Empathy deficits and sexual offending: A model of obstacles to empathy

Theoretical models of the role of empathy in sexual offending agree on five components relevant to the experience of empathy: a respectful and compassionate orientation to others, perspective taking, affective responding, the ability to manage personal distress, and situational factors. We identify overlap between these components of the empathic process and established risk factors for sexual offending and create a model detailing potential blocks to the empathic process during sexual offending. The model has external consistency and useful implications for interventions with sex offenders. Viewed in the light of this model, we argue that current sex offender treatment programs spend a disproportionate amount of time examining empathy for past victims. We recommend, instead, that treatment aims to enhance offenders' abilities in relation to the components of the empathic process more generally, using creative and engaging techniques akin to those used to develop “victim empathy”.     

Intimacy, loneliness and sexual offenders

As part of a general theory of sexual offending, it is suggested that the failure to achieve intimacy in relations with adults produces emotional loneliness, which leads to an aggressive disposition, and a tendency to pursue sex with diverse partners in the hope of finding intimacy through sexuality or through less threatening partners. The development of intimacy and its benefits are described, as are the consequences that befall those who fail to achieve it. The history of sexual offenders illustrates why they fail to develop the attitudes and skills necessary to attain intimacy, and why this failure leads to sexual abuse. Finally, suggestions are made for the modification of programs for the assessment and treatment of sexual offenders, in order to include problems of intimacy and loneliness.     

Empathy,social skills,and other relevant cognitive processes in rapists and child molesters

Considerable theoretical and research efforts have gone into formulations which suggest that sex offenders differ from nonoffenders in their processing of sexual material. This article reviews the literature concerning patterns of empathy, social skills, and other cognitive processes (i.e., theories, attitudes, and distorted cognitions) of incarcerated sex offenders or those who have identified themselves as sex offenders. We choose these three general topic areas because many see these phenomena as central to the understanding of sex offending. First, we present general empirical findings relevant to the phenomena of empathy, social skills, and distorted cognitions. We then move to a discussion of specific cognitive models that have been offered to account for the data. We briefly discuss the available data relevant to these cognitive models. The next section of the article reviews the treatments that have been applied to sex offenders with the stated goal of modifying the processes we are examining. Our final section attempts to summarize and highlight some of the identified problems and weaknesses in the study of the aforementioned processes in sex offending. We argue that too little attention has been paid to basic cognitive psychology and the role that cognitions or conceptualizations can play in promoting our understanding of the sex offender. We suggest that following the information processing approach as a generalized model will help integrate and direct research efforts.     

Investigating the role of alexithymia on the empathic deficits found in schizotypy and autism spectrum traits

Alexithymia, the inability to identify and describe one’s emotional experience, is elevated in many clinical populations, and related to poor interpersonal functioning. Alexithymia is also associated with empathic deficits in individuals with autism spectrum disorders. Accordingly, a better understanding of alexithymia could elucidate the nature of social-cognitive deficits transdiagnostically. We investigated alexithymia and components of empathy in relation to schizotypal and autism spectrum traits in healthy college students. Specifically, we examined higher-order components of empathic processing that involve perspective taking and other-oriented concern, which are reduced in alexithymia.Higher-order empathic processing was inversely correlated with both schizotypal and autism spectrum traits. Bootstrapping techniques revealed that alexithymia had a significant indirect effect on the relationship between higher-order empathy and these personality traits; thus, alexithymia contributes uniquely to their relationship. These findings suggest alexithymia represents one possible mechanism for the development of empathic deficits in these populations.These results are consistent with the perspective that awareness of one’s own emotional state may predicate a successful empathic response to another’s. This work highlights the importance of a consideration of alexithymia in elucidating the nature of empathic deficits in various clinical populations, and points to a potential point of social intervention.     

Dissociation between cognitive and affective empathy in youth with Asperger Syndrome

Autism spectrum conditions, among them Asperger Syndrome (AS), are generally described as entailing deficits in “cognitive empathy” or “theory of mind”. People with AS tend to have difficulties recognizing emotions, although the extent of these difficulties is still unclear. This study aimed to assess empathic profile in youth with AS (N = 38) and controls matched on age, sex and IQ. The study aimed to test if a dissociation between cognitive and affective empathy exists in AS. The study also aimed to explore emotion recognition in people with AS, and how it relates to emotional valence (positive, negative, and neutral emotions). The AS group scored lower than controls on cognitive empathy but scored within the average range on affective empathy. A deficit in emotion recognition was found in the AS group for positive emotions. These results confirm earlier findings in cognitive empathy and provide new insight about emotion recognition abilities in this population.     

