Empathy: An Integral Model in the Counseling Process

Expanding on a framework introduced by Carl Rogers, an integral model of empathy in counseling uses empathic understanding through 3 ways of knowing: Subjective empathy enables a counselor to momentarily experience what it is like to be a client, interpersonal empathy relates to understanding a client's phenomenological experiencing, and objective empathy uses reputable knowledge sources outside of a client's frame of reference. Across the counseling process, empathy is integral to treatment strategies and interventions.     

Interweaving the Symbolic and Nonsymbolic in Therapeutic Action: Discussion of Gianni Nebbiosi’s “The Smell of Paper”

Gianni Nebbiosi’s paper speaks to therapeutic action in a new key in the challenges of finding communion with a hard-to-reach patient. He achieves this through the creative interweaving of the nonsymbolic, his mime and music, and the symbolic, which attains greater purchase through painful personal reckoning in concert with his increasing awareness of previously unformulated states within and between each member of this particular analytic dyad. Central to this paper is the move from an empathic stance to greater complexity for each of the dyad. Distinguishing between empathy and recognition is germane. Particularly as we witness the transformation through therapeutic action of empathic presence to recognizing presence that permits the emergence of a more complex empathy—an achieved empathy that incorporates feeling and knowing the multiple, more deeply held, and often paradoxical aspects of our patients and indeed of ourselves as these play out in intersubjective space.     

临床共情与护理技术结合：人性化的护理

临床共情是一种能体验患者内心世界的能力,通过患者的言语和非言语表达,觉察和认识患者情感和情绪需求,并对其做出恰当的回应.临床共情具有科学的理论和实践基础,具有缓解患者心理上的痛苦,改善护患关系,促进患者康复等作用.在当今复杂的医疗环境下,务必要重视共情培养,适时运用临床共情.然而,我们强调临床共情的重要作用,并不能忽视护理技术的根本作用,根除躯体上的病变仍有赖于护理技术的有效性.在临床护理实践中,坚持共情与护理技术的有机结合,推进人性化的护理构建.     

Links Between Contexts and Middle to Late Childhood Social‐Emotional Development

Guided by the social‐emotional learning (SEL) framework, we studied developmental trajectory patterns of five key competency outcomes spanning middle through late childhood: altruism, empathy, self‐efficacy, aggression, and hyperactivity. We then assessed their links to middle childhood home, parental, and community contexts. Data from the Institute of Education Sciences’ Social and Character Development Program, which comprised nearly 2,400 elementary school students who were followed from Grades 3 through 5, were analyzed using growth mixture modeling. Three trajectory groups emerged for each outcome, which were linked to childhood contexts. Positive parenting was associated with a lower likelihood of following a negative empathy trajectory among children. Neighborhood intergenerational closure promoted a stable self‐efficacy trajectory. Residing in a high‐risk community was linked to increasing normative beliefs about aggression. These findings suggest an important role of contexts in influencing childhood social‐emotional development in the later elementary school years.     

Assembling human empathy towards care robots: The human labor of robot sociality

This paper conceptualizes human to robot empathy as empathetic arrangements configured in caring spaces. Analyzing empathy towards care robots as arrangements comprising robots, spaces, discourses, bodies and institutions enables recognition of the way empathy is about self-other relationships while eschewing an understanding of empathy in terms of a reciprocal relationship between human and robot. Situating the therapeutic, zoomorphic robot, Paro and the health care support robot, Care-O-Bot as part of empathetic arrangements draws attention to how the cultivation of empathy towards robots governs and regulates patient sociality. In particular, it shows that these robots do not function as substitutes for human carers but instead are dependent on human labor if they are to deliver therapy ethically and effectively. They rely on the affective labor of the patient and the labor of carers and others in the arrangement.     

Empathy,Emotion, and <Emphasis Type="Italic">Ekstasis</Emphasis> in the Patient–Physician Relationship

The place of clinical empathy in humanizing the medical encounter is discussed. Clinical empathy is viewed as having both cognitive and affective elements. It is argued that genuine empathy involves recognizing what the suffering of the patient feels like. This reaching out to the patient is connected with the Christian theological concept of ekstasis. Ekstasis has as its goal the establishment of communion. It is further argued that ekstasis and communion are the fundamental moments in clinical empathy.     

CYCLE OF BLAME OR JUST WORLD

The conviction rate for sexual assault is persistently low in the United States. We propose a cycle-of-blame framework to highlight the possibility that the same rape myths that limit convictions are in turn strengthened by not-guilty verdicts. Participants read a summary of a rape trial. In different conditions, they were told that the jury's verdict was guilty or not guilty. In a No-Verdict condition, participants merely read the summary. All 96 participants subsequently responded to questionnaires measuring rape-myth acceptance and victim empathy. Gender affected both the myth and empathy measures, with women accepting fewer myths than men and exhibiting more empathy for the victim. Gender and Condition interacted such that men showed greater acceptance of rape myths and less empathy after a not-guilty versus a guilty verdict. Women evidenced consistently high empathy across conditions and greater myth acceptance after a guilty verdict. Although the cycle-of-blame principle is consistent with the performance of men, women's data require a different interpretation, which we base on just-world theory.     

