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Top Ten Empathy Trends for 2023
Empathy is a practice and priority, not a mere psychological mechanism. Practicing empathy is a way of being in the world, creating a safe space of openness, acceptance and toleration. In the face of a contagion of Omicron, we need a contagion of empathy. Empathy is contagious. This is a condition you actually want to share with someone else, especially someone who seems to need some empathy – all the while being clear to set firm boundaries against bullying, delusional thinking, and compassion fatigue. Keep in mind this list is a top ten “count down,” so if you want to know what is #1, fast forward to the bottom.
Here are my choices and predictions for the top ten trends in empathy for the year 2023.
10 – Empathy for the jurors in the trial of the century. The prediction is that Mr T will stick to his story – “we was robbed” – even after he is indicated, believing there is no such thing as bad publicity. The prospective defendant is innocent until proven guilty and so on. However, it is noteable that a former-NSA analyst was sentenced to nine years in prison in July 2019 for hoarding official documents [https://www.nextgov.com/cybersecurity/2019/07/ex-nsa-contractor-serve-9-years-hoarding-classified-information/158564/]. This seems open and shut. Nevertheless, this trend is about the jurors and not the defendant. This promises to be a long, headline-grabbing trial, and the jury will have to be sequestered, cut off from news, and, subjected to a lot of legal jargon. Being without Facebook and Twitter and other
is. While the challenges of finding an unbiased jury are not trivial, all that is needed for a fair trial are twelve people who are willing to set aside their opinions and look at the facts from the point of view of the law as defined for them by the presiding judge. That sounds like creating a space for critical thinking and taking multiple points of view, the latter the folk definition of empathy.
9 – Empathy in time of war becomes Red Team not kindness. All the empathy in the world is not going to help anyone if one country invades another with a list of intellectuals, business people, and politicians to be arrested and killed. That noted, the need for helping, compassion, and good works of all kinds is still on the critical path to building a better world. Yet in time of war or threat of war, the power of empathy consists in putting oneself in the shoes of the opponent, thinking like the opponent, and thereby anticipating and thwarting the opponent’s moves. Putting oneself in the opponent’s shoes requires taking off one’s own shoes first. Never underestimate the power of empathy – never – yet empathy does not work very well with psychopaths, bullies, totalitarian dictators, and the criminally insane. Many of these individuals will take the affective, bottom up empathy and use it against you. Therefore, empathic engagement must be limited to cognitive empathy – use critical thinking to try to figure out what the Other is thinking and feeling in order to intervene in a way that is useful according the standards of a humane community.
8 – Elon “44 billion up in smoke” Musk gets empathy for his employees, customers, and stakeholders. And if you believe prediction, then I have a bridge in Brooklyn that I would like to sell to you. The empathic truth of this admittedly cynical prediction is that many of the things that make a person good at business make him or her relatively poor empathizers. Business leaders lose contact with what clients and consumers are experiencing as the leaders get entangled in innovating the technologies in new products and services, solving legal issues, reacting to the competition, or implementing the software required to sustain operations. Yet empathy is the ultimate Capitalist Tool. Empathy is on the critical path for serving customers, segmenting markets, positioning products (and substitutes), taking the perspective of the competition [not exactly empathy but close enough?], building teams and being a leader who actually has followers. Saying that the purpose of business is to make money is like saying the purpose of life is to breathe. Definitely do not stop breathing. The purpose of business is to deliver value and satisfaction to customers. Then the revenue shows up. When the ontology of empathy exposes it as the foundation of community, then expanding empathy becomes nearly synonymous with expanding business. For example, building customer communities, building stakeholder communities, team building, are the basis for brand loyalty, employee commitment, and sustained or growing market share. Can revenue be far behind? Sometimes leaders don’t need more data, we need expanded empathy, though ultimately both are on the path to satisfied buyers, employees, and stakeholders. “CEO” no longer means “Chief Executive Officer,” but “Chief Empathy Officer.” This time one can hear the groans—from the executive suite, not the cubicles.:
Listen on Spotify: https://open.spotify.com/show/6nngUdemxAnCd2B2wfw6Q6 Empathy is one of those things that are hard to delegate. This role shows up like another job responsibility with which the CEO of the organization is tasked—along with everything else that she already has to do. As if she did not already have enough alligators snapping at various parts of her anatomy, one has to be nice about it, too? But of course empathy is not niceness, though it is not about being un-nice. It is about knowing what others are experiencing, because one has a vicarious experience and then processing that further to expand boundaries and exercise leadership.
7 – Etiquette Gurus and celebrity life coaches go back to school to learn empathy. The latest poster child for this trend is Sara Jane Ho, who reportedly broke up with her boyfriend of four years over text, and rationalizes it with a meme about context, in which the context sounded like she was busy making a Netflix show. This is right up there with trend #8, getting fired by a Twitter tweet. The context, according to the author of the article, Maureen O’Connor, was that Ms Ho’s eyes were getting puffy from crying, and she would not “look good” on her Netflix show. Empathy is a high bar and one does not get there every day. If Ms Ho’s resume is to be believed, she is a graduate of Phillips Exeter Academy, Georgetown, Harvard (attended), and now a Netflix sensation. One speculates that she is a survivor of a Tiger Mom or Bootcamp Dad (or both), and may herself benefit from getting a good listening at the side of a committed mentor. Based on the review of Ms Ho’s project by Maureen O’Connor [ https://www.nytimes.com/2023/01/02/style/sara-jane-ho-mind-your-matters.html], she (Ms Ho) exemplifies the kind of etiquette which is a disguised application of sadism, hostility, aggression, and one-upmanship. While I do not know the details and maybe I am missing the humor, but so far, all these people are easy to dislike. You go to take off your coat and you can’t because there is a knife in your back. There is nothing wrong – but something is definitely missing – empathy.
6 – Empathy is a practice not a mere psychological mechanism. Empathy is the practice of authentically relating to the other person. The practice of empathy is a way of being – being with and in relation with others. Many of the misunderstandings of empathy – especially in the form of compassion, pity, emotional contagion – can be traced to treating the practice of empathy merely as a psychological mechanism. There is nothing wrong with this as such. However, what gets missed is the relational quality of empathy. Drive out bullying, hostility, aggression, bad language, and empathy naturally comes forth. People want to be empathic if given half a chance.
5 – Empathy expands for the True Believer, but not agreement with the conspiracy or delusion. The criteria for identifying the True Believer is he or she doubles down. When the space does not arrive from Alpha Centauri – or your candidate does not win – the True Believer does not say, “I might have been mistaken and maybe I need to look at my assumptions or inquire into other scenarios.” The True Believer doubles down – “We was robbed!” “We will catch the next space ship!” It does no good – none – to disagree with the True Believer or to argue or reason, because the delusion or conspiracy theory is holding together the True Believer’s personality. To give up the delusion would be to give up the personality, to risk the disintegration of who the person is. What to do about it? Teach critical thinking. Both empathy and critical thinking create a space of acceptance and tolerance in the context of which the power of the delusion starts to shrink. More on this in the next trend.
4 – Empathy and critical thinking form an alliance. It is a bold statement of the obvious that the ongoing breakdown in community standards bodes ill for a cultural and political and public conversation context in which disputants engage in near delusional disagreement on basic quantitative facts such as the rules of etiquette, basic science such as the biology of vaccinations, gender distinction (or not), the basic results of elections, and so on. Though it is not a quick solution, it is hard to think of a better one: teach skills in critical thinking such as assessing facts against sources, evaluating the reliability of sources, reporters, informants, and so on, against prior performance, checking validity and logic of arguments, and engaging enlarged thinking in taking the point of view of the other person, especially if the person (or group) disagrees with one. (See Jonathan Haber, (2020), Critical Thinking. Cambridge, MA: The MIT Press.) Taking different points of view, of course, is the basic folk definition of empathy. But do not forget to take off one’s own shoes before trying on the other’s or one will get projection, not empathy.
3 – Translation replaces projection as the underlying model for empathy. “Translation” as in translating between languages or between different artistic media or different signaling systems. In short, psychologism – psychology in the negative sense – is replaced by the linguistic speech act of translating the other person’s experience into one’s own and then giving it back (empathically) to the other. This paradigm of empathy as translation is arguably at the same level of generality as empathy as projection, but remained undeveloped until the rise of hermeneutics along a separate trajectory. The modern innovators of interpersonal empathy such as Carl Rogers (1902–1987) might be read as leap-frogging back to the original sense of entering the other’s world in order to translate it into the first person, subject’s own terms. The translation model of empathy (credited to Johann Herder (1744 – 1803) of whom one rarely hears today) also fits well with what Gordon Allport (1897–1967) and Kenneth Clark (1903–1983) were doing in arraying empathy against racism and prejudice in expanding the boundaries of community by empathically translating between them. An entire possible alternate history of empathy, as yet unwritten, opens up at this point – empathy as translation between persons.
2 – Empathy for the Amazon rain forest grows and reaches a critical mass, but will its critical mass be enough or too late to overtake the “critical mass” of green house gases. The challenge is that global warming does not live like an actual possibility for most people, who cannot imagine such an outcome – for example, just as in December 2019 no one could envision the 2020 global pandemic. Empathy is oxygen for the soul. If the human psyche does not get empathy, it suffocates. Climate changes makes this metaphor actual. If humanity does not drown as the massive Greenland and Antarctic ice sheaths slide into the oceans, humans will suffocate as the levels of green house gases and heat overwhelm temperate habitats. There is no Planet B.Empathy is a bridge: The bridge between the gridlocked present and a seemingly impossible-to-imagine future is empathy. The empathic moment is an act of imagination. That is the interesting thing about empathy. It may seem like a dream; but the dream lives. It is inclusive. Lots more work needs to be done on this connection. For purposes of this list of predictions, this “shout out” will have to suffice. For specific actionable recommendations, see David Attenborough’s A Life on Our Planet, now streaming on Netflix: https://www.netflix.com/title/80216393
2a – Vaccine deniers get empathy and say: “Oh, I wish I were already experiencing the minor side effects of the latest booster shot instead of systemic organ breakdown!” People get the latest booster against Covid, parents get their children the measles and polio and other shots the children need for school, which gets into people’s arms at an accelerating rate. Vaccine deniers get empathy and say: “Oh, I wish I were already experiencing the minor side effects of the latest booster shot instead of systemic organ breakdown!” Biological science continues to produce small, medium, and large “miracles,” even as basic health care services for citizen’s struggle. People become medical doctors and nurses and enter the healthcare field because they want to make a difference. They experience an empathic calling to intervene to reduce the pain and suffering in the world. Then these same people get caught up in the faceless, unempathic bureaucracy of a healthcare system where capitation means doctors have to see an unworkable number of patients a day – four an hour for eight hours. Using empathy and medical ethics, the doctors push back saying: “I am required by medical ethics to spend as much time with the patient as is needed to get the patient the medical treatment they require – and are entitled to be paid for it.
2b – Men lead from empathy in the struggle against domestic violence (DV). When powerful men such as Bezos, Musk, Ellison, Gates, Biden, Milley, clean up their failures of leadership and take action saying “Violence against women anywhere – home or work or anywhere – is unacceptable and here are the resources for intervention,” then a breakthrough will occur. Men will find their voice and speak out even more loudly and provide leadership against domestic violence to those of their own gender who just do not get it.
While women have provided the leadership and will continue to do so, powerful men must step up and provide guidance to their fellows about proper boundaries and respect for them in relationships. This is ongoing. What is new: powerful men step up and speak out and provide leadership among men in establishing respect for boundaries in creating communication, affection, and affinity.
For data- and empathy-based innovations that have occurred in the past year in the fight against domestic violence see No Visible Bruises: What We Don’t Know About Domestic Violence Can Kill Us, New York: Bloomsbury Publishing, 2019. Some sixty percent of domestic violence (DV) victims are strangled at some point during an abusive relationship (p. 65): Big red flag that the perpetrator is escalating in the direction of homicide/Femicide.
Empathy almost always has its uses when tuned to the specific circumstances. Yet empathy is unhelpful in dealing with sociopaths, psychopaths, and [most] bullies. They take whatever empathy you give them and use it the better to manipulate. Top down, cognitive empathy – yes – to understand whether they are a threat and are going to escalate; but therapeutic empathy – “i get you, bro” – is often counter productive. What is productive? Set limits. Set firm boundaries – and enforce them.
Turns out that only some 15% of the victims in one study had injuries visible enough to photograph for the police report (p. 66). Most strangulation injuries are internal – hence, the title. Good news/bad news: The Fatality Review Board is an idea that is getting attention with law enforcement and the local states attorney function. More progress and action is needed in this area.
(1) People stop saying, “I just don’t get empathy” and commit to the practice of empathy. Empathy is a practice and, like all practices, it can be improved by training. Remove the obstacles to empathy such as cynicism and bullying—and empathy comes forth. Remove the resistances to empathy and empathy naturally and spontaneously expands. Most people are naturally empathic.
The one-minute empathy training is trending: Eliminate the obstacles to empathy and a space of acceptance and toleration spontaneously emerges.
Most people do not sufficiently appreciate this: people are born with a deep and natural capacity for empathy, but they are also born needing to learn manners, respect for boundaries, and toilet training. Put the mess in the designated place or the community suffers from diseases. People also need to learn how to read and do arithmetic and communicate in writing. But there is a genuine sense in which learning to conform and follow all the rules does not expand our empathy or our community. It does not help the cause of expanded empathy that rule-making and the drumbeat of compliance are growing by leaps and bounds.
The work at hand? Remove the blocks to empathy such as dignity violations, devaluing language, gossip, shame, guilt, egocentrism, over-identification, lack of integrity, inauthenticity, hypocrisy, making excuses, finger pointing, jealousy, envy, put downs, being righteous, stress, burnout, compassion fatigue, cynicism, censorship, denial, manipulation, competing to be the biggest victim, insults, injuries to self-esteem, and narcissistic merger—and empathy spontaneously expands, develops, and blossoms. Now that is going to require some work!
Teaching empathy consists in overcoming the obstacles to empathy that people have acquired. When the barriers are overcome, then empathy spontaneously develops, grows, comes forth, and expands. There is no catch, no “gotcha.” That is the one-minute empathy training, pure-and-simple.
References and Notes
“The One-Minute Empathy Training”
May I introduce myself? Here is a short introduction to who i am and my commitment to empathy, including a one-minute empathy training. Total run time: about five minutes. Further data: See also
(c) Lou Agosta, PhD and the Chicago Empathy Project
Review: Empathy and Mental Health by Arthur J. Clark
Empathy and Mental Health: An Integral Model for Developing Therapeutic Skills in Counseling and Psychotherapy. London: Routledge 2022 Electronic Version
As a young man, Arthur J. Clark heard Carl Rogers speak and was inspired to devote his life’s work to applying empathy in education, counseling, and talk therapy. This book is the distillation of years of experience and learning, and we, the readers, are enriched and even enlightened in this original synthesis of existing ideas on empathy. It is fully buzz word compliant, diligently calls out the limitations and risks of empathy, and guides the readers in expanding their empathy to make a difference in overcoming suffering and mental illness. It takes a lot of empathy to produce a book on empathy, and empathy is evident in abundance in Clark’s work.
As noted, Clark’s academic background is in education, as was Carl Rogers’, but the reader soon discovers Clarks’ work with empathy to be generously informed by Freud, Ferenczi, and Adlerian psychoanalysis. Thus Clark quotes [Alfred] Adler (1927): “Empathy occurs in the moment one individual speaks with another. It is impossible to understand another individual if it is impossible at the same time to identify oneself with him” (Clark: 20). At this same time this reviewer was enlivened by the application of distinctions to be found in the Self Psychology of Heinz Kohut and the latter’s colleagues Michael Basch and Arnold Goldberg. This brilliant traversal of the practice and conceptual landscape of empathy inspired Clark’s life work, and is on display here.
The book is filled with short segments of transcripts of encounters between counselor/therapist and client. To the point that empathy is much broader than reflecting feeling and meanings, examples are provided of empathic encouragement, empathic being in the here and now (immediacy), empathic silence, empathic self-disclosure, empathic confrontation, empathic reframing, empathic cognitive restricting, empathic interpretation. Clark’s work with empathic reframing, cognitive restructuring, and interpretation are particularly useful (Clark: 105 – 106).
“Empathy” is not so much a substantive as a modifier – a manner of being that applies across a diversity of ways of relating to the other individual. (It is a further question, not addressed by Clark, as to the status of these vignettes. Are they disguised, permissioned, ideal types, some combination thereof? Just curious. In any case, they work well and remind me of M. F. Basch’s vignettes in the latter’s Doing Psychotherapy.)
Clark makes reference to the celebrated video (e.g., widely available on Youtube) of Carl Rogers, interviewing the real-world patient “Gloria” about her relationship with her nine-year-old daughter “Pammy.” Rogers’ empathic listening skillfully turns the focus from Gloria’s presenting dilemma of how much information about sex to share with her inquisitive nine-year-old daughter, Pammy, into a willingness on the part of Gloria’s to call out her own blind spots and conflicts over sex. Rogers’ empathic responsiveness shows the way for Gloria to recapture her own integrity around adult sexuality so that she can provide Pammy with the appropriate sex education the child needs, regardless of the details that may be relevant only to the adults. And Rogers does this in about twenty minutes, not months of therapy.
At this point, it is useful to give Rogers’ definition of empathy (p. 11): “To perceive the internal frame of reference of another with accuracy and with the emotional components and meanings which pertain thereto as if one were the person, but without ever losing the ‘as if’ condition.” Rogers was definite about excluding the perspectives of the practitioner in conceptualizing empathy in his person-centered approach to therapy. In this regard, he stated, “For the time being you lay aside the views and values you hold for yourself in order to enter another’s world without prejudice.”
Clark’s integration of the diversity of approaches to empathy in history, theory, and practice distinguishes subjective, object and interpersonal empathy: “Subjective empathy encompasses a practitioner’s internal capacities of identification, imagination, intuition, embodiment that resonate through treatment interactions with a client and empathically reflect the individual’s experiencing. Objective empathy pertains to the deliberate use of a therapist’s conceptual knowledge and data-informed reasoning in the service of empathically understanding a client in a relational climate. Interpersonal empathy relates to comprehending and conveying an awareness of a client’s phenomenological experiencing and pursuing constructive and purposeful change through the application of a range of interventions” (Clark: xiv).
Clark started out as a school counselor and he gives the example of the student who comes in and says “I hate school!” The reflection is proposed to be something like “You are feeling angry about school.” This demonstrates just how important the tone in which a statement is made can be. This could indeed be an angry statement, which takes “hate” is a literal way. However, it could also be an expression of contempt, disgust, cynicism, resignation, sadness, or even fear (say, since the student is being bullied). The empathy is precisely to acknowledge that the listener is far from certain that he does knows what is going on with the student and to ask for more data. “Sounds like you are struggling with school – can you say more about that?”
Not afraid of controversy or tough topics, Clark’s contribution is thick with quotations from the founding father of psychoanalysis – Adler and Freud and the literature Freud has been reading such as Theodor Lipps, to whom we owe the popularization in Freud’s time of the term “empathy [Einfühlung]. The subsequent generation of ego psychoanalysts is also well represented Ralph Greenson, T. Reik, Jacob Arlow (and Beres).
Clark credits and recruits Ralph Greenson’s distinction of the therapist’s inner working model of the patient and uses it to enrich Rogers’ contribution to empathic understanding. “As empathic understandings evolve through therapeutic exchanges and assessment interactions, a model of an individual emerges that becomes increasingly refined and expansive. In turn, by ways of empathically knowing a client, the framework facilitates sound treatment interventions through the engagement of interpersonal empathy” (Clark: 88). Note that Clark aligns with the view that the countertransference is distorting/pathological as opposed to the total response of the therapist. There are many tips and techniques guiding the therapist diligently to monitor and control the countertransference neurosis.
Since this is not a softball review, I note some issues for productive debate. For example, if Clark had allowed that countertransference included the therapist’s entire reaction to the client, including personal reactions which are not necessarily conflicted or neurotic (on the part of the therapist), then Clark would have been constrained to spend more ink on his own individual responses, empathic and otherwise. Such disclosure, which Clark otherwise separately validates as appropriate in context (and if not this context, then which?), would have enriched a text which otherwise reads like a textbook (and perhaps that was the editorial and marketing guidance).
Also useful is the therapist’s being sensitive to cultural differences and dynamics. In a brief transcript of an interaction between a privileged white school counselor and an African American 8th grader attending the college prep private school (Clark: 42), we are supposed to see objective cross-cultural empathy based on the counselor’s reading of some articles (not specified) on cultural differences.
By all means, read up on cultural differences. However, I just see a rigorous and critical empathy (my term, not Clark’s), plain and simple. The counselor “gets it.” The student is afraid of being seriously injured or even killed by the criminal element in his neighborhood as he waits for the school bus. Is this breakdown of policing in the inner city really in the cultural article? The counselor also “gets it” that the student’s feelings are hurt by being laughed at by his more privileged classmates because his mom is a house cleaner rather than an executive or doctor or lawyer. It is the counselor’s empathic response based on her empathic understanding of the student’s specific fear and hurt feelings that enables the student to deescalate from his problematic acting out. Even though, like most 8th graders, the student would be the last to admit he has been emotionally “touched,” he was. Thus, Clark’s empathy shines through in spite of his style-deadening need to accommodate behavioral protocols, evidence-based everything, and the plodding style of delivery consistent with training in schools of professional social work and psychology.
“Objective empathy” may seem like “jumbo shrimp,” an oxymoron. Nor is it clear how dream work, with which Clark productively engages, falls into the “objective” rubric. Yet it is a highly positive feature that Clark emphasizes and explores in detail the value of dream work.
Let one’s empathy be informed by the context: “Consider, for instance, what are the daily struggles like for a client who meets the diagnostic criteria for a bipolar disorder or attention deficit [. . . .] When giving consideration to such challenges through a framework of empathic understanding, a practitioner calls upon reputable data and a spectrum of work with individuals from diverse backgrounds in order to generate a more inclusive and accurate way of knowing a client” (Clark: 35).
And yet this precisely misses the individual who is superficially described according to labels, but has his own experience of bipolar or attention deficit. Empathy is precisely the anti-essentialist dimension, the dimension that is so pervasive in psychiatry and schools of professional psychology that replace struggling humanity with “You meet criteria for – [insert label].”
While Kohut is properly quoted by Clark as one of the innovators in empathy and Kohut’s concise definition glossing empathy as “vicarious introspection” is acknowledged, Kohut’s other definition of empathy as a method of data gathering about the other individual is overlooked. However, it aligns nicely with Clark’s description of “objective empathy.” Maybe my close reading missed something but why not just say “taking the other person’s perspective” is “objective empathy” as opposed to vicarious introspection (“subjective empathy”)?
The subtitle promises “An integrative model for developing therapeutic skills [. . . ]” Clark substantiates the need for work in critiquing all those training program that model the skill of repeating back to the client words similar to those the client expressed. “In a meta-analysis of direct empathy training, Lam et al. (2011) found that the majority of 29 studies did not clearly conceptualize or define empathy, some did not describe training delivery methods, and almost all of the initiatives failed to present evidence demonstrating individuals’ propensity to behave more empathically after training” (Clark: 140). Clark’s discussion of reframing, cognitive restructuring, and empathic interpretation are relevant and useful in overcoming what amount to a scandal in psychotherapy training.
What Clark is trying to say is this: You think you are being empathic. Think again. A rigorous and critical empathy (my phrase, not Clark’s) is skeptical about its own empathy. That does not mean being dismissive either of one’s own empathy or the struggle of the other person. It means being rigorous and critical. Empathy is made to shine in the refiner’s fire of self-criticism and a radical inquiry into one’s own blind spots.
Clark does not escape unscathed from the behavioral and observation protocol dead end. The reader will seek in vain for self-criticism or inquiry into Clark’s own blind spots – instead the reader is awash in the extensive behavioral, cognitive behavioral therapy (CBT) attempts, albeit empathically deployed, to capture therapeutic encounters in a behaviorally observable or reportable protocol. Nor I am saying there is anything wrong with that as such. Yet might not the behavioral and observation protocol swamp precisely be the blind spot where the self-deception lives against which Rogers frequently denounces? To gather the honey of self-knowledge and empathic understanding one must risk the stings of distortion and disguise.
Clark’s would be a different work entirely if he explored the college of hard knocks in which he forged the empathic integration. He is trying to make what is largely an artistic practice into a rule-governed scientific algorithm. It is worth a try and the reader must judge the extent to which Clark succeeds. Spending a lifetime preparing articles for peer-reviewed publications in education, psychology, etc., does not generally bring life and vitality to one’s practice, manner of engagement, or writing style. However, Clark’s richness of material, wealth of distinctions related to empathy, and organizing virtually every aspect of empathic research and published references goes a long way towards compensating for Clark’s work not necessarily being a “page turner.” Clark’s writing reminds the reader more of the Diagnostic and Statical Manual (DSM) – Ouch! – more than (for example) of D. W. Winnicot, Christopher Bollas, Arnold Goldberg, Freud, who was an expert stylist (granted much is lost in translation), or even Carl Rogers himself.
Thus, Clark’s integrated approach calls for “a diagnosis [as from the DSM] that represents the lived experience of the individual.” Agree. Clark gives an example where the therapist is interviewing Omar who has low energy, lethargy, lack of motivation, and hopelessness about the future. The diagnosis encapsulates and integrates a lot of Omar’s experience, and, though Clark does not say so, Omar may even be relieved to hear/learn that he (Omar) is not to blame for his disordered emotions (“major depression”); and Omar should stop making a bad situation worse by negative self-talk, verbally “beating himself up” in his own mind. The treatment consists in getting Omar to do precisely what the depressed person is least inclined to do – take action in spite of being unmotivated. If one is waiting to be motivated, absent a miracle, it is going to be a long wait. Maybe the empathic response is precisely saying this to the client, acknowledging how hard it is (and may continue to be for a while) to get into action on one’s own behalf.
