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Empathic understanding

Elizabeth A Sternke, Kathleen Abrahamson, Matthew J Bair
Clinician empathy is a well-documented component of effective patient/provider communication. Evidence surrounding the association between patient perspectives on clinician empathy and perception of pain management is currently limited, particularly among patients with chronic pain and depression. The aim of this study was to analyze patients' perspectives on the emergent theme of empathy and describe how patients construct their experiences and expectations surrounding empathic interactions. A secondary analysis of focus group data was designed using grounded theory methodology...
October 18, 2016: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Virginie Cailleau, Bérangère Thirioux, Bernard Méry, Jean-Louis Senon, Nematollah Jaafari
The review of literature devoted to empathy deficits of sexual offenders shows that they have difficulties in identifying specific emotions in specific situations. Their perspective taking abilities range from weak to normal. Face to their victims suffering, their emotional replication would be inhibited. Affective and cognitive impairments in sexual offenders do not result from a general empathy deficit but would however result from the context, cognitive distortions or indifference towards victims. Some sexual offenders are able to decenter from themselves and understand their victims' mental states, but maintain their viewpoint, leading them to not identify with their victims or share their feelings...
October 10, 2016: La Presse Médicale
Charis P Kaite, Maria N Karanikola, Foteini J D Vouzavali, Anna Koutroubas, Anastasios Merkouris, Elizabeth D E Papathanassoglou
BACKGROUND: Research evidence shows that healthcare professionals do not fully comprehend the difficulty involved in problems faced by people living with severe mental illness (SMI). As a result, mental health service consumers do not show confidence in the healthcare system and healthcare professionals, a problem related to the phenomenon of adherence to therapy. Moreover, the issue of unmet needs in treating individuals living with SMI is relared to their quality of life in a negative way...
October 6, 2016: BMC Psychiatry
Sandra K Eggenberger, Marita Sanders
The family experience of critical illness is filled with distress that may have a lasting impact on family coping and family health. A nurse can become a source of comfort that helps the family endure. Yet, nurses often report a lack of confidence in communicating with families and families report troubling relationships with nurses. In spite of strong evidence supporting nursing practice focused on the family, family nursing interventions often not implemented in the critical care setting. This pilot study examined the influence of an educational intervention on nurses' attitudes towards and confidence in providing family care, as well as families' perceptions of support from nurses in an adult critical care setting...
November 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Martina Ardizzi, Maria Alessandra Umiltà, Valentina Evangelista, Alessandra Di Liscia, Roberto Ravera, Vittorio Gallese
Facial mimicry and vagal regulation represent two crucial physiological responses to others' facial expressions of emotions. Facial mimicry, defined as the automatic, rapid and congruent electromyographic activation to others' facial expressions, is implicated in empathy, emotional reciprocity and emotions recognition. Vagal regulation, quantified by the computation of Respiratory Sinus Arrhythmia (RSA), exemplifies the autonomic adaptation to contingent social cues. Although it has been demonstrated that childhood maltreatment induces alterations in the processing of the facial expression of emotions, both at an explicit and implicit level, the effects of maltreatment on children's facial mimicry and vagal regulation in response to facial expressions of emotions remain unknown...
2016: PloS One
Peter Thijssen
In this article a new theoretical framework is applied to a research field that is somewhat fragmented, namely that of intergenerational solidarity in ageing welfare states. Inspired by utilitarian considerations many scholars tend to problematize the lack of reciprocity characterizing intergenerational exchanges. As some generations are longer old and more numerous they may receive excessive state-administered support of the younger generations, especially in a democratic setting. However, in reality there is limited empirical evidence of intergenerational conflict and theoretical explanations of this paradox are rare...
September 28, 2016: British Journal of Sociology
Xavier Gocko
OBJECTIVE: In France, chronic pain prevalence, causing professional or domestic activity restriction, increases with age, and reaches more than 60% people over 85 years old. In 2006, 40% of patients suffering from chronic pain are still not satisfied with practioners' monitoring and therefore multiply consultations. The aim of this study was to analyse the phenomenon of chronic pain, thanks to patients' experience and consciousness of their own situations. MATERIAL/PATIENTS AND METHODS: This qualitative phenomenological study had the objective to enter in patients' "singular universe" by using two-fold hermeneutics, both empathic and critical...
