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A Definition and Key Features of Empathy in Patient Care

  • Mohammadreza Hojat
Chapter
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Abstract

  • Empathy in patient care is addressed in this chapter with regard to the World Health Organization’s (WHO) definition of health, consistent with the notion of a biopsychosocial paradigm of illness.

  • Empathy in the context of patient care is defined as a predominantly cognitive attribute that involves an understanding of the patient’s experiences, concerns, and perspectives, combined with a capacity to communicate this understanding and an intention to help. The importance of the four key features (cognition, understanding, communication, and an intention to help) used in the definition of empathy is elaborated and suggestion is made to make a distinction between cognition and emotion, between understanding and feeling, and between empathy and sympathy because of their different consequences in patient outcomes.

  • Because of its cognitive nature, an abundance of cognitively defined empathic engagement is always beneficial in the context of patient care, whereas excessive sympathetic involvement (akin to emotional empathy), because of its affective nature, can be detrimental to both the clinician and the patient, leading to exhaustion and burnout.

  • In the context of patient care, empathy bonds the patient and the health care provider together, whereas sympathy blinds them to objectivity and reason. Thus, efforts should be made to maximize empathy and regulate sympathy for optimal patient outcomes.

  • To achieve optimal patient outcomes, communication of understanding in empathic engagement between physician and patient must be reciprocal, confirming the patient’s significant role in the outcome of patient care.

Keywords

Cognitive empathy Emotional empathy Clinical empathy Sympathy Healthy definition by WHO Biopsychosocial paradigm Cognition Understanding Intention to help Empathy versus sympathy 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Mohammadreza Hojat
    • 1
  1. 1.Sidney Kimmel Medical College Thomas Jefferson UniversityPhiladelphiaUSA

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