Empathy and empathy-related processes, such as compassion and personal distress, are recognized to play a key role in social relations. This review examines the role of empathy in interpersonal and...

This study aimed to explore the association between self-oriented empathy and compassion fatigue, and examine the potential mediating roles of dispositional mindfulness and the counselor’s self-efficacy. A total of 712 hotline psychological counselors were recruited from the Mental Health Service Platform at Central China Normal University, Ministry of Education during the outbreak of Corona Virus Disease 2019, then were asked to complete the questionnaires measuring self-oriented empathy, compassion fatigue, dispositional mindfulness, and counselor’s self-efficacy. Structural equation modeling (...) was utilized to analyze the possible associations and explore potential mediations. In addition to reporting confidence intervals, we employed a new method named model-based constrained optimization procedure to test hypotheses of indirect effects. Results showed that self-oriented empathy was positively associated with compassion fatigue. Dispositional mindfulness and counselor’s self-efficacy independently and serially mediated the associations between self-oriented empathy and compassion fatigue. The findings of this study confirmed and complemented the etiological and the multi-factor model of compassion fatigue. Moreover, the results indicate that it is useful and necessary to add some training for increasing counselor’s self-efficacy in mindfulness-based interventions in order to decrease compassion fatigue. (shrink)

Background Our objective was to evaluate whether the description of a machine learning (ML) app or brain imaging technology to predict the onset of schizophrenia or alcohol use disorder (AUD) influences healthcare professionals’ judgments of stigma, empathy, and compassion. Methods We randomized healthcare professionals (N = 310) to one vignette about a person whose clinician seeks to predict schizophrenia or an AUD, using a ML app, brain imaging, or a psychosocial assessment. Participants used scales to measure their judgments (...) of stigma, empathy, and compassion. Results Participants randomized to the ML vignette endorsed less anger and more fear relative to the psychosocial vignette, and the brain imaging vignette elicited higher pity ratings. The brain imaging and ML vignettes evoked lower personal responsibility judgments compared to the psychosocial vignette. Physicians and nurses reported less empathy than clinical psychologists. Conclusions The use of predictive technologies may reinforce essentialist views about mental health and substance use that may increase specific aspects of stigma and reduce others. (shrink)

This article poses a challenge to contemporary theories in psychology that portray empathy as a negative force in the moral life. Instead, drawing on alternative psychological and philosophical literature, especially Martha Nussbaum, I argue that empathy is related to the virtue of compassion and therefore crucial for moral action. Evidence for evolutionary anthropological accounts of compassion in early hominins provides additional arguments for its positive value in deep human history. I discuss this work alongside Thomistic notions (...) of practical wisdom, compassion, misericordia, and the importance of reason in the moral life. The tension between “bottom up” accounts of empathy and that according to a theological interpretation of “infused” virtues also needs to be addressed. From a secular perspective, infused virtue is a projection of the ideal moral life, but from a theological perspective, it is a way of understanding how human capacities through the action of grace can reach beyond what seem to be the limits of psychological moral identity. (shrink)

The aim of this paper is to summarize key psychoanalytic concepts first developed by Sigmund Freud and apply them to a critical exploration of three terms that are central to nursing's self‐image—empathy, caring, and compassion. Looking to Menzies‐Lyth's work, I suggest that the nurse's strong identification as a carer can be understood as a fantasy of being the one who is cared for; critiques by Freud and others of empathy point to the possibility of it being, in (...) reality, a form of projective identification; reading Lacan and Žižek, I propose that repeated research into caring and repeated complaint about barriers to caring can be understood as manifestations of the death drive first posited by Freud. I conclude that psychoanalytic insights suggest that caring roles can raise profoundly ambivalent issues for those who care but they can also point the way to freedom from painful and self‐destructive symptoms inherent in such work. (shrink)

The terms “empathy” and “sympathy” are often used interchangeably, and the terms “sympathy” and “compassion” are also often used interchangeably. In other words, empathy sympathy, and compassion seem to be one thing. I shall argue, to the contrary, that there are important differences between three. I shall distinguish empathy from sympathy and compassion on the ground that empathy is not an afective experience; I shall show how empathy underlies sympathy and compassion; (...) and I shall clarify the nature of the three kinds of experience. (shrink)

What is compassion? I suggest that it is, as Adam Smith and David Hume once argued, a moral sentiment that is subject to a great many constraints and variations but is nonetheless “natural.” I also consider Nietzsche's rather vehement attack on Mitleid and current social psychological literature on empathy.

Truth and Compassion offers an integral and inter-disciplinary view on truth and compassion, their mutual connectedness, the meaning of their cultivation, and the devastating consequences of their neglect and destruction. The authors analyze their various forms, their origins, and concrete ways and attempts of their repression. Essays focus on the attention to truth and compassion under communism, but this is only one of its segments. As a whole, topics range from basic theological and philosophical analysis to concrete (...) historiographic treatments of particular cases. The central message is that speaking about grievances, communication, dialogue, empathy, and solidarity are necessary for living in truth and compassion. (Series: Theology East-West / Theologie Ost-West, Vol. 20) [Subject: Philosophy, Ethics Studies]~. (shrink)

Empathy means understanding another person’s emotional or intentional state by vicariously sharing this state. As opposed to emotional contagion, empathy is characterized by the self–other distinction of subjective experience. Empathy develops in the second year, as soon as symbolic representation and mental imagery set in that enable children to represent the self, to recognize their mirror image, and to identify with another person. In experiments with 126 children, mirror recognition and readiness to empathize with a distressed playmate (...) were investigated. Almost all recognizers showed compassion and tried to help, whereas nonrecognizers were perplexed or remained indifferent. Several motivational consequences of empathy are discussed and its special quality is outlined in comparison with theory of mind and perspective taking. (shrink)

