The role of sympathy and altruistic personality traits in helping: a reexamination

Behavior Management Training for Parents of Children with Preschool ADHD Based on Parent-Child Interactions: A Multicenter Randomized Controlled, Follow-Up Study

Objective

There is a need to develop optimized, evidence-based parent training programs tailored for preschoolers with attention deficit hyperactivity disorder (ADHD). The objective of this study was to explore a behavioral management training program aimed at the parents of preschool children with ADHD, which directly analyzes parent-child interaction from the perspective of system theory, and the intervention effect on ADHD in preschool children.

Methods

A multicenter randomized controlled study was conducted using system-based group therapy with 62 parents of preschool children with ADHD aged four to six years. ADHD symptoms, behavioral and emotional problems, and social functioning were compared with 61 control children whose parents did not receive training by applying the ADHD Rating Scale (ADHD-RS), Strengths and Difficulties Questionnaire (SDQ), and Questionnaire-Children with Difficulties (QCD) at the time of subject entry and at two and six months of entry, respectively.

Results

The results of the ADHD-RS assessment showed that children in the intervention group had significantly lower factor scores for attention deficit, hyperactivity, and impulsivity than the children in the control group after parental training and at follow-up (P < 0.05). Total scores on the SDQ scale, as well as character problems, hyperactivity, and peer interaction scores, significantly decreased with statistically significant differences (all P < 0.05), and emotional symptoms and prosocial behavior did not notable decline (P > 0.05). Compared with the control group, the total scores of the QCD scale and the scores of each factor in the intervention group remained significantly higher at the follow-up (P < 0.05).

Conclusion

After continuous intervention for eight weeks, parents were able to help the children with preschool ADHD to improve their ADHD symptoms and emotional behavioral and social functioning significantly, and the efficacy was maintained at the four-month follow-up; the systemic-based parent training in behavior management (PTBM) is applicable to the treatment of preschool ADHD and is worth promoting.

What is Sympathy? Understanding the Structure of Other-Oriented Emotions

Sympathy (empathic concern) is mainly understood as a feeling for another and is often contrasted with empathy-a feeling with another. However, it is not clear what feeling for another means and what emotions sympathy involves. Since empirical data suggests that sympathy plays an important role in our social lives and is more closely connected to helping behavior than empathy, we need a more detailed account. In this paper, I argue that sympathy is not a particular emotion but a type of emotional experience: those that have another person as focus. I explain what this means and show that this sheds light on why sympathy, rather than empathy, directly motivates altruistic actions.

Effects of Physical Exercise on Prosocial Behavior of Junior High School Students

Objective: This study aims to investigate whether physical activity can promote students’ prosocial behavior by analyzing the relationship between sports participation and the prosocial behavior of junior high school students. Methods: Based on the 2014–2015 China education panel survey (CEPS), the relationship between regular athletic sports and prosocial behavior was evaluated among eighth-grade students by ordinary least squares (OLS) estimation and propensity score matching (PSM) and the relationship between OLS and PSM was evaluated by Rosenbaum’s bounds test for a robustness test; the observations were analyzed for heterogeneity to identify those who benefit more from sports. Results: The OLS results showed that sporting behavior increased prosocial behavior scores by 4%, and the PSM results showed that regular physical exercise increased students’ prosocial behavior tendencies by over 0.2 standard deviations from the mean prosocial behavior score (standardized). According to the Rosenbaum’s bounds test, the estimates were robust and reliable, and the results of the heterogeneity analysis showed that with males and students whose fathers had more than 9 years of education, the students showed more significant improvements in prosocial behavior. Conclusion: Physical activity has a significant positive effect on students’ prosocial behavior, and gender and the father’s education are significantly related to prosocial behavior.

Toward Generalized Concern: The Development of Compassion and Links to Kind Orientations

Compassion underlies kindness and as such, is important for creating harmonious societies. We examined children and adolescents’ personal experiences of compassion and then how youth with different compassion profiles differed in their kindness (i.e., dispositional sympathy and prosocial behavior). An ethnically diverse sample of 8-, 11-, and 15-year-olds (N = 32; 66% girls) provided narratives of times they felt compassion. Next, in another diverse sample of 7-, 11-, and 15-year-olds (N = 168; 49% girls), we assessed youths’ potential for global compassion (i.e., compassion that transcends intergroup boundaries) using a novel interview procedure. We also collected self- and caregiver-reports of dispositional sympathy and prosocial behavior. Youths’ narratives revealed that youth often experienced compassion toward peers and relatives following both physical and psychological sufferance and often mentioned responding to the suffering other with helping behavior. On average, youth reported moderate levels of global compassion (i.e., compassion toward a suffering victimizer) and developmental trends revealed that 15-year-olds reported lower feelings of compassion than 11-year-olds. Next, latent profile analysis showed that compassion-oriented youth (i.e., youth who displayed moderate-high levels of global compassion) were rated as more prosocial than non-compassion-oriented youth (i.e., those who displayed low levels of global compassion). We discuss findings in relation to theory and research on the development of kindness in general and in intergroup contexts.

