Childhood Trauma Leading to Anhedonia (Inability to Experience Pleasure).

There is an established relationship between having experienced trauma as a child and suffering from anhedonia (the inability to experience feelings of pleasure) as an adult. This has been one of the symptoms of my own illness, and I am sorry to report it is one that I am yet to overcome (although there has been some improvement, I suppose).

Anhedonia drains the colour from life, rather like seeing a film in high resolution colour suddenly fade into a grainy, blurred, black and white. One feels just intense emptiness and a complete blunting of positive emotional response. It can affect all areas of life including :

– social interaction

– career satisfaction

– food

– sex

– music

– sports

– previous hobbies and interests

– previously close and/or intimate relationships

Many who suffer anhedonia will have every aspect of their lives affected, whereas others may be affected in some areas but not in others.

In connection with research into the link between , Frewen et al have introduced the concept of ‘negative affective interference’. Essentially, this refers to the idea that in, in response to positive events, those suffering anhedonia are not only unable to feel any pleasure but the positive event may actually lead to them feeling worse. For example, when witnessing a beautiful sunset from the balcony of a luxury hotel in an idyllic setting, not only will those with anhedonia experience no joy, but experience an increase in negative affect (mood) such as intensified feelings of anxiety, guilt or shame. It is this increase in negative feelings in response to positive events which is referred to as ‘negative affect interference’.

Frewen et al’s study also showed that different types of childhood trauma led to different kinds of negative affective interference in response to positive events. For example, those who suffered emotional abuse as a child were more likely to experience increases in anxiety, whereas those who had suffered childhood sexual abuse were more likely to experience feelings of shame.

IMPLICATIONS FOR THERAPEUTIC INTERVENTIONS RELATING TO ANHEDONIA :

The above findings suggest that therapeutic interventions for those suffering from anhedonia should not only focus on increasing positive affect but also on strategies for regulating negative affect in response to positive events.

I hope you have found this post interesting.

best wishes, David Hosier BSc Hons; MSc; PGDE(FAHE).

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