Cognitive, Affective, & Behavioral Neuroscience

, Volume 13, Issue 3, pp 519–532 | Cite as

I suffer more from your pain when you act like me: Being imitated enhances affective responses to seeing someone else in pain

  • Lize De Coster
  • Bruno Verschuere
  • Liesbet Goubert
  • Manos Tsakiris
  • Marcel Brass


Social–psychological research has suggested that being imitated changes the way that we experience others: We like someone who imitates us more, and the interaction with this person runs more smoothly. Whether being imitated also affects basic social reactions, such as empathy for pain, is an open question. Empathy for pain refers to the observation that perceiving another person in pain results in pain-related brain activation in the observer. The aim of the present study was to combine the two lines of research, to investigate whether being imitated can influence empathy for pain. To this end, we developed an experimental approach combining an imitation task with a pain perception task. Subjective reports, as well as physiological responses, indicated that being imitated enhances affective responses to seeing someone else in pain. Furthermore, using rubber hand illusion measures, we provided evidence for the role of shared representations in the sensory and motor domains as a core underlying mechanism. In this way, our study integrated social–psychological research on being imitated with cognitive research on empathy for pain. This has broad implications, since imitation plays a crucial role in our daily social interactions, and our study provides insights into a basic cognitive mechanism that might underlie these social situations.


Imitation Empathy for pain Shared representations Startle blink reflex Skin conductance Rubber hand illusion 


Author note

This research was supported by Research Foundation Flanders Grant No. FWO10/ASP/321 to the first author.