Latent profiles of multidimensional prosocial behaviors: An examination of prosocial personality groups

The current study sought to determine how prosocial behaviors reflecting various motivations (altruistic and public prosocial behaviors) and situations (i.e., anonymous, compliant, dire, and emotional prosocial behaviors) jointly inform subtypes of prosocial personality groups. Undergraduates (N = 324, M age = 19.47 years, 80% female) completed a measure of these six prosocial behaviors (Prosocial Tendencies Measure-Revised). Latent profile analysis results supported a three-group solution: altruistic helpers (AH), public helpers (PH), and altruistic idealists (AI). The AH and AI profiles were defined by elevated altruistic prosocial behaviors, but the AH profile was higher on situational helping and socioemotive and sociocognitive correlates. The PH profile was characterized by elevated public prosocial behaviors and moderate levels of situational helping. These identified profiles support multiple competing ideas of the true nature of prosocial personality, but also introduce the possibility that some individuals idealize motives but fail to engage in behavior.

Prosocial lying in children between 4 and 11 years of age: The role of emotional understanding and empathy

This study examined whether emotional understanding and empathy were predictors of prosocial lying in children aged 4 to 11 years. A total of 144 children participated in the study. To assess children's prosocial lying, we used the Helping Scenario, a classical experimental paradigm that allows children to lie to help others at their own expense. Children's emotional understanding was assessed using the Test of Emotion Comprehension, a test that measures the nine components of emotional understanding. Children's empathy was assessed using the Griffith Empathy Measure, a questionnaire completed by parents that measures affective and cognitive empathy. Results indicated that emotional understanding plays a crucial role in the development of children's ability to produce prosocial lies from 4 to 11 years of age. However, we found no significant relationship between empathy and prosocial lying. Finally, our results confirm that as children grew up, they lied more and more effectively. Overall, the results allow us to better understand the factors that contribute to the emergence and development of children's ability to produce prosocial lies.

Enlightened Self-interest in Altruism (ESIA)

Altruism and the medical profession have been linked throughout the history of medicine. Students are drawn to the calling of medicine because of altruistic values, dedication to service, and the desire to alleviate suffering and promote healing. Despite a dedication to these values, altruism in medicine is threatened by empathy erosion that develops in the clinical years of medical school and an increasing rate of medical student burnout. Currently, there are two widespread movements in medicine aimed at addressing the dual loss of altruism and physician and student burnout-professionalism and wellness. Despite widespread recognition of the problems and programs aimed at improving them, there has been little headway, and even calls to abandon altruism in the modern marketplace of medicine. What is needed is not an abandonment of a fundamental, defining value of the profession, but a re-evaluation of the meaning of altruism in medicine and a framework that allows for students and physicians to provide altruistic care for a sustainable, rewarding career in the healing profession. This paper proposes the Enlightened Self-Interest in Altruism (ESIA) model as an ethical framework to allow medical students to synergize the interests of the self with those they serve in a mutually beneficial relationship to improve patient care and the healthcare system at large. The ESIA model acknowledges that egoism and altruism are intertwined, dynamic motivators of behavior. In the enlightened self-interest approach, the interests of the group are also the interests of the self. The physician-patient relationship is a dyad in which egoism and altruism may converge in an enlightened way that acknowledges that the interests of one are the interests of the whole. This is a paradigm shift from the historical view of egoism and altruism as opposing motivations. This paper will present the threats to altruism, explore the interface of egoism and altruism in a clinical vignette, and then present the ESIA framework as an educational approach to aligning the interests of providers and patients to prevent burnout and promote altruism.

Exploring Latent Profiles of Empathy Among Chinese Preschool Teachers: A Person-Centered Approach

In view of the shortcomings of previous research on empathy (e.g., no dimensional differentiation, predominantly variable-centered approaches, and a lack of sample diversity), we adopted a person-centered approach to identify distinct profiles of empathy among Chinese preschool teachers, and we examined how these profiles relate to certain outcomes. We identified three profiles—moderate empathy, high cognitive empathy–moderate affective empathy, and high empathy—that varied in the level and shape of the profile indicators. Subsequent analyses showed that participants with higher levels of overall empathy scored higher in sympathy, while those with higher levels of affective empathy and lower levels of cognitive empathy scored higher in emotional exhaustion. Finally, we discussed the theoretical and practical implications of the findings and the limitations of the study.