Empathy means understanding another person’s emotional or intentional state by vicariously sharing this state. As opposed to emotional contagion, empathy is characterized by the self–other distinction of subjective experience. Empathy develops in the second year, as soon as symbolic representation and mental imagery set in that enable children to represent the self, to recognize their mirror image, and to identify with another person. In experiments with 126 children, mirror recognition and readiness to empathize with a distressed playmate (...) were investigated. Almost all recognizers showed compassion and tried to help, whereas nonrecognizers were perplexed or remained indifferent. Several motivational consequences of empathy are discussed and its special quality is outlined in comparison with theory of mind and perspective taking. (shrink)

The topic of this study is a notion of empathy that is common in philosophy and in the behavioral sciences. It is here referred to as ‘the notion of empathy as emotional sharing’, and it is characterized in terms of three ideas. If a person, S, has empathy with respect to an emotion of another person, O, then (i) S experiences an emotion that is similar to an emotion that O is currently having, (ii) S’s emotion is (...) caused, in a particular way, by the state of O or by S’s entertaining an idea of the state or situation of O, and (iii) S experiences this emotion in a way that does not entail that S is in the corresponding emotional state. The aim of the study is to clarify this notion of empathy by clarifying these three ideas and by tracing the history of their development in philosophy. -/- The study consists of two parts. Part one contains a short and selective account of the history in Western philosophy of the notion of empathy as emotional sharing. In chapter 2 Spinoza’s theory of imitation of affects and Hume’s theory of sympathy are presented. It is argued that these theories only exemplify the second idea characteristic of the notion of empathy as emotional sharing. Chapter 3 contains presentations of Adam Smith’s theory of sympathy, and Schopenhauer’s theory of compassion. These theories are shown to exemplify the second and the third idea. In chapter 4 there are presentations of Edith Stein’s description of Einfühlung, and Max Scheler’s account of empathy and fellow-feeling. It is shown that these accounts contain explicit specifications of the third idea, and it is argued that they also exemplify the second idea. -/- In part two, the three ideas are further clarified and the notion of empathy as emotional sharing is defined. Chapter 5 contains a discussion of the main contemporary philosophical analyses of empathy. Three different views are distinguished: one that construes empathetic emotions as emotional states, one that construes them as imagined emotions, and one that construes them as off-line emotions. The first two views are criticized and rejected. The third is accepted and further developed in chapter 6, which contains a general analysis of the emotions. A distinction is made between two ways of experiencing an emotion, and it is argued that it is possible to have the affective experience characteristic of a particular kind of emotional state without being in that kind of state. In chapter 7, a definition of ‘empathy’ is proposed. This definition contains specifications of the three ideas characteristic of the notion of empathy as emotional sharing, and it shows both how the empathizer’s emotion resembles the emotion of the empathee, and how this emotion is caused and experienced. (shrink)

Nichols’s view of empathy (in Sentimental Rules) in light of experimental moral psychology suffers from several deficiencies: (1) It operates with an impoverished view of the altruistic emotions (empathy, sympathy, concern, compassion, etc.) as mere short-term, affective states of mind, lacking any essential connection to intentionality, perception, cognition, and expressiveness. (2) It fails to keep in focus the moral distinction between two very different kinds of emotional response to the distress and suffering of others—other-directed, altruistic, emotions that (...) have moral value, and self-directed emotional responses, such as personal distress, that do not. (3) Nichols is correct to see morality as requiring affectivity, and the capability of emotional response to others; but his incorrect view of altruistic emotions (and of emotions in general) leads him to misstate the connection between morality and emotion. (4) Nichols’s specific attempt to ground moral judgment in emotion fails, but the argument he provides for it is part of the explanation of point (2), his failure to sustain the distinction between egoistic and altruistic emotions. (5) Without in any way denying that moral philosophy is strengthened by knowledge of empirical psychology, I suggest that the foregoing failures of Nichols’s argument are partly due to his misuse of particular empirical results and findings, and possibly in part to a weakened commitment to the distinctive contribution the humanistic methods of philosophy make to our understanding of the moral dimension of life. (shrink)

Empathy is intersubjective in that it connects us mentally with others. Some theorists believe that by blurring the distinction between self and other empathy can provide a radical form of altruism that grounds all of morality and even a kind of immortality. Others are more pessimistic and maintain that in distorting the distinction between self and other empathy precludes genuine altruism. Even if these positions exaggerate self-other merging, empathy’s intersubjectivity can perhaps ground ordinary altruism and the (...) rational recognition that one shouldn’t arbitrarily privilege oneself over others. [Note: This volume won CHOICE's Outstanding Academic Title of the Year 2018.]. (shrink)

The debate over the ethics of radically, technologically altering the capacities and traditional form of the human body is rife with appeals to and dismissals of the importance of the integrity of the human species. Species-integrist arguments can be found in authors as varied as Annas, Fukuyama, Habermas, and Agar. However, the ethical salience of species integrity is widely contested by authors such as Buchanan, Daniels, Fenton, and Juengst. This article proposes a Phenomenological approach to the question of species-integrity, arguing (...) in favor of a phenomenon of species-recognition that carries an ethical pull. Building on Husserl’s Phenomenological account of empathy and the lived-body, as well as Schopenhauer’s concept of compassion as an ethical urphenomenon, I develop a “Phenomenological species concept” , which I argue has the ethical significance that biological species concepts do not. The PSC reorients the debate over human alteration and species integrity. (shrink)

