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      The Science of Empathy

      research-article
      , MD 1 ,
      , PhD
      Journal of patient experience
      SAGE Publications
      empathy, Neuroscience, cognitive empathy, perspective taking, empathic concern

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          Abstract

          Empathy plays a critical interpersonal and societal role, enabling sharing of experiences, needs, and desires between individuals and providing an emotional bridge that promotes pro-social behavior. This capacity requires an exquisite interplay of neural networks and enables us to perceive the emotions of others, resonate with them emotionally and cognitively, to take in the perspective of others, and to distinguish between our own and others’ emotions. Studies show empathy declines during medical training. Without targeted interventions, uncompassionate care and treatment devoid of empathy, results in patients who are dissatisfied. They are then much less likely to follow through with treatment recommendations, resulting in poorer health outcomes and damaged trust in health providers. Cognitive empathy must play a role when a lack of emotional empathy exists because of racial, ethnic, religious, or physical differences. Healthcare settings are no exception to conscious and unconscious biases, and there is no place for discrimination or unequal care afforded to patients who differ from the majority culture or the majority culture of healthcare providers. Much work lies ahead to make healthcare equitable for givers and receivers of healthcare from all cultures. Self- and other-empathy leads to replenishment and renewal of a vital human capacity. If we are to move in the direction of a more empathic society and a more compassionate world, it is clear that working to enhance our native capacities to empathize is critical to strengthening individual, community, national, and international bonds.

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          Most cited references11

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          The functional architecture of human empathy.

          Empathy accounts for the naturally occurring subjective experience of similarity between the feelings expressed by self and others without loosing sight of whose feelings belong to whom. Empathy involves not only the affective experience of the other person's actual or inferred emotional state but also some minimal recognition and understanding of another's emotional state. In light of multiple levels of analysis ranging from developmental psychology, social psychology, cognitive neuroscience, and clinical neuropsychology, this article proposes a model of empathy that involves parallel and distributed processing in a number of dissociable computational mechanisms. Shared neural representations, self-awareness, mental flexibility, and emotion regulation constitute the basic macrocomponents of empathy, which are underpinned by specific neural systems. This functional model may be used to make specific predictions about the various empathy deficits that can be encountered in different forms of social and neurological disorders.
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            An additional antecedent of empathic concern: valuing the welfare of the person in need.

            Two experiments examined the role of valuing the welfare of a person in need as an antecedent of empathic concern. Specifically, these experiments explored the relation of such valuing to a well-known antecedent--perspective taking. In Experiment 1, both perspective taking and valuing were manipulated, and each independently increased empathic concern, which, in turn, increased helping behavior. In Experiment 2, only valuing was manipulated. Manipulated valuing increased measured perspective taking and, in part as a result, increased empathic concern, which, in turn, increased helping. Valuing appears to be an important, largely overlooked, situational antecedent of feeling empathy for a person in need. Copyright 2007 APA, all rights reserved.
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              The sight of others' pain modulates motor processing in human cingulate cortex.

              Neuroimaging evidence has shown that a network including cingulate cortex and bilateral insula responds to both felt and seen pain. Of these, dorsal anterior cingulate and midcingulate areas are involved in preparing context-appropriate motor responses to painful situations, but it is unclear whether the same holds for observed pain. Participants in this functional magnetic resonance imaging study viewed short animations depicting a noxious implement (e.g., a sharp knife) or an innocuous implement (e.g., a butter knife) striking a person's hand. Participants were required to execute or suppress button-press responses depending on whether the implements hit or missed the hand. The combination of the implement's noxiousness and whether it contacted the hand strongly affected reaction times, with the fastest responses to noxious-hit trials. Blood oxygen level-dependent signal changes mirrored this behavioral interaction with increased activation during noxious-hit trials only in midcingulate, dorsal anterior, and dorsal posterior cingulate regions. Crucially, the activation in these cingulate regions also depended on whether the subject made an overt motor response to the event, linking their role in pain observation to their role in motor processing. This study also suggests a functional topography in medial premotor regions implicated in "pain empathy," with adjacent activations relating to pain-selective and motor-selective components, and their interaction.
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                Author and article information

                Journal
                J Patient Exp
                JPX
                spjpx
                Journal of patient experience
                SAGE Publications (Sage CA: Los Angeles, CA )
                2374-3735
                2374-3743
                9 May 2017
                June 2017
                : 4
                : 2 , Special Issue: The Many Faces of Empathy
                : 74-77
                Affiliations
                [1 ]Empathy and Relational Science Program, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
                Author notes
                [*]Helen Riess, MD, Empathy and Relational Science Program, Harvard Medical School, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA. Email: hriess@ 123456mgh.harvard.edu
                Article
                10.1177_2374373517699267
                10.1177/2374373517699267
                5513638
                28725865
                d7bf13a5-408d-4ccd-a349-33cdc4064fd1
                © The Author(s) 2017

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License ( http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

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                empathy,neuroscience,cognitive empathy,perspective taking,empathic concern

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