The relation between bystanders' behavioral reactivity to distress and later helping behavior during a violent conflict in virtual reality

The occurrence of helping behavior is thought to be automatically triggered by reflexive reactions and promoted by intuitive decisions. Here, we studied whether reflexive reactions to an emergency situation are associated with later helping behavior in a different situation, a violent conflict. First, 29 male supporters of F.C. Barcelona performed a cued-reaction time task with a low and high cognitive load manipulation, to tap into reflexive and reflective processes respectively, during the observation of an emergency. Next, participants entered a bar in Virtual Reality and had a conversation with a virtual fellow supporter. During this conversation, a virtual Real Madrid supporter entered and started an aggressive argument with the fellow supporter that escalated into a physical fight. Verbal and physical interventions of the participant served as measures of helping behavior. Results showed that faster responses to an emergency situation during low, but not during high cognitive load, were associated with more interventions during the violent conflict. However, a tendency to describe the decision to act during the violent conflict as intuitive and reflex-like was related to more interventions. Further analyses revealed that a disposition to experience sympathy, other-oriented feelings during distressful situations, was related to self-reported intuitive decision-making, a reduced distance to the perpetrator, and higher in the intervening participants. Taken together, these results shed new light on helping behavior and are consistent with the notion of a motivational system in which the act of helping is dependent on a complex interplay between intuitive, reflexive and deliberate, reflective processes.

Personal distress and the influence of bystanders on responding to an emergency

Spontaneous helping behavior during an emergency is influenced by the personality of the onlooker and by social situational factors such as the presence of bystanders. Here, we sought to determine the influences of sympathy, an other-oriented response, and personal distress, a self-oriented response, on the effect of bystanders during an emergency. In four experiments, we investigated whether trait levels of sympathy and personal distress predicted responses to an emergency in the presence of bystanders by using behavioral measures and single-pulse transcranial magnetic stimulation. Sympathy and personal distress were expected to be associated with faster responses to an emergency without bystanders present, but only personal distress would predict slower responses to an emergency with bystanders present. The results of a cued reaction time task showed that people who reported higher levels of personal distress and sympathy responded faster to an emergency without bystanders (Exp. 1). In contrast to our predictions, perspective taking but not personal distress was associated with slower reaction times as the number of bystanders increased during an emergency (Exp. 2). However, the decrease in motor corticospinal excitability, a direct physiological measure of action preparation, with the increase in the number of bystanders was solely predicted by personal distress (Exp. 3). Incorporating cognitive load manipulations during the observation of an emergency suggested that personal distress is linked to an effect of bystanders on reflexive responding to an emergency (Exp. 4). Taken together, these results indicate that the presence of bystanders during an emergency reduces action preparation in people with a disposition to experience personal distress.

Trait Sympathy and Perceived Control as Predictors of Entering Sympathy-Arousing Situations

Two studies provide evidence that dispositional sympathy and perceived control interact to predict choices for and against situations likely to elicit sympathy. Sympathetic persons choosing among previewed experiments on the basis of the emotion elicited by each were particularly likely to choose a sympathy induction, and appeared to interpret that prospect in positive terms, but only when they expected substantial control over the procedure. In a second study, sympathizers were the most likely to volunteer for studies of people in distress, so long as the sympathizers expected a means of helping the distressed persons. In contrast, assurances of situational control did not encourage less sympathetic subjects to participate in either context Results provide for the expansion of models relating affect to prosaically behavior to include preferences for contact with distressed persons and for an interpretation of trait sympathy as less of a personal liability than prevalent views suggest.

The Amount and Effectiveness of Help: The Relationship of Motives and Abilities to Helping Behavior

A prospective study examined the influence of helpers' motives and abilities on the amount and effectiveness of a long-term altruistic activity. Crisis-counseling volunteers completed measures of altruistic motivation and perspective taking (a task-relevant ability), and their participation was followed: Volunteers either fulfilled their 9-month service commitment, terminated their participation (of their own volition) early, or were screened out because of inability to perform the work. Two predictions were tested and supported: (a) altruistic motives were related to the amount of help, early-terminating volunteers exhibiting less altruistic motivation than screened or completed service volunteers; and (b) volunteers' skills and abilities were related to the effectiveness of help, screened volunteers reporting less perspective-taking ability than early-terminating and completed-service volunteers. These findings suggest the need to consider the effectiveness of help, and helpers' task-relevant skills, in analyses of helping behavior.

