Feasibility of a Cinematic-Virtual Reality Training Program for Health Professional Students: A Single-Arm Pre-Post Study

BACKGROUND

Cinematic-virtual reality (cine-VR) has demonstrated improvements in cultural self-efficacy, diabetes attitudes, and empathy among healthcare providers, but its impact on health professional students is unknown. The purpose of the single-arm pre-post study was to examine the feasibility of this cine-VR diabetes training program as well as to assess changes in cultural self-efficacy, diabetes attitudes, and empathy among health professional students.

METHOD

Participants viewed 12 cine-VR 12 simulations about a 72-year-old patient with type 2 diabetes. Pre-training and post-training, they completed the Transcultural Self-Efficacy Tool, Diabetes Attitude Scale-3, and Jefferson Scale of Empathy.

RESULTS

All 92 participants completed the full training. No participants reported technological difficulties or adverse events. For the assessment, 66 participants completed the pre-post measures for a response rate of 71.7% (mean age = 21.1 ± 1.9 years, 82.6% [n = 57] women; 84.1% [n = 58] white). We observed positive improvements in all three cultural self-efficacy subscales: "Cognitive" (t value = -4.705, P < .001), "Practical" (mean change = -.99, t value = -4.240, P < .001), and "Affective" (t value = -2.763, P = .008). Similarly, we observed positive improvements in four of the five diabetes attitude subscales: "Need for special training" (Z = -4.281, P < .001), "Seriousness of type 2 diabetes" (Z = -3.951, P < .001), "Value of tight glucose control" (Z = -1.676, P = .094), "Psychosocial impact of diabetes" (Z = -5.892, P < .001), and "Attitude toward patient autonomy" (Z = -2.889, P = .005). Finally, we observed a positive improvement in empathy (t value = -5.151, P < .001).

CONCLUSIONS

Findings suggest that the cine-VR diabetes training program has the potential to improve cultural self-efficacy, diabetes attitudes, and empathy among health professional students. A randomized controlled trial is needed to confirm its effectiveness.

Alternation in functional connectivity within default mode network after psychodynamic psychotherapy in borderline personality disorder

BACKGROUND

Borderline personality disorder (BPD) is characterized by impairments in emotion regulation, impulse control, and interpersonal and social functioning along with a deficit in emotional awareness and empathy. In this study, we investigated whether functional connectivity (FC) within the default mode network (DMN) is affected by 1-year psychodynamic psychotherapy in patients with BPD.

METHODS

Nine BPD patients filled out the demography, Interpersonal Reactive Index (IRI), Toronto Alexithymia Scale 20 (TAS 20), the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST), and the Borderline Evaluation Severity over Time (BEST) questionnaire. The BPD group (9F) and the control group (9F) had a mean ± SD age of 28.2 ± 5.3 years and 30.4 ± 6.1 years, respectively. BPD subjects underwent longitudinal resting-state fMRI before psychodynamic psychotherapy and then every 4 months for a year after initiating psychotherapy. FC in DMN was characterized by calculating the nodal degree, a measure of centrality in the graph theory.

RESULTS

The results indicated that patients with BPD present with aberrant DMN connectivity compared to healthy controls. Over a year of psychotherapy, the patients with BPD showed both FC changes (decreasing nodal degree in the dorsal anterior cingulate cortex and increasing in other cingulate cortex regions) and behavioral improvement in their symptoms and substance use. There was also a significant positive association between the decreased nodal degree in regions of the dorsal cingulate cortex and a decrease in the score of the TAS-20 indicating difficulty in identifying feelings after psychotherapy.

CONCLUSION

In BPD, there is altered FC within the DMN and disruption in self-processing and emotion regulation. Psychotherapy may modify the DMN connectivity and that modification is associated with positive changes in BPD emotional symptoms.