医生的超然与介入

超然是医生职业化的必然要求,介入是职业伦理的外在体现.适度的超然为医生职业的权威性提供了保证,过度的超然造成职业的冷漠.恰当的介入体现了医生的责任感和人文关怀,过度的介入造成医生心理的倦怠,从而造成情感冷漠.为了达到医患之间的和谐,了解超然和介入的一般性质,寻求超然与介入的平衡至关重要.阐述超然与介入的一般性质,同时为超然与介入的平衡提供一些建议.     

共情特质的神经生物学基础

共情特质的个体差异是心理学研究领域中的一个重要主题。近些年来, 研究者开始关注导致人们共情能力高低有别的神经生物学基础问题。研究发现, 不论是情感共情特质还是认知共情特质, 其个体差异均在大脑进行共情反应、脑结构态及静息态功能连接上有所体现。它们共同说明, 人们的共情能力与其具身模仿能力, 情感加工能力及情绪理解能力密切相关。不仅如此, 共情特质也具有高度的可遗传性, 一些基因类型与该能力存在着紧密的关系。在今后的研究中, 需要扩展对共情特质结构的进一步认识, 关注环境和基因在影响共情特质上存在的交互作用, 并努力将理论研究成果应用于共情能力训练和提高的临床实践中。     

Empathic development during adolescence: religiosity,the missing link?

While theories regarding the development of empathy hypothesise increased empathy scores during adolescence, data among adolescent samples tend not to find such a relationship. The present paper proposes religiosity as the missing link to account for this discrepancy between theory and findings, on the theory that decreasing religiosity during adolescence is likely to depress empathy scores at precisely the same time as increasing cognitive skills are likely to enhance empathy development. Data from 569 school children, aged 11–17 years, who completed both the Junior I₆ Empathy Scale and the Attitude towards Religion Scale ASC4B, demonstrate that, while there is no direct correlation in the sample between age and empathy, there is a significant positive correlation between age and empathy after controlling for differences in levels of religiosity.     

Effects of perspective taking on courtroom decisions

Four experiments examined the hypothesis that perspective taking with a defendant would lead to greater empathy, which would mediate lowered perceptions of culpability, with lowered culpability mediating a lower probability of guilt and recidivism. Experiments 1 and 2 established that perspective taking leads to a lower probability of guilty verdicts and recidivism, mediated by a decreased perception of the defendant's culpability. Experiment 2 showed that it does so by increasing empathy. Experiment 3 showed that perspective taking also heightens the perception of culpability through increased empathy for the victim. Experiment 4 showed that decreased culpability is in part driven by leniency, which is also a function of empathy. We tie our findings into other research investigating links between empathy and perspective taking.     

Meditative Dialogue: Cultivating Compassion and Empathy with Survivors of Complex Childhood Trauma

Complex childhood trauma often affects the capacities of survivors to experience empathy and compassion toward themselves and others. Recent mindfulness literature recognizes meditation as an evidence-based practice that is able to change the brain, increasing one's capacities for empathy and compassion. This article offers an exploration of selected literature on complex childhood trauma and on mindfulness practices related to the development of compassion and empathy. A case study illustrates the use of a meditative dialogue practice in psychotherapy with a survivor of complex childhood trauma that serves to increase her ability to have empathy and compassion for herself and others.     

Parenting and management skills: The mediator role of empathy

The present study aimed to test the effect of sex as well as the experience of parenting at the level of empathy and management skills and the mediating effect of empathy on the relationship between the experience of parenting and management skills. No differences were found between men and women concerning management skills. Women had higher empathy levels than men. Being a father or mother increased management skills and empathy levels. However, the experience of parenting interferes with management skills by increasing levels of empathy only in men. Career counselors need to considerer not only the processes inherent to each management task, but also the variables that intensify these competences, integrating emotional and relational dimensions.     

Edith Stein’s phenomenology of sensual and emotional empathy

This paper presents and explicates the theory of empathy found in Edith Stein’s early philosophy, notably in the book On the Problem of Empathy, published in 1917, but also by proceeding from complementary thoughts on bodily intentionality and intersubjectivity found in Philosophy of Psychology and the Humanities published in 1922. In these works Stein puts forward an innovative and detailed theory of empathy, which is developed in the framework of a philosophical anthropology involving questions of psychophysical causality, social ontology and moral philosophy. Empathy, according to Stein, is a feeling-based experience of another person’s feeling that develops throughout three successive steps on two interrelated levels. The key to understanding the empathy process á la Stein is to explicate how the steps of empathy are attuned in nature, since the affective qualities provide the energy and logic by way of which the empathy process is not only inaugurated but also proceeds through the three steps and carries meaning on two different levels corresponding to two different types of empathy: sensual and emotional empathy. Stein’s theory has great potential for better understanding and moving beyond some major disagreements found in the contemporary empathy debate regarding, for instance, the relation between perception and simulation, the distinction between what is called low-level and high-level empathy, and the issue of how and in what sense it may be possible to share feelings in the empathy process.     

