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Empathy SELLS – but empathy’s limitations sell even better

As a popular trend, empathy peaked in 2009 with the publication of the late Franz de Waal’s now classic The Age of Empathy.  De Waal goes on to profile “Our kinder, gentler [Bonobo ape] ancestors” on Oct 3, 2009 in the middle column of the then largely still hardcopy Wall Street Journal,” casting doubt on the “killer instincts” of our early humanoid ancestors. De Waal’s essay champions the position that this aggressive and over-sexed species, human beings (homosapiens), is capable of empathy, compassion, altruism, gratitude, generosity, and such “pro social” attitudes. Fast forward a decade and a half. 

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Empathy still sells and is honored and advocated as a powerful intervention to deescalate aggression and conflict. A rigorous and critical empathy still champions the many successful applications of tough love, red teaming, hard empathy, and limit setting while acknowledging the limitations and the ways that empathy can break down, including phenomena such as emotional contagion, projection, conformity, messages getting lost in translations, in the trials and errors of being empathic. A rigorous and critical empathy is committed to doing the hard work of overcoming these break downs and misfirings in order to relate authentically and in integrity to the other individuals and the community.

But if empathy still sells, its limitations sell even better. The latest trend is to denounce empathy as a weakness and a danger to western civilization. Gad Saad’s Suicidal Empathy (2025) goes further than the initial wave of anti-empathy advocates such as Paul Bloom (2016), Fritz Breithaupt (2017), Glenda Carpio (2023), and Namwali Serpall (2019). With Saad, the recommendation is not that one should apply rational compassion rather than empathy (Bloom) or deploy “enlarged thinking” (Carpio “channeling” Hannah Arendt) instead of empathy or that empathy is a kind of “slave morality” masquerading as kindness (Breithaupt). Rather “empathy” should be added to the list of “pro social” characteristics such as altruism, compassion, charity, generosity, gratitude, helping those in need, being kind to animals, turning the other cheek, and so on (even though empathy is not an emotion as such but a form of emotional communication among other things). Throw them all under the bus. Being kind makes you and your community a sucker, and as P.T. Barnum, the founder of the Ringling Brothers and Barnum & Bailey Circus, famously noted, “There is a sucker born every minute.” 

The anti-empathic advocates offer a thought experiment: If you are in an overcrowded life boat after your ship sank, then taking on further survivors may cause the boat to sink, and everyone will perish. Don’t be an empathic sucker; push the competition under. If you do not do so, you are at risk of (drum roll): suicidal empathy

What is overlooked is that this “thought experiment” is a set-up and is a double bind. Given the rock and the hard place, the devil and the deep blue sea, the damned if you do and damned if you don’t, it is the reason the ancient Greeks invented tragic theatre. Life often presents people with unfair choices. Life presents choices that no one should have to make, that no one can make, though doing nothing is also a choice. The thought-experiment starts by taking away one’s agency. You are in a life boat, and it is because your ship sank. You do not need expanded empathy; you need rescue. “Women and children” first” is the rule in any abandon ship scenario. In an extreme situation, this sounds like the captain and crew providing the empathic leadership required of them. That is the empathic moment, not “shoot the survivors.” The “take down” of Saad’s Suicidal Empathy requires an article of its own. One is available, though it is not a book review as such (though one is in preparation) see: “Suicidal empathy is in the news. . .” by Lou Agosta: https://louagosta.com/2026/05/22/suicidal-empathy-is-in-the-news-what-you-need-to-know-to-debunk-the-anti-empathy-skeptics/ ) Finally, for a detailed discussion and critique of the anti-empathy cohort prior to Saad see the prepublication version of Chapter 3: Empathy and its discontents from Lou Agosta, (2025), Radical Empathy in the Context of Literature(click here to download). Selected sections of the following are based on this chapter.  

The very idea that our civilization at risk due to an excess of empathy is so laughably absurd and “out there” as to give pause that the advocate of the idea may perhaps be delusional. This is the same civilization (“the West”) that brought us two world wars, the Armenian Genocide, Auschwitz, Hiroshima (“seemed like a good idea at the time”), the war on terror (“seemed like a good idea at the time”), “forever” wars in the middle east, Chernobyl, the internment and annihilation of ethnic and racial groups too numerous to list here, and this civilization is suffering from an excess of empathy? Granted that the vast majority of people are empathic people devoted to family, career, community and country, Saad and his fellow travelers are sensationalizing empathy’s acknowledged limitations by throwing a rotten tomato at it. One can always make a splash by throwing a rotten tomato. If Saad had said, empathy doesn’t work with psychopaths, antisocial personality disorder, bullies, corrupt politicians, and the criminally insane, then it would be easy to agree with the position. With such individuals and groups, one must set firm boundaries, define forceful limits, call for backup, and speak truth to power. 

Unfortunately, once a “policeman” is kneeling on your neck or someone throws a bomb, it is too late for empathy. The perpetrator fails the readiness assessment for empathy and it is necessary to invoke self-defense. And remember the best defense is a good offense—provided that it is proportionate to the incoming violence (which is notoriously hard to determine). Self-defense, setting limits, establishing boundaries are what is needed. 

Furthermore, Empathy 101 teaches that empathy does not work on an active battlefield, or if one is starving to death, or hanging upside down in a torture chamber. Never underestimate the power of empathy—never—but empathy in such extreme situations ends up looking like what the FBI Hostage Negotiating team uses to open communication with the hostage takers, or looking like “Red Team, Red Team!”—think like the opponent in a war game (on Red Teaming see Zenko 2015). What then is the source of resistance to empathy?

Taking the debate up a level from any particular author’s book, let us consider the causes of resistance to empathy. First, the listener or would-be empathic person does not want to make him- or herself vulnerable to the upset, emotional disequilibrium, or trauma of the struggling individual who is narrating sharing his or her struggle. 

Note that all the things said here about resistance to empathy can also be said about compassion, altruism, kindness, generosity, gratitude, and the related set of pro-social attitudes. If the empathic person risks “empathic distress,” the compassionate person risks “compassion fatigue.” All the helping professions and first responders are at risk of a kind of “burn out,” affective depletion, or using up of one’s emotional resources. That means that professional self-care is an essential part of the commitment to service and that those playing the Long Game of expanding empathy in the community have in place practices to renew their emotional resources. 

Resistance to empathy on the part of the listener is resistance to being affectively flooded, overwhelmed or otherwise put at the effect of excessive stimulation of a negative or even positive kind, which in excess can be painful. For example, who would want to empathize with a person such as Geheimrat Daniel Paul Schreber at the height of his psychotic breakdown?[1] No one. However, in order to make a difference in helping Schreber it would be useful to get a taste of his distress, a sample of his fear, a vicarious experience of what he experienced as if in the theatre or film. So, if one is overwhelmed by emotional contagion, whether by empathic distress or compassion fatigue, then one is doing it wrong. One needs to take a sample of the other person’s distress, not the full-blown trauma itself. In empathizing, one needs to “tune up” one’s vicarious experience of the other and “tune down” one’s merger with them. This takes practice and even trial and error. Nevertheless, this is a real issue. 

Given the level of empathy training, rare is the person who has enough control over their empathy regulation to tune it up or tune it down based on a continuum of disturbances varying from the mildly, everyday neurotic to the deeply psychotic. Note, however, that the antidote is expanded empathy. This bears repeating. If empathy is limited or parochial, then the solution is not to discard empathy to expand it, thus expanding inclusiveness and community.

Resistance to empathy also comes from the person who is the would-be recipient of empathy, compassion, etc. Pain and suffering can become a bad habit. The struggling individual is attached to their pain and suffering and these have become a kind of “comfort zone.”  So letting go of the pain and suffering is itself more painful than the present pain. Letting go of the pain and suffering is filled with more pain and suffering than the person is willing to confront. As Marsha Linehan, the innovator in dialectical behavioral therapy (DBT), famously noted, the way out of hell is through misery. Overcoming the bad habits, blind spots, and maladaptive behaviors that are the causes of a person’s suffering requires struggle and effort that is itself a kind of misery. Who wants to hear that? No one. Better to stay in one’s comfort zone of discomfort. Furthermore, overcoming one’s limitations and getting the empathy, dignity, respect, and recognition for which one is so hungry risks an encounter with the Unknown – new possibilities which have not been previously available both for success and failure – and the unknown is the most anxiety inspiring thing possible. Hence, further resistance to empathy. 

Finally resistance to empathy comes from institutional inertia, namely, the faceless unempathic bureaucracy that seems to live in every call center, customer service desk, government function, or need for trouble shooting with a new appliance, computer interface, or product return. Any business person knows that customer service requires empathy. This is one place where “empathy sells, and empathy’s limitations sell even better” is completely and patently false. Lack of empathy sends the customer to the competition (and the customer will not even tell you about it – you will just be out of business!). 

If Gad Saad is complaining about the fake empathy at many customer service desks and call centers and sales pitches (in general), then we are in agreement. Unfortunately, he is not – he seems really to be anti-kindness and anti-empathy along the lines of “what doesn’t kill you makes you stronger” – even amidst a growing body count. In addition, one should not overlook that all-purpose tip and technique of “fake it till you make it.” Working from the outside inward – from practicing empathic behavior even if one’s feeling lag behind – is a proven method of “boot strapping” oneself into new skills and positive habits. 

Regarding “what doesn’t kill you makes you stronger,” that notorious “bad boy” Friedrich Nietzsche called such qualities as altruism, compassion, charity, and pro social attitudes aspects of “slave morality,” tips and techniques that those out of power can use to get power. Note that Nietzsche never mentioned the word “empathy,” but engaged with related phenomena such as altruism, charity, and so on. What is so wrong with the disempowered trying to expand their power? Since the ruling class are not volunteering to give up power, how else would anyone get power than by strategizing and struggling? What is wrong with the poor, the disadvantaged, the marginalized, the survivors of domestic violence, refugees from conflict zones and natural disasters, the early Christians with whom the Romans literally fed the lions (this list is not complete) getting back some of their power? Was the USA – and the sitcom theme song “Movin’ on Up” – not premised on struggling African Americans, immigrants, and the marginalized getting a “piece of the pie”? 

I cut to the chase. The criticism of empathy as “suicidal empathy” is a new form of Social Darwinism. What the heck is Social Darwinism? The short version of Social Darwinism is the wolves saying the sheep should have more understanding for the wolves. “We wolves are very hungry. Have empathy for us and come here and let us bite your neck.” It is the masters in the manor house saying the slaves in the dirt-floored cabins out back should be more sympathetic towards the masters. “The burdens of leadership are hard, and riding shot gun over a chain gang of enslaved workers in the hot Mississippi sun is not easy.” The admittedly simplistic account of Neo-Social-Darwinism in the context of survival of the fittest is: if you get “extinguished,” then you deserved it. Well, not exactly. It means in a high stakes game of random variations and natural selection, you drew the short straw. If you were born in poverty, in a conflict zone, in a land rendered uninhabitable by rising waters, forest fires, or climate change, you did nothing to deserve your pain and suffering. This is the classic dilemma of bad things happening to innocent people, which all world religions and most philosophical systems attempt to address in different ways. Empathy alone is not going to fix the problem of evil and suffering, but, I maintain, empathy is called forth by these and is an important part of the solution. 

Further background on what we might formally label as Neo-Social-Darwinism: In the Gilded Age of the robber barons of capitalism, when Rockefeller’s Standard Oil company forced small competitors out of existence using monopolistic, anti-competitive, and corrupt business practices, Standard Oil justified the action by saying “survival of the fittest.” That is Neo-Social-Darwinism. For example, when in 1894 railroad workers went on strike in Chicago for better wages, health insurance, an eight-hour day, and working conditions (sounds familiar?), US President Grover Cleveland called out 15,000 US Army (federal troops) on July 3, 1894 to break the strike under the pretext that it was preventing delivery of the US mail. 