September 2016: Annals of Physical and Rehabilitation Medicine
Alastair Morgan
In this article, I argue that the recent emphasis on compassion in healthcare practice lacks conceptual richness and clarity. In particular, I argue that it would be helpful to focus on a larger concept of empathy rather than compassion alone and that compassion should be thought of as a component of this larger concept of empathy. The first part of the article outlines a critique of the current discourse of compassion on three grounds. This discourse naturalizes, individualizes, and reifies compassion leading to a decontextualized and simplified understanding of failures in healthcare practice...
September 27, 2016: Nursing Philosophy: An International Journal for Healthcare Professionals
Jeffrey Guina
The concept of earned security is important and has significant implications for psychotherapy. Understanding how individuals with insecure attachment styles can develop secure attachment styles through reparative relationships, such as the therapeutic relationship, can assist psychotherapists in helping patients to overcome the effects of early negative life experiences. Personality disorders are commonly associated with negative experiences, such as abuse, neglect, and other empathic failures. These disorders are particularly difficult to treat because of their pervasive nature and the resultant defense mechanisms that often thwart psychotherapy...
2016: American Journal of Psychotherapy
Riccardo Paracampo, Emmanuele Tidoni, Sara Borgomaneri, Giuseppe di Pellegrino, Alessio Avenanti
Understanding whether another's smile reflects authentic amusement is a key challenge in social life, yet, the neural bases of this ability have been largely unexplored. Here, we combined transcranial magnetic stimulation (TMS) with a novel empathic accuracy (EA) task to test whether sensorimotor and mentalizing networks are critical for understanding another's amusement. Participants were presented with dynamic displays of smiles and explicitly requested to infer whether the smiling individual was feeling authentic amusement or not...
September 22, 2016: Cerebral Cortex
Ilknur Kahriman, Nesrin Nural, Umit Arslan, Murat Topbas, Gamze Can, Suheyla Kasim
BACKGROUND: The profound impact of empathy training on quality nursing care has been recognized. Studies have shown that there has been little improvement in nurses' communication skills, and that they should work to enhance this area. Relevant training will lead to an improvement in nurses' empathic skills, which in turn, will enable them to understand their patients better, establish positive interpersonal relationships with them, and boost their professional satisfaction. OBJECTIVES: To reveal the effect of empathy training on the empathic skills of nurses...
June 2016: Iranian Red Crescent Medical Journal
Emily C Stratta, David M Riding, Paul Baker
OBJECTIVES: This study sought to understand whether UK Foundation doctors perceived the phenomena of ethical erosion and empathy decline during their initial period of clinical practice, and if so, why this occurred. METHODS: This qualitative study used semi-structured interviews with nine doctors in their first year of clinical practice at Royal Bolton Hospital, UK. Participants were invited to discuss the definition of empathy, how individuals acquire and maintain empathic ability, perceptions of ethical erosion in the self and others, and how clinical experiences have influenced their empathic ability...
2016: International Journal of Medical Education
Peter Railton
What is distinctive about a bringing a learning perspective to moral psychology? Part of the answer lies in the remarkable transformations that have taken place in learning theory over the past two decades, which have revealed how powerful experience-based learning can be in the acquisition of abstract causal and evaluative representations, including generative models capable of attuning perception, cognition, affect, and action to the physical and social environment. When conjoined with developments in neuroscience, these advances in learning theory permit a rethinking of fundamental questions about the acquisition of moral understanding and its role in the guidance of behavior...
September 3, 2016: Cognition
Dafne B C A Gomez, Suely A Vidal, Luciana C S Lima
OBJECTIVES: Considering the lack of questionnaires that propose to evaluate parental satisfaction with the Neonatal Intensive Care Unit (NICU) in Brazil, this study aimed to carry out the translation of the EMPATHIC-N questionnaire into Brazilian Portuguese, the cross-cultural adaptation and validation of its contents. METHOD: The translation and cultural adaptation of the questionnaire was carried out according to the protocol established by the Translation and Cross-Cultural Adaptation Group of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) in 2005...
