Skip to main content
Top
Published in: Medicine, Health Care and Philosophy 2/2014

01-05-2014 | Scientific Contrubution

A rumor of empathy: reconstructing Heidegger’s contribution to empathy and empathic clinical practice

Author: Lou Agosta

Published in: Medicine, Health Care and Philosophy | Issue 2/2014

Login to get access

Abstract

Heidegger’s 1927 call to provide “a special hermeneutic of empathy” is linked with his later commitment at the Zollikon Seminars to engage explicitly with issues in psychodynamic therapy with psychiatrists. The task of providing a special hermeneutic of empathy is one that Heidegger assigns in Being and Time, but on which he does not deliver. Inspired by the assignment, this article applies the distinctions of Heidegger’s Daseinanalysis to human interrelations. This article generates a Heideggerian account of empathy as a multi-dimensional process that delimits and illuminates the field of possibilities of authentic human relationships. The multiple dimensions of empathy include affectedness (Befindlichkeit), understanding of possibility, interpretation, and speech, the latter including listening. The result is a reconstruction of a Heideggerian account of empathic human relations in the sense that it goes beyond what Heidegger explicitly says to what the Heideggerian method of inquiry can contribute to understanding and implementing the process of empathy. In particular, a two-by-two matrix is built and engaged in detail, cross referencing the four possibilities of authentic and inauthentic relationships with the individual and the other. A specifically Heideggerian analysis of the multi-dimensional process of empathy is the result. The clinical relevance of Heidegger’s work is made explicit as empathy is positioned as the foundation of clinical practice as exemplified in psychodynamic psychotherapy.
Literature
go back to reference Agosta, Lou. 2010. Empathy in the context of philosophy. London: Palgrave Macmillan.CrossRef Agosta, Lou. 2010. Empathy in the context of philosophy. London: Palgrave Macmillan.CrossRef
go back to reference Baron-Cohen, Simon. 1995. Mindblindness: An essay on autism and theory of mind, 1997. Cambridge, MA: MIT Press. Baron-Cohen, Simon. 1995. Mindblindness: An essay on autism and theory of mind, 1997. Cambridge, MA: MIT Press.
go back to reference Basch, Michael E. 1982. Empathic understanding: A review of the concept and some theoretical considerations. Journal of the American Psychoanalytic Association 31(1): 101–126.CrossRef Basch, Michael E. 1982. Empathic understanding: A review of the concept and some theoretical considerations. Journal of the American Psychoanalytic Association 31(1): 101–126.CrossRef
go back to reference Dreyfus, Hubert L. 1985. Being-in-the-world: A commentary on Heidegger’s being and time, division I, 1997. Cambridge, MA: MIT Press. Dreyfus, Hubert L. 1985. Being-in-the-world: A commentary on Heidegger’s being and time, division I, 1997. Cambridge, MA: MIT Press.
go back to reference Farías, Victor. 1987. Heidegger and Nazism (trans: Paul Burrell, and Gabriel Ricci). Philadelphia: Temple University Press. Farías, Victor. 1987. Heidegger and Nazism (trans: Paul Burrell, and Gabriel Ricci). Philadelphia: Temple University Press.
go back to reference Farrow, T., and P. Woodruff (eds.). 2007. Empathy in mental illness. Cambridge, UK: Cambridge University Press. Farrow, T., and P. Woodruff (eds.). 2007. Empathy in mental illness. Cambridge, UK: Cambridge University Press.
go back to reference Fliess, Robert. 1942. The metapsychology of the analyst. The Psychoanalytic Quarterly 11: 211–227. Fliess, Robert. 1942. The metapsychology of the analyst. The Psychoanalytic Quarterly 11: 211–227.
go back to reference Freire, Paulo. 1968. Pedagogy of the oppressed (trans: Ramos, M.B.). New York: Continuum/Seabury Press, 1974. Freire, Paulo. 1968. Pedagogy of the oppressed (trans: Ramos, M.B.). New York: Continuum/Seabury Press, 1974.
go back to reference Gallese, V. 2007. The shared manifold hypothesis: Embodied simulation and its role in empathy and social cognition. In Empathy in mental illness, ed. T. Farrow, and P. Woodruff. Cambridge: Cambridge University Press. Gallese, V. 2007. The shared manifold hypothesis: Embodied simulation and its role in empathy and social cognition. In Empathy in mental illness, ed. T. Farrow, and P. Woodruff. Cambridge: Cambridge University Press.
