Listening With Empathy

March 18, 2012

Call for Participation: Empathy Conference

What is empathy and what do we need it for?

At Södertörn University August 16-18, 2012, arranged by Centre for Studies in Practical Knowledge

The last ten years we have witnessed an exploding interest in the phenomenon of empathy. The wave of empathy studies is psychology, philosophy, psychiatry and other disciplines is linked to a parallel theoretical interest in the phenomena of feeling, selfhood, inter-subjectivity and morality, but also to practical attempts to understand and improve meetings between workers and clients in different professions, such as health care professions, teaching professions, psychotherapy or social work. To be empathic is increasingly viewed as a must for any person working in cooperation with and/or helping other people, although, as is also pointed out, the empathy must be professional in character to not produce destructive intimacy or burn out. The question of what “professional empathy” might be and how it is possible, or, indeed, fruitful to attain such ability is an interesting one in itself.

The theoretical underpinnings of empathy studies roughly divide it into two camps: the theory-theory approaches, and the simulation-theory approaches. The ideas that to have a theory of mind or an ability to put oneself in the shoes of another are necessary for empathy can serve either as philosophical clarifications of empathy or as taken for granted starting points of the empathy studies; in both cases, however, it is becoming increasingly evident by way of empirical results as well as conceptual clarification that the two approaches are relying on ideas of inter-subjective understanding which do not get the relationships between feeling, thought and action in empathy exactly right. To be empathic does not seem to consist in being able to think that the other is like me, or imagining what it is like to be him, in feeling or acting on his behalf. It is true that most adults that show empathy are able to think and imagine that the other is like me and what it would be like to be in his predicament, but this is neither necessary nor sufficient for being empathic. Rather these two abilities can reinforce and develop an empathic attitude which in its basic form is developed as a feeling in its own right.

To talk about affective and cognitive empathy as two parts or stages of the phenomenon does not solve the issue of how the two belong together, and it, indeed, seems to leave the account of action (acting in order to help the person one feels and understands is suffering) out of empathy altogether. Most suffering persons would surely prefer a fellow being who actually does something for them in contrast to just telling them that they understand and feel sorry for them. This issue connects the discussion of what empathy is to ethics. Is empathy a corner stone of morality, perhaps a necessary constituent in the makeup of every moral subject, or is it rather a bad substitute for ethical concepts such as respect and responsibility, allowing people to think and say that they really know what it is to be in the position of the other, and perhaps, also, to feel sorry for the other rather than doing anything about his suffering?

In the conference we want to gather academics and practitioners from different disciplines who try to move beyond (not beside) the theory-theory and the simulation-theory approaches to empathy. We want to address the question of what empathy is from an empirical as well as theoretical perspective, and we want to connect the issue to what role empathy serves in the development of human beings as well as the exercise of human based professions. Abstracts for presentations addressing these issues and not exceeding 600 words should be sent to the conference secretary martin.gunnarson@sh.se no later than the 15 of April (2012). Final program will be distributed in May 2012.

Fredrik Svenaeus and Martin Gunnarson

Keynote speakers:

Lou Agosta, Chicago School of Professional Psychology

Thomas Fuchs, University of Heidelberg

Jodi Halpern, University of California Berkeley

Matthew Ratcliffe, Durham University

Jan Slaby, Freie Universität Berlin

Speaking personally (and this is Lou Agosta speaking), I struggle with a misunderstanding about my work in empathy studies. When I say that I work on empathy that sometimes lands int he listening of the audience as if empathy were only over here with me and “over there” with the audience was a need for more or better or different empathy. This is misunderstanding. Empathy does NOT belong to any one individual. It lives in the relatedness between speaker and listener. It lives in the community. Empathy in any form or context causes expanded empathy in every form and context.

September 14, 2011

The Chicago Empathy Project is Live!