This is all well and good. However, narrowly or expansively empathy is defined it is the anti-DSM (diagnostic and statistical manual). The DSM has many uses, especially in aligning terminology such that the community is talking about the same set of criteria when it uses the word “generalized anxiety disorder.” It also has uses in requesting insurance reimbursements. In short, there is nothing wrong with the DSM-5 (2013) or any version – but there is something missing – empathy. In the case of empathy, the recommendation is to relate to the struggling human being who presents himself in therapy, not to a diagnostic label.
Thus, Clark makes the case in his own terms: “From a humanistic perspective with central tenets focusing on respect for the individuality and uniqueness of a person, employing the DSM to categorize clients through a labeling procedure is thought to impede the growth of authentic relationships and empathic understandings of a deeper nature. In this regard, in a human encounter, perceiving a client through categorical frames of reference and symptomatic functioning hinders an attunement with the individual’s lived experiences and personal meanings. Moreover, applying a label to a client possibly influences a practitioner to shape preconceptions that are objectifying and forecloses a mutual and open-minded exploration of the contextual existence of the individual” (Clark: 27).
Though Clark does not say so, almost every major mental illness involves a breakdown of empathy. The patient experience isolation. “No one ‘gets’ me.” “No one understands what I am going through.” This is the case with most mood disorders, thought disorders, as well as those disorders typically described as “disorders of empathy” such as some versions of autism spectrum and anti-social personality disorders.
One matter of editing detail may be noted, a consistent misspelling of the name of celebrated primate researcher, philosopher, and empathy scholar Frans de Waal. There are no “Walls” in de Waal’s name – or in his empathy! We will charge this wordo to the editors who otherwise perform an admirable job.
Returning to a positive register, one of the most important takeaways from engaging with Clark’s work is that short therapy in which empathy is the driving force is powerful and effective. Clark does not specify the elapsed treatment in most cases, but I did not find one that was explicitly called out as being longer than fourteen weeks.
The emphasis is on the use of empathy in relatively brief psychotherapy – which is a powerful and positive approach that pushes back against the assertion that one needs cognitive behavioral therapy for relatively time-constrained encounters. Empathy produces quick results when skillfully applied. It is true that one of the great empathy innovators, Heinz Kohut, had some famous long and multi-year psychoanalyses; but these individuals were significantly more disturbed than Clark’s example of Anna, whose presenting behaviors were largely social awkwardness.
A strong point of Clark’s work is his debunking of the caricature of Rogers definition of empathy (and indeed of empathy itself) as merely reflecting (i.e., repeating) back to the speaker the words that the speaker has said to the listener. There is nothing wrong as such with reflecting what the other person has said, especially if the statement is relevant or well expressed. However, the mere words are pointers to the other person’s experience and are not reducible to the mere words. This is not a mere behavioral skill of reflecting back language, but a “being with” the other in the complexity and depth of the other’s experience as refined in the therapist’s own experience, and that is something one can best learn in years of one’s own dynamic therapy. Additional processing of the other person’s experience is encapsulated by and captured in the other person’s words, but not reducible to the words. The aspects of empathic responsiveness, embodiment, acknowledgement, recognition, encouragement, immediacy, possibility, clarification, and validation of the other’s experience form and inform the empathic response and the reply to the other.
A rumor of empathy is no rumor in the case of Clark’s work – empathy lives in his contribution to integrating the diverse and varied aspects of empathy.
Edwin Rutsch interviews the author Arthur J. Clark:
(c) Lou Agosta, PhD and the Chicago Empathy Project
Empathy: Top Ten Trends for 2022
A new year and a new virus variant? Being cynical and resigned is easy, and the empathy training is to drive out cynicism and resignation – then empathy naturally comes forth. If given half a chance, people want to be empathic. The prediction is that with a rigorous and critical empathy (and getting a very high percent of the population vaccinated), we are equal to the challenge.
Setting priorities is an art, not a science. It is clear that empathy is a priority, not a mere psychological mechanism, a practice and a way of being in the world, creating a safe space of openness, acceptance and toleration. In the face of a contagion of Omicron, we need a contagion of empathy. Empathy is contagious. This is one you want to give to someone else, especially someone who seems to need some – all the while being clear to set firm boundaries against bullying, delusional thinking, and compassion fatigue. Keep in mind this list is a top ten “count down,” so if you want to know what is #1, fast forward to the bottom.
Here are my choices and predictions for the top ten trends in empathy for the year 2022.
(10) Delays in the empathy supply chain continue to thwart the expansion of empathy in the community.
This does not refer to the distribution of cat food or toilet paper. Empathy is available. There is enough empathy to go around, but the empathy is poorly distributed due to politics, in the pejorative sense. For example, most medical doctors are empathic and they become MDs because they want to make a difference in relieving human suffering. But the corporate transformation of American medicine means they are given onerous “capitation” quotas – they must see thirty patients a day. The coaching and push back is based in empathy: It is a breach of professional ethics not to give a given patient the time and attention s/he deserves, and there is only time to see twenty two patients a day.
(9) Republicans and Democrats will start conducting Empathy Circles where they get together and listen to one another and respond empathically.
And if you believe this, I have a famous bridge in Brooklyn to sell to you. Yet the key to expanding empathy is to drive out cynicism and resignation. Be open to the possibility: On a more realistic note, the responsibility of leadership, whether in the political or corporate jungle, requires teaching critical thinking. Critical thinking includes skills to analyze conflicting articles in the press, chasing down media reports to their sources and assessing the sources for reliability. Most importantly, critical thinking includes temporarily taking the opponent’s point of view, which is a version of cognitive empathy. One does this not to agree with the opponent, but to have a productive disagreement. Empathy brings workability to political, business, and personal relations. It is like oil to reduce friction and produce results that benefit the entire community. (Edwin Rutsch and The Culture of Empathy are going to like that one!).
(8) Being empathic is hard within the Patriarchy. This does not go away.
The dystopia of Patriarchy (systematic unspoken sexism) crushes the empathy and compassion out of all of us. This is an issue because: in the face of so much gender violence (the vast majority of which is men perpetrating boundary violations against women), can we find or recover a shred of our humanity? I do not need to say “shared humanity,” because “unshared humanity” is not humanity.
It gets worse: the company formerly known as Facebook re-launches as Meta and the Metaverse, a virtual reality world. A quote from the New York Times (12/30/2021): “But as she waited, another player’s avatar approached hers. The stranger then simulated groping and ejaculating onto her avatar, Ms. Siggens said. Shocked, she asked the player, whose avatar appeared male, to stop.” He shrugged as if to say: ‘I don’t know what to tell you. It’s the metaverse — I’ll do what I want,’” said Ms. Siggens, a 29-year-old Toronto resident. “Then he walked away.”” (I do not want to give Metaverse its own trend.) [https://www.nytimes.com/2021/12/30/technology/metaverse-harassment-assaults.html] A specific proposal includes: establish a Desmond Tutu style Truth and Reconciliation commission in the Metaverse where perpetrators can tell the survivors what they did and ask forgiveness. Another proposal: establish empathy circles in the Metaverse (Edwin Rutsch and The Culture of Empathy are going to like this one too!).
Recall that instead of a civil war, South Africa and the late Desmond Tutu innovated a Truth and Reconciliation program for the perpetrators of apartheid to tell the truth about what they did to the victims and to ask forgiveness. The survivors then got to say if and/or what they could see there to forgive. That would be a practical, albeit utopian response. I am no fan of forgiveness, which I consider overrated. But I bought Tutu’s book based on the title, No Future Without Forgiveness. How can there be? It both requires empathy and expands empathy. Empathy is both the cause and the effect. I hasten to add that it does not mean being nice; it means establishing firm boundaries. It does not even mean going in with a forgiving attitude, but actually striving for actual truth and reconciliation tribunals, seeing if the truth on the part of the perpetrator(s) can show forth some shred of humanity and maybe, just maybe, highly unlikely though it is, point to a future of cooperation, communication, and community in which both parties flourish. I am not looking for moral equivalence, clever slogans, or easy answers here, I am looking for expanded empathy!
(7) Along the same lines as (8), the so-called “incel” (“involuntary celibate”) gets empathy, backs away from the ledge, gets in touch with his inner jerk and stops being one. (What the heck is an “incel”?)
Now I hasten to add that as soon as a person, whether incel, Don Juan, or one of the Muppets, picks up a weapon, a date rape drug, or proposes to act like the incel and mass killer Elliott Roger, that is no longer a matter for empathy, but for law enforcement. (For more on what is an incel – this is genuinely new – see the blog post and book review: The Holocaust of Sex: The Right to Sex by A. Srinivasan (reviewed) (https://bit.ly/3EACv7W).
After incarcerating or canceling or cognitive behavioral theraputizing the incel, let us try engaging him with – empathy. Key term: empathy. Let us take a walk in his shoes. Knowing full well that the incel is like a ticking bomb, let us engage with one prior to his picking up a weapon. I cut to the chase. It is not just sexual frustration, though to be sure, that is a variable. There is also a power dynamic in play. This individual has no – or extremely limited – power in the face of the opposite sex. He is trying to force an outcome.
Here we invoke Hannah Arendt’s slim treatise On Violence. Power down, violence up. Whenever you see an individual (or government authority) get violent, you can be sure the individual (or institution) has lost power. The water cannon, warrior cops, and automatic weapons show up. The incel embraces his own frustration like Harlow’s deprived Macaque monkeys embraced their cloth surrogate mother, even though it lacked the nipple of the wire-framed one.[3] Now I do not want to make light of anyone’s suffering and incels are definitely suffering. Yet it is tempting to enjoy a lighter moment. The incel’s dystopian life points to his utopia, which consists in two words: “Get laid.” I would add: this applies to consenting adults, and don’t hurt yourself!
(6) Burned out MDs, teachers, flight attendants dealing with delusional angry unvaccinated and sick people don’t get no empathy – how does empathy make a difference?
Set boundaries with and against bullies. At least initially, establishing boundaries is not about having empathy for the bully; it is about being firm about damage control and containing the bullying. Ultimately the bully benefits even as the community is protected from his perpetrations; but more in the manner of a three year old child, who, having a tempter tantrum, benefits from being given a time-out in such a way that he cannot hurt himself or others.
Without empathy, people lose the feeling being alive. They tend to “act out”—misbehave—in an attempt to regain the feeling of vitality that they have lost. Absent an empathic environment, people lose the feeling that life has meaning. When people lose the feeling of meaning, vitality, aliveness, dignity, things “go off the rails.” Sometime pain and suffering seem better than emptiness and meaninglessness, but not by much. People then can behave in self-defeating ways in a misguided attempt to awaken a sense of aliveness.
People act out in self-defeating ways in order to get back a sense of emotional stability, wholeness and well-being—and, of course, acting out in self-defeating way does not work. Things get even worse. One requires expanded empathy. Pause for breath, take a deep one, hold it in briefly while counting to four, exhale, listen, speak from possibility.
(5) Nursing schools and schools of professional psychology and medical schools begin offering classes in empathy.
Yes, it is a scandal you cannot take a course entitled “Empathy Dynamics” or “Empathy: Concepts and Techniques” in any of these schools. I know, because I checked the catalogs [Q3 2021]. I even got hired once or twice to fill in because they could not get anyone else to do it. You may say, “Well, every course we have teaches empathy” and in a sense, it does – or at least ought to. But that is mainly wishful thinking – if you don’t practice empathy, you don’t get it right or wrong – and if you don’t get it wrong, at least occasionally, you don’t expand the skill.
(4) Combine empathy with critical thinking – the result is a rigorous and critical empathy.
I got this distinction – a rigorous and critical empathy – from Xavier Remy, who I hereby acknowledge. What does that mean? You think you are being empathic – think again. It may be empathy or it may be narcissism or rational compassion or pity or self-congratulations or a whole host of things related to empathy, but not empathy. How do you tell? Empathy tells you what the other person is experiencing – be open to their experience, understand the possibility – take a walk in their shoes – acknowledge the shared humanity. Empathy tells what the other person is experiencing – critical thinking tells you what to do about it.
(3) Empathy builds a bridge over the digital divide and encounters resistance to empathy online and in-person.
With the pandemic of 2020, many in person services such as psychotherapy, life coaching, empathy consulting, and others went online. When the provider is having a conversation, then an online session is often good enough – and is definitely better than ending up in the hospital on a ventilator.
As the pandemic wanes and virus variants (hopefully) actually become more like a bad case of the flu (which indeed kills the most vulnerable), the issue becomes when to stay online, meet in person (with fully vaccinated clients), and how to tell the difference?
The disturbing trend that I see amongst (some) behavioral health professionals is that online “better than nothing” becomes “better than anything.” Going online is very convenient, and since, as the saying goes, inertia is the most powerful force in the universe, providers prefer to stay home rather than risk being vulnerable in creating a space of acceptance and tolerance in being personally present physically. The latter is a definition of empathy in the expanded sense – being fully present with the other person – in person and unmediated by a screen.
Now when I call out this conflict of interest, generally based in financial and time considerations (and time is money), most providers acknowledge that the commitment is not to online versus in-person, but rather to client service, delivering empathy, and making a positive difference for the client.
Clients whose mental status is “remote” even in-person in a physical, shared space present a challenge to the therapist’s empathy and are not initially a good choice to work with remotely online. However, after a warming up period the empathic relatedness migrates quite well to the online environment.
“Better than nothing” versus “better than anything” is a choice that needs to be declined: both online and in-person physical therapy coexist and help clients flourish using empathy to bridge the digital divide.
(2) Empathy and climate change. Empathy is oxygen for the soul – individually and in community.
In a year when the lead off comedy is about the destruction of the Earth by a killer comet – and a metaphor for global warming – empathy is oxygen for the soul. This is supposed to be funny (think of the film Dr Strangelove (1964)), in both cases, featuring an arrogant clueless President, played by Meryl Streep (instead of Peter Sellers). Empathy builds ever expanding inclusive communities – empathy is oxygen for the soul – and the planet.
“Beggar thy neighbor politics, economics, and behavior do not work.” They did not work in the Great Depression of 1929 – they did not work in the Great Recession of 2008. Do not take a bad situation and make it worse. Take a pandemic – now fist fights break out on airplanes, hospital emergency rooms, and retail stores. Hmmm.
It is a common place that empathy is oxygen for soul. If the human psyche does not get empathy, it suffocates in stress and suffering. Climate change makes the metaphor actual. If we do not drown as the Greenland and Antarctic ice fields slide en masse into the oceans, we are surely doomed to suffocate as the levels of carbon dioxide and heat overwhelm temperate habitats. Most people are naturally empathic and they an expanding appreciation of empathy suffuses the community.
The problem is that this eventuality does not live like an actual possibility for most people, who cannot imagine such an outcome – for example, just as in December 2019 no one could envision the 2020 pandemic. The bridge between the gridlocked present and a seemingly impossible-to-imagine future is empathy. The empathic moment is an act of imagination. That is the interesting thing about empathy. It may seem like a dream; but the dream lives. It is inclusive. Lots more work needs to be on this connection. For purposes of this list of tasks, this “shout out” will have to suffice. For specific actionable recommendations, see David Attenborough’s A Life on Our Planet, now streaming on Netflix: https://www.netflix.com/title/80216393
And, [drum roll] the number one empathy trend for 2022 is: –
(1) There is enough empathy to go around – people get vaccinated, boosted, and – get this – people get what seems like a version of the common cold – the pandemic “ends,” not with a bang but a whimper.
This relates to issues with the empathy supply chain, but deserves to be called out on its own. Granted, it does not seem that way. It seems that the world is experiencing a scarcity of empathy – and no one is saying the world is a sufficiently empathic place. Consider an analogy. You know how we can feed everyone on the planet? Thanks to agribusiness, “miracle” seeds, and green revolution, enough food is produced so that people do not have to go hungry? Yet people are starving. They are starving in Yemen, Africa, Asia – they are starving in Chicago, too.
Why? Politics in the pejorative sense of the word: bad behavior on the part of people, aggression, withholding, and violence. The food is badly distributed. Now apply the same idea to empathy.
There is enough empathy to go around – but it is badly distributed due to bad behavior, politics and interpersonal political in the pejorative sense. The one-minute empathy training? Drive out the aggression, bullying, shaming, integrity outages, and so on, and empathy naturally comes forth. (For further particulars, see the video cited in the References.) People are naturally empathic, and the empathy expands if one gives them space to let it expand.
Empathy is not a mere psychological mechanism (though it is that too), but is an enlarged concern for the other person – one’s fellow human being on the road of life. Empathy has been criticized for working better with one’s own family than with strangers – but these critics do not know my family – okay, joke – but, even if accurate, the solution to lack of empathy for strangers is expanded empathy. Be inclusive. Be welcoming. Expand the community of inclusiveness. All of this is consistent with people with underlying medical conditions needing to take extra precautions. In that sense, people who get vaccinated, boosted, and mask up, are doing it to keep their neighbors from getting sick. And, so, out our concern for others – our fellow humans – we get vaccinated, boosted, masked-up, and the pandemic ends – but – aaahhh, cooh! – the common cold continues to live on.
References / Notes
[1] Harlow, H. F. (1958). The nature of love. American Psychologist, 13(12), 673–685. https://doi.org/10.1037/h0047884
“The One-Minute Empathy Training” [https://youtu.be/747OiV-GTx4: May I introduce myself? Here is a short introduction to who i am and my commitment to empathy, including a one-minute empathy training. Total run time: about five minutes. Further data: See http://www.LouAgosta.com]
(c) Lou Agosta, PhD and the Chicago Empathy Project
Empathy: Capitalist Tool (Part 2): “CEO” now means “Chief Empathy Officer”
Listen on Spotify: https://open.spotify.com/show/6nngUdemxAnCd2B2wfw6Q6
“CEO” no longer means “Chief Executive Officer,” but “Chief Empathy Officer.” This time one can hear the groans—from the executive suite, not the cubicles.
Empathy is one of those things that are hard to delegate. This role shows up like another job responsibility with which the CEO of the organization is tasked—along with everything else that she already has to do. As if she did not already have enough alligators snapping at various parts of her anatomy, one has to be nice about it, too? But of course empathy is not niceness, though it is not about being un-nice. It is about knowing what others are experiencing, because one has a vicarious experience and then processing that further to expand boundaries and exercise leadership.
This puts me in mind of a mini-case-history reported by Annie McKee in the Harvard Business Review (HBR).[i] In this case, an up and coming executive, Miguel (not his real name), goes from turning around many struggling divisions in a multi-divisional corporation to a kind of identity crisis about who he authentically is in relation to the possibility of empathy. Miguel is a wizard at finding profit and weeding out waste. Miguel goes from division to division (each big enough to be a separate company) working his financial wizardry. It seems to work.
If the case sounds like a thinly disguised version of the career of Jack Welch, who was CEO of the multi-divisional General Electric (GE) from 1981 to 2001, then so be it. Welch retired from GE with a package estimated at $417 million.[ii] According to some reports, Welch was nicknamed “Neutron Jack,” because, like the neutron bomb, he eliminated the people while leaving the buildings and the profits standing.
Welch innovated a management approach called “rank and yank,” now widely imitated. Each year, the bottom 10% of his managers, regardless of absolute performance, would be let go. Those in the top 20% were amply rewarded with bonuses and stock options, which were extended liberally from top executives to nearly one third of all GE employees.
Welch reportedly fought against, but did not solve, the chronic problem of Wall Street pressure to sacrifice the sustainability of long term growth for short term profit. Welch railed against the very system that he outfoxed brilliantly over a twenty year career as CEO, but, note well, only after he got his payout.
Regarding shareholder value, Welch said in a Financial Times interview on the global financial crisis of 2008–2009: “On the face of it, shareholder value is the dumbest idea in the world. Shareholder value is a result, not a strategy […] your main constituencies are your employees, your customers and your products.”[iii]
Now you are going to expect me to say this method was the epitome of lack of empathy, and from the perspective of the employees whose jobs were eliminated, it definitely lands that way. Yet that is precisely what Welch was hired to do. Thus, the context.
Next act, quick scene change back to Miguel. In McKee’s HBR mini-case-history, his corporate superiors inform Miguel that those employees who survived his restructurings now hate their jobs, teams are dysfunctional, and the “by the numbers” culture has become toxic. (I believe this did not happen at GE.) Miguel is told “fix it” or he will never become CEO (which is apparently part of his agreement and expectation).
Miguel hires Professor McKee as his empathy consultant, and he is making slow, all-too-slow, progress working with her in expanding his empathy when another set-back occurs. Miguel’s wife throws down the gauntlet, pointing out that he is never available for her and the kids even when he is supposedly physically present. This hits home, literally. This inspires Miguel to expand his practice of empathy to a new level. He commits to learning how to listen, relate to others as a contribution, walk in their shoes, and respond empathically.
Thanks to Miguel’s renewed commitment—and McKee’s consulting and coaching—the empathy training works. Miguel expands his empathy in time. All live happily (and empathically) ever after, both at home and on the job, in this “just so” story.
However, in the real world, the Miguel and Welch narratives dramatically diverge—as do fiction and nonfiction. As a celebrity CEO, the dynamics of Jack Welch’s personal vicissitudes were played out in the public press, so they are readily available to the interested gossip—I mean reader—and the details of Welch’s three divorces will not be rehearsed further here. This speaks volumes to most ordinary humans. Thus, the lives of the rich and famous.
The empathy lesson? There is an cost and impact to every initiative and project. The cost and impact extend to empathy. Empathy is expanded or contracted. There is a cost and impact to “rank and yank,” even for those doing the ranking (though, of course, especially for those who are “yanked”).
No one needs to feel sorry for anyone, reportedly the “yanked” walked away with nice packages, but this is not for the faint of heart. On a happier note, Welch goes on to found a management school, the Jack Welch Institute, in an initiative designed to rationalize and replicate the business methods and financial “magic” that he developed at GE. Some thirty-five CEOs heading corporations today have been trained in his method (mostly at GE, not his theme-branded school). The principles Welch developed are also delivered at business schools such as MIT’s Sloan School of Management. With the case of Welch in the background, one realizes that the mini-case-history of Miguel really does indeed conceal an alternative point of view. However, “alternative” does not mean “inaccurate,” but a re-description of events that points to a hidden empathic breakdown.
Miguel was doing exactly what his corporate superiors asked him to do. If the financial results were not sustainable after his departure, this was so much “regression to the mean.” Even the average profitability of the companies identified by the celebrated In Search of Excellence by Thomas Peters and Robert Waterman dropped sharply within a few years in the absence of sustained leadership. “Regression to the mean” means literally that when one performs above average now, get ready for one to perform below average later; when one performs below average now, get ready to perform above average later. The boss will predictably approve of the above-average performance and disapprove of the below-average one; but the subsequent performance is governed by “regression to the mean,” not the boss’ approval or disapproval.
For all the ambiguous comments made about Jack Welch such as “Neutron Jack,” he managed to create an entrepreneurial spirit in a giant, multi-divisional bureaucracy. Now that was both the good news and the bad news. For those employees looking to put in their time, performing routine tasks—and conforming—prior to collecting a pension, that was bad news. It demanded a way of relating to possibility that required innovation and transformation that was ultimately career ending for those individuals.
To his enduring credit, Welch inspired an approach to creating possibilities by his own example that he called “boundaryless.” In short, he broke down organizational silos by giving permission to cross boundaries between traditional functions in search of possibilities, i.e., innovations. The boundary crossing sounds like the skillful use of empathy in building and managing cross functional teams.
Welch formed cross-functional teams to brain storm and implement possibilities that had not previously been envisioned. He championed ideas and possibilities for improvement regardless of whether the ideas came from inside or outside the company. “This is the way things have always been done” became the wrong answer, or at least no longer the default reply. Note that “boundless” behavior should not be confused with boundary violations. Empathy is about crossing boundaries to give the other person the possibility of breakthrough contribution, doing so with respect and recognition, and in a way that preserves the integrity of the boundary.
Welch was in charge at GE for twenty years; he had sufficient time to train divisional leaders in sustaining his practices; and retain them in charge of the divisions he had restructured. During his tenure at GE, the company’s value reportedly rose some 4,000%.[iv] If that is not sustained value, I would not know it.
Meanwhile, Miguel’s bosses asked him to put relatively short term financial results ahead of team building, retaining the best people, entrepreneurial informality, and, like a good leader, he made it work—for a while. He made it work until the bosses decided they did not want him to do that anymore. Surprise! Then they told him, “Fix it or you’re gone!” Miguel’s listening—a key component of empathy—was operating at an advanced level. He listened well; and he gave his superiors back precisely what he got from them—and what they asked of him. It turns out his superiors didn’t like it as much as they thought they would.
It does put one in mind of the example of George M. Pullman, who is no longer the model for employer-employee relations. Pullman ordered the workers fired when they presented him with a petition in protest of a 25% reduction in wages.[v] Pullman as Miguel’s boss? Miguel’s superiors changed their minds, having gotten the benefits of the “rank and yank” approach. Boards are allowed to change their collective mind (and minds), and were now looking for a CEO more like Walt Disney, Marshall Fields, perhaps Warren Buffet or Sam Walton, after the latter had made their first billion dollars, and could afford to throttle back a notch, cultivating a kinder, gentler image.
