Association of Prior Metabolic and Bariatric Surgery With Severity of Coronavirus Disease 2019 (COVID-19) in Patients With Obesity - Elsevier Enhanced Reader
1B cmon gue
Debating Empathy: Historical Awareness and
Conceptual Precision
Dan Zahavi
ot ae 2028) 1-2
ne Raho 2022
an snytsunanesioreer
Cater or Subject Reser, Univesity of Copenhagen, Copehagen, Denmark
| welcome Murphy, Lilienfeld and Algoe’s eriicism of the
restrictive isomorphic matching (RIM) definition of
empathy, [think that definition fails to get to the heart of
‘what empathy is: that i, atleast in its most basic version,
has counterintuitive implications (sa petson who feels mur-
drous rage aller observing another person feeling murderous
‘age empathic”), and that there is a built-in tension between
the insistence on isomorphism and the simultaneous focus on
the preservation ofthe selEother distinction. I agree with the
authors’ claim that an imporant reason for the increasing popu
larity ofthe RIM definition isto be Found in the neuroscintitic
interest in empathy and in that discipline’ need for an opeatio~
nalizable concept. As they write, “Compared with its predeces-
som the RIM definition, static and restricted rather than
unfolding and highly complex, is easier 19 operaionalize in a
neuroimaging paradigm.” And T also think that much of the
recent push-back against empathy (eg, the work of Bloom)
's promised on an acceptance ofthe narrow RIM definition,
Inthe following, however, I want to focus an some points
of disagreement. The authors lament the ahistorical character
ofthe current empathy debate. People are often only discuss
ing publications from the Tast few decades and frequently
remain unaware of the intellectual heritage of the concept.
‘Tre authors then refer to work by Lanzoni and by Cottrell
and Dymond in support of the claim that the 1950s were
the deeisive decade. It was then that the term “empathy”
became common in public discourse, and it was only then
that academic psychology started to pay attention to
empathy. A central part of the atele then examines older
‘psychological work on empathy from 1950-1980 with ap
licuar focus on Rogers. The problem with this selection and
Focus is thatthe authors are thereby regrettably committing
the very mistake they are warning against. They are ignoring.
the history of the concept and atleast $0 years of academic
psychological work on empathy. 1 suspect some kind of
‘Anglocentie bias is behind this lacuna. The authors are for-
geting or are simply unaware af the rich debate that took
place in Germany. They rightly note that Tiehener translated
the German term Einfhlung as empathy. But for that very
reason, itis also a mistake to claim that “precursors of the
‘empathy’ construct” canbe found in weatments of
Einfihlung by Lipps and Stein. When Lipps, Stein,
Sicbeck, Volkelt, Witasck. Groos, Geiger, Prandtl and tater
Binswanger and Schilde (lo mention just a very few names)
were discussing Einfullung, they were precisely discussing
empathy (and not merely a precursor to i) and moreover
they were doing so in the context of academic psychology
(Gee, for instance, Geiger, I9IO/T). Why is this of more
than historical relevance? Because the merits and demerits
of a precursor of the RIM definition were already debated
then, Good arguments against the isomorphism requirement
were provided, arguments that have also been taken up and
employed agains the RIM definition more recently (se, for
instance, Zahavi & Overgaad, 2012; Zahavi & Rocks, 2015),
‘The authors object to the narrowness of the RIM defin-
ition, { agree with their eriticism, but I also think that the
alternative definition they provide is much to imprecise
Empathy is defined as imaginative porspective taking, other-
oriented caring and compassion, and a the effort to sympa.
