An Investigation of Genetic Counselors' Discussions of Genetic Discrimination with Cancer Risk Patients

Twenty-five genetic counselors who see familial cancer risk patients were interviewed about their definitions of genetic discrimination, perceptions of patient risk for discrimination, frequency and type of discrimination experienced by their patients, sources of information about discrimination, and what they tell patients about genetic discrimination. There was variability in participant definitions and content of discussions of genetic discrimination. Although 82% regarded risk to be low to theoretical, 40% reported possible instances of genetic discrimination, including insurance companies requiring results to cover procedures, denial of life/health insurance, social discrimination, and employment discrimination. Ninety-six percent of the sample reported always or almost always discussing genetic discrimination, and one or more of the following: insurance discrimination risks, protective legislation, no known cases positively documenting discrimination, strategies to avoid discrimination, and uncertainty of protective measures. The majority use current literature and research as information sources. Practice, policy, and research implications are discussed.     

Psychoanalysis and Eastern spiritual healing traditions

An exploration of the theory and practice of healing in the Eastern spiritual traditions reveals the centrality of the idealizing transference in the patient-seeker's interaction with the spiritual teacher or the guru although the aim and development of the idealizing transference in the spiritual traditions are quite different from those of self psychology. In its emphasis on the guru's empathy and in claiming that its meditative practices radically reduce the noise and glare produced by the sensual self which is the chief obstacle to the teacher-healer's empathic understanding of the patient, the Eastern healing discourse goes considerably beyond most traditional psychoanalytic formulations on the nature and communication of empathy in the analytic situation. The Eastern traditions' claim of a significant enhancement of the teacher-healer's empathic capacity through meditative practices, and its communication to the patient/seeker through other channels besides the verbal one, can make an important contribution to the discussion on the role of empathy in psychoanalytic discourse and, if the claim proves true, to a place for meditative practices in psychoanalytic education.     

When is narcissism associated with low empathy? A meta-analytic review

Narcissism is commonly associated with low empathy, but empirical studies have used diverse methods, yielding mixed findings. The present meta-analysis examined the overall magnitude of the association between grandiose and vulnerable narcissism and affective and cognitive empathy (N = 32200). Grandiose narcissism was significantly negatively associated with self-reported cognitive (r = −0.085) and affective (r = −0.145) empathy. When empathy was measured behaviourally, grandiose narcissism was significantly associated only with affective empathy (r = −0.251) but not cognitive empathy (r = −0.052). Vulnerable narcissism was significantly negatively associated with self-reported cognitive and affective empathy (r = −0.179 and r = −0.105 respectively). The association between vulnerable narcissism and cognitive empathy measured behaviourally was not significant (r = −0.069). The association between narcissism and empathy is nuanced and depends on various conceptual and methodological factors.