My redescription of events? While it is accurate that Miguel was innovating with his own version of Neutron Jack, Miguel was also on the receiving end of the breakdown in empathy. He could not give what he did not get, and, by the time his corporate superiors figured out what they wanted, Miguel had perfected his version of the Roman invasion of Britain. The surviving Brits were reported to have said: “The Romans ‘make peace’ by creating a desert.” The Brits were not referring to an “empathy desert,” but the idea is similar. McKee’s case history is a nice narrative and a useful cautionary tale. However, the tale lacks credibility and confronts us with the next challenge, empathy: capitalist tool.
Empathy: Capitalist tool
“The Lone Ranger” is a vanishing breed in today’s corporation. Modern work, from the upper echelons of the corporate hierarchy to the bottom levels of the lowest cubicle, requires empathy.
Whether sales person, software developer, accountant, or business leader, one has got to be “a team player,” “willing to go above and beyond the call of duty,” spend long hours on business travel, and be cheerful about it. One has got to get in touch with one’s empathy; and use one’s empathy to satisfy customers, teammates, stake-holders, and superiors.
In short, empathy is now a capitalist tool. Managers need to apply ample empathic skills. Managers are required to keep workers contented so that the workers can be productive. Managers are now coaches, facilitating employees feeling valued, so employees are emotionally invested in contributing to the team, team spirit, and the long hours and frequently uninspiring routine work required as a project hits “crunch time.”
Both managers and line employees must be able to turn empathy “on” for customers; “on” for team work; “on” for co-workers; but “off” for the competition; “off” for efficiency and discipline; and “off” for compliance and rule following. This ability to turn empathy “on” and “off” implies an approach that this book has questioned in arguing that empathy is a dial or tuner rather than an “on-off” switch. However, even if, for the sake of argument, we imagine empathy as an “on-off” switch, this calls for a level of skill in regulating empathy in which most people lack practical skill.
Consider. Customers pay their good, hard earned money for products and services, and it is a low bar to say that customers are entitled to be listened to, treated with dignity, and responded to empathically by a corporation and its representatives. The empathic engagement with and treatment of customers is demonstrably a rewarding investment.
How about employees? As a person moves into the work force, he is empathic because those in authority advocate for it as a form of team building. It is important that one be empathic in addressing the issues and concerns of co-workers, customers, and stake-holders.
Employees who feel that they are “gotten as a possibility” by their company are emotionally invested in the success of the company. They are inspired to go the extra mile to deliver value on their agreements, make extra effort for the team, and see their personal contribution in terms of the big picture. They are not just stone cutters banging away at a rock with a hammer; they are building a cathedral.
Neither the employee nor the manager “above” him have been trained in empathy, and it is not a part of their job description, at least in any explicit way. Though there are dozens of training firms in everything from compliance to conflict resolution, the number of individuals and firms in North American and the European Union delivering empathy training can be counted on the fingers of one hand. While that may be changing, expecting CEO’s to give empathy when they are not in touch with their own empathy, makes no sense. Nor is it fair either to the leader or would-be recipient. Welcome to the age of Machiavellian empathy!
Niccolò Machiavelli (1469–1527) was famous for saying that it would be best if the leader—the Prince, in his day—was loved, but it is essential that he be feared.
Machiavelli never actually said that the ruler, the Prince, must be perceived to be empathic, even as he ruthlessly wields power behind the scenes. But that is what he implied. In the context of politics, Machiavellian empathy refers to politicians who present themselves as being empathic while manipulating, spinning alternative facts, double dealing, and so on, behind the scenes. Machiavellian empathy shows up in business, too. If managers are not in touch with their empathic abilities, they are counseled to “fake it till you make it.” Many never “make it” and continue “faking it.”
Whether or not one authentically understands the experience of the other person is less relevant to the Machiavellian Empath than scoring points on a check list of concerned behavior.
Is this then the ultimate cynical moment? Is this the ultimate easy way out? Is this the reduction to absurdity of empathy? If empathy is about setting boundaries, where is the boundary? While not a complete response, one distinct limit to Machiavellian empathy is Lincoln’s famous saying, “You can’t fool all the people all the time.” Ask Travis Kapernick, Bernie Madoff, or Harvey Weinberg.[vi]
Strictly speaking, Machiavellian empathy takes nothing away from empathy’s intrinsic benefits and uses. Even if one wants to present the appearance of being empathic for propaganda (i.e., marketing) purposes, while continuing to operate with dubious business practices behind the scenes, reality has a way of catching up with appearances. Amazon said it was a wonderful place to work. Then the New York Times got some employees to comment on the record about “mean” behavior.[vii] Uber was disrupting the disrupters and creating the Gig Economy, which supposedly set us free. Then a driver, who was not in touch with that supposed freedom, unwittingly interviewed the CEO, Travis Kapernick, on camera.[viii]
So far as we can tell at this writing, neither of these breakdowns has resulted in breakthroughs. There is no guarantee that the Machiavellian Empath will slip up and document his or her own inauthenticity for us; it rarely happens rapidly enough; but it happens.
Empathy deserts grow: Woe to those that harbor empathy deserts!
Capitalism organizes empathy along with workers and production processes. Under capitalism, empathy is a means, not an end dedicated to the satisfaction of human needs, aspirations, and demands. (When the word “demand” is used, think “supply and demand” for products and services in a market.) Some workplaces are empathy deserts in spite of the appearance of mangers with published “open door” policies.[ix] Key term: empathy desert. After a day at the office, people often feel as if their personality had been erased. One’s humanity withers in the desert. So if you find yourself feeling dehumanized by your job, maybe you work in one of those, regardless of the prevailing rhetoric.
Instead of the industrial supervisor shouting orders to his workers, who curse under their breath and conform to the orders, today’s managers employ therapeutic strategies to create a convivial environment of trust, relatedness, sociality, loyalty, and care. Happy people sell. Happy people write more software code with fewer bugs. Happy people deliver projects on time, on budget. Value creation in the late capitalist economy is a function of the exchange of emotion and empathy.[x]
The way “empathy” is used in the business media today, it means that corporations innovate in providing benefits to their employees. Many of these benefits enable employees to get away from the job and restore aspects of their humanity that are hard to maintain in the “corporate jungle” (or desert). It means that firms return to their employees some of the revenues that the employees earn for the firm by providing services. Such a proliferation of meanings may be a phase that empathy has to go through before we can really grasp how it essentially makes a difference.
For example, Procter & Gamble offers a personal leave of absence, which the employee can use to engage in a “life project.” Up to three months off without pay—but with continued benefits—allows the employee to pursue a personal “life project,” and, P&G to retain valuable talent, since the employee returns to work after the sabbatical.[xi] Though Human Resources (HR) has to approve the project, the benefit can be used to: complete writing a PhD or masters thesis that requires dedicated time on task for writing and research; design and implement a database tracking system for a social justice issue for Amnesty International or Doctors Without Borders; trek to Nepal and attempt to climb an 8K meter high mountain; sail around the world.
At Google (Alphabet) parental leave is a benefit: Moms get up to 18 weeks of paid leave; Dads get six. The company also pays “baby bonding bucks” to help with initial expenses such as formula and diapers.
Prudential Financial is addressing the employee challenge of being a care-giver for a parent or relative by providing adult care in an employee or loved one’s home. The company provides referrals to geriatric care services as well as elder law and adult care-giving seminars.
IBM contracts with an educational firm to provide a “get into college coach” for its employees with children applying to college. They will not write the admissions essay for the children, but provide detailed guidance as to what different colleges are looking for, test scores, grade point average, and cultural preferences. All these are valuable in reducing parental (i.e., employee) stress. Note this is one corporate benefit that does not require the employee to leave work. Sensibly enough, the worker continues to work, presumably to pay college tuition, while “out sourcing” some of the elaborate, complex project planning needed by the student actually to get into college. Win-win all around.
While my work has repeatedly emphasized that there is enough empathy to go around, empathy is not uniformly distributed. How could it be? Executives who are talented at dealing empathically with customer issues may be less skilled at dealing empathically with employees; and those skilled at dealing empathically with employee issues may be less skilled at dealing empathically with union negotiations, the press, or business partners and competitors (who may be one and the same).
Arguably, empathy flows from those with more power towards those on the front line engaging with customers. However, if the customer is big enough, for example, contemplating buying a fleet of jets or a global enterprise software system, the ultimate sales person turns out precisely to be the CEO or her close colleagues. The executive suite is now on the front line. But who trained those leaders—or any one—in empathy? If we gave the executive (or front line help desk person) the kind of empathy exam described above by Leslie Jameson, in which an actor learns a script, portrays a client with a problem, in effect being a “secret shopper,” what would be the grade (see p. 121 above)? While we may never know for sure, I predict that the grade will be lower than if the executive fills out a self-assessment in which one can pick out the “right answer” based on common sense and an appreciation of kindness. Thus, the case for expanding empathy through training.
[i] McKee, Annie. (2016). If you can’t empathize with your employees, you’d better learn to, Harvard Business Review, November 16, 2016.
[ii] Anonymous Contributors. (nd). Jack Welch. Wikipedia: https://en.wikipedia.org/wiki/Jack_ Welch [checked on June 30, 2017].
[iii] Ibid, Jack Welch, Wikipedia
[iv] Ibid, Jack Welch, Wikipedia
[v] Melvin Urovsky. (1998). Pullman strike, Britannica Online: https://www.britannica.com/event/ Pullman-Strike.
[vi] Meanwhile, more breaking news, as this book goes to press, some 49 men stand accused of sexual misconduct in various workplaces extending from Harvey Weinstein’s Hollywood production company (from which he was fired) through venture capital to restaurant businesses:
https://www.nytimes.com/interactive/2017/11/10/us/men-accused-sexualmisconductweinstein.html?_r=0. The problem is that, while it is good that this abuse is finally coming out, it has been hidden in plain for years and years. See Harry Markopolis’ (2010) statement in a different context above, “no one would listen.” Where is Lord Acton when we need him? Lord Acton said: “Power corrupts; and absolute power corrupts absolutely.”
[vii] Kantor and Streitfeld 2015..
[viii] Seyluk 2017.
[ix] Roman Krznaric (2104) quoted in Belinda Parmar (2014) The Empathy Era: Woman, Business and the New Pathway to Profit, London: Lady Geek: 91. Parmar does not cite a page in Krznaric.
[x] Tristam Vivian Adams. (2016). The Psychopath Factory: How Capitalism Organises Empathy. London: Repeater Books: 56–77.
[xi] Matt Krumie. (2016). Ten companies putting empathy into action, Cornerstone On Demand: https://www.cornerstoneondemand.com/rework/10-companies-putting-empathy-action [checked on July 03, 2017].
(c) Lou Agosta, PhD and the Chicago Empathy Project
Empathy versus bullying: Part 3: Recommendations for students, parents, teachers and administrators
Listen to podcast on Spotify (via Anchor): https://anchor.fm/lou-agosta-phd/episodes/Empathy-versus-Bullying-Part-3-Recommendations-for-students–parents–and-educators-e17j1ts
Bullying: Recommendations for students
If one is being bullied, some guidelines are useful.; though no single, easy answer is available.
[Note: even though these recommendations directly address the “student,” they are intended to provide guidance to the parent or responsible adult on how he or she is to address the student regarding bullying. They are intended to inform the grown up, adult’s speaking and listening in the matter of bullying as the grown up engages with their student.]
First, these recommendations are about getting back your power—or at least some of your power—in the face of bullying. Sometimes that looks like making a tactical retreat, much as one might dislike doing so, in order to reestablish boundaries and integrity. The idea is to de-escalate the potential confrontation. What de-escalation looks like is different according to the situation.
Second, this is not happening to you—the target of bullying—because you did anything wrong. Stop the negative self-talk (devaluing comments directed at oneself) about being to blame for the bad behavior of bullies. Such negative self-talk results in two problems, the bullying and your own negative self-talk.
Previously there was only one problem, the bullying. Now two problems exist, the bulling and the negative self-talk. Reduce the problems by 50%; stop the negative self-talk. If you cannot seem to stop the negative self-talk, then get help from a parent or professional with doing so.
Many different kinds of bullies exist—see the above typology—and it is not your job to be the bully’s therapist or policeman.
There is probably no reply to the bully that is so powerful that the bully cannot transform it by using a sing-song, condescending tone of voice.
Even if one says: “Thank you for respecting my privacy,” a statement that makes a great quotation in any subsequent police or administrative report, the risk is that the reply is going to come back at you like yet another confrontation. It might be worth a try, but no guarantees.
The bully is behaving the way he does to “get a rise” out of the target. The intention is to make the target upset. That is a “pay off” for the bully. That is not to say that one should not shout back if shouted at or push back if one is pushed. That is a judgment call based on the situation and one’s sense that fighting back—otherwise know as “self defense”—may make a positive difference in establishing or maintaining a boundary.
However, if one is out-numbered or the bully is physically larger and one’s power is diminished, engaging the bully in a back-and-forth exchange is not going to work. If one can maintain some measure of composure or equilibrium, then the process of escalation on the part of the bully may be short-circuited or at least moderated. The bully is “getting off” on upsetting the target, so, tactically speaking, being boring to the bully is a valid defense. You will be “less fun” for the bully, and he will move on to the next target.
Another thing that is done—and is potentially life saving—is to keep a “bully log,” noting in writing, once one escapes, the occasion on which one was bullied and what exactly was said or done. In the case of cyber bullying, this includes print outs, with URLs and time stamps, or screen shots of devaluing comments from email, Facebook, social media, or text messages.
I know, I know. The last thing that a kid stressed out by bullying wants to think about is documenting what is happening precisely so that one can escalate and get one’s power back. But that is what is required. One may prefer to forget about it all, but keeping a log with dates and times and names (or descriptions if one does not know the name) and what exactly was said or done, is going to be an important part of getting one’s power back in the face of bullying.
Civic and spiritual leaders such as Gandhi and Martin Luther King have famously pointed out that “no one can diminish you without your consent.” That remains true; and it is always a good reminder to oneself in the face of bullying. However, King and his followers actively trained and role-played non-violent resistance prior to engaging in demonstrations, civic actions, marches, protests, and sits-ins, in which they confronted bullying, hostility, and out-and-out violence.
Civil rights activists practiced with colleagues, who pretended to be racists, hurling insults and ketchup at the would-be demonstrators in role playing. In turn, the would-be demonstrators practiced not responding with counter-aggression; and all this prior to their actually engaging in anti-segregation sit ins, public protests, civil disobedience, and so on.
One should not have to undertake training in non-violent resistance in order to survive the ride on the bus to school or the school lunch room, and the fact that we are now discussing such a scenario means that something has already gone seriously off the rails. Attempting to transform a culture of segregation and colonialism as King and Gandhi did—or a culture of bullying—is not for the faint of heart.
A group of middle or high school kids are not the KKK or the British Empire (though they may seem like it at times), and such kids cannot be forced to include an “outsider” when they really decide not to be inclusive. Thus, the coaching to the outsider is to keep looking for a group that is welcoming. Once again, it takes courage—and a support system—and is always easier said than done.
People need friends, and, for people in middle and high school, relating to friends is an important part of the fun. It is a part of growing up and the non-academic learning that occurs. If you are with a group of people—also called one’s “peers”—and their behavior and speech towards you leaves you feeling “less than” or “upset,” then you may need to look at your understanding of what is a friend. If your inquiry to your “friends” as to what is really going on seems to elicit more of the same upsetting and “less than” behavior—then you need to re-examine their status as “friends.” I hope you will not shoot the messenger: it is time to move on and seek friendlier friends.
One bullied LGBT teen made a difference by trying to join a Gay-Straight Alliance group activity at his high school. But there was one catch. Before he could join the alliance, he had to create it. It became a significant project, and a path to engagement for him and numerous fellow students both gay and straight. Never underestimate the power of one person with the courage to stand up and say “Enough—there’s got to be a better way!”
Friends may argue. Friends may disagree. Friends may engage in drama over boy or girl friends. Friends may even decide to stop being friends and go their separate ways. But if one finds so-called “friends” treating one like an outsider, using de-valuing language towards one, or being mischievous in ways that are cruel, mean, or aggressive, then it is time to find new friends. If one’s peer group lets one down, then it is time to seek a new peer group. Once again, this is not easy to do when one is struggling against bullying. However, if one is unable to take action in the direction of finding new relationships because one is so paralyzed by the upset, then it may be because one is anxious or depressed, and the intervention of a caring third party is warranted. But where to turn?
If you have a good relationship with one or both parents, that is a good place to start. Here “good relationship” means that you can talk with him or her. It means the parent has the ability to empathize with your predicament and listen to your concerns. It also means you are not going to come away from the conversation feeling bullied. Older siblings can also be useful if one has a good relationship.
The idea is not to have a grown up “fix” the problem for you, but to find a “trusted advisor” to work with you on what can be done to get back your power—or at least some of it—in the face of bullying. Though the analogy is imperfect, this is a tad like getting tutoring in geometry or science. Do not expect the tutor to do your homework for you; but together you work to acquire the skills, so you can not only survive the lunchroom or school bus ride, but also even have fun and prosper.
If you do not have the kind of empathic relationship with a parent that makes you think the parent can help to improve the situation, then look for a trusted teacher at school with whom one has a relationship. (But see the caution below about teachers and staff being school-bullying-mandated reporters.) Once again, this should be someone who you believe will listen to you—use her or his empathy to appreciate you—and work with you to improve the situation. If neither your parents nor a trusted teacher at school can be mobilized to intervene, then you should look for someone in the community such as a coach at the art or sports center, a pastor at church, or coordinator of the LGBT group in the community with whom you enjoy a relationship of empathy and trust.
If you are being harassed online, request that the web site take down the content, since the harassing comments violent the rules of most web sites. If the site is Facebook, report the abuse immediately via the dropdown item “this picture is of me and I don’t like it” [or words to that effect]. Facebook says that it is committed to taking the word of the reporter (you) about harassing comments. Print out the cruel or mean content or make a screen shot. Put all such stuff in a folder. You need to show others in authority what is happening. It is almost never useful to respond to the perpetrator. If you find yourself compulsively checking back for mean content, take a time out. Power down. Pull the plug. It is not worth it. It might be better to give online activity a break and drop out for awhile. Good friends will be able to reach you by phone or in person.
Another word of caution is needed. If you approach someone in school—a teacher or member of the staff—then this person may be required by law to report the bullying to the school administration. This might be okay if the school has a program in place to deal with bullying. This is also where your written record detailing bullying that has occurred over the past period can be useful. I wish I could say that this would not result in further bullying with accusations of being a “snitch” occurring. But the risk of escalation is real and must be considered prior to taking action.
If the reputation of the school is one of having a culture that seems to permit a certain amount of aggression and discourtesy, whether towards teachers or one’s fellow students, then the risk expands. Retaliation on the part of bullies for complaints about their bullying can become as significant an issue as the bullying itself.
Once the school administration is involved, the process can take on a life of its own. The administration must (is mandated to) open an investigation, and the requirement to gather evidence of bullying can make you feel like you are inside the “hall of mirrors” at the carnival without, however, anyone having any fun.
Grown ups are notoriously unable to distinguish adolescent drama from out-and-out bullying. This is sometimes due to grown ups’ lack of empathy, but not always. If the tweens and adolescents cannot tell these apart, why should the grown ups necessarily be able to? What seemed open-and-shut to the target of bullying can take on disturbing nuances once people are interviewed “on the record.”
Trying to sort out a bullying report can become an exercise in forensic investigation with conflicting testimony full of “he said” and “she said.” Are witnesses denying an alleged episode of bullying—note the legalese “alleged” shows up—because they don’t want to be regarded as “snitches” or because the episode never occurred?
The school system itself—no matter how empathic and well-intentioned—can seem to work unwittingly to punish all participants—or at least use all the time and effort of all implicated in a given incident in filling out forms, processes, procedures, and attending meetings. The process of determining what happened = x has now become something to survive—a potential breakdown in empathy and a breakdown in community. Ready or not, one has matriculated in the “college of hard knocks.”
However, if the student is being physically assaulted or harassed to the point where the student’s school work is suffering (grades and so on), then it is best to “bite the bullet,” fill out the formal report—including the police report if appropriate—try to take charge of the escalation, share the suffering, and learn the lesson in community building.
No one should have to suffer in isolation in the face of bullying. Part of the abuse consists precisely in the bully’s attempt to isolate the target. So the best outcomes are those in which one is able to take action to break out of one’s isolation: finding new and welcoming friends, martial arts lessons, founding a gay-straight alliance at the school, chess or science club, and so on. Once again, this is easier said than done, but it must be both said and done.
If you are someone who is caught up in drama and you are tempted to bully someone, it is time to take a time out. Take a look at your own behavior. Do you really want to be known as someone who is mean or a bully? While “put downs” or “one liners” might seem like auditioning for a role in a reality television show, hit the pause button. There are better ways of getting into show business. Go out for theatre or sign up for an improvisation class. All the world is a stage, and an important part of the training for theatre—and for success in life—is role playing. Indeed acting is precisely role playing. Try taking a walk in the other person’s shoes. There are other, better shoes—and choices—than to bully or be bullied.
Bullying: Recommendations for parents
If your child comes to you with an upset about bullying or you see that she or he is upset about something and the story sounds like bullying, then what should a parent do?
This is where empathy goes a long way. Start by listening. Your job as a parent is to support your child and to help your child regulate the child’s feelings and behavior. Your job is to help the child regain an emotional equilibrium in the face of life’s vicissitudes, including bullying.
Parenting is about setting boundaries. Empathy is about navigating boundaries, and bullying about violating boundaries. Therefore, empathy is about restoring boundaries in the face of bullying.
Be empathically receptive and responsive: “That’s really gotta be a concern.” “Try to tell me exactly what happened.” “Then what happened?” “Say more about that.” “Okay, but help me understand.” “He said what?!” Ask about the details in a concerned, empathic way. “Johnny is a jerk” may be true; but it is an interpretation. That Johnny said “You are a loser” while pointing at his forehead with his fingers in the shape of an “L” is a report of a devaluing comment. Do not be dismissive. It’s not “nothing.” Note it. Be concerned. Avoid finger wagging or moralizing. Though you are obviously “on the side” of your child, do not assume she or he is an angel. Likewise, if the child is known to have a “devilish” streak, do not assume he or she is the devil. A single example is not bullying in itself, but repeated instances start to form a pattern of concern.
One word of caution to parents at this point. One issue that should not be overlooked is how the adult is inevitably confronted with his or her own fate as a child in the face of bullying. In short, if you had a bad experience in bullying that is still unintegrated as an adult, it is going to be there when your child comes to you. If you have unresolved issues around bullying in your own history, when your child comes to you about bullying, a challenging situation becomes all the more challenging for you. You have to distinguish the child’s problem from your own in order to do your job. As a parent, your priority is to solve the child’s problem, not your own.
Now this does not mean the parent has precipitously to go back into therapy (though nothing is wrong with that as such), but that one must be prepared to identify and use one’s own experiences around bullying as a resource. These experiences, long past, will come up. Promise. This is where parental peer support can be essential. Consult with other parents with whom you have a relationship of empathy and trust. It is crucial this be a person to whom one can relate without moralizing or finger pointing.
If one does have an unresolved issue around bullying, then acknowledge it, so that one can gain some distance and objectivity about bullying today. In a deep sense, bullying and human aggression have not changed, though they now have online technology at their disposal; but parenting norms, schools, school administrators, and community standards have shifted significantly since Baby Boomers and even Gen-Xers have struggled with bullying in a different world.
If, when you were a kid, the guidance from your parent was “just hit him back,” and it worked, then you are going to be inclined to provide such guidance. If, when you were a kid, you told his mom about his bullying behavior, and it worked (as unlikely as that may seem), then your initial inclination is going to be to provide such advice. Even if you wished that you had “just hit him back,” but were not able to do so, you are also going to be inclined to provide such guidance. You see the dilemma?
Our empathy for our children in the here and now is a function of our own fate as a child in what was (and is) not always the most empathic of worlds. If one is at a party for five year olds, tweens, or adolescents, then one is inevitably going to be present to one’s own experiences as a five year old, tween, or adolescent. That is a risk and an opportunity. Such experiences from one’s own childhood or teen years can be a useful resource and should not be overlooked. However, such experiences of surviving bullying are most likely to make a positive difference within the context of an empathic listening to the child currently being bullied, not the context the parent had to overcome long ago. [i]
The point is to appreciate the distinction between your own experiences and those of your child. An outgoing or extroverted parent may have a shy or introverted child—or vice versa. Yes, certain kinds of bullying are such that a child may properly be expected to handle them on his or her own. However, if the child who used to enjoy school now dreads it, if grades are suffering, or if a once flourishing child is now floundering, and it is not clear what is going on, then intervention is required.
A substantial part of the challenge for the parent is to re-create the context on the school bus, at school, in the lunchroom, or on the sports field. What seems at first to be an open-and-shut case of meanness or cruelty can turn out to be a complex example of drama, pseudo-sibling rivalry, or bad manners. Debates quickly emerge about “Who started it!?” or “he said” and “she said.” Try to determine who said what to whom and then what happened. You may quickly find yourself asking, “Is there a single fact here?” This, however, does not mean that bullying did not occur. As a parent, you want to document what you have learned, and you want to keep open the lines of communication with your child. Is there a pattern?
In order to be useful in supporting your child, you must have a thorough grasp of what is going on. Get the entire narrative. If what is happening really is bullying, you will want to be as specific as possible in order to make a report to the authorities if the problem persists.
