What is clinical empathy? Perspectives of community members, university students, cancer patients, and physicians

Hall, Judith A.; Schwartz, Rachel; Duong, Fred; Ni, Yuan; Dubey, Manisha; DeSteno, David; Sanders, Justin

doi:10.1016/j.pec.2020.11.001

Cited by 22 publications

(18 citation statements)

References 40 publications

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“…This effort can be a provision for students so that later when they enter the world of work they can empathize and respect different perspectives from their peers in the work group. This is in line with what was expressed by previous study, in this case it relates to the field of medicine, that empathy, namely in the form of listening, understanding one's feelings and perspectives, and showing interest and concern for the whole person can increase the patient's perception of clinical empathy (Hall et al, 2020).…”

Section: Discussionsupporting

confidence: 92%

Communicative and Collaborative Aspects in Indonesian Electronic School Book Evaluation Instruments

Safi’i

Wahdini

2021

JERE

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This article aims to describe the diversity of communicative and collaborative aspects contained in the evaluation instrument in Indonesian BSE. This study uses a qualitative approach by applying the principles of content analysis. The data sources in this study were 541 evaluation instruments spread over eight teaching materials, namely compiling procedural texts, studying explanatory texts, managing information in lectures, studying life in short stories, preparing proposals, designing scientific papers, assessing works through reviews, and performing plays. The results showed that overall the evaluation instruments relevant to various communicative competence indicators were 110 questions or 20.33% while the evaluation instruments relevant to various indicators of cooperative competence were 81 questions or 14.97%. This percentage shows that the communicative and collaborative competences in the evaluation instrument in Indonesian BSE have been developed quite well.

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Section: Discussionsupporting

confidence: 92%

Communicative and Collaborative Aspects in Indonesian Electronic School Book Evaluation Instruments

Safi’i

Wahdini

2021

JERE

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“…In the second part, patients rated 49 hypothetical clinician behaviors for how well they fit their personal definition of clinician empathy; these quantitative results are described elsewhere. 27 Patients were instructed to consider only their personal definition of empathy rather than the general desirability of a given behavior and also to consider the behaviors hypothetically (ie, not to rate their own clinicians).…”

Section: Survey Developmentmentioning

confidence: 99%

What is empathy? Oncology patient perspectives on empathic clinician behaviors

Sanders

Dubey

Hall

et al. 2021

Cancer

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BACKGROUND: Oncology patients and physicians value empathy because of its association with improved health outcomes. Common measures of empathy lack consistency and were developed without direct input from patients. Because of their intense engagement with health care systems, oncology patients may have unique perspectives on what behaviors signal empathy in a clinical setting. METHODS: As part of a cross-sectional study of patient perspectives on clinician empathy at an academic cancer center in the northeastern United States, the authors solicited up to 10 free-text responses to an open-ended question about what clinician behaviors define empathy. RESULTS:The authors categorized open-ended responses from 89 oncology patients into 5 categories representing 14 themes. These categories were relationship sensitivity, focus on the whole person, communication, clinician attributes, and institutional resources and care processes. Frequently represented themes, including listening, understanding, and attention to emotions and what matters most, aligned with existing measures of empathy; behaviors that were not well represented among existing measures included qualities of information sharing and other communication elements. Patients also associated clinician demeanor, accessibility, and competence with empathy. CONCLUSIONS: Oncology patients' perspectives on empathy highlight clinician behaviors and attributes that may help to refine patient experience measures and may be adopted by clinicians and cancer centers to enhance patient care and outcomes. High-quality communication skills training can promote active listening and paying attention to the whole person.A system-level focus on delivering empathic care may improve patients' experiences and outcomes.

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“…Recent research indicates, for instance, that lay conceptions of empathy strongly encompass a heterogeneous mixture of perspective taking, prosocial emotional response (e.g., caring, compassion), and interpersonal perceptiveness (Hall et al, 2021a). Similarly, regarding lay and clinician conceptions of clinician empathy, characteristics such as “shows care and compassion” and “understands patient's feelings” are most strongly endorsed as representative of empathy, whereas emotion matching (e.g., “gets sad when the patient is sad” and “can't help feeling what the patient is feeling”) are regarded as much less representative (Hall et al, 2021b; also see Sanders et al, 2021).…”

Section: Back To the Future: The Rim Definition Conflicts With Empath...mentioning

confidence: 99%

“…It could be a desire for relatedness with another person, hoping to bask in the glow of another's success, or sadistically wanting to bask in the agony of another's tragedy. In many cases, it will be an other-oriented caring for another person, the kind of other-oriented motivation that clinicians and laypersons typically imply when using the term “empathy” (see Hall et al, 2021a; 2021b) and which has been widely measured in empathy research (see Zaki, 2017). Whatever the nature of the motivation for an empathizer in any particular case, it will likely entail emotional content that is not isomorphic to the emotion of the other person.…”

Section: The Rim's Two “Frenemy” Pillars: Isomorphic Matching and Sel...mentioning

confidence: 99%

Why We Should Reject the Restrictive Isomorphic Matching Definition of Empathy

2022

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A growing cadre of influential scholars has converged on a circumscribed definition of empathy as restricted only to feeling the same emotion that one perceives another is feeling. We argue that this restrictive isomorphic matching (RIM) definition is deeply problematic because (1) it deviates dramatically from traditional conceptualizations of empathy and unmoors the construct from generations of scientific research and clinical practice; (2) insistence on an isomorphic form undercuts much of the functional value of empathy from multiple perspectives of analysis; and (3) combining the opposing concepts of isomorphic matching and self-other awareness implicitly requires motivational content, causing the RIM definition to implicitly require the kind of non-matching emotional content that it explicitly seeks to exclude.

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What is clinical empathy? Perspectives of community members, university students, cancer patients, and physicians

Cited by 22 publications

References 40 publications

Communicative and Collaborative Aspects in Indonesian Electronic School Book Evaluation Instruments

Communicative and Collaborative Aspects in Indonesian Electronic School Book Evaluation Instruments

What is empathy? Oncology patient perspectives on empathic clinician behaviors

Why We Should Reject the Restrictive Isomorphic Matching Definition of Empathy

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