Empathy in Counselling and Psychotherapy: Present status and future directions

This paper considers the current status of the construct of empathy and the methodological difficulties experienced in researching empathy arising from the assumptions inherent in the ‘drug metaphor’. This paradigm assumes therapy to comprise active ingredients delivered by the therapist. Four areas of current concern are reviewed along a range from theory to appropriate research methodologies, and it is argued that the current demise of productive research is a function of both conceptual confusion and inappropriate research paradigms and methodological procedures. Accordingly, it is argued that empathy research requires conceptual clarity and comprehensiveness. A more collaborative research enterprise adopting the events paradigm in which a multidimensional approach to empathy is pursued in the context of additional components is recommended. The future of empathy in counselling and psychotherapy is reviewed according to the relation between theory and research in the area of the therapeutic bond, and between research and practice adopting the scientist-practitioner model.