Debates about empathy's role in morality are notoriously complex. On the one hand, proponents of empathy argue that it plays a crucial role in the process of making moral judgments, moral motivation, moral development, and the cultivation of meaningful personal relationships. On the other hand, critics of empathy warn that it is especially susceptible to a number of morally troubling biases and motivational shortcomings. Yet there is little consensus about what empathy is or what it might (...) be good for from a moral point of view. As a result, critics and proponents of empathy alike often wind up talking past each other and debates about empathy's role in morality reach an impasse. This paper proposes a typology of empathy's affective, cognitive, and motivational dimensions and the different forms that empathy can take depending on the nature and degree of prominence of these. It argues that different forms of empathy are well equipped to handle some moral tasks as well as ill‐equipped to handle others. Its aim in doing so is to clarify an otherwise conceptually thorny set of debates and to amplify future research on empathy and its role in the moral life. (shrink)

Whereas empathy is most often looked upon as a virtue and essential skill in contemporary health care, the relationship to sympathy is more complicated. Empathic approaches that lead to emotional arousal on the part of the health care professional and strong feelings for the individual patient run the risk of becoming unprofessional in nature and having the effect of so-called compassion fatigue or burnout. In this paper I want to show that approaches to empathy in health care (...) that attempt to solve these problems by cutting empathy loose from sympathy—from empathic concern—are mistaken. Instead, I argue, a certain kind of sympathy, which I call professional concern, is a necessary ingredient in good health care. Feeling oneself into the experiences and situation of the patient cannot be pursued without caring for the patient in question if the empathy is going to be successful. Sympathy is not only a thing that empathy makes possible and more or less spontaneously provides a way for but is something that we find at work in connection to empathy itself. In the paper I try to show how empathy is a particular form of emotion in which I feel with, about, and for the other person in developing an interpretation of his predicament. The with and for aspects of the empathy process are typically infused by a sympathy for the person one is empathizing with. Sympathy can be modulated into other ways of feeling with and for the person in the empathy process, but these sympathy-replacement feelings nevertheless always display some form of motivating concern for the target. Such an understanding of empathy is of particular importance for health care and other professions dealing with suffering clients. (shrink)

The very impressive findings on empathy in relation to self-recognition are interpreted in a theoretical framework within which the central concept of synchronous identification, the consequence of compassion, and the relation between maturation and socialization appear to be debatable.

In the history of philosophy as well as in most recent discussions, empathy is held to be a key concept that enables a basic understanding of the other while at the same time acting as the foundation of our moral emotionality. In this paper I want to show why empathy is the wrong candidate for both of these tasks. If we understand empathy as projection, i.e. a process of imaginary self-transposition, we are bound to presuppose a fully (...) established interpersonal sphere. If we consider empathy as synonymous with compassion it is highly questionable if we ever reach the other person in his or her otherness. Max Scheler and other early phenomenologists offer very fruitful approaches to both problems without resorting to empathy. I will present some of their thoughts and focus especially on Scheler’s claim about the connection between the experience of the real other and the intentionality of compassion. (shrink)

Sympathy, empathy, and compassion are strands in the network of love and essential corollaries of friendship. Together with love and friendship, they are the saving graces of mankind. This chapter aims to clarify the relationship between sympathy and empathy. It may be helpful first to list the relevant dispositions, tendencies, powers, and feelings. The most important contributions to the analysis of sympathy were Hume's A Treatise of Human Nature and Adam Smith's The Theory of Moral Sentiments. It (...) was they who provided the first extensive phenomenological description and philosophical anatomy of sympathy. It is noteworthy that Theodor Lipps had translated Hume's Treatise into German. His account of empathy had its roots in Hume's projectivism. With the demise of behaviourism in the 1970s, the notion of empathy became an object for reflections of experimental and practical psychologists and therapists. (shrink)

This paper discusses compassion failure and compassion deficits in health care, using two major reports by Robert Francis in the UK as a point of reference. Francis enquired into events at the Mid Staffordshire Hospital between 2005 and 2009, events that unequivocally warrant the description ‘appalling care’. These events prompted an intense national debate, along with proposals for significant changes in the regulation of nursing and nurse education. The circumstances are specific to the UK, but the issues are (...) international.I suggest that social psychology provides numerous hints about the mechanisms that might have been involved at Mid Staffs and about the reasons why outsiders are blind to these mechanisms. However, there have been few references to social psychology in the post‐Francis debate (the Francis Report itself makes no reference to it at all). It is an enormously valuable resource, and it has been overlooked.Drawing on the social psychology literature, I express scepticism about the idea that there was a compassion deficit among the Mid Staff nurses – the assumption that the appalling care had something to do with the character, attitudes, and values of nurses – and argue that the Francis Report's emphasis on a ‘culture of compassion and caring in nurse recruitment, training and education’ is misconceived. It was not a ‘failure of compassion’ that led to the events in Mid Staffs but an interlocking set of contextual factors that are known to affect social cognition. These factors cannot be corrected or compensated for by teaching ethics, empathy, and compassion to student nurses. (shrink)

This paper will argue the importance of the creation of a moral compass, driven by empathy and a rigorously trained will in higher education leadership to develop a tighter relationship between higher education and wealth equity. We will explore the foundational documents that first discussed these issues within a global context. Further, We explore how these goals, enhanced by insights promulgated by the United Nations, can be achieved by teaching empathy, developing a moral compass and training the will.