Here is another example of abuse of power to further undemocratic ends: On April 20, 1914, the Colorado National Guard and guards of the Rockefeller-owned Colorado Fuel and Iron Company (CF&I), surrounded and attacked a tent colony of 1,200 striking miners, ultimately killing over 20 men, women, and children by randomly firing machine guns into the camp before burning it all down. The massacre caused a national outcry, violent sympathy strikes (the “Ten Days War”), and congressional hearings that disgraced the Rockefeller family’s public image. The miner’s families, however, were still dead. (See “The Ludlow Massacre”: https://en.wikipedia.org/wiki/Ludlow_Massacre.)

Not to minimize the abuses of power and rampant corruption in the current executive branch and Washington, DC, at large (Q3 2026), this is business as usual. Stephen Miller and Russell Voight, key policy architects and advisors to the current executive administration, seem to be studying the Grover Cleveland new gilded age play book and applying it to aspiring immigrants, diversity and inclusion, education, health care, and revisionist history that slaves were not so badly off. And if you believe that, I want to sell you the Brooklyn Bridge.  

Full disclosure: I mistakenly subscribed to the view that no such thing as bad publicity existed, and I declined in 2018 (and up until 2023) to mention the anti-empathy authors by name, instead referring to an “evolutionary psychologist,” a “celebrity psycholinguist,” a prominent “Germanic studies” teacher, or a mandarin professor of comparative literature. Why give “free publicity” to views that were seemingly committed to inhibiting, contracting, devaluing, rather than expressing, expanding, and implementing the practice of empathy? 

The gambit did not work. The devaluing of empathy got traction, perhaps driven by publishers whose market research, whether accurate or not, suggested that the sales of empathy books had peaked, and who proposed to keep the pot boiling with works that throw empathy “under the bus.” The challenge is that it is getting crowded under the bus. One can always make a splash by throwing a rotten tomato, and the would-be critique of empathy uncharitably takes the weakest version of empathy and refutes it. In contrast, a rigorous and critical empathy engages in a process of continuous improvement of empathy by “cleaning up” the empathic breakdowns of emotional contagion, projection, conformity, and communications lost in translation, resulting in the expansion of empathy in the individual and the community.

Yet another reason that the practice of empathy sells but empathy’s limitations sell even better is a consequence of empathy’s own success. Empathy works. Empathy makes a profound and lasting difference to those who are treated with empathy. But in the age of TikTok does empathy work fast enough? Empathy and its many successes are themselves the occasions for the skepticism, resistance, and embracing the obstacles to empathy. A rigorous and critical empathy can be hard work; being empathic can leave one vulnerable; better to take the easy way out. The reader may say, I want instant empathy, like instant coffee, just add hot water and stir. Wouldn’t it be nice? Nor is anyone saying such a thing as “instant empathy” is impossible. It may work well enough in a pinch; but like instant coffee, the quality may not be on a par with that required by a more demanding or discriminating appreciation and taste – or a more challenging situation. 

The pervasive cynicism and resignation of the world are naturally attracted to attacking the sources of inspiration and strength, not those of enervation and stagnation. A treatise on “The Dark Sides of Violence” will sadly remain timely and relevant, but no one disputes the accuracy of the description. One does not need a treatise “Against Eating Dirt,” because few are inclined to eat dirt (and if one is so inclined, it seems be a sign of a vitamin deficiency).

This brings us to the poster child for devaluing empathy, Fritz Breithaupt’s The Dark Sides of Empathy (2017) (hereafter referred to as “Dark Empathy”). Breithaupt asserts on page 8 that to “uncritically embrace empathy without caveats” is the goal debunked by the end of this [Breithaupt’s] book. Those who “uncritically embrace empathy” are debunked. Just so. Please stop right there. Who proposed uncritically embracing empathy—or anything? Uncritically embracing empathy is not proposed here. Attributing uncritical thinking to the masters of empathy such as C. Daniel Batson (2009), Simon Baron-Cohen (2014), Frans de Waal (2009), Jean Decety and William Ickes (2009), Susan Lanzoni (2018), Micah Zenko (2015) (this list is not complete), is itself a concerning sign of lack of critical thinking. Dark Empathy is at best naïve and at worse disingenuous in imaging practitioners of empathy are uncritical or lack rigor. “Uncritically embracing empathy” sets up a strawman, and gives a green light to uncritical thinking. 

The program of Dark Empathy is systematically and sensationally to attribute examples of empathic distress to the practice of empathy itself, charge empathy with these misfirings, and, going forward, invalidate and dismiss the practice of empathy. Instead of engaging with the hard work of self-inquiry into one’s own blind spots to overcome the obstacles and resistances to empathy, Dark Empathy takes the easy way out, discards empathy, gives up on it. It is like giving up on nutrition because the cook may put too much salt in the soup or burned the roast.

Dark Empathy properly lists many of empathy’s breakdowns, misfirings, and obstacles (as do practitioners of a rigorous and critical empathy). These include things such as emotional contagion, projection, conformity, messages getting lost in translations in attempting to be empathic. A rigorous and critical empathy is committed to doing the hard work of overcoming these break downs and misfirings in order to relate authentically and in integrity to the other individual. In contrast, Dark Empathy’s commitment seems to be to sensationalizing the failings of empathy, not demonstrating how empathy works (and does not work) in literature, politics, psychology, etc. Or rather the commitment is that empathy does not work (full stop).

If Dark Empathy would have stopped at page 8—empathy is what makes us human (or words to that effect) and elaborated on that position—then it would have made a useful contribution. The author really says it: empathy is essential to our humanity. However, empathy then breaks down into empathic distress. The issue is that human beings are frequently inhumane—not just a few bad apples, but as the Holocaust and Hannah Arendt taught us about the banality of evil, and the famous quote from the Nazi leader Heinrich Himmler, everyone has the potential for real badness, evil, even if few act on it. Therefore, dial back empathy, abstain from empathy? (See Hannah Arendt. (1971). Eichmann in Jerusalem. New York: Viking Press: 105–106; see also Lou Agosta. (2010). Empathy in the Context of Philosophy. London: Palgrave Macmillan: 73; this is the quotation from the Nazi Chief of the SS (Schutzstaffel) Heinrich Himmler and director of many of the genocidal programs against the Jewish people (and others) where he exhorts his men, seeming to demonstrate a kind of mutilated empathic understanding of how difficult it is to kill people and encouraging the executioners not to make any exceptions – and to kill them all. This is the paradigm case for a kind of “fiendish empathy” (as Heinz Kohut, MD, called it), and it might be redescribed as the breakdown of empathy in the presence of moral insanity and lack of integrity.) 

Dark Empathy asserts sensible things about empathy up front, and then sensationalizes the negative and the resulting empathic distress by saying that empathic human beings perpetrate horrid actions. Accurate enough. Human beings are a difficult species. They are an empathic, caring, compassionate, and kind species as well as an aggressive, territorial, and rapacious one. Wouldn’t we want to work on expanding the former and inhibiting the latter? 

That Roman soldiers drove nails through the limbs of the people they were crucifying does not invalidate the art of carpentry. Dark Empathy makes it sound like it does as it seemingly intentionally applies the same argument to empathy. Dark Empathy perpetrates a series of fallacies of numbing grossness by saying the forms of empathy are the motives for the horrid actions. This is not accurate. Aren’t the hidden variables aggression, uninhibited desire, territoriality (this list is not complete)?

The Dark Sides of Empathy succeeds in being provocative, even sensationalistic, identifying ways in which empathy can (and does) breakdown, misfire, and go astray. Yet The Dark Sides of Empathy is argumentatively uncharitable (in Donald Davidson’s sense): it uses the weakest versions of the empathy advocate’s arguments, not the strongest. On background, the analytic philosopher of language Donald Davidson innovated in defining a “a principle of charity”. 

The principle of (argumentative) charity goes beyond honest translation or statement of an argument, as noted, asking the thinker to engage with the strongest version of an argument rather than intentionally weaking it through setting up a strawman or a distorted, ambiguous representation of the argument. (On “argumentative charity see: Donald Davidson. (1973). Radical interpretation. In Inquiries into Truth and Interpretation. Oxford: The Clarendon Press, 2001: 125–139 (the principle of argumentative charity is discussed on 136–137); I am adding the word “argumentative” to distinguish clearly Davidson’s logical meaning from “altruistic charity,” which a form of compassion; see also Jonathan Haber. (2020). Critical Thinking. Cambridge, MA: The MIT Press: 74.)

As noted, one can always make a splash by throwing a rotten tomato, and that is what The Dark Sides of Empathy does. The only concern is that my criticisms will sound like there is no such thing as bad publicity or sound like buying the book is worth it. It is not. I have read it very carefully, cover-to-cover, dear reader, so you do not have to. What a chore! Dark Empathy name drops Hölderlin, Goethe, Flaubert, Fontane, Hawthorne ((p. 172) one page only!), before turning to an in-depth engagement with the execution of the domestic (US) terrorist, Timothy McVeigh, the Oklahoma City bomber, which says as much about the dark side of the author as about any aspect of empathy. (Note: Timothy McVeigh (1968–2001): Executed by Federal authorities on June 11, 2001 for the bombing of the Alfred P Murrah Federal Building in April 1995 in which 168 people, including 19 children, were killed and 680 injured.)

One fundamental fallacy is to confuse empathic distress with empathy itself. That empathy can misfire and fail does not mean one should abstain from empathy. It means to expand one’s empathy one may usefully practice and develop one’s empathic capabilities. With practice and effort, one’s empathic abilities are broadened and deepened. The celebrated Self Psychologist and empathy innovator Heinz Kohut, MD, (who is not mentioned in Breithaupt) gives the example of the Nazis who equipped their dive bombers with sirens, the better to impart empathic distress in their victims, thus demonstrating their (the Nazis’) subtle “empathic” appreciation of their victims’ feelings. One is tempted to say, “The devil may quote scripture.” The devil frequently does, and Nazis and their fellow travelers may try to apply some subset of a description of “empathy.” 

Note that Kohut speaks of “fiendish empathy” and the use of empathy for a “hostile purpose” while emphasizing his (Kohut’s) value neutral definition of empathy as “vicarious introspection” and a method of data gathering about the other person (1981: 529, 580).Nevertheless, the point is well taken that empathy is a powerful phenomenon in all its dimensions and requires careful handling.

The Nazi applies a kind of entry level emotional contagion or affective transmission of feelings, but the process breaks down at the point of empathic responsiveness. Empathic responsiveness requires a core of acknowledgement and recognition of the other person’s humanity. 

Thus, it is arguably plainly evident that the would-be “empathy” of the Nazis or the white supremacists such as Timothy McVeigh[1] misfires and does so completely. The would-be empathy gets itself entangle in a practical contradiction. It is a contradiction to relate humanely to another person being while dehumanizing the person. Empathy doesn’t work that way. Empathic responsiveness simply does not admit of bombing people or disqualifying them as “less than” or other than human when they plainly are human. 

The risk of Dark Empathy to the reader is that the reader may think its author is an expert in empathy and start quoting the distortions, lack of rigor, critical faux pas, and simple inaccuracies as if they shed light on empathy. For example, in a case of shocking inaccuracy, the book sites Stockholm Syndrome as an example of the dark side of empathy (p. 37). The mechanism of Stockholm Syndrome is not empathy, but “identification with the aggressor [key term].” Because the hostages identified with the aggressor (the bank robber and hostage taker) in order to survive a five-day traumatic kidnapping means that people do what they have to do to survive. 

It is not an example of empathy, but of Dark Empathy’s lack of psychological acumen – and of empathy. As noted above, identification with the authority figure is crucial in forming the human moral conscience during childhood; and this same mechanism of identification “goes off the rails,” misfunctions or rather functions in a pathological or at least problematic way, in the case of a kidnapping, in which, in order to survive, the victim actually builds a relationship with the perpetrator – does not pretend to do so, actually builds the relationship. 