go back to reference Gendlin, Eugene T. 1962. Experience and the creation of meaning. Evanston: Northwestern University Press, 1997. Gendlin, Eugene T. 1962. Experience and the creation of meaning. Evanston: Northwestern University Press, 1997.
go back to reference Gleichgerecht, Ezequiel, and Jean Decety. 2012. The costs of empathy among health professionals. In Empathy: From bench to bedside, ed. Jean Decety, 244–261. Cambridge, MA: The MIT Press. Gleichgerecht, Ezequiel, and Jean Decety. 2012. The costs of empathy among health professionals. In Empathy: From bench to bedside, ed. Jean Decety, 244–261. Cambridge, MA: The MIT Press.
go back to reference Goldberg, Arnold. 2011. The enduring presence of Heinz Kohut: Empathy and its vicissitudes. Journal of the American Psychoanalytic Association 59(2): 289–311.PubMedCrossRef Goldberg, Arnold. 2011. The enduring presence of Heinz Kohut: Empathy and its vicissitudes. Journal of the American Psychoanalytic Association 59(2): 289–311.PubMedCrossRef
go back to reference Greenson, Ralph. 1960. Empathy and its vicissitudes. International Journal of Psychoanalysis 41: 418–424. Greenson, Ralph. 1960. Empathy and its vicissitudes. International Journal of Psychoanalysis 41: 418–424.
go back to reference Hacking, Ian. 1999. The social construction of what?. Cambridge, MA: Harvard University Press. Hacking, Ian. 1999. The social construction of what?. Cambridge, MA: Harvard University Press.
go back to reference Halpern, Jodi. 2001. From detached concern to empathy: Humanizing medical practice. Oxford: Oxford University Press. Halpern, Jodi. 2001. From detached concern to empathy: Humanizing medical practice. Oxford: Oxford University Press.
go back to reference Hatab, Lawrence J. 2000. Ethics and finitude: Heideggerian contributions to moral philosophy. Lanham, MD: Rowman and Littlefield. Hatab, Lawrence J. 2000. Ethics and finitude: Heideggerian contributions to moral philosophy. Lanham, MD: Rowman and Littlefield.
go back to reference Heidegger, Martin. 1927a. Sein und Zeit. Tübingen: Max Niemeyer. Heidegger, Martin. 1927a. Sein und Zeit. Tübingen: Max Niemeyer.
go back to reference Heidegger, Martin. 1927b. Being and time (trans: Stambaugh, J.). Albany, NY: State University of New York Press, 1996. Heidegger, Martin. 1927b. Being and time (trans: Stambaugh, J.). Albany, NY: State University of New York Press, 1996.
go back to reference Heidegger, Martin. 1927c. Being and time (trans: Macquarrie, J., and Robinson, E.). New York: Harper and Row, 1962. Heidegger, Martin. 1927c. Being and time (trans: Macquarrie, J., and Robinson, E.). New York: Harper and Row, 1962.
go back to reference Heidegger, Martin. 1947. Letter on humanism. In Philosophy in the twentieth century, ed. W. Barrett, and H. Aiken (trans: Lohner, E.), 270–302. New York: Random House, 1962. Heidegger, Martin. 1947. Letter on humanism. In Philosophy in the twentieth century, ed. W. Barrett, and H. Aiken (trans: Lohner, E.), 270–302. New York: Random House, 1962.
go back to reference Heidegger, Martin. 1959/69. In Martin Heidegger: Zollikon Seminars: protocols–conversations–letters ed. Medard Boss (trans: Franz Mayr, and Richard Askay). Evanston: Northwestern University Press, 2001. Heidegger, Martin. 1959/69. In Martin Heidegger: Zollikon Seminars: protocolsconversationsletters ed. Medard Boss (trans: Franz Mayr, and Richard Askay). Evanston: Northwestern University Press, 2001.
go back to reference Hobson, Peter. 2002. The cradle of thought: Exploring the origins of thinking. New York: Macmillan Pan. Hobson, Peter. 2002. The cradle of thought: Exploring the origins of thinking. New York: Macmillan Pan.
go back to reference Hobson, Peter. 2005. What puts the jointness into joint attention? In Joint attention: Communication and other minds: Issues in philosophy and psychology, ed. N. Eilan, C. Hoerl, T. McCormack, and J. Roessler. Oxford: Clarendon Press. Hobson, Peter. 2005. What puts the jointness into joint attention? In Joint attention: Communication and other minds: Issues in philosophy and psychology, ed. N. Eilan, C. Hoerl, T. McCormack, and J. Roessler. Oxford: Clarendon Press.
go back to reference Hoit, Michael. 1995. The influence of hermeneutic philosophy on psychoanalysis. The Annual of Psychoanalysis 23: 13–32. Hoit, Michael. 1995. The influence of hermeneutic philosophy on psychoanalysis. The Annual of Psychoanalysis 23: 13–32.