Traditional and Health-Related Philanthropy: The Role of Resources and Personality

I study the relationships of resources and personality characteristics to charitable giving, postmortem organ donation, and blood donation in a nationwide sample of persons in households in the Netherlands. I find that specific personality characteristics are related to specific types of giving: agreeableness to blood donation, empathic concern to charitable giving, and prosocial value orientation to postmortem organ donation. I find that giving has a consistently stronger relation to human and social capital than to personality. Human capital increases giving; social capital increases giving only when it is approved by others. Effects of prosocial personality characteristics decline at higher levels of these characteristics. Effects of empathic concern, helpfulness, and social value orientations on generosity are mediated by verbal proficiency and church attendance.

Principle of Care and Giving to Help People in Need

Theories of moral development posit that an internalized moral value that one should help those in need—the principle of care—evokes helping behaviour in situations where empathic concern does not. Examples of such situations are helping behaviours that involve cognitive deliberation and planning, that benefit others who are known only in the abstract, and who are out‐group members. Charitable giving to help people in need is an important helping behaviour that has these characteristics. Therefore we hypothesized that the principle of care would be positively associated with charitable giving to help people in need, and that the principle of care would mediate the empathic concern–giving relationship. The two hypotheses were tested across four studies. The studies used four different samples, including three nationally representative samples from the American and Dutch populations, and included both self‐reports of giving (Studies 1–3), giving observed in a survey experiment (Study 3), and giving observed in a laboratory experiment (Study 4). The evidence from these studies indicated that a moral principle to care for others was associated with charitable giving to help people in need and mediated the empathic concern–giving relationship. © 2016 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology

RETRACTED ARTICLE: Personal distress, but not sympathy, predicts the negative influence of bystanders on responding to an emergency

At the request of the authors this article has been retracted. During the preparation of a follow-up study, a mistake was found in the experimental script of the cued reaction time task of experiment 2. Four out of six conditions were mislabeled. Consequently, the reported findings and their interpretation and discussion are incorrect. Careful reexamination and reanalyzing of the data using the correct labels revealed a pattern of results that is not entirely compatible with several of the main claims of the article. Importantly, the corrected results show that reaction times do not increase with more bystanders present at an emergency.Moreover, not only personal distress but also perspective taking predicts the negative influence of bystanders on reaction times.We believe that these new findings undermine our central claim of decreased action preparation as a function of bystanders present at an emergency and the enhancement of this effect in people with higher levels of trait personal distress. While the results and discussion of experiment 1 and 3 remain correct, the new results of experiment 2 influence the article to such an extent that we currently see no other option than to retract the article from publication. We will continue to work on this topic and hope to publish the new results in due time. We deeply regret the publication of invalid results.We sincerely apologize to the Editor and reviewers of the manuscript, and the readers of Cognitive, Affective, & Behavioral Neuroscience.

Detrimental Citizenship Behaviour: A Multilevel Framework of Antecedents and Consequences

There is regular and explicit media coverage of employee behaviour intended to advance organizational goals, but that harms stakeholder interests in ways that exceed necessity and reason. Although several constructs such as workplace deviance, organizational misbehaviour, corporate crime and corruption, and unethical pro-organizational behaviour have been advanced to account for this type of behaviour, no comprehensive framework exists that also includes the full scope of its important consequences. Accordingly, we propose the umbrella construct of detrimental citizenship behaviour (DCB) that allows us to integrate and build upon previous related conceptualizations that have developed mostly in parallel bodies of research. We rely on ethical decision-making, creativity, and instrumental stakeholder theories to embed the umbrella DCB construct within a multi-level and longitudinal model. The DCB model includes processes through which such behaviour and its consequences unfold over time for organizational members, organizations, and society at large. The proposed framework describes, explains, and predicts DCB and also leads to suggestions for future research. In addition, we offer suggestions regarding how to manage this highly consequential type of organizational behaviour, thereby engaging in a much-needed science-practice dialogue in management and organization studies.

Examining the factor structure and etiology of prosociality

Prosociality is one construct included in the developmental propensity model proposed by Lahey and Waldman (2003, 2005) to explain the development of conduct problems in childhood and adolescence. Findings from previous literature on 2 facets of prosociality, dispositional sympathy and respect for rules, suggest that both may have genetic and nonshared environmental influences, but only the latter may have shared environmental influence. The goal of the current article was to explore the structure of the prosociality disposition from a measurement perspective as well as to examine the etiology of this construct. The sample consisted of 686 twin pairs ages 7 to 13. Parents rated their children's prosociality using the Child and Adolescent Dispositions Scale. The factor structure of the prosociality scale was examined using confirmatory factor analysis to compare a 1-factor model with a 2-factor model. Twin analyses were used to examine the proportion of variance associated with genetic and environmental effects on the latent factor(s) from the best fitting model. Results of the current study suggest that prosociality is a disposition that can be conceptualized as 2 related factors rather than a unitary dimension. These 2 factors map onto the subscales of the prosociality dimension (dispositional sympathy and respect for rules). Both factors had significant genetic and nonshared environmental influences, but only respect for rules had significant shared environmental influences. Examining the dispositional sympathy and respect for rules facets of prosociality separately allowed for the discovery that shared environmental factors may have more impact on respect for rules than sympathy.