Breithaupt’s interpretation depends on overlooking the basic definition of empathy that empathy requires a firm boundary between the self and the other. Remember the pessimistic philosopher Arthur Schopenhauer? His treatment of compassion and selflessness and/or merger, against which Nietzsche’s occasionally raged, are break downs of empathy. Never was it truer that “Good fences make good neighbors” (a fence, not a wall!), and there is a gate in the fence over which is the welcoming word “Empathy!”

A forced choice between more compassion and expanded empathy

In comparison with the long, hard slog through Dark Empathy, Paul Bloom’s Against Empathy is relatively easy to comprehend and situate. The case against empathy is that it is parochial, biased and limited based on preferences for “in group” individuals and associations such as family, neighborhood, and superficial similarities such as ethnic background, race, or local custom. Bloom’s recommendation is to pursue rational compassion. Bloom actually makes it sound like one has to choose between rational compassion and empathy. Given the state of the world, doesn’t the world need both more compassion and expanded empathy? The forced choice between the two must be declined. 

Furthermore, the answer on the part of empathy advocates to the criticism of the “bias and limitation” of parochialism is direct: if empathy is sometimes parochial, the solution is not to abstain from empathy but to expand it. The empathic imperative is precisely: Be inclusive! Welcome the outsiders, the Others. Expanded empathy is what is required to broaden the scope and limits of the community to build harmonious and cooperative relationships that work for everyone. That building such a community is a high bar, takes nothing away from empathy. Given the complexity of the challenge, one would think that deploying various methods to make progress is proper. 

As noted, Bloom’s choice between rational compassion and, as the title says, against empathy seems forced. Given the challenges at hand, don’t we need both empathy and compassion (of all kinds) to deal with this difficult species, human beings? Though I might be mistaken, I am not aware of any advocate of a rigorous and critical empathy who recommends abstaining from compassion. Why should advocates of rational compassion abstain from empathy? 

Given that Against Empathy operates with the distinctions rationality and critical thinking (the latter implicitly), it has much to offer – just not much to offer against empathy. Its discussions of compassion fatigue, self-control, delayed gratification, caring and mirroring, the basis of morality, violence and cruelty, thinking about the consequences of one’s speech and actions, are all relevant to the dynamics between empathy and rational compassion. 

Many of these distinctions such as self-control, delayed gratification, thinking about the consequences of one speech and actions, are features of adult behavior and speaking. Now it is a concerning fact that many adults are going about their business behaving in immature ways like adolescents who do not think about the consequences of their behavior and speaking. This says a lot about the breakdown of civility, education, and politics in our world, and, once again, the antidote is expanded rationality, compassion, and empathy. 

This is a good place to note that empathy has a developmental sequence. The empathy of a two-year-old, who offers his own teddy bear to an upset grownup in tears whose adult suffering the child does not really understand, is on a continuum with, but different than, full adult empathy. Nor should the child’s empathy be dismissed. Children are exquisitely empathic, just not always with complicated adult issues. The adults deploy all the aspects of vicarious affect matching with the Other, appreciating who the other person is as a possibility, taking a walk cognitively in the Other person’s shoes (while remembering to take off one’s own to avoid project), and responding to the Other in a form of words and gestures that indicates to the Other that the listener “got” that with which the Other was struggling. 

The key take-away on adult empathy with children in Christine Olden’s (1953) defining statement is as follows: when with a child, the adult is present to his or own fate as a child of the same age. Note that such a calling forth of the adult’s experience does not necessarily align his or her experience with that of the child in the moment, since the child may be happy and the adult unhappy (and so on), but the implicit experience called forth is the input to the empathic process of comparing and contrasting one’s own experience with that of the child out of which an empathic response can be produced. 

What is characteristic of those against empathy is that they engage with the weakest version of the empathically-relevant phenomena at issue, not the strongest. They engage with the breakdowns and misfirings of empathy such as emotional contagion, projection, conformity, and communications getting lost in translation. All these are real enough occurrence, and the recommendation is to improve on empathy by analyzing what occurred and taking steps to improve the practice in context. Yet the tactic of the anti-empaths is to roll these misfirings up into the definition of empathy, and then invalidate empathy. In contrast with this argumentative lack of charity, the sound practice of empathy “gets it” that empathy can fail; and it is precisely in overcoming these failures, obstacles and resistances that a rigorous and critical empathy comes forth and gets implemented. 

As noted above, the analytic philosopher of language Donald Davidson (1973: 136–137) innovated in defining a “a principle of [argumentative] charity.” One seeks for that in vain in Against Empathy, where the title itself seems to be a provocation. Nor is there anything wrong with that as such – just do not pretend that provocation and rhetoric (in the negative sense) are going to expand one’s empathy. Never was it truer, resistance to empathy makes obstacles to empathy a part of the defining features of empathy in order to dismiss it. 

For example, if one is suffering from compassion fatigue or empathic distress, which is a professional risk of first responders and members of the helping professions such as doctors and therapists, then one recommendation is to “dial down” the compassion and/or empathy. If one uncharitably weakens empathy or compassion by representing them as an “on off” switch, then one is faced with the false choice between these pro-social practices and hard-heartedness. However, if one represents compassion and empathy as being something that one can dial up and down, granted this requires practice and training, then one has the possibility of sampling the other person’s suffering and pain vicariously. One has a vicarious experience – a sample or trace affect of the Other’s experience – and one is able to put one’s toe in the river of the Other’s suffering (so to speak) without being flooded by it. Much remains to be said about this, but, for our present purposes, the point is to decline the false choice between more compassion and expanded empathy. Both are needed. 

A particularly problematic example that Bloom cites is the case in which empathy allegedly incites to violence. The example Bloom gives is the cases of lynchings of black men in the US South who were accused of raping white woman, in which lynchings, Bloom maintains, empathy for the white woman became a motive to the violence. How shall I put it delicately? Simply stated, lynchings were a way of maintaining white supremacy and domination of black people through violence and should never be represented in any other way. Racism is the systematic denial of empathy. 

These false accusations against innocent black men, who were literally grabbed off the street, are fanatical delusions similar to those that Jewish people drank the blood of Christian babies or that extra-terrestrials from Mars invaded New Jersey in 1931 – lies, damn lies, and total nonsense. I am sitting here holding my head in my hands and rocking back-and-forth quasi-catatonically. I am sick at heart. To site this racist accusation of rape as an example of empathy or motivating an empathic reaction is the reduction to absurdity of Bloom’s entire project. He just doesn’t get it. Even argumentative charity has its limits. At the very least, Bloom is tin-eared and unempathic to cite this common racist stereotype of rhetorical violence preceding physical violence, which is a tactic of domination, Jim Crow, white supremacy, and the imposition of injustice by violence. The most charitable thing to do to undo something so off the rails is to apologize and resign. 

On background for the reader’s historical empathy, in 1931 eight black young adults and one juvenile, henceforth known as “The Scottsboro Boys,” were falsely accused of raping two women. After examination by a medical doctor, no evidence of rape was found. They were tried by an all-white male jury for rape and sentenced to death for the rape(s) (except for the juvenile, who was sentenced to life in prison). The NAACP and the Communist Party (regarding the latter, even a broken clock tells the correct time twice a day) provided legal assistance to the young men and stopped the State from executing them; but they had to endure long and unjust years in prison. With this historical vignette of struggle for justice and empathy ringing in our ears, we turn to the next example of empathy under stress. 

Mutilated empathy

Migrant Aesthetics by Glenda Carpio sets up an either/or choice between ending empire (e.g., racism, colonialism, imperialism, and so on) and expanding a rigorous and critical empathy. The book then mutilates empathy by confusing it with projection, emotional contagion, conformity, and other forms of miscommunication. The result is some 285 pages of penetrating analysis in which the reader does not get a single example of the practice of empathy resulting in a successful empathic relatedness in literary fiction (which is the author’s area of expertise and discussion). The attempt by Migrant Aesthetics to force a choice between expanding empathy and ending (or limiting) empire must be refused. Both results – ending (limiting) empire and expanding empathy – are needed. More on that shortly. (See Glenda Carpio. (2023). Migrant Aesthetics: Contemporary Fiction, Global Migration, and the Limits of Empathy by Glenda Carpio (New York: Columbia University Press.)

The good news is that empathy works whether one names it or not, whether one believes in it or not. Contra Carpio’s constant carping (forgive me, I just couldn’t resist), the practice of a rigorous and critical empathy knows that it can be wrong and can break down, misfire or go astray, flat out fail, as projection, emotional contagion, conformity, or communications getting lost in translation. It is precisely in engaging with and overcoming these obstacles and resistances to empathy that empathic relatedness and community are brought forth. Like with most powerful methods, skills, or interventions, practice makes the master. As a successful and popular teacher, Carpio knows the value of empathy, nor is mention of the word itself required. 

The issue is that in 285 pages of penetrating, incisive analysis of migrant aesthetics (the category, not the title), Carpio does not provide a single example of what an effective empathy would look like. The reader is not given a single example of a healthy empathic relatedness that works, so that one could identify it if one happened to encounter it. This bears repeating: in some 285 pages of summary and analysis of the literary fictions of Dinaw Mengestu, Teju Cole, Aleksandar Hemon, Valeria Luiselli, Julie Otsuka, Junot Diaz, and some nonfiction of others, Migrant Aesthetics does not cite a single example of empathy that works right or functions as designed.

Not one. Granted that empathy does not always succeed, the reader of Migrant Aesthetics does not learn what a healthy, rigorous and critical empathy might look like if, rare as it may be (as empathy skeptics assert), if one happened to encounter empathy. None. Not one single example of what empathy looks like when it succeeds in producing empathic relatedness. This must give the reader pause. We take a step back—but not too far back.

Caprio asserts: “…[W]hat has been my central argument in this work: that the history of empire is key in understanding the roots of migration at a scale appropriate to its global dimensions (Carpio: p. 228).” That to be forced from one’s home and become a refugee of the road is definitely a source of pain, suffering, and trauma. Here the connection is direct—cause (routed from one’s home by aggression, starvation, etc.) and effect (pain, suffering, trauma). At the risk of over-simplification, yet a compelling one, white Europeans with cannons and machine guns go to Africa and Asia and exploit the natural resources and enslave or dominate the locals. A small subset of the locals is coopted—analogous to the concentration camp capos, both perpetrators and survivors (until they are not) being chosen from the prisoners—to make the job of domination by the ruling class easier. Even the surviving prisoners then become perpetrators as one starving prisoner “steals” bread or water from another or lies to save his own skin, thereby endangering another. And some of those local migrants journey back to headquarters, whether Boston, London, or New York, and some become the celebrated authors of migrant fiction (the literary distinction not the title).

Empathy is a powerful tool in deescalating conflict and restoring dignity to aggrieved parties and survivors of empire, and has been successfully employed in doing so from the troubles in Ireland to the Truth and Reconciliation session in South Africa (see Donna Hicks on Dignity (2011)). However, if anyone seriously believes that empathy is going to solve the problems created by empire, colonialism, imperialism, and so, then—how shall I put it delicately?—empathy is being “over sold.” This is usually the first step in setting up empathy as a “strawman” to be blamed for not fixing the many challenges facing civilized human beings committed to building a community that works for all persons. 

There are at least two hidden variables behind the problematic causal analysis of empire that would help connect the dots between empire and empathy-based solutions: Human aggression and human hunger (hunger for many things, but here for food). These human beings are an aggressive species—and biologically omnivores. People can be kind and compassionate and empathic, but they also can behave aggressively and violently. Even if committed vegetarians, people also need to eat quite regularly, if not exactly three times a day. 

To say, as Migrant Aesthetics does, that the arrival of the white European conquistador and their horses in the new world in 1492 was a catastrophe for the original inhabitants gets the measure of the event about right. In a way, the displacement of the Cherokee Nation from Georgia to Oklahoma is a kind of migration; but not really. It is a death march with strong aspects of genocide. 

