (2017) Alexithymia and emotional reactions to odors. Scientific Reports 7:1.
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Romina Rinaldi, Viorica Radian, Mandy Rossignol, Kendra G. Kandana Arachchige & Laurent Lefebvre. (2017) Thinking About One's Feelings. Journal of Nervous & Mental Disease 205:10, pages 812-815.
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Moussa A. Chalah & Samar S. Ayache. (2017) Alexithymia in multiple sclerosis: A systematic review of literature. Neuropsychologia 104, pages 31-47.
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Uta-Susan Donges & Thomas Suslow. (2017) Alexithymia and automatic processing of emotional stimuli: a systematic review. Reviews in the Neurosciences 28:3, pages 247-264.
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Panayiotis Patrikelis, George Konstantakopoulos, Giuliana Lucci, Vasileios K. Katsaros, Damianos E. Sakas, Stylianos Gatzonis & Giorgos Stranjalis. (2017) Possible common neurological breakdowns for alexithymia and humour appreciation deficit: A case study. Clinical Neurology and Neurosurgery 153, pages 1-4.
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Kenji Kanbara & Mikihiko Fukunaga. (2016) Links among emotional awareness, somatic awareness and autonomic homeostatic processing. BioPsychoSocial Medicine 10:1.
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Elisabeth A. P. Rutten, Nathan Bachrach, Anton J. L. M. van Balkom, Johan Braeken, Machteld A. Ouwens & Marrie H. J. Bekker. (2016) Anxiety, depression and autonomy-connectedness: The mediating role of alexithymia and assertiveness. Psychology and Psychotherapy: Theory, Research and Practice 89:4, pages 385-401.
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Joeri Calsius, Jozef De Bie, Raf Hertogen & Raf Meesen. (2016) Touching the Lived Body in Patients with Medically Unexplained Symptoms. How an Integration of Hands-on Bodywork and Body Awareness in Psychotherapy may Help People with Alexithymia. Frontiers in Psychology 7.
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Roger C. McIntosh, Gail Ironson, Michael Antoni, Mary Ann Fletcher & Neil Schneiderman. (2015) Alexithymia, Assertiveness and Psychosocial Functioning in HIV: Implications for Medication Adherence and Disease Severity. AIDS and Behavior 20:2, pages 325-338.
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Katharina Sophia Goerlich-Dobre, Mikhail Votinov, Ute Habel, Juergen Pripfl & Claus Lamm. (2015) Neuroanatomical profiles of alexithymia dimensions and subtypes. Human Brain Mapping 36:10, pages 3805-3818.
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Roger C. McIntosh, Monica Rosselli, Lucina Q. Uddin & Michael Antoni. (2015) Neuropathological sequelae of Human Immunodeficiency Virus and apathy: A review of neuropsychological and neuroimaging studies. Neuroscience & Biobehavioral Reviews 55, pages 147-164.
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András Költő & Éva Bányai. (2015) The relationship between alexithymia and hypnotic susceptibility: A review of the literature. Mentálhigiéné és Pszichoszomatika 16:1, pages 1-33.
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Jorien van der Velde, Paula M. Gromann, Marte Swart, Durk Wiersma, Lieuwe de Haan, Richard Bruggeman, Lydia Krabbendam & André Aleman. (2015) Alexithymia influences brain activation during emotion perception but not regulation. Social Cognitive and Affective Neuroscience 10:2, pages 285-293.
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Bob Bermond, Paul Oosterveld & Harrie C.M. Vorst. 2015. Measures of Personality and Social Psychological Constructs. Measures of Personality and Social Psychological Constructs 227 256 .
Mayumi Ueno, Motonari Maeda & Gen Komaki. (2014) Different subgroups of high-scorers on the TAS-20 based on the big five personality traits. Personality and Individual Differences 68, pages 71-76.
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Mohammad Ali Besharat & Mohammad Mehdi Salimian Rizi. (2014) The relationship between attachment styles and alexithymia: Mediating role of self-regulation. International Journal of Research Studies in Psychology 3:4.
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Jorien van der Velde, Marie-José van Tol, Katharina Sophia Goerlich-Dobre, Paula M. Gromann, Marte Swart, Lieuwe de Haan, Durk Wiersma, Richard Bruggeman, Lydia Krabbendam & André Aleman. (2014) Dissociable morphometric profiles of the affective and cognitive dimensions of alexithymia. Cortex 54, pages 190-199.
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Katharina Sophia Goerlich-Dobre, Lori Bruce, Sander Martens, André Aleman & Christine I. Hooker. (2014) Distinct associations of insula and cingulate volume with the cognitive and affective dimensions of alexithymia. Neuropsychologia 53, pages 284-292.
