psychology Psychology is the scientific study of mind and behavior. Psychology includes the study of conscious and unconscious phenomena, including feelings and thoughts. It is an academic discipline of immense scope, crossing the boundaries between ...

, emotional detachment, also known as emotional blunting, is a condition or state in which a person lacks

emotion Emotions are mental states brought on by neurophysiology, neurophysiological changes, variously associated with thoughts, feelings, behavioral responses, and a degree of pleasure or suffering, displeasure. There is currently no scientific ...

al connectivity to others, whether due to an unwanted circumstance or as a positive means to

cope The cope (known in Latin as ''pluviale'' 'rain coat' or ''cappa'' 'cape') is a liturgical vestment, more precisely a long mantle or cloak, open in front and fastened at the breast with a band or clasp. It may be of any liturgical colour. A c ...

with

anxiety Anxiety is an emotion which is characterized by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different than fear in that the former is defined as the anticipation of a future threat wh ...

. Such a coping strategy, also known as emotion focused-coping, is used when avoiding certain situations that might trigger anxiety. It refers to the evasion of emotional connections. Emotional detachment may be a temporary reaction to a stressful situation, or a chronic condition such as depersonalization-derealization disorder. It may also be caused by certain antidepressants. Emotional blunting, also known as

reduced affect display Reduced affect display, sometimes referred to as emotional blunting or emotional numbing, is a condition of reduced emotional reactivity in an individual. It manifests as a failure to express feelings (affect display) either verbally or nonverbal ...

, is one of the

negative symptoms Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showin ...

schizophrenia Schizophrenia is a mental disorder characterized by continuous or relapsing episodes of psychosis. Major symptoms include hallucinations (typically hearing voices), delusions, and disorganized thinking. Other symptoms include social wit ...

Signs and symptoms

Emotional detachment may not be as outwardly obvious as other

psychiatric Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psy ...

symptoms. Patients diagnosed with emotional detachment have reduced ability to express emotion, to empathize with others or to form powerful emotional connections. Patients are also at an increased risk for many

and

stress Stress may refer to: Science and medicine * Stress (biology), an organism's response to a stressor such as an environmental condition * Stress (linguistics), relative emphasis or prominence given to a syllable in a word, or to a word in a phrase ...

disorders. This can lead to difficulties in creating and maintaining personal relationships. The person may move elsewhere in their mind and appear preoccupied or "not entirely present", or they may seem fully present but exhibit purely intellectual behavior when emotional behavior would be appropriate. They may have a hard time being a loving family member, or they may avoid activities, places, and people associated with past traumas. Their dissociation can lead to lack of attention and, hence, to memory problems and in extreme cases, amnesia. In some cases, they present an extreme difficulty in giving or receiving empathy which can be related to the spectrum of narcissistic personality disorder. Additionally, emotional blunting is negatively correlated with remission quality. The negative symptoms are far less likely to disappear when a patient is experiencing emotional blunting. In a study of children ages 4–12, traits of aggression and antisocial behaviors were found to be correlated with emotional detachment. Researchers determined that these could be early signs of emotional detachment, suggesting parents and clinicians to evaluate children with these traits for a higher behavioral problem in order to avoid bigger problems (such as emotional detachment) in the future. A correlation was found of higher emotional blunting among patients treated with depression who scored higher on the Hospital Anxiety and Depression Scale (HADS) and were male (though the frequency difference was slight). Emotional detachment in small amounts is normal. For example, being able to emotionally and psychologically detach from work when one is not in the workplace is a normal behavior. Emotional detachment becomes an issue when it impairs a person's ability to function on a day-to-day level.

Scales

While some depression severity scales provide insight to emotional blunting levels, many symptoms are not adequately covered. An attempt to resolve this issue is the Oxford Depression Questionnaire (ODQ), a scale specifically designed for full assessment of emotional blunting symptoms. The ODQ is designed specifically for patients with

Major Depressive Disorder Major depressive disorder (MDD), also known as clinical depression, is a mental disorder characterized by at least two weeks of pervasive low mood, low self-esteem, and loss of interest or pleasure in normally enjoyable activities. Intro ...

(MDD) in order to assess individual levels of emotional blunting. Another scale, known as the Oxford Questionnaire on the Emotional Side-Effects of Antidepressants (OQESA), was developed using qualitative methods.

Causes

Emotional detachment and/or emotional blunting have multiple causes, as the cause can vary from person to person. Emotional detachment or emotional blunting often arises due to

adverse childhood experiences Adverse childhood experiences (ACEs) encompass various forms of physical and emotional abuse, neglect, and household dysfunction experienced in childhood. The harms of ACEs can be long-lasting, affecting people even in their adulthood. ACEs have be ...

