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The empathic process and its mediators. A heuristic model.

R Gallop1, W J Lancee, P E Garfinkel

  • 1Department of Psychiatry, Toronto Hospital, Ontario, Canada.

The Journal of Nervous and Mental Disease
|October 1, 1990
PubMed
Summary
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This study introduces a three-phase model for clinical empathy, distinguishing it from sympathy. Understanding mediators, especially contextual ones, is key to improving the empathic process in healthcare.

Area of Science:

  • Medical Education
  • Psychology
  • Healthcare Communication

Background:

  • Clinical empathy research faces significant conceptual and methodological challenges.
  • Existing models often treat empathy as multidimensional rather than a sequential process.
  • The role of situational and contextual factors in empathy has been underexplored.

Purpose of the Study:

  • To present a novel, three-phase model of the empathic process for clinicians, educators, and researchers.
  • To differentiate clinical empathy from related concepts like sympathy.
  • To highlight the influence of mediating variables, particularly contextual ones, on the empathic process.

Main Methods:

  • Conceptual analysis and model development.
  • Review of existing empirical and theoretical work on empathy.

Related Experiment Videos

  • Identification of key phases and mediating variables within the empathic process.
  • Main Results:

    • Empathy is conceptualized as a time-sequenced, three-phase process: inducement, matching, and participatory-helping.
    • This model allows for the distinction between empathy and sympathy.
    • Numerous mediating variables, including situational/contextual factors, influence each phase's progression.

    Conclusions:

    • The proposed three-phase model offers a structured framework for understanding and researching clinical empathy.
    • Identifying and intervening in contextual mediators can enhance the empathic process in clinical settings.
    • Clinical empathy research should focus on understanding these mediating influences.