The commitment of the Chicago Empathy Project (CEP) is to expand the application of empathy in human relatedness. In particular, the commitment is to provide an opening for the exchange of ideas in a context of empathic human relations by delivering motivational presentations, inspirational conversations, training, workshops, and psychotherapy services to the professionals in the mental health, education, and business communities. This post is a call for participation and an invitation to provide leadership in designing and implementing the Chicago Empathy Project (CEP).

The CEP project acknowledges and promotes the value of empathy engaging competing approaches to restoring emotional well being including Talk Therapy, Cognitive Behavior Therapy (CBT), and psychopharmacology. All three benefit from a foundation in empathy. The possibilities for interdisciplinary networking and interdisciplinary research are significant based on a foundation in empathy. Lining up the optimum therapy with a given individual remains an interdisciplinary art requiring experience, skill, and learning. However, the pendulum has swung far-too-far away from the breakthrough results of the work on empathy (initiated by Heinz Kohut and his colleagues including Michael Basch, Arnold Goldberg, Mark Gehrie, and Ernest Wolf). Empathy is alive and well at dedicated centers of excellance such as The Chicago Institute for Psychoanalysis where Kohut made his mark. But few know about this or have access to it, notwithstanding generous out reach programs. Other dedicated mental health professionals are becoming the shoe maker’s children, living off the worried well. Even psychiatrists (MDs) with a psychodynamic interest find it hard to practice talk therapy (psychotherapy) due to market pressures, declining insurance reimbursements, and the mis-education of the public to expect behavior modification and psychotropic pills to be a silver bullet. Personal dissatisfaction, emotional upset, and despair over the future are growth industries.With apologies to Melanie Klein (a famous psychoanalyst), the CEP refuses to endorse the paranoid position. There is nothing wrong. However, there is something missing – empathy. Expanded empathy is the requirement and commitment.

The Chicago Empathy project bears witness to one fundamental approach: absent a warm, generous, empathic listening, psychotherapy is hard to distinguish from dental work. It can be painful. A gracious, generous, empathic listening provides access to the inner, emotional life of the other person and, with conditions and qualifications, can jup start the process of emotional healing and recovery. This extends (once again with conditions and qualifications) to applications of CBT and psychopharmacology, especially given the side effects of the latter. Though empathy is not a silver bullet (even as the search for one continues), empathy makes a profound difference in the quality of the caregiver-patient experience, the quality of the student-teacher relationship, and the quality of the consumer-business engagement. As every mother of a newborn, every parent, and every caretaker knows, empathy is a natural ability with which all human beings are born; no university degree or license is required to be empathic, though training and education can make a substantial difference in developing the competence. The Chicago Empathy project empowers people through conversations, presentations, workshops, and one-on-one psychotherapy to expand the use of empathy in human relatedness. The result is developing zones of human understanding, possibility, relatedness; the unblocking of obstacles to personal growth and the restarting of human potential and growth; and the transformation of suffering and emotional upset into creativity, humor, wisdom, and expanded empathy.  Full disclosure: This project is a work in progress and its creation and implementation are the result of the contributions of the engaged, participating community. Full disclosure: as I write this, I do so as someone who has been on both sides of the therapist/patient interface as well as the therapist/client one. It is going to sound a tad like bragging here at the backend but if not now when? … Additional qualifications for commenting on what to look for in an empathy project is that my works on empathy are footnotes in Goldberg, Wolf, and Basch (see bibliography below).  This project charter is not complete nor is my knowledge and experience; all the usual disclaimers apply; so the reader’s [your] feedback, criticism, experiences, impertinent remarks, and contribution are hereby requested. This project needs – a web site of its own; a high profile leader with name recognition; individual narratives of how empathy makes a difference; brain storming; speaking opportunities; consulting engagements; training assignments; community engagement. Please let me hear from you.

Bibliography

Agosta, Lou. (2010). Empathy in the Context of Philosophy.London: Palgrave/ Macmillan.

__________. (1984). “Empathy and intersubjectivity,” Empathy I, ed. J. Lichtenberg et al.Hillsdale,NJ: Lawrence Erlbaum Press.