Intergenerational Transmission of Depression during Adolescence: The Mediating Roles of Hostile Attribution Bias, Empathic Concern, and Social Self-Concept

Few studies have empirically examined the role of peer microsystem in the intergenerational transmission of depression, and more importantly, little is known about the mechanisms underlying this potential pathway of intergenerational transmission. The purpose of the current study was to examine the sequential mediation effects of adolescent hostile attribution bias, empathic concern, and social self-concept on the association between maternal depression and adolescent depression. An urban Chinese sample of 761 mother-child dyads was investigated when the adolescents were in secondary school (M = 14.36 years, range =12.33-16.92 years, 52.3% female). The results provided evidence of cross-generational continuity in depression during adolescence, and the hypothesized sequential mediation model was supported. The findings highlight the importance of peer-related factors during the intergenerational transmission of depression and have important implications for interpersonal interventions that aim to prevent depression during adolescence. The limitations of the study and suggestions for future research are briefly discussed.

Positive Youth Development and Mental Well-Being in Late Adolescence: The Role of Body Appreciation. Findings From a Prospective Study in Norway

Although a vulnerable period, adolescence is a time of great potential for healthy development. Understanding factors that contribute to mental well-being in this period is of great importance to facilitate for healthy development. During the adolescence period the body goes through rapid and considerable changes, and the focus on body appearance and perfection is substantial at societal, media, and peer level. In this study, we investigated the association between dimensions characterizing positive youth development, and mental well-being among Norwegian adolescents 16-17 years 1 year later, and whether this association was mediated by degree of body appreciation. We further tested whether the indirect and direct paths between positive youth development dimensions and mental well-being were moderated by gender. We used data from the first and second follow-up of the control arm of the COMPLETE study, a cluster randomized controlled trial in upper secondary schools in Norway. Findings showed that positive youth development in grade 1, as measured by both a combined global PYD and the dimensions competence, and connection were significantly associated with mental well-being in grade 2 in models adjusted for mental well-being in grade 1, gender and perceived family affluence. Also, body appreciation in grade 1 significantly predicted mental well-being in grade 2 in models including each of global PYD, competence, connection, character, and caring dimensions. Contrary to our hypothesis, no mediating effects of body appreciation were observed, and no moderation of indirect effects by gender were observed.

Empathy and Schadenfreude in Human-Robot Teams

Intergroup dynamics shape the ways in which we interact with other people. We feel more empathy towards ingroup members compared to outgroup members, and can even feel pleasure when an outgroup member experiences misfortune, known as schadenfreude. Here, we test the extent to which these intergroup biases emerge during interactions with robots. We measured trial-by-trial fluctuations in emotional reactivity to the outcome of a competitive reaction time game to assess both empathy and schadenfreude in arbitrary human-human and human-robot teams. Across four experiments (total n = 361), we observed a consistent empathy and schadenfreude bias driven by team membership. People felt more empathy towards ingroup members than outgroup members and more schadenfreude towards outgroup members. The existence of an intergroup bias did not depend on the nature of the agent: the same effects were observed for human-human and human-robot teams. People reported similar levels of empathy and schadenfreude towards a human and robot player. The human likeness of the robot did not consistently influence this intergroup bias. In other words, similar empathy and schadenfreude biases were observed for both humanoid and mechanoid robots. For all teams, this bias was influenced by the level of team identification; individuals who identified more with their team showed stronger intergroup empathy and schadenfreude bias. Together, we show that similar intergroup dynamics that shape our interactions with people can also shape interactions with robots. Our results highlight the importance of taking intergroup biases into account when examining social dynamics of human-robot interactions.

Feeling you, when you feel me: attachment, empathic concern, and interpersonal emotion regulation

Empathic concern is an important part of social relationships. Attachment orientation may explain individual differences in empathic concern. However, the circumstances under which attachment orientation is related to empathic concern remain unexamined. This exploratory study investigated the moderating role of a novel aspect of emotion regulation, interpersonal emotion regulation, in the relationship between attachment orientation and empathic concern. Study 1 (N = 179) and Study 2 (direct replication, N = 202) yielded consistent main effects for emotion regulation. Interpersonal emotion regulation efficacy (people's belief that interpersonal emotion regulation can effectively change their negative and positive emotions) was positively associated with empathic concern. Avoidant attachment showed a moderately consistent negative association with empathic concern. Negative efficacy moderated the association between anxious attachment and empathic concern only in Study 1. The findings focus attention on the importance of interpersonal emotion regulation efficacy to empathic concern and on the complex relationship between attachment and empathic concern.

