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Results for “empathic behavior”

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PubMed2003

Do aggressive/destructive toddlers lack concern for others? Behavioral and physiological indicators of empathic responding in 2-year-old children.

Ninety-nine 2-year-olds, out of a larger sample of 474 children, were classified as high (n = 49) or low (n = 50) in externalizing (aggressive/destructive) behaviors based on maternal reports assessed twice across a 2-month period. During a laboratory assessment, these toddlers participated in two empathy-eliciting tasks, from which affective, behavioral, and physiological measures were derived. Relations among measures of empathy were examined both within and across episodes and aggression groups. Analyses indicated that different indices of empathy were related to each other, both within and across empathy situations. In addition, aggressive children displayed more behaviors indicative of empathy than did nonaggressive children. Finally, a pattern of physiological responding to another's distress was evident across both groups of children, and some results indicated that greater physiological regulation was related to less empathy-related behavior. Results are discussed in terms of the developing nature of empathy and its changing association with both self-regulation and aggression.

Aggression↗

PubMedDate not supplied

Why wrestle when you can dance? Optimizing outcomes with motivational interviewing.

Motivational interviewing is a method of communication that can be effectively applied within the pharmacy setting to prompt patients toward desired behaviors. Skillful empathic listening and nonjudgmental reflections form the basis for pharmacists to encourage patients to talk about change, rather than exhibit resistance. By building rapport, pharmacists can motivate patients to resolve ambivalence about their health care behaviors and take positive action.

Communication↗

PubMed1981

Empathy: its nature and limitations.

Empathy is usually regarded as an irreducible inborn capacity, operative from birth, for knowing the inner experience of another person without necessarily perceiving cues from that person about his thoughts or feelings. Merging of the type characteristic of early infant-mother symbiosis has often been considered the origin and basic component of empathy. However, merging is an illusory experience which cannot function as an active mechanism in the perceptual process, and the psychological structures needed for certain kinds of empathy do not commence development until eighteen months of age. The mechanism of empathy has also been ascribed to vaguely defined variants of identification. This is not a settled issue, but the idea is not compatible with a recent rigorous effort to define identification. The author offers a different theory of empathy, according to which empathy is a capacity that evolves with neuropsychological maturation and interpersonal interactions in the course of individual development. Empathy depends on sensory perception of behavioral cues from the object about his inner state. The empathizer compares these behavioral cues with one or more kinds of referent in this own mind which could be expressed by similar behavior. He then infers that the inner experience of the object qualitatively matches that associated with his referent. Limitations in the accuracy and scope of empathy are threefold: patients may limit or distort the expression of behavioral cues about their state of mind; referents available in the mind of the empathizer may be inadequate; and the inferential process is inherently uncertain. As a result, knowledge of another person's thoughts and feelings which can be acquired through empathy is limited. The theoretical understanding of empathy offered in this paper implies ways for improving empathic accuracy, especially by means of applying two or more kinds of referents to the same set of perceived cues.

Cues↗

PubMed1996

Parents' use of inductive discipline: relations to children's empathy and prosocial behavior.

Relations between parents' discipline, children's empathic responses, and children's prosocial behavior were examined in order to evaluate Martin Hoffman's claim that children's empathy and empathy-based guilt mediate the socialization of children's prosocial behavior. 78 sixth and seventh graders (138-172 months in age), their mothers, and teachers completed multiple measures of Hoffman's constructs. Results were largely consistent with theory. Parents' use of inductive as opposed to power-assertive discipline was related to children's prosocial behavior. Children of inductive parents were more empathic; and more empathic children were more prosocial. Moreover, children's empathy was found to mediate the relation between parents' discipline and children's prosocial behavior. Few relations were obtained for children's guilt indices, but post hoc analyses yielded theoretically consistent results. Contrary to expectations, parents' use of statements of disappointment was the component of the inductive discipline score which was most strongly related to children's prosocial behavior.

Child↗

PubMed1998

Peak and nadir experiences and their consequences described by pediatric oncology nurses.