The philosophical analysis of trauma has grown over the last ten years due to our need to elucidate the lived experience endured by an increasing number of human beings undergoing forced migration, abuses, war crimes, and traumatizing situations. The irreducibility of trauma renders the task of care ethics more and more difficult. Yet, this paper argues that a phenomenological analysis of the care relation with traumatized patients can help elucidate the inter-affective dynamics at stake in such encounters. First, I will (...) analyze the phenomenon of compassion fatigue and show how it differs from “emotional contagion” and how it relates to empathy. Relying on phenomenological approaches to empathy, I will assess the kind of “affective sharing” entailed by compassion fatigue. In the second section, I will reframe this conception of empathy by uncovering the existential feeling of vulnerability and the pre-reflective bodily resonance that frames our encounter with others. In the final section, I will argue that vicarious traumatization could be overcome thanks to a “creative kind” of compassion which links the sense of self to the sense of agency, the act of caring with the quest for justice, in a constant effort to restore balance through affective sharing and mutual recognition. (shrink)

This study describes the ways in which professionals in two contexts of health care: general practice and homeopathic consultations, respond to patients' affective expressions of a trouble or a problem. The focus is on the turns of professionals that display understanding, compassion or agreement with the patient's account. Different types of affiliative turns are described and their consequences for the following interaction are scrutinized in relation to the institutional task of solving the patients' health-related problems. It is shown that (...) in both contexts, affiliation is oriented to as working towards closing the sequence of troubles-telling and serves to shift back to problem-solving activity, whilst in homeopathy, it may also serve as a means to problem-solving and thus help to complete the institutional task at hand. Some implications of these observations for professional—client interaction will be described. To conclude, the role of emotion in institutional interaction will also be discussed. (shrink)

In this article, I argue that the recent emphasis on compassion in healthcare practice lacks conceptual richness and clarity. In particular, I argue that it would be helpful to focus on a larger concept of empathy rather than compassion alone and that compassion should be thought of as a component of this larger concept of empathy. The first part of the article outlines a critique of the current discourse of compassion on three grounds. This (...) discourse naturalizes, individualizes, and reifies compassion leading to a decontextualized and simplified understanding of failures in healthcare practice. The second part uses resources from phenomenology and contemporary moral philosophy to construct a “hybrid” concept of empathy that includes both pre‐reflective/intuitive and cognitive/imaginative components. This “hybrid” concept of empathy leads to a more complex understanding of the multiple responses to others' distress. I conclude that there are no straightforward normative naturalistic responses to others' distress. Rather than conceptualizing compassion as a naturalistic impulse or a character‐based trait, we need to consider the complexity of our empathic recognition of vulnerable others. (shrink)

This book explores the importance of compassion and empathy within educational contexts. While compassion and empathy are widely recognised as key to living a happy and healthy life, there is little written about how these qualities can be taught to children and young people, or how teachers can model these traits in their own practice. This book shares several models of compassion and empathy that can be implemented in schooling contexts, also examining how these (...) qualities are presented in children’s picture books, films and games. The editors and contributors share personal insights and practical approaches to improve both awareness and use of compassionate and empathetic approaches to others. This book will be of interest and value to all those interested in promoting compassion and empathy within education. (shrink)

In Nancy Sherman's discussion of the history of empathy, she notes that it was the English translation of the German Einfühlung - originally a term in aesthetics - which translates literally as "feeling one's way into another." According to Sherman's analysis, the main idea in these early usages of empathy in Western psychological contexts "is that of resonating' with another, where this often involves role taking, inner imitation, and a projection of the self into the objects of perception" (...) (Sherman 1998, 83). There is a deep recognition in Indo-Tibetan ethics of the moral significance of one's ability to "resonate" or "feel one's way into another" and no shortage of ethical practices of role taking, "inner imitation," and projecting of the self into objects of perception. These practices transition from the egocentric to an orientation sensitive to the needs of others is a major part of the Mahayana Buddhist conception of moral development, as is apparent in the ideal of bodhicitta (see Section 3). (shrink)

The philosophy of animal rights is often characterized as an exclusively justice oriented approach to animal liberation that is unconcerned with, and moreover suspicious of, moral emotions, like sympathy, empathy, and compassion. I argue that the philosophy of animal rights can, and should, acknowledge that compassion plays an integral role in animal liberation discourse and theory. Because compassion motivates moral actors to relieve the serious injustices that other animals face, or, at the very least, compassion (...) moves actors not to participate in or cause these injustices, the philosophy of animal rights can and should recognize both a duty to cultivate compassion and a duty to promote compassion. Contra to feminist critiques of Regan’s justice-approach to ethics, the philosophy of animal rights is not committed to eschewing the moral emotions. (shrink)

The paper presents a perspective on our relation to our environment that is inspired by Confucian thought and that stands in contrast to certain common strands in contemporary philosophical discussions. It conceptualizes our relation to what we encounter on a day-to-day basis primarily in terms of the way we experience and respond to situations, rather than to the objects affected in the situations. From this perspective, the contemporary philosophical distinction between a first- and a third-person point of view is often (...) not suited for describing our responses to situations. Instead, our responses to situations can vary along different dimensions, including the way we direct our attention, our thoughts and sentiments, our motivations, etc., and these variations admit of degrees. Such variations depend on various factors, such as the different ways in which one relates to the object affected in a situation and the kind of person one is. and cannot be adequately described in terms of a shift from one point of view to another. The paper discusses two examples, anger and compassion, to illustrate this alternative perspective, but the discussion can be extended to other areas such as gratitude. (shrink)

A historical understanding of the virtue of consolation, as contrasted to empathy, compassion, or sympathy, is developed. Recent findings from neuroscience are presented which support and affirm this understanding. These findings are related to palliative care and its current practice in bioethics.