__________. (1980). “The recovery of feelings in a folktale,” Journal of Religion and Health, Vol. 19, No. 4, Winter 1980: 287-97.

__________. (1976). “Intersecting language in psychoanalysis and philosophy,” International Journal of Psychoanalytic Psychotherapy, Vol. 5, 1976: 507-34.

Basch, Michael F. (1983). “Empathic understanding: a review of the concept and some theoretical considerations,” Journal of the American Psychoanalytic Association, Vol. 31, No. 1: 101-126. (See p. 114.) .

Gehrie, Mark (2011). “From archaic narcissism to empathy for the self: the evolution of new capacities in psychoanalysis,” Journal of the American Psychoanalytic Association, Vol. 59, No. 2: 313-333.

Goldberg, Arnold. (2011). “The enduring presence of Heinz Kohut: empathy and its vicissitudes,” Journal of the American Psychoanalytic Association, Vol. 59, No. 2: 289-311. (See  pp. 296, 309.) .

Kohut, Heinz. (1984). How Does Analysis Cure? Chicago: University of Chicago Press.

Wolf, Ernest S. (1988). Treating the Self.New York: The Guilford Press. (See pp. 17, 171.)

This post and all contents of this site (c) Lou Agosta, Ph.D. and the Chicago Empathy Project

April 15, 2011

Live from Division 32 (the Humanistic Psychology Conference, Chicago)! Empathy and Existential Psychotherapy

And here is the presentation delivered Sunday April 17, 2011:

CHPCases20110306

Empathy is fundamental to an account of the dynamics of emotions in that empathy is responsible for a person’s emotional equilibrium, homeostasis, balance. Speaking in the first person, without another’s empathic regard for me, I cannot get my emotional bearings. We see this most clearly when, for whatever reasons, a person’s emotional equilibrium has been upset or lost. Without the other’s empathic regard for the person, he or she cannot get back the emotional balance that has been lost. The individual may, indeed will, “crash and burn” emotionally until she is able to comfort herself enough to regain her composure. The person being emotional is whip-sawed from one overwhelming affect and instance of emotional behavior to another. It is the other’s intervention, which consists not just in saying “There, there, I understand,” but in really understanding, in being open to the experience as a vicarious experience that hits one palpably, albeit less powerfully than it impacts the other, that makes the difference in recovering emotional composure.

Since this is a blog post, I end on a personal note. As I write this, I do so as someone who has been on both sides of the therapist/patient interface as well as the therapist/client one. It is going to sound a tad like bragging here at the backend but people might really be wondering …  In addition to substantial work on Heidegger, the phenomenologists, and existentialists, qualifications for commenting on what to look for is that my works on empathy are footnotes in the self psychologists Goldberg, Wolf, and Basch (see bibliography below).  This list of what factors are on the critical path is not complete nor is my knowledge and experience; all the usual disclaimers apply; so your feedback, criticism, experiences, impertinent remarks, and comments are hereby requested. Please let me hear from you.

Bibliography

Agosta, Lou. (2010). Empathy in the Context of Philosophy.London: Palgrave/ Macmillan.

__________. (1984). “Empathy and intersubjectivity,” Empathy I, ed. J. Lichtenberg et al.Hillsdale,NJ: Lawrence Erlbaum Press.

__________. (1980). “The recovery of feelings in a folktale,” Journal of Religion and Health, Vol. 19, No. 4, Winter 1980: 287-97.

__________. (1976). “Intersecting language in psychoanalysis and philosophy,” International Journal of Psychoanalytic Psychotherapy, Vol. 5, 1976: 507-34.

Basch, Michael F. (1983). “Empathic understanding: a review of the concept and some theoretical considerations,” Journal of the American Psychoanalytic Association, Vol. 31, No. 1: 101-126. (See p. 114.) .

