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Edited by
Richard Pinder, Imperial College of Science, Technology and Medicine, London,Christopher-James Harvey, Imperial College of Science, Technology and Medicine, London,Ellen Fallows, British Society of Lifestyle Medicine
Health coaching and motivational interviewing (MI) are evidence-based approaches to support behaviour change and self-care in people with long-term conditions. Health coaching is a patient-centred process that involves goal setting, self-discovery, health education, and accountability mechanisms. Motivational interviewing is a conversational style that strengthens a person’s own motivation and commitment to change by exploring and resolving ambivalence. Health coaching and MI have been shown to improve health outcomes in various settings and populations, such as addiction, chronic disease, psychological health, oral health, and paediatric care. Health coaching and MI require training and practice to develop the necessary skills and competencies, as well as feedback and supervision to maintain and improve them. Health coaching and MI are important components of Lifestyle Medicine, helping clinicians to facilitate and enable healthy behaviour change.
The identification of early warning signs is of great importance for identifying individuals at risk for mental disorders. Especially in the case of bipolar disorder, these research endeavours are imperative considering that the frequently delayed diagnoses and longer illness duration are associated with symptom exacerbation and lower recovery rates.
Aims
To multimodally investigate associations between hypomanic personality traits and altered social affect and social cognition to probe their role as early warning signs of bipolar disorder.
Method
In a community sample (n = 140; 50.71% female), we investigated associations between hypomanic personality traits and both behavioural and neural activity measures of empathy and theory of mind (ToM) based on data from a functional magnetic resonance imaging paradigm.
Results
Although analyses revealed no significant associations between behavioural or neural correlates of empathy and hypomanic personality traits, these traits were significantly associated with elevated ToM-related neural activity in the anterior rostral medial prefrontal cortex and anterior cingulate cortex. These neural activation differences were not accompanied by differences in behavioural ToM performance, suggesting more intense recruitment of task-relevant brain regions but unaffected behavioural outcomes.
Conclusions
Our findings indicate hypomanic personality traits to be positively associated with ToM-related neural activity but not with behavioural ToM performance. Prospectively, our study contributes to driving towards a more comprehensive and potentially neurobiologically grounded phenotype of bipolar disorder risk that contributes to a more differential understanding of risk and resilience mechanisms.
Using a relational leadership lens, this study aims to gain a deeper understanding of empathic conversations with a focus on leadership ethics. It adopts an entitative perspective in relational leadership and examines leadership conversations as a two-way influence relationship, highlighting their interdependencies and collective role in the co-construction of meaning. Data from facial expression software and perception surveys are analyzed. The results of this study reveal the influence of gendered leadership on emotions, emotional bonding moments triggered by humor, and cultural dynamics in leadership conversations. Leaders’ feeling-based questions and participants’ willingness to share their emotions, coupled with emotion synchronization, create a constructive space where both feel invited, cared for, and valued. The study shows that emotional bonds foster the expression of generosity, care, and responsibility, enhancing satisfaction for both leaders and participants. Overall, this study enriches relational leadership theory and practice by underscoring the connection between empathy and leadership ethics.
Although an ancient capacity, empathy is a relatively new concept in the field of psychology. Generally defined, empathy is the ability to imagine what the meanings of emotional experiences are for other beings. This chapter explores empathy as a spectrum of abilities, some responsive and others intentional through emotional and cognitive channels. Readers learn about affective and cognitive empathy and why they are critical for social and emotional intelligences. The author also explores a new concept called empathic humility, to designate a motivation to develop abilities for a lifelong critical self-assessment of cultural meanings and values, reflecting on the privileges of the self, and to explore the worlds of meaning for others in a delicate and sensitive manner.
This chapter introduces readers to the history and concept of social and emotional intelligences. Readers explore the spectrum of social and emotional intelligences that are associated with holistic processes within the organism to understand emotional states, develop social awareness, regulate emotional states, develop empathy, make growth-promoting decisions, and form diverse relationships. The author situates this discussion within a multicultural framework by expanding definitions to be inclusive of diverse cultural perspectives.
Essentials of the Social and Emotional Intelligences explores the foundations of social and emotional intelligences from a multicultural humanistic psychology perspective. Delving into the spectrum of abilities associated with holistic emotional processes, this book unravels the intricacies of developing self-awareness, regulating emotional states, fostering social awareness and empathy, exercising freedom of choice, and building diverse relationships. Offering a unique theoretical synthesis of humanistic psychology and multicultural education, the text provides diverse perspectives on complex phenomena within social and emotional intelligences, including empathy, spirituality, loneliness, self-awareness, and cultural humility. Through a fusion of empirical research studies and multicultural insights, this book equips readers with the knowledge to cultivate these essential skills within themselves and foster meaningful connections with others. This concise guide is ideal for students, professionals, educators and laypersons hoping to build their fundamental knowledge in utilizing social and emotional intelligences.
Compassion is the emotion that motivates people to relieve the physical, emotional, or mental pains of others. Engaging in compassionate behaviour has been found to enhance psychological wellness and resilience. However, constant displays of compassionate behaviour can lead to burnout particularly for healthcare workers who inherently practise compassion day to day. This burnout can be relieved by Compassion focused meditation. The aim of this review is to identify neuroplastic changes in the brain associated with meditation, with a focus on compassion and compassion related meditation.
Methods:
Based on PRISMA guidelines, we conducted a scoping review of studies which described neuroplastic effects of meditation, focusing on compassion-based training. Studies were excluded if they (i) included multiple meditation practices or (ii) included participant populations with psychiatric/neuropsychiatric history (except anxiety or depression) or (iii) included exclusively ageing populations.
