Empathy is not so perfect! -For a descriptive and wide conception of empathy

Physician empathy is considered essential for good clinical care. Empirical evidence shows that it correlates with better patient satisfaction, compliance, and clinical outcomes. These data have nevertheless been criticized because of a lack of consistency and reliability. In this paper, we claim that these issues partly stem from the widespread idealization of empathy: we mistakenly assume that physician empathy always contributes to good care. This has prevented us from agreeing on a definition of empathy, from understanding the effects of its different components and from exploring its limits. This is problematic because physicians' ignorance of the risks of empathy and of strategies to manage them can impact their work and wellbeing negatively. To address this problem, we explore the effects of the potential components of empathy and argue that it should be conceived as a purely descriptive and wide term. We end by discussing implications for medical education.

What is Sympathy? Understanding the Structure of Other-Oriented Emotions

Sympathy (empathic concern) is mainly understood as a feeling for another and is often contrasted with empathy-a feeling with another. However, it is not clear what feeling for another means and what emotions sympathy involves. Since empirical data suggests that sympathy plays an important role in our social lives and is more closely connected to helping behavior than empathy, we need a more detailed account. In this paper, I argue that sympathy is not a particular emotion but a type of emotional experience: those that have another person as focus. I explain what this means and show that this sheds light on why sympathy, rather than empathy, directly motivates altruistic actions.

Overcoming the limits of empathic concern: the case for availability and its application to the medical domain

Empathic concern is essential to our social lives because it motivates helping behavior. It has, however, well-known shortcomings such as its limitation in scope. Here, we highlight a further shortcoming of empathic concern: it contributes little to understanding the relevant features of complex social situations (e.g. the causes of somebody's distress), and unaided by further cognitive inputs, likely fails to produce effective helping. We then elaborate on the conditions needed for an accurate assessment of others' situations: the ability to pay attention and try to understand others for their own sake. We explain that when combining these abilities with the valuing aspect of empathic concern, we obtain "availability", an understudied mental state which plays a crucial role in helping motivation. We provide a detailed definition of that notion and show how availability can be trained and exercised by health professionals in order to improve their care and relationships with patients.