Gehrie, Mark (2011). “From archaic narcissism to empathy for the self: the evolution of new capacities in psychoanalysis,” Journal of the American Psychoanalytic Association, Vol. 59, No. 2: 313-333.

Goldberg, Arnold. (2011). “The enduring presence of Heinz Kohut: empathy and its vicissitudes,” Journal of the American Psychoanalytic Association, Vol. 59, No. 2: 289-311. (See  pp. 296, 309.) .

Kohut, Heinz. (1984). How Does Analysis Cure? Chicago: University of Chicago Press.

Wolf, Ernest S. (1988). Treating the Self.New York: TheGuilford Press. (See pp. 17, 171.)

This post and all contents of this site (c) Lou Agosta, Ph.D. and the Chicago Empathy Project

April 10, 2011

Empathy is the new love – and what that means!?

You know how in the world of high fashion grey is the new black? Well, empathy is the new love. Okay, enough with the tenuous humor. What does this mean? Culturally? Politically? Psychodynamically? Polemically? Critically?

Culturally, the context is a conversation in the popular press about empathy. 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 (2009) explores empathy between humans and higher animals; J.D. Trout’s The Empathy Gap (2009) considers empathy and social justice from the perspective of Ignatian Humanism; Jeremy Rifkin’s The Empathic Civilization (2009), now reportedly at $11 dollars, an 800 page 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 (2010) establishes correlations between sensations, affects, and emotions using functional magnetic resonance imaging technology; Simon Baron-Cohen’s Zero Degrees of Empathy (2011) considers the role of empathy in cruelty and diseases of empathy such as psychopathy and autism. Thomas Farrow’s Empathy in Mental Illness (2007) drills down scientifically on the latter diseases of empathy. At the risk of bragging – but if not now, when? – my own empathy book is hard but worthwhile and belongs in the extreme scholarly bucket (see side bar on this web site) as does my refereed on-line “Empathy and Sympathy in Ethics” (http://www.iep.utm.edu/emp-symp). Politically, President Obama continues to drop references  to “empathy” into his speeches, calling out “empathy” as a criterion for US Supreme Court nominees as well as “empathy” in the wake of the mass killings that also wounded Representative Giffords.  Obama’s books contain numerous references to empathy, which, for him means roughly “apply the criterion of how your actions make the other feel and do so prior to acting” as he was reportedly taught by his Mom. You cannot buy publicity like it at any price. This is the context for the discussion of empathy as the new love – what people really want (and what that means).

The main assertion? Under one interpretation of contemporary human relations, people reportedly want love more than anything else. Love is a many-splendored thing including: bonding between neighbors as a kind of Christian agape and the foundation of community; never having to say you’re sorry; just another four-lettered word, which is not the same as sublimated sexuality (itself yet another meaning of “love”) since as a four-lettered word there is no sublimation, it’s just hormones all the way down; the target of narratives about completing the human spheroid in Plato’s Symposium; the last, best hope of happiness. Now fast forward from the days of Erich Fromm’s The Art of Loving (1963) through Alex Comfort’s The Joy of Sex (1974) to today. The argument of this post is that what people “really” want more than anything else is to be gotten for who they are – i.e., people want empathy. This is an unexpressed and undeclared commitment; and something of which most adults are only dimly aware until they get some and discover, “Oh, that’s really cool. It seems to work. May I have another?” Of course, it’s not an exclusive either-or choice; and people still want to be loved too. Just not quite as much as they want to be gotten empathically for who they are. People can get love from Hallmark Cards or from the Internet. There is really a glut in the market for love, though many issues remain with quality. Like any mass product, the quality is questionable. Really fine love remains a scarce commodity in the final analysis. Empathy is a relatively even rarer capacity in the market – though, truth be told, it is common to every mother (or care-taker) or a new born child. We will set aside this paradox for a future post to further consider adult empathy.