thetially appreciate what another i feeling. The authors also
talk of empathy as involving a dynamic interplay between
Imagination and inference. They even write that they see
ro strong rationale for definitionaly separating empathy
and sympathy. I disagree with all of dhese claims. 1 think
tempalhy must be distinguished not only from sympathy,
tbat also from imaginative perspective taking and. fom
‘more inferentially based forms of mindreading (Zahavi
2011, 2014, 2017). In theie concluding discussion, the
‘authors write dha the hard core of empathy isa process of
imaginatively experiencing the subjective consciousness of
‘another, To support this claim, the authors then refer to
Halper's claim that empathy is a “perceptual” activity
‘But are imagination and perception the same thing? The
‘marked contrast toa least pat of the earlier German discus
sion is informative. What one finds inthe work of some of the
‘early empathy theorists is precisely an attempt to carefully
dlistinguish empathy (Eoyfililing), not only feom imagin-
ation, but also from processes such as emotional contagion
Careponding nto Bin abt Carer Sect eee, Uses of Copan Cnetsen, Dem
ison.
‘Suppied by the Brish Library 1 Jl 2022, 0756 (BST)
pe imeassogenscom/onefen2 Emotion Review
(Gefullsunsteckung> sympathy (Mitgefth), and emotional
sharing (Miteinanderfihlen). AS Stein would argue,
‘empathy is a particular experiential engagement with the
other, one involving a perceptuslly-based acquaintance
with the othee’s experiential life. To empathically grasp.
say, the other's sadness, is not to have the same kind of
experience oneself, Nor is it 10 infer the other's sadness
from a certain patter of behaviour, or 10 project the
sadness onto the other on the basis oF some ing of imagina-
tive exercise. None ofthese proposals captures the distinetive
tcomplishment of empathy. which is that it provides the
cempathizer with the intuitive here-and-now presence of an
experience tht i at his or her own (Stein, 1917, pp. 10-11.
‘A possible objection to this narrow definition is that it will
fail (6 capture the complex and multifaceted process that
tnfolds in the context of psychotherapy. T think that is
‘quite true, But we have 0 options. One option is to
acknowledge that a psychotherapist employs several diferent
processes in the course of her work: she uses empathy, imaging
tive perspective taking, inferential reasoning, and also engages
in prosocial acts of sympathy and compassion, The altemative
isto argue that everything the psychotherapist does ean be cap-
tured by one tem only, namely “empathy”. One ean, ofcourse,
choose to use the term “empathy” as an umbrella tent) or
‘mongrel concept. one covering and encompassing various
‘quite different and heterogeneous processes. But in my view,
this lek oF conceptual precision is not only unfortunate and
confusing: it also undermines the very attempt 10 defend the
Claim that empathy has a distinct contribution to make.
Declaration of Conflicting Interests
‘The autor declared wo poi cali of meres wih Fspst 0 AE
‘each shoi, ander pbicon of his aie
Funding
“Tea recived oil ppt fr tbe scar, sath, ner
bli of th el
onciD iD
‘an Zaha peri rg9O0.0002. 2869-4951
References
‘Geiger, M. (MIQI9ID). her dae Waren und cle Beieune dee
‘ifng, tn F. Schur (EV. Konaress fr experimentle
Psychologie gp. 29-79) Vers A, Bash
Sn, E- (917/989), On she problem af enparhy (ab ef) ICS
Pubcon
Zaha, D.C), Empathy an et sos psepan: A phenomena
eck pos ever of Plow and Pro. 20. TSK.
pesto 0107 316801107053,
‘ana GOI. Sa ee: exploring subjects, empty. aud
tae, Ox
Zvi D. (201. Phenology, enpthy. aad iresting. tH
Taibo (E.TheRotadeehandboo of pos of empathy
(np 35-43) Rote
zshare, & Over 52012). Eat witout amps: A he
rerenioal meet In. Desay (C8). Expats fam ech
Pedi 3-20) Tne MET Pres.
ataicD Roh (2013). Epa # shing Pespecives fom phe
Twonenelogy and development peycholog. Conicloest and
Caption 16, 583-553, ipods Oconee 201805 008
‘Supplied by the Bish Litrary 01 Jl 2022, 0755 (BST)
Association of Prior Metabolic and Bariatric Surgery With Severity of Coronavirus Disease 2019 (COVID-19) in Patients With Obesity - Elsevier Enhanced Reader