Western science has generally addressed human nature in its most negative aspects-the human potential for violence, the genetic and biochemical bases for selfishness, depression, and anxiety. In contrast, Tibetan Buddhism has long celebrated the human potential for compassion, and is dedicated to studying the scope, expression, and training of compassionate feeling and action. Science and Compassion examines how the views of Western behavioral science hold up to scrutiny by Tibetan Buddhists. Resulting from a meeting between the Dalai Lama, (...) leading Western scholars, and a group of Tibetan monks, the volume includes essays exploring points of difference and overlap between the two perspectives. Opening with the story of the extraordinary meeting in Dharamsala India, the book then takes the reader through the best of what Western behavioral scientific tradition has to say about altruism, ethics, empathy, and compassion-looking at how different elements of this science are challenged by cross-cultural examination. In a series of essays, the participating scientists and scholars ask not only how Tibetan and Western understandings of emotion differ, but how Western behavioral science might broaden and enrich its understanding of human nature to do justice to the study of human emotions. An essay by the Dalai Lama reveals his views on human nature, offering a useful exposition of the Buddhist point of view. Also included are direct excerpts from the dialogues themselves, which are filled with intellectual intensity, moments of convergence, and frequent humor. This extraordinary cross-cultural dialogue about our most essential natures will appeal to scientists, scholars, and the educated lay reader. (shrink)

Business students appear predisposed to select disciplines consistent with pre-existing worldviews. These disciplines then further reinforce the worldviews which may not always be adaptive. For example, high levels of Social Dominance Orientation is a trait often found in business school students :691–721, 1991). SDO is a competitive and hierarchical worldview and belief-system that ascribes people to higher or lower social rankings. While research suggests that high levels of SDO may be linked to lower levels of empathy, research has not (...) established the potential relationship between another related adaptive trait in the workplace, compassion. Compassion facilitates workplace performance by lowering levels of litigation, easing stress, and facilitating cooperation. Accordingly, the following study aimed to examine the relationship between SDO and compassion while hypothesizing Economic Systems Justification would mediate this relationship. Because of the importance of compassion in the workplace, the prevalence of SDO in the business academic community and the topicality of ESJ, we conducted our study with business school students. Results confirmed all but one hypothesis. (shrink)

Curricular design that addresses residency physician competencies in communication skills and professionalism remains a challenge. Graphic Medicine uses comics, a medium combining text and images, to communicate healthcare concepts. Narrative Medicine, in undergraduate medical education, has limited reported usage in Graduate Medical Education. Given the time constraints and intensity of GME, we hypothesized that comics as a form of narrative medicine would be an efficient medium to engage residents.The authors created a novel curriculum to promote effective communication and professionalism, focusing (...) on empathy, compassion and cultural competency. A four-week curriculum was delivered in a neurology residency program. Excerpts from non-fiction graphic memoirs about neurological conditions were read, discussed, and paired with prompt-driven drawing exercises. Qualitative surveys were used to assess acceptability of comics, usefulness of comics to convey patient illness experience, and perception of patient needs for physician-patient communication.Ninety-seven percent of residents reported the sessions were a good use of their time. Residents identified new symptoms of neurologic disorders, articulated patient communication needs, and expressed increased empathy after participation. Residents participated in drawing exercises, but these were not formally analyzed. Graphic medicine is a well received format that may build communication skills and increase empathy. (shrink)

Reflecting teams play a significant role in family therapy; they broaden perspectives on how family dynamics or problems can be understood. However, what happens when a reflector does not feel compassionate towards a particular family member? There is a risk of biased reflections: families can pick up negative signals, putting the therapeutic relationship at risk. In this paper, I explore how I was supported to explore my lack of compassion for Dad ‘John’. It was only after reaching out to (...) an experienced supervisor who undertook an ‘internalised other’ interview with me – where I played the role of Dad – did my compassion increase. From an ethics of care perspective, I suggest that social professionals need to explore ways to increase empathy and compassion for clients they dislike. If they do not, they are open to valid criticism that they are behaving unethically as professionals. Therefore, there is a need to address deficits in empathy and compassion to sustain ethical social work practices. (shrink)

Different theoretical models have proposed cognitive and affective components in empathy and moral judgments encompassing compassion. Furthermore, gender differences in psychological and neural functions involving empathic and moral processing, as well as compassionate experiences, have been reported. However, the neurobiological function regarding affective and cognitive integration underlying compassion and gender-associated differences has not been investigated. In this study, we aimed to examine the interaction between cognitive and emotional components through functional connectivity analyzes and to explore gender differences (...) for the recruitment and interaction of these components. Thirty-six healthy participants were exposed to social images in an fMRI session to judge whether the stimuli elicited compassion. The results showed a different connectivity pattern for women and men of the insular cortex, the dorsomedial prefrontal cortex, the orbitofrontal cortex, and the cingulate cortex. The integration of affective and cognitive components follows a complex functional connectivity pattern that is different for both genders. These differences may indicate that men largely make compassionate judgments based on contextual information, while women tend to notably take internal and introspective processes into account. Women and men can use different affective and cognitive routes that could converge in similar learning of moral values, empathic experiences and compassionate acts. (shrink)