In the context of psychodynamic psychotherapy, absent empathy, psychotherapy is hard to distinguish from dental work. It is painful. Is it any wonder that people are asking for psychotropic drugs as if they were an anesthetic. Is it any wonder that Talk Therapy has been in decline since Listening to Prozac was discovered by clients and insurance companies alike? Rare the person who says, “I prefer to do it the bloody hard way – let’s meet more times a week.” I hasten to add that if a person is developing a suicide plan, they should be encouraged (required) to take their sedatives and related medications (SSRIs, SNRIs, etc.).

In the psychodynamic context, this immediately inspires additional controversy. From the perspective of psychotherapy – whether self-psychology oriented, existential, or classical – given that empathy is the new love, if a therapist offers empathy does that mean he or she is offering love? It would be a mischievous distortion to say so or do so. Mischievous and wicked. In general, such a thing wouldn’t work, does not work, and is a non-starter. The “cure through love” is “wild” and a boundary violation – and it should be so dismissed. Still, there is a significant sense in which the idealization of the therapist by the client is related to the idealization that also occurs in love. This is a function of the transference. The transference of idealizing and aggrandizing attachments (connections) from the client’s other relations into the therapy and onto the person of the therapist. Simply stated, if love shows up as idealization in the transference, then so be it. The love in question is related to the client’s defense mechanisms, resistances, and historical patterns. It could also be related to the therapist’s counter-transference; but in either case it is independent of the therapist’s empathic methods of data gathering about how the client experiences love, hate, fear, anger, sadness, and happiness. Love, its idealization or aggradization, will get interpreted along with resistance using empathic methods.

Polemically, and with apologies to Melanie Klein, the suggestion that empathy is the new love invites resistance from the point of view of the paranoid position. No one is advocating an inappropriate “cure through love” (certainly not me). Still, an approach through empathy can inspire fear of non-conformity and dissent and “turn off” psychotherapists who think/feel more in terms of resistance. Some people are scared of empathy because it requires them to open up emotionally and contain another’s feelings, granted even if only in terms of vicarious experience (introspection). In other words, it isn’t just that clients haven’t yet found anyone as wonderful as the empathic psychotherapist, providing a gracious and generous listening. It is that psychotherapy training today is targeted at helping clients deal with and overcome their resistances, borne from prior disappointments, conflicts and deficiencies rather than promote empathy, creativity, humor, or wisdom. There are plenty of the former; less of the latter; and it is just plain more hard work to get both together and converged. The paranoid position goes immediately to “there must be something wrong”. If we are not interpreting resistance right away from the start and continuously, there must be something wrong. However, there is nothing wrong. Resistance happens. Tactically, it is useful and more effective to interpret (“undercut”) resistance in an empathic context. Still, while there is nothing wrong, there is something missing. Absent empathy, psychotherapeutic inquiry is indistinguishable from a root canal.

Critically, one of the classic texts on empathy is Heinz Kohut, How Does Analysis Cure? – the short answer is “empathy”; but it is not an easy read for the average, intelligent, upper class undergraduate. An easier choice on sustained empathy in the context of treatment might perhaps be Arnold Goldberg’s Being of Two Minds (1999), Ernest Wolf’s Treating the Self (1988), or even Bruno Bettelheim’s A Home for the Heart (1974) or The Uses of Enchantment (1975). I am unrepentant in my admiration for Bettelheim’s writing (but that is a story for another post). In addition to the above-cited books on empathy, the reader may find additional resources (papers, links, posts) on empathy on this web site. If you don’t read, see the movies Blade Runner, staring a young Harrison Ford, and The Lives of Others, about an apparatnikin the former Communist East Germany. In both, empathy plays a decisive role. The closing recommendation? If you are seeking psychotherapy services, make sure you ask about the capabilities of your prospective provider in the area of empathy. It is crucial to success. If you are a psychotherapist, get that button from the Hitchhiker’s Guide to the Galaxy and “Don’t panic!” Respectfully decline the paranoid position. There is nothing wrong here. There is nothing wrong with a conversation about empathy. There is plenty of resistance to interpret and empathy can provide an empowering context to do so. Finally, all the usual disclaimers apply. Is this popular psychology? Hey, this is a blog post – you bet it is.