This is where the difference between handing the child a fish and teaching him or her how to fish is the lesson. Even if the student is an adolescent, the student’s request may be to “fix” the problem and make the bully go away. Wouldn’t it be nice? Rarely is that practical. If the bullying is occurring on the way to or from school, and if one can take a different bus or route, by all means, do so. Band-Aids have their uses. Tourniquets are essential. Buy some time to figure out what is really happening.
The tough job of parenting occurs at four levels: (1) providing guidance to one’s student on how to fend for oneself; (2) providing explicit training in self-defense or assertiveness if the student can be enrolled in the value of doing so; (3) reaching out to the parents of the alleged bully if there is any chance they are responsive people, who are able to have a civil conversation; (4) intervening with school authorities (or law enforcement) as a last resort if no other solution can be found.
(1) Share with the student the above-cited coaching in “Recommendations for Students” about the dynamics of bullying. Even if you have reason to believe that your child has been provocative and is engaging in drama, begin by asking, “What happened?” “Who said what to whom?” “What happened next?“ Do not begin by asking, “What did you do to cause this?” That can seem like blaming the victim. Do not be dismissive. Trust—but verify empathically.
Providing empathy means that one should provide examples of proper behavior on the part of “friends” and peers; friends do not use devaluing, hurtful, bad language or engage in aggression against one another; and broach the difficult subject that maybe one needs to find new friends or a suitable, different, extra-curricular activity if one is being harassed. One should provide assurances to the child, who is blaming himself, that the child did not do anything to deserve such treatment.
(2) Time was when “bullying” meant physical aggression. “Sticks and stones may break my bones, but names will never hurt me.” We now know that devaluing names, too, are hurtful. This is especially so when the name calling occurs persistently across different environments—at school, on the bus, online after school, and so on. I know—I know. Why is it that parenting usually seems to require ever-increasing commitments rather than less? Yet intervention on the part of the grown ups is important., especially if the meanness is escalating.
If a student, who is being physically assaulted, sees value in boxing or Asian martial arts lessons, the parent may pick up the extra expense and effort of chauffeuring him or her. It may be worth it. Self defense remains a fundamental right.
However, if the individual is up against a group or the size differential is substantial, such lessons might be good for one’s self-esteem (and the value of such a contribution is not to be underestimated), but it is of limited practical value in surviving an altercation. For some shy or socially awkward kids explicit training in social assertiveness is useful.
(3) If one is part of a community where one has communications with other parents, then it may be worth the risk to reach out to the other parents. It is important to do so in a way that does not land like an incoming accusation or reproach. That such a conversation would initially be uncomfortable is no reason not to try.
If you can work with the other parents, it provides an example to all the children of how to resolve conflict in a mature, adult way that benefits all involved. Such a lesson is worth its weight in gold—or at least an associate’s degree in counseling. However, if the parent turns out to be troubled or a part of the problem, then one has perhaps discovered the source of the bully’s misbehavior. One has to move on. Encourage one’s child to leave alone a “friend” who is making his life miserable.
(4) If one has exhausted individual coaching to the child or outreach to other parents, and one still has concerns about the child’s safety or the impact of bullying on a child’s academic results, then it is necessary to approach the school authorities. Remember that these may be harried individuals.
School authorities already have a long list of academic, administrative, and educational responsibilities. The state legislature has just mandated compliance with rules that schools take on the task of managing and improving a situation in which 10% of a school population (say) of 1,000 students is either a bully or a target of bullying over a given period of time. A budget increase to support the mandate is still pending, meaning doing more with less is again demanded.
A parent may have a right to stand up in a school board meeting and express concern or even accuse officials of being indifferent to bullying.
However, it does put one in mind of Dale Carnegie’s dictum: if you want to gather honey, do not kick over the bee’s nest.
Rather identify an educator or administrator who has the empathy to hear your concern about your child’s emotional and academic well-being and its urgency. In a time sensitive situation, specific steps can be taken such as allowing the child to keep a cell phone with him at all times to call for help; a designated safe room (say next to the nurse’s office) that the child can go to in case he feels unsafe; a special hall pass or permission to arrive two minutes before class to avoid the bully; or assigning a grown up to accompany her or him through the hallway. It is important that all the relevant teachers and staff know about this or it will just become another breakdown, punishing the victim as the phone gets confiscated, and so on.
In the case of cyber-bullying of tweens, parents may appropriately have access to the online passwords. Parents may usefully know what sites the children are visiting. Even if one has a phobia for technology, it is imperative for the parents of kids using computers to have a minimum of computer literacy to supervise the kids’ involvement with electronic media. It is a tad stealthy—but I would not rule it out—to have the child train you with her email or Facebook account, and then use what you have learned to monitor theirs.
You would not simply give the kids the car keys and tell them, “Hey, keep in touch!” Funny. The Internet is different than the open road, but hazards and risks exist in abundance in cyberspace, too. Since no parent has enough time to monitor the totality of anyone’s online activity—it would be crazy to try—start out like the wise teacher who begins with strictness but eases up thereafter based on proper behavior and feedback.
Manage by exception. Trust but verify. If spending time engaging online becomes an upset to the child, then an empathic inquiry as to what is happening is needed. Expectations for online behavior should be made clear: Just as one would not use devaluing language, ethnic or racial insults in person, so too one should not do so online. If one is the target of such behavior, then it must be documented, monitored, and neutralized through appropriate interventions.
Why is it that people forget you can turn off the computer or not go to certain sites? Parents’ good examples of laying aside electronic devices and relating in person to other persons speak volumes to kids. So does any behavior that demonstrates a parent’s commitment to drama or using social media to drive personal conflicts. Business people and politicians now have a rule about email and comments on social networks (even if they do not always follow their own good guidance): Write every electronic comment or communication so that it could be published on the front page of the Wall Street Journal without creating an embarrassment. The reason? Because the communication will eventually migrate there! This is an essential rule of thumb going forward.
Such is especially the case after the US election of 2016 where a seemingly endless stream of hacked emails—containing ambiguous and devaluing comments about the sender’s colleagues—got published periodically. In some cases, no hacking was required, since the candidate published the comments intentionally using Twitter.
As this book is being published, reports are emerging that Russia—you know, the sovereign state or a clandestine unit thereof—has attempted to influence the US 2016 election by purchasing ads on social media that attempted to aggravate racial, social, and economic divisions, thereby driving voters towards one Presidential candidate rather than the other.[ii] A lesson for us all? The ability to think critically and for oneself has always been an essential foundation of any democracy or any middle school kid’s emotional well-being. Now more than ever.
There is also a rule—at the level of Sir Isaac Newton’s ironclad Laws of Motion—that naked or compromising photos taken by a person migrate inevitably in the direction of social media. So don’t take any; and delete any that might already exist now—before it’s too late!
The expectations of privacy are such that online communications can no longer reasonably be expected to be private. Perhaps they ought to be private. Perhaps the 4th Amendment to the US Constitution against unreasonable search and seizure still holds sway in courts and halls of justice in the USA. I hope it does. I believe it does. But cyberspace just does not work that way any more. Facebook is designed so that people are given incentives to broadcast their personal and private data. As Mark Zuckerberg, CEO of Facebook, is supposed to have said: “Privacy is no longer the norm,” implying rather that publicity is. Here take my personal data—please! Here—see what I am eating, who I am befriending, who I am dating, what I am wearing (or not), what I am reading, where I am checking in geographically, what I like, what I don’t like, what I am thinking—and at all times. [iii]
If you really need to have a private communication, send a letter by US Mail. It does put one in mind of Miranda Lambert’s country western song: “If you had something to say—you’d write it on a piece of paper—then you put a stamp on it—and they’d get it three days later—before everything became—automatic.” Words to live by.
This may sound a tad nostalgic; and I am not sure that I could explain it to an eleven year old. So, if your eleven year old is citing the 4th Amendment to you as reason for not handing over his password, congratulations! You have a Clarence Darrow for the defense in the making. I hope you can afford law school. But you then get to explain that “probable cause” creates an exception—and a parental search warrant. Hand the password over, buddy—or hand over the device!
Bullying: Recommendations for teachers and administrators
The media provide sensational, even tragic, reports about bullying, but they less frequently provide useful guidance or actionable information. We have to separate bullying from conflict and “drama” between peers of roughly equal power. Attention grabbing headlines have provided a “call to action” for educators in middle and high schools (and for state legislatures), who had been distracted by other priorities and looking the other way.
A few dramatic, high profile suicides, and many low profile emotional breakdowns, not to mention major litigation from outraged parents, have persuaded school administrators of the importance of intervening on behalf of the most vulnerable, bullied members of the community.
Yet it is also important to realize that grown ups are not the only source of relief from tween and adolescent bullying. In no way is it blaming the victim that the targets of bullying sometimes need to take crucial actions on their own behalf to improve the outcomes of unwanted assaults.
The first empathy lesson for administrators is that empathy is on a spectrum that extends from being firm about boundaries all the way to “tough love.” As every administrator knows, education is impossible if a school that is “out of control” surrounds the class room. A school is a system, and the hallways and class room must be calm in order for education to work. Before we turn to the details of how empathy plays in this context, some background is useful.
In December 1982 three elementary school students (10 to 14 years old) killed themselves near Tromsø, Norway. All three had been bullied. For example, one had been called a “leper” because of his measles scars, an insult, frankly, that I had not previously heard. These tragedies galvanized Norway.
Previously, bullying had been regarded as something that kids had to work out for themselves on the street. These tragedies provided evidence that the most vulnerable members of the community required intervention.
Dan Olweus, who had studied bullying extensively in nearby Sweden, but who was without popular support there for his research recommendations, was invited to come next door to Norway to help out. He surveyed 130,000 students. Some 15% were involved in bullying either as perpetrators or targets.[iv]
Olweus’ research challenged many assumptions. It challenged the assumptions that upper class high school students were less frequent bullies than their underclass peers or that urban kids were more likely to bully than their countryside fellows. Bullying was an equal opportunity issue. The targets of bullying were significantly weaker physically and more vulnerable to anxiety; but, for the most part, they did not look or dress significantly differently than others in the group. Space does not permit a comprehensive review of Olweus’ bullying prevention program; but its focus is on transforming the culture of the entire school, providing authoritative and positive role models, improved overall supervision, and intervention in individual cases. In the initial pilot, eight months after the program was introduced, there was 50% less bullying; but also significantly less vandalism and theft.
Olweus’ approach anticipated the crime fighting approach of reducing major crimes by fixing the broken windows in abandoned buildings and arresting the petty turn-style jumpers on public transit. These are individuals who might escalate to more serious offenses, if they are allowed to get away with mirror ones. They are halted early in the course of their boundary-violating careers. Their relatively minor criminal behaviors get cut short before they can advance to more serious misdeeds.
Norway devoted significant resources to the issue of bullying. Here in the USA legislative compliance mandates ordering schools to solve the problem of bullying without providing resources or money are taking the easy way out. And mandates to comply often do not work—precisely because a mandate without resources is at best a well-intentioned, but empty, gesture. To be sure, the indifference of some school administrators has been a cause for concern regardless of the (in)action of state legislatures. But the commitment of many, if not most, administrators is a cause for hope—and engagement.
Emily Bazelon reports on a case study—a school, Old Mill North, that had a reputation for roughness and was demonstrably spiraling downward. But it was pulled back from the brink and turned around by a program inspired by Olweus. This is not a one size fits all narrative, but numerous lessons exist that can be generalized.
No matter how inspiring or talented the individual teacher, education is impossible if a school that is out of control surrounds the class room. The hallways and class rooms must be calm in order for the process of education to get the traction it requires to produce educated students.
Bullies are put on notice that teachers and administrators are decidedly not happy about their behavior. Such individuals have been poorly socialized, and it is going to catch up with them. They need to get in touch with their inner jerk—have a conversation for possibility about recognizing one’s peers as peers—and learn how to respect boundaries. They can do better. If one can get the peer group to validate the language of respect for boundaries, courtesy, an optimum measure of toleration, and empathy, then their behavior eventually catches up with the rhetoric of respect and improves.
As noted, empathy is on a spectrum that extends from being firm about boundaries, but nice about it, all the way to “tough love.” Some students are not interested in respecting the boundaries that mark a commitment to education, and they really do not belong in school. Some 52 kids were expelled from Old Mill North. Likewise, the teachers were assessed. If they were not committed to transforming the culture of the school in the direction of excellence in education, they were encouraged to seek positions at other schools in the system. They were not expelled, but were counseled out. Some 22 out of 66 left the school.
How shall I put it delicately? This was no longer business as usual. At Old North, a significant minority of the student body was still more than a tad rough around the edges by the time they got to middle school. Some students literally did not know what to do when one student bumped into another student passing in the hallway. They needed to be taught to say, “Excuse me!” or “Pardon me,” instead of telling the other person, “Drop dead, loser!” Similarly, with common courtesy in the cafeteria. At Old North a broad intervention with the students provided explicit guidance in what was expected of them by way of behavior. Thus, the students were drilled in social skills such as acknowledging the feelings of others, making eye contact, and conflict management skills such as making a request, saying “no,” or agreeing to disagree. In short, they were trained in empathy.
Some bullies are indeed thugs, and need to be removed from the community to protect the community from them; but other bullies are themselves survivors of abusive situations (e.g., at home). They exhibit mental health issues, have a diagnosable cognitive impairment, and require intervention.
That is no excuse—there is never an excuse for bullying behavior. However, it does mean that to prevent repetition of the bullying after a suspension has been served, these individuals need guidance. Many need treatment. Whether such treatment is full-blown dynamic talk therapy or cognitive behavioral therapy, bullies may usefully undertake an inquiry into their own abusive behavior in order to shift out of a pattern that is creating misery around them. It is worth repeating: If it’s mean, intervene.
However, intervention is not the same as automatic discipline. Suspension and expulsion should be used only when the immediate concern is safety; and followed up with evaluation for the individual for depression, anxiety, conduct disorder, other emotional issues, or problems at home. Extrinsic motivation was also applied at Old North.
Using Positive Behavior-Based Interventions and Support (PBIS), along with the Pledge of Allegiance, the school day began with reciting the school commitment: “Be respectful, responsible, and on task.” That means: say “please” and “thank you”; do your homework; and participate in class.
An internal currency of courtesy was introduced. “Patriot passports” were blue slips that teachers handed out when students were identified as doing something well. The teacher meant it as a recognition and statement: “I liked the way you did that.”
A gimmick? Perhaps, but the underlying value was in building a positive relationship between student and teacher. Instead of handing out detention slips, getting into an adversarial role, teachers were in a friendly role of recognizing students for a job well done. Those teachers who used up all their blue slips got a gold star on their door—and more slips. The slips could be redeemed for PTA sponsored school supplies, ice cream at the social, a school movie, or getting to the head of the line in the cafeteria.
One word of caution. Peer mediation is not a good method for dealing with bullying. Peer mediation makes sense when the two kids are of roughly equal power. However, putting a bully and a target in the same room together is a bad idea. This is so even if a grown up is present to help mediate. Bullies are skilled at saying the right thing in the moment, and then retaliating later. If the students are roughly equal in power, and the infraction involved drama (not bullying), then peer mediation may perhaps make sense. But otherwise, it is just putting the fox to guard the chickens. Things are not going to go well.
Once a measure of calm was restored to the hallways at Old North, then those students who continued to be disrupters tended to stand out. They could be provided with the services they required to gain control over their behavior and emotions instead of missing even more academics by being sent to the principal’s office or suspended.
Instead of being given a suspension and sent home, the disrupters were given confidential psychological assessments for depression, anxiety, substance abuse, and self-esteem. They were required to watch videos about bullying, and consider their own behavior in relation to what they saw. Teachers who were chronic yellers were trained in other methods of de-escalating conflict with students who were disrespectful or difficult. This was not a two week effort.
Six years into the program, scores on standardized achievement tests had improved enough for the school to introduce the International Baccalaureate Program to further drive academic excellence. Reducing bullying is good for academics.
In summary, schools that support such efforts find that bullying of all kinds is reduced, not merely that directed at kids who are eccentric, socially awkward, new to the community, or LGBT. Of course, if the school’s grown ups are still struggling ineffectively with their own homophobic issues, then survivors must look for alternative communities outside of school. These alternatives outside of school run the gamut from sports to book clubs. It is not blaming the survivor to say, “Hey, it’s gonna take something from you, too, in building a community that works for everyone.” Martial arts and boxing are powerful compensatory activities for people who tend to be shy; but such people have to overcome their own introverted tendencies even to sign up. The very behavior that is stopping them is also part of the behavior that is leaving them vulnerable to bullying. The breakthrough is already present in stopping procrastinating and taking action to get such training.
In conclusion, the lesson is that empathy builds community; and communities demonstrate empathy by being inclusive. Yet rare is theindividual who transforms the authenticity and integrity of an entire community in order to join a community with integrity and authenticity. What would an anti-bullying club even look like? It might look like a LGBT alliance; but it might also look like a jogging, biking, or history club. Don’t just be “anti,” as proper as that is in the case of bullying; but be “pro” engagement, inclusion, and community.
As Daniel Burnham said in different context: “Make no small plans.” Empathy is the foundation of no small community.
[i] Christine Olden. (1953). On adult empathy with children, Psychoanalytic Study of the Child, 8: 111–126.
[ii] See “The Facebook Files: A Wall Street Journal Investigation,” https://www.wsj.com/articles/the-facebook-files-11631713039 [checked on Sept 27, 2021]; see also (now “ancient” history): Mike Isaac and Scott Shane. (2017). Facebook’s Russia-linked ads came in many disguises, The New York Times, Oct 2, 2017: https://www.nytimes.com/2017/10/02/technology/facebook-russia-ads-.html [checked on Oct 15, 2017].
[iii] Bernard E. Harcourt. (2015). Exposed: Desire and Disobedience in the Digital Age. Cambridge, MA: Harvard University Press: 90–93.
[iv] Olweus 1973/1993 in Bazelon 2012. Dan Olweus. (1973/1993). Bullying in School: What We Know and What We Can Do. London: Wiley/Blackwell; Emily Bazelon. (2012). Sticks and Stones: Defeating the Culture of Bullying and Rediscovering the Power of Character and Empathy. New York: Random House. This post and the corresponding chapter in Empathy Lessons rely significantly on Bazelon’s journalistic synthesis of the literature and her incisive interviews; see also James Garbarino and Ellen deLara. (2002). And Words Can Hurt Forever: How to Protect Adolescents from Bullying, Harassment, and Emotional Violence. New York: the Free Press (Simon and Shuster).
(c) Lou Agosta, PhD and the Chicago Empathy Project
Empathy versus bullying: The biggest bully in my life
[This is the first in a series on bullying and empathy.]
Listen to this podcast on Spotify (via Anchor): https://anchor.fm/lou-agosta-phd/episodes/Empathy-versus-bullying-The-biggest-bully-in-my-life-e16v57j
The biggest bully in my life
The biggest bully in my life was a member of my family, my father. Most of the time, he was a nice guy, a good neighbor with a lot of social skills. However, he had a nasty temper that would go off unpredictably.
Dad would lose his tempter in unpredictable times and unpredictable ways about three times a year, and then there was hell to pay. I would get hit, pushed, knocked down, and called devaluing names. Over a period of ten years, between seven and seventeen years old, that adds up. A bold statement of the obvious: it was unpleasant.
Persons (and therapists) who later heard about my struggles would ask: “Did he drink?” No, he just had a nasty temper that got triggered by what he (and apparently only he) perceived as narcissistic slights or injuries. His bad behavior satisfied the criteria of bullying in that it was verbal and physical aggression, occurring repeatedly, and in a context where the individuals were significantly unequal in power.
I have documented the recovery process without describing my father’s behavior explicitly as bullying in an earlier book, A Rumor of Empathy (2015). As part of my recovery, I even published a book chapter on empathy and the treatment of domestic violence.[i]
The new information disclosed here is that Dad’s behavior improved significantly when, at the age of seventeen, having finally grown up physically, I hit him back. Just one punch. Well placed, it gave him a bloody lip. A technical “knock out.” It had a calming effect on him, and I never got hit again. The fight was called in my favor, by mutual agreement. However, do not make too much of it. I was heading out the door and off to college, never to look back, with my academic scholarships.
Dad only bullied members of his own family. To the neighbors and his colleagues at work he was a friendly, even wonderful guy. In years of dynamic psychotherapy beginning when I escaped to college, I explored a process of treatment that included recovery from domestic violence.
I now believe that the triggers to Dad’s bullying outbursts were some slight provocations—real or imagined—to his narcissism. This means that he was not your typical school yard bully. The school bully may “go off” if one bumps into him in the play ground, but the school yard bully is both strategic and opportunistic in his aggression. With my Dad, he seemed to lack emotional regulation once his sense of self was knocked out of kilter—dis-equilibrated—by a real or imagined narcissistic injury. Dad was at the effect of his rage. He did not seem to be having fun. The people around him were definitely not having fun.
Dad had a narrative about teaching me a lesson as he lashed out and described me with devaluing names. This was a self-serving narrative at best. Whatever distorted lessons might have been intended, they were not empathy lessons. His bad behavior was in the service of venting his emotions and restoring his own equilibrium. Everyone else around him was dis-equilibrated. As a boy, I was trying not to cry any more in order not to be given more of “something to cry about.”
In those days, a college student on summer vacation could still get a relatively well paying job in a factory or working construction, and I never returned home. Dad and I patched things up years later. However, the years of misbehavior had taken their toll. There was neither a sentimental reconciliation nor a truth and reconciliation commission to frame the encounter between perpetrator and survivor. Dad never thought of asking for forgiveness and, near as I could tell, he never told the truth about how violently he had behaved. It seemed not to occur to him.
Forgiveness is over-rated, thought I, at the time; though I eventually came to endorse Desmond Tutu’s approach and bought Tutu’s book based on its title alone—No Future Without Forgiveness. It is about a formal truth and reconciliation commission. The perpetrators have to stand up, face the survivor(s), and tell the truth about what they did to the victims (who did not survive) and to the survivors (who did) in such a way that they agree it is the truth. The perpetrators have to acknowledge what happened in such a way that the survivors recognize it. The process creates a set up—provides a clearing—to build a case for forgiveness. The survivor then gets to say whether he or she accepts the representation of what happened and whether the survivor chooses to grant forgiveness.[ii]
Self-forgiveness is an entirely different matter. Sometimes the hasty forgiving of others is a clumsy way for survivors to get to self-forgiveness, which is a worthy goal. The survivor may usefully forgive himself for incorporating the devaluing descriptions of the bully into the survivor’s low self-esteem. This is an important step, which, speaking personally, years of therapy helped me to attain. The benefit is to empower the survivor to put the past back in the past and create a clearing for positive possibilities going forward into the future.
In comparison to Dad, any school bullies that I encountered were “boy scouts” (with apologies to the Boy Scouts). Any bullies that I encountered at school were more like jumping in reverse back from the fire into the relative coolness of the frying pan. They were physically bigger, but I had other sources of power including humor, a rapier wit, a sharp tongue, and, most importantly, an ability to run amazingly fast over short distances. It worked well enough.
I was still physically small in middle school; and I had potential as a target of bullying. However, I would speak out of turn in class, playing the class clown, so the tough kids were amused, even entertained.
The tough guys saw that I spoke truth to power—or at least was not afraid to get an occasional punishment exercise from the teacher for trying to be funny.
I gained a certain kind of reputation—not exactly popular, unless you consider the notorious outlaw Jesse James to have been popular. Think of “Wanted Dead or Alive” posters at the post office. So the tough kids—and there definitely were some in my pubic middle school—didn’t mess with me. By the time I got to high school proper, I was still below average in size for my age, but it was a private, all boys school. That was the main challenge.
Virtually without exception every kid at my high school was so afraid of the teachers, who were mostly Jesuits, that even the meanest of one’s fellow students seemed like an alter boy in comparison. There was no talking in the corridors between classes; and if one did talk, a teacher, who had been lurking quietly behind you out of sight, would suddenly emerge and bang your head against the lockers, which lined the hallways, making a formidable hollow sound. The locker, not the head, that is.
Most classes in my high school would begin with the Our Father (the prayer)—nothing wrong with that—but you knew that The Lord—along with big brother (those were the Jesuits who were not formally ordained as priests)—were watching. If the tactics were to put the fear of The Lord into everyone’s head, creating an atmosphere similar to boot camp in the armed forces, then it seemed to have worked. This raises the delicate question whether the teachers were actually the bullies; and I am sorry to report that, yes, some were.
Sadly, it was not empathy but a common oppressor (the teachers) that helped to build solidarity among the student body. I hasten to add that the majority of the teachers were humane and caring, indeed many were talented educators, creative and engaging. Many had a sense of humor, which sometimes extended to sadistic hijinks. Most would simply give one a week’s worth of detention for daring to talk out of turn.
The boot camp atmosphere had a tendency to displace the bullying from school itself onto the school bus or the athletic field. I did see a couple of kids bullied on the school bus, and I am ashamed to say, I was not enough in touch with my courage to intervene. Indeed at one point a couple of the mean boys seemed to notice me, and hurled a couple of insults in my direction. I was anticipating a rough time; but then, without explanation, the bus route was changed, and the bullies simply disappeared—to another bus.
Thinking back, I now believe that the rambunctious kids were motivated by the draconian atmosphere in the school to express their extra adolescent energies by participating in sports (which was perhaps the intention); or going home and raiding their well-to-do parents well-stocked liquor cabinets (not an option for me—Dad did not drink, he was just a bully); or seeking solace for their lack of social skills in their studies. The last was my favored approach. I did find someone to hang out with in the cafeteria—the food was so unpalatable that I further stunted my growth by not eating lunch for four years, though I ended up being an average height.