Do Values Relate to Personality Traits and if so, in What Way? - Analysis of Relationships

Introduction

The research presents empirical data concerning the relations between personal traits and value system. The study focuses on empathy, agreeableness, directiveness, Machiavellism as personality traits. Theoretical assumptions and empirical findings are analyzed and interpreted in the context of cognitive framework, including the idea of regulative function self-concept. A content compatibility hypothesis between personality traits and one’s system of value was accepted as preliminary assumption for this research: empathy and agreeableness positively correlate with allocentric values, whereas directiveness and Machiavellism positively correlate with idiocentric values. The study group consisted of 325 students.

Methods

The Empathic Understanding of Others Questionnaire (Węgliński), Personality Inventory NEO-FFI (Costa and McCrae) Directiveness Scale (Ray) and Mach V Scale (Christie and Geis) were used.

Results

The value system of empathic and agreeable people reveals an allocentric orientation (tendency to abandon one’s own perspective), while the value system of directive and Machiavellian people reveals an idiocentric orientation (focused on oneself).

Discussion

The data analysis revealed that subjects tend to organize their self-knowledge in such a way that there is a content consistency between the information included in the appropriate schemas of personality traits and value preference.

Social Anxiety and Empathy: A Systematic Review and Meta-analysis

OBJECTIVE

This systematic review and meta-analysis aimed to clarify the association between social anxiety and affective (AE) and cognitive empathy (CE).

METHODS

1442 studies from PsycINFO, Medline, and EMBASE (inception-January 2020) were systematically reviewed. Included studies (N = 48) either predicted variance in empathy using social anxiety scores or compared empathy scores between socially anxious individuals and a control group.

RESULTS

Social anxiety and AE were statistically significantly positively associated, k = 14, r = .103 (95%CI [.003, .203]), z = 2.03, p = .043. Sex (Q_M (2) = 18.79, p <  .0001), and type of measures (Q_M (1 = 7.34, p = .007) moderated the association. Correlations were significant for male samples (r_male = .316, (95%CI [.200, .432])) and studies using self-report measures (r_self-report = .162 (95%CI [.070, .254])). Overall, social anxiety and CE were not significantly associated, k = 52, r =-.021 (95%CI [-.075, .034]), z= -0.74, p = .459. Sample type moderated the association (Q_M (1) = 5.03, p < .0001). For clinical samples the association was negative (r_clinical= -.112, (95%CI [-.201, -.017]).

CONCLUSION

There was evidence for a positive association between social anxiety and AE, but future studies are needed to verify the moderating roles of sex and type of measure. Besides, low CE might only hold for patients with SAD.

Virtual Reality and Empathy Enhancement: Ethical Aspects

The history of humankind is full of examples that indicate a constant desire to make human beings more moral. Nowadays, technological breakthroughs might have a significant impact on our moral character and abilities. This is the case of Virtual Reality (VR) technologies. The aim of this paper is to consider the ethical aspects of the use of VR in enhancing empathy. First, we will offer an introduction to VR, explaining its fundamental features, devices and concepts. Then, we will approach the characterization of VR as an "empathy machine," showing why this medium has aroused so much interest and why, nevertheless, we do not believe it is the ideal way to enhance empathy. As an alternative, we will consider fostering empathy-related abilities through virtual embodiment in avatars. In the conclusion, however, we will examine some of the serious concerns related to the ethical relevance of empathy and will defend the philosophical case for a reason-guided empathy, also suggesting specific guidelines for possible future developments of empathy enhancement projects through VR embodied experiences.

Subjective Happiness and Compassion Are Enough to Increase Teachers' Work Engagement?

The present quantitative multi-trait cross-sectional study aims to gain a better understanding of the network of relationship between subjective happiness, compassion, levels of work engagement, and proactive strategies (self- and co-regulation) in a sample of teachers. Participants were 187 full-time in-service teachers (89% female; age M = 48.5; SD = 7.88) from Rome, Italy. We hypothesized that subjective happiness and compassion of early childhood teachers would be related with work engagement in such a way that subjective happiness would promote the engagement of teachers. In a similar fashion, we theorized that subjective happiness would be positively related to self- and co-regulation strategies and that proactive strategies would be in turn associated to work engagement. As expected, the results revealed that subjective happiness and compassion showed effects on work engagement and that this association among constructs was mediated by the role of proactive strategies (β = 0.22, p < 0.001; β = 0.37, p < 0.001, respectively). Proactive strategies also have a significant direct effect on work engagement (β = 0.56, p < 0.001). The study's findings suggest the importance of investing in the quality of the working environment.

