Empathy and Compassion as a Caring Personality and Their Functional Neuroimaging in theBrain: A Literature Review

Abstract

The development of caring personalities such as empathy and compassion is crucial for successful therapeutic interaction for human-related professional. The scientific studies have recently revealed functional neural plasticity associated with the training of empathy and compassion. This article reviews the functional neuroimaging of empathy and compassion in the brain. The recent studies have given insights that empathy increased the negative effect and brain activation in the anterior insula and anterior midcingulate cortex brain that associated with empathy for pain and compassion increased the positive effect and brain activation in the ventral striatum, progenual anterior cingulate cortex, and medial orbitofrontal cortex brain. These results indicate that human-related professional such as nurses, psychologists, and other health professionals can feel empathy as pain or distress if these feelings occur continuously as experienced by them. However, the compassion program can reducethis condition. These findings suggest that the cultivation of compassion can be design as a program to maintain empathy and increase resilience and coping strategies in health care, educational setting, and high-stress environment.

Keywords

brain, caring personality, compassion, empathy, neural plasticity

References

  1. Adams, L. Y. (2016). The conundrum of caring in nursing. International Journal of Caring Sciences, 9(1), 1–9. Retrieved from www.internationaljournalofcaringsciences.org
  2. Arslan, S., Ktena, S. I., Makropoulos, A., Robinson, E. C., Rueckert, D., & Parisot, S. (2017). Human brain mapping: A systematic comparison of parcellation methods for the human cerebral cortex. NeuroImage, (April). https://doi.org/10.1016/j.neuroimage.2017.04.014
  3. Bartels, A., & Zeki, S. (2004). The neural correlates of maternal and romantic love. Neuroimage, 21. 1155-1166.
  4. Carrington, S. J., & Bailey, A. J. (2009). Are there theory of mind regions in the brain? A review of the neuroimaging literature. Human Brain Mapping, 30(8), 2313–2335. https://doi.org/10.1002/hbm.20671
  5. Cunico, L., Sartori, R., Marognolli, O., & Meneghini, A. M. (2012). Developing empathy in nursing students: A cohort longitudinal study.Journal of Clinical Nursing, 21(13–14), 2016–25. https://doi.org/10.1111/j.1365-2702.2012.04105.x
  6. Dewar, B. (2013). Cultivating compassionate care.Nursing Standard, 27(34), 48–55.
  7. Engström, M., & Söderfeldt, B. (2010). Brain activation during compassion meditation: A case study. The Journal of Alternative and Complementary Medicine, 16(5), 597–599. https://doi.org/10.1089/acm.2009.0309
  8. Feist, J., Feist, G. J., & Roberts, T.-A. (2018). Theories of personality (Ninth edit). New York: McGraw-Hill Education.
  9. Fox, K. C. R., Nijeboer, S., Dixon, M. L., Floman, J. L., Ellamil, M., Rumak, S. P., … Christoff, K. (2014). Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners. Neuroscience and Biobehavioral Reviews, 43, 48–73. https://doi.org/10.1016/j.neubiorev.2014.03.016
  10. Halldorsdottir, S. (2012). Nursing as a compassionate competence: A theory of professional nursing care based on the patient’s perspectives. International Journal for Human Caring, 16(2), 7–19.
  11. Hein, G., & Singer, T. (2008). I feel how you feel but not always: The empathic brain and its modulation. Current Opinion in Neurobiology, 18(2), 153–158. https://doi.org/10.1016/j.conb.2008.07.012
  12. Kim, J. W., Kim, S. E., Kim, J. J., Jeong, B., Park, C. H., Son, A. R., … Ki, S. W. (2009). Compassionate attitude towards others’ suffering activates the mesolimbic neural system. Neuropsychologia, 47(10), 2073–2081. https://doi.org/10.1016/j.neuropsychologia.2009.03.017
  13. Klimecki, O. (2017). Malleable emotions, (July). https://doi.org/10.13140/RG.2.2.11812.17285
  14. Klimecki, O. M., Leiberg, S., Lamm, C., & Singer, T. (2012). Functional neural plasticity and associated changes in positive affect after compassion training. Cerebral Cortex, 23(7), 1552–1561. https://doi.org/10.1093/cercor/bhs142
  15. Klimecki, O. M., Leiberg, S., Ricard, M., & Singer, T. (2014). Differential pattern of functional brain plasticity after compassion and empathy training. Social Cognitive and Affective Neuroscience, 9(6), 873–879. https://doi.org/10.1093/scan/nst060
  16. Klimecki, O. M., & Singer, T. (2015). Compassion. Brain Mapping: An Encyclopedic Reference, 3, 195–199. https://doi.org/10.1016/B978-0-12-397025-1.00178-0
  17. Lamm, C., & Singer, T. (2010). The role of anterior insular cortex in social emotions. Brain Structure and Function, 214, 1–13. https://doi.org/10.1007/s00429-010-0251-3
  18. Matthews, G., Deary, I. J., & Whiteman, M. C. (2009). Personality traits (Third edit). New York: Cambridge University Press.
  19. Pajnkihar, M., Štiglic, G., & Vrbnjak, D. (2017). The concept of Watson’s carative factors in nursing and their (dis)harmony with patient satisfaction. PeerJ, 5, e2940. https://doi.org/10.7717/peerj.2940
  20. Saarela, M. V., Hlushchuk, Y., Williams, A. C. D. C., Schürmann, M., Kalso, E., & Hari, R. (2007). The compassionate brain: Humans detect intensity of pain from another’s face. Cerebral Cortex, 17(1), 230–237. https://doi.org/10.1093/cercor/bhj141
  21. Shamay-Tsoory, S. G., Tomer, R., Berger, B. D., & Aharon-Peretz, J. (2003). Characterization of empathy deficits following prefrontal brain damage: The role of the right ventromedial prefrontal cortex. Journal of Cognitive Neuroscience, 15(3), 324–337. https://doi.org/10.1162/089892903321593063
  22. Simon-Thomas, E. R., Godzik, J., Castle, E., Antonenko, O., Ponz, A., Kogan, A., & Keltner, D. J. (2012). An fmri study of caring vs self-focus during induced compassion and pride. Social Cognitive and Affective Neuroscience, 7(6), 635–648. https://doi.org/10.1093/scan/nsr045
  23. Singer T, Seymour B, O’Doherty J, Kaube H, Dolan R.J., & Frith C.D.. (2004) Empathy for pain involves the affective but not sensory components of pain. Science, 303:1157-1162.
  24. Singer T, Seymour B, O’Doherty JP, Stephan K.E., Dolan R.J., & Frith C.D. (2006).Empathic neural responses are modulated by the perceived fairness of others. Nature, 439:466-469.
  25. Smith, M. C., Turkel, M. C., & Wolf, Z. R. (2012). Caring in nursing classics: An essential resource. Retrieved from https://books.google.com/books?hl=en&lr=&id=yTuv-tEuGE0C&pgis=1
  26. Tusche, A., Bockler, A., Kanske, P., Trautwein, F.-M., & Singer, T. (2016). Decoding the charitable brain: Empathy, perspective taking, and attention shifts differentially predict altruistic giving. Journal of Neuroscience, 36(17), 4719–4732. https://doi.org/10.1523/JNEUROSCI.3392-15.2016
  27. Weng, H. Y., Fox, A. S., Shackman, A. J., Stodola, D. E., Caldwell, J. Z. K., Olson, M. C., … Davidson, R. J. (2013). Compassion training alters altruism and neural responses to suffering. Psychological Science, 24(7), 1171–1180. https://doi.org/10.1177/0956797612469537

DOI : https://doi.org/10.32698/25261