my head is full of too many thoughts and feelings all the time and if I don’t drain them regularly by making pointless texts posts they turn everything into an undifferentiated mass of mud and wet paper and I can’t find anything I want in there so that’s why I’m Like This
Kallitsounaki and Williams found that transgender participants did in fact report alexithymia symptoms at an elevated rate, compared to their cisgender peers. This effect also held strong when eliminating all Autistic participants from analyses, which indicates that even non-Autistic transgender people are worse at naming and recognizing their feelings than non-Autistic cisgender people are.
The study’s authors concluded from these findings that non-Autistic transgender people appear to exhibit “subclinical” Autistic traits.
“Future studies mighty usefully examine whether alexithymia is a potential “marker” of autistic traits in transgender people who do not meet full criteria for autism,” they write.
To put it another way, they believe the alexithymia that non-Autistic trans people report is still caused by (mild) Autism.
But this conclusion carries with it a faulty and as-yet untested assumption: that alexithymia must be caused by Autism directly, when in reality it could just be a natural consequence of living in a marginalized and othered body.
Just because a transgender person struggles to name and recognize their emotions doesn’t necessarily mean they’re Autistic. It could very well be the case that both Autistic people and transgender people struggle to understand our feelings, because we have experienced a lifetime of questioning and invalidation.
And if we look to the broader research literature on alexithymia, we see even more evidence that this might be the case.
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It’s not just Autistic people who have been found by researchers to experience alexithymia. Sufferers of trichotillomania, or compulsive hair-pulling, have repeatedly been found to be alexithymic too.
Some research also links alexithymia with early exposures to trauma and abuse. People who do not know they are pregnant (also known in the literature as pregnancy-deniers) tend to be alexithymic, for instance. They also tend to be victims of childhood sexual assault. These two things are not unrelated.
We know that when vulnerable people (particularly children) are sexually assaulted, their minds tend to dissociate from that upsetting reality. Their consciousness “floats away” to a point elsewhere in the room, or they pretend the abuse isn’t happening to them or that the world around them is not real. Additional research has also found that alexithymia is associated with early childhood abuse, especially emotional and physical neglect.
It makes sense that a mind that’s well practiced in the art of detachment might stop checking on its internal states entirely. A body that has often been the site of your abuse is one you can’t dwell in comfortably. If you can’t count on your caregiver to provide you with regular nourishment, there’s little reason to make note of your own feelings of hunger. And if your cries for help or comfort are never heard with sympathy, you may quickly learn not to even recognize sadness within yourself at all.
These findings also dovetail with an observation that Kallitsounaki and Williams make in their paper, but don’t take much time to dwell on: they found that the cisgender men in their sample were significantly more alexithymic than cisgender women.
This finding also suggests that there are environmental and social factors that contribute to a person’s awareness of their own emotions — and populations that are discouraged from sharing how they feel are far worse at understanding their feelings as a result.
Women aren’t innately more attuned to emotions than men are. They’re simply expected to be more emotionally aware, and given more tools to make emotional recognition and expression possible. Men, on the flip side, are denied the freedom to be openly emotional, and also relieved of the responsibility to look after their own or others’ feelings. This results in them understanding emotions a whole lot less.
If we can’t assume that the alexithymia of men is innate, then we shouldn’t assume it’s innate in Autistics or transgender people either. For just as men are discouraged from openly crying, asking for help, or showing other signs of supposed “weakness,” both transgender people and Autistics are actively discouraged from expressing discomfort or seeking emotional aid for ourselves.

