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Psychiatry · Psychopathology: alexithymia
Sample itemA patient with multiple unexplained somatic complaints cannot identify or describe his feelings and speaks only of physical sensations and external events. This difficulty is called
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Alexithymia
Alexithymia, described by Sifneos, is difficulty in identifying and verbalising emotions with a concrete, externally oriented thinking style. It is associated with somatisation and psychosomatic conditions. It is not itself a mood disorder.
Option by option
A. Anhedonia
Anhedonia is the loss of capacity to experience pleasure.
B. Alexithymia (correct)
Correct. Inability to put feelings into words is alexithymia.
C. Apathy
Apathy is a lack of interest and emotional response.
D. Abulia
Abulia is a severe lack of will or drive to initiate action.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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