Since this is a blog post, I end on a personal note. As I write this, I do so as someone who has been on both sides of the therapist/patient interface as well as the therapist/client one. It is going to sound a tad like bragging here at the backend but people might really be wondering and if not now when? …  In addition to long work on Heidegger, the phenomenologists, and existentialists, qualifications for commenting on issues of empathy is that my works on empathy are footnotes in the self psychologists Goldberg, Wolf, and Basch (see bibliography below).  This list of what factors are on the critical path is not complete nor is my knowledge and experience; all the usual disclaimers apply; so your feedback, criticism, experiences, impertinent remarks, and comments are hereby requested. Please let me hear from you.

Bibliography

Agosta, Lou. (2010). Empathy in the Context of Philosophy.London: Palgrave/ Macmillan.

__________. (1984). “Empathy and intersubjectivity,” Empathy I, ed. J. Lichtenberg et al.Hillsdale,NJ: Lawrence Erlbaum Press.

__________. (1980). “The recovery of feelings in a folktale,” Journal of Religion and Health, Vol. 19, No. 4, Winter 1980: 287-97.

__________. (1976). “Intersecting language in psychoanalysis and philosophy,” International Journal of Psychoanalytic Psychotherapy, Vol. 5, 1976: 507-34.

Basch, Michael F. (1983). “Empathic understanding: a review of the concept and some theoretical considerations,” Journal of the American Psychoanalytic Association, Vol. 31, No. 1: 101-126. (See p. 114.) .

Gehrie, Mark (2011). “From archaic narcissism to empathy for the self: the evolution of new capacities in psychoanalysis,” Journal of the American Psychoanalytic Association, Vol. 59, No. 2: 313-333.

Goldberg, Arnold. (2011). “The enduring presence of Heinz Kohut: empathy and its vicissitudes,” Journal of the American Psychoanalytic Association, Vol. 59, No. 2: 289-311. (See  pp. 296, 309.) .

Kohut, Heinz. (1984). How Does Analysis Cure? Chicago: University of Chicago Press.

Wolf, Ernest S. (1988). Treating the Self.New York: TheGuilford Press. (See pp. 17, 171.)

This post and all contents of this site (c) Lou Agosta, Ph.D. and the Chicago Empathy Project

Please get in touch with further questions or for further ideas. Let me hear from you.

November 14, 2009

The Disappearance and Rehabilitation of Introspection

Introspection extends from an attempt to isolate and report on an individual sensation such as the color or smell of a rose; to the account of a formal meditation or instructions on how to perform one, undertaken and published by Descartes, St. Augustine, St. Ignatius Loyola, and Pascal, often in the form of an inner dialogue; to the verbal thinking of child’s soliloquy as studied by Piaget and Vygotsky; to the unstudied talk of an individual lying back on a couch expressing whatever comes to mind to the psychoanalyst over his right shoulder, who uncannily is merged with the figures from the past; to what Heinz Kohut described as vicarious introspection, a definition of empathy. The latter work in particular suggests that the path to a full, robust understanding and deployment of empathy leads through the labyrinth of introspection, a candidate phenomenon that, according to some, either is unreliable and without its own phenomenology or is epiphenomenal. An engagement in detail will be required to clear the way to an understanding of how introspection provides the context for at least some forms of empathic data gathering, those highlighting the microstructure of the interrelation of two individuals. How this works out will require some effort to disentangle, and we begin by taking a step back to the early glory days of introspection and its fall from grace as a scientific method, following through with introspection as displaced perception, simulation, meditation (inner dialogue), free association, retrospection, evenly-hovering attention, and vicarious introspection:  CHEmpathyandIntrospection20081107 Please give me the benefit of your comments, criticisms, impertinent remarks, and penetrating feedback. All signed, authenticated comments will be acknolwedged (credited) in any subsequent publications that make use of them.

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