Adam Gerace
"Empathy is generally considered indispensable to the therapist-client relationship. In his 1957 highly influential paper, ‘The necessary and sufficient conditions of therapeutic personality change’, Carl Rogers discussed the role of empathy in bringing about positive client change:
"To sense the client’s private world as if it were your own, but without ever losing the ‘as if’ quality – this is empathy, and this seems essential to therapy. To sense the client’s anger, fear, or confusion as if it were your own, yet without your own anger, fear, or confusion getting bound up in it, is the condition we are endeavouring to describe" (p. 99).
In this article, I discuss why empathy is important in the therapeutic encounter regardless of specific techniques, the ways in which it emerges and is used in therapy, and finally how psychologists can build their empathy skills."
"How can psychologists improve their empathy?"
"Most psychologists who research or work in the area believe that while empathy is to some degree an innate disposition, empathic processes and (particularly) empathic responses are skills that we can all learn and strengthen through training."
"self-reflection and insight
"be mindful of their emotional reactions to see whether their responses are compassionate and motivate them to help, or involve high levels of personal distress, "
"developing self-compassion,
self disclosure
self-care.
References
Asuero, A. M., Queraltó, J. M., Pujol-Ribera, E., Berenguera, A., Rodriguez-Blanco, T., & Epstein, R. M. (2014). Effectiveness of a mindfulness education program in primary health care professionals: A pragmatic controlled trial. Journal of Continuing Education in the Health Professions, 34, 4-12.
Ayduk, O., & Kross, E. (2010). From a distance: Implications of spontaneous self-distancing for adaptive self-reflection. Journal of Personality and Social Psychology, 98, 809–829.
Batson, C. D. (2011). Altruism in humans. New York: Oxford University Press.
Batson, C. D., Sympson, S. C., Hindman, J. L., Decruz, P., Todd, R. M., Weeks, J. L., ... Burris, C. T. (1996). ‘I’ve been there, too’: Effect on empathy of prior experience with a need. Personality and Social Psychology Bulletin, 22, 474–482.
Bayne, H., Neukrug, E., Hays, D., & Britton, B. (2013). A comprehensive model for optimizing empathy in person-centered care. Patient Education and Counseling, 93, 209-215.
Bohart, A. C. (2004). How do clients make empathy work? Person-Centered & Experiential Psychotherapies, 3, 102-116.
Boellinghaus, I., Jones, F. W., & Hutton, J. (2014). The role of mindfulness and loving-kindness meditation in cultivating self-compassion and other-focused concern in health care professionals. Mindfulness, 5, 129-138.
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16, 252-260.
Clark, A. J. (2013). Empathy in counseling and psychotherapy: Perspectives and practices. New York: Routledge.
Craig, C. D., & Sprang, G. (2010) Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety, Stress, & Coping, 23, 319-339
Davis, M. H. (2018). Empathy: A social psychological approach. New York: Routledge. (Original work published 1994).
Elliott, R., Bohart, A. C., Watson, J. C., & Greenberg, L. S. (2011). Empathy. Psychotherapy, 48, 43-49.
Forchuk, C., Westwell, J., Martin, M.‐L., Azzapardi, W. B., Kosterewa‐Tolman, D., & Hux, M. (1998). Factors influencing movement of chronic psychiatric patients from the orientation to the working phase of the nurse–client relationship on an inpatient unit. Perspectives in Psychiatric Care, 34, 36–44.
Gerace, A., Day, A., Casey, S., & Mohr, P. (2013). An exploratory investigation of the process of perspective taking in interpersonal situations. Journal of Relationships Research, 4, 1-12.
Gerace, A., Day, A., Casey, S., & Mohr, P. (2015). Perspective taking and empathy: Does having similar past experience to another person make it easier to take their perspective? Journal of Relationships Research, 6, 1-14.
Gerace, A., Day, A., Casey, S., & Mohr, P. (2017). ‘I think, you think’: Understanding the importance of self-reflection to the taking of another person's perspective. Journal of Relationships Research, 8, 1-19.
Gerace, A., Oster, C., O’Kane, D., Hayman, C. L., & Muir-Cochrane, E. (2018). Empathic processes during nurse-consumer conflict situations in psychiatric inpatient units: A qualitative study. International Journal of Mental Health Nursing, 27, 92-105.
Greenberg, L. S., & Elliott, R. (1997). Varieties of empathic responding. In A. C. Bohart & L. S. Greenberg (Eds.), Empathy reconsidered: New directions in psychotherapy (pp. 167-186). Washington, DC: American Psychological Association.
Hatcher, S. L., Favorite, T. K., Hardy, E. A., Goode, R. L., Deshetler, L. A., & Thomas, R. M. (2005). An analogue study of therapist empathic process: Working with difference. Psychotherapy: Theory, Research, Practice, Training, 42, 198-210.
Hill, C. E., & Knox, S. (2001). Self-disclosure. Psychotherapy: Theory, Research, Practice, Training, 38, 413-417.
Hodges, S. D., Kiel, K. J., Kramer, A. D. I., Veach, D., & Villanueva, B. R. (2010). Giving birth to empathy: The effects of similar experience on empathic accuracy, empathic concern, and perceived empathy. Personality and Social Psychology Bulletin, 36, 398-409.
Horvath, A. O. (2001). The alliance. Psychotherapy: Theory, Research, Practice, Training, 38, 365-372.
Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory, Research, Practice, Training, 38, 357-361.
Lemmens, L. H. J. M., Galindo-Garre, F., Arntz, A., Peeters, F., Hollon, S. D., DeRubeis, R. J., & Huibers, M. J. H. (2017). Exploring mechanisms of change in cognitive therapy and interpersonal psychotherapy for adult depression. Behaviour Research and Therapy, 94, 81-92.
Lord, S. P., Sheng, E., Imel, Z. E., Baer, J., & Atkins, D. C. (2015). More than reflections: Empathy in motivational interviewing includes language style synchrony between therapist and client. Behavior Therapy, 46, 296-303.
Marci, C. D., Ham, J., Moran, E., & Orr, S. P. (2007). Physiologic correlates of perceived therapist empathy and social-emotional process during psychotherapy. The Journal of Nervous and Mental Disease, 195, 103-111.
Neff, K. D., & Pommier, E. (2013). The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity, 12, 160–176.
Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95-103.
Rogers, C. R. (1975). Empathy: An unappreciated way of being. The Counseling Psychologist, 5(2), 2-10.
Rubino, G., Barker, C., Roth, T., & Fearon, P. (2000). Therapist empathy and depth of interpretation in response to potential alliance ruptures: The role of therapist and patient attachment styles. Psychotherapy Research, 10, 408-420.
Truax, C. B., & Carkhuff, R. R. (2017). Toward effective counseling and psychotherapy: Training and practice. New York: Routledge. (Original work published 1967).
Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017). Examining the relationship between burnout and empathy in healthcare professionals: A systematic review. Burnout Research, 6, 18-29.
Zuroff, D. C., & Blatt, S. J. (2006). The therapeutic relationship in the brief treatment of depression: Contributions to clinical improvement and enhanced adaptive capacities. Journal of Consulting and Clinical Psychology, 74, 130-140.