I like it because it hurts you: On the association of everyday sadism, sadistic pleasure, and victim blaming

Past research on determinants of victim blaming mainly concentrated on individuals' just-world beliefs as motivational process underlying this harsh reaction to others' suffering. The present work provides novel insights regarding underlying affective processes by showing how individuals prone to derive pleasure from others' suffering-individuals high in everyday sadism-engage in victim blaming due to increased sadistic pleasure and reduced empathic concern they experience. Results of three cross-sectional studies and one ambulatory assessment study applying online experience sampling method (ESM; overall N = 2,653) document this association. Importantly, the relation emerged over and above the honesty-humility, emotionality, extraversion, agreeableness, conscientiousness, and openness personality model (Study 1a), and other so-called dark traits (Study 1b), across different cultural backgrounds (Study 1c), and also when sampling from a population of individuals frequently confronted with victim-perpetrator constellations: police officers (Study 1d). Studies 2 and 3 highlight a significant behavioral correlate of victim blaming. Everyday sadism is related to reduced willingness to engage in effortful cognitive activity as individuals high (vs. low) in everyday sadism recall less information regarding victim-perpetrator constellations of sexual assault. Results obtained in the ESM study (Study 4) indicate that the relation of everyday sadism, sadistic pleasure, and victim blaming holds in everyday life and is not significantly moderated by interpersonal closeness to the blamed victim or impactfulness of the incident. Overall, the present article extends our understanding of what determines innocent victims' derogation and highlights emotional mechanisms, societal relevance, and generalizability of the observed associations beyond the laboratory. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Resilience in Lower Grade Glioma Patients

Current data show that resilience is an important factor in cancer patients’ well-being. We aim to explore the resilience of patients with lower grade glioma (LGG) and the potentially influencing factors. We performed a cross-sectional assessment of adult patients with LGG who were enrolled in the LoG-Glio registry. By phone interview, we administered the following measures: Resilience Scale (RS-13), distress thermometer, Montreal Cognitive Assessment Test for visually impaired patients (MoCA-Blind), internalized stigmatization by brain tumor (ISBI), Eastern Cooperative Oncological Group performance status (ECOG), patients’ perspective questionnaire (PPQ) and typical clinical parameters. We calculated correlations and multivariate regression models. Of 74 patients who were assessed, 38% of those showed a low level of resilience. Our results revealed significant correlations of resilience with distress (p < 0.001, −0.49), MOCA (p = 0.003, 0.342), ECOG (p < 0.001, −0.602), stigmatization (p < 0.001, −0.558), pain (p < 0.001, −0.524), and occupation (p = 0.007, 0.329). In multivariate analyses, resilience was negatively associated with elevated ECOG (p = 0.020, β = −0.383) and stigmatization levels (p = 0.008, β = −0.350). Occupation showed a tendency towards a significant association with resilience (p = 0.088, β = −0.254). Overall, low resilience affected more than one third of our cohort. Low functional status is a specific risk factor for low resilience. The relevant influence of stigmatization on resilience is a novel finding for patients suffering from a glioma and should be routinely identified and targeted in clinical routine.

Differences in observed and self-reported compliance with the 5 moments for hand hygiene as a function of healthcare workers' empathy

BACKGROUND

Hand hygiene at critical time-points (as established by the WHO model 'Five moments for hand hygiene') remains the leading measure for minimising the risk of healthcare-associated infections. While many interventions have been tested to improve hand hygiene compliance (HHC) of healthcare workers (HCWs), little is known about the relation between HHC and HCW empathy.

AIM

The aim of this study was to investigate the relation between moment-specific HHC rates and HCWs' empathy, at both individual and ward levels.

METHODS

HHC data was collected via observation and self-report, staffs' empathy levels were measured using an established questionnaire. The survey was conducted on 38 wards of three tertiary-care hospitals in Germany. Observation data was obtained via in-house observations which were conducted up to eight months before or after the survey.