By all means denounce empire, but a more useful approach consistent with such righteous indignation might be to elaborate an analysis of human aggression, territoriality, lack of education, lack of critical thinking, the disturbing tendency of many human beings (“true believers” (Hoffer 1951) fanatically to follow authoritarian figures off a cliff. In that context, empathy is a proven way of deescalating violence and aggression and restoring dignity to the survivors. 

There is a readiness assessment for empathy, and it requires that one be relatively safe and secure in one’s own person. Above all, the readiness requires a willingness to inquire into one’s own blind spots and preconscious biases. Empathy “the hard way” does not take the easy way out – e.g., bell hooks’ “eating the other” – the hard way includes the work of taking the Other’s perspective, giving up being righteous, giving up being aggrieved, asking for what one needs, and so on. 

As it stands, Migrant Aesthetics misunderstands empathy, mutilates it, and then blames empathy because empathy can be misapplied by migrant authors, some of the male members who are both perpetrators and survivors, for calling attention to their plight and that of the devalued Other within us all.

The other hidden variable is that these humans are a hungry species. At the risk of over-simplification, long since incurred, the development of Cyrus McCormick’s combine-wheat-reaper, and the follow-on agribusiness technology, allow some 2% of the population to grow enough food to feed the entire planet; and this in spite of the fact that human choices made under aggression continue to use food as a weapon of starvation. Prior to the Green Revolution, the other 98% of the population had to work twelve to sixteen hours a day to grow enough food to avoid slow death by starvation. As noted, the migrant classics, admittedly shot through with empire, of Willa Cather and Ole Edvart Rolvaag, confront hunger as an ever-present specter, pending a successful harvest. Meanwhile, apparently large dairy herds really do contribute to greenhouse gases. 

The grievance against empathy continues: Migrant Aesthetics  writes (p. 4): “More broadly, the genre of immigrant literature depends on a model of reading founded on empathy—a model that my book takes to task. Literature promotes empathy, we are told, but empathy can easily slip into a projection of readers’ feelings and even into outright condescension.” As a reader, I am holding my head in my hands and rocking back-and-forth quasi-catatonically. Projection is a breakdown of empathy. I am in disbelief at the lack of common sense, lack of critical thinking, and absence of argumentative charity in confusing empathy and projection. Projection is a misfiring and/or going off the rails of empathy. Projection is a “getting lost in translation” of empathy. Now attribute these to empathy and dismiss empathy. Hmmm.

As regards “a model of reading founded on empathy,” please stop right there. Reading the story would not work—would not make any sense—would, strictly speaking, be unintelligible without empathy. Reading and empathy are joined at the hip, so to say. Without empathy, the actions and contingencies, the struggles and high spirits, setbacks and successes, that are represented in the story would be strange sounds and gestures appearing to an anthropologist on Mars or on her first day in an alien culture, prior to marshalling her empathic skills. Never underestimate the power of storytelling, but absent empathy, it does not get traction. Reading is founded on empathy. Reading teaches one to walk in someone else’s shoes. Reading takes one to worlds that don’t exist, like the world of Harry Potter. One can feel what it was like for Rosa Parks to refuse to sit in the back of that segregated bus in 1955. This calls out the convergence of reading and empathy—both open up new worlds, both provide vicarious experiences of the lives of Others, both point to possibilities that had not previously been imagined. In both reading and empathy, we relate to an Other—in the one case in-person, in the other case, in-fiction or the vicarious presentation of historical narrative.

If the reader did not bring the capacity for empathy to the reading of the text, the text itself would not make sense. Reading the simplest narrative about a snowman melting in the spring thaw, much less Tolstoy’s Anna Karenina’s anguish at being patriarchally denied access to her son, would be unintelligible. Without the vicarious experience of empathic receptivity, the reading of the most dramatic fiction will be indistinguishable from reading the railroad schedule when the rail workers were on strike. Meaningless. Unintelligible. The water streaming from the abandoned child’s face would not be tears; the clenched fist would not be anger but an excess of adrenaline; the trembling would not be fear but Parkinson’s disorder. The migrant bones in the desert over which no one prayed would be calcified carbon, not an anguished cry for help and human response. 

Without empathy, one would perhaps be able to provide an accurate description, whether as fact or fiction is irrelevant here, of the Other’s behavior from a third person perspective, but the behavior would lack vitality, energy, strength, aliveness, and relatedness to the things that matter to human beings. One would truly be like the philosopher Descartes looking out the window at people on the street below, wondering if the entities that appear to be people are really instead robot-like automata. Descartes was practicing an exercise in radical doubt, whereas the reader that lacked the capacity for empathy would be practicing an exercise in radical draining of meaning from the text in every sense from pragmatics to semantics—encountering empty words describing empty behavior, as noted, like reading a train schedule during the railway strike, instead of reading an engaging narrative such as Anna’s emotional, moral, cognitive. spiritual struggles to attain self-knowledge and personal fulfillment. 

However, Migrant Aesthetic responds: You have now got the point. Drive out empathy to let justice and a small set of related responses come forth. It doesn’t work. Migrant Aesthetics “forecloses” (rejects) empathy, then immediately lets empathy back in. Empathy is indispensable, and it cannot be kept out.

Carpio (p. 8): “[…] [T]he writers I examine reject empathy as the main mode of rationality, opting instead for what Hannah Arendt called “representative thinking” that is, they urge reader to think, as themselves, from the position of another person and thus to call into question their own preconceptions and actions” [italics added]. Thus, Migrant Aesthetics rejects empathy while calling out “the position of another person,” which is precisely the folk definition of empathy.

Arendt’s reference here is of course to a single line in Immanuel Kant’s Third Critique (1791/93: AA 158) about “enlarged thinking” [erweiterten…Denkungart] that is, to think from the perspective of the Other. Sounds like the folk definition of empathy to me. This cipher of “enlarged thinking”, which remains unintegrated in Kant, became the inspiration for Arendt’s incomplete third volume of the life of the mind on political judgment. Once again, it is the folk definition of empathy.

The point is that Migrant aesthetics (the book, not the distinction) politicizes aesthetics with anti-fascist, anti-imperialist, anti-empire-ist commitments, rhetoric (in the classical sense), and expressions, without necessarily making practical recommendations for political action. Migrant Aesthetics expels empathy from the garden of artistic achievement, because empathy does not provide a stable basis for political action. 

Never underestimate the relevance of Immanuel Kant, yet if one wants measurable results from political action, apply Saul Alinsky’s Rules for Radicals (1971) or analysis based on Eric Hoffer’s The True Believer (1951), not Kant’s Third Critique. Hoffer calls out the mutilated logic of totalitarian thinking; and Alinsky knew quite a lot about building community, and though he did not use the word “empathy,” empathy lives in building community. (See also Tristam Adams. (2016). The Psychopath Factory: How Capitalism Organises Empathy, London: Repeater Books, so the capitalist takes a walk in the Other’s shoes in order to sell him another pair; is nice to the workers in order to improve productivity; it seems to work well enough – see also the Chapter in Lou Agosta, The Lazy Person’s Guide to Empathy (with illustrations by Alex Zonis) on “Empathy: Capitalist tool.”)

 In short, the rumor of empathy remains a rumor in the cases of Gad Saad’s Suicidal Empathy, Breithaupt’s Dark Empathy, Bloom’s Against Empathy or Carpio’s Migrant Aesthetics; the rumor is not confirmed; and empathy does not live in this work. It is where empathy goes to become projection, emotional contagion, and fake empathy. It is where empathy goes to become mutilated empathy like mutilated fragments of human bones in the desert. Don’t go there.

In summary, it is not a choice between expanding empathy and ending/reducing empire, and an engagement with both is needed. Survivors ask for empathy. When survivors are asked, “What do you want—what would make it better? What would soothe the trauma?” then rarely do they say punish the perpetrator (though occasionally they do). Mostly they ask for acknowledgement, to be heard and believed, to hear the truth about what happened, for apology, accountability, restitution, rehabilitation, prevention of further wrong (see Judith L. Herman, MD. (2023). Truth and Repair: How Trauma Survivors Envision Justice. New York: Basic Books). Rarely do survivors make forgiveness a goal if that would require further interaction with the perpetrator (though self-forgiveness should not be dismissed). It bears repeating: though both are needed, survivors do not ask for an end to empire, but for empathy.

References

Tristam Adams. (2016). The Psychopath Factory: How Capitalism Organises Empathy, London: Repeater Books

Lou Agosta. (2010). Empathy in the Context of Philosophy. London: PalgraveMacmillan.

Lou Agosta. (2018/2024). Empathy Lessons, 2nd Edition. Chicago: Two Pears Press.

Lou Agosta. (2025). Chapter 3: Empathy and its discontents, in Radical Empathy in the Context of Literature. Palgrave Macmillan Press. Click here to download

Lou Agosta. (2025). Radical Empathy in the Context of Literature. Palgrave Macmillan Press. Click here for Lou Agosta’s Amazon page.

Saul Alinsky. (1971). Rules for Radicals. New York: Vintage, 1989

Hannah Arendt. (1971). Eichmann in Jerusalem. New York: Viking Press: see especially pp. 105–106.

C. Daniel Batson. (2009), These things called empathy Eight related but Distinct Phenomena. In The Social Neuroscience of Empathy, eds. Jean Decety and William Ickes. Cambridge, MA: The MIT Press, 2009: 3–16.

Paul Bloom. (2016). Against Empathy. New York: Ecco (Harper Collins).

Fritz Breithaupt. (2017). The Dark Sides of Empathy, Andrew Hamilton (tr.). Ithaca, NYY: Cornell UP.

Glenda Carpio. (2023). Migrant Aesthetics: Contemporary Fiction, Global Migration, and the Limits of Empathy. New York: Columbia UP.

Simon Baron-Cohen. (2014). Zero degrees of empathy. RSA [Renaissance Society of America] Video Presentation: https://youtu.be/Aq_nCTGSfWE [checked on 2023-02-26]; 

Donald Davidson. (1973). Radical interpretation. In Inquiries into Truth and Interpretation. Oxford: The Clarendon Press, 2001: 125–139

Jean Decety and William Ickes. (2009). The Social Neuroscience of Empathy. Cambridge, MA: The MIT Press.

Jonathan Haber. (2020). Critical Thinking. Cambridge, MA: The MIT Press: 74.

Judith L. Herman, MD. (2023). Truth and Repair: How Trauma Survivors Envision Justice. New York: Basic Books

Donna Hicks. (2011). Dignity. New Haven: Yale UP.

Eric Hoffer. (1951). The True Believer. New York: Random.

Immanuel Kant. (1791/93). Critique of the Power of Judgment, trans. Paul Guyer and Eric Matthews. Cambridge: Cambridge UP, 2013: AA 158.

Heinz Kohut. (1981). “On Empathy,” The Search for the Self: Volume 4: Selected Writings of Heinz Kohut 1978-1981, London: Karnac Books, 2011: 525–535; see 529, 580 on empathy as vicarious introspection.

Susan Lanzoni. (2018). Empathy: A History. New Haven: Yale University Press; Micah Zenko. (2015). Red Team: How to Succeed by Thinking Like the Enemy. New York: Basic Books.

The Ludlow Massacre: https://en.wikipedia.org/wiki/Ludlow_Massacre

Christine Olden. (1953). On adult empathy with children. Psychoanalytic Study of the Child, Vol 8 [annual]: 111–126.

Namwali Serpall. (2019). The banality of empathy. The New York Reviewhttps://www.nybooks.com/online/2019/03/02/the-banality-of-empathy/?lp_txn_id=1496946 [checked on 10/20/2023].

Tunku Varadarajan. (July 10, 2026): Gad Saad on Suicidal Empathy and Western Decline: https://www.wsj.com/opinion/gad-saad-on-suicidal-empathy-and-western-decline-cdae269f?st=6zthGs&reflink=desktopwebshare_permalink

Frans de Waal, Oct 3, 2009, Our kinder, gentler ancestors: https://www.wsj.com/articles/SB10001424052748704471504574449012560741086?st=jhYLwQ&reflink=desktopwebshare_permalink

Frans de Waal. (2009). The Age of Empathy: Nature’s Lessons for a Kinder Society. New York: Harmony Books (Random House).

