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Studies that have found reduced emotion perception in first-degree healthy relatives of persons with BD (see for instance Seidel et al. 2012) support such a view.
It remains an open question as to whether individuals will experience elevated or reduced emotion responsiveness in the time period after they have stopped following the emotion regulation instructions.
Despite significantly reduced emotion recognition accuracy, we observed no group difference for perspective taking but faster affective responsiveness to negative stimuli, i.e. angry and sad situations, during the luteal phase.
Regression analyses on the effect of prime type (happy and angry faces, positive and negative words) showed reduced affective priming with increasing alexithymia scores only for angry face primes, indicative of reduced emotion processing at an automatic level in alexithymia.
In contrast, the amnesics exhibited a reduced emotion effect on high confidence responses, and they showed an emotion effect on low confidence recognition responses.
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On the one hand, the current clinical zeitgeist is to argue that chronic attempts to intentionally reduce emotion via suppression are generally unhelpful, whereas adopting an accepting, non-judgmental stance towards emotions is helpful.
However, in amnesics the beneficial effects of emotion on recollection was reduced, and emotion began to enhance familiarity based recognition responses.
Indeed, results suggest that reducing emotional response at the time of trauma (regardless of emotion) may help reduce flashback frequency.
However, surprisingly, these deficits do not manifest themselves similarly, but only sequentially, with reduced performances of low contrast discrimination appearing first and reduced facial emotion recognition appearing later (Hipp et al., 2014).
This successful down-regulation of emotion experience does however carry with it potential costs, in that the suppress group reported reduced positive emotion experience on the IAPS task.
In contrast, reappraisal subjectively reduced negative emotion experience (e.g. Gross, 1998a, 1998b; Gross & Levenson, 1993).
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