Understanding the influence of power and empathic perspective-taking on collaborative natural resource management

Public engagement in collaborative natural resource management necessitates shared understanding and collaboration. Empathic perspective-taking is a critical facilitator of shared understanding and positive social interactions, such as collaboration. Yet there is currently little understanding about how to reliably generate empathic perspective-taking and collaboration, particularly in situations involving the unequal distribution of environmental resources or power. Here we examine how experiencing the loss or gain of social power influenced empathic perspective-taking and behavior within a computer-mediated scenario. Participants (n = 180) were randomly assigned to each condition: high resources, low resources, lose resources, gain resources. Contrary to our expectations, participants in the perspective-taking condition, specifically those who lost resources, also lost perspective taking and exhibited egoistic behavior. This finding suggests that resource control within the collaborative process is a key contextual variable that influences perspective-taking and collaborative behavior. Moreover, the observed relationship between perspective-taking and egoistic behavior within a collaborative resource sharing exercise suggests that when resource control or access is unequal, interventions to promote perspective-taking deserve careful consideration.

Personality Traits in College Students and Caregiving for a Relative with a Chronic Health Condition

The purpose of this study was to investigate among college students the relationship between personality traits and willingness to care for a relative with a chronic health condition. 329 undergraduate students completed an online questionnaire. Hierarchical multiple regressions found that after controlling for demographics personality traits explained 10% of the variance in willingness to provide emotional care, 7% in instrumental care, and 7% in nursing care. Within these models, greater empathy was uniquely associated with willingness to provide emotional, instrumental, and nursing care for a family member in the future. Similarly, participants with high agreeableness were more willing to provide emotional care, and participant older age was a unique predictor of instrumental care. The results can help shape research on interventions that incorporate perspective taking, motivational interviewing, and training in life skills as a means of boosting college students' willingness to provide care for a relative with a chronic health condition.

Trait Sympathy and Perceived Control as Predictors of Entering Sympathy-Arousing Situations

Two studies provide evidence that dispositional sympathy and perceived control interact to predict choices for and against situations likely to elicit sympathy. Sympathetic persons choosing among previewed experiments on the basis of the emotion elicited by each were particularly likely to choose a sympathy induction, and appeared to interpret that prospect in positive terms, but only when they expected substantial control over the procedure. In a second study, sympathizers were the most likely to volunteer for studies of people in distress, so long as the sympathizers expected a means of helping the distressed persons. In contrast, assurances of situational control did not encourage less sympathetic subjects to participate in either context Results provide for the expansion of models relating affect to prosaically behavior to include preferences for contact with distressed persons and for an interpretation of trait sympathy as less of a personal liability than prevalent views suggest.

The Effect of Dispositional Empathy on Romantic Relationship Behaviors: Heterosocial Anxiety as a Moderating Influence

Recent research has supported a model that specifies the way dispositional empathy influences everyday social behavior, the present investigation examined one possible boundary condition of the model It was posited that high levels of heterosocial anxiety constitute a self-oriented affective reaction that interferes with the operation of an other-oriented empathic response. As a result, the usual association between dispositional empathy and social behaviors should be weakened among those high in heterosocial anxiety. Data collected from 119 college students involved in monogamous romantic relationships provided partial support for this hypothesis. Evidence for the predicted moderating effect was found for positive social behaviors but not for negative behaviors. Evidence also suggested that the moderating effect was strongest for dispositional perspective taking-the most cognitive facet of empathy-and considerably weaker for the affective constructs of empathic concern and personal distress.