Altered Cortico-Limbic Functional Connectivity During an Empathy Task in Subjects with Post-Traumatic Stress Disorder

Empathy is a multidimensional construct consisting of cognitive (inferring mental states) and emotional (empathic concern) components. Emotional empathy is severely impaired in individuals affected by Post-Traumatic Stress Disorder (PTSD). Here, we investigated the neural correlates of such an emotional empathy dysfunction to shed light on the neural circuitry responsible for the social and emotional dysfunction in PTSD. We asked a group of PTSD and a group of healthy controls to solve a Multifaceted Empathy Test, measuring both cognitive and emotional empathy, and investigated the functional connectivity of the cortical areas involved in solving the test. The results revealed that, in healthy individuals, increased neural activity in the frontal cortex modulates activity in the insula while subjects perform the emotional empathy task; whereas, in individuals affected by PTSD, increased activity in limbic regions such the insula and the amygdala modulates activity in the frontal cortex while performing the emotional empathy task. These findings suggest that the lack of cortical top-down control of the frontal cortex on the limbic system in PTSD during empathic processing may explain the emotional and social difficulties experienced by individuals suffering from PTSD.     

Stories as Gift: Patient Narratives and the Development of Empathy

Critical thought and assessment of medical, emotional, and social problems faced by patients is central to genetic counselor training and development. However, primary emphasis on these critical problem-solving approaches can interfere with the development of empathic listening skills. Using a narrative medicine approach, I describe how learning to reframe one patient’s story of healing as a gift allowed me to become a more open and empathic listener. Ultimately, the empathy and understanding that I learned from this patient’s narrative added to what previous patients had taught me and helped me assist other patients (and myself) in identifying and nurturing healing narratives for people coping with illness and grief. The approach presented here emphasizes the importance of recognizing patients as valuable teachers in the development of higher-level empathy skills.     

Callous-unemotional traits and empathy deficits: Mediating effects of affective perspective-taking and facial emotion recognition

Although empathy deficits are thought to be associated with callous-unemotional (CU) traits, findings remain equivocal and little is known about what specific abilities may underlie these purported deficits. Affective perspective-taking (APT) and facial emotion recognition may be implicated, given their independent associations with both empathy and CU traits. The current study examined how CU traits relate to cognitive and affective empathy and whether APT and facial emotion recognition mediate these relations. Participants were 103 adolescents (70 males) aged 16–18 attending a residential programme. CU traits were negatively associated with cognitive and affective empathy to a similar degree. The association between CU traits and affective empathy was partially mediated by APT. Results suggest that assessing mechanisms that may underlie empathic deficits, such as perspective-taking, may be important for youth with CU traits and may inform targets of intervention.     

Social emotions and social cognition in the development of social anxiety disorder

ABSTRACT

Social anxiety disorder (SAD) is one of the most prevalent mental disorders with serious individual impairments and societal costs. Little is known about the mechanisms involved in SAD development. Here, I propose that dysregulated social emotions (social fear and shyness) are crucial for SAD development and that these dysregulated social emotions originate in the disturbances in socio-cognitive abilities. The research from our lab confirmed this. It showed that behavioural and physiological indices of social fear contribute to the development of SAD in toddlerhood and early childhood. Later in childhood, between ages 4.5 and 7.5, we found a new risk factor for SAD―dysregulated shyness. Specifically, we found that negative shy expressions and prolonged physiological blushing (temperature increase) contribute to SAD development. Whereas elevated fear may be rooted in deficits in socio-cognitive skills, dysregulated shyness may be rooted in advanced socio-cognitive abilities. These findings imply that dysregulated social emotions play an important role in SAD and should be explicitly targeted in clinical treatments of SAD.     

Comparison of Cognitive Empathy,Emotional Empathy,and Social Functioning in Different Age Groups

Empathic responses and optimum social functioning are associated with psychological and physical health benefits. The aim of this study was to compare emotional empathy, cognitive empathy, and social functioning among different age groups, including adolescence, young adulthood, middle adulthood, and late adulthood. One hundred and ninety‐six people (92 males, 104 females) with the age range of 14 to 85 assigned to four age groups (adolescents, young adults, middle adults, and older adults) participated in this study. Participants were asked to complete the Empathy Quotient, the Revised Eyes Test, and Social Functioning Scale. The results showed that there were significant differences between older adults and other groups. Emotional empathy increased in older people, but there were deficits in some aspects of cognitive empathy. Also, the findings showed an age‐related decline in social functioning. Due to deficits in cognitive empathy affected by ageing, older adults showed some impairment in their ability to interpret emotional cues. This age‐related decline in cognitive empathy might be a reason for weak social functioning in older adults. Therefore, considering these elements would be helpful to provide healthcare strategies for elderly people.     