Tara Wells. (2017). Compassion is better than empathy, Psychology Today:  https://www.psychologytoday.com/us/blog/the-clarity/201703/compassion-is-better-empathy?msockid=38a4e0db840c639d1086f7d48545627f

Micah Zenko. (2015). Red Team: How to Succeed by Thinking Like the Enemy. New York: Basic Books.

Note: No generative AI or AI of any kind was used in the preparation and execution of this blog post or its publication or recorded version.

© Lou Agosta, PhD and the Chicago Empathy Project


[1] Daniel Paul Schreber (1842 – 1911) is the most famous schizophrenic of the late 19th and early 20th Century. He was the equivalent of a federal judge before his illness and in a successful attempt to convince the authorities of his recovery and to release him he wrote Memoirs of a Nervous Illness New York, trans. Ida Macalpine and Richard A. Hunter: New York Review of Books Publications, 2000.  Sigmund Freud, Carl Gustave Jug, and Karl Jaspers all engaged with Schreber’s work in their own respective ways. Also relevant are Louis Sass (1994). The Paradoxes of Delusion: Wittgenstein, Schreber, and the Schizophrenic Mind. Ithaca, NY: Cornell University Press and Eric Santner. (1996). My Own Private Germany: Daniel Paul Schreber’s Secret History of Modernity. Princeton, NJ: Princeton University Press.


[1] 1968–2001: Executed by Federal authorities on June 11, 2001 for the bombing of the Alfred P Murrah Federal Building in April 1995 in which 168 people, including 19 children, were killed and 680 injured. 

(c) Lou Agosta, PhD and the Chicago Empathy Project

How I changed my relationship with pain

Expanded power over pain is a significant result that may usefully be embraced by all human beings who experience pain – which describes just about everyone at some time or another. Acute pain communicates an urgent need for intervention; chronic pain is demoralizing and potentially life changing. Intervention required!

People who do not experience standard amounts of pain are at risk of hurting themselves.  Dr. James Cox, senior lecturer at the Wolfson Institute for Biomedical Research at University College London, notes, “Pain is an essential warning system to protect you from damaging and life-threatening events” (Jacquelyn Corley (Stat2019)). Admittedly not experiencing pain is a rare and concerning condition from which few of us suffer. Hence the practical approach considered here for the rest of humanity.

I changed my relationship to pain by working on the relationship. The result is that less pain occurs in my life and the pain that I do experience does not dominate my life. If one is completely pain-free, one is probably dead, which has different issues.

The following behaviors made a difference. Regular exercise, healthy diet, spiritual discipline (I have trained extensively in Tai Chi, but Yoga and/or meditation encompass the same results), consultations with professionals of one’s choice including medical doctors; and, here is the wild card, the purpose of this post: education in the different types of pain, including but not limited to acute pain versus chronic pain. The reader may say, “Holy cow! That’s too much work!” However, if the reader is in enough pain, then consider the possibility. What’s the alternative? Continue to suffer? Medically assisted suicide (where legal)? Opioids? The latter in particular have a place in hospice (end of life scenarios), in the week after surgery, but otherwise they are a deal with the devil. And, in any deal with the devil, be sure to read the fine print. “At a time when about 130 American die daily from opioid overdoses, scientists and drug companies are actively pursuing alternative non-opioid medications for acute and chronic pain” (Jacquelyn Corley (Stat 2019)).

An example will be useful. I changed my relationship to pain, following my MDs guidance, by taking a double dose of NSAIDs – non steroidal anti-inflammatory “pain killers”. The idea is to “kill” the pain without killing the patient. This is no joke because NSAIDs such as Aleve can damage the mucous membranes of the gastro intestinal track (e.g., stomach), leading to ulcer-like conditions and the accompanying risks (not detailed here), which is why, even though they are over-the-counter, consultation with a medical doctor is important.

Doing Tai Chi changed my relationship to pain. Your mileage may vary, but I started to see results after ten weeks of dedicated daily work. My Tai Chi training has continued with one lengthy interruption for six years. My experience was the practice moved the pain threshold up. That is, I did not experience pain as acutely and when I did experience pain, it did not bother me as much. This can be a double-edged consideration. For example, the Tai Chi exercise of “holding the ball” is a stress position. One really needs a picture to see what this is. 

Tai Chi: holding the ball position

One stands there with one’s arms encompassing a large ball at about the level of one’s chest with one’s hips tucked slightly as if sitting back. One’s whole body is engaged and conditioned. After about ten minutes one starts to heat up and after about fifteen minutes one starts to sweat. This is Tai Chi, not Yoga, but Mircea Eliade discusses similar stress positions that generate Shamanic Heat (Eliade, (1964), Shamanism, translated Willard Trask. Princeton University Press (Bollingen)). 

Now a word of caution regarding the pain threshold. I went for a dermatological treatment and I got burned, literally, (fortunately, not too seriously), because I did not say “Stop – it hurts!” Granted that most people want to experience less pain, it is important to not extinguish pain completely, because pain in its acute presentation is trying to tell one something – in this case, injury to one’s skin due to heat. 

Here is another example. A colleague has an inflamed ankle. It throbs. It hurts. It is not fractured but imaging shows it is enflamed, stressed out. The thing is that this is not just the person’s sprained ankle – it is his whole life. Since he needs to lose weight, he needs to get exercise. Because he cannot get sufficient exercise, he cannot lose weight. The extra weight contributes to the ankle continuing to be stressed. Double-bind! Rock and the hard place. How is this individual going to break out of this tight loop? Now I know this is going to sound crazy, but here it is: Follow doctor’s orders! Go to the physical therapy! If you have got to wear “the boot” for a couple of weeks, do so. Start low (with the number of repetitions of exercises) – go slow. If the person had access to a swimming pool, that would be ideal, but that might not be workable for many people. SPA-like treatments, soaks in Epsom salts in sensory deprivation pods have value. 

Many parallel examples can be cited in which a person knows exactly what she has to do (don’t even worry about the doctor) – why is the person not doing it? Many reasons exist, but one of them is that suffering becomes a comfort zone. Suffering is sticky. “Yes, I am miserable,” the individual says, but it is a familiar misery. Suffering has become an uncomfortable comfort zone. What would it take to give that up? Once one realizes, “This is what crazy looks like,” it becomes easier to give up the suffering. This is not a deep dive into the psychology of the unconscious, yet this is not merely a physical challenge. Yes, the ankle hurts – objectively, there is even an image that shows inflammation, albeit hazy and faint. However, even if there weren’t evidence of an injury – and soft tissue damage often escapes imaging, the emotional issue – ambivalence about one’s body image (“weight”) – gets entangled with the person’s whole life. In this case, a struggle with unhealthy excess weight – and the person’s emotions run with the ball – elaborate the injury psychologically. This is also a form of catastrophizing or awfulizing (made famous by cognitive behavioral therapy (CBT)), but CBT did not invent it.

I gave the example of an inflamed ankle, but it might also apply to lower back pain, headaches, asthma, irritable bowel syndrome (IBS), which are notoriously difficult to diagnose medically. Speaking personally, I want a quick fix. We all do. However, after a while, if the “fix” does not occur, there is no in principle limit on the amount of time and effort one can spend trying to find a quick fix. After a certain time, one gets a sense that one might put the time and effort into incremental progress – finding whatever moves the dial – whatever shifts the stuckness. Here’s what I did not want to hear: This is gonna take some work.  After a time, one decides to roll up the sleeves and do the hard work need to get one’s power back. Healthy diet and a well-defined exercise program are important components. Finding an MD and/or health care provider including physical therapist where the interpersonal chemistry works is on the critical path to dialing down the suffering. Here “interpersonal chemistry” is another description for empathy. Look for someone whose empathy is open enough to encompass one’s pain and suffering without being coopted by it. This is the critical path to recovery. 

The distinction between acute pain and chronic pain needs to be better understood by the average citizen. An excerpt from Neurology 101 may be useful. In acute pain, the peripheral nervous system in the body’s appendages such as one’s toes reports via neural connections to the central nervous system (e.g., the brain in one’s head). The impact of a heavy object such as a large brick with my toe releases neurotransmitters at the nociceptors (we are not talking Greek and “nocio” means “pain”). The mechanics are such that a message is delivered from the periphery to the center that what is in effect a boundary violation – an injury – has occurred. The brain then tells the toe to hurt – “Ouch!” The message is delivered seamlessly to the conscious person to whom the toe “belongs” in the neural map that associates the body with conscious experience unfolding in the person’s awareness. The toe which had quietly been doing its job in helping the person walk, balance, be mobile now makes a lot of “noise” – it starts throbbing.  This is what acute pain feels like. 

With chronic pain the scenario gets complicated. If the injury is subjected to other stressors, slow to heal, reinjured, or otherwise neglected, then the pain may continue across a period of days or weeks and become habitual. In effect, the pain signal becomes a bad habit. The pain takes on a life of its own. What does that even mean? What starts out as a way of reminding the person to attend to the injury gets stuck on “repeat”. Like the marketing company that keeps sending your notices even after you specify “Do not solicit!” The messaging is not just from the toe to the brain, from the periphery to the center, but it gets reversed. The messaging is from the center to the periphery, from the brain to the body part. The brain tells the periphery to hurt. Chronic pain becomes a source of suffering. Here “suffering” expands to include worry that anticipates and/or expects pain, which gets further reinforced when the pain actually shows up. 

The poster child for chronic pain is phantom limb pain. Not all pains are created equal. Phantom limb pain provides compelling evidence that pain is “in one’s head” only in the sense that pain is in the brain and the brain is in one’s head. Only in that limited sense is pain in one’s head. Yet the pain is not imaginary. Documented as early as the American Civil War by Silas Weir Mitchell, individuals who had undergone amputation, felt the nonexistent, missing limb to itch or cramp or hurt. The individuals experienced the nonexistent tendons and muscles of the missing limb as cramping and even awakening the person from the most profound sleep due to pain (As noted, further in Haider Warraich. (2023). The Song of Our Scars: The Untold Story of Pain. New York: Basic Books, pp. 110 – 111). 

Fast forward to modern times and Ron Melzack’s gate control theory of pain marshals such phantom limb pain as compelling evidence that the nervous system contains a map of the body and the body’s pains point, which map has not yet been updated to reflect the absence of the lost limb. In effect, the brain is telling the individual that his limb is hurting using an obsolete map of the body – the memory of pain. Thus, the pain is in one’s head, but not in the sense that the pain is unreal or merely imaginary. The pain is real – as real as the brain that is indeed in one’s head and signaling (“telling”) one that one is in pain. (R. Melzack, (1974), The Puzzle of Pain. Basic Books.)

Whatever the level of pain, stress is probably going to make it feel worse. Therefore, stress reduction methods such as meditation, Tai Chi, Yoga, time spent soaking in a sensory deprivation pod, and SPA-like stress reduction methods are going to be beneficial in moving the pain dial downward.

One question that has not even occurred to scientists is whether it is possible to have the functional equivalent of phantom limb pain, even though the person still has the limb functionally attached to the body. This sounds counter-intuitive, but think about it. If there is a map of the body’s pain points in the central nervous system (the brain), there is nothing that says “phantom” pains cannot occur even if an appendage still exists. For example, the high school football player who needs the football scholarship to go to college because he is weak academically; he is not good at baseball, but actually hates football. He incurs a soft tissue sports injury, which gets elaborated due to emotional conflict about his ambivalent relationship with football, leaving him on crutches for far-too-long and both physically and symbolically unable to move forward in his life. As if the only three life choices are football, baseball, and academics?! Note that the description of the injury “painful soft tissue” already opens and shuts approaches to treatment. That is the devilish thing – what is the actual and accurate description? Thus, due to the inherent delays in neuroplasticity – the update to the brain’s map of the body is not instantaneous and one does not have new experiences with a nonexistent limb – pain takes on a life of its own. 