FINDINGS

Evidence for the expected correlation between HCW empathy and moment-specific HHC was found for both observed HHC (Moment 1: r = .483, p = .031; Moment 2: r = 588, p = .006) and self-reported HHC (Moment 1: r = .093, p = .092; Moment 2: r = .145, p = .008). In analyses of variance the critical interaction effect between empathy (i.e., lower vs. higher empathy) and designated time-point of hand hygiene (i.e., before vs. after reference task) was also significant.

CONCLUSION

HCWs' empathy should be considered as an important factor in explaining differences between moment-specific HHC rates. In consequence, empathy comes into focus not only as a crucial factor for high-quality patient care, but as an important contributor to improving HHC, too.

The impact of activating an empathic focus during COVID19 on healthcare workers motivation for hand hygiene compliance in moments serving the protection of others: a randomized controlled trial study

Aim

The "Five moments of hand hygiene" (World Health Organization 2009) can be classified into moments of hand hygiene before and after patient care. Based on research indicating that hand hygiene compliance differs with regard to moments before and after patient care, this research evaluates the effectiveness of an empathy-based intervention in motivating hand hygiene compliance with regard to moments before patient care which protect vulnerable individuals from contamination and infection.

Subjects and method

An online experiment involving 68 healthcare professionals working at a German hospital during the first wave of the COVID-19 pandemic investigates whether instructing healthcare professionals to consider consequences for others (vs for themselves) if they contracted SARS-CoV-2 promotes hand hygiene compliance referring to moments before (vs after) patient care.

Results

In the condition in which healthcare professionals considered consequences for others if they contracted SARS-CoV-2 (other-focus condition), ratings of importance increased (M = 3.49, SD = 1.30) compared to the condition in which healthcare professionals considered consequences for themselves (M = 2.68, SD = 1.24), F(1,66) = 6.87, p = .011, partη2 = .09. Participants in the other-focus condition reported more intentions to comply with "before moments" in the future (M = 3.34, SD = 1.14) compared to participants in the self-focus condition (M = 2.77, SD = 0.80), F(1,66) = 6.15, p = .016, partη2 = .09.

Conclusion

Results indicate that activating an empathic focus in the context of the current pandemic promotes perceived importance and motivation of healthcare professionals to comply with moments aiming at protecting vulnerable others.

Supplementary Information

The online version contains supplementary material available at 10.1007/s10389-022-01725-z.

The link between perspective-taking and prosociality - Not as universal as you might think

The path from perspective-taking to prosocial behavior is not as straightforward or robust as it is often assumed to be. In some contexts, imagining the viewpoint of other person leads the perspective taker to thoughts about how that person might have negative thoughts or intentions toward them. It can also prompt other kinds of counter-productive egocentric projection. In this review, we consider how prosocial processes potentially stimulated by perspective-taking can be derailed in such contexts. We also identify methodological limitations in current (social-) psychological evidence for a causal link between perspective-taking and prosocial outcomes. Increased appreciation of factors moderating the path from perspective-taking to prosocial behavior can enhance the explanatory power of perspective-taking as social cognitive process.

The Emotional Path to Action: Empathy Promotes Physical Distancing and Wearing of Face Masks During the COVID-19 Pandemic

The COVID-19 pandemic presents a major challenge to societies all over the globe. Two measures implemented in many countries to curb the spread of the disease are (a) minimizing close contact between people ("physical distancing") and (b) wearing of face masks. In the present research, we tested the idea that physical distancing and wearing of face masks can be the result of a prosocial emotional process-empathy for people most vulnerable to the virus. In four preregistered studies (N = 3,718, Western population), we found that (a) empathy indeed relates to the motivation to adhere to physical distancing and to wearing face masks and (b) inducing empathy for people most vulnerable to the virus promotes the motivation to adhere to these measures (whereas merely providing information about the importance of the measures does not). In sum, the present research provides a better understanding of the factors underlying the willingness to follow two important measures during the COVID-19 pandemic.