After reviewing the research on bullying in depth, I have reached the conclusion that if kids have enough time for interpersonal drama and conflict, the latter often as practice for out-and-out bullying, then the kids have too much time on their hands. They are not nearly busy enough. They would benefit from more homework and extra-curricular activities. Note, however, that this implies the school has the resources to offer the extra-curricular activities, which is not always the case. Unlike Hollywood films of the depression era with Mickey Rooney and Judy Garland, many schools do not have the resources or organizational skills to say “Hey, let’s put on a play to raise money for the orphanage!” The kids are already the “orphans.”
Empathy is the antithesis of bullying
Empathy is the antithesis of bullying. Where empathy lives, bullying is rare. Where empathy lives, bullying has no home.
In environments where empathy is taught and practiced, bullying does not get traction. Situations in which empathy is valued are situations in which bullying is devalued. One might say exactly the same thing about common courtesy.
In communities—whether middle school or high school or, for that matter, the US Armed Forces—where common courtesy gives way to disrespect in relationships, bullying expands and spreads; but where common courtesy holds sway in relationships, bullies head for the exit or at least hold their (lack of) peace.
The point? Empathy and courtesy have in common a careful treatment of boundaries in relationships. What empathy and common courtesy share is recognition and respect for the boundaries between individuals in relationships.
Another bold statement of the obvious: every bulling remark is a breakdown of courtesy—and of empathy. Every bullying gesture is some kind of a boundary violation. We have to be careful with words like “every,” “all,” or “never,” but in this instance they fit. “Please” and “thank you” and requesting permission are discarded. Pushing, shoving, and devaluing language are front and center.
Empathy is about moving back and forth across the boundary between self and other in relating to other persons, and doing so in such a way that the boundary is treated with integrity. In contrast, in bullying, the boundary between persons is violated, and, so are the space and integrity of the target of the bullying. In bullying, the boundary between persons is crushed, and so is the emotional integrity of the intended target.
The response of empathy to bullying is to engage in a process of reestablishing the boundary between persons in such a way that people are left authentic and whole. As we shall see, this is different than being nice or even trying to induce empathy in the bully.
Bullying defined
Before we say any more—and there is a lot more to be said—let us define our terms. We rely on the definition provided by the pioneer of bullying research, Dan Olweus, whose ground breaking studies in his homeland, Sweden (and Norway), have provided a rich source of further research.[iii] Olweus was thorough in his research interviewing some 1,000 children as well as their teachers and parents. He administered projective imaging tests (the “ink blot” Rorschach) to those he had identified as bullies or the targets of bullying.
Olweus defines bullying as (1) aggression (either verbal or physical abuse) towards a person; (2) that occurs towards the person more than once over time; and (3) is between persons of unequal power (whether physical or social rank or both). [iv] The special thing about bullying is that kids do it especially when the targets seem helpless. Kicking someone when they are down is precisely an identifying feature of bullying.
According to Olweus, what is most distressing about bullying to its targets is repeated domination to inflect pain. If the aggression happens only one time, it is aggression; and that is not good; but it is not bullying. If the people are of equal power or almost equal power, then the behavior is conflict, drama, or a fight, not bullying.
The distinction between bullying and drama (conflict) is not always easy to determine, so look at physical size (height and weight), formal rank in school or professional status, and job roles. When someone who has power, whether formal or physical, over another is treating the other in such as way as to violate their dignity, that is a strong candidate for bullying.
Olweus found that about 5% of the boys in his studies were bullies and about 5% were the targets of bullying, “whipping boys” as Olweus called them.
What the latter had in common was they were physically weaker and anxious. Olweus studied only boys. The discovery of the “mean girl” phenomena still lay in the future. We now know that among girls, physical strength is less of a factor, and girls have been known to bully by indirect means.
When relationships become weaponized
When cruelty relies on what one knows about the other person or can plausibly attribute to them, then it is as if the relationship itself becomes weaponized. Insults, injuries, slights, discourtesies, racial and ethnic slurs, are used to deliver pain and suffering to the target.
Since the bullying is a boundary violation, the way to reestablish empathy and order (where “order” means common courtesy) is to reestablish the boundary between persons.
A word of caution upfront. Let’s say one is the adult hall prefect at a high school, and an act of bullying is perpetrated in full view in one’s presence. It is tempting to attempt to induce empathy in the bully by asking: “How would you feel if that (aggression) were done to you?” Ultimately such an intervention may be useful, however, not here. If Jack is calling Jill “Fatso!” it is precisely to make her feel bad; it is likely that he knows it; and that is exactly why he is doing it.
One says to Jack in a loud voice: “Stop! I don’t like what you are doing.” Or “That behavior is unacceptable. Cut it out!” Jack replies: “But Jill doesn’t mind.” An obvious lie—or maybe Jill is so depressed that, in the moment, she is just numb. One clarifies: “I don’t care how Jill feels—I don’t like it. We do not talk to our fellow students that way. It is disrespectful.” Or words to that effect.
There are numerous scenarios here. If kids are whispering in the presence of another kid such that the target is supposed to imagine devaluing things are being said, the response is similar: “It is impolite to whisper in the presence of others—stop it—it is discourteous” (said in a loud, authoritative voice). The point is to reestablish the boundary in the relatedness, so that even if people do not want to be empathic, they can at least be courteous. It may sound paradoxical, but that is the most empathic response one can provide.
If the relationship between the bully and the intended target includes hurling insults, then the bystander establishes a “no fly zone” in one’s presence. The metaphor is telling. Stop the insults from flying around. Shoot them down.
The bullying approach to relating is de-weaponized—at least in one’s presence. The bully may also be better off, at least indirectly, since he (or she) may be trying to use bullying to regulate his own de-regulated emotions. Think of the intervention as regulating the dis-regulated emotions that the bully is experiencing, but which, if only the bully had some interpersonal skills, he would be able to regulate for himself. While there is no silver bullet here, the intervention itself provides the regulation—in the form of a firm boundary to help the bully contain himself and regain an emotional composure without hurting anyone.
If we use empathy as a method of data gathering about bullies, we may be surprised to learn that bullies are a diverse group of people:[v]
(1) The stereotypical bully: The stereotype really does capture features of the real world. Think of Bill Sikes (see Figure 5) from Dickens’ Oliver Twist. Bill Sikes beats his dog and his girl friend. The relationships of power are one-sided and physical violence is prominent.
Other examples of classic bullies include Carrie’s schoolmates in the revenge movie of the same name; Nelson in the Simpsons; Malfoy in Harry Potter.
One person who reports in great detail on bullying, Emily Bazelon, calls the stereotypical bullies “thugs in training.”[vi] These bullies rely on superior physical strength. They trip you in the corridor, and steal your lunch. They exemplify the descriptions that bullies do poorly academically (except perhaps for Malfoy, who is all the more sinister for being smart and psychopathic). These bullies habitually cause conflict with others, Bazelon reports, and are 4 times more likely to become criminals.
Figure 5: Bill Sikes from Oliver Twist, bullying his dog
According to Olweus, to whom Bazelon is indebted for the definition of bullying, 60% of childhood bullies have at least one conviction from breaking the law; 35% have three or more encounters with the police. These are the kids who may satisfy criteria for conduct disorder such as cruelty to animals, damage to property, casual disrespect in addressing others—along with bullying behavior.
Many of these kids, stereotypical bullies, feel miserable, and, are attempting to regulate their disregulated emotions by making others suffer. Yet these bullies would not necessarily agree or endorse the judgment that they are unhappy. This is because they are out of touch with their feelings. They would have to be taught how to feel their feelings prior to asking them, hypothetically, how they would feel if something similar was done to them. If they are out of touch with their own feelings, it is likely that they are unable to get in touch with the feeling of others. They are out of touch with the grain of empathy, which we generously attribute to them.
In most bullies, the bully’s conscience developmentally lags behind his age cohort. That is especially the case with these individuals. Even if they have a capacity for empathy, empathy is not effective in appealing to their conscience. The conscience is stunted or they dismiss its influence. They may have a trace or sense of empathy, even though undeveloped, but it is often misused to increase the suffering of the targets.
Instead of tactically trying to induce empathy, external surveillance and behavioral incentives are likely to be most effective in reducing their bullying behavior. If they could find a positive role model to admire and imitate—someone who is not a member of a street gang or “bad boy” rap star—then they could get guidance from him or her. Admiration for a role model would allow the person to acquire ideals and ambitions, contributing to their integration into the community. It just might save their lives.
(2) The clueless bully: The aggression of this kind of bully does plenty of damage. Yet, at another level, these bullies just don’t get it. He may be socially awkward, or even fall on the autistic spectrum. One kid who fell into this group called his targets “stupid.” He hurt the feelings of many, and, made some kids cry; but in the process he became extremely unpopular. If he thought bullying was a way to get ahead with his peers, it didn’t work. His status plummeted.
Our empathy suggests that the empty wagon makes the most noise, and this kind of bully is one of those. He is not filled with sadism and malice, but definitely lacking social skills. This is small consolation to those whose days he wrecked, yet it does give one pause. This is the kind of bullying for which the adult’s advice to “fight back” makes the most sense. This is not easy to do. Taking “assertiveness training” or “boxing lessons” assumes the target of bullying lacks skill in one of these areas, and has incentive to develop it.
The target has been selected precisely because this is someone who does not like to fight. The problem is that prior to assertiveness training, and so on, most targets of bullying are unable to act effectively on their own behalf—or assertively. Lack of experience and skill in dealing with hostility as well as out-and-out fear rarely improve the judgment of the person who is the target of bullying.
The target of bullying ends up being a deer in the headlights when it comes to fighting. When the power equation is out of balance and a hostile environment exists due to physical size or social conditions (e.g., apartheid (“legal” segregation), anti-Semitism, etc.), fighting back can become a suicidal gesture, literally if not emotionally. Rarely does any benefit exist in getting into a back-and-forth with the bully.
Still, this is precisely the scenario where the possibility of the would-be victim fighting back in self defense makes the most sense. In many bullying scenarios one may need to beat a tactical retreat or call for backup prior to engaging, since the power equation is so unfavorable. However, in this case, the idea of attempting to set one’s own boundaries by pushing back and confronting the clueless bully is potentially useful and self-empowering. No guarantees, but it might work.
(3) The bully who is also a target: These bullies are vulnerable to peer pressure. They succumb to peer pressure to abuse others. Nor are they good at protecting themselves from bullying. Unlike the first group, who may satisfy criteria for conduct disorders (which used to be called “juvenile delinquency”), these kids do not feel okay about themselves. They do not subscribe to the philosopher Socrates’ maxim that it is better to suffer injustice than to commit it. These kids experience the worst of both worlds, but it feels less bad to bully than to be bullied.
These bullies are relatively more in touch with their feelings than the first two groups, and here is a chance that an “empathy induction” might bear fruit. “How would you feel if this were done to you?” These kids are depressed or anxious or both. They experience a conflict between the fear of being bullied and the “easy way out” of succumbing to peer pressure and becoming a bully.
Instead of intervening with a suspension from school for the bully, punishment has to be supplemented with treatment, rehabilitation, or guidance. With treatment such as counseling or therapy a possibility exists of improving the behavior once the student returns to the school community after the suspension. A continuum of interventions from online training to individual counseling to working with parents can produce positive outcomes.
(4) The bully who is a “popular” kid: These individuals score high on social skills. They are good at reading the emotions of others. They have empathy skills, though often they lack the basic foundation of authenticity and integrity needed to use the skills to benefit others or build community. They find relating to other people is relatively easy, and they know how to say just the right things to make friends or placate the grown ups. If the reader is expecting me to say that they are secretly insecure or wracked by self-doubt, that is simply not so. On the contrary, these kids are popular and mostly happy with their lives. Often their parents are well off. The kids get gear and stuff. Yet something is amiss and missing.
Here bullying occurs as a play for power and social status. A pecking hierarchy exists in which the most popular kid gets a minion to perpetrate the “dirty work,” the bullying. This is the Machiavellian moment. It is best for the Prince—I mean, bully—to be loved; but it is essential to be feared. Likewise for the Princess. When perpetrating wrong doing, one should nevertheless be perceived as being gracious and generous. What is the point of having power or status unless one is able to exercise it?
Boys provide numerous examples of popular kids who can be mean—see McFly in the Back to the Future series of films—but this is where “mean girls” come into their own.[vii]
When relationships get “weaponized,” the discussion cuts across gender lines, though girls have provided the “poster child” for meanness in the popular press. While boys bully both boys and girls, girls mostly bully girls, bringing a sublimated aggression to the act.
Up until the age of four, girls grab toys, hit, push, play rough, and shout as much as boys do. At some point, social expectations from parents, extended family, biological programming, school teachers, and so on, drive such behavior underground.
Conforming to community standards, whether helpful or hurtful, about “sugar and spice and everything nice” requires that girls become stealthy in their aggression. Fisticuffs are out. Queen Bees are in. One definition of a “Queen Bee” is a popular girl, who collects various “minions” around her. The minions, in turn, conform to her expectations in behavior, dress, language, and bullying.
Girls use threats, blackmail, gossip, rumors, attacking reputations, whispering in provocative ways, the silent treatment, or non-verbal gesturing. Opening up in relationships can leave one vulnerable to aggression from those one has trusted. Following the bad example of the grown ups, cliques of kids will “vote someone off the island.” Nor is it progress that, in some subcultures, girls are becoming almost as ready to throw a punch as the boys.
This is where empathy may be misused to increase the misery of the target of bullying. Social skills enable the would-be bully to “get inside the heads” of their intended targets to inflict the maximum upset.
One can find many, diverse examples in which the bully takes the perspective of the intended target, thinks about what would be most shaming or hurtful, and goes about implementing it. The bully has a sense of what the target is experiencing through a refined empathic receptivity.
What one cannot find is an example in which calling someone devaluing names or giving them “the silent treatment” is an example of empathic responsiveness. While the point is controversial, I am calling this out as a breakdown, indeed a “pathology,” of empathic responsiveness.
The description of empathy is crucial here. For advocates of empathy as a fundamentally “pro social” attitude, simply “getting” someone else’s feelings and perspective and then using this verbally to bully them isn’t really empathy. An empathic individual would recognize and anticipate the potential hurt, and, therefore, would not respond to the other person in a devaluing way.
The empathy lessons developed in this work takes account of the possibility that empathic receptivity, empathic understanding, and empathic interpretation can be misused to hurt people. But empathy without empathic responsiveness falls short of the definition of full functioning empathy. Such an approach fails and breaks down when empathic responsiveness is tested. One does not give back to the other person that person’s own experience in such a way that he recognizes it as his own. Instead one bullies the other. So empathy must be informed by one’s good upbringing and ethics not to misuse empathic responsiveness to hurt others.
In conclusion, the recommendation and response of empathy to bullying – and in every case – is to set limits, establish boundaries, and get one’s power back in declining to take the bait of provocative gestures. Self-defense is always appropriate is one is the target of aggression, and so is retreating in the face of disproportionate unfavorable odds.
The challenges is to contain and disarming bullying without becoming an even bigger bully than the bully against whom one is struggling. The proposal is NOT to use empathy to get in touch with the bully’s suffering. Many bullies enjoy misbehaving and they get off on the conflict and making others suffer. Rather the recommendation is to use top down, cognitive empathy to put oneself in the place of there other person (the bully) in order to understand what might be motivating him so that one can deflect, defuse, or deescalate (including implementing a tactical retreat).
Even if the bully is the boss at work or members of the local police force who have a monopoly on violence, the recommendation is still the same: set boundaries, establish limits, and try to defuse the situation. Note well: this is not a suicide mission – one may have to retreat, call for backup, and find other methods of restoring boundaries and integrity such as civil disobedience, finding powerful allies, documenting and escalating to sympathetic authorities in the establishment (if there are any), or seeking a personal solution in another context. The devil – and the empathy – is in the details and in further podcasts in this series on empathy and bullying, additional guidance will be provided.
Notes
[i] Lou Agosta. (2015). A Rumor of Empathy: Resistance, Narrative, and Recovery in Psycho analysis and Psychotherapy. London: Routledge: 141–194.
[ii] “Forgive us our trespasses as we forgive those who trespass against us” requires telling the truth about what happened and what one made it mean. In asking forgiveness one is required to say for what one is asking forgiveness. I ask: If the perpetrator does not think to ask forgiveness is one obligated to make an unsolicited offer? Forgiveness is a possibility and a recommendation, not an entitlement?
[iii] Dan Olweus. (1973/1993). Bullying in School: What We Know and What We Can Do. London: Wiley/Blackwell.
[iv] Ibid.
[v] Emily Bazelon. (2012). Sticks and Stones: Defeating the Culture of Bullying and Rediscovering the Power of Character and Empathy. New York: Random House. This chapter relies significantly on Bazelon’s journalistic synthesis of the literature and her incisive interviews; see also James Garbarino and Ellen deLara, (2002), And Words Can Hurt Forever: How to Protect Adolescents from Bullying, Harassment, and Emotional Violence. New York: the Free Press (Simon and Shuster).
[vi] Ibid.
[vii] Rachel Simmons. (2002). Odd Girl Out: The Hidden Culture of Aggression in Girls. New York: Harvest (Harcourt).
(c) Lou Agosta, PhD, and the Chicago Empathy Project
Reclaiming Empathy in Online Therapy: An Imaginary Conversation with Sherry Turkle
Here is the verbatim transcript of the complete conversation between Lou and Arnon Rolnick, PhD, about Sherry Turkle’s work on Reclaiming Conversation (also the title of one of her books), and including her memoire The Empathy Diaries (2021) and the debate about online therapy.
For the complete video see: https://youtu.be/6OId-0QDFys
To listen to the podcast on Spotify: https://open.spotify.com/episode/6K8byq8UAs85lnVcSAj4DJ
Lou Agosta (Chicago, USA): Today’s conversation is entitled Reclaiming Empathy in Video Conversation: An Imaginary dialogue with Sherry Turkle. Today I’m having a conversation with my colleague and friends Arnon Rolnick, PhD, Psychology. I will let him introduce himself momentarily. Just once thought upfront – his commitment is to integrating biofeedback, psychology, and technology. He says – and I believe it is accurate and true – that he is incapable of being indifference. His exuberance, enthusiasm commitment and empathy are an inspiration to me, and I believe will be one to the listening, viewing audience. Great to see you!
Arnon Rolnick (Tel Aviv, Israel): Great to see you and thank you for such a nice introduction so I want to share with you my almost 30 years of effort to integrate Psychotherapy Psychology and Technology. As a clinical psychologist I’ve been baffled by the power of those who characterize life in the 21 century. On one hand, technology and science are providing us with better ways to live; yet, on the other hand, people are suffering more. It is as thought technology helps us to neglect our selves. And before I will say a few words about my work in this area, I want to say why she [Sherry Turkle] is so important. She was a Pioneer and a guru.
Lou: A pioneer and a guru
Arnon: Yes – I will say a few words about my work and then the issue of empathy will lead us all the way. So it was her book The Second Self where she defines this computer as more than just the tube but part of our everyday personal and psychological lives. She looks at how the computer reflects on ourselves and our relationships with other. She’s claiming the technology defines the way we think and act. Turkle’s book, which was really the first one in this area, allowed us to view and re-evaluate our own relationship with technology. This was her first book and this was that the first moment that I thought “Wow!” interesting. And then came my own work as a psychologist. I felt that there is some gap between what happened in the meeting [between therapist and client] and then the person is going home and he either forgets or doesn’t do I what we decided he was do so. I thought we would like to do what in CBT they called homework I don’t like the name “home work,” but most people know
Lou: Cognitive Behavioral Therapy [CBT} and assignments there are sometimes assignments. Back to you
Arnon: II will even appreciate it, Lou, if sometimes my English is not so clear, you will help the audience to understand my accent. So it was sometimes early in 1995 – see how old am I – I think I work with biofeedback I thought why don’t you give that the patient not only a biofeedback but also a CD that you can work at home and we call it “De – Stress” and we sold it in Boots – you know the British Pharmacy [Boots the Chemist] and I so I thought that should be there the killer [“killer app”] that should be the most important thing you give to the world and apparently it didn’t work
Lou: You send the patient home with a CD and there is an interactive media here – so already we’re in the online digital world and the patience or the clients or the individuals struggling – so what happens? They still are not that engaged? Explain it – what is the take away here?
Arnon: I will explain it – a little bit later when I speak about “Beating the Blues” – then the company – the British company hired me to help them develop already for the internet – first for the first CD – the program of cognitive behavioral therapy to help the patient overcome depression and anxiety. I thought again it would be wonderful idea – after seeing the patient, he will use this CD. The company thought differently. She said we don’t need a therapist. Just we will give them this program: eight 45-minute sessions and they will be cured.
Lou: And so you become [in]dispensable – you think maybe this is not going to work exactly as the British UK publishing company is imagining. But at some point, if the once the therapist, the psychotherapist, has designed the assignments, we no longer need you. So keep in touch! Have a great life good! What happened?
Arnon: What happened is very interesting. There were about eight good [unintelligible] that it works. I felt strange – it was a good program – I was part of it but could it really replace the human element? Later on it was found that the picture is more complicated. It works well only when there was a nurse involved her and she helped them to do the program so the nurse…
Lou: Let me just to interrupt you here. it sounds like the human element – so you’re already dealing with the human element and the technological elements whether it’s a CD or whether you know it goes fully online in the cloud as we have it today and it turns out what turns out we have the psychotherapist step aside and it [the nurse] turns out perhaps to be the replacement therapist.
But we’re just calling him or her a nurse shows up – and we suspect the human touch – the therapeutic Alliance if you will – the Rapport between human beings may be a hidden common factor
Arnon: Exactly. But this will allow me later after you will introduce your work and that will help me to divide the Psychotherapy into two main camps: the technique camps and the relationship camps. And I will talk about it only after you will tell us about your work about empathy
Lou: That sounds like a good segue for me to say something about empathy and we’re going to do it – so hold that thought: there’s the relationship camp and the tips and technique camp. And so hold that though – and so back to me – thank you! I appreciate the shout out – who the heck am I anyway? One claim to fame that may be more than one but is to have authored three peer-reviewed books on empathy, starting with A Rumor of Empathy – in effect, virtual volumes one and two and then Empathy Lessons and Empathy in the Context of Philosophy. My PhD from the University of Chicago began with a dissertation on Empathy and Interpretation – so I’m not going to give the storied, complicated history of the distinction empathy at the time I was a graduate student. It’s a matter of public record, my dissertation adviser, Stephen Toulmin, was being psychoanalyzed by the colleagues here in Chicago I don’t know the name of his analyst – he may have told me – but Kohut was innovating in the matter of empathy and his colleagues Michael Franz Basch, Arnold Goldberg, Ernie Ernest S Wolf were innovating in the matter of Self Psychology – and is there anything to this concept empathy or is it just cumbaya stuff? Really what’s the intellectual Providence? And it made a great dissertation for young graduate student and it is something meaningful to engage and so fast forward – I am not going to tell you about all of these books – they’re there’s actually available from your local online book seller. What I propose to do is provide really – no kidding – the one minute empathy training. You can actually do it in a minute. Now there are some conditions and qualifications – and so here it is: Drive out – get rid of – reduce – drive out things such as aggression, hostility, bullying, cynicism, resignation, bad language, politics in the pejorative negative sense – you know we are political and often times it doesn’t bring out the best [in us] – drove those things out – and empathy naturally comes forth – people are naturally empathic – people want to be empathic – and will be so if given half a chance. So that’s it! That’s the training: get rid of the negatives and empathy shows up in the space of relatedness. I pause for breath. I see you have a question.
Arnon: Being also trained in psychoanalysis you’ll clearly represent the Kohutian self psychology view – people are good – but what about the Kleinians? How can we get rid of our aggression
Lou: Well, thank you! I mean thank you: I mean human beings are naturally empathic; human beings are also naturally aggressive. We are a complicated species; and I have no easy answer. The difficult answer is that often times hostility and aggression are reactive. If you want to see somebody get angry – if you yourself get angry – if I find myself angry or even enraged, [then] one good question to ask myself – yourself – the people in the listening or viewing audience: who hurt your feelings? who perpetrated a dignity violation? or where did you not get the empathy and respect you deserved? cuz if you want to get a person angry, hurt their feelings – say something devaluing about their parents. It’s not going to go well. If you say something bad, it could get messy it’s just I have no [easy answer] – I mean we acknowledge the contribution of Melanie Klein. [Klein was] an incredible innovator. Let’s talk to some children. Freud’s innovating – Anna’s innovating – he’s got some ideas about infantile sexuality. Melanie Klein comes along – herself kind of a tortured genius in her own way – [she says] let’s talk to some children – and play therapy is invented. What a breakthrough – so I don’t know – there’s a lot of room for disagreement here but I’ve also seek some over lap and common ground. Hostility and aggression: there are a lot of things that can cause it. I mean, some of it may indeed be in it and species-specific. Nevertheless, who gets their feelings hurt and who experiences an empathy break down [or] a dignity violation. I claim that’s a candidate answer and so I may continue or you can get follow up
Arnon: So I think I’m responsible for the digression.