Pediatric oncology nurses experience role-related stressors, some of which are inherent to the speciality, and their consequences. Despite these difficulties, nurses continue in the specialty. One variable that helps to explain their continued commitment is "meaning", or what pediatric oncology nurses find to be most significant and satisfying in their roles. One technique for determining meaning in a role is to inquire about the peak (significant and positive) and nadir (significant and negative) role-related experiences and the consequences of both kinds of experiences. The purpose of this study was to identify the peak and nadir experiences of pediatric oncology nurses and the short- and long-term consequences of those experiences. Using an interview format that consisted of four open-ended questions and a convenience sampling plan, five nurses interviewed 26 nurses from one pediatric cancer center and 38 nurses from a national sample. The interviewers completed an initial training session on interviewing and repeated that training two more times during data collection. Written or taped oral consent was obtained at the time of each interview. Using a content analytical technique (Krippendorff, 1980), four nurses independently coded each interview. Agreement ratings ranged from 75% to 100% per coded theme for an overall agreement level of 92%. Training for the coding process occurred initially and periodically throughout the analysis period. Fifteen different themes for peak experiences were identified, the majority of which reflect the nurses' experience with patients dying, or with patients recovering and living normal lives, or with the close relationships that develop between nurses and patients. Multiple short- and long-term consequences were identified and included changes in (1) values (becoming less judgmental), (2) behaviors (giving more empathic care), and (3) perspective (accepting limitations of care). Twenty-three different nadir themes were identified. A shared characteristic of several of these themes is the nurses' regret over a perceived inadequacy in handling a situation. Another common element is witnessing patient suffering and feeling unable to adequately relieve the suffering or provide comfort to the patient. The short-term consequences of nadir experiences tend to be negative and include guilt, anger, or dread. The long-term consequences tend to be positive and similar to the long-term consequences of peak experiences. Study findings indicate that pediatric oncology nurses do find meaning in their roles and that those who continue in the speciality are able to experience positive long-term consequences. Study findings will be used to develop a new scale to measure role-related meaning and to develop interventions designed to assist nurses in finding meaning in their roles even during particularly stressful periods.

Adult↗

PubMed1994

Considerations in misdiagnosis of narcissistic personality disorder.

The present paper identified some diagnostic considerations which might be responsible for misdiagnoses of narcissistic personality disorder. Although conventional diagnostic criteria, e.g., DSM-III-R, for narcissistic personality disorder have suggested a rather homogeneous set of features including, e.g., inflated grandiosity, excessive omnipotence, overt arrogance, diminished empathic capacities, onanistic behavior, pathological self-centeredness, and propensities toward self-indulgence, many narcissistic conditions are misdiagnosed because the symptoms are less obvious if not altogether camouflaged. Diagnostic miscalculations can often mislead clinicians from focusing on verifiable and essential aspects of the disorder and lead to unnecessary therapeutic detours and eventual failures. Improved recognition of the heterogeneity of such patients might improve diagnostic consistency and eventual therapeutic outcome.

Diagnostic Errors↗

PubMed2006

Depression proneness and reactions to a depressive stimulus.

In the context of a project examining depression vulnerability and cigarette smoking, the authors tested whether depression-vulnerable people differed from less vulnerable people in their reactions to a depressive stimulus. Regular smokers with a history of depression but not currently depressed (n = 63) and never-depressed smokers (n = 64) listened to audiotapes of confederates reading depressive and nondepressive scripts and reported their reactions. Neither a history of depression nor self-reported depression proneness predicted reactions to depression. However, depression proneness was positively correlated with beliefs about depression contagion. Likewise, stronger depression-related contagion beliefs and lower levels of empathic responding predicted behavioral rejection of the depressive stimulus.

Adult↗

PubMed2002

Empathic communication and gender in the physician-patient encounter.

Although empathy in the physician-patient relationship is often advocated, a theoretically based and empirically derived measure of a physician's empathic communication to a patient has been missing. This paper describes the development and initial validation of such a measure, the Empathic Communication Coding System (ECCS), which includes a method for identifying patient-created empathic opportunities. To determine the extent to which empathic communication varies with physician and patient gender, we used the ECCS to code 100 videotaped office visits between patients and general internists. While male and female patients created a comparable number of empathic opportunities, those created by females tended to exhibit more emotional intensity than those created by males. However, female patients were no more likely than male patients to name an emotion in their empathic opportunities. Physician communication behavior was consistent with the literature on gender differences: female physicians tended to communicate higher degrees of empathy in response to the empathic opportunities created by patients. The ECCS appears to be a viable and sensitive tool for better understanding empathy in medical encounters, and for detecting modest gender differences in patients' creation of empathic opportunities and in physicians' empathic communication.