Children's moral judgments and moral emotions following exclusion of children with disabilities: relations with inclusive education, age, and contact intensity

We investigated relations between children's moral judgments and moral emotions following disability-based exclusion and inclusive education, age, and contact intensity. Nine- and 12-year-old Swiss children (N=351) from inclusive and noninclusive classrooms provided moral judgments and moral emotion attributions following six vignettes about social exclusion of children with disabilities. Children also reported on their level of sympathy towards children with disabilities and their contact intensity with children with disabilities. Overall, children condemned disability-based exclusion, attributed few positive emotions to excluder targets, and expressed high sympathy for children with disabilities, independent of age and educational setting. However, younger children from inclusive classrooms exhibited more moral judgments and moral emotions than younger children from noninclusive classrooms. Moreover, children who expressed high sympathy towards children with disabilities were more likely to report frequent contact with children with disabilities. The findings extend existing research on social exclusion by examining disability-based exclusion and are discussed with respect to developmental research on social and moral judgments and emotions following children's inclusion and exclusion decisions.

The many faces of empathy and their relation to prosocial action and aggression inhibition

This article discusses the emotional reactions most commonly associated with empathy and their relation to prosocial or altruistic action, aggression inhibition, and understanding others. In What is Empathy?, I characterize the distinct emotional reactions most commonly associated with empathy: empathy, sympathy, personal distress, and emotional contagion. In Measures of Empathy, I discuss the most common measures of dispositional and situational empathy. In Empathy, Prosocial Action, and Altruism, I consider the evidence that empathy, sympathy, and personal distress induce prosocial motivation. I conclude that sympathy is most strongly associated with prosocial, even altruistic, motivation. In Empathy and Aggression Inhibition, I examine the evidence that empathy inhibits aggression. The evidence is inconclusive. In Empathy and Mindreading, I briefly discuss empathy and mindreading, with an eye toward recent evidence concerning mirror neurons. I conclude by linking our current understanding of empathy to the philosophical tradition, and by offering some speculative remarks. WIREs Cogn Sci 2012, 3:253-263. doi: 10.1002/wcs.1165 For further resources related to this article, please visit the WIREs website.

Altruistic people show no self-reference effect in memory

The self-reference effect (SRE), by which encoding of information is done in a self-referential manner (e.g., "Does the word describe you?"), enhances subsequent memory performance. It is thought to reflect that self-reference is a highly practiced task in everyday life. Accordingly, it is expected that the types of tasks that produce memory enhancement vary according to individual differences of past experiences. On the basis of neuroimaging studies, we hypothesized that social desirability reference ("Is this word socially desirable?") produces memory enhancement as with SRE in people who have chosen altruistic behavior frequently. Participants processed trait adjectives in relation to themselves, social desirability, and meaning. Then they performed a free recall task. The self-report altruism scale was used to assess the frequency of past altruistic behavior. Consistent with our prediction, the social desirability reference yielded the best retention in the high-altruism group. SRE was observed only in the low-altruism group.

Helping Behavior, Dispositional Empathic Concern, and the Principle of Care

This research investigates the relative strength of two correlates of helping behavior: dispositional empathic concern and a moral principle to care about others. The empathy–helping and care–helping relationships are investigated using data from the General Social Survey, a nationally representative random sample of the U.S. adult population. Ten helping behaviors are investigated. The results show that the care–helping relationship is stronger than the empathy–helping relationship for most helping behaviors, and that the empathy–helping relationship is mediated by the principle of care. That dispositional empathic concern is mediated by the principle of care requires new theoretical interpretations of the empathy–helping relationship, and suggests new directions for research on helping behavior.

