Lee S. Mann
Georgetown University
Network
Latest external collaboration on country level. Dive into details by clicking on the dots.
Publication
Featured researches published by Lee S. Mann.
Comprehensive Psychiatry | 1990
Thomas N. Wise; Lee S. Mann; J.David Mitchell; Michael Hryvniak; Bethanne Hill
Alexithymia is described as both a primary personality trait and a secondary state reaction to medical illness. To empirically study secondary alexithymia, a series of medically ill patients seen in psychiatric consultation were compared with a healthy control population. Measured by the Toronto Alexithymia Scale (TAS), the medically ill were more alexithymic than the healthy population. Alexithymia was best predicted by both depressed mood and lowered quality of life, rather than by the categorical ranking of the severity of the medical illness. Alexithymia did appear to be separate from self-reported mood. These data support the concept of secondary alexithymia.
Journal of Psychosomatic Research | 1994
Thomas N. Wise; Lee S. Mann
Both amplification of normal visceral phenomena and the personality trait of alexithymia are factors in the process of somatization, whereby somatic symptoms become metaphors for emotional distress. The relationship between these two variables was investigated in 101 psychiatric out-patients. Each subject was administered the Somatosensory Amplification Scale (SSA); the Toronto Alexithymia Scale (TAS); the NEO-FFI, which measures five personality factors; and the health locus of control (HLC). In addition, anxiety and depression were quantitatively measured. SSA and TAS significantly correlated only in the female subjects. A regression model found neuroticism to contribute the most variance in predicting SSA while TAS did not fit into the model. Amplification is a perceptual element in potentiating somatization, whereas alexithymia contributes to the cognitive aspects of the process. The role of neuroticism is discussed as a mediating factor.
Comprehensive Psychiatry | 1992
Thomas N. Wise; Lee S. Mann; Laurel Shay
The relationship between alexithymia assessed by the Toronto Alexithymia Scale (TAS) and the five-factor model of personality measured by the NEO Five-Factor Inventory (FFI) was investigated in a group of psychiatric outpatients (n = 114) and normal volunteers (n = 71). When controlling for depression, the domains of neuroticism, introversion, and low openness predicted alexithymia. These three dimensions accounted for 57.1% of the explained variance in the patient cohort and 38.1% in the volunteer group. In the patient cohort, neuroticism contributed the majority of explained variance, which may reflect the state effect of distress that elevates neuroticism. Introversion was the most significant predictor in the volunteer group. These data suggest alexithymia is a unique personality trait that is not fully explained by the five-factor model of personality.
Psychological Reports | 1994
Lee S. Mann; Thomas N. Wise; Anton Trinidad; Renée Kohanski
A total of 62 staff members from a general hospital participated in a study about alexithymia and the five-factor model of personality, measured by the Toronto Alexithymia Scale and the NEO Five Factor Inventory, respectively, and their relationship to recognition affect. Subjects with alexithymic characteristics were less able to recognize affective states in posed facial expressions and so may have modified their empathic capacity.
Psychotherapy and Psychosomatics | 1990
Thomas N. Wise; Lee S. Mann; Bethanne Hill
The relationship between depressed mood and alexithymia, measured by the Toronto Alexithymia Scale (TAS) was investigated in a group of psychiatric inpatients (n = 81) and outpatients (n = 97). In both cohorts correlations between the TAS and obsessoid personality style were significant when controlled for mood. The obsessoid style, measured by the Hysteroid-Obsessoid Scale was the most powerful predictor of alexithymia in regression models for each cohort. These data suggest that alexithymia is not a function of depression in such psychiatric patients.
Psychotherapy and Psychosomatics | 1988
Thomas N. Wise; Niranjan N. Jani; Ethan Kass; Kenneth Sonnenschein; Lee S. Mann
The relationship of depression and the severity of medical illness to alexithymia was investigated in 75 medically ill patients seen in psychiatric consultation. Both depression and living alone predicted alexithymia but severity of medical illness was not related to an individuals alexithymic characteristics measured by the revised Schalling-Sifneos Scale. The implications of the findings are discussed in relationship to previous data regarding alexithymia in a psychiatric consultation population.
Psychopathology | 1995
Thomas N. Wise; Lee S. Mann; Penny Randell
The stability of alexithymia as measured by the Toronto Alexithymia Scale (TAS) and its relationship to depression were investigated in 50 depressed inpatients. The test-retest coefficient for TAS over a 5-day period was 0.57 (p < 0.001). A reliable change index for depressed mood indicated that mood covaried with the TAS, but changes in TAS were not clinically significant. The data support alexithymia as a stable personality construct.
Psychotherapy and Psychosomatics | 1991
Thomas N. Wise; Lee S. Mann; Steven A. Epstein
Fifty-six mildly depressed psychiatric outpatients were evaluated for alexithymia measured by the Toronto Alexithymia Scale. Each subject also completed a Defensive Style Questionnaire that assessed the maturity of their ego defenses. Alexithymia was strongly associated with immature ego defenses, but not with depression. The data suggests that alexithymia and such primitive defensive operations are separate phenomena. These findings empirically support earlier observations regarding the nature of alexithymia.
Psychotherapy and Psychosomatics | 2000
Thomas N. Wise; Lee S. Mann; Michael J. Sheridan
Background: The relationship between alexithymia and dissociation is not known. Both mechanisms ward off overwhelming affective states; hence, this report examines the relationship between dissociation, alexithymia, depressed mood and the five-factor model of personality in a sample of psychiatric outpatients. Methods: One hundred and sixteen outpatients were evaluated using the Toronto Alexithymia Scale (TAS), the Dissociative Experiences Scale (DES), NEO Five-Factor Inventory and visual analog scales assessing depression and anxiety. Data was analyzed using multivariate analysis of variance, logistic regression and linear regression techniques. Results: Depressed mood accounted for the group differences between the global TAS and DES scores. Using DES both dimensionally and categorically with regression models, there was minimal contribution of DES or its subfactors to predict TAS. Conclusions: These data reaffirm previous findings that dissociation fundamentally differs from alexithymia. Dissociation involves a change of one’s sense, of self, whereas alexithymia reflects a cognitive state of externally oriented thinking with an inability to identify and report discrete emotions.
Comprehensive Psychiatry | 1995
Thomas N. Wise; Lee S. Mann
The attribution of common somatic symptoms was investigated in 100 psychiatric outpatients. Subjects who were more depressed and alexithymic as measured by the Toronto Alexithymia Scale (TAS) tended to endorse a psychological attribution for somatic complaints. Somatosensory amplification, anxiety, and inability to express and report specific feelings predicted psychological attribution. The data support the role of alexithymia in somatization and further explain a possible role of psychological attribution of somatic symptoms in the underrecognition of physical disorders in psychiatric patients.