Empathy is a topic of continuous debate in the nursing literature. Many argue that empathy is indispensable to effective nursing practice. Yet others argue that nurses should rather rely on sympathy, compassion, or consolation. However, a more troubling disagreement underlies these debates: There’s no consensus on how to define empathy. This lack of consensus is the primary obstacle to a constructive debate over the role and import of empathy in nursing practice. The solution to this (...) problem seems obvious: Nurses need to reach a consensus on the meaning and definition of empathy. But this is easier said than done. Concept analyses, for instance, reveal a profound ambiguity and heterogeneity of the concept of empathy across the nursing literature. Since the term “empathy” is used to refer to a range of perceptual, cognitive, emotional, and behavioral phenomena, the presence of a conceptual ambiguity and heterogeneity is hardly surprising. Our proposal is simple. To move forward, we need to return to the basics. We should develop the concept from the ground up. That is, we should begin by identifying and describing the most fundamental form of empathic experience. Once we identify the most fundamental form of empathy, we will be able to distinguish among the more derivative experiences and behaviors that are addressed by the same name and, ideally, determine the place of these phenomena in the field of nursing. The aim of this article is, consequently, to lay the groundwork for a more coherent concept of empathy and thereby for a more fruitful debate over the role of empathy in nursing. In Part 1, we outline the history of the concept of empathy within nursing, explain why nurses are sometimes warry of adapting concepts from other disciplines, and argue that nurses should distinguish between adapting concepts from applied disciplines and from more theoretical disciplines. In Part 2, we show that the distinction between emotional and cognitive empathy—borrowed from theoretical psychology—has been a major factor in nurses’ negative attitudes toward emotional empathy. We argue, however, that both concepts fail to capture the most fundamental form of empathy. In Part 3, we draw on and present some of the seminal studies of empathy that can be found in the work of phenomenological philosophers including Max Scheler, Edmund Husserl, and Edith Stein. In Part 4, we outline how their understanding of empathy may facilitate current debates about empathy’s role in nursing. (shrink)

What drives someone to commit an act of terrible violence? Drawing from her thirty years' experience in working with people who have committed serious offenses, Dr. Gwen Adshead provides fresh and surprising insights into violence and the mind. Through a collaboration with coauthor Eileen Horne, Dr. Adshead brings her extraordinary career to life in a series of unflinching portraits. In eleven vivid narratives based on decades of providing therapy to people in prisons and secure hospitals, an internationally renowned forensic psychiatrist (...) and psychotherapist demonstrates the remarkable human capacity for radical empathy, change, and redemption. Based on 30 years of experience working in prisons and secure psychiatric hospitals with people convicted of serious violent offenses, internationally renowned forensic psychiatrist Dr. Gwen Adshead presents an account of mental illness and the nature of evil in this compelling series of stories. (shrink)

This book examines how Western behavioral science--which has generally focused on negative aspects of human nature--holds up to cross-cultural scrutiny, in particular the Tibetan Buddhist celebration of the human potential for altruism, empathy, and compassion. Resulting from a meeting between the Dalai Lama, leading Western scholars, and a group of Tibetan monks, this volume includes excerpts from these extraordinary dialogues as well as engaging essays exploring points of difference and overlap between the two perspectives.

In lieu of an abstract, here is a brief excerpt of the content:MATERNAL COMPASSION IN THE THOUGHT OF RENÉ GIRARD, EMIL FACKENHEIM, AND EMMANUEL LÉVINAS Ann W. Astell Purdue University l;ike empathy, compassion is a word that seldom occurs in the /writings of René Girard,' who prefers to answer to Martin Heidegger's "anxiety" [Die Sorge] before death by speaking instead of a "concern for victims" [le souci des victims].2 Maternal corn-passion does enter Girardian analysis directly, however, in (...) his discussion ofthe biblical good harlot, a compassionate mother whom Girard calls "the most perfect figura Christi that can be imagined" (1978, 241). In this paper I focus on the neglected theme of maternal compassion in the writings of Girard, letting them enter into conversation, first, with Emil Fackenheim's reflections on the plight and actions of Jewish mothers during the Holocaust and, second, with themes sounded in the philosophy of Emmanuel Lévinas. I argue that maternal compassion is actually central to Girard's understanding of the unveiling of the victimage mechanism, because it sees goodness in the very life of every potential victim, regardless ofwhat that person has done or is capable ofdoing, simply because he or she exists, has a face. The "innocence" of every victim is reducible to the innocence of the infant, because an infant within a sacrificial system can substitute for every other possible victim. The infant and, even more, the unborn bring us back to the very origins of life, to the Creator. There 1 On empathy and Girard, see my "Saintly Mimesis, Contagion, and Empathy." " See James William's comment on this topic in René Girard, ISee Satan Fall Like Lightning (177, note 4). The locus classicus for Martin Heidegger's "anxiety" is his Being and Time, sections 39-42. 16Ann W. Astell is, as Plato asserts and Lévinas reminds us, a "Good beyond being" that, on a transcendent plane, constitutes the "innocence" ofevery human being that lives, protesting against any one's murder. To illustrate the triangulation of desire, the rivalry of doubles, the mimetic crisis, and its possible outcome in victimage, René Girard turns to the famous biblical story ofthe judgment of Solomon in 3 Kings 3:16-28. In that story two women, two harlots, approach the king, each claiming to be the mother ofa single, living infant, over whom they are fighting. "The symmetry is obvious," Girard writes, "and it represents the very essence of human conflict" (1978, 238). Unable to determine the truth ofthe case on the basis of their conflicting testimonies, the wise king tests them by proposinga sacrificial solution that parodies distributivejustice. He decides to cut the baby in half, giving each woman an equal share, the symmetrical division ofthe victim mirroring the symmetry between the litigants. "The Latin word decidere," Girard notes, "mean etymologicalIy to divide by the sacrificial knife, to cut the throat of a victim" (1978, 238). The proposed sacrifice is averted because its horrific promise of an equal apportionment of parts of the baby's body—a sameness that would confirm the two as doubles—reveals a significant difference between the two women. According to the usual reading of the passage, one of the mothers, having (either deliberately or accidentally) killed her own baby by smothering him, lacks any genuine love for the other woman's infant. As Girard explains, "The only thing that counts for her ispossessing what the other onepossesses. In the last resort, she is ready to accept being deprived ofthe child as long as her opponent is deprived of it in the same way.... All that counts is her fascination with her hated model and rival" (1978, 239). The other woman, however, filled with yearning for the life ofthe child to whom she has given birth, reveals herself to be its true mother by renouncing her maternal rights in a passionate plea: "I beseech thee, my lord, give her the child alive, and do not kill it" (3 Kings 3:26). Commenting on the passage, Girard characterizes the values of the false mother as sacrificial, those ofthe good mother as anti-sacrificial. With reference to the child whose fate hangs in the balance, the distinction is clear enough. The true mother begs for the baby... (shrink)