Psychometrics of a self-report version of the Child and Adolescent Dispositions Scale

Lahey and Waldman (2003, 2005) proposed a model in which three dispositions-sympathetic response to others; negative emotional response to threat, frustration, and loss; and positive response to novelty and risk-transact with the environment to influence risk for conduct disorder (CD). To test this model, the Child and Adolescent Dispositions Scale (CADS) was developed to measure these dispositions using parent ratings of the child. Here we report psychometric evaluations of a parallel youth self-report version (CADS-Y). Exploratory factor analysis of CADS-Y items among 832 9- to 17-year-olds yielded a 3-factor structure that was consistent with the model and invariant across sex and informants. In 1,582 pairs of 9- to 17-year-old twins, confirmatory factor analyses supported the CADS-Y 3-factor model. Each CADS-Y dimension was associated with CD and related personality dimensions as predicted.

Effects of oxytocin and prosocial behavior on brain responses to direct and vicariously experienced pain

In this study, we tested the validity of 2 popular assumptions about empathy: (a) empathy can be enhanced by oxytocin, a neuropeptide known to be crucial in affiliative behavior, and (b) individual differences in prosocial behavior are positively associated with empathic brain responses. To do so, we measured brain activity in a double-blind placebo-controlled study of 20 male participants either receiving painful stimulation to their own hand (self condition) or observing their female partner receiving painful stimulation to her hand (other condition). Prosocial behavior was measured using a monetary economic interaction game with which participants classified as prosocial (N = 12) or selfish (N = 6), depending on whether they cooperated with another player. Empathy-relevant brain activation (anterior insula) was neither enhanced by oxytocin nor positively associated with prosocial behavior. However, oxytocin reduced amygdala activation when participants received painful stimulation themselves (in the nonsocial condition). Surprisingly, this effect was driven by "selfish" participants. The results suggest that selfish individuals may not be as rational and unemotional as usually suggested, their actions being determined by their feeling anxious rather than by reason.

Atypical empathic responses in adolescents with aggressive conduct disorder: a functional MRI investigation

Because youth with aggressive conduct disorder (CD) often inflict pain on others, it is important to determine if they exhibit atypical empathic responses to viewing others in pain. In this initial functional magnetic resonance imaging (fMRI) study, eight adolescents with aggressive CD and eight matched controls with no CD symptoms were scanned while watching animated visual stimuli depicting other people experiencing pain or not experiencing pain. Furthermore, these situations involved either an individual whose pain was caused by accident or an individual whose pain was inflicted on purpose by another person. After scanning, participants rated how painful the situations were. In both groups the perception of others in pain was associated with activation of the pain matrix, including the ACC, insula, somatosensory cortex, supplementary motor area and periaqueductal gray. The pain matrix was activated to a specific extent in participants with CD, who also showed significantly greater amygdala, striatal, and temporal pole activation. When watching situations in which pain was intentionally inflicted, control youth exhibited signal increase in the medial prefrontal cortex, lateral orbitofrontal cortex, and right temporo-parietal junction, whereas youth with CD only exhibited activation in the insula and precentral gyrus. Furthermore, connectivity analyses demonstrated that youth with CD exhibited less amygdala/prefrontal coupling when watching pain inflicted by another than did control youth. These preliminary findings suggest that youth with aggressive CD exhibit an atypical pattern of neural response to viewing others in pain that should be explored in further studies.

Physiologically-indexed and self-perceived affective empathy in Conduct-Disordered children high and low on Callous-Unemotional traits

Heart rate (HR) was employed to compare vicarious affective arousal across three groups of children (aged 7.6 - 11, N = 95): Conduct Disordered (CD) elevated on Callous-Unemotional traits (CD/CU), CD low on CU traits (CD-only), and [Symbol: see text]typically-developing' controls, matched in age, gender and socioeconomic background. While watching an emotion evocative film, participants' HR was monitored. Immediately after viewing, self-reported vicarious responses were obtained. Participants also completed the Bryant Empathy Index. CD/CU children displayed lower magnitude of HR change than both CD-only and controls. Both CD groups reported fewer vicarious responses and scored lower than controls on the empathy index. These results support distinct deficits across CD subsets, suggestive of distinct mechanisms underlying their antisocial conduct.

Psychometric characteristics of a measure of emotional dispositions developed to test a developmental propensity model of conduct disorder

Lahey and Waldman proposed a developmental propensity model in which three dimensions of children's emotional dispositions are hypothesized to transact with the environment to influence risk for conduct disorder, heterogeneity in conduct disorder, and comorbidity with other disorders. To prepare for future tests of this model, a new measure of these dispositions was tested. Exploratory factor analysis of potential items was conducted in a sample of 1,358 participants 4 to 17 years of age. Confirmatory factor analyses then confirmed the three dispositional dimensions in a second sample of 2,063 pairs of 6- to 17-year-old twins. Caretaker ratings of the dispositional dimensions were associated as predicted with symptoms of conduct disorder and other psychopathology. In a third sample, caretaker ratings of each disposition correlated uniquely with relevant observational measures of child behavior and unintentional injuries. These findings provide initial support for the new dispositional measure.

