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The Problem of Empathy

Medicine and the Humanities

Bibliographic Data

ID4887174
AuthorsRebecca Elizabeth Garden, Rebecca Garden (0000-0003-2044-105X, corresponding author)
Year2007
Volume38
Issue3
Pages551-567
Publication date2007-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueNew Literary History (JOURNAL)
Journal identifiersISSN: 0028-6087 • E-ISSN: 1080-661X
PublisherProject MUSE (PUBLISHER • US)
DOI10.1353/nlh.2007.0037
OpenAlexW2152632395
LanguageEN
Citations received27
References cited10

Health care institutions and medical educators assert that empathy is essential to optimum patient care, yet medical education and the practice of medicine often neglect empathy in favor of biomedical approaches to disease and injury. This essay discusses the development in medical literature of the concept of "clinical empathy"—which attempts to reorient a biomedical, disease-centered approach to treating illness by accounting for an increasing fluency within the interpersonal relations between physician and patient—and examines arguments for supplementing medical training with the study of literature and the practice of reflective writing as a means of developing empathy in physicians. In order to interrogate the problems as well as the possibilities of clinical empathy, I turn to theories of sympathy produced in the eighteenth century, when innovations in medical technology and knowledge had only begun to create separate categories that would ultimately untwine the body from mind and culture. The eighteenth century was also a time when philosophy and literature, rather than being compartmentalized from medicine as distinct disciplines, informed medical understandings before medicine became specialized as a "science." A critical approach to the theory and literature of the eighteenth century can help to formulate a productive critique of clinical empathy in contemporary medicine and to suggest possibilities for a reconfigured and strengthened understanding of empathy within the larger social context of institutions, systems, and access to care

Compassion · Context (archaeology) · Empathy · Epistemology · Medical education · Medical humanities · Neglect · Political science · Psychiatry · Simulation theory of empathy · Sociology · Sympathy · Empathy and Medical Education · History · History of Medicine Studies · Law · Medicine · Mental Health and Psychiatry · Philosophy · Psychology · Social Psychology

  • Empathy and Calm as Social Resources in Clinical Practice

    Open Access•Carter Hardy•The AMA Journal of Ethic•2022

  • Primum Non Nocere

    Allan Peterkin•Literature and medicine•2011

  • Bodily Capacity beyond Pathology

    Kathryn Cai•Literature and medicine•2019

  • Medical Eros

    David B Morris•Literature and medicine•2014

  • The Case for Conserving Disability

    Open Access•Rosemarie Garland‐thomson, Rosemarie Garland-Thomson•Journal of Bioethical Inquiry•2012

  • A Preliminary Study of the Relevance of Zhu You Shu and Narrative Medicine

    Open Access•Qimeng Sun, Lan Zhao et al.•Chinese Medicine and Culture•2024

  • Cripping Empathy in Graphic Medicine

    Andrew Godfrey-Meers•Journal of Literary & Cultural…•2023

  • Empathy is not so perfect! -For a descriptive and wide conception of empathy

    Open Access•Elodie Malbois, Samia Hurst•Medicine Health Care and Philosophy•2023

  • Teaching and discussing mental health among university students

    Open Access•Sarah Atayero, Kate Dunton et al.•Health Education•2020

  • Artificial Intelligence and Understanding in Medicine

    Open Access•Jonathan Adams•Bioethics•2026

  • Lidská důstojnost jako základ vztahu mezi pacientem a lékařem

    Open Access•Martina Pavelková•Caritas et Veritas•2015

  • Human Dignity as the Foundation of the Patient-Physician Relationship

    Open Access•Martina Pavelková•Caritas et Veritas•2015

  • You just emotionally break’

    Open Access•Lise Saffran, Ashti Doobay-Persaud•Medical Humanities•2023

  • The use of an object

    Open Access•Jo Winning•Medical Humanities•2020

  • Empathy and affect

    George R Marshall, George Robert Ellison Marshall et al.•Medical Humanities•2016

  • Reimagining the ‘Lost’ narratives of advanced dementia through literature and critical fabulation

    Open Access•Frederik Schou‐juul, Ieva Stončikaitė et al.•Medical Humanities•2025

  • Beyond stigma and biomedical frameworks

    Open Access•Ieva Stončikaitė•Journal of Aging Studies•2026

  • Reconsidering Empathy

    Open Access•Erica L Cao, Erica Cao et al.•Journal of Medical Humanities•2021

  • What Matters Most? The Power of Kafka’s Metamorphosis to Advance Understandings of HIV Stigma and Inform Empathy in Medical Health Education

    Open Access•Courtenay Sprague•Journal of Medical Humanities•2022

  • Sympathy, Disability, and the Nurse

    Open Access•Rebecca Garden•Journal of Medical Humanities•2010

  • (Un)bridgeable Chasms

    Open Access•Sathyaraj Venkatesan, Sweetha Saji•Journal of Medical Humanities•2019

  • Social and Gendered Readings of Illness Narratives

    Open Access•MURIEL LEDERMAN•Journal of Medical Humanities•2016

  • When Play Reveals the Ache

    Open Access•Indigo Weller, Maura Spiegel et al.•Journal of Medical Humanities•2024

  • Distance Learning

    Open Access•Rebecca Garden•Journal of Medical Humanities•2013

  • Empathy in Physician–Patient Relationship

    Open Access•Sharmila Borkar•Social Change•2014

  • Narrative Medicine and Empathy

    Eugenia Stefanello•Journal of the British Society…•2024

  • When care is defined by science

    Open Access•Megan Martha Donald•Area•2019

  • Sentiment and sociability

    John Mullan•Sentiment and sociability•1988

  • From Detached Concern to Empathy

    Jodi Halpern•From Detached Concern to Empathy•2001

  • The Effects of Physician Empathy on Patient Satisfaction and Compliance

    Open Access•Sung Soo Kim, Stan A Kaplowitz et al.•Evaluation & the Health Professions•2004

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  • Clinical Empathy as Emotional Labor in the Patient-Physician Relationship

    Eric B Larson•JAMA•2005

  • What is clinical empathy?

    Jodi Halpern•Journal of General Internal…•2003

  • Equivocal Beings

    Laura White, Laura Mooneyham White et al.•South Atlantic Review•1996

  • Why Literature and Medicine

    Larry R Churchill•Literature and medicine•1982

  • Symptomatic Correspondences

    Helen Deutsch•Cultural Critique•1999

  • The Passing of Traditional Society

    Open Access•Essa Salem, Elie A Salem•Political Science Quarterly•1959

Unique citing works27
Citations per year1,69
Citation span2010 - 2026 (17)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 23

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