Cognitive and emotional control and perspective taking and their relations to empathy in 5-year-old children

The experience of empathy has been described as involving both emotional and cognitive components. The primary hypothesis tested in this study is that cognition and emotion are integrated within 2 distinct types of abilities-control and perspective taking-and that interactions between emotional and cognitive control and between affective and cognitive perspective taking would be related to children's empathic responding. We also hypothesized that boys' control and perspective-taking skills would be more strongly related to empathy than would those of girls. Fifty-seven 5-year-olds completed tasks measuring cognitive control, cognitive and affective perspective taking, and empathy, and their mothers completed a measure of children's emotional control. Results indicated that cognitive perspective taking moderated the relation between affective perspective taking and empathy. In addition, the relation between cognitive inhibitory control and empathy was moderated by gender; boys' control was positively related to empathy, but girls' control was marginally negatively related to empathy.     

神经科学视角下的共情研究热点

共情是指个体对他人情绪和想法的感受及理解。近年来关于共情神经机制的研究日益增多,但多集中在情感共情、认知共情、生理性疼痛共情等方面,而对社会痛共情、积极共情和不对称共情反应的研究相对较少。且由于研究范式及个体差异等原因,研究结果之间也充满着争议。未来研究可以设计更具生态效度的共情研究范式、进一步深化和细化共情的神经机制研究、从神经机制角度探讨不同共情能力个体的特点及共情反应的调节因素。     

Nodes of the default mode network implicated in the quality of empathic responses: A clinical perspective of the empathic response

The ability to empathize with another person's inner experience is believed to be a central element of our social interactions. Previous research has focused on cognitive (e.g., theory of mind) and emotional (e.g., emotional contagion) empathy, and less on behavioral factors (i.e., the ability to respond empathically). Recent studies suggest that the Default Mode Network (DMN) mediates individual variability in distinct empathy-related behaviors. However, little is known about DMN activity during actual empathic responses, understood in this study as the ability to communicate our understanding of the others’ experience back to them. This study used an empathy response paradigm with 28 participants (22-37 years old) to analyze the relationship between the quality of empathic responses to 14 empathy-eliciting vignettes and patterns of attenuation in the DMN. Overall, the results suggest that high levels of empathic response, are associated with sustained activation of the DMN when compared with lower levels of empathy. Our results demonstrate that the DMN becomes increasingly involved in empathy-related behavior, as our level of commitment to the other's experience increases. This study represents a first attempt to understand the relation between the capacity for responding in a supportive way to others’ needs and the intra-individual variability of the pattern of the DMN attenuation. Here we underline the critical role that the DMN plays in high-level social cognitive processes and corroborate the DMN role in different psychiatric disorders associated with a lack of empathy.     

Partnerschaften von Sexualstraftätern

Intimate relationships of convicted and released sexual offenders have hardly been the topic of systematic research. This article presents a systematic review of this topic. Only nine articles were found in a systematic literature search which investigated this topic with qualitative and quantitative methods. These studies were dominated by the determination of multiple deficits in the sexual offenders, such as intimacy and empathy problems, high frequencies of conflicts and aggression in the relationships as well as social isolation of the female partners. The female partners of sexual offenders also showed a high tendency to denial and minimization similar to the offenders and blamed the victims for the offence. The women seemed to like their status as a “martyred wife” and gave their husbands a “second chance in life”. However, the currently available studies have barely investigated the “sexual offender couple” and the dynamics of their relationship to elucidate stabilizing factors. In a pilot study on the topic of “partnerships of sexual offenders” 17 “sex offender couples” were questioned by interviews and questionnaires to collate the dynamics of the partnership, which was published in the Journal of Sex and Marital Therapy. In the quantitative results it was found that the female partners of sex offenders predominantly demonstrated an insecure preoccupied attachment style and this influence on the relationship stability is discussed. Further studies are needed in this field of research to gain detailed data of “sex offender couples” for relapse prevention and therapeutic implications.     

What we do and don't know about sex offenders' intimacy dispositions

Despite the significant role attributed to intimacy deficits in the etiology of sexual offending, current understanding of sex offenders' intimacy dispositions remains limited. The present article reviews the theoretical and empirical literature in order to better define the intimacy dispositions of sex offenders, and understand the role of intimacy in sexual offending. Research on sex offenders evidences a marked fear of intimacy and a low involvement in practices that can lead to intimacy, which suggests a poor inclination for the experience of intimacy. Moreover, scarce available data show that aspects of intimacy increase sex offenders' susceptibility to adopt sexually abusive behaviors. Although research has suggested that intimacy deficits contribute to sexual offending behaviors, no common operationalizable definition of intimacy has yet been put forth. Consequently, our understanding of the components of intimacy and their specific etiological role in interpersonal functioning and in sexual offending lacks theorization and evidence-based research. The present article proposes to answer the following question: what are the intimacy deficits in sex offenders identified in the scientific literature, and what is the role of these deficits in sexually offending behaviors?     