Empathy as a hermeneutic practice

This essay will argue for the centrality of empathy in the doctor-patient relationship — as a core of ethically sound, responsible therapeutics. By “empathy,” I intend an explicitly hermeneutic practice, informed by a reflexive understanding of patient and self. After providing an overview of the history of the concept of empathy in clinical medicine, I discuss current definitions and the use of Balint groups in residency training as a way to develop empathic competence in novice physicians.     

Empathizing With Others’ Pain Versus Empathizing With Others’ Joy: Examining the Separability of Positive and Negative Empathy and Their Relation to Different Types of Social Behaviors and Social Emotions

Existing work linking empathy with social behavior has focused overwhelmingly on empathy for the negative emotions of others. But recent research suggests that feeling along with others’ negative emotions is a capacity distinct from feeling along with others’ positive emotions. In Study 1, we demonstrate the separability of positive and negative empathy by showing that although both relate to some of the same foundational empathic processes, each has a number of distinct correlates. In Study 2 we take an experimental approach and show that encouraging participants to empathize with the positive versus negative emotions of a suffering yet hopeful social group results in distinct patterns of vicarious emotion. Finally, Study 3 shows that although both positive empathy and negative empathy are associated to a similar degree with helping behavior directed toward others in need, positive—but not negative—empathy is related to “everyday” prosocial behaviors aimed specifically at increasing others’ positive emotions (e.g., random acts of kindness). Together, these results provide what to our knowledge is the first demonstration of the causal potency of positive and negative empathy as well as the first evidence that positive and negative empathy relate to different types of social behaviors.     

Empathy and emotion recognition in semantic dementia: A case report

Recent studies have demonstrated that patients suffering from frontotemporal lobar degeneration (FTLD) show impairments in empathy and emotional processing. In this study, we examined two different aspects of these abilities in a patient with semantic dementia (SD), a variant of FTLD. The first aspect was the assessment of the cognitive and emotional components of empathy through the Interpersonal Reactivity Index. The second was the naming and comprehension of emotions using the Ekman 60 Faces Test. The patient’s emotion word knowledge was spared and the emotional aspects of empathy preserved. Conversely, the patient performed below average for all of the basic emotions when an emotion word had to be matched with a picture. When picture-to-picture matching was tested, however, the patient was able to recognize happiness. This case is a good example of a dissociation of covert and overt emotional functioning in SD. Results are discussed in terms of the impaired empathic behavior and emotional functioning in FTLD.     

Empathy and universal values explicated by the empathy-altruism hypothesis

ABSTRACT

Research reports that empathy is on the decline in present-day society, together with an increasing trend in self-enhancing values. Based on the empathy-altruism hypothesis, we investigated whether these constructs are interlinked by analyzing the relationships between emotional and cognitive empathy and 10 universal values. In the first study, using a middle-aged U.S. sample, the results showed that empathy was strongly and positively related to altruistic values and negatively to self-enhancing values in a pattern that aligned with the empathy-altruism hypothesis. In a second confirmation study, these findings were replicated and extended, while also controlling for the Big Five personality traits, to discount that empathy is only captured by basic personality. Only emotional empathy, not cognitive empathy, accounted for up to 18% additional variance in altruistic values, which further confirmed the emphasis on feelings, as postulated by the empathy-altruism hypothesis.     

An adaptive perspective on revealed and concealed cues to empathy

Wu, Sheppard, and Mitchell (Br. J. Psychol., 2016; 107, 1‐22) found that observers could accurately identify people with extreme but not more average empathy scores. Here, we further consider this U‐shaped discrimination function. We first examine a statistical issue regarding the construction of the average groups, which are less homogenous by definition than the extreme groups. We then consider the kinds of questions arising when these results are considered within the adaptive framework of signal theory. Some interesting questions arise relating to the signal sender, including the costs and benefits to the sender in revealing and concealing true empathy levels, and the effects of adopting behavioural norms to conceal true levels of empathy.     

“Put Yourself in Their Shoes”: Testing Empathy's Ability to Motivate Cosmopolitan Behavior

Political theorists have long contemplated the concept of cosmopolitanism, yet almost no empirical studies have investigated how individuals can be encouraged to act as ethical cosmopolitans in practice. This article reports the findings of an experiment designed to investigate the effect of empathy on cosmopolitan‐helping behavior. The extent to which empathy may be useful in motivating cosmopolitan behavior has been the subject of substantial debate among political theorists. Empathy was manipulated using a perspective‐taking technique adapted from social psychological research, and the extent to which individuals were willing to engage in cosmopolitan helping was measured. Results showed that perspective taking increased cosmopolitan helping and that empathy mediated that effect. Furthermore, empathy was found to predict cosmopolitan helping even after controlling for several related constructs. Overall, results indicate that increasing empathy by encouraging people to take the perspective of distant individuals is a promising way to foster cosmopolitan helping.