Empathy and Personality Disorders - Empathy Definition

Written by Dr. Sam Vaknin

The Encyclopaedia Britannica quotes some fascinating research that support the model I propose:

"An extensive series of studies indicated that positive emotion feelings enhance empathy and altruism. It was shown by the American psychologist Alice M. Isen that relatively small favours or bits of good luck (like finding money in a coin telephone or getting an unexpected gift) induced positive emotion in people and that such emotion regularly increased the subjects' inclination to sympathize or provide help.

Several studies have demonstrated that positive emotion facilitates creative problem solving. One of these studies showed that positive emotion enabled subjects to name more uses for common objects. Another showed that positive emotion enhanced creative problem solving by enabling subjects to see relations among objects (and other people - SV) that would otherwise go unnoticed. A number of studies have demonstrated the beneficial effects of positive emotion on thinking, memory, and action in pre-school and older children."

If empathy increases with positive emotion, then it has little to do with the empathee (the recipient or object of empathy) and everything to do with the empathor (the person who does the empathizing).

Cold Empathy vs. Warm Empathy

Contrary to widely held views, Narcissists and Psychopaths may actually possess empathy. They may even be hyper-empathic, attuned to the minutest signals emitted by their victims and endowed with a penetrating "X-ray vision". They tend to abuse their empathic skills by employing them exclusively for personal gain, the extraction of narcissistic supply, or in the pursuit of antisocial and sadistic goals. They regard their ability to empathize as another weapon in their arsenal.

I suggest to label the narcissistic psychopath's version of empathy: "cold empathy", akin to the "cold emotions" felt by psychopaths. The cognitive element of empathy is there, but not so its emotional correlate. It is, consequently, a barren, cold, and cerebral kind of intrusive gaze, devoid of compassion and a feeling of affinity with one's fellow humans.

ADDENDUM - Interview granted to the National Post, Toronto, Canada, July 2003

Q. How important is empathy to proper psychological functioning?

A. Empathy is more important socially than it is psychologically. The absence of empathy - for instance in the Narcissistic and Antisocial personality disorders - predisposes people to exploit and abuse others. Empathy is the bedrock of our sense of morality. Arguably, aggressive behavior is as inhibited by empathy at least as much as it is by anticipated punishment.

But the existence of empathy in a person is also a sign of self-awareness, a healthy identity, a well-regulated sense of self-worth, and self-love (in the positive sense). Its absence denotes emotional and cognitive immaturity, an inability to love, to truly relate to others, to respect their boundaries and accept their needs, feelings, hopes, fears, choices, and preferences as autonomous entities.

Q. How is empathy developed?

A. It may be innate. Even toddlers seem to empathize with the pain - or happiness - of others (such as their caregivers). Empathy increases as the child forms a self-concept (identity). The more aware the infant is of his or her emotional states, the more he explores his limitations and capabilities - the more prone he is to projecting this new found knowledge unto others. By attributing to people around him his new gained insights about himself, the child develop a moral sense and inhibits his anti-social impulses. The development of empathy is, therefore, a part of the process of socialization.

But, as the American psychologist Carl Rogers taught us, empathy is also learned and inculcated. We are coached to feel guilt and pain when we inflict suffering on another person. Empathy is an attempt to avoid our own self-imposed agony by projecting it onto another.

Q. Is there an increasing dearth of empathy in society today? Why do you think so?

A. The social institutions that reified, propagated and administered empathy have imploded. The nuclear family, the closely-knit extended clan, the village, the neighborhood, the Church- have all unraveled. Society is atomized and anomic. The resulting alienation fostered a wave of antisocial behavior, both criminal and "legitimate". The survival value of empathy is on the decline. It is far wiser to be cunning, to cut corners, to deceive, and to abuse - than to be empathic. Empathy has largely dropped from the contemporary curriculum of socialization.

In a desperate attempt to cope with these inexorable processes, behaviors predicated on a lack of empathy have been pathologized and "medicalized". The sad truth is that narcissistic or antisocial conduct is both normative and rational. No amount of "diagnosis", "treatment", and medication can hide or reverse this fact. Ours is a cultural malaise which permeates every single cell and strand of the social fabric.