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Published on: February 16, 2011
Empathy in a Brain-Death Nursing Practice Narrative from Lebanon: Folk-Psychological, Phenomenological, and Cognitive
1American University of Beirut Hariri School of Nursing in Beirut, Beirut, Lebanon.
Abstract:
For philosophers, psychologists, and cognitive scientists, folk psychology is a theory of social cognition that explains other people's behaviour by referring to their beliefs, desires, intentions, and other mental states. Although discussions continue about how the ability to understand others works, current research indicates that no single explanation is clearly better than others. I describe how everyday understanding, phenomenology, social ontology, and neuroscience come together to explain how nurses learn in clinical settings. A case study written by an ICU nurse provides a real‑world example of why folk psychology relies on non‑representational, embodied, and contextually situated social cognition. After clarifying the role of propositional attitudes in folk‑psychological reasoning, I draw on Edith Stein's phenomenology of empathy to describe the process through which the nurse decided to engage a distressed family to encourage them to donate their loved one's organs. I use Stein's social ontology and relational ethics to explain why the nurse found the situation she describes morally salient. Drawing on current debates in social cognition theory, I demonstrate how embodied attunement, affective resonance, and mirror-neuron mechanisms explain empathy and its development into sympathy and, potentially, compassionate nursing care. I conclude that social cognition theories integrate Stein's concepts of empathy and social ontology within a neuroscience-supported view of knowledge and relational ethics in nursing practice.
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