Principle of Care and Giving to Help People in Need

Theories of moral development posit that an internalized moral value that one should help those in need—the principle of care—evokes helping behaviour in situations where empathic concern does not. Examples of such situations are helping behaviours that involve cognitive deliberation and planning, that benefit others who are known only in the abstract, and who are out‐group members. Charitable giving to help people in need is an important helping behaviour that has these characteristics. Therefore we hypothesized that the principle of care would be positively associated with charitable giving to help people in need, and that the principle of care would mediate the empathic concern–giving relationship. The two hypotheses were tested across four studies. The studies used four different samples, including three nationally representative samples from the American and Dutch populations, and included both self‐reports of giving (Studies 1–3), giving observed in a survey experiment (Study 3), and giving observed in a laboratory experiment (Study 4). The evidence from these studies indicated that a moral principle to care for others was associated with charitable giving to help people in need and mediated the empathic concern–giving relationship. © 2016 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology

Narcissism and coach interpersonal style: A self-determination theory perspective

Athletes' sport experiences are often influenced by the interpersonal styles of communication used by their coaches. Research on personality antecedents of such styles is scarce. We examined the link between a well-researched personality trait, namely narcissism, and two types of coaching interpersonal style, namely autonomy-supportive and controlling styles. We also tested the mediating roles of dominance and empathic concern in explaining the relations between narcissism and the two coaching interpersonal styles. United Kingdom-based coaches (N = 211) from various sports completed a multi-section questionnaire assessing the study variables. Regression analyses revealed a positive direct relation between narcissism and controlling coach behaviors. Furthermore, empathy (but not dominance) mediated the positive and negative indirect effects of narcissism on controlling and autonomy-supported interpersonal styles, respectively. We discuss these findings in terms of their implications for coaching and the quality of athletes' sport experiences.

SELF-REPORT OF EMPATHY: A SHORTENED FRENCH ADAPTATION OF THE INTERPERSONAL REACTIVITY INDEX (IRI) USING TWO LARGE BELGIAN SAMPLES

For more than 30 years, the Interpersonal Reactivity Index (IRI) has been used to measure the multidimensional aspects of empathy. But the 28-item, 4-factor model of Davis (1980 ) is currently contested because of methodological issues and for theoretical reasons. Confirmatory (CFA) and exploratory factor analyses (EFA) were applied in two French-speaking Belgian student samples (1,244 participants in the first and 729 in the second study) to test this model and to propose a shortened version. A non-optimal fit was found with respect to the CFI value (Study 1). By splitting the student group into two random subsamples, EFA and then CFA were used to propose a 15-item, 4-factor model with good fit indices. A CFA on the second student group (Study 2) replicated this model. Results are discussed considering the influence of social desirability response bias, an absence of strong invariance across sex and the usefulness of self-report scales to measure empathy.

To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice

Background

General practice is stressful and burnout is common among family physicians. A growing body of evidence suggests that the way physicians relate to their patients could be linked to burnout. The goal of this study was to examine how patterns of empathy explained physicians’ burnout.

Methods

We surveyed 294 French general practitioners (response rate 39%), measured burnout, empathic concern (EC) and perspective taking (PT) using self-reported questionnaires, and modeled burnout levels and frequencies with EC, PT and their interaction in linear and logistic regression analyses.

Results

Multivariate linear models for burnout prediction were associated with lower PT (β = −0.21, p < 0.001) and lower EC (β = −0.17, p < 0.05). Interestingly, the interaction (EC x PT) also predicted burnout levels (β = 0.11, p < 0.05). The investigation of interactions revealed that high scores on PT predicted lower levels of burnout independent from EC (odd ratios (OR) 0.37; 95% confidence interval (95% CI) 0.21–0.65 p < 0.001), and high scores on both EC and PT were protective against burnout: OR 0.31; 95% CI 0.15–0.63, p < 0.001).

Conclusions

Deficits in PT alone might be a risk factor for burnout, whereas higher PT and EC might be protective. Educators should take into account how the various components of empathy are potentially associated with emotional outcomes in physicians.

Gifts of giving: the role of empathy and perceived benefits to others and self in young adults' decisions to become organ donors

Trait empathy and self-interest exert a strong influence on different prosocial behaviors, but their role in the promotion of organ donation registration is unclear. A survey examined how perceived benefits of organ donation for others and the self affect people's willingness to register as donors. Perceived other-benefits did not predict registration. Those with lower risk and greater self-benefit perceptions were more willing to donate. Empathic concern predicted donation willingness and moderated the effect of other-benefit perceptions, such that other-benefit perceptions predicted donation willingness among those with greater empathic concern. Applications of these findings to organ donation promotion are discussed.