The present book reflects on the life, work, and legacy of an exceptional and enigmatic woman: the philosopher and French Jewish mystic Simone Weil. It constitutes a testimony so unique that it is impossible to ignore. In a Europe where authoritarian regimes were dominant and heading, in a sinister manner, toward World War II, this woman of fragile health but indomitable spirit denounced the contradictions of the capitalist system, the brutality of Nazism, and the paradox of bourgeois thought. At the (...) same time, her spiritual journey was one of zeal and sorrow--that of a true mystic--but her radical intransigence and passion for freedom kept her from actually approaching the institutional church. Curious and insatiable, she wanted to experience, in the flesh, the suffering of society's least fortunate and the truths of other religions. The reader will need to develop a discerning empathy for Simone Weil's sensibility, beyond her particular passion and zeal, in order to appreciate her in depth. But undeniable are this truly singular woman's authenticity, her capacity to suffer, her identification with the other, her inner passion, her almost magical perception of the depths of the human spirit. And that is why her story merits being told as one of the great witnesses of our age. (shrink)

Contemporary theorists critical of the current vogue for compassion might like to turn to Friedrich Nietzsche as an obvious ally in their opposition to the sentiment. Yet this essay argues that Nietzsche’s critique of compassion is not entirely critical, and that the endorsement of one’s sympathetic feelings is actually a natural outgrowth of Nietzsche’s immoralist ethics. Nietzsche understands the tendency to share in the suffering of their inferiors as a distinctive vulnerability of the spiritually strong and healthy. Their (...) compassion, however, is an essential element of the imaginative creativity that Nietzsche holds to be the goal of human existence. Although shared suffering may prove debilitating for some, great individuals must come to affirm their compassion as necessary in achieving accurate knowledge of the human condition. (shrink)

ABSTRACTQuestions about how empathy should be conceptualized have long been a preoccupation of the field of empathy research. There are numerous definitions of empathy that have been proposed and that often overlap with other concepts such as sympathy and compassion. This makes communication between research groups or across disciplines difficult. Many researchers seem to see the diversity of definitions as a problem rather than a form of benign pluralism. Within this debate about conceptualization, researchers sometimes suggest (...) that more neuroscientific evidence will make the problem go away – that uncovering the processes underlying empathy will thereby also sort out conceptual difficulties. In this paper, I challenge this assumption by examining how neuroscientists studying empathy use concepts in practice – both in the development of their measures and in the interpretation of their data. I argue that this neuroscientific literature demonstrates that continuity and stability comes from the use of cert... (shrink)

The question, what is it like to be a child?, is one that most of us, in our capacity as parents and/or educators, have probably asked ourselves already at some point. Perhaps one might go further and suggest that it is a question we ought to ask ourselves, insofar as the attempt to provide a meaningful response has a significant bearing on childrearing and education. It is a question that presumably frames the processes of cognitive and moral education – i.e. (...) showing respect for the child's point of view and inducting the child into respecting the points of view of others. After briefly discussing the idea of empathy and relating it to ideas such as sympathy or compassion, this paper focuses on epistemic empathy in particular. The relevant characteristics in this regard are knowledge of another's internal state, including her thoughts and feelings; understanding how another is thinking and feeling and imagining how one would think and feel in the other's place. Regarding childrearing and.. (shrink)

