Despite the tremendous social importance of names, there seem to be people who cannot address others by their personal names. We have termed this condition as “alexinomia”. The research in this master’s thesis focused on the development of a screening instrument for alexinomia in the form of a psychometric questionnaire named Vienna Alexinomia Symptom Scale (VASS).
We included the data of 167 participants, 44 of whom were part of the affected group and 123 to the unaffected group, for assessing the questionnaire's psychometric properties including objectivity, validity and reliability. Our statistical analysis was done twice, and it confirmed the methodological soundness of our findings. The Kaiser-Meyer-Olkin (KMO) criterion and the Bartlett test confirmed the adequacy of the data for factor analysis. Exploratory factor analysis revealed four dimensions of the VASS questionnaire that can be considered as different aspects of the phenomenon. These four dimensions were: General Symptoms, Inner and Outer Negative Impact, Avoidance Strategies, Subjective Obstacles. The total explained variance of the four factors was 74.38%, which exceeds the usual threshold for a satisfactory factor solution. In the re-analysis, the structure of the questionnaire was narrowed down to a single dimension, suggesting the possibility that alexinomia represents a single construct and the questionnaire measures the general problem of addressing people by their first names. The reliability of the questionnaire was confirmed by Cronbach's alpha, which exceeded the threshold for satisfactory internal consistency.
The psychological underpinnings of this study suggest that alexinomia may be an external manifestation of internal unresolved issues originating from early life experiences. Addressing these underlying issues may be crucial for overcoming alexinomia and providing healthier, more open forms of communication in relationships.
Future research on alexinomia could expand by gaining new empirical data using VASS, exploring both affected and unaffected groups, or by wider distribution and self-identification of the participants. In addition, the inclusion of electroencephalography (EEG) measurements may deepen the understanding of this complex psychological phenomenon. The VASS questionnaire is important for clinical and research purposes as it helps to detect symptoms related to alexinomia. Future studies are necessary to work towards setting diagnostic cut-off scores to determine the presence of alexinomia in individuals and to measure the severity of symptoms related to alexinomia, as well as to further increase the usefulness of VASS in clinical settings.
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