Changes in dispositional empathy in American college students over time: a meta-analysis

The current study examines changes over time in a commonly used measure of dispositional empathy. A cross-temporal meta-analysis was conducted on 72 samples of American college students who completed at least one of the four subscales (Empathic Concern, Perspective Taking, Fantasy, and Personal Distress) of the Interpersonal Reactivity Index (IRI) between 1979 and 2009 (total N = 13,737). Overall, the authors found changes in the most prototypically empathic subscales of the IRI: Empathic Concern was most sharply dropping, followed by Perspective Taking. The IRI Fantasy and Personal Distress subscales exhibited no changes over time. Additional analyses found that the declines in Perspective Taking and Empathic Concern are relatively recent phenomena and are most pronounced in samples from after 2000.

Helping Behavior, Dispositional Empathic Concern, and the Principle of Care

This research investigates the relative strength of two correlates of helping behavior: dispositional empathic concern and a moral principle to care about others. The empathy–helping and care–helping relationships are investigated using data from the General Social Survey, a nationally representative random sample of the U.S. adult population. Ten helping behaviors are investigated. The results show that the care–helping relationship is stronger than the empathy–helping relationship for most helping behaviors, and that the empathy–helping relationship is mediated by the principle of care. That dispositional empathic concern is mediated by the principle of care requires new theoretical interpretations of the empathy–helping relationship, and suggests new directions for research on helping behavior.

Is there hardening of the heart during medical school?

PURPOSE

To determine whether vicarious empathy (i.e., to have a visceral empathic response, versus role-playing empathy) decreases, and whether students choosing specialties with greater patient contact maintain vicarious empathy better than do students choosing specialties with less patient contact.

METHOD

The Balanced Emotional Empathy Scale was administered at the beginning of each academic year at the University of Arkansas for Medical Sciences for four classes, 2001-2004. Students also reported their gender and specialty choice. Specialty choice was classified as core (internal medicine, family medicine, obstetrics-gynecology, pediatrics, and psychiatry) or noncore (all other specialties).

RESULTS

Vicarious empathy significantly decreased during medical education (P < .001), especially after the first and third years. Students choosing core careers had higher empathy than did those choosing noncore careers. Men choosing core careers initially had empathy exceeding population norms, but their empathy fell to be comparable with that of norms by the end of their third year. The empathy of men choosing noncore careers was comparable with that of norms. Women choosing core careers had empathy scores comparable with those of norms, but the scores of women choosing noncore careers fell below those of the norms by their second year.

CONCLUSIONS

The findings suggest that undergraduate medical education may be a major determinant differentially affecting the vicarious empathy of students on the basis of gender and/or specialty choice. The greatest impact occurred in men who chose noncore specialties. The significant decrease in vicarious empathy is of concern, because empathy is crucial for a successful physician-patient relationship.

The Appeal of Violent Video Games to Lower Educated Aggressive Adolescent Boys from Two Countries

The objective of this study was to test the effect of individual differences on appeal and use of video games. Participants were 299 adolescent boys from lower and higher secondary schools in the Netherlands and Belgium. In general, boys were most attracted to violent video games. Boys that scored higher in trait aggressiveness and lower in empathy were especially attracted to violent games and spent more time playing video games than did boys lower in trait aggressiveness. Lower educated boys showed more appreciation for both violent and nonviolent games and spent more time playing them than did higher educated boys. The present study showed that aggressive and less empathic boys were most attracted to violent games. The fact that heavy users of violent games show less empathy and higher aggressiveness suggests the possibility of desensitization. Other studies have shown that playing violent games increases aggressiveness and decreases empathy. These results combined suggest the possibility of a violence cycle. Aggressive individuals are attracted to violent games. Playing violent games increases aggressiveness and decreases empathy, which in turn leads to increased appreciation and use of violent games.