  1. Armel, K. C., & Ramachandran, V. S. (2003). Projecting sensations to external objects: Evidence from skin conductance response. Proceedings of the Royal Society of London B, 270, 1499–1506. doi: 10.1098/rspb.2003.2364 CrossRefGoogle Scholar
  2. Bastiaansen, J. A. C. J., Thioux, M., & Keysers, C. (2009). Evidence for mirror systems in emotions. Philosophical Transactions of the Royal Society B, 364, 2391–2404. doi: 10.1098/rstb.2009.0058 CrossRefGoogle Scholar
  3. Batson, C. D., Fultz, J., & Schoenrade, P. A. (1987). Distress and empathy: Two qualitatively distinct vicarious emotions with different motivational consequences. Journal of Personality, 55, 19–39. doi: 10.1111/j.1467-6494.1987.tb00426.x PubMedCrossRefGoogle Scholar
  4. Blumenthal, T. D., Cuthbert, B. N., Filion, D. L., Hackley, S., Lipp, O. V., & Van Boxtel, A. (2005). Committee report: Guidelines for human startle eyeblink electromyographic studies. Psychophysiology, 42, 1–15. doi: 10.1111/ j.1469-8986.2005.00271.x PubMedCrossRefGoogle Scholar
  5. Botvinick, M., & Cohen, J. (1998). Rubber hands “feel” touch that eyes see. Nature, 391, 756. doi: 10.1038/35784 PubMedCrossRefGoogle Scholar
  6. Bradley, M. M. (2009). Natural selective attention: Orienting and emotion. Psychophysiology, 46, 1–11. doi: 10.1111/j.1469-8986.2008.00702.x PubMedCrossRefGoogle Scholar
  7. Bradley, M. M., Codispoti, M., Cuthbert, B. N., & Lang, P. J. (2001). Emotion and motivation I: Defensive and appetitive reactions in picture processing. Emotion, 1, 276–298. doi: 10.1037/1528-3542.1.3.276 PubMedCrossRefGoogle Scholar
  8. Brass, M., Bekkering, H., & Prinz, W. (2001). Movement observation affects movement execution in a simple response task. Acta Psychologica, 106, 3–22. doi: 10.1016/S0001-6918(00)00024-X PubMedCrossRefGoogle Scholar
  9. Brass, M., Bekkering, H., Wohlschläger, A., & Prinz, W. (2000). Compatibility between observed and executed finger movements: Comparing symbolic, spatial, and imitative cues. Brain and Cognition, 44, 124–143. doi: 10.1006/brcg.2000.1225 PubMedCrossRefGoogle Scholar
  10. Brass, M., Derrfuss, J., Matthes-von Cramon, G., & von Cramon, D. Y. (2003). Imitative response tendencies in patients with frontal brain lesions. Neuropsychology, 17, 265–271. doi: 10.1037/0894-4105.17.2.265 PubMedCrossRefGoogle Scholar
  11. Brass, M., & Heyes, C. M. (2005). Imitation: Is cognitive neuroscience solving the correspondence problem? Trends in Cognitive Sciences, 9, 489–495. doi: 10.1016/j.tics.2005.08.007 PubMedCrossRefGoogle Scholar
  12. Bufalari, I., Aprile, T., Avenanti, A., Di Russo, F., & Aglioti, S. M. (2007). Empathy for pain and touch in the human somatosensory cortex. Cerebral Cortex, 17, 2553–2561. doi: 10.1093/cercor/bh1161 PubMedCrossRefGoogle Scholar
  13. Caes, L., Uzieblo, K., Crombez, G., De Ruddere, L., Vervoort, T., & Goubert, L. (2012). Negative emotional responses elicited by the anticipation of pain in others: Psychophysiological evidence. The Journal of Pain, 13, 467–476. doi: 10.1016/j.jpain.2012.02.003 PubMedCrossRefGoogle Scholar
  14. Chartrand, T. L., & Bargh, J. A. (1999). The chameleon effect: The perception–behaviour link and social interaction. Journal of Personality and Social Psychology, 76, 893–910. doi: 10.1037/0022-3514.76.6.893 PubMedCrossRefGoogle Scholar
  15. Chartrand, T. L., & van Baaren, R. (2009). Human mimcry. Advances in Experimental Social Psychology, 41, 219–274. doi: 10.1016/S0065-2601(08)00405-X CrossRefGoogle Scholar
  16. Cheng, Y. W., Chen, C. Y., Lin, C. P., Chou, K. H., & Decety, J. (2010). Love hurts: An fMRI study. NeuroImage, 51, 923–929. doi: 10.1016/j.neuroimage.2010.02.047 PubMedCrossRefGoogle Scholar
  17. Cheng, Y., Lin, C.-P., Liu, H.-L., Hsu, Y.-Y., Lim, K.-E., Hung, D., & Decety, J. (2007). Expertise modulates the perception of pain in others. Current Biology, 17, 1708–1713. doi: 10.1016/j.cub.2007/09/020 PubMedCrossRefGoogle Scholar
  18. Cheng, Y., Yang, C.-Y., Lin, C.-P., Lee, P.-L., & Decety, J. (2008). The perception of pain in others suppresses somatosensory oscillations: A magnetoencephalography study. NeuroImage, 40, 1833–1840. doi: 10.1016/j.neuroimage.2008.01.064 PubMedCrossRefGoogle Scholar