Adult↗

PubMed1995

Psychological considerations in colonoscopy.

In summary, psychological issues around the colonoscopy procedure have not yet been fully studied or even formulated. The framework taken here is to consider psychological preconditions to disease, psychological barriers to screening, and ways to maximize the psychological strength of patients when presenting serious diagnoses. Two common themes are present in this review. First, the idea of hopelessness and loss of personal control is present throughout the research in terms of personality predispositions, decisions to seek care, and outcome of disease when present. Physicians need to address the question, what can I do to maximize the hopefulness of this person before, during, and after screening? Are we encouraging an optimistic perspective in the lives of others? The second theme is closely related and that is the critical nature of the patient/physician relationship in all stages of health/illness behavior. It is often the positive, empathic strength of this relationship that affects patient behavior and ultimately the patient's medical outcome. Future research as well as physician self-examination and increased knowledge in this area are truly important. It is in this way that the procedure of colonoscopy truly becomes part of the total patient care.

Colonoscopy↗

PubMed2004

'Theory of mind' in violent and nonviolent patients with paranoid schizophrenia.

The role of mentalizing abilities (or theory of mind) and empathic abilities in violent behavior were studied in 24 hospitalized males with paranoid schizophrenia (ICD-10). Patients were divided into violent and nonviolent groups based on their history of committing violent acts against others. To examine these abilities, patients heard a series of 12 short scenarios depicting social situations followed by questions that require making mental state or empathic inferencing. Our results show that violent patients have more difficulties than nonviolent patients in tasks involving empathic inferencing, and better abilities in inferring cognitive-mental states in others. In addition, violence seems to be associated with a history of alcohol and drug abuse, young age, and the hostility component of the Brief Psychiatric Rating Scale. Logistic regression analyses suggest that violence is associated with the combination of hostility towards others, good mentalizing abilities and poor empathy. These results are discussed in light of recent theories on violent behavior in psychiatric populations.

Adult↗

PubMed1990

Psychoanalytic observation.

The recent focus on empathy as the essential activity in psychoanalytic data gathering has underemphasized the complexity of psychoanalytic observation and has failed to identify what truly makes it unique among modes of psychological investigation. It is a process that includes introspection and empathy. However, it also includes the analyst's observation of the patient's behavior, and particularly verbal behavior, in a way that is not necessarily empathic. The psychoanalytic use of introspection and behavioral observation together, as they are modified by the analysand's free association and the analyst's evenly hovering attention, provides a unique method of data gathering. The transient, mutually related regressions of analyst and analysand which partly constitute the analyzing instrument modify the field of observation available to both, providing better access to derivatives of the analysand's unconscious mental functioning. This more complex concept of psychoanalytic observation, as opposed to that in which empathy is predominant, has important implications for psychoanalytic training, clinical work, and theory.

Behavior↗

PubMed1989

Borderline personality disorder. When medical care is complicated by mental illness.

Management of patients with borderline personality disorder on a medical ward requires the cooperation of all caregivers involved. First, it is necessary to recognize the disorder in patients who exhibit maladaptive behavior. Next, a comprehensive plan of behavioral management should be implemented that includes (1) clear communication among staff members, (2) education of staff members, (3) a consistent approach to the patient, (4) firm limits on the patient's behavior, and (5) an empathic rather than confrontational response to the patient's demands. Use of psychoactive medications may be a valuable adjunct to these approaches. A consulting psychiatrist can confirm the diagnosis and help to develop and implement the management plan.

Adult↗

PubMed2005

Autism: a window onto the development of the social and the analytic brain.

Although the neurobiological understanding of autism has been increasing exponentially, the diagnosis of autism spectrum conditions still rests entirely on behavioral criteria. Autism is therefore most productively approached using a combination of biological and psychological theory. The triad of behavioral abnormalities in social function, communication, and restricted and repetitive behaviors and interests can be explained psychologically by an impaired capacity for empathizing, or modeling the mental states governing the behavior of people, along with a superior capacity for systemizing, or inferring the rules governing the behavior of objects. This empathizing-systemizing theory explains other psychological models such as impairments of executive function or central coherence, and may have a neurobiological basis in abnormally low activity of brain regions subserving social cognition, along with abnormally high activity of regions subserving lower-level, perceptual processing--a pattern that may result from a skewed balance of local versus long-range functional connectivity.