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Marco Vicente Torrado, Sílvia Soares Ouakinin & Leonor Bacelar-Nicolau. (2013) Alexithymia, Emotional Awareness and Perceived Dysfunctional Parental Behaviors in Heroin Dependents. International Journal of Mental Health and Addiction 11:6, pages 703-718.
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Mei-Chih Meg Tseng, Yi-Ping Lin, Fu-Chang Hu & Tsun-Jen Cheng. (2013) Risks Perception of Electromagnetic Fields in Taiwan: The Influence of Psychopathology and the Degree of Sensitivity to Electromagnetic Fields. Risk Analysis 33:11, pages 2002-2012.
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Kristy Phillips, Bradley J. Wright & Stephen Kent. (2013) Psychosocial predictors of irritable bowel syndrome diagnosis and symptom severity. Journal of Psychosomatic Research 75:5, pages 467-474.
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Jorien van der Velde, Michelle N. Servaas, Katharina S. Goerlich, Richard Bruggeman, Paul Horton, Sergi G. Costafreda & André Aleman. (2013) Neural correlates of alexithymia: A meta-analysis of emotion processing studies. Neuroscience & Biobehavioral Reviews 37:8, pages 1774-1785.
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Yoshiya Moriguchi & Gen Komaki. (2013) Neuroimaging studies of alexithymia: physical, affective, and social perspectives. BioPsychoSocial Medicine 7:1, pages 8.
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Annemiek van Dijke, Onno van der Hart, Maarten van Son, Martina Bühring, Peter van der Heijden & Julian D. Ford. (2013) Cognitive and Affective Dimensions of Difficulties in Emotional Functioning in Somatoform Disorders and Borderline Personality Disorder. Psychopathology 46:3, pages 153-162.
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Chandlee C. Dickey, Mai-Anh T. Vu, Martina M. Voglmaier, Margaret A. Niznikiewicz, Robert W. McCarley & Lawrence P. Panych. (2012) Prosodic abnormalities in schizotypal personality disorder. Schizophrenia Research 142:1-3, pages 20-30.
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Katharina Sophia Goerlich, André Aleman & Sander Martens. (2012) The Sound of Feelings: Electrophysiological Responses to Emotional Speech in Alexithymia. PLoS ONE 7:5, pages e36951.
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Ellen Wingbermühle, Hanneke Theunissen, Willem M. A. Verhoeven, Roy P. C. Kessels & Jos I. M. Egger. (2014) The neurocognition of alexithymia: evidence from neuropsychological and neuroimaging studies. Acta Neuropsychiatrica 24:2, pages 67-80.
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Yoshie Miyake, Yasumasa Okamoto, Keiichi Onoda, Naoko Shirao, Yuri Okamoto & Shigeto Yamawaki. (2012) Brain activation during the perception of stressful word stimuli concerning interpersonal relationships in anorexia nervosa patients with high degrees of alexithymia in an fMRI paradigm. Psychiatry Research: Neuroimaging 201:2, pages 113-119.
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Simone Lang, Malte Stopsack, Boris Kotchoubey, Carina Frick, Hans Jörgen Grabe, Carsten Spitzer & Sven Barnow. (2011) Cortical inhibition in alexithymic patients with borderline personality disorder. Biological Psychology 88:2-3, pages 227-232.
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Nancy S. Koven, Robert M. Roth, Matthew A. Garlinghouse, Laura A. Flashman & Andrew J. Saykin. (2011) Regional gray matter correlates of perceived emotional intelligence. Social Cognitive and Affective Neuroscience 6:5, pages 582-590.
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Sandra Hermes, Jürgen Hennig, Markus Stingl, Falk Leichsenring & Frank Leweke. (2011) Keine Assoziation zwischen Alexithymie und dem Catechol-O-Methyltransferase Val158Met-Polymorphismus. Zeitschrift für Psychosomatische Medizin und Psychotherapie 57:1, pages 51-61.
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Willem M.A. Verhoeven, Bregje Van Bon, Jos I.M. Egger, Alexander Hoischen & Jan C Doelman. (2014) An adult female patient with ring chromosome 21: behavioural phenotype and results of high-resolution molecular characterisation. Acta Neuropsychiatrica 22:4, pages 188-194.
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Nancy S. Koven & Whitney Thomas. (2010) Mapping facets of alexithymia to executive dysfunction in daily life. Personality and Individual Differences 49:1, pages 24-28.
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Bob Bermond, Dick J. Bierman, Minke A. Cladder, Peter P. Moormann & Harrie C.M. Vorst. (2010) The cognitive and affective alexithymia dimensions in the regulation of sympathetic responses. International Journal of Psychophysiology 75:3, pages 227-233.
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Mischa Eichmann, Harald Kugel & Thomas Suslow. (2017) Difficulty Identifying Feelings and Automatic Activation in the Fusiform Gyrus in Response to Facial Emotion. Perceptual and Motor Skills 107:3, pages 915-922.
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