go back to reference Hojat, M. 2007. Empathy in patient care: Antecedents, development, measurement, and outcomes. New York: Springer. Hojat, M. 2007. Empathy in patient care: Antecedents, development, measurement, and outcomes. New York: Springer.
go back to reference Hojat, M., M.J. Vergate, K. Maxwell, G. Brainard, S.K. Herrine, G.A. Isenberg, et al. 2009. The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Academic Medicine 84(9): 1182–1191.PubMedCrossRef Hojat, M., M.J. Vergate, K. Maxwell, G. Brainard, S.K. Herrine, G.A. Isenberg, et al. 2009. The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Academic Medicine 84(9): 1182–1191.PubMedCrossRef
go back to reference Kohut, Heinz. 1959. Introspection, empathy, and psychoanalysis. The Journal of the American Psychoanalytic Association 7: 459–483.CrossRef Kohut, Heinz. 1959. Introspection, empathy, and psychoanalysis. The Journal of the American Psychoanalytic Association 7: 459–483.CrossRef
go back to reference Kohut, Heinz. 1971. The analysis of the self. New York: International Universities Press. Kohut, Heinz. 1971. The analysis of the self. New York: International Universities Press.
go back to reference Kohut, Heinz. 1977. The restoration of the self. New York: International Universities Press. Kohut, Heinz. 1977. The restoration of the self. New York: International Universities Press.
go back to reference Kohut, Heinz. (1984). In How does analysis cure? eds. A. Goldberg, and P.E. Stepansky. Chicago: University of Chicago Press. Kohut, Heinz. (1984). In How does analysis cure? eds. A. Goldberg, and P.E. Stepansky. Chicago: University of Chicago Press.
go back to reference Lear, Jonathan. 2008. Radical hope. Cambridge, MA: Harvard University Press. Lear, Jonathan. 2008. Radical hope. Cambridge, MA: Harvard University Press.
go back to reference Polt, Richard. 1999. Heidegger: An introduction. Ithica, NY: Cornell University Press. Polt, Richard. 1999. Heidegger: An introduction. Ithica, NY: Cornell University Press.
go back to reference Safranski, Rüdiger. 1998. Martin Heidegger: Between good and evil (trans: Ewald Osers). Cambridge, MA: Harvard University Press. Safranski, Rüdiger. 1998. Martin Heidegger: Between good and evil (trans: Ewald Osers). Cambridge, MA: Harvard University Press.
go back to reference Sartre, Jean-Paul. 1946. Existentialism is a humanism. In Existentialism from Dostoyevsky to Sartre, ed. Walter Kaufman. New York: Meridian Publishing Company, 1989. Sartre, Jean-Paul. 1946. Existentialism is a humanism. In Existentialism from Dostoyevsky to Sartre, ed. Walter Kaufman. New York: Meridian Publishing Company, 1989.
go back to reference Schürmann, Reiner, and Simon Critchley. 2008. On Heidegger’s being and time. London: Routledge. Schürmann, Reiner, and Simon Critchley. 2008. On Heidegger’s being and time. London: Routledge.
go back to reference Thomas, M.R., L.N. Dyrbye, J.L. Huntington, K.L. Lawson, P.J. Novotny, J.A. Sloan, and T.D. Shanafelt. 2007. How do distress and well-being relate to medical student empathy? A multicenter study. Journal of General Internal Medicine 22(2): 177–183.PubMedCentralPubMedCrossRef Thomas, M.R., L.N. Dyrbye, J.L. Huntington, K.L. Lawson, P.J. Novotny, J.A. Sloan, and T.D. Shanafelt. 2007. How do distress and well-being relate to medical student empathy? A multicenter study. Journal of General Internal Medicine 22(2): 177–183.PubMedCentralPubMedCrossRef
go back to reference Vincent, C., M. Young, and A. Phillips. 1994. Why do people sue doctors? A study of patients and relatives taking legal action. The Lancet 1994(343): 1609–1613.CrossRef Vincent, C., M. Young, and A. Phillips. 1994. Why do people sue doctors? A study of patients and relatives taking legal action. The Lancet 1994(343): 1609–1613.CrossRef
go back to reference Zahavi, Dan. 2005. Subjectivity and selfhood: Investigating the first person perspective. Cambridge, MA: Bradford Books/MIT Press. Zahavi, Dan. 2005. Subjectivity and selfhood: Investigating the first person perspective. Cambridge, MA: Bradford Books/MIT Press.
Metadata
Title
A rumor of empathy: reconstructing Heidegger’s contribution to empathy and empathic clinical practice
Author
Lou Agosta
Publication date
01-05-2014
Publisher
Springer Netherlands
Published in
Medicine, Health Care and Philosophy / Issue 2/2014
Print ISSN: 1386-7423
Electronic ISSN: 1572-8633
DOI
https://doi.org/10.1007/s11019-013-9506-0

Other articles of this Issue 2/2014

Medicine, Health Care and Philosophy 2/2014 Go to the issue

Books Received

Books received