Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Empathic Validation in Physician-Patient Communication

An Approach to Conveying Empathy for Problems With Uncertain Solutions

Bibliographic Data

ID5455467
AuthorsCaroline K Tietbohl (0000-0002-9540-3050, Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), Children’s Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO, USA, corresponding author)
Year2022
Volume32
Issue3
Pages413-425
Publication date2022-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/10497323211056312
PMID34894864
OpenAlexW4200509401
LanguageEN
Citations received13
References cited48

Interest in systematic approaches to improving clinical empathy has increased. However, conceptualizations of empathy are inconsistent and difficult to operationalize. Drawing on video recordings of primary care visits with older adults, I describe one particular communication strategy for conveying empathy-empathic validation. Using conversation analysis, I show that the design of empathic validations and the context in which they are delivered are critical to positive patient responses. Effective empathic validations must (a) demonstrate shared understanding and (b) support the patient's position. Physicians provided empathic validation when there was no medical solution to offer and within this context, for three purposes: (1) normalizing changes in health, (2) acknowledging individual difficulty, and (3) recognizing actions or choices. Empathic validation is a useful approach because it does not rely on patients' ability to create an 'empathic opportunity' and has particular relevance for older adults

Conversation · Conversation analysis · Empathic concern · Empathy · Health care · Operationalization · Perspective-taking · Applied Psychology · Clinical Reasoning and Diagnostic Skills · Communication · Empathy and Medical Education · Patient-Provider Communication in Healthcare · Psychology · Social Psychology

  • “It’s Not an Intervention; It’s a Philosophy”

    Maria Brann, Jennifer J Bute et al.•Health Communication•2025

  • Understanding Family Caregiver’s Self-Initiated Expressions of Concern

    Open Access•Nan Christine Wang•Health Communication•2025

  • Talking About Things

    Caroline K Tietbohl, Clara Bergen•Health Communication•2023

  • Can We Talk About Empathy? Communication Students’ Perspectives

    Open Access•Cara Hawkins-Jedlicka, Amy Rundio et al.•Journalism & Mass Communication…•2026

  • Deflecting Before Prescribing

    Open Access•Anne E C White, Richard L Kravitz et al.•Health Communication•2026

  • The protective role of sense of coherence in resident physicians facing secondary trauma due to patient death in intensive care—A qualitative inquiry

    Gillie Gabay•Death Studies•2024

  • Validating nonverbal cues for assessing physician empathy in telemedicine

    Open Access•Annisa Ristya Rahmanti, Hsuan‐Chia Yang et al.•Medical Education Online•2025

  • The components of reassurance for no-problem diagnoses

    Open Access•Anne E C White, Clara A Bergen et al.•Social Science & Medicine•2026

  • Embodying the (Dis)embodiment

    Open Access•Olivia Watson•Qualitative Health Research•2022

  • Empathy in clinical performance examinations

    Open Access•Song Hee Park, Chan Woong Kim et al.•Discourse Studies•2024

  • Making Conversation Analysis Accessible

    Open Access•Caroline K Tietbohl, Anne E C White•Qualitative Health Research•2022

  • Interpretation inaccuracies in pain communication between Hmong patients and clinicians in the USA

    Open Access•Binh Ta, Mai Nhia Yang et al.•Social Science & Medicine•2025

  • Speaking Stoma

    Open Access•Braidyn Lazenby, Ashley Guidry et al.•Qualitative Health Research•2025

  • Empathy and Moral Development

    Open Access•Martin L Hoffman•Empathy and Moral Development•2000

  • Falls in older people

    Laurence Z Rubenstein•Age and Ageing•2006

  • A Model of Empathic Communication in the Medical Interview

    Anthony L Suchman•JAMA•1997

  • Association of Perceived Medical Errors With Resident Distress and Empathy

    Colin P West, Mashele M Huschka et al.•JAMA•2006

  • Empathy present and future

    Judith A Hall, Rachel Schwartz•The Journal of Social Psychology•2019

  • Territories of knowledge, territories of experience

    Open Access•J Heritage•Morality of Knowledge in…•2011

  • Empathy, Attitudes, and Action

    Open Access•Christie D Batson, Johee Chang et al.•Personality and Social Psychology…•2002

  • Glossary of transcript symbols with an introduction

    Gail Jefferson•Pragmatics & Beyond New Series•2004

  • On Displaying Empathy

    Satomi Kuroshima, Natsuho Iwata•Research on Language and Social…•2016

  • Crying Receipts

    A Hepburn, Jonathan Potter•Research on Language and Social…•2007

  • Always Look on the Bright Side of Life

    T Stivers, Stefan Timmerman•Research on Language and Social…•2017

  • Empathy” and “Sympathy” in Action

    Open Access•Johanna Ruusuvuori•Social Psychology Quarterly•2005

  • Doing empathy and sympathy

    Open Access•Christopher Pudlinski•Discourse Studies•2005

  • What do displays of empathy do in palliative care consultations

    Open Access•Joseph Ford, A Hepburn et al.•Discourse Studies•2019

  • An Alternative View of Self-Discharge Against Medical Advice

    Open Access•Laura L Machin, Dawn Goodwin et al.•Qualitative Health Research•2018

  • Feeling Their Stories

    Open Access•Susan Gair•Qualitative Health Research•2012

  • Qualitative Assessment of Bad News Delivery Practices during Miscarriage Diagnosis

    Open Access•Maria Brann, Jennifer J Bute et al.•Qualitative Health Research•2020

  • The Language of Compassion in Acute Mental Health Care

    Open Access•Paul Crawford, Paul Gilbert et al.•Qualitative Health Research•2013

  • "Experiencing "The Other Side

    Open Access•Fiona E Fox, Fiona Fox et al.•Qualitative Health Research•2009

  • Patients' Experiences of Cardiovascular Health Education and Risk Communication

    Open Access•Stefanie Mentrup, Emma Harris et al.•Qualitative Health Research•2020

  • Living a Life Full of Pain

    Open Access•Meredith Stensland, Sara Sanders•Qualitative Health Research•2018

  • Revealing moments

    Open Access•Wayne A Beach, C N Dixson•Social Science & Medicine•2001

  • Empathy displays as interactional achievements-Multimodal and sequential aspects

    Maxi Kupetz•Journal of Pragmatics•2014

  • Patient Disclosure of Medical Misdeeds

    Open Access•Clara Bergen, T Stivers•Journal of Health and Social…•2013

Unique citing works13
Citations per year3,25
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 13

Tools

Open DOI
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae