R. Sachse, HEART BEAT PERCEPTION BY PSYCHOSOMATIC PA TIENTS - TURNING ATTENTIVENESS AWAY FROM PROCESSES OF ONES OWN BODY, PPmP. Psychotherapie, Psychosomatik, medizinische Psychologie, 44(8), 1994, pp. 284-292
Based on considerations about the concept of alexithymia as well as fr
om the Theory of Objective Self-Attentiveness the hypothesis was deriv
ed that in comparison ''healthy'' persons in a control group persons s
howing psychosomatic disturbances should have a significantly worse pe
rception of their own cardiac action. This poorer capability of percep
tion has been assumed to be the result of the psychosomatic clients ac
tively averting their attentiveness. These assumptions were checked ex
perimentally with the aid of two measuring methods and could be confir
med. A comparison of the accuracy of interoceptive and extroceptive pe
rception has lead to the conclusion that the lesser degree of percepti
on found with psychosomatic patients does not stem from disturbances o
f interoceptive processes but is rather the result of these persons ac
tively turning away their attentiveness. Conclusions relating to the t
heory of alexithymia and the therapy of psychosomatic illnesses were d
rawn.