Though an oversimplification, the messaging between the peripheral and central nervous systems is reversed. Instead of the peripheral limb telling the brain of a “hurt,” the brain develops a “bad habit” of signaling pain and tells the limb to hurt. That is the experience of chronic pain – pain has a life of its own – pain becomes the dis-ease (literally), not the symptom. What then is the treatment, doctor? Physical therapy (PT) – exercises to strengthen the knee and, in effect, teach him to walk again.

Chronic pain is discouraging, demoralizing, fatiguing, exhausting, negatively impacting one’s mental status. I have been cagey about my own experience of pain in this post, but it is a matter of record that I have osteoarthritis, a progressive deterioration of the cartilage in joints such as occurs in people who are getting older and who are long term runners. The person understandably and properly continuously asks himself – what am I experiencing? And does it include pain? No one is saying the “cure” is don’t think about it (pain), don’t worry about it. No one is saying “play hurt”? “Playing hurt” is a bad idea for so many reasons, including one is going to make a bad injury worse. Professional athletes who “play hurt” may indeed get a bunch of money, but they also often dramatically shorten their careers – and that costs them money. 

While distraction from one’s pain can be useful in the short term, it is not a sustainable solution. Rather when, after medical determination of the sources of pain are determined to be unable to be completely extinguished or eliminated, one is saying undertake an inquiry into what one is really experiencing. Rather than react to the uncomfortable twinges and twitches, bumps and thumps, prodding and pokes, that one encounters, ask what one is really feeling. Undertake an inquiry into what one is experiencing. If, upon consideration, the answer is “The pain is acute going from 4 to 8 to 9 on the 10 point scale,” then stop and call for backup, including taking pain killers such as NSAIDS as recommended by an MD. 

Here the vocabulary of pain is relevant. See Melzack’s McGill pain chart. [List the vocabulary] 

McGill - Melzack Pain Questionnaire

Further background information will be useful. Haider Warraich, MD, in The Song of Our Scars: The Untold Story of Pain (Basic Books, 2023) radicalizes the issue of pain that takes on a life of its own before suggesting a solution. After providing a short history of opium and morphine and opioids, culminating “in the most prestigious medical school on earth, from the best teachers and physicians, we [medical students] were unknowingly taught meticulously designed lies” (p. 185), that is, prescribe opioids for chronic pain. The reader wonders, where do we go from here?  To be sure opioids have a role in hospice care and the week after surgery, but one thing is for certain, the way forward does not consist in prescribing opioids for chronic pain.

After reviewing numerous approaches to integrated pain management extending from cognitive behavioral therapy and acceptance and commitment therapy (ACT) to valium, cannabis and Ketamine – and calling out hypnosis (hypnotherapy) as a greatly undervalued approach (no external chemicals are required, but the issue of susceptibility to hypnotic suggestibility is fraught) – Dr Warraich recovers from his own life changing back injury in a truly “physician heal thyself” moment thanks to dedicated PT, physical therapy (p. 238). If this seems stunningly anti-climactic, it is boring enough to have the ring of truth earned in the college of hard knocks, but it is a personal solution (and I do so like a happy ending!), not the resolution of the double bind in which the entire medical profession finds itself (pp. 188 – 189). The way forward for the community as a whole requires a different, though modest, proposal. The patient signs up for and completes physical therapy (PT), a custom set of exercises tailed to his pain condition and mobility issues. 

The philosopher Ludwig Wittgenstein wrote, “The body is the best picture of the soul.” The default since René Descartes is to distinguish physical pain from psychic pain – what used to be called the difference between “body” and “soul” before science “proved” that the soul did not exist. (Once again, we are talking Greek “psyche” is the Greek word for “souI.”)  Nevertheless, in spite of the “proof” that the soul does not exist, soul-like phenomena keep showing up. For example, if the person’s “soul” is regularly subjected to negative verbal feedback from those in authority, the person becomes physically ill – ulcers, headaches, lower back pain, irritable bowel syndrome (IBS). As noted, these are notoriously difficult to diagnoses. The adverse childhood experience survey (ACE) provides solid evidence that psychic and moral injuries correlate significantly with major medical disorders (e.g., Felitti 2002).

One big issue is that we (science and scientists) lack a coherent, effective account of emergent properties. One with neurons. The alternative is the current reductive paradigm according to which, in spite of contrary assertions, on has trouble explaining that things really are what they seem to be – that table are tables andmade of microscopic components such as atoms. We start with neurons. We are neurons “all the way down.” Neurons generate stimuli; stimuli generate sensations/experiences; experiences generate [are] responses; responses form patterns; patterns generate meaning; meaning generates language. With the emergence of language, things really start to get interesting. Organized life reaches “take off” speed. Language generates community; community generates – or rather is functionally equivalent to – culture, art, poetry, science, technology, and the world as we know it.  

What about individuals who are put in a double-bind by circumstances as when someone in authority makes a seemingly impossible demand?  For example, the army Sargent gives what seems to be a valid military order to the corporeal to shoot at the rapidly approaching auto, thinking it is a suicide car bomb, but it is really an innocent family. The soldier, thinking the order is valid and that he is protecting his team, follows the order. The solider is now both a perpetrator and a survivor. People have gotten hurt who ought not to have been hurt. Moral inquiry. Moral trauma has occurred. Tai Chi is not going to save this guy. This take the form of guilt – which is aggression – hostile feeling and anger – turned against one self. The individual’s agency – the individual’s power as an agent to choose – is compromised by contingent circumstance, including the individual’s unavoidable choice in the circumstance, since taking no action is also a choice. 

This is why the ancient Greeks invented tragedy. A careful reading of the Greek tragedies, which cannot be adequately canvassed here, shows that virtually every tragic hero has the compromised agency characteristic of a double bind. Oedipus is a powerful agent, yet compromised and brought low by inadequate information. Information asymmetries! Antigone’s agency is bound, doubly, by the conflict between the imperatives of politics and the integrity of family. Agamemnon’s agency is compromised by the negative aspect of honor and pride and an overweening narcissism. Iphigenia’s agency is compromised by literally being bound and gagged (admittedly a limit case). Double-binds have also been hypothesized to contribute to the causation of major mental illness (Bateson 1956). Contradictory messages from parents, explicit versus implicit, spoken versus unspoken, are particularly challenging. Here the fan out to related issues is substantial. 

I changed my relationship to pain and suffering by reading all thirty existing Greek tragedies. One might say if something is worth doing, it is worth over-doing, and the reader might try starting with just one. Examples of pain and suffering occur in abundance: acute pain – Hercules puts on the poisoned cloak, which burns his flesh; chronic pain – Philoctetes has a wound that will not heal and throbs periodically with painful sensations; and suffering – Oedipus is misinformed about who is his birth mother and after having children with her he suffers so from his awareness of his violation of family standards that he mutilates himself, tearing his eyes out. The latter would, of course, be acute pain, but the cause, the trigger, is thinking about what he has done in relation to the expectations of the community, namely, violating the incest taboo.   

Now, according to Aristotle, the representation of such catastrophes is supposed to evoke pity and fear in the audience (viewer) of the classic theatrical spectacle. Indeed, such spectacles – even though the violence usually happens “off stage” and is reported – are not for the faint of heart. We seem to want to identify with the characters in a narrative, which, in turn, activates our openness to their experiences in an entry level empathy that communicates a vicarious experience of the character’s struggle and suffering. Advanced empathy also gets engaged in the form of appreciation of who is the character as a possibility in relation to which the viewer (audience) considers what is possible in her of his own life. One takes a walk in the other’s shoes, after having taken off one’s own. Other examples of similar experiences include why (some) people like to see horror movies. One does not run screaming from the theatre, but conventionally appreciates that the experience is a vicarious one – an “as if” or pretend experience. Likewise, with “tear jerker” style movies – one gets a “good cry,” which has the effect of an emotional purging or cleansing. 

Now I am not a natural empath, and I have had to work at expanding my empathy. In contrast, the natural empath is predisposed, whether by biology or upbringing (or both), to take on the pain and suffering of the world. Not surprisingly this results in compassion fatigue and burn out. The person distances him- or herself from others and displays aspects of hard-heartedness, whereas they are actually kind and generous but unable to access these “better angles.” It should be noted that empathy opens one up to positive emotions, too – joy and high spirits and gratitude and satisfaction – but, predictably, the negative ones get a lot of attention.

“Suffering” is the kind of thing where what one thinks and feels does make a difference. Now no one is saying that Oedipus should have been casual about his transgressions – “blown it off” (so to speak); and the enactment does have a dramatic point – Oedipus finally begins to “see” into his blind spot as he loses his sight. Really it would be hard to know what to say. Still, the voice of reality would council alternatives – other ways are available of making amends – making reparations – perhaps more than two “Our Fathers” and two “Hail Marys” as penance – what about community service or fasting? “Suffering” is not just a conversation one has with oneself about future expectations. It is also a conversation one has with oneself about one’s own inadequacies and deficiencies (whether one is inadequate or not). For example, unkind words from another are hurtful. In such cases what kind of “pain” is the hurt? We get a clue from the process of trying to manage such a hurt. The process consists in setting boundaries, setting limits, not taking the words personally (even though inevitably we do). The hurt lives in language and so does the response. Therefore, in an alternative scenario, one takes the bad language in and turns it against oneself. One anticipates a negative outcome. One gets guilt (once again, regardless of whether one has does something wrong or not). 

The coaching? If you are suffering from compassion fatigue, then dial down the compassion. This does not mean become hard-hearted or mean. Far from it. This means do not confuse a vicarious experience of pain and suffering with jumping head over heels into the trauma itself. What may usefully be appreciated is that practices such as empathy, compassion, altruism are not “on off” switches. They are not all or nothing. Skilled executioners of these practices are able to expand and contract their application to suit the circumstances. To be sure, that takes practice. The result is expanded power over vicariously shared pain and suffering. One gets power back and is able to assist the other in recovering their power too. (Further tips and techniques on how to change one’s thinking and expand one’s empathy are available in my Empathy: A Lazy Person’s Guide (with 24 full color illustrations by Alex Zonis), also available as an ebook.)

Before concluding, I remind the reader that “all the usual disclaimers.” This is a personal reflection. The only data is my own experience and bibliographical references that I found thought provoking. “Your mileage may vary.” If you are in pain (which, at another level and for many spiritual people, is one definition of the human condition) or if you are in the market for professional advice, start with your family doctor. If you do not have one, get one. Talk to a spiritual advisor of your own choice. Above all, “Don’t hurt yourself!” This is not to say that I am not a professional. I am. My PhD is in philosophy (UChicago) with a dissertation entitle Empathy and Interpretation. I have spent over 10K hours researching and working on empathy and how it makes a difference. So if you require expanded empathy, it makes sense to talk to me. A conversation for possibility about empathy can shift one’s relationship with pain. 

Bibliography

Bateson, G., Jackson, D. D., Haley, J. & Weakland, J., 1956, Toward a theory of schizophrenia. Behavioral Science, Vol. 1, 251–264. 

Corley, Jacquelyn. (2019). The Case of a Woman Who Feels Almost No Pain Leads Scientists to a New Gene Mutation. Scientific American. March 30, 2019. Reprinted with permission from STAThttps://www.scientificamerican.com/article/the-case-of-a-woman-who-feels-almost-no-pain-leads-scientists-to-a-new-gene-mutation/

Eliade, Mircea. (1964). Shamanism. Princeton University Press (Bollingen). 

Felitti VJ. (2002). The Relation Between Adverse Childhood Experiences and Adult Health: Turning Gold into Lead. The Permanente Journal (Perm J). 2002 Winter;6(1):44-47. doi: 10.7812/TPP/02.994. PMID: 30313011; PMCID: PMC6220625.

Melzack, R. (1974). The Puzzle of Pain. New York: Basic Books. 