, for example physical, sexual or emotional abuse. Emotional detachment is a

maladaptive coping Coping refers to conscious strategies used to reduce unpleasant emotions. Coping strategies can be cognitions or behaviours and can be individual or social. Theories of coping Hundreds of coping strategies have been proposed in an attempt to ...

mechanism for trauma, especially in young children who have not developed coping mechanisms. Emotional detachments can also be due to psychological trauma in adulthood, like abuse, or traumatic experiences like war, automobile accidents etc. Emotional blunting is often caused by antidepressants in particular

selective serotonin reuptake inhibitor Selective serotonin reuptake inhibitors (SSRIs) are a class of drugs that are typically used as antidepressants in the treatment of major depressive disorder, anxiety disorders, and other psychological conditions. SSRIs increase the extracellul ...

s (SSRIs) used in MDD, and often as an add-on treatment in other

psychiatric disorder A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitt ...

s. Individuals with MDD usually experience emotional blunting as well. Emotional blunting is a symptom of MDD, as depression is negatively correlated with emotional (both positive and negative) experiences. Schizophrenia often occurs with negative symptoms, extrapyramidal signs (EPS), and depression. The latter overlaps with emotional blunting and is shown to be a core part of the present effects. Schizophrenia in general causes abnormalities in emotional understanding of individuals, all of which are clinically considered as an emotional blunting symptom. Individuals with schizophrenia show less emotional experiences, display less emotional expressions, and fail to recognize the emotional experiences and/or expressions of other individuals. The changes in fronto-limbic activity in conjunction with depression succeeding a left hemisphere basal ganglia stroke (LBG stroke) may contribute to emotional blunting. LBG strokes are associated with depression and often caused by disorders of the basal ganglia (BG). Such disorders alter the emotional perception and experiences of the patient. In many cases of people with eating disorders (ED) often show signs of emotional detachment. This is due to the fact that many of the circumstances that often lead to an ED are the same as the circumstances that lead to emotional detachment. For example, people with ED often have experienced childhood abuse. Eating disorders on their own are a maladaptive coping mechanism and to cope with the effects of an eating disorder, people may turn to emotional detachment.

Bereavement Grief is the response to loss, particularly to the loss of someone or some living thing that has died, to which a bond or affection was formed. Although conventionally focused on the emotional response to loss, grief also has physical, cogniti ...

or losing a loved one can also be causes of emotional detachment. Unfortunately, the prevalence of emotional blunting is not fully known.

Behavioral mechanism

Emotional detachment is a maladaptive coping mechanism, which allows a person to react calmly to highly emotional circumstances. Emotional detachment in this sense is a decision to avoid engaging emotional connections, rather than an inability or difficulty in doing so, typically for personal, social, or other reasons. In this sense it can allow people to maintain boundaries, and avoid undesired impact by or upon others, related to emotional demands. As such it is a deliberate mental attitude which avoids engaging the emotions of others. This detachment does not necessarily mean avoiding

empathy Empathy is the capacity to understand or feel what another person is experiencing from within their frame of reference, that is, the capacity to place oneself in another's position. Definitions of empathy encompass a broad range of social, co ...

; rather, it allows the person to rationally choose whether or not to be overwhelmed or manipulated by such feelings. Examples where this is used in a positive sense might include emotional boundary management, where a person avoids emotional levels of engagement related to people who are in some way emotionally overly demanding, such as difficult co-workers or relatives, or is adopted to aid the person in helping others. Emotional detachment can also be " emotional numbing", "emotional blunting", i.e., dissociation,

depersonalization Depersonalization can consist of a detachment within the self, regarding one's mind or body, or being a detached observer of oneself. Subjects feel they have changed and that the world has become vague, dreamlike, less real, lacking in significa ...

or in its chronic form depersonalization disorder. This type of emotional numbing or blunting is a disconnection from emotion, it is frequently used as a coping survival skill during traumatic childhood events such as abuse or severe neglect. After continually using this coping mechanism, it can become a response to daily stresses. Emotional detachment may allow acts of extreme

cruelty Cruelty is the pleasure in inflicting suffering or inaction towards another's suffering when a clear remedy is readily available. Sadism can also be related to this form of action or concept. Cruel ways of inflicting suffering may involve ...

and abuse, supported by the decision to not connect empathically with the person concerned. Social ostracism, such as

shunning Shunning can be the act of social rejection, or emotional distance. In a religious context, shunning is a formal decision by a denomination or a congregation to cease interaction with an individual or a group, and follows a particular set of rul ...

and

parental alienation Parental alienation is a theorized process through which a child becomes estranged from one parent as the result of the psychological manipulation of another parent. The child's estrangement may manifest itself as fear, disrespect or hostility tow ...

, are other examples where decisions to shut out a person creates a psychological trauma for the shunned party.

References

{{Emotion-footer Symptoms and signs of mental disorders Emotion

Signs and symptoms

Scales

Causes

Behavioral mechanism

See also

References