In this article a case is made for the importance of a previously overlooked phenomenon, physical empathy orcompathy,defined as the physical manifestation of caregiver distress that occurs in the presence of a patient in physical pain or distress. According to the similarity of a caregiver's response to the original symptoms, there can be four types of compathetic response: identical, initiated, transferred, and converted. Controlling for the compathetic response may involve narrowing one's focus and/or changing caregiver attitudes. Finally, we argue that while the compathetic response may be beneficial to the caregiving relationship, enabling the provision of appropriate and adequate humane treatment and care, the caregiver must at times shield against the compathetic response in order to provide care.
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Benner, P., & Tanner, C. (1987). How nurses use intuition. American Journal of Nursing, 87, 23–31.
Bogren, L. Y. (1983). Couvade. Acta Psychiatrica Scandinavica, 68, 55–65.
Coulter, D. (1991, June 19). Head made dull ‘thump’: Bouncer tells inquiry. Edmonton Journal, p. B16.
Crabtree, J. L., & Caron-Parker, L. M. (1991). Long-term care of the aged: Ethical dilemmas and solutions. American Journal of Occupation Therapy, 45, 607–612.
Finkelstein, P., & Mathers, L. (1990) Post-traumatic stress among medical students in the anatomy dissection laboratory. Clinical Anatomy, 3, 219–226.
Gustavson, N. (1988) The effect of human dissection on first-year students and implications for the doctor-patient relationship. Journal of Medical Education, 63, 62–64.
Hoffman, M. (1981). The development of empathy. In J. Rushton & R. Sorrentino. Altruism and helping behavior: Social personality and developmental perspectives. (pp. 41–63). Hillsdale, New Jersey: Lawrence Erlbaum Associates.
Hoffman, M. L. (1990). Empathy and justice motivation. Motivation Emotion, 14, 151–172.
Jezierski, M. (1993). Stresses and coping mechanisms: A report of interviews with eleven emergency department nurse managers. Journal of Emergency Nursing, 19, 89–95.
Knepfer, G., & Johns, C. (1989). Nursing for life. Sydney: Pan Books.
Madjar, I. (1991). Pain as embodied experience: A phenomenological study of clinically inflicted pain in adult patients. Unpublished doctoral dissertation, Massey University, New Zealand.
Maslach, C. (1982). Burnout: The cost of caring. New Jersey: Prentice-Hall.
Morse, J. M. (PI) (1991). Defining comfort for the improvement of nursing care. National Center for Nursing Research, NIH, Washington, DC. Continuation grant 2 R01 NR02130–08.
Morse, J. M., & Mitcham, C. (1997). Compathy: The contagion of pain. Journal of Advanced Nursing, 26, 649–657.
Morse, J. M., Anderson, G., Bottorff, J., Yonge, O., O'Brien, B., Solberg, S., & McIlveen, K. (1992). Exploring empathy: A conceptual fit for nursing practice? Image: Journal of Nursing Scholarship, 24, 274–280.
Morse J. M., Bottorff, J. L., Anderson, G., O'Brien, B., & Solberg, S. (1992). Beyond empathy: Expanding expressions of caring. Journal of Advanced Nursing, 17, 809–821.
Neely, K. A. (1987). Scene control in prehospital care. Top Emergency Medical, 9, 79–86.
Patient Self-Determination Act State Law Guide (1991). Washington, DC: American Bar Association.
Robinson, S. E., Roth, S. I., Keim, J., Levenson, M., Flentje, J. R., & Bashor, K. (1991). Nurse burnout: Work related and demographic factors as culprits. Research in Nursing and Health, 14, 223–228.
Rogers, C. (1951). Client-centered therapy. Boston: Houghton Mifflin.
Smith, A. C., & Kleinman, S. (1989). Managing emotions in medical school: Student's contacts with the living and the dead. Social Psychololgy Quarterly, 52, 56–69.
Strickland, O.L. (1987). The occurrence of symptoms in expectant fathers: The couvade syndrome. Nursing Research, 36, 184–9.
Stuhlmiller, C. M. (1995). The construction of disorders: Exploring the growth of PTSD and SAD. Journal of Psychosocial Nursing, 33, 20–23.
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Morse, J.M., Mitcham, C. & van Der Steen, W.J. Compathy or Physical Empathy: Implications for the Caregiver Relationship. Journal of Medical Humanities 19, 51–65 (1998). https://doi.org/10.1023/A:1024988002129
- Humane Treatment
- Physical Pain
- Physical Manifestation
- Caregiver Distress
- Caregiver Relationship