This is the unspecified version of the paper.This version of the publication may differ from the final published version. attribution questionnaire prior to a structured patient consultation exercise, during which patients and assessors rated physician empathy. The exercise was audiotaped, transcribed and content analyzed for verbal behaviors. Support was found for the hypotheses, however, patients but not medical assessors associated empathy with reassurance and provision of medical information.
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Predicting empathy judgments 2Empathy is particularly important for medical practitioners. Physician empathy has been shown to predict patient trust, compliance with clinical decisions, and satisfaction with medical services (Barnett, Howard, King & Dino, 1981;Becker & Maiman, 1975;Newton et al. 2000). Yet surprisingly little is known about the factors that lead patients to judge physician empathy. This research set out to address two related research questions: a) how can we explain and predict individual differences in judged physician empathy, and b) what are the behavioral cues that lead patients to judge their physician as empathic? We tested a socio-cognitive model of judged empathy among 100 physicians undertaking standardized patient consultations as part of a structured selection process.
Proximal and Distal Predictors of Perceived EmpathyEmpathy has been defined in many ways, reflecting a multitude of theoretical and empirical perspectives (cf. Preston & de Waal, 2002). It is most often conceptualized in one of two ways: (1) as a heightened sensitivity to another"s emotional state that results in a shared emotional response and feelings of sympathy, or (2) as the ability to decode a target person"s thoughts and feelings and respond accordingly (Marangoni, Ickes, Garcia & Teng, 1995). Both of these treat empathy as a predominantly intra-psychic phenomenonsomething experienced (or felt) by the person who is empathizing, rather than something perceived by someone who is being empathized with (Hakansson & Montgomery, 2003). In patient consultations, however, it is arguably whether patients judge their physician to demonstrate empathy that is important (Newton et al., 2000): an interpersonal perspective that is reflected in many medical definitions of empathy. For example, More (1996) Predicting empathy judgments 3 suggests that empathy is "… a form of relational knowledge. Its manifestation is not "concern" but "presence." The empathetic physician is neither objective nor subjective,
Communication Behavior and EmpathyThe nature of physician-patient interactions influences both positive clinical outcomes and less positive outcomes such as lawsuits for malpractice (Di Blazi, Harkness, Predicting empathy judgments 4Ernst, Georgiou & Kleijnen, 2001;Levinson & Chaumeton, 1999; Mercer, McConnachie, Maxwell, Heaney & Watt, 2005;Vincent, Young & Phillips, 1994). Yet, despite a considerable body of research investigating physician-patient communication (e.g., BenSira, 1980; Buller & Buller, 19...