The prediction of violent and nonviolent criminal behavior in a methadone maintenance population

The utility of traits associated with Antisocial Personality Disorder in making risk assessments of violent and nonviolent crimes was examined in 254 subjects sampled from a methadone maintenance population. A factor analysis of a number of baseline measures resulted in five factors measuring hostility, insecure attachment, impaired reality testing, antisocial personality, and empathy. These factors were used in logistic regression analysis to predict charges for violent and nonviolent crimes over a 2-year period. Individuals with high scores on the antisocial personality factor had an increased risk of both violent and nonviolent criminal charges. Individuals with low scores on the empathy factor were at high risk for violent crimes. In an analysis using the factor components rather than the factors, the measures of perspective-taking and a socialization were associated with violent criminal charges, and the measure of psychopathy, but not antisocial behavior, was associated with nonviolent criminal charges. The results support the use of measures of personality traits in addition to measures of a history of antisocial behavior in making violence risk assessments in substance-dependent patients. The DSM construct and diagnosis of Antisocial Personality Disorder may be enhanced by greater emphasis on personality traits associated with antisocial behavior.

College students' perceptions of suicide: the role of empathy on attitudes, evaluation, and responsiveness

A total of 334 college-age students (18719 years) participated in a study investigating the role of empathy in perceptions of and responsiveness toward a hypothetical friend exhibiting symptoms associated with suicide risk. High-empathy participants viewed both affective and behavioral characteristics associated with suicide risk as more serious, and they were more likely to provide direct assistance and talk with the troubled peer. Gender of participant and type of symptom displayed also emerged as important factors in participants' evaluations. These findings underscore the importance of considering social-cognitive factors that may influence perceptions of at-risk behaviors. The implications of these findings for the development of primary prevention intervention efforts are discussed.

The heritability of characteristics associated with dispositional empathy

This investigation used data from Loehlin and Nichols's (1976) study of over 800 sets of twins to examine evidence for the heritability of three facets of empathy: empathic concern, personal distress, and perspective taking. Expert judges first identified sets of adjectives, included within Loehlin and Nichols's original data, which reflected each empathy construct; these items were then validated in an independent sample. Comparisons of the responses given to these items by identical and fraternal twins in the Loehlin and Nichols investigation revealed evidence of significant heritability for characteristics associated with the two affective facets of empathy--empathic concern and personal distress--but not for the nonaffective construct of perspective taking. This pattern is consistent with the view that temperamental emotionality may underlie the heritability of affective empathy.

Sympathy and personal distress: development, gender differences, and interrelations of indexes

In summary, in our multimethod research concerning vicariously induced emotion, we have obtained several patterns of importance. First, we have obtained modest differences in facial and self-report indexes of emotion, nearly all indicating greater responsivity by females. Moreover, some of the data suggest that this gender difference increases with age. Second, we have found that facial indexes of negative emotion are stronger for younger than older persons and that older children's self-reports of emotion are somewhat more consistent with the context than are those of young children. Finally, although we have not obtained strong or consistent relations among our physiological, self-report, and facial indexes of emotion, those that have been obtained suggest a positive relation among indexes, one that appears to be stronger for younger than older persons (especially girls). Further research confirming these patterns of findings is needed; nonetheless, the preliminary data can be viewed as indicating that a multimethod approach to studying empathy is useful for increasing our understanding of empathy, sympathy, and personal distress reactions and their development.

The Relationship of Empathy to Clinical Experience Among Male and Female Nursing Students

While a number of educational interventions aimed at increasing empathy among nurses have been undertaken, research on empathy has yielded inconsistent findings. This study used a new multidimensional measure to study empathy levels among BSN nursing students during their first year of nursing education. Thirty-five nursing students completed Davis' Interpersonal Reactivity Index (IRI) at four times during their junior year. The results of a repeated measures ANOVA indicated high consistency for all IRI scores across the four data collection periods. T-tests were also performed to compare IRI scores by gender. Males scored significantly lower than female nursing students on the Personal Distress Scale. While there were no other consistent, significant differences, males did not tend to score slightly higher than females on Perspective Taking. This response pattern is the opposite of what has been reported for other groups, although it is consistent with previous nursing research. The relationship between age, previous health-care experience, and IRI scores also varied by sex. Implications of these findings for educational interventions, recruitment, and retention of nursing students are discussed.