Attention↗

PubMedDate not supplied

Connection and disconnection in abusive relationships.

TOPIC: The way in which women's need for connection can lead to destructive relationships in which emotional and physical paralysis is characteristic. PURPOSE: To demonstrate how a woman's sense of disconnection that occurs in abusive relationships may be misinterpreted or worse, labeled and stigmatized, by healthcare providers. SOURCE: Theories of growth and development that emphasize how a woman's sense of self and value derive from being able to maintain highly empathic affiliations. CONCLUSION: The behavioral manifestation of disconnection must be understood so that healthcare providers can provide the most effective care possible.

Adaptation, Psychological↗

PubMed2005

Facial EMG responses to dynamic emotional facial expressions in boys with disruptive behavior disorders.

Based on the assumption that facial mimicry is a key factor in emotional empathy, and clinical observations that children with disruptive behavior disorders (DBD) are weak empathizers, the present study explored whether DBD boys are less facially responsive to facial expressions of emotions than normal controls. Facial electromyographic (EMG) activity in the zygomaticus major and corrugator supercilii muscle regions, and heart rate activity were studied in 22 clinically referred 8-12-year-old DBD boys and 22 age-matched normal controls during exposure to dynamic happy and angry expressions. Dispositional emotional empathy was assessed by a self-report questionnaire for children. The happy and angry facial expressions evoked distinct facial EMG response patterns, with increased zygomaticus muscle activity to happy expressions and increased corrugator muscle activity to angry expressions. The corrugator (but not the zygomaticus) muscle response pattern was less pronounced for DBD boys than the normal controls. Attending to the emotional expressions was associated with equivalent cardiac deceleration in both groups, reflecting a similar orienting/attention response. Lower empathy scores were obtained for DBD boys than for normal controls. In conclusion, facial mimicry responses to angry facial expressions were subnormal in DBD boys, which may be a sign of a deficient early component in the process of emotional empathy, and thus play a role in impaired empathic responding.

Affect↗

PubMed1996

Coping with difficult resident behaviors takes time.

1. Studies suggest that from 23% to 79% of residents manifest behaviors that are problematic for their caregivers, families, and at times, themselves. 2. The acronym, TIME, was developed to describe the components required of caregivers when working with residents: Together: Investigate, Measure, and Empathize. 3. Nurses can invite behavior change through encouraging, teaching and mentoring, but only the resident can truly manage the behavior.

Adaptation, Psychological↗

PubMedDate not supplied

Role of affective self-regulatory efficacy in diverse spheres of psychosocial functioning.

This prospective study with 464 older adolescents (14 to 19 years at Time 1; 16 to 21 years at Time 2) tested the structural paths of influence through which perceived self-efficacy for affect regulation operates in concert with perceived behavioral efficacy in governing diverse spheres of psychosocial functioning. Self-efficacy to regulate positive and negative affect is accompanied by high efficacy to manage one's academic development, to resist social pressures for antisocial activities, and to engage oneself with empathy in others' emotional experiences. Perceived self-efficacy for affect regulation essentially operated mediationally through the latter behavioral forms of self-efficacy rather than directly on prosocial behavior, delinquent conduct, and depression. Perceived empathic self-efficacy functioned as a generalized contributor to psychosocial functioning. It was accompanied by prosocial behavior and low involvement in delinquency but increased vulnerability to depression in adolescent females.

Adolescent↗

PubMed1990

The family origins of empathic concern: a 26-year longitudinal study.

This study examined whether adult empathic concern was associated with parent behavior in early childhood. Subjects were drawn from a longitudinal sample first investigated by Sears, Maccoby, and Levin (1957). At age 31, 75 subjects completed the Adjective Checklist (Gough & Heilbrun, 1965, 1983), from which an index of empathic concern was derived. Scores on this index were regressed on 11 parenting dimensions derived from maternal interviews when the subjects were 5 years old. The results revealed a significant multiple R indicating that, taken together, the parenting dimensions predicted the level of empathic concern at age 31. Adult levels of empathic concern were most strongly related to the following parenting dimensions: paternal involvement in child care, maternal tolerance of dependent behavior, maternal inhibition of child's aggression, and maternal satisfaction with the role of mother.

Adult↗