How do you think she feels? Vulnerability in empathy and the role of attention in school‐aged children born extremely preterm

The aim of this study was to examine empathic competence in children born extremely preterm (EP, <28 weeks) given vulnerabilities in social relationships. Empathy in typically developing children is mediated by executive functions. Executive functioning is also impaired in preterm children. Of particular interest in this study are the attentional components of executive functioning as mediators of empathic development. Thirty‐two 7‐year‐old EP children and 40 age‐matched term children participated in the Project K.I.D.S program and completed the Kids Empathy Development Scale (KEDS), Wechsler Intelligence Scale for Children (WISC‐IV), and Test of Everyday Attention for Children (TEA‐Ch). Children born extremely preterm exhibited poorer performance on all measures. The mediating role of attention in empathy competence was not supported by mediation modelling when FSIQ was controlled. As predicted, the EP group showed weaker empathic development relative to typically developing children. They also showed poorer attentional abilities. However, the effect of preterm birth on empathy was not mediated by executive‐level attention. The cognitive mechanisms underpinning poor empathy competence in EP children remain unclear. Future research needs to examine the role of inhibition, social–emotional recognition, and regulation.     

The effects of dispositional empathy on emotional reactions and helping: A multidimensional approach

Recent research indicates that an affective state termed empathic emotion, and characterized by feelings of sympathy and compassion for another, is associated with altruistic responding. That is, persons experiencing high levels of empathic emotion offer help to another even when escape from the situation is easy. Persons experiencing high levels of another emotional state—personal distress—help much less when escape from the situation is easy. A study was conducted to test two related hypotheses. The first was that individual differences in empathy can influence empathic emotion and personal distress, above and beyond the influence of situational factors. The second hypothesis was that this effect of individual differences is due to variation in emotional and not cognitive empathy. The results provide support for both hypotheses. Regarding hypothesis 1, a significantly greater proportion of the variance in emotional reactions was accounted for when individual difference factors were included as predictors. Hypothesis 2 was also supported: It was found that a dispositional measure of emotional empathy was clearly related, and a dispositional measure of cognitive empathy was clearly unrelated, to these emotional reactions. The results provide support for a multidimensional view of empathy.     

The hierarchical structure of empathy: dimensional organization and relations to social functioning

The purpose of the present study was to examine the structure of empathy using a hierarchical approach, and to compare the dimensions of empathy with measures of social functioning, in order to contribute to the understanding of the nature of empathy. The dimensionality of the Interpersonal Reactivity Index, which comprises four subscales (empathic concern, perspective taking, fantasy and personal distress) was examined using confirmatory factor analysis. Relations with the Social Skills Inventory were also investigated. A sample of 127 applicants for places on nursing and social work undergraduate programs participated in the study. The study findings indicate that empathy is hierarchically organized, with one general dimension at the apex. The general factor is identical to empathic concern and this dimension overlaps to a great extent with perspective taking and fantasy. The findings also indicate that the general dimension constitutes an integrated entirety, with its main emphasis on emotional reactivity by also involving cognitive processes.     

Embarrassment and empathy before helping: How internal working models come into play

Prior research has described embarrassment and empathy as predictors of social helping and as self-conscious emotions involving reasoning about the self and others. It remains unclear how cognitive representations of the self and others relate to the two emotions as precursors of social helping. We examined 136 participants’ self-report measures of internal working models as well as dispositional embarrassability, empathic concern, personal distress, and perspective taking. Controlling all the other variables, embarrassability was primarily associated with the model of self and personal distress, whereas empathic concern was primarily associated with the model of others and perspective taking. Moreover, the association between personal distress and embarrassability was moderated by the interaction between models of others and perspective taking. The general proneness to distress arousal was also predicted by the interaction between models of self and others. The findings extended prior research linking internal working models and socio-cognitive emotions associated with helping.     

Empathy, an integrative model

Empathy research has yielded various separate insights into empathy and its correlates. Yet a comprehensive theoretical account that situates these factors within a larger framework is lacking. In this paper a conception of empathy is proposed and defended, which makes it possible to provide an encompassing reconstruction of the processes that are characteristic of empathic encounters. This conception situates empathy within a context of communication. Doing so allows one to connect various treads in empathy research, but at the same time urges one to take new factors into account. It is argued that empathy is a response to a specific demand occurring in a specific context. The type of answer persons are able to provide depends on four types of factors. First, there are the psychological empathic components. We argue that empathy should be seen as a combination of (especially) parallel and reactive emotions, against a background of specific cognitive abilities. Second, it is argued that empathy is aided by a twofold control system, comprised of judgements and forms of self-control. Third, personality factors play a part in how a person responds to demands. Finally, but most importantly, it is pointed out that specific relational factors codetermine empathic reactions. In this paper we describe the theoretical background of our model and provide an elaborated account of the four factors that determine empathic acts in a given context. We illustrate the viability of our model by presenting observational data of children's empathic acts.