Cognitive and emotional control and perspective taking and their relations to empathy in 5-year-old children

The experience of empathy has been described as involving both emotional and cognitive components. The primary hypothesis tested in this study is that cognition and emotion are integrated within 2 distinct types of abilities-control and perspective taking-and that interactions between emotional and cognitive control and between affective and cognitive perspective taking would be related to children's empathic responding. We also hypothesized that boys' control and perspective-taking skills would be more strongly related to empathy than would those of girls. Fifty-seven 5-year-olds completed tasks measuring cognitive control, cognitive and affective perspective taking, and empathy, and their mothers completed a measure of children's emotional control. Results indicated that cognitive perspective taking moderated the relation between affective perspective taking and empathy. In addition, the relation between cognitive inhibitory control and empathy was moderated by gender; boys' control was positively related to empathy, but girls' control was marginally negatively related to empathy.

Does compassion mediate the intrinsic religion-health relationship?

BACKGROUND

Religiosity has been related to positive health outcomes. Although this relationship is primarily based on studies of church attendance and health, more recent work has focused on the potential mechanisms that may mediate the religion-health findings. One principle that is taught by all of the world's major religions is compassion.

PURPOSE

It was hypothesized that one pathway through which religiosity may exert its positive influence on health is through encouraging compassionate attitudes and behaviors toward others.

METHODS

Two separate studies were conducted examining the relationships among intrinsic religiosity (IR), compassionate attitudes and behaviors, and measures of psychosocial health. Measures of psychosocial health included depressive symptoms, perceived stress, and social support.

RESULTS

IR was related to positive psychosocial outcomes in both studies, and compassionate attitudes and behaviors mediated these relationships. Compassionate attitudes showed significant relationships with psychosocial outcome measures (depressive symptoms, r = -.46, p < .0001; perceived stress, r = -.45, p < .0001; satisfaction with social support, r = .54, p < .0001; marital adjustment, r = .44) and accounted for most of the mediating effect. Although social support was also related to the variables of interest, its effect was smaller than that of compassionate attitude, and controlling for social support did not significantly add to the mediating effect of compassionate attitude.

CONCLUSIONS

This study found compassionate attitude to be an important factor in the religion-health relationship and related to positive psychosocial outcomes, including reduced depressive symptoms and reduced perceived stress. Future research on religiosity and health may benefit from exploring the concept of a "compassionate personality" (i.e., a way of being in the world where others are treated with love and respect).

Prosocial emotions and helping: the moderating role of group membership

In this article, the authors introduce and test a group-level perspective on the role of empathy and interpersonal attraction in helping. In line with our predictions, Study 1, a longitudinal field study of 166 AIDS volunteers, confirmed that empathy was a stronger predictor of helping when the recipient of assistance was an in-group member than when that person was an out-group member. Also as hypothesized, attraction was a stronger predictor of helping when the recipient was an out-group member than when that person was an in-group member. Study 2 replicated and further extended these results in a laboratory experiment on spontaneous helping of a person with hepatitis. Strengthening the validity of the findings, in both studies the effects of empathy and attraction held up even when the authors statistically controlled for potential alternative predictors of helping. The theoretical and practical implications of these findings for helping in intergroup contexts are discussed.

Personality attributes of volunteers and paid workers engaged in similar occupational tasks

The authors' primary aim was to determine whether Australian volunteers and paid workers who were engaged in similar activities differed on aspects of a 5-factor model of personality. Their secondary aim was to determine whether personality attributes were similar between volunteers involved in different activities. The participants were 36 volunteer food preparers, 38 paid food preparers, and 31 volunteer firefighters. Each participant completed a personality inventory (P. T. Costa & R. R. McCrae, 1992) and a brief demographic questionnaire. As predicted, the volunteer food preparers were more agreeable and extraverted than were their paid counterparts. The two volunteer groups differed only on the personality facet of assertiveness. The results support the existence of a constellation of traits that constitute a volunteering disposition; such traits may be relatively stable across time and situations. These results have scientific and practical implications for the literature on volunteering.

Basic empathy in older adults: conceptualization, measurement, and application

Older adults comprise the most rapidly increasing age group in America. In addition, an increasing number of older adults are involved in helping behaviors or volunteering. Although empathy has been identified as a critical component of a helping relationship, few studies concerning empathy have been conducted with older adults and few instruments have been developed that can be used with this population. The purpose of this study was to explore the relationship between two measures of empathy in older adults. The Hogan Empathy Scale and an Adjective Check List Empathy Scale were used to assess basic empathy in 43 older adults between the ages of 63 and 96. Results indicated that the mean scores of older adults were lower than mean scores in younger populations. Scores on both measures were comparable suggesting that both instruments could be used to measure basic empathy in older adults.