Inducing empathy affects cardiovascular reactivity reflected in changes in high-frequency heart rate variability

Empathy represents an emotional trigger of prosocial emotions and social engagement behaviour as previous research demonstrates. Departing from literature indicating that parasympathetic mechanisms are associated with the preparation of social engagement behaviour, the present research investigates how feeling with another person affects empathising individuals' cardiovascular reactivity reflecting influences of parasympathetic mechanisms. Specifically, individuals' high-frequency heart rate variability (HF-HRV) while being instructed to feel with a target person in need reacting with a specific emotional response to a need-causing event (with anger or sadness) was investigated. Results of one experiment (N = 124) revealed that inducing empathy with needy target persons results in increases of HF-HRV - irrespective of their emotional reaction. No relation between cardiovascular indices and self-reported prosocial behaviour was found. Accordingly, these findings indicate that inducing empathy affects phasic vagal activity implied by parasympathetic mechanisms whereas the association of cardiovascular reactivity and social engagement behaviour needs further investigation.

The Emotional Path to Action: Empathy Promotes Physical Distancing and Wearing of Face Masks During the COVID-19 Pandemic

The COVID-19 pandemic presents a major challenge to societies all over the globe. Two measures implemented in many countries to curb the spread of the disease are (a) minimizing close contact between people ("physical distancing") and (b) wearing of face masks. In the present research, we tested the idea that physical distancing and wearing of face masks can be the result of a prosocial emotional process-empathy for people most vulnerable to the virus. In four preregistered studies (N = 3,718, Western population), we found that (a) empathy indeed relates to the motivation to adhere to physical distancing and to wearing face masks and (b) inducing empathy for people most vulnerable to the virus promotes the motivation to adhere to these measures (whereas merely providing information about the importance of the measures does not). In sum, the present research provides a better understanding of the factors underlying the willingness to follow two important measures during the COVID-19 pandemic.

Evaluating healthcare workers' hand hygiene performance using first-person view video observation in a standardized patient-care scenario

BACKGROUND

Monitoring healthcare workers' (HCWs) hand hygiene (HH) performance is recommended for improving compliance. Observer biases challenge data validity, thus supplemental approaches such as video observation are needed to complement monitoring.

METHODS

We investigate first-person view (FPV) video observation during simulated standardized patient care handling a catheter in a study with 71 HCWs. HH performance was evaluated for (1) all HH opportunities and (2) a subset of opportunities required in an ideal work sequence, hereafter core opportunities. HCWs' acceptance of FPV video observation and usability judgments were assessed.

RESULTS

Compliance level for core HH opportunities (M = 43.5%) was significantly higher than compliance considering all opportunities (M = 30.4%, t(70) = 8.493, P < .001). Reducing HH opportunities to core opportunities would significantly increase compliance levels from the observed average of 30.4% to 44.9% (t(70) = 12.822, P < .001). Overall, both usability ratings and acceptance of the body camera were promising.

DISCUSSION

FPV video observation in simulated standardized patient care provides new instruments to evaluate HH performance beyond mere compliance rates. Our results emphasize the role of optimizing workflow in order to improve HCW's HH compliance.

CONCLUSIONS

FPV video observation in a standardized patient care simulation is feasible and offers information for HH interventions that target actual deficiencies.

“Let Me Show You How Nice I Am”: Impression Management as Bias in Empathic Responses

Past research showed that empathic responses are confounded with social desirability. The present research aims at illuminating this confound. In a first step, it is examined how a measure typically implemented to screen, for response, biases based on social desirability (i.e., the Balanced Inventory of Desirable Responding) relate to classical measures of interindividual differences in empathic responses (i.e., the Interpersonal Reactivity Index). Moreover, it is investigated what happens to empathic responses under conditions of reduced opportunity to behave socially desirable. Results of two correlational studies indicate that impression management (IM) as well as self-deceptive enhancement as facets of a socially desirable response bias is related to self-reported empathic responses. Results of an additional experiment show that introducing conditions reducing opportunity for IM lowers empathic responses toward a person in need. Implications for research on self-reported empathy and empathy-induced prosocial behavior are discussed.