Lou: A digression but a productive one – so we finished the one minute empathy training; and there’s a lot more to be said about empathy – here right now. [However] We’ll come back to that. I’m going to segue – I think usefully – I’m going to begin a conversation about the contribution of I believe it would be: Madame Professor Dr Sherry Turkle, PhD, social psychology MIT (Massachusetts Institute of Technology). On a personal – the occasion is – I’m going to wave the book – [Lou holds up Turkle’s book, The Empathy Diaries, on the on-camera version of this conversation for YouTube] here her Memoir is published The Empathy Diaries (2021); and there she is as a child of tender age in the 1950s and the 1960s, coming up on the residential part of Long Island. The parents [actually] grandparents are Holocaust Survivors. They escaped Eastern Europe; and her mom marries a man named Mr. Zimmerman. Something is immediately strange – an unconventional something comes out. He’s performing certain kinds of I should say weird experiments that end up sounding like the work done by Mary Main and John Bowlby on attachment [the blank face gesture]. He’s leaving the kid – the young Sherry, the kid – forgive me, Professor Turkle, of tender age – alone in her room, .and letting her cry your eyes out. This guy has gotta go. The mom divorces Zimmerman and marries Milton Turkle, who has issues of his own, but two other children come along, her younger siblings. And here’s the – here’s the empathic moment – here’s the moment of the break down of empathy. At home she’s “Sherry Turkle’; [but] at school, somehow given this bureaucracy, she’s a Sherry Zimmerman. Now in our time, this is second about to be now third quarter 2021, blended families what’s the issue? It’s somehow devaluing, stigmatizing, divorce- you know, the feminist Revolution is occurring but divorce is still an issue one in this community – it is a Jewish community – non observant – living in genteel poverty – coming up in a kind of genteel poverty. Here’s the problem: [pretending to be Sherry’s parents]: “Sherry, you’re not allowed to talk about it. You’re not allowed to talk about the fact that your last name really is Turkle but at school, it’s Zimmerman.” Holy mackerel! It’s a two-tone elephant in the room. It’s [confronting] and so here is my short review: this is a great memoire. It is in many ways a page-turner. I was engaged, and I’ll say just a little bit more about that [soon], and it is also entitled The Empathy Diaries, [but] it might be also [be] entitled The Breakdown of Empathy [diaries], because it gives an account of what Sherry has to survive to reclaim for Humanity. It goes well – she’s smart – her parents tell her or grandparents tell her: “Look, you are not going to typing class.” This is amazing – this is the 1950s. If she learns how to type, she will end up in the secretarial pool. “No, Sherry, you are going to be in the front of the class. You are going to be the teacher” They don’t let they refuse to let her do housework. “Read!” they say. I heard something similar in a kind of weird way. This is a way of improving one’s life and one’s humanity and of getting some empathy. She goes to MIT. She meets – she goes back and forth for a while. She ends up at the University of Chicago about a couple of years before I was there. So it is a page turner for me, cuz they’re she is in Social Science 122 – sitting in the classroom – Social Sci 122 – and in comes Professor Bruno Bettelheim. He brings his straight back wooden chair; puts it on the low stage; and the students, who are trying to speak truth to power, give it to him, he gives it to them back – [Bettelheim is] the author of so many books: Love is Not Enough, the empathy fortress, [oops, I mean], The Empty Fortress, The Children of the Dream – over to you for a digression – insert your story here – he goes and visits a Kibbutz for a few months and says a few things which become controversial – you grew up there – tell me –
Arnon: I was born in Kibbutz and I was there raised there in this unique type of experiment – experiment – experiment – and you know what? We still don’t know that result of the experiment. What I mean is that we develop in so many ways and how many of us became leaders in various areas but we also have some pain and maybe it has been in his own way. May I take the leave now?
Lou: You have the conk shell –
Arnon: I want to say that again Sherry began with computers and she was fascinated with computers in particular and slowly she changed her ideas about the problems with computers – for example, she has many books – but I speak about two of them – both have explored how technology is changing the way we communicate – in particular, she raised concerns about the way in which organic social interaction can be degraded through constant exposure to lose every meaningful exchange with artificial intelligence. I will speak about artificial intelligence later on. In [Sherry’s book] Reclaiming Conversation, which is the book just before the one you mentioned
Lou: Reclaiming Conversation [Lou hold sup the cover on camera]
Arnon: She is arguing – she is gathering data from schools [and] companies [and] families – she says: we forgot [how] to speak with each other. We [are] all the time doing it via devices – we type – we send SMS – but we don’t talk and that’s led her to the interview that we will talk [about] later on where she kind of arguing – and maybe you will express it better – that online therapy is something completely different from psychoanalysis – and we will talk about this [more later] – but let me come back to this distinction between the two camps – and I will try to explain how the internet when it entered into the Psychotherapy world how it affected the two camps in different ways. So let’s begin – what are the two camps? The technique camp and the relationship. And everybody who knows Psychotherapy – you know that there is the group that thinks that their relationship is (a) very important aide in understanding the problems of the patient and (b) in maybe curing. Now you know that the earlier relationship with the parental figure is very important and this might be reflected later on in the relationship with therapist so that that camp is clearly or might be worried or interested about how does online therapy work. It seems like you want to comment and talk or should I continue?
Lou: – Well I have some comments I mean I think you hit the nail on the head so to speak in that the book you refer to – Reclaiming Conversation – she launches a Jeremiad – she is on a tear – you know, remember the Prophet Jeremiah in the Hebrew Bible? He was angry about something – we’re talking about anger – and it’s not clear whose feelings got hurt – but the feelings of the people at the dinner table where dinner conversation and conversations between friends are interrupted by beeping, buzzing, alerting smartphones – she is on a rant that we have got what amounts to acquire attention deficit – it’s not like we were born ADD or ADHD – amphetamine-based interventions will not help, because it is acquired through the number of interruptions that – so she’s, you know, [on a tear] and that’s the immediate trigger if you will, which, I believe, you’re expressing – what I would say is you are then tracing the conversation in the direction of online therapy – and it’s because – I mean – it’s now, you know, we’re emerging from this pandemic – the positivity right here in Chicago – hopefully – fingers crossed – we are jinxed now, I said, but – let us not do magical thinking. The positivity rate in Chicago is last week was .6 per cent and I had said the pandemic is at least temporarily over when it hits .5% but on other places it’s 6% and 10% and the struggle continues and we are really not going to go into it and there is a conversation about technology which we are not going to go into – technology can be used for great good and there can be big issues with it. That’s the point I wanted to make. She launches a Jeremiad – back over to you.
Arnon: We spoke about the relationship camp and how they acted to [towards] the Internet and I mentioned the technique camp – this camp who believes that what changes people’s behavior and thought and emotion is: we should give them technique. It could be cognitive behavioral technique – it could be emotion-focused therapy – it could be hypnotic technique.
Lou: You are not anxious or depressed – you just lack skill – that’s an enormous over-simplification, but there may be some useful techniques that can be improved and manage one’s anxiety and depression in a downward Direction
Arnon: Yes, and I should have made [note] that part of my research has dealt with this CBT techniques and I’m not I’m not in any way against it [unintelligible] Now what happened when the Internet entered the picture? Beating the Blues
Lou: Beating the Blues – I’ve got the name of the British company – we give them a shout out if they still exist: Beating the Blues – sounds good.
Arnon: But there is today ten thousand applications programs trying to do what beating the blues did, and it’s amazing how people are still trying to help or be helped by online application. Now just a the beginning of June there is a big article in the New York Times about an application called something –BOT – Webot – something – and it says that this application is working so well that one cannot differentiate if the bot – this machine – is a human being or behind it [a computer] or in fact, they are using a some engines like Google is doing now and – has developed Meena – a computer or machine –
Lou: A system of hardware-software stuff – Meena –
Arnon: That passed the tutor test –
Lou: The Turing test – Allen Turing – can I tell the difference between – in a conversational exchange between someone who supposedly hidden in a room or a machine or a device the Turing test and it turns out – we think – natural language has fallen to a technology that we now have technologies that can simulate natural a conversation with another human being the debate continues
Arnon: The debate continues and it is interesting to note that Sherry Turkle was married to one of [the members of] the group that developed Eliza. Eliza is another very early program that used Rogerian concepts to try to imitate Psychotherapy. Of course it was by far more simple. But let’s go back to the technique camps and a lot of effort to get rid of the psychologist I do at what Sherry Turkle says “the robotic moment.” She has a very strong anxiety – or she’s afraid that this artificial intelligence idea making – how can I say? – It’s dangerous to our humankind
Lou: Humanity – yes – yes –
Arnon: Humanity – I spoke about the technique camp and they’re mistaken direction; and I agree with Sherry [as] she speaks a lot about the dangers in this robotics [approach]. Oops, my chair almost fell.
Lou: If you disappear off camera, we will await your return. Maybe I can pick up the thread usefully at this point and a segue to the immediate occasion where you called me a few weeks ago and you said: “Hey, you know, let us have a conversation about her concerns and objections. I mean, she’s got some energy for this matter. She publishes – and I’m going to quote the publication that catalyzed our back-and-forth conversation: Afterward – here’s the title: “Afterword: Reclaiming Psychoanalysis: Sherry Turkle in Conversation With the Editors of Psychoanalytic Perspectives,” Volume 14: 2017 in this one and in this article, she raises a number of serious objections about the very possibility performing online therapy and she makes the case for co-presence. What I want to say at this point is –
[Video freezes and Internet connection is lost – connection is restored]
Arnon: We had some problems – we don’t know where was it – I don’t hear – you are on mute – we can we use this moment – I don’t know what exactly happened
Lou: I’m so I’m just going to pick it up I’m going to pick it up at “Afterword Reclaiming Psychoanalysis: Sherry Turkle in Conversation With the Editors of Psychoanalytic Perspectives
[[Video is frozen again – and connection lost]]
Lou: You were frozen
Arnon: You were frozen also
Lou: Things like this happen
Arnon: And it happens in online conversations – just a moment – and the question – how the therapist and the patient react to this? One could be completely angry – the patient – or the therapist could be: I’m not psychotherapy online anymore or we could use it
Lou: I mean you might reboot the router too for that matter – that could make a difference – 3, 2, 1 – the name of the article in Psychoanalytic Perspectives, Volume 14, year 2017: “Afterword: Reclaiming psychoanalysis: Sherry Turkle in Conversation With the Editors of Psychoanalytic Perspectives” – and in this – I must say – this was 2017 – I listened before the pandemic – then she denounces – I would say it’s not too strong a word to say she speaks in a devaluing way about online therapy, and [she] considers that psychoanalysis is missing the opportunity to emphasize the presence [of] the being together in the physical space – and all of the issues that occur there, which I will shortly enumerate – and what I really want to emphasize here is that there are at least three objections that she has: she says, lookit, online, to make eye contact with another person, you have to look at the green dot [the “camera on” LED]. I’m looking at the green dot. And it looks like I’m looking directly at you but when I look at Arnon’s eyes, I’m actually looking away from the green dot. So it’s not like sometimes, if you take a step back, it’s not clear where you are looking, but in person there’s a kind of code presence which is makes also, I think, an interesting but perhaps questionable point – so I want to be an honest broker here and charitable – who makes the point what starts out as being better than nothing – key term: “better than nothing” – in it pandemic, you can’t meet in person. So it is so, as she acknowledges in a podcast in July 2020, at the height of the pandemic here in the States, you can’t go to visit in person. It doesn’t work – you can’t – it’s impossible – it’s forbidden – and when we get back at someday out of the pandemic, from which we are (arguably) emerging at this time, the problem is (she sees) is that there will be friction and resistance to meeting in person where our fullest Humanity, if you will, empathy in the sense of being present with another human being in the same physical space embodied in a physical way. And so being “better than nothing” becomes “better than everything,” “the best of all” in so many words. And, finally, well those are her two points, and she says psychoanalysis may be missing a great opportunity here to take a stand and then she talks about a number of issues including [incomplete thought] – but she doesn’t say, you know, how to use the couch online – the couch – lie back on the couch – free associate – I’ve seen people who lie back on the couch and immediately have a breakthrough. They think of things which they were aware of – that they have not really been unaware of them – but we’re just kind of shoved back in there you know in their consciousness -in their inner sanctum, and all the sudden lie back and relax a little, and, oh, my God, I remember this or that about parents, about friends, about current relationships that they had not been aware of; so it can be a powerful tool and how does that work online? It doesn’t come up in this particular article. I pause for breath.
Arnon: The issue – is that the real psychoanalysis – is that typical discussion in psychoanalysis for many years – and now when Sherry Turkle says this is not psychoanalysis, speaking of online therapy – she is repeating and doing what many people did years ago before when the question was being on the couch or not being on the couch or sitting front face-to-face was considered not psychoanalysis
L: Somehow it was not echt – not genuine or authentic enough
Arnon: Yes, it was not the real classical Freudian in the day – and also the question should it be five times a week or three times a week – so psychoanalysis all the years is it the real thing or not the real thing and in this way I look on Sherry Turkle context can be partly understood – old psychoanalysis – is it true or false – in the 1950s when people said can you do psychoanalysis via the phone there were articles that said, you can do it but it is only supportive therapy – so what I am trying to say is the relationship camp was very much obsessed with the question was it the right thing as regular therapy or not regular therapy – so what I am saying is it is clearly different but it might be interestingly different – we might even find some advantage and learn a little bit what works in psychotherapy – for example, now when we are talking to one another, is it the content, my interpretation or is it my fault my visual appearance, which might be even bigger than what we you would seeing if you are in the end and I turn. You can see my face – my bird [beard] – my eyes – and like that so, and look. For example, I can do now this [Arnon zooms in and out with the camera] I’m going backward and then zooming
Lou: Amazing – we are gong to zoom in – we are literally zooming – and so may I jumping in at this point, because you raised a number of questions – now this is now not Professor Turkle (Sherry) – this is Lou Agosta: We may usefully have a phenomenology of presence – of online presence – just as we have the philosopher Merleu-Ponty talking about embodiment and a number of researchers [on the subject]. There is need for that, because the image is different than the physical presence – sometimes – it’s – it’s just different – it’s not better – it’s not worse – it may be richer in some sense and then less dimensional in another sense – and so, you know. I mean I could see – she doesn’t call for this, but she might usefully do so. The second idea: take a transcript of an in-person psychotherapy session and take a transcript of an online session. What’s the delta [between the online and the in-person]? How could you tell? Now the Internet blows up as it did a moment ago in our conversation, then you know we’re online. If the patient comes in and says, well the traffic was horrible, then you know you’re on the ground. But remove those deltas – remove those considerations – I suggest that in most cases – but interesting ones may not be on the list of most cases – one could not tell the difference, because therapy is basically a conversation – it lives in language – but [unintelligible] what about those instances [that are] new forms of Freudian slips. An anecdote: I met a new patient I had a second meeting with the individual – we use some version of Zoom – she gets up – the device is moving around the apartment – she goes to the kitchen – goes to the oven and says “pardon me, I got something in the oven” I am thinking – this is now would not be in the transcript – my thought would not be in the transcript – I’m thinking: Okay, this is amazing – this is practically like an enactment – an acting out – a Freudian slip – and I [think to myself] sometimes clients wonder whether their therapists know what they’re doing – it’s a valid question to be a little bit skeptical when we are consumers of psychotherapy services – does his or her therapist guy knows what he’s doing; and I said I’m thinking it’s a new relationship, but people are a little ambivalent about how they feel about their therapist and I say to her: “Do you perhaps think I am half baked?” She’s got something in the oven – she is baking a cake – it’s denied yet the thought is there – you can’t make this up – you can’t make stuff like this up – so that would be a delta – you get new forms of slips of the tongue, parapraxis, Fehlleistungs. Make no mistake, the transference is always the transfer, and so, this does not come up in Professor Turkle’s work. It might usefully do so, because the genie is out of the bottle.
Arnon: I think the example you gave is wonderful. Being a more CBT like therapist, I would not interpret as Half Baked or those things like but I would say: Wow. What a wonderful opportunity to see you are working – have hobbies – that you can cook – you see, what I am saying is the fact that the therapy is not now in our clinic but in in her room – her place, helps me know things about her self that I would not know – so instead of fighting this – and lets make the room exactly the same – let’s use this uniqueness that I can see their room and maybe they can see my room which is again interesting.
Lou: It is significant, and I would tend to agree, and I claim that I was using it to explore the relationship and it’s true my countertransference was like can – one version of empathy is to be fully present with the other person – and I think Turkle – I mean, she doesn’t actually define it that way, but I think Sherry gets that – she appreciates this matter of copresence and really being with the other. I mean just like, you know, if this dialogue between you and me, Arnon, we go back a bunch of years – you know, if it were successful beyond all of our dreams, notwithstanding internet interruptions, we would succeed in making present a certain empathy. I mean, like I got you, man, I know, you know, we’ve been struggling with these issues for a lot of years, and now that’s a criteria of success: that we bring it forth – and we [are] doing it online. Hey! Hello! We are having [an online conversation] – we couldn’t do this on the ground. I mean you’re in Tel Aviv – we didn’t put this at the start of the video but you’re in Tel Aviv – I’m in Chicago Illinois – it would not be humanly possible otherwise
Arnon: Right – right and that brings me again to my belief that we are reclaiming conversation – we are reclaiming conversation of [as] Internet dialogue and that it works very well – and let me tell you I am doing it for almost twenty years – and I prefer still to have the patient in my clinic – but I clearly suggest to our readers or audience not to go in either direction – not to say that technology will replace the human element and, on the other hand, let’s use technology. May I just add one more thing that we are currently struggling with – remember I want the therapy to continue only by the one-hour session. So the question comes, can we use technology not only by doing the one-hour session but by [for example] I am doing quite a lot of couples therapy – can the couple call me in the middle of a crisis – they are at home –
Lou: That would be powerful – that could be power at the moment, the enemy (so to speak} – the issue is present at the moment
Arnon: That would be one way to enlarge therapy – the second thing I am doing – according to the technique camps, not the relationship – I am using application, but the application is not trying to replace me but trying to resonate our interaction. Suppose you are now my therapist and I was your patient and you will use this resonator application to resonate [saying to me] remembering how we felt when we had this problem – the idea: so we can use technology in many other ways not to fight it and not to say this is everything.
Lou: Technology – surely, I mean this is a cliché, but perhaps hidden in plain view – technology can be a two-edged sword. Like any communication [device], it both connects and divines – I mean, we are relatively inexperienced with online therapy. I said earlier, dropping in the [conversation that the] genie is out of the bottle. In her in her podcast in July 2020 at the height of the pandemic, Sherry expressed concern that there would be a lot of friction, as she said, to going back to in person meeting just as there apparently is a lot of the people going back to the office and to their cubicles in person, and in some cases it’s essential and in some cases it’s definitely not required, and so how to tell the difference becomes the challenge. And it does seem like there is something – she makes the case, I mean, with which I must occasionally and in many ways align, that she makes the case that physical presence has something that is missing, and, yet. The genie is out of the bottle. We’re not going, you know, we’re not going to get rid of our telephones, and if I want to send a message, I write you a letter, or, you know, I send you a message with a boy – a runner – run and deliver – people would do that – we’re not going to be able to go back, so the challenge then becomes how to be authentic online and interact with a phenomenology of online presence with new forms of, I mean, in the world of online humor I’ve been known to say occasionally two new clients, I mean, well what about the digital divide. You need a computer and zoom and a door that you can close for confidentiality, and privacy. I’ve had clients, sadly at the beginning of the pandemic that fell through the digital divide. This young man was living in the same bedroom with his younger brother. He was trying to do the conversation, walking around outside. It was really hard. It was really kind of not working the way it should. And so there are peopling now where are you may need to meet with them in person, because they don’t have the technology. And here in the States, it’s a much bigger country (bold statement of the obvious) than Israel; in some ways, more poverty. There are parts of this country, which are not digitally wired and connected; and so those issues become a matter of social justice as well. And so I have to call them Sherry doesn’t solve them either, but nevertheless she lines up and makes the case that it’s very important. So where are we? I want to – maybe since I’ve got The Conch Shell here, I will tie up two loose ends. I interrupted myself as I was talking about her Memoir. After she answers up for a little while at the Committee on Social Thought and she ends up writing a dissertation at MIT on the social psychology of French political psychoanalysis. She meets Jacque Lacan – so all of the controversial figures Professor Bettelheim, Jacque Lacan – the amazing thing – I really want to put this on the video – he [Lacan] treats her nicely – bad [boy, Lacan] – I mean, Why? This is so uncharacteristic. Why? He wants her to write nice things about him. He wants her to produce a enriching and ennobling and even perhaps – you know, given who he is – a flattering report and she doesn’t of course do that but he does come to Boston to visit at Cambridge, and to visit the colleagues, and the thing about Lacan – the only criticism – the only problem with Lacan – there’s only one problem, Jacque Lacan. He goes to dinner. He doesn’t wear a tie. He throws a conniption fit. It’s kind of an interpersonal disaster. Professor – Sherry not yet Professor Turkle has nothing to do with his bad behavior but it resonates in different ways, She goes on to publish that book I was waving around or about to wave around [on camera] in this version Psychoanalytic Politics [on camera] you see the cover [and a silhouette] of protesters of May 1968 and the Eiffel Tower there. She is not a Lacanist, but she is informed by the dynamics, and, you know, the prohibition creates the desire. I didn’t know I wanted to go online to do therapy until you told me I couldn’t. Now if I have to explain the joke, it’s not funny. That’s the best I can do. So that wraps up her memoire. There’s a lot more there, but those are some of the essential talking points. So I pause for breath.
Arnon: It’s a nice way to finish with the more personal. May I bring up another personal [matter] – Sherry speaks so honestly about a Jewish home she grew up and her problematic father and she came to the same direction that I came to though I have a wonderful father, because he thought technology can help change the statues of the Jewish people. It can help solve the pandemia, the pandemic. It can help the human race. So my father really believed in technology, but not only in the technical aspects, but it’s a part of the human spirit that we can fix things. We can overcome problems,
Lou: That is remarkable, because here you are growing up in a Kibbutz, which is kind of a collective environment. The parents are not dismissed, but moved to the side and here Sherry who gets a lot of attention, in some ways it’s almost impossible to get too much attention but she does and not always of the right kind in some instances, and the end result is this complicated relationship with technology for the things that it is powerful in doing and for its disadvantages and drawbacks as well advantage. So final thoughts as we are coming up on the back end of our conversation. And your personal anecdote is a final thought. Two thumbs up on the work she’s doing. We find that we take exception to the throwing online therapy and online psychoanalysis under the bus as we say here in the States. The problem with that – here is my final reflection – the problem with that is that it is getting crossed under the bus. There are a lot of people under the bus struggling so we want to make productive useful application of all of the means to combat human suffering. What all of these different modalities have in common – whether it’s CBT or biofeedback or group therapy or traditional dynamic therapy or rigorous Freudian therapy or self psychology – they’re not exactly the same – all of these are commitment and a stand against human suffering which is significant and ongoing that’s my thought. So I think Sherry stands with that. I think we have common ground there.
Arnon: Yeah, maybe she would join us in the next go around
Lou: Well, would you like to make an invitation? Make the formal invitation, because that occurred at the start of the conversation.
Arnon: Well, you probably would say it in a more American, polite way – but I would say: Sherry, I was trying to communicate with you, she know it, so I wrote to her, because we wrote a book – we did not mention it yet – we wrote a book about online therapy with Haim Weinberg [editor] and you wrote a chapter – and I wanted to have her in the book – it was before she wrote the Empathy Diaries – and she wrote to me, I am so much into it [writing the memoire] that I cannot stop – and I pushed again – and being Israeli, I pushed, and she replied, “I appreciate it but no.” Maybe now she will be more open.
Lou: There’s an invitation for further conversation. Thinking of the end: we acknowledge your empathy, Professor Turkle – Sherry. I acknowledge your empathy, Arnon, my colleague and friend. I acknowledge the empathy of the listeners to this conversation, because you’re listening creates the empathy in this conversation. We honor and thank and acknowledge you for that. Thank you very much. Signing off.
(c) Lou Agosta, PhD, and the Chicago Empathy Project
Resistance to Empathy and How to Overcome it (Part 2): Individual Provider and Receiver (of Empathy)
Overcoming Individual resistance to empathy (provider)
Empathy is trending. As we engage with provider empathy, the pendulum has swung far enough for a backlash against empathy to be emerging.
Empathy with negative emotions and suffering is difficult. From a purely selfish perspective, empathic data gathering about the negative experiences endured and survived by other persons can be, well, negative. Negative experiences such as loss, hostility, intense rage, sexual danger, sadness, sleep deprivation, fear, and so on, are not welcome by anyone even as a less intense vicarious experiences. One fears getting the full-blown experience, not merely vicariously experiencing a sample or trace. The would-be empathizer is at risk of being overwhelmed, inundated, or flooded by emotional upset. The person’s empathy is on the slippery slope of empathic distress; and the empathy is at risk of breakdown.
The language is telling. If one is hit by a tidal wave, then one is going to be “under water.” Kick your feet, make swimming motions with the arms, and rise to the surface to try to catch your breath. While an empathic response is easier said than done, expressing the suffering of the survivor in a simple and factually accurate statement can open the way to containing the suffering and getting unstuck. Dial down empathic receptivity and dial up empathic interpretation and understanding.
People committed to providing empathy to other people resist their own commitment to empathy for several reasons. As soon as a person makes a commitment—in this case, a commitment to practice empathy—then all the reasons why the commitment is a bad idea, unworkable, unreasonable, or just plain absurd, show up. There is no time. It is too expensive. No one is interested. What seemed like a good idea yesterday, now seems a lot more challenging and like a lot more work. Yet empathy is never needed more than when it seems there is no possibility of it.
The would-be empathizer is vulnerable to a vicarious experience of the other person’s suffering. Indeed if one’s empathic data filter is not granular enough, one is at risk of being inundated by emotional contagion. This does not mean that the provider of empathy has to be a masochist, stuck on suffering. However, it does mean being vulnerable to a sample of the suffering. It does mean opening oneself up to a sample of the other person’s upsetting experience. It does mean being receptive to that which the other finds so upsetting, but doing so in a regulated and limited way. Hence, the need for training.