  19. Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.Google Scholar
  20. Dawson, M. E., Schell, A. M., & Fillion, D. L. (2000). The electrodermal system. In J. T. Cacioppo, L. G. Tassinary, & G. G. Berntson (Eds.), Handbook of psychophysiology (pp. 200–224). Cambridge: Cambridge University Press.Google Scholar
  21. De Clercq, A., Verschuere, B., De Vlieger, P., & Crombez, G. (2006). Psychophysiological analysis (PSPHA): A modular script-based program for analyzing psychophysiological data. Behavior Research Methods, 38, 504–510. doi: 10.3758/BF03192805 PubMedCrossRefGoogle Scholar
  22. De Corte, K., Buysse, A., Verhofstadt, L. L., Roeyers, H., Ponnet, K., & Davis, M. H. (2007). Measuring empathic tendencies: Reliability and validity of the Dutch version of the Interpersonal Reactivity Index. Psychologica Belgica, 47, 235–260.Google Scholar
  23. de Vignemont, F., & Singer, T. (2006). The empathic brain: How, when, and why? Trends in Cognitive Sciences, 10, 435–441. doi: 10.1016/j.tics.2006.08.008 PubMedCrossRefGoogle Scholar
  24. Decety, J., Chaminade, T., Grèzes, J., & Meltzoff, A. N. (2002). A PET exploration of the neural mechanisms involved in reciprocal imitation. NeuroImage, 15, 265–572. doi: 10.1006/nimg.2001.0938 PubMedCrossRefGoogle Scholar
  25. Decety, J., Echols, S., & Correll, J. (2010). The blame game: The effect of responsibility and social stigma on empathy for pain. Journal of Cognitive Neuroscience, 22, 985–997. doi: 10.1162/jocn.2009.21266 PubMedCrossRefGoogle Scholar
  26. Decety, J., & Lamm, C. (2006). Human empathy through the lens of social neuroscience. The Scientific World Journal, 6, 1146–1163. doi: 10.1100/tsw.2006.221 CrossRefGoogle Scholar
  27. Dummer, T., Picot-Annand, A., Neal, T., & Moore, C. (2009). Movement and the rubber hand illusion. Perception, 38, 271–280. doi: 10.1068/p5921 PubMedCrossRefGoogle Scholar
  28. Ehrsson, H. H. (2007). The experimental induction of out-of-body experiences. Science, 317, 1048. doi: 10.1126/science.1142175 PubMedCrossRefGoogle Scholar
  29. Farmer, H., Tajadura-Jiménez, A., & Tsakiris, M. (2012). Beyond the colour of my skin: How skin colour affects the sense of body-ownership. Consciousness and Cognition, 21, 1242–1256. doi: 10.1016/j.concog.2012.04.011 PubMedCrossRefGoogle Scholar
  30. Farrer, C., & Frith, C. D. (2002). Experiencing oneself vs. Another person as being the cause of an action: The neural correlates of the experience of agency. NeuroImage, 15, 596–603. doi: 10.1006/nimg.2001.1009 PubMedCrossRefGoogle Scholar
  31. Funayama, E. S., Grillon, C., Davis, M., & Phelps, E. A. (2001). A double dissociation in the affective modulation of startle in humans: Effects of unilateral temporal lobectomy. Journal of Cognitive Neuroscience, 13, 721–729. doi: 10.1162/08989290152541395 PubMedCrossRefGoogle Scholar
  32. Goubert, L., Vervoort, T., & Craig, K. D. (2012). Empathy and pain. In R. F. Schmidt & G. F. Gebhart (Eds.), Encyclopedia of pain (2nd ed.). Heidelberg, Germany: Springer.Google Scholar
  33. Grèzes, J., & Decety, J. (2001). Functional anatomy of execution, mental simulation, observation, and verb generation of actions: A meta-analysis. Human Brain Mapping, 12, 1–19. doi: 10.1002/1097-0193(200101)12:1<1::AID-HBM10>3.0.CO;2-V PubMedCrossRefGoogle Scholar
  34. Han, S. H., Fan, Y., & Mao, L. (2008). Gender difference in empathy for pain: An electrophysiological investigation. Brain Research, 1196, 85–93. doi: 10.1016/jbrainres.2007.12.062 PubMedCrossRefGoogle Scholar
  35. Hawk, L. W., & Cook, E. W. (2000). Independence of valence modulation and prepulse inhibition of startle. Psychophysiology, 37, 5–12. doi: 10.1111/1469-8986.3710005 PubMedCrossRefGoogle Scholar
  36. Hayes, F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420. doi: 10.1080/03637750903310360 CrossRefGoogle Scholar
  37. Heberlein, A. S., & Atkinson, A. P. (2009). Neuroscientific evidence for simulation and shared substrates in emotion recognition. Emotion Review, 1, 162–177. doi: 10.1177/1754073908100441 CrossRefGoogle Scholar
  38. Hein, G., Silani, G., Preuschoff, K., Batson, C. D., & Singer, T. (2010). Neural responses to ingroup and outgroup members’ suffering predict individual differences in costly helping. Neuron, 68, 149–160. doi: 10.1016/j.neuron.2010.09.003 PubMedCrossRefGoogle Scholar