The ultimate goal of this dissertation is to expose Friedrich Nietzsche’s critically neglected account of empathic concern. In what follows, I will briefly present the main ideas and purpose of the project, and include necessary background. -/- Since a significant portion of Nietzsche’s work on moral psychology and ethics is directed toward naturalizing and conceptually redefining the metaphysical implications of Arthur Schopenhauer’s account of compassion, I begin by critically examining Schopenhauer’s metaphysics. At its simplest, Schopenhauer’s narrative goes as follows: (...) the phenomenal world is determined and driven by a metaphysical striving and yearning (more clearly, a will-to-live) that can never be satisfied. We have access to this underlying reality of existence, i.e., the thing-in-itself, subjectively, in the inner awareness which we have of our own experience of willing. -/- Unfortunately, the subtleties and nuances of Schopenhauer’s understanding of inner awareness and its centrality within his overall oeuvre have generally been overlooked or underappreciated by scholars. I suspect that the main reason for this problem is that there does not seem to be an adequate account of the relation between representation and willing in Schopenhauer’s system. I offer an in-depth analysis of Schopenhauer’s understanding of inner awareness, as well as demonstrate its significance as the essential precursor to self-knowledge and world-understanding. -/- The thing-in-itself, a term Schopenhauer borrows from Immanuel Kant, signifies a fundamental reality that underlies the apparent diversity and change in the world, a reality that is distinct from what is merely temporal or changeable. Schopenhauer’s identification of the thing-in-itself with the will has been deeply problematic and puzzling to commentators, because willing and striving is temporal, and no temporal phenomenon can be identical to the thing-in-itself. I distinguish between three distinct views that Schopenhauer formulates about the thing-in-itself, and suggest to understand these three accounts as contrasting but not contradictory views, in other words as different perspectives on the same reality. -/- Next, I examine the theory of empathy that Nietzsche presents in his book, Daybreak, as an alternative to Schopenhauer’s account of compassion, which is solely based on his metaphysics of the will. For Schopenhauer, compassion is associated with an instinctual recognition that beneath our apparent separateness as individuals, we are in fact the expression of the same metaphysical will. Nietzsche moves away from this metaphysical conception and calls, instead, for a naturalistic account in which empathy relies on a sense of psychological closeness and perceived similarity to others, which then results in a feeling of oneness between individuals. Yet, for Nietzsche, this feeling of oneness manifests itself as a sense of being in solidarity with others who share similar experiences, while still recognizing one another’s numerical distinctiveness. -/- Finally, I examine Nietzsche’s assessment of the value of compassion. Nietzsche seems to be critical of all compassion but at times also seems to praise a different form of compassion, which he refers to as ‘our compassion’ and contrasts it with ‘your compassion’. Some commentators have interpreted this to mean that Nietzsche’s criticism is not as unconditional as it may seem–that he does not condemn compassion entirely. I disagree and contend that even though Nietzsche appears to speak favorably of some forms of compassion, he regards all compassion as fundamentally bad. I argue that, for Nietzsche, ‘our compassion’, however regrettable qua compassion it is, may give occasion for a rare and peculiar insight into ‘co-suffering’ with others, which in turn results in overcoming compassion entirely. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Empathy, Intimacy, Attention, and Meditation:An IntroductionSandra Costen KunzOn October 31, 2008, at the American Academy of Religion's annual meeting, the Society for Buddhist-Christian Studies sponsored a well-attended afternoon session titled "Cognitive Science, Religious Practices, and Human Development: Buddhist and Christian Perspectives." This issue of Buddhist-Christian Studies contains three of the papers presented: Wesley J. Wildman's "Cognitive Error and Contemplative Practices: The Cultivation of Discernment in Mind and Heart," (...) Noreen Herzfeld's "'Your Cell Will Teach You Everything': Old Wisdom, Modern Science, and the Art of Attention," and Robert Aitken's "'Who Hears?' A Zen Buddhist Perspective."Each paper addresses in some way the connections between meditation and accurate perception. Wildman traces how cognitive errors rooted in innate perceptual biases give rise to mistaken beliefs and self-defeating behaviors. He highlights various ways religious practices both promote and ameliorate common cognitive errors. He claims some meditation practices are particularly effective in amelioration. While Wildman's paper gives detailed attention to various types of cognitive errors and ways to curb them, Herzfeld's and Aitken's papers have, in some ways, a broader focus. Both include material that suggests that meditation can clear, sharpen, and steady the overall perceptual lens though which humans interpret and construct all of their relationships. (Most contemporary neuroscience assumes that "what" is perceived is the relationship between the perceiver and the "object" of perception.) Herzfeld cites research suggesting that "empathy" is one socially beneficial characteristic of the "focused, close attention" developed by the solitary meditation practices of the Christian Desert Fathers. Aitken claims that Zen practice develops the attentiveness needed to perceive the "intimacy" between the perceiver and what is perceived.I suspect that the neurophysiology of attention behind Herzfeld's "empathy" and Aitken's "intimacy" is profoundly similar. Aitken, comparing Zen's emphasis on experiencing intimacy with Tibetan Buddhism's emphasis on developing compassion, points out that "Compassion by etymology is 'suffering with others'—the realization of social intimacy." "Compassion" is derived from Latin, while Herzfeld's [End Page 55] "empathy" is derived from Greek. Both express the "suffering with others" Aitken identifies with social intimacy.I will first review the ways each paper connects attention-based perception with meditation, and then consider more carefully the common ground shared by Herzfeld's "empathy" and Aitken's "intimacy," suggesting it may lie (in part) in ways socially activist Christian and Zen traditions have drawn upon the cosmological assumptions embedded in the core texts of Zen and Christian traditions. I will close by proposing a topic for further study based on Wildman's claim that religious traditions have fostered a wider variety of meditation practices that have broader benefits than secular meditation programs that teach "nonreligious" adaptations of religious practices.A Review of the Three PapersWildman teaches theology, philosophy, and religion and directs a PhD program in science, philosophy, and religion. His paper reviews seven types of cognitive errors grounded in neurologically based "cognitive and perceptual tendencies." While in life-threatening situations these tendencies can aid survival, they do so at the cost of day-to-day "mistaken beliefs" and "self-defeating behavior." Drawing on Thomas Gilovich's typology, Wildman reviews three types of errors based in pattern recognition skills gone awry, three types based in "social and motivational" factors, and then adds a seventh type: "self-defeating behaviors." He next reviews five potentials for detecting and ameliorating such errors and explores how three "techniques for mitigating cognitive error"—meditation practices, psychotherapy, and rigorous intellectual training—draw on these five potentials.Citing Jean Kristeller's multidomain model of meditation effects, Wildman notes the "significant empirical evidence" in "relevant research studies" that various meditation practices can mitigate a variety of cognitive errors. He reviews research that suggests that neuroplasticity (the potential for structural brain change that affects function) is a lifelong possibility, including studies by Richard Davidson, Antoine Lutz, and others involved in the Mind and Life Institute's efforts to demonstrate the brain-changing effects of Buddhist meditation. Wildman cautions: "The longitudinal studies of meditation needed to settle the question of whether meditation produces neurologically detectable changes in brain structure or function are only just now under way." But... (shrink)