(c) Lou Agosta, PhD and the Chicago Empathy Project

Empathy: A Lazy Person’s Guide is now an ebook – and the universe is winking at us in approval!

The release of the ebook version of Empathy: A Lazy Person’s Guide coincides with a major astronomical event – a total solar eclipse that traverses North America today, Monday April 8, 2024. The gods are watching and wink at us humans to encourage expanding our empathic humanism!

My colleagues and friends are telling me, “Louis, you are sooo 20th Century – no one is reading hard copy books anymore! Electronic publishing is the way to go.” Following my own guidance about empathy, I have heard you, dear reader. The electronic versions of all three books, Empathy: A Lazy Person’s GuideEmpathy Lessons, and A Critical Review of a Philosophy of Empathy – drum roll please – are now available. 

A lazy person’s guide to empathy guides you in – 

  • Performing a readiness assessment for empathy. Cleaning up your messes one relationship at a time. 
  • Defining empathy as a multi-dimensional process. 
  • Overcoming the Big Four empathy breakdowns. 
  • Applying introspection as the royal road to empathy. 
  • Identifying natural empaths who don’t get enough empathy – and getting the empathy you need. 
  • The one-minute empathy training. 
  • Compassion fatigue: A radical proposal to overcome it. 
  • Listening: Hearing what the other person is saying versus your opinion of what she is saying. 
  • Distinguishing what happened versus what you made it mean. Applying empathy to sooth anger and rage. 
  • Setting boundaries: Good fences (not walls!) make good neighbors: About boundaries. How and why empathy is good for one’s well-being. Empathy and humor. 
  • Empathy, capitalist tool. 
  • Empathy: A method of data gathering. 
  • Empathy: A dial, not an “on-off” switch. 
  • Assessing your empathy therapist. Experiencing a lack of empathic responsiveness? Get some empathy consulting from Dr Lou. Make the other person your empathy trainer. 
  • Applying empathy in every encounter with the other person – and just being with other people without anything else added. Empathy as the new love – so what was the old love? 

Okay, I’ve read enough – I want to order the ebook from the author’s page: https://tinyurl.com/29rd53nt

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Practicing empathy includes finding your sense of balance, especially in relating to people. In a telling analogy, you cannot get a sense of balance in learning to ride a bike simply by reading the owner’s manual. Yes, strength is required, but if you get too tense, then you apply too much force in the wrong direction and you lose your balance. You have to keep a “light touch.” You cannot force an outcome. If you are one of those individuals who seem always to be trying harder when it comes to empathy, throttle back. Hit the pause button. Take a break. However, if you are not just lazy, but downright inert and numb in one’s emotions – and in that sense, e-motionless – then be advised: it is going to take something extra to expand your empathy. Zero effort is not the right amount. One has actually to practice and take some risks. Empathy is about balance: emotional balance, interpersonal balance and community balance. 

Empathy training is all about practicing balance: You have to strive in a process of trial and error and try again to find the right balance. So “lazy person’s guide” is really trying to say “laid back person’s guide.” The “laziness” is not lack of energy, but well-regulated, focused energy, applied in balanced doses. The risk is that some people – and you know who you are – will actually get stressed out trying to be lazy. Cut that out! Just let it be. 

The lazy person’s guide to empathy offers a bold idea: empathy is not an “off-off” switch, but a dial or tuner. The person going through the day on “automatic pilot” needs to “tune up” or “dial up” her or his empathy to expand relatedness and communication with other people and in the community. The natural empath – or persons experiencing compassion fatigue – may usefully “tune down” their empathy. But how does one do that? 

The short answer is, “set firm boundaries.” Good fences (fences, not walls!) make good neighbors; but there is gate in the fence over which is inscribed the welcoming word “Empathy.” 

The longer answer is: The training and guidance provided by this book – as well as the tips and techniques along the way – are precisely methods for adjusting empathy without turning it off and becoming hard-hearted or going overboard and melting down into an ineffective, emotional puddle. Empathy can break down, misfire, go off the rails in so many ways. Only after empathy breakdowns and misfirings of empathy have been worked out and ruled out – emotional contagion, conformity, projection, superficial agreement in words getting lost in translation – only then does the empathy “have legs”. Find out how to overcome the most common empathy breakdowns and break through to expanded empathy – and enriched humanity – in satisfying, fulfilling relationships in empathy.

Order from author’s page: Empathy: A Lazy Person’s Guidehttps://tinyurl.com/29rd53nt

Order from author’s page: Empathy Lessons, 2nd Edition: https://tinyurl.com/29rd53nt

Read a review of the 1st edition of Empathy Lessons – note the list of the Top 30 Empathy Lessons is now (2024) expanded to the Top 40 Empathy Lessons: https://tinyurl.com/yvtwy2w6

Read a review of A Critical Review of a Philosophy of Empathyhttps://tinyurl.com/49p6du8p

Order from author’s page: A Critical Review of Philosophy of Empathyhttps://tinyurl.com/29rd53nt

Empathy: A Lazy Person's Guide Cover Art by Alex Zonis, illustrator/artist
Empathy: A Lazy Person’s Guide Cover Art by Alex Zonis, illustrator/artist

Order from author’s page: Empathy Lessons, 2nd Edition: https://tinyurl.com/mfb4xf4f


Above: Cover art: Empathy Lessons, 2nd Edition, illustration by Alex Zonis

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Order from author’s page: A Critical Review of a Philosophy of Empathyhttps://tinyurl.com/mfb4xf4f

Above: Cover art: A Critical Review of a Philosophy of Empathy, illustration by Alex Zonis

Finally, let me say a word on behalf of hard copy books – they too live and are handy to take to the beach where they can be read without the risk of sand getting into the hardware, screen glare, and your notes in the margin are easy to access. Is this a great country or what – your choice of pixels or paper!?!

(c) Lou Agosta, PhD and the Chicago Empathy Project

A Rumor of Empathy in Brené Brown’s Atlas of the Heart (Reviewed)

Review: Brené Brown, (2021). Atlas of the Heart: Mapping Meaningful Connection and the Language of Human Experience. New York: Random House, pp. 304. 

This is three books in one. It is a psychology “how to” book filled with tips and techniques about how to identify and name emotions, feelings, affects, and their triggers and consequences. This inquiry is engaged in order to build connections and community. It works.  People who are able to name their emotions and feeling experience expanded power in getting what they want and need from other people. They also get expanded power in contributing to building meaningful connections and community. 

Second, the Atlas is a research report on what might be described as “crowd sourcing” (my term, not Brown’s) what emotions were important to some 66,625 persons in Brené Brown’s massive online classes in 2013/14. 

Comments and narratives were solicited from the participants. This input was anonymized, color coded, aggregated, filtered, subjected to expert selection as to which emotions and emotion-related experiences were significant in promoting “healing.” The terms were then defined using 1500 academic publications. What falls out of this complex and interesting, though not entirely transparent process, are emotions, emotional triggers, emotional consequences, experiences, lots of experiences, and, well – an atlas of the heart. Readers are all the richer for it. 

Cover art: Atlas of the Heart by Brené Brown

Finally, Atlas is an art book. The text on high quality paper is interspersed with color photos, cartoons, and enlarged quotations of key phrases such as one would find on social media. Take a tip or technique and using large and colorful type, put it on a page by itself: “I’m here to get it right, not to be right [p. 247. Note: there is no close quote. Is that a typo or poetic license?] 

I especially liked the photos of Brown’s hand written journal (or college essay?), saying “throughout our lives we must experience emotions and feelings that are inevitably painful and devastating” (October 9, 1984). Early on, Brené showed promise, and she movingly shares her struggles and what she had to survive in her family of origin. The photo of the dog with the guilty, “hang dog” expression, next to the torn up upholstered chair was genuinely funny. Never let it be said that dogs don’t experience emotions! The artistic aspects will be deemphasized in this review, but the book definitely has possibilities for placement on the “coffee table” to invite browsing and conversation prompts.

The book succeeds in all three of its aspirations, though to different degrees. 

At this point, an analogy may be useful. People are not born knowing the names of colors. Children applying to start kindergarten are quizzed on such basics as the names of the letters (ABCs), their address and phone number, and the names of the colors. The spectrum from red through orange, yellow, green, blue, to violet is indeed a marvelous thing. But no one assumes anyone knows what these distinctions are called without guidance. Why then is it that children (and of all ages) are assumed to know the difference between basic emotions fear, anger, sadness, high spirits, much less more subtle nuanced feelings such as envy, jealousy, resentment, shame, guilt, and so on? 

This is the first challenge that Brené Brown addresses with her book. She provides a guide, an atlas of the heart, to people struggling to identify the emotions and emotion-ladened experiences they are feeling, sensing, or trying to express. Even though Sesame Street, Mister Rogers, and Mary Gordon’s Roots of Empathy, have taken decisive steps to put this aspect of emotional intelligence – x identifying and naming the emotions – on the school curriculum map, large numbers of people of all ages struggle with the basics. What is this feeling that I am feeling? What is this emotion, if it is an emotion, that I am experiencing?

Brown begins with a nod to the innovative body of work on the emotions by Paul Ekman (e.g., Emotions Revealed. New York: Owl (Henry Holt), 2003). Ekman put facial micro-expression on the map as the key to emotions with a seven year plus study resulting in his Facial Action Coding Scheme. According to Ekman, a relatively small set of some seven basic emotions are universal, evolutionarily based, and part of a biological affective program that is “hardwired” into our mammalian biology. These basic emotions (sadness, anger, agony, surprise, fear, disgust, contempt, and maybe enjoyment) get elaborated and transformed in a thousand ways by social conventions, community standards and cultural pretenses. 

The human face is an emotional “hot spot,” according to Ekman. The micro-expressions are the “tells” that disclose a person’s underlying feeling or attitude, regardless of the facial expression the person may be adopting for social display purposes. Thus, a person may smile to express agreement with his friends, but his eyes do not participate in the smile (also called a “Duchenne smile”) and something looks not quite sincere. More concerning, the would-be suicide bomber puts on a calm, happy face, but a micro-expression of contempt momentarily steals across his face, expressing his hatred for the system he is about to try to destroy. Notwithstanding Ruth Ley’s penetrating and trenchant critique of loose ends in Ekman’s approach (see Ley, The Ascent of Affect. Chicago: University of Chicago press, 2017), his approach remains today the dominate design in emotion research. Enter Brené Brown’s contribution. 

For example, Brown’s first constellation of emotions engaged include “stress, overwhelm, anxiety, worry, avoidance, excitement, dread, fear, vulnerability” (p. 2). She quotes the American Psychological Association Definition of anxiety (so we know where that definition came from!): “an emotion characterized by feelings of tension, worried thoughts and physical changes like increase blood pressure” (p. 9). 

Worry and avoidance, not exactly emotions as such, are ways of dealing with the painful aspects of anxiety. Excitement seems to be the physiological aspects of anxiety given a positive spin, valence, or trajectory. Add “negative event approaching” and “present danger” and you’ve got dread and fear. Stress and overwhelm are the again physiological aspects of anxiety, elaborated, for example, by having to be a waitress in a restaurant at its busiest (as was Brown while working her way through college). “Stressed is being in the weeds; overwhelm is being blown.” 

For Brown, vulnerability is a key emotion, since it initially shows up as a weakness to hide, but has the potential, when approached with a willingness to embrace risk, to be transformed into courage, accomplishment, and what people really want from inspirational speakers – inspiration. Never was it truer, our weaknesses are our strengths. Dialectically speaking. 

At this point, I am inspired by Brown’s contribution, and will not split hairs over what is an emotion and what an emotional fellow traveler. Vulnerability is the perception and related belief, thought, or cognition, whether accurate or not, that the person is able to be hurt whether physically or in social status. Keep your friends close but your enemies, including your near enemies such as flatterers and people who ask you to lend them money, closer?