Compassion magnifies third-party punishment

The last decades of research have provided overwhelming evidence that compassion fosters a vast range of behaviors toward reducing suffering of others. In this regard, compassion has been described as a prosocial tendency par excellence, fostering helping behavior across a variety of social situations. With the present contribution, we apply a differentiated perspective on compassion. Building on just deserts theory, we argue that when other individuals suffer from unjust actions, compassion for the suffering individuals can foster harmful tendencies toward those who caused the suffering (i.e., third-party punishment). In Studies 1a to 1f, we examined a rich variety of situations in which unjust suffering occurs (i.e., terrorist attacks, sexual assaults, rape of children, and war) and documented a positive relation between compassion for suffering victims and punishment inclinations toward those who caused the suffering. Applying an experimental approach using various paradigms in Studies 2 through 6, compassion was shown to increase third-party punishment. Additional analyses revealed that (a) this increase occurs because compassion intensified moral outrage, which in turn predicted third-party punishment (Studies 2 to 6), and (b) compassion only fosters third-party punishment when suffering was caused by high (vs. low) unjust acts (Study 5). Overall, the present research discusses compassion in a different light in that harmful consequences of compassion are considered. Implications are discussed from a perspective of basic research on compassion and third-party punishment as well as from a societal perspective. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

It's a challenge! Empathizing with sad but not with angry individuals results in cardiovascular reactivity consistent with a challenge motivational state

The question of what feeling with another person elicits in the empathizing individual has instigated innumerable studies mainly focusing on the affective valence of empathy and the resulting consequences for prosocial behavior (cf. the empathy-altruism debate). The present research may contribute to this long-lasting debate by examining the cardiovascular reactivity of the empathizing individual. To that effect, the biopsychosocial model of challenge and threat (Blascovich & Tomaka, 1996) was applied and impedance cardiography was implemented while individuals were instructed to feel with a target person who reacted differently to a need-causing event (with anger vs. sadness). Thereby, it is possible to test whether empathizers process coping-related cues when feeling with a target person in need. Results of one experiment (N = 160 women) revealed that empathizing with a sad (vs. an angry) target results in cardiovascular reactivity consistent with relative challenge-an energy-mobilizing state associated with relatively high resources. These findings suggest that coping-related appraisal processes influence how the empathizing individual reacts in terms of cardiovascular reactivity. This, in turn, provides novel insights regarding the affective-motivational outcomes of empathy. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

It’s All About the Self

Although abundant research has documented positive interpersonal outcomes of perspective taking, a growing body of evidence indicates that perspective taking can also induce negative interpersonal outcomes—in other words, it backfires. We aim at integrating these seemingly contradictory findings, suggesting that perspective taking backfires when it causes the perspective-taking individual to feel threatened. Threat can emerge from the very act of perspective taking if the target of perspective taking is perceived as too different from the self or if adopting another’s perspective creates the potential for negative self-evaluation. Furthermore, threat may emerge if perspective taking successfully creates perceptions of self-other overlap, but the overlapping characteristics accentuate potentially threatening characteristics of the target. Our theoretical model affords predictions for other conditions in which perspective taking is linked to self-threat and may backfire.

The Impact of Regulatory Focus on Challenge and Threat

Abstract. Research has shown that feelings of threat elicit a prevention focus and feelings of challenge elicit a promotion focus. The present research tested the reverse causal relationship. We predicted that, when people are faced with a demanding task, they experience more challenge and less threat if they are in a promotion focus as compared to a prevention focus because having a promotion focus results in the perception of having more resources than a prevention focus does. In two studies assessing or manipulating regulatory focus, respectively, we found the expected effect on challenge and threat as well as the mediation of this effect via perceived resources. The relationships between regulatory focus and challenge and threat are discussed.