  39. Hein, G., & Singer, T. (2008). I feel how you feel but not always: The empathic brain and its modulation. Current Opinion in Neurobiology, 18, 153–158. doi: 10.1016/j.conb.2008.07.012 PubMedCrossRefGoogle Scholar
  40. Hogeveen, J., & Obhi, S. S. (2012). Social interaction enhances motor resonance for observed human actions. Journal of Neuroscience, 32, 5984–5989.PubMedCrossRefGoogle Scholar
  41. Jackson, P. L., Meltzoff, A. N., & Decety, J. (2005). How do we perceive the pain of others? A window into the neural processes involved in empathy. NeuroImage, 24, 771–779. doi: 10.1016/j.neuroimage.2004.09.006 PubMedCrossRefGoogle Scholar
  42. Kalckert, A., & Ehrsson, H. H. (2012). Moving a rubber hand that feels like your own: A dissociation of ownership and agency. Frontiers in Human Neuroscience, 6, 40. doi: 10.3389/fnhum.2012.00040 PubMedCrossRefGoogle Scholar
  43. Keysers, C., Kaas, J. H., & Gazzola, V. (2010). Somatosensation in social perception. Nature Reviews Neuroscience, 11, 417–428. doi: 10.1038/nrn2833 PubMedCrossRefGoogle Scholar
  44. Kühn, S., Muller, B. C., van Baaren, R. B., Wietzker, A., Dijksterhuis, A., & Brass, M. (2010). Why do I like you when you behave like me? Neural mechanisms mediating positive consequences of observing someone being imitated. Social Neuroscience, 5, 384–392. doi: 10.1080/17470911003633750 PubMedCrossRefGoogle Scholar
  45. Lakin, J. L., & Chartrand, T. L. (2003). Using nonconscious behavioral mimicry to create affiliation and rapport. Psychological Science, 14, 334–339. doi: 10.1111/1467-9280.14481 PubMedCrossRefGoogle Scholar
  46. Lakin, J. L., Chartrand, T. L., & Arkin, R. M. (2008). I am too just like you—Nonconscious mimicry as an automatic behavioral response to social exclusion. Psychological Science, 19, 816–822. doi: 10.1111/j.1467-9280.2008.02162.x PubMedCrossRefGoogle Scholar
  47. Lamm, C., Decety, J., & Singer, T. (2011). Meta-analytic evidence for common and distinct neural networks associated with directly experienced pain and empathy for pain. NeuroImage, 54, 2492–2502. doi: 10.1016/j.neuroimage.2010.10.014 PubMedCrossRefGoogle Scholar
  48. Lamm, C., Meltzoff, A. N., & Decety, J. (2010). How do we empathize with someone who is not like us? A functional magnetic resonance imaging study. Journal of Cognitive Neuroscience, 22, 362–376. doi: 10.1162/jocn.2009.21186 PubMedCrossRefGoogle Scholar
  49. Lamm, C., Nusbaum, H. C., Meltzoff, A. N., & Decety, J. (2007). What are you feeling? Using functional magnetic resonance imaging to assess the modulation of sensory and affective responses during empathy for pain. PLoS ONE, 12, e1292. doi: 10.1371/journal.pone.0001292 CrossRefGoogle Scholar
  50. Liepelt, R., von Cramon, D. Y., & Brass, M. (2008). What Is matched in direct matching? Intention attribution modulates motor priming. Journal of Experimental Psychology. Human Perception and Performance, 34, 578–591. doi: 10.1037/0096-1523.34.3.578 PubMedCrossRefGoogle Scholar
  51. Lloyd, D. M. (2007). Spatial limits on referred touch to an alien limb may reflect boundaries of visuo-tactile peripersonal space surrounding the hand. Brain and Cognition, 64, 104–109. doi: 10.1016/j.bandc.2006.09.013 PubMedCrossRefGoogle Scholar
  52. Loggia, M. L., Mogil, J. S., & Bushnell, M. C. (2008). Empathy hurts: Compassion for another increases both sensory and affective components of pain perception. Pain, 136, 168–176. doi: 10.1016/j.pain.2007.07.017 PubMedCrossRefGoogle Scholar
  53. Longo, M. R., Schuur, F., Kammers, M. P. M., Tsakiris, M., & Haggard, P. (2008). What is embodiment? A psychometrix approach. Cognition, 107, 978–998. doi: 10.1016/j.cognition.2007.12.004 PubMedCrossRefGoogle Scholar
  54. Miller, M. W., Patrick, C. J., & Levenston, G. K. (2002). Affective imagery and the startle response: Probing mechanisms of modulation during pleasant scenes, personal experiences, and discrete negative emotions. Psychophysiology, 39, 519–529. doi: 10.1017/S0048577202394095 PubMedCrossRefGoogle Scholar
  55. Perani, D., Fazio, F., Borghese, N. A., Tettamanti, M., Ferrari, S., Decety, J., & Gilardi, M. C. (2001). Different brain correlates for watching real and virtual hand actions. NeuroImage, 14, 749–758. doi: 10.1006/nimg.2001.0872 PubMedCrossRefGoogle Scholar