The training consists in interrupting and accepting one’s own feelings and letting them be. Practice is required in order to increase one’s tolerance and learn to be with uncomfortable feelings.
One key to forming a humane relationship with anyone who is upset: Vicariously getting a taste of the upset, experiencing vicariously the other’s fear or anger. Acknowledge the experience as valid. Accept the experience, not as good or fair, but as what one has indeed experienced.
One celebrity academic claims that in empathy the better part of emotion is reducible to emotional contagion. What the world needs to practice is not empathy, but rational compassion. As if one had to choose between the two! The world needs expanded empathy and more compassion of all kinds.[i]
A vicarious experience is essential data as to what the other person is experiencing; but if one is distressed to the point of upset by the other’s upset, then one is not going to be able to make a difference. Paradoxically one is not going to be able to experience one’s experience due to being distracted by one’s own upset. One’s empathy has misfired, gone off the rails, failed.
Empathy is in breakdown. One has to regroup. Take a time out. Acknowledge that one is human. One does not always get it right, but that does not mean that one is less committed to empathy or helping the other. It is worth repeating that the empathizer may expect to suffer, but not too much—just a little bit.
The good news is that empathy, when properly implemented, serves as an antidote to burnout or “compassion fatigue.” Note the language here. Unregulated empathy supposedly results in “compassion fatigue.” However, this work has repeatedly distinguished 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, one is 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.”
No one is saying, do not be compassionate. 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.
However, the good news is sometimes also the less good news.
The other person’s suffering reminds one of one’s own suffering.
The other person’s anger reminds one of one’s own anger.
The other’s failures evoke one’s own setbacks.
The other’s self-defeating behavior is plainly evident to any third party, but one’s own self-defeating behavior seems to continue with regularity in tripping up oneself.
Rarely does a person say, “I want to be empathic in order to confront my own personal demons.” Rarely does one say it, but that is what is needed. That is the work of expanding one’s empathy. As in the fairy tale, one must spend three nights in the haunted castle, fighting the ghosts of one’s past and confronting the illusive specter of one’s blind spots.
Anxiety, depression, fragmentation, and the dehumanization dwelling in the dark side of human nature loom large before discovering the buried treasure of one’s own emotional resources in the face of upsets.
The thinking and practices that created empathy breakdowns are insufficient to overcome them. The thinking and practices that created resistances to empathy are insufficient to transform them. To get one’s power back in the face of resistance to empathy, something extra is required.
Expanding one’s empathy in the face of one’s own resistance to empathy requires something extra. Expanding empathy requires expanding authenticity, so the person who would practice empathy has to confront and clean up his own emotional contagion, conformity, projection, egocentrism, devaluing judgments and opinions, and the tendency of communications to get lost in translation. This clean up requires acting to repair disruptions in relatedness and repairing misunderstandings and miscommunications with other people by acknowledging one’s own contribution to the breakdown. It requires picking up the phone or requesting a meeting. It requires showing up, engaging, and acknowledging how one acted to cause the upset or breakdown.
Instead of emotional contagion, conformity, projection, and mistranslation, one enters the empathic cycle, engaging with openness towards the other person in receptivity, understanding of possibilities, taking ownership of one’s meaning making so that the other person is left free to be self-expressed, and responding in such a way that the other person is left whole and complete.
This means accepting the consequences of one’s deeds and mis-deeds. That is the first step—and every step—in recovering one’s power in relation to empathy. One might not get what one wants. However, what one is going to get is unstuck—and the freedom to be empathic in relationships going forward.
Overcoming individual resistance to empathy (recipient)
Everyone wants to get empathy, don’t they? Speaking of a recipient’s resistance to empathy sounds like resisting rainbows and colored balloons. What’s not to like? Empathy is what everyone really wants, isn’t it? Well, not always. Resistance to empathy—that it exists—is the basic empathy lesson of this chapter.
Emotional closeness leaves a person vulnerable to disappointment. The would-be recipient of empathy is ambivalent and vulnerable about being intimate with the other person, inhibiting the recipient’s empathic relatedness. The result is resistance to empathy.
People want approval from other people. People want approval for their opinions and behavior. People want agreement. Life is definitely easier, at least in the short run, if one is surrounded by people who agree with one rather than disagree.
People especially want agreement when they have something to be disagreeable about. They want agreement when they have a complaint. However, empathy does not lead off with approval and agreement.
Empathy leads off by being quiet and listening. In the face of chronic complaints and self-defeating behavior, being empathic often takes an open and inquiring stance that the other person may usefully take a look at any responsibility or potential blind spots he may be holding onto as the source of the complaint. It seems like “mission impossible,” since the blind spot is precisely that which, by definition, one does not know and that to which one can get access only through sustained self-inquiry. Doing the hard work of undertaking an inquiry into one’s own issues is, well, hard work. That results in resistance to empathy.
Resistant or not, people want to be understood. People want to be gotten for who they authentically are. People want other people to know how they have struggled to succeed and overcome adversity.
Yet, in hoping to be understood for who they really are, people are asking, not so much for agreement as for empathy.
People assert that they want to be understood; yet they do not want to be understood too well.
People do not want to take too close a look at how they have contributed to their own struggle and effort. People do not want to face directly how they have contributed in self-defeating ways to their own frustration and stuckness about which they so loudly complain.
People want the recognition of their humanity that comes with empathy; but not the unmasking of their own blind spots, which requires getting out of their comfort zone.
Let’s face it. People can be difficult. People are disagreeable. People are contrary. People are ornery. People are rude and discourteous. People push and shove. People often forget to honor their agreements. People lie. People are overly aggressive. People are overly sexed. People are under-sexed. People smell bad. Is it any wonder that people do not want to get close to other people? Is it any surprise that people develop resistance to being empathic towards other people?
This is a case of you can’t live with them and you can’t live without them. People, that is. Yet there is no such thing as a person in isolation. A person by himself is not a survivable entity. That is true of newborn babies. That is true of children of tender age, who require years of guidance and education. Likewise, that is true of adults, though in more nuanced ways.
The “I” is a part of the “we,” and the “we” a part of the “I”
Early prehistoric humans needed a companion to tend the campfire and stand guard against predators (or hostile neighbors) while the other(s) rested. The basic male and female pair was an inseparable requirement for procreative success.
Propagating the species to build a community against the ravages of infant mortality was a priority requiring skills to cooperate with one another socially. For most of recorded history (and before) children were the equivalent of a pension plan for aging parents; and in many parts of the world today that continues to be the case.
Domination and control of individuals in community based on physical strength and violence coexisted alongside (and contended against) forms of cooperation, leadership, and community-building based on the skillful use of language and symbols to exercise power based on motivation, persuasion, inspiration, inclusion, and enlightened self-interest.
The point is not to tell a “just so” story about the origins of civilization, but rather to acknowledge that, not only is the individual a part of the community, the community is also a part of the individual. This bears repeating. The “I” does not only belong to the “we”; but the “we” is a part of the “I.” We carry within ourselves a readiness for community, a readiness for relatedness, a sense of inclusion in community; and if there is no one else to talk to, we talk to ourselves.
The empathy lesson? Empathy is the foundation of relatedness, and resistance to empathy is resistance to relatedness. People are born into “relatedness.” Empathy is about participation with others. Empathy is about relatedness with other people and who these others authentically are in their strengths and weaknesses, in their possibilities and limitations. Even when a person is a hermit, all alone, he is alone in such a way that his aloneness depends on the basic condition of his being a creature designed for relatedness. Being unrelated is a privative form of relatedness; and being alone is a deficient form of relatedness. Paradoxically, nonrelatedness becomes a way of relating for some.
Given that resistance to empathy on the part of the would-be recipient of empathy is pervasive, what is the recommendation? Ask yourself: What is coming between myself and the other person who is offering empathy? Perhaps fear of being misunderstood is a factor. Fear of being let down is another factor. Fear of being vulnerable gets in the way. Fear of disappointment is a consideration.
What do all these factors have in common? Fear. Fear is front and center. However, there is something else further back behind the fear. Less obvious but highly significant. What would a person have to give up in order to be receptive to the gracious and generous listening being offered? Behind the fear is attachment—attachment to suffering.
Suffering is sticky
For people who are survivors, whether of the college of hard knocks or significant trauma, allowing themselves to experience another’s empathy takes something extra. Many people who fall short of a clinical label of “post traumatic stress disorder” (PTSD) have an area in their lives in which they are engaged with their suffering in an intimate way. You know the saying: “Keep your friends close, but your enemies even closer”? So it is also with suffering. In order to survive suffering, many people have decided to keep it close to them. They are attached to it. Overly attached? One thing is for sure. Suffering is sticky.[ii] Letting go of the suffering through the soothing experience of empathy seems like a risky proposition to people who feel fragile and vulnerable.
Consider PTSD. (We define our terms.) In an attempt to master the consequences of the life threatening experience of trauma, the organism (the human mind/body) keeps the fear, anxiety, and pain split off from being experienced as one’s own. Yes, one was present when the assault happened, the violence was perpetrated, or the train wreck occurred.
Yet in another sense, one was not present. One was not there, at least not as a conscious being. In being overwhelmed in the moment, one immediately took oneself out of the experience as an immediate reaction and survival mechanism. The traumatic experience remains unintegrated with one’s other life experiences, spinning in a tight circle of repetition.
The circle of repetition is split off from the person’s awareness and everyday life, remaining isolated—“sequestered” is the technical term for it.[iii] Suffering lives. The pain is real. Suffering itself becomes a kind of “comfort zone,” but only in the limited sense that it is isolated and separated from the awareness of the person trying to live his life.
This in no way diminishes the struggle or suffering of the survivor. Yet letting go of the suffering through the soothing balm of empathy shows up like a risky encounter with the unknown. For most people, the unknown itself is fear inspiring. The unknown is as fear inspiring as the suffering itself.
One keeps coming back to the suffering in the hope that it might be magically shifted. One keeps coming back to it like an exposed nerve in a toothache. Yes, it still hurts—ouch! The suffering starts to dominate one’s whole life, and one builds one’s life around the suffering, trying to manage and contain the uncontainable. One says, “I know my own dear little suffering up close, and it is a comfort to me in its own way—it gives me all these secondary gains—even though the impact and cost is staggering in the long term—yet I cannot let it go.”
We cycle back to empathy and its many dimensions in the context of suffering as an uncomfortable comfort zone.
How to be empathically responsive to the struggling individual and his “dear little suffering” requires an empathic listening of remarkable finesse and timeliness.
Empathy can help people get out of their comfort zone, in this case a place of suffering, in a safe and liberating way. When empathy gets an opening, empathy shrinks the trauma the way interferon is supposed to shrink tumors. Empathy sooths the accompanying suffering and reduces the stress.
The survivor is able to let go of the attachment to suffering, and engage with new possibilities. No guarantee exists that the outcome of the new possibilities will be favorable; many risks await; but the individual is no longer stuck.
In summary, we have engaged with resistance to empathy from three perspectives. We have explored overcoming resistance to empathy in the organization, in the individual providing empathy, and in the individual receiving empathy. In each case the empathy training consists in driving out obstacles to empathy, reducing or eliminating the resistance, so empathy can spontaneously grow and develop.
The organization drives out empathy by enforcing conformity to an extensive and contradictory set of rules, whose complexity is such that at any give time, the individual is technically (though unwittingly) in violation of one of them.
Speaking truth to power can be hazardous to one’s career; and humor is closely related to empathy; so humor becomes a powerful way of regulating empathy, expanding and contracting empathy in such challenging organizational contexts. Humor is a powerful tool against the arrogance of authoritarian domination. Both empathy and humor require crossing the boundary between self and other with integrity and respect, but humor offers additional opportunities for questioning the status quo, speaking truth to power, and creating the stress, suddenly relaxed by laughter, caused by expressing what’s so.
Empathy has a key role to play in organizations in reducing conflict, overcoming “stuckness,” eliminating self-defeating behavior, building teams, fostering innovation, developing leadership, and enhancing productivity. The empathy lesson is to use humor (and empathy) to undercut resistance to empathy in the organization. The lesson is that empathy is a source of creating possibilities, overcoming conformity through innovation, and leading from a future of possibilities.
Resistance to empathy on the part of those who provide empathy shows up as “compassion fatigue” and burnout. The word is a clue: compassion, not empathy, causes “compassion fatigue.” So much compassion, so little empathy. I hasten to repeat that the world needs both more compassion and more empathy. Peer group dynamics, collegial support, and self-care are required to recharge the emotional resources of those routinely providing empathy to others.
Regular self-care, including exercise, nutrition, quality time with family/friends, is on the critical path to survival and flourishing, managing the risk of experiencing empathic distress.
This makes the case for self-care and self-monitoring on the part of professionals of all kinds and first responders in health care, education, sales, leadership, public safety, customer service, and so on, whose empathy is a significant part of their role. Professionals take breaks and are on top of their empathy game; amateurs try to be empathic all the time (whatever that would mean), experience empathic distress, make it mean they lack empathy, and quit. Those who do not take care of themselves, then blaming empathy when they get burned out, are committing a kind of malpractice of empathic engagement (in the literal, not pejorative sense of the word). Like a helicopter, empathy is powerful and complex, so it requires regularly scheduled maintenance lest something go wrong at an inconvenient time.
For those individuals who want empathy or think that they want empathy, but then change their minds, resistance to empathy confronts readiness for empathy. Some people simply would rather not be understood. For them, being understood has resulted in bad outcomes. They have been manipulated, used, even abused.
In such cases, the would-be empathizer has to “dial down” empathic receptivity, in which the communication of affect looms large, and “tune up” empathic interpretation, in which one cognitively processes what it might be like to take the other’s point of view. Once a person feels safe, the person will be willing to risk exposing and exploring the vulnerabilities that got the person stuck in the first place and need working through to get the person moving again into a flourishing future of possibilities.
In conclusion, empathy is supposed to be like motherhood, apple pie, and puppies. What’s not to like? A lot. People can be difficult—very difficult—why should empathizing with them be easy? Yet most of the things that are cited as reasons for criticizing and dismissing empathy—emotional contagion, projection, misinterpretation, gossip, messages lost in translation and devaluing language—are actually breakdowns of empathy. With practice and training, one’s empathy expands to shift breakdowns in empathy to breakthroughs in understanding, possibilities of flourishing, enhanced humanity, relatedness, and building community.
[i] Empathy is now a major publishing event. There is a wave of books on empathy—popular, scientific, political, and scholarly. For example, Frans de Waal’s The Age of Empathy explores empathy between humans and higher animals; J.D. Trout’s The Empathy Gap considers empathy and social justice from the perspective of Ignatian Humanism; Jeremy Rifkin’s The Empathic Civilization, 800 pages long in hardcover (don’t drop it on your foot!) channels Teilhard de Chardin’s idea of a global consciousness, now including the politics of empathy; Jean Decety’s Social Neuroscience establishes correlations between sensations, affects, and emotions using functional magnetic resonance imaging technology (fMRI) as a kind of x-ray for the soul, exploring the relation between empathy and psychopathy (with his colleague Kent Kiehl); Simon Baron-Cohen’s Zero Degrees of Empathy considers the role of empathy in cruelty and disorders of empathy such as psychopathy and autism. Thomas Farrow’s (ed.) Empathy in Mental Illness drills down scientifically on the disorders of empathy in all their profound differences. See also: Susan Lanzoni, Empathy: A History (Yale 2018); any collectioin on social neuroscience by Jean Decety; William R.Miller, Listening Well: The Art of Empathic Understanding (WIPF and Stock, 2018); Cris Beam, I feel You: The Surprising Power of Extreme Empathy (Houghton Mifflin, 2018); Jodi Halpern, From Detached Concern to Empathy: Humanizing Medical Practice, (Oxford, 2001); David Howe, Empathy: What It Is and Why It Matters (Palgrave Macmillan, 2013); Leslie Jamisom, The Empathy Exams (Essays) (Graywolf, 2014); Thomas Kohut, Empathy and the Historical Understanding of the Human Past (Routledge 2021).
[ii] I discuss this proposition in detail in Lou Agosta. (2015). A Rumor of Empathy: Resistance, Narrative Recovery in Psychoanalysis and Psychotherapy. London: Routledge (Taylor and Francis): 53, 55, 117, 190.
[iii] Bessel van der Kolk. (2014). The Body Keeps the Score: Mind, Brain and Body in the Transformation of Trauma. New York: Penguin Books.
The Natural Empath Meets the Good Samaritan
A person can regulate his or her empathy up or down by crossing the street. The empathy lesson is that if you can cross the street to avoid the beggar, regulating your empathy down, then you can cross the street (as well as use other methods) to expand your empathy, regulating it upward. So don’t tell me that empathy cannot be dialed up or dialed down with practice. That’s the point: practice.
Crossing the street is what happened in another story with which many readers are already familiar. The story of the Good Samaritan, one of the parables of Jesus of Nazareth, tells of two people who crossed the street, and one who did not. In the story, a traveler was waylaid by robbers. He is left for dead by the side of the road. The first two persons—the Levite and the priest experienced empathic distress, and, crossed the street, passing by the victim.
The Samaritan, however, was not overwhelmed by the victim’s suffering. The Samaritan perceived the suffering; he had a vicarious experience of the suffering that did not over-stimulate him with suffering and cause empathic distress. The Samaritan saw a fellow human being; recognized the suffering humanity; and he decided to get involved.
Multiple empathy lessons are available here. First, to regulate one’s empathy, cross the street. This is an edgy and confrontational way of putting it, but it is literally accurate. Cross the street away from the neighbor to “down regulate” your empathy, and experience less empathic distress; and cross the street towards your neighbor to expand your empathy in the direction of creating an inclusive community of persons, who recognize the value of cooperation.
The empathy lesson is that the vicarious experience does not have to be overwhelming. Rather, with practice, one is able to shift one’s focus from suffering to neighborliness; one is able to shift one’s attention from suffering to making a difference and enhanced self-esteem, expanding community and shared humanity.
Crossing the street is not the only way to reduce one’s chance of empathic distress or responding empathically. One may imaginatively changes places with the survivor and reflect that one would want the other’s help if one were in a similar predicament. One may spontaneously and without thinking act impulsively to be helpful, because one’s upbringing has made such responsiveness a habitual practice. (I believe this was the case with the Samaritan.) One may reflect, “I am safe and the survivor is no danger to me and it is my turn to help out.”
Or, on the contrary, one may make a devaluing judgment such as “The guy deserved what he got.” Such a judgment would be inaccurate—and in this case it would literally add insult to injury—but such thoughts do occur among by-standers. The passers-by may have just been hard-hearted. One person’s empathy is another’s antipathy. The language speaks volumes.
The empathy lesson consists in distinguishing such a devaluing thought; acknowledging that thinking is profoundly different than acting and should not be confused with it. The empathy lessons is to take action coming from one’s authentic commitments to building community through empathy, not devaluing thoughts.
This story is an empathy lesson that also instructs us in the difference between empathy and compassion. The Samaritan’s empathy told him what the other person was experiencing; his compassion (and ethics) told him what to do about it.
This bears repeating: empathy tells one what the other person is experiencing; compassion (and ethics) tell one what to do about it.
We are usually taught to devalue the behavior of the Levite and the priest; and surely they do not win a prize. Yet in an alternative point of view, they were all-too-human. Seeing all that suffering embodied in the survivor, they just couldn’t take it. They succumbed to empathic distress.
They experienced a breakdown of their empathic receptivity, and were overwhelmed in a kind of instant empathy fatigue (not compassion fatigue).
In an alternative reading of the parable, the would-be rescuers dial down the granularity of their empathic receptivity, so as not to be too sensitive to the suffering, even as they get a sample of the suffering, which is needed to inform their humanity.
The Good Samaritan, who is a seemingly infinite source of insight, is called to his empathic neighborliness by the distress of the injured traveller. The traveller who had fallen among thieves and was beaten near to death creates the possibility of empathic community by his loss of human well-being. He has been reduced to a lump of suffering, broken, physical pain.
The Samaritan rescues the traveller; the traveller humanizes the Samaritan, calling him not just to the role of an altruist doing a good deed (though that occurs too), but to his possibility as a human being in relation to another fragile, suffering, dependent human being.
The stricken traveller, by his very being, gives the Samaritan his own humanness. This occurs precisely in making the Samaritan a neighbor in answering the question, “Who is one’s neighbor?” Such was the trick question that the Pharisees posed to Jesus, to which this parable is the response.
The Samaritan gives humanness to the distressed traveller in an intervention that defines them as part of the same community of fellow travellers—neighbors—on the road of life.
In an alternative retelling of the story suppose that the Levite and the priest were “natural empaths,” biologically predisposed to be sensitive to the pain and suffering of other people. They were endowed with a certain “delicacy of empathy,” and they feel the suffering of the world deeply. Perhaps too deeply. Some people report: “I am a natural empath—and I suffer because I feel the pain of others too acutely. I started out being empathic—but people took advantage of me—and even when they didn’t, I was just too empathic; I got overwhelmed with sensation and sucked dry—the result was burnout, compassion fatigue. Nice guys finish last—so do empathic ones.”
Thus, the lament of the natural empath.
Empathy becomes a burden, because the world is filled with so much suffering. Yet if the person uses avoidance to “down regulate” their empathy, the person feels guilty because the individual believes that what she is doing is unkind, thoughtless, lacking in fellow feeling, and—unempathic.
So the natural empath falls into a double bind, and her suffering seems inevitable. She is over-whelmed by too much openness to the suffering of the other person or over-whelmed by guilt at not living up to her own standards of fellow-feeling and ethics.
These statements imply that empathy cannot be regulated through training, albeit a training that goes in the opposite direction (from too much empathy in the moment to less empathy) than that required by the majority of people, who are out of touch with their feelings and need to “up regulate” their empathy. The empathy lesson for the natural empath is to be more flexible about her ethical standards, while attempting to tune down her empathic distress.
Some people are skeptical that “natural empaths” are all that they say they are. Natural empaths in their natural state assert that they feel overwhelmed and distressed by other people’s thoughts and feelings. I see no reason to doubt such statements. However, to some critics, a redescription of the natural empath asserts that the latter are “irritable” and “hypersensitive.”
Empathy is recognizing and understanding the other’s perspective and then communicating that understanding to the other person. Someone who is unwittingly, even helplessly, swept along by the other’s feelings is not really being empathic. Over-identification, not empathy?[i]
The way out of this apparent impasse is to consider that the natural empath does indeed get empathic receptivity right in empathic openness to the other’s distress, but then the person’s empathy misfires.
Whether the misfiring is over-identification, resulting in empathic distress, depends on the description and redescription. Standing on the sidelines and saying “Try harder!” is easy to do. Where is the training the person needs when they need it?
The recommendation regarding training? Most people need to expand their empathy; some people—natural empaths—need to contract (or inhibit) their empathy. Empathy regulation—learning to expand and contract empathy—is the imperative in either case.
Instead of complaining about being an overly sensitive natural empath (however accurate that may be) do the work of practicing empathy by “down regulating” one’s empathy in a given situation, transforming empathic distress into a vicarious experience. Instead of complaining about not being pre-disposed to empathy, get up and do the work of practicing empathy, which for most persons means “up regulating,” expanding their empathy.
[i] Lou Agosta, (2018). Empathy Lessons. Chicago: Two Pairs Press: Order empathy books click here: https://rb.gy/avwkb7
The Evidence: Empathy is Teachable, Trainable, Learnable
This essay is an excerpt from Chapter Four of the book Empathy Lessons. This essay is motivated by the need to debunk the position that the practice of empathy is vague and fuzzy and cannot be taught, that you either have it or you don’t. Bunk. I am addressing scientists, researchers, health care professionals who dismiss empathy as not scientific of evidence-based.
Substantial evidence is available that if you practice empathy, you get better at it. A bold statement of the obvious? Indeed. Yet the requirement to marshal the evidence is a significant one, even if it is often a function of resistance to practicing a rigorous and critical empathy. Key term: resistance to empathy. Overcome the resistance to empathy and the practice of empathy spontaneously and naturally comes forth. [See Empathy Lessons and other books by Lou Agosta on empathy: https://amzn.to/2S0ISPr.%5D
Evidence-based empathy
Even if one understands “evidence” in the most narrow and rigorous sense, substantial evidence is available from peer-reviewed research and publictions that empathy training is effective. The implications for evidence-based empathy training are direct. Empathy works. Some of this material may seem difficult or complex; but it is important to engage with it, because it undercuts the subtle resistances to empathy that dismiss empathy in the misguided belief that there are no evidence-based peer reviewed publications.
The first example is an empathy intervention so short that it passed the Institutional Review Board (IRB) criteria for the use of human subjects. The study was complete before people had a chance to drop out. An advertisement went out for people to receive a complimentary, free screening and short intervention for “problem drinking.” In fact, only problem drinkers responded.
The people were divided randomly into groups and given either an immediate check up with confrontational counseling that directed them to stop drinking; or the subjects were given a check up with motivational interviewing that used client-centered counseling and did not try counsel changing the client’s behavior, but in the manner of motivational interviewing explored the person’s motives with him or her. Motivational interviewing employs empathic methods of listening and questioning and, in this example, becomes a proxy for empathy.
Strictly speaking, the counselor facilitated a dicussion with the client of what might happen if the client either did or did not stop (reduce) drinking. A third group of clients was wait-listed, for control, without intervention. Motivational interviewing is a client-centered intervention that relies on empathic listening, questioning, and responding.