A person-oriented approach to hand hygiene behaviour: Emotional empathy fosters hand hygiene practice

OBJECTIVES

Adopting a social-psychological approach, this research examines whether emotional empathy, an affective reaction regarding another's well-being, fosters hand hygiene as this affects other's health-related well-being extensively.

DESIGN

Three studies tested this notion: (a) a cross-sectional study involving a sample of health care workers at a German hospital, (b) an experiment testing the causal effect of empathy on hand hygiene behaviour and (c) an 11-week prospective study testing whether an empathy induction affected disinfectant usage frequency in two different wards of a hospital.

MAIN OUTCOME MEASURES

Self-reported hand hygiene behaviour based on day reconstruction method was measured in Study 1, actual hand sanitation behaviour was observed in Study 2 and disinfectant usage frequency in two different hospital wards was assessed in Study 3.

RESULTS

Study 1 reveals an association of empathy with hand hygiene cross-sectionally, Study 2 documents the causal effect of empathy on increased hand sanitation. Study 3 shows an empathy induction increases hand sanitiser usage in the hospital.

CONCLUSIONS

Increasing emotional empathy promotes hand hygiene behaviour, also in hospitals. Besides providing new impulses for the design of effective interventions, these findings bear theoretical significance as they document the explanatory power of empathy regarding a distal explanandum (hand hygiene).

Attracted to power: challenge/threat and promotion/prevention focus differentially predict the attractiveness of group power

Depending on their motivation, individuals prefer different group contexts for social interactions. The present research sought to provide more insight into this relationship. More specifically, we tested how challenge/threat and a promotion/prevention focus predict attraction to groups with high- or low-power. As such, we examined differential outcomes of threat and prevention focus as well as challenge and promotion focus that have often been regarded as closely related. According to regulatory focus, individuals should prefer groups that they expect to “feel right” for them to join: Low-power groups should be more attractive in a prevention (than a promotion) focus, as these groups suggest security-oriented strategies, which fit a prevention focus. High-power groups should be more attractive in a promotion (rather than a prevention) focus, as these groups are associated with promotion strategies fitting a promotion focus (Sassenberg et al., 2007). In contrast, under threat (vs. challenge), groups that allow individuals to restore their (perceived) lack of control should be preferred: Low-power groups should be less attractive under threat (than challenge) because they provide low resources which threatened individuals already perceive as insufficient and high-power groups might be more attractive under threat (than under challenge), because their high resources allow individuals to restore control. Two experiments (N = 140) supported these predictions. The attractiveness of a group often depends on the motivation to engage in what fits (i.e., prefer a group that feels right in the light of one’s regulatory focus). However, under threat the striving to restore control (i.e., prefer a group allowing them to change the status quo under threat vs. challenge) overrides the fit effect, which may in turn guide individuals’ behavior in social interactions.

A regulatory focus perspective on eating behavior: how prevention and promotion focus relates to emotional, external, and restrained eating

By applying regulatory focus theory (RFT) to the context of eating behavior, the present research examines the relations between individual differences in the two motivational orientations as conceptualized in RFT, that is, prevention-focused and promotion-focused self-regulation and emotional, external, and restrained eating. Building on a representative study conducted in the Netherlands (N = 4,230), it is documented that individual differences in prevention focus are positively related to emotional eating whereas negligible associations are found in regards to external and restrained eating. Individual differences in promotion focus are positively related to external eating whereas negligible associations are found in regards to emotional and restrained eating. In relating RFT to different eating styles we were able to document significant relations of basic self-regulatory orientations with regard to essential daily behavior associated with health and well-being. The implications for changing eating styles are discussed.