August 24, 2016: Jornal de Pediatria
Haran Sened, Iftah Yovel, Eran Bar-Kalifa, Reuma Gadassi, Eshkol Rafaeli
Recent research on empathy finds evidence for 2 different pathways that enable individuals to accurately infer other persons' inner mental states: an automatic, indirect pathway that operates by having a mental state similar to the target's and (correctly) assuming that this state is similar to the target's, and a more controlled direct pathway that involves assessing the target's mental state with no regard for one's own. We present 3 daily diary studies (N = 53, 38 and 80 couples) examining the contribution of these pathways to empathic accuracy in daily assessments of romantic partners' negative moods, and examine the effects of gender and relational conflict on these pathways...
August 25, 2016: Emotion
Ili Ma, Nanda N J Lambregts-Rommelse, Jan K Buitelaar, Antonius H N Cillessen, Anouk P J Scheres
This study examined reward-related decision-making in children and adolescents with ADHD in a social context, using economic games. We furthermore examined the role of individual differences in reward-related decision-making, specifically, the roles of reward sensitivity and prosocial skills. Children and adolescents (9-17 years) with ADHD-combined subtype (n = 29; 20 boys) and healthy controls (n = 38; 20 boys) completed the ultimatum game and dictator game as measures of reward-related decision-making in social contexts...
August 23, 2016: European Child & Adolescent Psychiatry
Alba Agostino, Nancie Im-Bolter, Arianna K Stefanatos, Maureen Dennis
Ironic criticism and empathic praise are forms of social communication that influence the affective states of others in a negative or positive way. In a sample of 76 typically developing children and adolescents (mean age = 11 years; 4 months; SD: 2 years; 8 months), we studied how understanding of emotional expression (facial expression of emotion) and emotive communication (affective theory of mind) was related to the ability to understand negatively valenced ironic criticism and positively valenced empathic praise...
August 19, 2016: British Journal of Developmental Psychology
Leslie Rittenmeyer, Dolores Huffman, Michael Alagna, Ellen Moore
BACKGROUND: "Watchful waiting" or "active surveillance" is an alternative approach in the medical management of certain diseases. Most often considered appropriate as an approach to treatment for low-risk prostate cancer, it is also found in the literature in breast cancer surveillance, urinary lithiasis, lymphocytic leukemia, depression and small renal tumors. OBJECTIVES: This systematic review sought to:Identify and synthesize the best available international evidence on the experience of adults who choose watchful waiting or active surveillance as an approach to medical treatment...
February 2016: JBI Database of Systematic Reviews and Implementation Reports
Patricia L Lockwood, Matthew A J Apps, Vincent Valton, Essi Viding, Jonathan P Roiser
Reinforcement learning theory powerfully characterizes how we learn to benefit ourselves. In this theory, prediction errors-the difference between a predicted and actual outcome of a choice-drive learning. However, we do not operate in a social vacuum. To behave prosocially we must learn the consequences of our actions for other people. Empathy, the ability to vicariously experience and understand the affect of others, is hypothesized to be a critical facilitator of prosocial behaviors, but the link between empathy and prosocial behavior is still unclear...
August 30, 2016: Proceedings of the National Academy of Sciences of the United States of America
Brett Williams, Adiva Sifris, Marty Lynch
BACKGROUND: A growing body of literature indicates that empathic behaviors are positively linked, in several ways, with the professional performance and mental well-being of lawyers and law students. It is therefore important to assess empathy levels among law students using psychometrically sound tools that are suitable for this cohort. PARTICIPANTS AND METHODS: The 20-item Jefferson Scale of Empathy - Health Profession Students Version was adapted for a law context (eg, the word "health care" became "legal"), and the new Jefferson Scale of Empathy - Law Students (JSE-L-S) version was completed by 275 students at Monash University, Melbourne, Australia...
2016: Psychology Research and Behavior Management
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