Empathy
Empathy
Edward B Titchener
Empathy is the
ability of an
individual to
experience the
emotions of others.
DEFINITION
• Look at this
picture!
• What do you think
is happening?
• What are you
feeling?
WHAT IS
EMPATHY?
• The ability to
recognize the
emotions and
feelings of others
AFFECTIVE OR EMOTIONAL
EMPATHY
• The ability to
experience the
feelings of others.
COMPASSIONATE EMPATHY
• Demonstrating
behaviours that
acknowledge the
emotional state of
others.
Empathy leads to:
EMPATHY LEADS TO:
• Understanding and
acknowledging patients,
• Active listening,
• Accepting and
validating their desires,
emotions and
circumstances
• Necessary for
therapeutic relationship
CAN EMPATHY BE DEVELOPED?
• In professionals and
students through
CME, role modelling,
providing them
experiential
opportunities.
EMPATHY AND THE HEALTH
PROFESSIONS TRAINING
• Empirical data
suggest that
empathy scores
decline during
training
EMPATHY AND THE HEALTH
PROFESSIONS TRAINING
• Doctors show decreased
neuronal responses to painful
stimuli in patients and
increased activity in the
prefrontal cortex.
• Theory suggests mental
processing recruits resources
away from emotional areas to
allow doctors to focus.
• However, new data shows
doctors do not even appear to
perceive the pain response.
WHY EMPATHY EROSION?
• Response to
authority
• The infamous
milligram
experiment, 1963
DEHUMANIZATION IN
MEDICINE
• Patients stripped of
their uniqueness
(stories, personality,
culture) in service to
objectivity
DEHUMANIZATION IN
MEDICINE
• Mechanization
• Breaking the body
into organs and
systems for training,
diagnosis and
treatment
DEINDIVIDUATION
• Doctors as a sea of
white coats
• Patients as half-
naked bodies in
smocks, identified by
their disease or
procedure (the
gallbladder in room
no 38)
MORAL DISENGAGEMENT
• Moral disengagement:
Some actions require
inflecting suffering
INFANTILIZING
• Medical staff’s
treatment of
patients as
incapable planning
their own care,
which is both
infantilizing and
demoralizing
DISSIMILARITY
• It is basically
discrimination in
health care
PATIENT –A NUMBER, A
DISEASE
• The patient is ill; the • Bed No 1
patient is labelled as • First bed Diabetes
with the illness; the
power dynamic