A motivational determinant of facial emotion recognition: regulatory focus affects recognition of emotions in faces

Two studies examined an unexplored motivational determinant of facial emotion recognition: observer regulatory focus. It was predicted that a promotion focus would enhance facial emotion recognition relative to a prevention focus because the attentional strategies associated with promotion focus enhance performance on well-learned or innate tasks - such as facial emotion recognition. In Study 1, a promotion or a prevention focus was experimentally induced and better facial emotion recognition was observed in a promotion focus compared to a prevention focus. In Study 2, individual differences in chronic regulatory focus were assessed and attention allocation was measured using eye tracking during the facial emotion recognition task. Results indicated that the positive relation between a promotion focus and facial emotion recognition is mediated by shorter fixation duration on the face which reflects a pattern of attention allocation matched to the eager strategy in a promotion focus (i.e., striving to make hits). A prevention focus did not have an impact neither on perceptual processing nor on facial emotion recognition. Taken together, these findings demonstrate important mechanisms and consequences of observer motivational orientation for facial emotion recognition.

An emotion-differentiated perspective on empathy with the emotion specific empathy questionnaire

Empathy refers to the thoughts and feelings of one individual in response to the observed (emotional) experiences of another individual. Empathy, however, can occur toward persons experiencing a variety of emotions, raising the question of whether or not empathy can be emotion specific. This paper discusses theoretical and empirical support for the emotion specificity of empathy. We present a new measure, the Emotion Specific Empathy questionnaire, which assesses affective and cognitive empathy for the six basic emotions. This paper presents the measure's psychometric qualities and demonstrates, through a series of models, the discriminant validity between emotion specific empathies suggesting empathy is emotion specific. Results and implications are discussed.

Threat ≠ prevention, challenge ≠ promotion: the impact of threat, challenge and regulatory focus on attention to negative stimuli

The purpose of the current experiment was to distinguish between the impact of strategic and affective forms of gain- and loss-related motivational states on the attention to negative stimuli. On the basis of the counter-regulation principle and regulatory focus theory, we predicted that individuals would attend more to negative than to neutral stimuli in a prevention focus and when experiencing challenge, but not in a promotion focus and under threat. In one experiment (N = 88) promotion, prevention, threat, or challenge states were activated through a memory task, and a subsequent dot probe task was administered. As predicted, those in the prevention focus and challenge conditions had an attentional bias towards negative words, but those in promotion and threat conditions did not. These findings provide support for the idea that strategic mindsets (e.g., regulatory focus) and hot emotional states (e.g., threat vs. challenge) differently affect the processing of affective stimuli.

Cool, but understanding…experiencing cooler temperatures promotes perspective-taking performance

The current research examined the impact of temperature cues on perspective-taking. Individuals often start with their own point-of-view when taking another's perspective and thereby unintentionally project their own perspective onto others, which ultimately leads to egocentrically biased inferences of others' perspectives. Accordingly, perspective-taking is enhanced under conditions reducing this egocentric anchoring. In two studies, we show that perspective-taking is enhanced when participants are exposed to cooler rather than warmer temperature cues. Specifically, this is shown to be the case, because cooler temperatures reduce egocentric anchoring in perspective-taking (Study 2). Results are discussed with reference to the literature on (temperature) grounded cognition indicating a link between cold temperatures and social distance. Hence, whereas earlier research has shown that individuals feel more distant from each other when undergoing cooler thermal experiences, the present research suggests that this thermal experience prevents them from over-imputing their own perspectives onto others.

From a Distance …

Egocentric anchoring, that is, overimputing one’s own perspective onto others constitutes a major obstacle for successful perspective taking. Accordingly, differentiating between the self and others is beneficial for perspective taking because it highlights the inadequacy of egocentric anchoring. The current research tested whether activating avoidance motivational orientation enhances perspective-taking performance (compared to approach motivational orientation), because self-other differentiation is facilitated under avoidance orientation. Supporting these predictions, two experiments showed that inducing avoidance motivational orientation (compared to approach orientation) either via goal framing or via the respective arm position enhances perspective-taking performance. Using experimental causal chain design, Study 3a supported the hypothesis that avoidance motivational orientation fosters self-other differentiation, while Study 3b showed that fostering self-other differentiation experimentally enhanced perspective-taking performance. The findings are discussed with regard to the role of psychological distance in perspective taking.