  56. Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, 36, 717–731. doi: 10.3758/BF03206553 CrossRefGoogle Scholar
  57. Preston, S. D., & de Waal, F. B. M. (2002). Empathy: Its ultimate and proximate bases. The Behavioral and Brain Sciences, 25, 1–20. doi: 10.1017/S0140525X02000018. disc. 20–71.PubMedGoogle Scholar
  58. Singer, T., & Lamm, C. (2009). The social neuroscience of empathy. Annals of the New York Academy of Sciences, 1156, 81–96. doi: 10.1111/j.1749-6632.2009.04418.x PubMedCrossRefGoogle Scholar
  59. Singer, T., Seymour, B., O’Doherty, J., Kaube, H., Dolan, R. J., & Frith, C. D. (2004). Empathy for pain involves the affective but not sensory components of pain. Science, 303, 1157–1162. doi: 10.1126/science.1093535 PubMedCrossRefGoogle Scholar
  60. Singer, T., Seymour, B., O’Doherty, J. P., Stephan, K. E., Dolan, R. J., & Frith, C. D. (2006). Empathic neural responses are modulated by the perceived fairness of others. Nature, 439, 466–469. doi: 10.1038/nature04271 PubMedCrossRefGoogle Scholar
  61. Singer, T., Snozzi, R., Bird, G., Petrovic, P., Silani, G., Heinrichs, M., & Dolan, R. J. (2008). Effects of oxytocin and prosocial behaviour on brain responses to direct and vicariously experienced pain. Emotion, 8, 781–791. doi: 10.1037/a0014195 PubMedCrossRefGoogle Scholar
  62. Spengler, S., von Cramon, D. Y., & Brass, M. (2010). Resisting motor mimicry: Control of imitation involves processes central to social cognition in patients with frontal and temporo-parietal lesions. Social Neuroscience, 5, 401–416. doi: 10.1080/17470911003687905 PubMedCrossRefGoogle Scholar
  63. Stel, M., van Baaren, R. B., & Vonk, R. (2008). Effects of mimicking: Acting prosocially by being emotionally moved. European Journal of Social Psychology, 38, 965–976. doi: 10.1002/ejsp.472 CrossRefGoogle Scholar
  64. Tajadura-Jiménez, A., Grehl, S., & Tsakiris, M. (2012). The other in me: Interpersonal multisensory stimulation changes the mental representation of the self. PLoS One, 7, e40682. doi: 10.1371/journal.pone.0040682 PubMedCrossRefGoogle Scholar
  65. Tsakiris, M., Longo, M. R., & Haggard, P. (2010). Having a body versus moving your body: Neural signatures of body-ownership. Neuropsychologia, 48, 2740–2749. doi: 10.1016/j.neuropsychologia.2010.05.021 PubMedCrossRefGoogle Scholar
  66. van Baaren, R. B., Holland, R. W., Kawakami, K., & van Knippenberg, A. (2004). Mimicry and prosocial behavior. Psychological Science, 15, 71–74. doi: 10.1111/j.0963-7214.2004.01501012.x PubMedCrossRefGoogle Scholar
  67. Vrana, S. R., Spence, E. L., & Lang, P. J. (1988). The startle probe response: A new measure of emotion? Journal of Abnormal Psychology, 97, 487–491. doi: 10.1037/0021-843X.97.4.487 PubMedCrossRefGoogle Scholar
  68. Xu, X. J., Zuo, X. Y., Wang, X. Y., & Han, S. H. (2009). Do you feel my pain? Racial group membership modulates empathic neural responses. Journal of Neuroscience, 29, 8525–8529. doi: 10.1523/JNEUROSC.2418-09.2009 PubMedCrossRefGoogle Scholar
  69. Yang, C. Y., Decety, J., Lee, S. Y., Chen, C. Y., & Cheng, Y. W. (2009). Gender differences in the mu rhythm during empathy for pain: An electroencephalographic study. Brain Research, 1252, 176–184. doi: 10.1016/j.brainres.2008.11.062 CrossRefGoogle Scholar
  70. Zaki, J., & Ochsner, K. (2012). The neuroscience of empathy: Progress, pitfalls, and promise. Nature Neuroscience, 15, 675–680. doi: 10.1038/nn.3085 PubMedCrossRefGoogle Scholar

Copyright information

© Psychonomic Society, Inc. 2013

Authors and Affiliations

  • Lize De Coster
    • 1
    • 6
  • Bruno Verschuere
    • 1
    • 2
    • 3
  • Liesbet Goubert
    • 1
  • Manos Tsakiris
    • 4
  • Marcel Brass
    • 1
    • 5
  1. 1.Ghent UniversityGhentBelgium
  2. 2.University of AmsterdamAmsterdamThe Netherlands
  3. 3.Maastricht UniversityMaastrichtThe Netherlands
  4. 4.Royal HollowayUniversity of LondonLondonUK
  5. 5.Radboud UniversityNijmegenThe Netherlands
  6. 6.Department of Experimental Psychology, Faculty of PsychologyGhent UniversityGhentBelgium

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