This is a good place to point out that if you really want to “get” the emotions, you may usefully engage with Brown. Definitely. But do not overlook Paul Griffiths, What Emotions Really Are (Chicago: University of Chicago Press, 1997). Emotions may not even be a natural kind. A mammal (for example) is a natural kind, emotions arguably are not. Emotions are a “kludge” cobbled together by the scientific community from an evolutionary affective program, moral sentiments such as righteous indignation in the face of social injustice (a strategic, energetic, passionate reaction to enforce the social convention of promising among distrustful neighbor), and social pretence such as romantic love. 

In a famous one line statement in Martin Heidegger’s magnum opus, Being and Time (1927: H139), he says that the study of the moods, affects, and emotions has not made a single advance since Book II of Aristotle’s Rhetoric (347? BCE). He then proposes that anxiety is the way the world is globally disclosed as a limited finite whole. It is tempting for purposes of being collegial to write, “Finally an advance on Aristotle, Brené!” but she would surely be the first to acknowledge that would indeed be a high bar. Suffice to say, Brown’s contribution is significant and in many ways, impressive. Aristotle is still Aristotle. (See Agosta 2010 in the References.)

Since this is not a softball review, and in spite of saying a lot of interesting things about love, it is not defined in Brown’s book. I applaud Brown’s decision to leave the definition of love to the poets and artists, whether intentionally or by omission. Anyone who tries to define love is likely to end up with more arrows in the back than Cupid has in his quiver.

A definition would be something like Freud’s statement: Love is aim-inhibited sexuality. Or Aristophanes narrative that love is the search for one’s other half and the joining with that half if/when one finds it. Or Bob Dylan’s “love is just a four letter word.” No inhibition here; just hormones all the way down. 

The research challenge present here is how to finesse the canonical interpretation of the data by her team of experts, assembled from her extensive network of colleagues, which data after all is highly survey-like yet without controls, randomization, or rigorous sampling dynamics. The outer boundary of the demographic respondents seems to be the 66K plus followers who signed up for her massive online courses. 

Other features of the book that became wearing for this reviewer were the seemingly endless rhetoric of stipulation, how inspiring to her has been everyone else’s research from which she liberally borrows, always with a slew of well-crafted footnotes, and an epidemic of near enemies to authenticity and courage. This is perhaps inevitable when one has to give 87 definitions. 

Still, the question invites inquiry: Where after all did the definitions of these 87 emotions and experiences really come from? I cannot figure it out. My best guess is “the team” made it up based on reading 1500 research articles and extensive input from the “lead investigator,” Brené Brown. To be sure, Brown is generous with her recognition and acknowledgements of a long list of thinkers, mentors, scholars, spiritual guides, and researchers. She really lays it on thick with how much she has learned from her friends and colleagues; and it indeed must be thrilling to have one’s name called out by a celebrity academic. I am green with envy – not one of the positive emotions – that I am unlikely to make the short list with my seven books on empathy, especially given this review. 

Still, Brown’s contribution is a strikingly original synthesis of existing ideas. I have been known to say, “Research also includes talking to people.” Yet the risk is scientism. The air of scientific authority without the fallibility of human subjectivity and idiosyncrasy. It may not matter. The value lies in the tips and techniques that can be used to build community and connection. If it is scientism, then it is scientism at its best. 

Once again, since this is not a softball review, I join the debate about one of the most troubling of emotions, anger. Brown properly raises the issue of whether anger is fundamental or derivative. Anger often seems to be a front for something else = x, such as shame, guilt, jealousy, humiliation (this list is long). In spite of the dramatic display of being angry, there is something inauthentic about anger. Anger is a burden to those who experience it, and this burden often gets discharged in maladaptive and self-defeating ways by acting out aggression and violence. Brown’s position is a masterpiece of studied ambiguity. I agree. 

My take on this? If you want to see or make people angry, then hurt their feelings. If you see an angry person, ask: Who hurt the person’s feelings and/or did not give the person the respect, dignity, or empathy that the person deserves or to which the person feels entitled. You see here the problem? Entitlement, legitimate or otherwise. 

This was Heinz Kohut’s point: When people don’t get the empathy they need and deserve, they fragment emotionally – and one of the fragments is narcissistic rage (extreme anger). From this perspective, empathy is not a mere psychological mechanism but the foundation of community, connection and intersubjectivity. Donna Hicks makes the same point in Dignity (New Haven and London: Yale University press, 2011). If you see anger in the form of conflict, substitute the word “dignity” for “empathy” – someone has experienced a dignity violation, a breakdown, a loss of dignity, which loss must be restored to have any hope of resolving the conflict (whether in Northern Ireland or the bedroom). 

As regards empathy, Brown engages it along with compassion, pity, sympathy, boundaries, and comparative suffering. Like many psychologists, Brown regards empathy as a psychological mechanism not empathy as a way of being and the foundation of community. For the latter, the foundation of community, like a good Buddhist, she privileges compassion. Nothing wrong with that as such. Heavens knows, it is not an either-or choice – the world needs both expanded empathy and compassion. 

Another point of debate. When Brown says that taking a walk in the other person’s shoes is a myth that must be given up, she is rather overthinking what is a folk saying. Key term: overthinking (occupational hazard of all thinkers and academics). 

“Talking a walk in the other person’s shoes” is the folk definition of empathy. Consider the situation from the perspective of the other person, especially if that individual is your critic, opponent, or sworn enemy. Especially if the latter is the case. 

This is folk wisdom and appreciating the point requires a folkish charity. Key term: charity. It is uncharitable to take a saying and read it in a way that willfully distorts or makes it sound implausible or stupid. Ordinary common sense is required. This is what Brown properly calls a “near enemy” – for example, the way “pity” is the “near enemy” of empathy – a way of dismissing it. 

Therefore, when one says take a walk in the other’s shoes, this is not a conversation about shopping therapy or shopping for shoes. It is a conversation about taking the other person’s perspective with the other’s life circumstances in view in so far as one can grasp those circumstances. If one wants to unpack the metaphor, the idea is to get an idea where the other person’s shoe pinches or chafes. One might argue that the metaphor breaks down if one uses one’s own shoe size. It does. It breaks down into projection, which would be a misfiring or breakdown of empathy. In being empathic, I do not want to know where the shoe pinches me, but rather where it pinches the other individual. 

And that is a useful misunderstanding – as noted, what Brown elsewhere calls a “near enemy.” Empathic interpretation breaks down, fails, goes astray as projection. If I do not take into account differences in character and circumstances, then one is at risk of attributing one’s own issue or problem or emotion to the other person. It may be that we have to dispense with the word itself. “Empathy” has become freighted with too much semantics and misunderstanding. That is okay – as long as we double down and preserve the distinction empathy as a way of being in community and authentic relatedness, what Brown elsewhere calls meaningful connectivity. Still, the word “empathy” has its uses, and if the reader substitutes “empathy” for “meaningful connection” the sense is well preserved in both directions. Okay, keep the word. 

If you have seen Brené Brown’s Netflix presentation (The Call to Courage”), then you know this woman is funny. Not standup comedy funny, she is after all an academic who broke out of the ivory tower into organizational transformation and motivational speaking. She knows how to tell a good story, often in a funny self-depreciating way, that makes one laugh at one’s own idiosyncrasies. Like packing three books for a vacation with the kids at Disney World. Who is one kidding, once again, except perhaps oneself? This approiach does not translate as well into print as one might wish. No one is criticizing Brown for not being Dave Barry, but, unless you are familiar with her “in person” routine, much of the humor is lost in translation. The author is sooo compassionate, that by halfway through the work, I was actually starting to experience compassion fatigue.

However, notwithstanding Brown’s aspiration to rigorous science, and she does have a claim to “big data.” For me, this is not the most valuable part of her contribution. I have been known to say, “We don’t need more data, we need expanded empathy.” The good news is that Brown displays both in abundance. As noted, one could substitute the word “empathy” for her uses of “connection” and “meaningful connection,” the topics of her dissertation and research program, and not lose any of the impact, meaning, or value. Empathy is no rumor in Brené Brown. Empathy lives in Brené Brown’s contribution. 

References

Lou Agosta. (2010). “Heidegger’s 1924 Clearing of the Affects Using Aristotle’s Rhetoric, Book II.” Philosophy Today, Vol. 54, No. 4 (Winter 2010): 333–345. [Download paper: https://philpapers.org/rec/AGOHC-2 ]

© Lou Agosta, PhD and the Chicago Empathy Project

Compassion fatigue: A radical proposal for overcoming it

One of the criticisms of empathy is that is leaves you vulnerable to compassion fatigue. The helping professions are notoriously exposed to burn out and empathic distress. Well-intentioned helpers end up as emotional basket cases. There is truth to it, but there is also an effective antidote: expanded empathy.

For example, evidence-based research shows that empathy peaks in the third year of medical school and, thereafter, goes into steady decline (Hojat, Vergate et al. 2009; Del Canale, Maio, Hojat et al. 2012). While correlation is not causation, the suspicion is that dedicated, committed, hard-working people, who are called to a

Compassion Fatigue: Less compassion, expanded empathy?

Compassion Fatigue: Less compassion, expanded empathy?

life of contribution, experience empathic distress. Absent specific interventions such as empathy training to promote emotional regulation, self-soothing, and distress tolerance, the well-intentioned professional ends up as an emotionally burned out, cynical hulk. Not pretty.

Therefore, we offer a radical proposal. If you are experiencing compassion fatigue, stop being so compassionate! I hasten to add that does not mean become hard-hearted, mean, apathetic, indifferent. That does not mean become aggressive or a bully. That means take a step back, dial it down, give it a break.

The good news is that empathy serves as an antidote to burnout or “compassion fatigue.” Note the language here. Unregulated empathy results in “compassion fatigue.” However, empathy lessons repeatedly distinguish empathy from compassion.

Could it be that when one tries to be empathic and experiences compassion fatigue, then one is actually being compassionate instead of empathic? Consider the possibility. The language is a clue. Strictly speaking, one’s empathy is in breakdown. Instead of being empathic, you are being compassionate, and, in this case, the result is compassion fatigue without the quotation marks. It is no accident that the word “compassion” occurs in “compassion fatigue,” which is a nuance rarely noted by the advocates of “rational compassion.”

Once again, no one is saying, be hard hearted or mean. No one is saying, do not be compassionate. The world needs both more compassion and expanded empathy. Compassion has its time and place—as does empathy. We may usefully work to expand both; but we are saying do not confuse the two.

Empathy is a method of data gathering about the experiences of the other person; compassion tells one what to do about it, based on one’s ethics and values.

Most providers of empathy find that with a modest amount of training, they can adjust their empathic receptivity up or down to maintain their own emotional equilibrium. In the face of a series of sequential samples of suffering, the empathic person is able to maintain his emotional equilibrium thanks to a properly adjusted empathic receptivity. No one is saying that the other’s suffering or pain should be minimized in any way or invalidated. One is saying that, with practice, regulating empathy becomes a best practice.

Interested in more best practices in empathy? Order your copy of Empathy Lessons, the book. Click here.

References / Bibliography
M. Hojat, M. J. Vergate, K. Maxwell, G. Brainard, S. K. Herrine, G.A. Isenberg. (2009). The devil is in the third year: A Longitudinal study of erosion of empathy in medical school, Academic Medicine, Vol. 84 (9): 1182–1191. 

Mohammadreza Hojat, Daniel Z. Louis, Fred W. Markham, Richard Wender, Carol Rabinowitz, and Joseph S. Gonnella. (2011). Physicians empathy and clinical outcomes for diabetic patients, Acad Med. MAR; 86(3): 359–64. DOI: 10.1097ACM.0b013e3182086fe1.

Louis Del Canale, V. Maio, X Wang, G Rossi, M. Hojat, and J.S. Gonnella. (2012). The relationship between physician empathy and disease complications: an empirical study of primary care physicians and their diabetic patients in Parma, Italy, Academic Medicine, 2012; 87(9):1243–1249.

(c) Lou Agosta, PhD and the Chicago Empathy Project