Why empathy has a beneficial impact on others in medicine: unifying theories

Decety, J. & Fotopoulou, A. (2015). Why empathy has a beneficial impact on others in medicine: Unifying theories. Front. Behav. Neurosci. 8:457. doi: 10.3389/fnbeh.2014.00457

Abstract: The past decades have seen an explosion of studies on empathy in various academic domains including affective neuroscience, psychology, medicine, and economics. However, the volumes of research have almost exclusively focused on its evolutionary origins, development, and neurobiological bases, as well as how the experience of empathy is modulated by social context and interpersonal relationships. In the present paper, we examine a much less attended side of empathy: why it has a positive impact on others? After specifying what the construct of empathy encompasses, we briefly review the various effects of empathy on health outcomes in the domain of medicine. We then propose two non-mutually exclusive mechanistic explanations that contribute to explain the positive effects of physician empathy on patients. (1) The social baseline theory (SBT), building on social support research, proposes that the presence of other people helps individuals to conserve metabolically costly somatic and neural resources through the social regulation of emotion. (2) The free energy principle (FEP) postulates that the brain optimizes a (free energy) bound on surprise or its complement value to respond to environmental changes adaptively. These conceptualizations can be combined to provide a unifying integrative account of the benefits of physicians’ empathetic attitude on their patients and how it plays a role in healing beyond the mere effect of the therapeutic alliance.

Acknowledgments: The writing of this article was supported by grants from the John Templeton Foundation (Wisdom Research at the University of Chicago) to Jean Decety; and from the European Research Council (Starting Investigator Award “The Bodily Self” Project No 313755) and the Volkswagen Foundation “European Platform for Life Sciences, Mind Sciences and Humanities” (II/85 069) to Aikaterini Fotopoulou.

Read the article: Decety, J. & Fotopoulou, A. (2015). Why empathy has a beneficial impact on others in medicine: Unifying theories. Front. Behav. Neurosci. 8:457. doi: 10.3389/fnbeh.2014.00457



(Something interesting I found)Posted:Jan 01 2015, 12:00 AM by brendah
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