Both groups that received intervention resulted in a 57% reduction in drinking within six weeks, and the result was sustained at 1 year. However, there was one dramatic finding. The lead researcher and author (William Miller) reports: “Therapist styles did not differ in overal impact on drinking, but a single therapist behavior was predictive (r = .65) of 1-year outcome such that the more the therapist confronted, the more the client drank.”[i]
This bears repeating: the more confrontational the counselor, the more the client drank. If one starts with a confrontational approach rather than empathy, one is headed for trouble.
In another study, perspective taking was practiced in which the other person was imagined to be a neighbor or a member of one’s own community rather than a stranger.[ii] This examines empathic interpretation, though the study does not use that terminology. Practice perspective taking, it improves.
Other practitioners have developed exercises that focus on specific groups such as doctors of individuals with autism. This expands empathic understanding, though, once again, the terminology is different. Other experiments conduct explicit training in mentalizing, specifically, teaching participants in the training about associations between target facial expressions and emotions.[iii]
In a separate study, a large meta analysis by the Cochrane Library that reviewed fifty-nine peer-reviewed studies with 13,342 participants of a motivational interviewing intervention based on empathy for substance abuse over against other active interventions or no intervention and produced a similar result: motivational interviewing helped people cut down on drugs and alcohol.[iv]
Still, the debate goes on.
Is the empathic questioning, the back-and-forth conversation, in the motivational interview that causes something (attitude, hope, fear, and so on) in the client to shift? Or do people convince themselves? Or do they just get better informed? Or do they stop blaming themselves and feel better, and so they “self medicate” less with alcohol or street drugs?
Lots of questions. No easy answers. Yet when something is so effective across so many studies and researchers are still skeptical, then one has to say: “Okay, skepticism is proper and scientific. Yet nothing is wrong here; but there is something missing—empathy.”
Let’s do the numbers.
Evidence shows that those who train and practice being empathic succeed in expanding their empathy. Educational programs that target empathy have a demonstrably positive effect on empathy skills, according to peer reviewed studies.[v]
Another case in point: a meta analysis of 17 empathy nursing courses in an educational context indicated statistically significant improvement in empathy scores in 11 of the 17 studies (and non statistically significant improvements in the other 6). Similar positive outcomes were reported when medical students, training to be doctors, were included. When nurses and medical students work at practicing empathy; and they get better at it. How about that.[vi]
A disturbing factoid: The empathy of persons studying to become physicians peaks in the third year of medical school according to measures applied periodically (as reported by Dr. M. Hojat and his colleagues at Thomas Jefferson University).[vii] Empathy expands; but then it seems to contract. The suspicion is that the burnout occurs in the “college of hard knocks.”
Use it or lose it? The stereotype of the harried medical doctor, seeing twenty or thirty patients a day, is increasingly accurate. As the MD (or other health care professional) is pushed down into survival mode, empathy is not improved or expanded. Hear me say it, and not for the last time, the things that make us good at the corporate transformation of American medicine, improving productivity and efficiency, do not expand our empathy. This does not mean that empathy and efficiency are mutually exclusive. It means we have to get better at balancing quantity and quality in both business and empathy.
In another example, training sessions directed at aggressive adolescent girls in a residential treatment center showed the benefits of expanded affective empathy. Affective empathy is the automatic dimension of empathy (“empathic receptivity” in my definition) that is perhaps hardest to influence.[viii] Parental effectiveness training (PET) was demonstrated to move the participants from below facilitative on the Truax Accurate Empathy Scale up to or beyond the facilitative level. “Facilitative” means knowing how to get things done. That is, the outcome is that the parent’s empathic effectiveness was expanded.[ix]
The effectiveness of empathy training is not limited to the affective dimension. A team at the University of Toronto produced a meta analysis of twenty-nine articles, using seven different approaches to empathy training. All the studies except two (93%) had positive outcomes, improving the cognitive component of empathy (86%). These studies were distributed as follows: education (24%), nursing (14%), therapy (7%), medicine (21%), social work (3%), psychology (7%), human service (7%), couples (10%) and divorcees (3%). Regardless of the training method, individuals expand their empathy when they practice or engage in effortful training.[x]
In another study, some 42 couples involved in a romantic relationship completed a five week empathy training program. The change in empathy was assessed by measured analyses of variance. The assessment reproduced the positive results of earlier findings. The training produced reliably increased empathic interaction between the partners. Scores on three empathic measures improved over a follow up six month period.[xi]
Further evidence that empathy is trainable is available in “The Roots of Empathy” (ROE). This is a formal program developed by Mary Gordon and colleagues in Canada.
First started in 1996 and introduced into U.S. schools in 2007, the ROE program has been featured on the Public Broadcasting System (PBS) in the USA. ROE aims to build more peaceful and caring communities by expanding empathy in children.[xii]
The program targets elementary school classes, and consists of weekly visits to the class room by a new born baby and the baby’s mother for an entire school year. The group sits in a circle and the mom and baby interact, accompanied by a conversation about the life of the baby, biologically, psychologically, and socially.
The empathy lessons are elementary—unless you do not happen to have ever been exposed to a baby or the empathic care of one. Babies cry when they are hungry or wet or cold; they coo and gurgle and giggle when they are content and happy.
Some lessons are elementary; some, sophisticated, engaging with human development, of which the baby is Exhibit A, as the baby grows throughout the school year.
The roots of empathy are present in front of the class: the baby. The powerful presence of the baby calls forth the emotional resonance, natural curiosity, and wonder of the children. The baby provides the empathy lessons, in effect being the teacher. The baby provides the opening for conversations with the children about human development, socialization, and building a community. The vast majority of human beings are naturally inspired to care for a baby. Whether people know how to deliver such care effectively is a separate issue, requiring separate training. A complex species, these humans: human beings are naturally empathic just as they are also naturally aggressive.
At the heart of this kindergarten through 8th grade program is the goal of dialing down aggressive behavior patterns in children at an early age, in particular, curbing bullying (about which more in an entire chapter below). For example, roughly 160,000 children miss school every day “due to fear of an attack or intimidation by other students,” according to the National Education Association.
The program also documents an 11% improvement in standardized achievement tests for the class that is exposed to the Roots of Empathy intervention.[xiii] This is definitely not a predictable result. It should put us in touch with the humbling sense that there are many things that we do not even know we do not know.
When kids get the empathy to which they are entitled, they study harder and work smarter. When bullying is reduced, kids are less fearful, are less distracted, have more fun, and are able to study. When they study harder and smarter, they get improved scores.
The results of the program are “over the top” positive; and since this is the age of evidence-based everything, the program also spend a lot of cycles gathering key metrics on the results of the roots of empathy. A randomized control trial was conducted.
Findings indicated that children who had participated in the program compared to children who had not, were more advanced in their social and emotional understanding on all dimensions assessed. These included emotional understanding, perspective-taking, peer acceptance, classroom supportiveness, pro-social behavior and characteristics. Concomitant reductions in aggressive behaviors and increases in pro-social behaviors (e.g., helping, sharing, cooperating) were noted.
In particular, teachers rated three child (student) behavior outcomes (physical aggression, indirect aggression, and pro-social behavior). The Roots of Empathy program had statistically significant and replicated beneficial effects on all three child behavior outcomes.[xiv]
Peer reviewed research is compelling, but equally compelling are market dynamics: organizations are voting with their dollars that empathy is trainable.
People with chronic life style diseases such as hypertension (high blood pressure), type 2 diabetes, congestive heart failure, asthma, and so on, enjoy statistically favorable outcomes when their physicians show empathy—a fancy way of saying people “get better.”
Relying on such evidence, a company called “Empathetics” has been founded to train medical doctors in expanding their empathy.
Using intellectual property developed at Massachusetts General Hospital, affiliated with Harvard University, Empathetics, Inc. trains physicians in expanding their empathy through the use of biofeedback.
The CEO, Helen Riess, MD, delivered a Ted Talk about the value of empathy in health care.[xv] Dr. Riess and her colleagues at Mass General performed a meta analysis of the effects of empathy on all kinds of diseases.
Dr. Riess (and her colleagues) report on randomized controlled trials (RCTs) in adult patients, in which the patient-clinician relationship was systematically monitored and healthcare outcomes were either objective (e.g., blood pressure) or validated subjective measures (e.g., pain scores). Those doctors (and related professionals) that scored higher on the empathy screening tests had demonstrably better patient outcomes than those with lower empathy scores.
Three trials included patients with diabetes, two included patients with osteoarthritis. Other disorders included fibromyalgia, oncology, lower respiratory infection, osteoarthritis, hypertension, smoking, somatic complaints, and asthma. The median patient sample size was 279 (range: 85 to 7,557). That’s a lot of people.
In summary, empathic doctoring produces favorable results. Patients get better compared with those whose doctors who do not score as well on the applied empathy scale. A word of caution. Correlation points to a significant path to improved outcome through empathic relatedness, but, at least in the context of this study, correlation is not causation.
Using the language of evidence-based medicine is trending. The “effect size” of empathy is so large that it overwhelms any confounding variables that might be hiding beneath the surface of experience. Thus, empathy fits right in with the trend. The results are compelling. Applying empathy in interacting with the vast majority of people is like using penicillin to treat the vast majority of significant bacterial infections. Applying empathy in interacting with people is like using a parachute when jumping out of an airplane. If you don’t do it, you are headed for trouble.
Common factor, empathy, in social healing practices
Psychotherapy is regarded as an example of a social healing practice. Psychotherapy is a conversation for possibility between two persons, one of whom is dealing with difficult personal issues and emotions and another person who is committed to making a difference through empathy.
Experience shows that physical disorders, injuries, and lesions get elaborated psychosocially. This is not just hypochondria or imaginary disorders that are “in someone’s head.” This is lower back pain, migraines, life style disorders such as type 2 diabetes, asthma, and irritable bowel that are aggravated by job, family, and relationship issues (conflicts, stresses, upsets) in a person’s life. Nutrition and exercise are behavioral practices that positively affect health, but can be difficult to influence.
People have different ways of expressing their pain and suffering. When an investigation of the person’s life indicates that non-biological factors are contributing to the person’s decline or distress, then it is useful to engage an alternative point of view on pain and suffering. It is useful to undertake an inquiry without making too many assumptions that one knows what is actually going on. It is useful to have a conversation for possibility.
The first person to undertake such an inquiry of whom we have any record was named “Socrates.” His student, Plato, wrote down what Socrates had to say, the most famous statement of which was that he knew only one thing: “I know that I do not know.” Socratic’s approach was so powerful that he was able to undertake fundamental inquiries that challenged his own inauthenticities and those of the persons with whom he engaged in dialogue. His questioning led to insights about basic values of truth, right and wrong, pleasure and enjoyment, and the organization of the community. The example of Socrates inspired talk therapists of all kinds—not to mention religious leaders, politicians of integrity, and educators in diverse disciplines.
The word “empathy” does not occur in Plato’s dialogues with Socrates, who instead spoke of being a “midwife” of ideas. When a friend of mine read this account of Socrates as a midwife, he shared with me an anecdote from when he was a medical student. He was walking through the hospital maternity department one evening after class. As he passed an open door, one of the patient’s called out to him. She was in labor and she asked his help. As he told me candidly, at that time in his medical training, he knew nothing about childbirth. Thus, as far as he was concerned, the qualification of Socratic ignorance was satisfied.
My friend asked the woman how he could help. She asked to hold his hand. He thought to himself, “Now this I know how to do!” He held her hand for awhile. She pushed and pushed. The result was a healthy baby boy. How or why the woman was left alone, and what further help arrived was not specified.
My friend cited this as an example of empathic understanding that just shows up spontaneously. In his recollection this was an example of empathy at a moment of crisis to which no words were adequate. I would say the woman was training him in being empathic, and the empathy lesson worked just fine.
Socrates did not claim to produce original knowledge himself. But he acted as a midwife for others, who were trying to give birth to sustainable, viable knowledge. In terms of empathic understanding, Socrates exemplified the commitment to new possibilities as opposed to conformity. Socrates made the case for dwelling in the comfort-zone stretching, discomfort of open-ended inquiry in the face of “being right.” He helped his dialogue partners give birth to ideas of their own and distinguish those ideas that are viable from those that are still-born.
Socrates enjoyed a special relationship with his students and colleagues. He had a special rapport that was a combination ofidealization and affection that set him apart from many of the other teachers of his time, called “Sophists.” The latter were masters of argumentation and rhetoric for hire.
The sophists were perhaps the original purveyors of “alternative facts” and “fake news.” Socrates’ relationship with the sophists in the community was not positive. He spoke truth to power in such a way that those in power were deeply threatened. Some of those in authority came to fear and hate him.
Eventually Socrates was indicted and convicted, in a trial of questionable merit, of a crime against the state, corrupting the youth. For reasons that are still controversial today, Socrates decided to drink the hemlock instead of fleeing into exile, becoming a martyr to prejudice and political intrigue.
Nevertheless, the principles that Socrates espoused have become the basis for talk therapy—and overcoming resistance to empathy. To engage in therapy with human beings in their struggle with emotional pain and suffering requires: providing a gracious and generous listening and an authentic human response; inquiry into possibility and open-ended questioning; an alliance between the therapist and client against the disorder and suffering against which the client is struggling; and an understanding of cultural context and community.
Amid an alphabet soup of therapeutic approaches today, the Socratic method of inquiry stands out as a common factor. It is challenging to try to find something in common between cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), eye movement desensitization routine (EMDR), rational emotive behavioral therapy (REBT), acceptance and commitment therapy (ACT), psychodynamic therapy, psychoanalysis, existential and humanistic psychotherapy, and so on.
“Common factor” is an idea given credibility by Jerome and Julia Frank in their book on Persuasion and Healing.[xvi] The Franks debunk not only psychoanalysis, but also many of the alternative therapeutic approaches. The Franks’ position is that the beneficial results of therapy are a function of persuasion and suggestion. The therapist is applying his or her own empathic and emotionally generous personality in the context of the trusted relationship, committed to healing, to persuade the client to alter his habitual life practices in the direction of behaviors that are adaptive, accommodating, and empowering. The hypnotists called it “the rapport”; modern practitioners, “the therapeutic alliance.”
However, the point here is not to back into an advertisement for empathy. Rather the point is to look at what actually happens in stage one of therapy whether it is CBT, DBT, or one of the diverse talk therapies. Each of these interventions, after establishing a framework around schedule and fee, takes steps to deepen and expand the client’s “in touchness with” his or her own experiences. In DBT this is called “mindfulness”; in psychoanalysis, “free association”; in CBT and REBT, identifying and “interrupting the pathogenic thought”; in existential-humanistic therapy and ACT, “radical acceptance” of what’s so.
This “getting in touch with” is also the first step in becoming more empathic, and so highly relevant to empathy training. One has to be in touch with one’s own experiences in order to appreciate how the other person shows up in one’s vicarious experiences of that other person. In short, empathy is a common factor shared by virtually all approaches to talk therapy.
The problem is that grouping empathy with “common factors” has become a way of dismissing empathy. All the interventions share empathy. It occurs on all sides of the multi-dimensional equation, and so empathy itself cancels out. Empathy falls out of the equation—and out of the discussion.
I suggest an alternative point of view.
What if empathy were the very process that was creating the benefit—and the very equation itself—for each of these supposedly distinct interventions? What if empathy were the very thing that was creating the clearing for EMDR, ACT, and so on, to be effective in the person’s shifting out of stuckness, attachment to suffering, emotional disregulation, self-defeating behavior, or repetitive enactment?
What if empathy was not the idle wheel, falling out of the equation, but the drive shaft? What if the techniques of CBT, DBT, ACT, EMDR, and so on, were themselves so much formal scaffolding, providing a ritual framework for the dynamics of the empathic relatedness to have its effect?
Following the baton or dancing light in EMDR would be something to keep the client distracted while he was verbally expressing his experience of the trauma into the gracious listening of the therapist.
Filling out the paperwork, the surveys, and the homework of CBT would be so much busy work designed to keep the client’s mind off of his anxiety and depression for long enough for the therapist’s empathic responses to the client’s issues to have an impact.
The breathing in and out of mindfulness, literally a metaphor for empathy as oxygen for the soul, would be a useful holding pattern enabling the client to get in touch with his experience so he can communicate it to the therapist and be “gotten” for who he is as the possibility of radical acceptance in empathic understanding.
The “tough love” of DBT and the group skills back-and-forth would be a useful distraction for the client’s intolerable emotions until the therapist was either able to get it right with his empathic interpretation or the client exhausted the payer’s twelve approved sessions. Then, in every case, the empathic exchange as it occurs in the conversation between therapist and the client would be what is making the difference.
More work is definitely needed on this hypothesis. Nor is it likely to be an “either/or” matter. CBT’s “trigger log,” “dysfunctional thinking report,” and “daily thought record,” are useful exercises. Highly useful. It is just that, absent empathy, the CBT process is indistinguishable from dental work—and then the client does not even do the “homework.” What would an evidence-based comparison between empathic and alternative interventions even look like?
The client comes in, and the therapist greets him with a standard human response, using all her abilities to understand and grasp that with which the other person is struggling. Is one supposed to compare being empathic with being rude? With being hard-hearted? With being confrontational? With misunderstanding the other person? With being stone-faced and unemotional? All of these are possibilities. The stone-faced option has actually been tried, but not with adults presenting for therapy. Presumably because it would be a short session. The adults would not stand for it, and most (possibly excepting the masochistic) would get up and walk out.
However, it has been tried with infants in the context of attachment studies. When infants are briefly presented with a “still face,” a blank face from which emotion has been removed on the part of care-takers, who are usually warm and welcoming, the infants become noticeably upset. Some start to fuss; others, to cry. So do most people, whether in personal or experimental situations such as being on “candid camera.” Babies and children of tender age are people, too, and I suggest that their response is an example of a standard human one, albeit without any grammatical use of language, and typical of what one might expect from adults.
What is clear is that an overwhelming number and diversity of psychotherapy approaches engage in the use of empathy. This is so even when these interventions allow empathy subsequently to fall out of the equation as a “common factor.”
Even if the approach in question devalues empathy as a narrow psychological mechanism, it has to endorse its use, because when empathy is absent, generally, positive outcomes are also absent. Those few interventions that devalue empathy—electro shock therapy (ECT), shaming, jail, capital punishment, collective shunning—begin by paying it rhetorical lip service. The result? The amount of aggregated experience that indicates that empathy is an effective intervention is vast and arguably sufficient to overcome any hidden, confounding variables.
Judgments based on clinical practice, tacit knowledge, and deep life experience will continue to have a essential role; however, these need to be qualified by the best available evidence. As noted, the issue is that there are some interventions such as penicillin and using a parachute when jumping out of an airplane that seem to limit or even defy the gold standard. It would be unethical not to give someone penicillin if they were infected with an infection serious enough to require such treatment, since it is a matter of historical accident that penicillin was invented prior to the “evidence based” paradigm shift. And, as regards using a parachute, that case is the reduction to absurdity of not using common sense as a criteria in deciding what counts as evidence. What is going on here? The answer bears repeating for emphasis: The effect size is so large that it outweights and overwhelms any hidden confounding factors and so rises to the level of evidence (without quotation marks). [xvii]
The “effect size” is a function of the facts—the evidence—that there are so many examples and so much experience that penicillin works—that parachutes work—that the risk of one’s over-looking some other confounding variable is vanishingly small. It really was the penicillin, not (say) the effects of the alignmnet of the planets hidden behind the penicillin.
Likewise, with empathy. The use of empathy in human relations is demonstrably so effective in the medical and behavioral health world in question that not to apply empathy would be like not prescribing antibiotics against a bacterial infection. Empathy has been effective in shifting the suffering and transforming the psychic pain throughout history. The criticism of empathy has usually been that it results in burnout and compassion fatigue. But penicillin, too, has to be properly dosed, and people allergic to it excluded, or the results will be unpredictable.
In conclusion, the critical path lies through empathy training: empathy is not an on-off switch but a dial/tuner that requires training to get it just right. Examples of peer-reviewed publications exist in which empathy was shown to be effective (in comparison with less empathy) in correlating with favorable outcomes in diabetes, cholesterol, and the common cold (?!) and are cited in the bibliography (and will be further engaged in Chapter Six of Empathy Lessons).[xviii] Expect this work to expand and gain traction in other areas such as psychiatry and cognitive behavioral therapy.
In short, not to begin with empathy would be like jumping out of the airplane without a parachute or not providing penicillin when the infection was bacterial. If you are jumping out of an airplane, use a parachute; if engaging with struggling, suffering humans, use empathy.
[i] W.R. Miller, R.G. Benefield, J.S. Tonigen. (1993). Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles, Journal of Consultative Clinical Psychology, June; 61 (3): 455-61: 455.
[ii] Jay S. Coke, Gregory Batson, Katherine McDavis. (1978). Empathic mediation of helping: A two-stage model, Journal of Personality and Social Psychology 36(7):752–766. DOI: 10.1037/0022-3514.36.7.752; Mark H. Davis, Laura Conklin, Amy Smith, Carol Luce. (1996). Effect of perspective taking on the cognitive representation of persons: A merging of self and other, Journal of Personality and Social Psychology, Vol 70(4), Apr 1996: 713–726.
[iii] Ofer Golan and Simon Baron-Cohen. (2006). Systemizing empathy: Teaching adults with Asperger syndrome or high-functioning autism to recognize complex emotions using interactive multimedia, Development and Psychopathology 18, 2006: 591–617. DOI: 10.10170S0954579406060305; J. Hadwin, S. Baron-Cohen, P. Howlin, and K. Hill. (1997). Does teaching theory of mind have an effect on the ability to develop conversation in children with autism? Journal of Autism and Developmental Disorders, 27: 519–537. DOI:10.1023/A:102582600 9731.
[iv] Geir Smedslund, Rigmor C. Berg, Karianne T. Hammerstrom, Asbjorn Steiro, Kari A Leiknes, Helene M Dahl, Kjetil Karlsen. (2011). Motivation interviewing for substance abuse, Cochrane Database of Systematic Reviews, May 11, 2011, Issue 5: CD 008063. DOI: 10.1002/12651858.CD008063.pub2.
[v] C.T. Ozcan, F. Oflaz, B. Bakir. (2012). The effect of a structured empathy course on the students of a medical and a nursing school, International Nursing Review, Vol. 59, Issue 4, December 2012: 532–538. DOI: 10.1111/j.1466-7657.2012.01019.x.
[vi] Scott Brunero, Scott Lamont, Melissa Coates. (2010). A Review of empathy education in nursing, Nursing Inquiry: Vol. 17, Issue 1, March 2010: 65–74.
[vii] 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.
[viii] E.V. Pecukonis. (1990). A cognitive/affective empathy training program as a function of ego development in aggressive adolescent females, Adolescence, Vol. 25: 59–76.
[ix] Mark E. Therrien. (1979). Evaluating empathy skill training for parents, Social Work, Vol. 24, no. 5 (Sep 1979): 417–19.
[x] Tony Chiu, Ming Lam, Klodiana Kolomitro, Flanny C. Alamparambil. (2011). Empathy training: Methods, evaluation practices, and validity, Journal of MultiDisciplinary Evaluation, Vol. 7, No. 16: 162–200.
[xi] J..J. Angera and E. Long. (2006). Qualitative and quantitative evaluations of an empathy training program for couples in marriage and romantic relationship, Journal of Couple & Relationship Therapy, Vol. 5(1): 1–26.
[xii] PBS staff reporter. (2013). Using babies to decrease aggression and prevent bullying. PBS News Hour: http://www.pbs.org/newshour/rundown/using-babies-to-decrease-aggression-prevent-bullying/
[xiii] PBS staff reporter 2013.
[xiv] Mary Gordon. (2005). The Roots of Empathy: Changing the World Child by Child. New York/Toronto: The Experiment (Thomas Allen Publishers): 250–256.
[xv] Helen Riess. (2013). The power of empathy, TEDxMiddlebury: https://www.youtube.com/ watch?v=baHrcC8B4WM [checked on March 23, 2017]. See also: John M. Kelley, Gordon Kraft-Todd, Lidia Schapira, Joe Kossowsky, Helen Riess. (2014). The influence of the patient-clinician relationship on healthcare outcomes: A systematic review and meta-analysis of randomized controlled trials, PLOS, Vol. 9, No. 4 | e94207: 1–7 Helen Riess, John M. Kelley, Robert W. Bailey, Emily J. Dunn, and Margot Phillips. (2012). Empathy training for resident physicians: A randomized controlled trial of a neuroscience-informed curriculum, Journal General Internal Medicine. 2012 Oct; Vol. 27(10): 1280–1286. DOI: 10.1007/s11606-012-2063-z.
[xvi] Jerome D. Frank and Julia B. Frank. (1981). Persuasion and Healing: A Comparative Study of Psychotherapy. 3rd ed. Baltimore: Johns Hopkins University Press; 1991. I express appreciation to Danny Levine, MD, for calling my attention to this outstanding contribution from the Franks. Also see my A Rumor of Empathy: Resistance, Narrative, and Recovery (2015) for a critique of the psychopharmacological (psychiatric) approach in chapter three “Plato, Not Prozac!” (a title that I borrow from Lou Marinoff (2000), who I hereby acknowledge for his contribution).
[xvii] Howick 2011: 5, 11.
[xviii] Howick 2011; M. Hojat et al, 2011; John M. Kelley, Helen Riess et al 2014); David P. Rakel, Theresa J. Hoeft, Bruce P. Barrett, Betty A. Chewning, Benjamin M. Craig, and Min Niu. (2009). Practitioner empathy and the Duration of the common cold, Family Medicine 41(7): 494–501.
(c) Lou Agosta, PhD and the Chicago Empathy Project
Lou Agosta, Ph.D., Listening With Empathy 