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Empathic accuracy

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Through Psychology, Person-centered therapy and Empathy

The term was introduced in 1988, in conjunction with the term "empathic inference," by psychologists William Ickes and William Tooke. Since then research on empathic accuracy has explored its relationship with the concepts of affect sharing and mentalizing. In order to accurately infer another's psychological state, one must be able to both share that state (affect sharing), and understand cognitively how to label that state (mentalizing). Neuroscience research has shown that brain activation associated with empathic accuracy overlaps with both the areas responsible for affect sharing and mentalizing.

Empathic accuracy is an aspect of what William Ickes called "everyday mind reading". A person's understanding of the states of others is extremely important to that person's successful social interaction, and the costs of failing in this task can be high, as seen in the social difficulties of people with autism spectrum disorders. Empathic accuracy is linked to positive peer relationship outcomes and overall healthy adjustment for adolescents. In adult relationships, empathic accuracy correlates with stable romantic relationships.

History

Rogerian view

In 1951, Carl Rogers published Client-Centered Therapy, the work he is most known for. In it, he created three guidelines for psychologists to follow in a therapeutic session with a client: to have unconditional positive regard, empathy, and genuineness. Roger's goal was to have the client actualize his or her own inherent potentialities (which is termed self-actualization). But, according to Rogers, self-actualization could not be accomplished until the need for positive regard, positive self-regard, and having a self-concept were gained. The therapist's empathy thereby helps to move the client towards self-actualization. Empathy in Rogers's client-centered therapy means to better understand the client and his or her issues. This relates to empathic accuracy because Rogers's intent was not to make the client feel pitied, but for the psychologist to be in tune with the client's needs and perspectives. To do so, the psychologist must be an accurate "reader".

Social psychology

Empathic accuracy was a topic of social psychological research in the 1990s. Social psychology explored how empathic accuracy relates to the concept of empathy in general.

Social psychologists posit two main theories for how people empathize with others: simulation theory and theory theory. In simulation theory, we understand another by putting ourselves in that other's state, simulating their experience. Theory theory is more cognitive: we find meanings in other's behaviors and contextual cues, and use those to construct an idea of that person's internal mental state.

Empathic accuracy requires both processes; simulation theory correlates with the affect-sharing aspect of empathic accuracy, while theory theory relates to one's ability to effectively mentalize about that shared affect.

Neuroscience

Neuroscience research solidified the shared roles of simulation theory and theory theory in empathic accuracy.

Neuroscience work on empathy focused on two main neural networks: the mirror system and the mentalizing system. The mirror system involves the bilateral posterior ventrolateral prefrontal cortex and bilateral anterior inferior parietal lobule. It is a more automatic form of shared mental representation, and so corresponds with simulation theory. The mentalizing system involves areas dependent upon task demands but converges in the dorsomedial prefrontal cortex.

These systems rely on separate neural regions and can be activated at the same time. Recent work on empathic accuracy shows this concurrent activation, providing further evidence that empathic accuracy involves both processes. It follows as well that the difficulty of the task would differentially activate the two networks; more basic tasks such as simple emotion recognition through facial expression correlate with greater activation of the mirror system, while tasks that require more complex social judgments to assess another's state activate the mentalizing system to a greater degree.

Measurement

William Ickes and colleagues developed a method to measure the accuracy of a perceiver's inferences about the content of a target person's reported thoughts and feelings. In this method, the perceiver is asked to view a videotaped interaction that was previously recorded. The videotape is paused for the perceiver at each of the points at which a target person on the videotape had reported having a specific thought or feeling, and the perceiver's writes down the thought or feeling content that the perceiver infers. Because the researchers have a list of the thoughts and feelings that the target reported having at the various "stop points," they can compare the content of each inferred thought or feeling with the reported thought or feeling and assess the level of the perceiver's empathic accuracy.

This method has been adapted for neuroscience research by including fMRI scanning of participants while watching videos of others. Participants then report perceived emotional states of the recorded individual while the participants are in the scanner, so that researchers can measure brain activity during the empathic accuracy task.

In some research on psychotherapy, audio- and videotapes record the sessions of a patient and therapist, which allows expert judges to rate the "empathic responsivity" or empathic accuracy of the therapist towards the patient.

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