Altruism: a framework for caring and providing care

The word altruism is derived from the Latin alteri huic meaning to this other and literally means to express a regard for others as a principle for action. Fung (1988) [JAMA, Vol. 260, No. 17, p. 2509] describes altruism as caring for no obvious reward other than the belief that someone else will benefit or avoid harm. Altruism represents an amalgamation of intrinsic and extrinsic factors which either permit or coerce individuals to take responsibility for or care for another and to sacrifice things dearly held. Traditionally the caring professions have been characterised by a self professed altruism, that is, a selfless service on behalf of or for others (Thompson et al., 1994, Nursing Ethics, Churchill Livingstone, Edinburgh). This paper examines the theoretical basis of altruistic care, drawing on significant contribution from the literature before proceeding to explore the pivotal role altruism plays in nursing practice and the current arrangements for health care provision within the United Kingdom.

Compassionate-empathic physicians: personality traits and social-organizational factors that enhance or inhibit this behavior pattern

Compassionate-empathic physicians (CEPs) are desired by patients, but rarely found in medical settings. The purpose of this study was to promote our understanding of this gap by determining personal characteristics that distinguish CEPs from other physicians, and organizational factors that might enhance or inhibit physicians' compassionate-empathic behavior (CEB). In the first stage of the study, three groups of physicians who differed in their compassionate-empathic pattern of behavior toward patients were identified by a sociometric questionnaire distributed to 324 physicians in a general hospital. In the second stage, almost all of these physicians (N = 308) were asked to fill out a self administered structured questionnaire, and 214 (69.5%) responded. Comparisons among the three groups show that the physicians identified as CEPs, more than other physicians, are younger, have fewer years in medical practice, and score higher on pro-social, non-stereotypic attitudes toward patients and on empathy measures. Their self-esteem is, however, similar to that of the non-CEPs. The CEPs express similar levels of satisfaction with work on most dimensions, but they report more emotional exhaustion (burnout) than other physicians. A consensus among all physicians was found with regard to two rank orders: (a) the important qualities for being "a good physician"; and (b) the important qualities for being promoted in the hospital. However, while empathic behavior was considered the most important quality for being "a good physician", it was ranked as the least important for being promoted in the hospital. The conclusions can serve as a scientific base for improving methods of selection of medical students, and for re-evaluating the existent criteria for promoting medical staff in general hospitals.

The effects of cognitive and affective perspective taking on empathic concern and altruistic helping

The impact of cognitive and affective perspective taking on empathic arousal and altruistic responding was investigated in an American, working adult, ethnically diverse population. Altruistic helping, operationalized as the number of hours a participant volunteered to help counsel other adult students, depended on the type of perspective induced. Cognitive and affective perspectives were induced by instructing participants to pay attention to and discern (a) the thoughts of the stimulus person, (b) the feelings of the stimulus person, or (c) distracting, irrelevant details that provided a comparison condition. Participants in the affective perspective-taking condition reported greater empathic arousal than control participants. Participants in the affective perspective-taking condition also offered more help than did those in the cognitive perspective-taking condition or in the control condition.

Sympathy and altruism in response to disasters

Canadian students provided ratings of the degree of sympathy they felt for those involved in each of 20 world disasters. Playing the role of taxpayer, they also apportioned monies from a disaster relief fund to assist in such emergencies. A single dimension, Culpability, was found to underlie the sympathy ratings. Sympathy was related to giving aid only in the case of female subjects. Women also expressed greater sympathy and recommended more financial aid than did men.

Sympathy and personal distress: development, gender differences, and interrelations of indexes

In summary, in our multimethod research concerning vicariously induced emotion, we have obtained several patterns of importance. First, we have obtained modest differences in facial and self-report indexes of emotion, nearly all indicating greater responsivity by females. Moreover, some of the data suggest that this gender difference increases with age. Second, we have found that facial indexes of negative emotion are stronger for younger than older persons and that older children's self-reports of emotion are somewhat more consistent with the context than are those of young children. Finally, although we have not obtained strong or consistent relations among our physiological, self-report, and facial indexes of emotion, those that have been obtained suggest a positive relation among indexes, one that appears to be stronger for younger than older persons (especially girls). Further research confirming these patterns of findings is needed; nonetheless, the preliminary data can be viewed as indicating that a multimethod approach to studying empathy is useful for increasing our understanding of empathy, sympathy, and personal distress reactions and their development.