Results:
The results of the reviewed studies showed various neurological changes in regions of the brain as a result of compassion based training. These regions include amygdala, the anterior insula, medial prefrontal cortex, medial orbitofrontal cortex and structures within the dopamine system.
Conclusion:
This review highlights that compassion-based training could lead to neuroplastic changes which interconnect to enhance overall well-being, resilience and compassionate care among health-care professionals. However, further work is required to establish conclusive evidence of its sustained benefit and cost-effectiveness, as well as its utility in a healthcare setting.
Many recent applications of the “Unexpected Event during Survey Design” (UESD) analyze single cases of frequently occurring events. In this research note, I question the generalizability of research findings obtained this way and demonstrate the empirical benefits of the “Multiple Unexpected Events during Survey Design” (MUESD). I conduct 15 large-scale replications (total N = 101,940) of a new UESD analyzing the effects of Mediterranean shipwrecks on immigration attitudes. Previous research suggests that such events drastically reduce anti-immigration attitudes among the European public, presumably through an empathy-based mechanism. However, after 15 of the most lethal shipwrecks since 2013, anti-immigration attitudes were reduced in only one case of exceptionally high salience and to a much lesser degree than originally found.
An overview of the concepts of changemaking-for good (C4G) and social entrepreneurship is provided. Changers-for-good are individuals who want to change dysfunctional social situations to improve the conditions of the addressees. C4G are not only empathetic with their target population, but also compassionate. As empathy may be also used for negative acts (e.g., manipulation), and compassion per se may have no cognition of the feelings of the other, there emerges a need for a blended phenomenon: empassion. The Empassion Scale (ES) demonstrates good reliability and validity; it also correlates significantly with empathy and compassion scales. An example is Elisabeth Fry of the British Victorian era. She visited prisons for women and introduced changes in the system, providing better care for inmates and the accompanying children. The most representative kind of changemaking-for-good is social entrepreneurship; the term was coined in 1980 by William Drayton, the founding CEO of the global organization Ashoka: Everyone a Changemaker. There seem to be several paradoxes embedded in social entrepreneurs’ approach: First, they merge in-the-air dreaming with down-to-earth ways of implementation. Second, they successfully address protracted, insurmountable problems. Third, they find innovative methods to make it happen. Examples from Kenya, USA, Canada, and Bangladesh are provided.
This chapter explores the bi-directional strengths of autistics in the academy: the strengths that autistic people bring to their role, and the strengths of the university environment as a workplace for academics. Key strengths of autistic people that are beneficial in academic roles include focused interests, attention to detail, pragmatism, and many other aspects that may not be evident in common stereotypes of autism. Strengths of the academic environment as an autistic workplace include the cerebral nature of the role, structured interactions, and the value placed on in-depth knowledge. Combined, these bi-directional strengths are expanded on in the context of the resulting capacity for autistic people in academia to learn, teach, work, help, and connect.
How do individuals make up their mind about politics? This question has sparked a vigorous debate in the study of political behavior for the last few decades. Some scholars contend that citizens can and should engage in political reflection, while others highlight biases in human political reasoning that make reflection impossible. This Element is about the conditions under which citizens can be motivated to transcend their egocentric biases and engage in reflection. Rather than asking whether citizens are capable of reflection, it shifts focus to a more productive question: how to motivate reflection. Firstly, it argues that (situational) empathy for the other side can inspire citizens to think reflectively about politics. Secondly, the Element proposes that deliberative institutions have the potential to evoke empathy for the other side in individuals. Thirdly, it draws on experimental and qualitative data from Belgium, Chile, Ireland, and the UK to test the theoretical expectations.
This chapter of the handbook examines the complex relation between empathy and prosociality by drawing on evolutionary theory, neuroscience, psychology, and behavioral economics. The author begins by distinguishing three components of the broader phenomenon of empathy: emotional contagion, empathic concern, and perspective taking. He reviews evidence suggesting that emotional contagion of a conspecific’s pain often leads to helping behavior, but such contagion is modulated by group membership, levels of intimacy, and attitudes toward the other. Empathic concern, too, is a powerful motivator of prosocial behaviors but is also socially modulated – extended to some people more than others and to individuals more than groups. Effortful perspective taking, finally, can provide a better understanding of other people’s minds but does not always generate prosocial behavior, even when it facilitates empathic concern. In sum, various forms of empathy can motivate prosocial behaviors, but empathy is fragile and often stops short of its potential when people engage with large groups, people outside of their tribe, or anonymous strangers.
This chapter of the handbook takes up the issue of moral development in adolescence. The authors’ wide-ranging discussion touches on how differences in temperament, gender, familial and peer relationships, and lived experience influence the timing and outcome of adolescent moral development. Regarding the role of temperament, for example, high-reactive individuals may be more prone to impulsive behavior that violates moral norms, whereas low-reactive individuals may be more likely to conform to moral norms because they are more sensitive to the threat of punishment. On the importance of interpersonal relationships, weak attachment to caregivers in adolescence is associated with impairments of empathy and a greater propensity for antisocial and immoral behavior. Peer influence is another key predictor of both antisocial and prosocial behavior in adolescence. Further, moral development in adolescence critically depends on the maturation of capacities for empathy and self-conscious emotion, a process that is shaped by the individual’s lived experience.
This chapter of the handbook asks whether, and in what ways, emotions can be designated as “moral”. Several emotions have been shown to be associated with moral judgments or moral behaviors. But more than association must be shown if we label some emotions characteristically moral. The author guides the reader through a voluminous literature and applies two criteria to test the moral credentials of emotions. The first criterion is whether the emotion is significantly elicited by moral stimuli; the second is whether it has significant community-benefiting consequences. This second criterion, less often used in past analyses, tries to capture the fact that moral norms, judgments, and decisions are all intended to benefit the community, so moral emotions should too. From this analysis, the author concludes that anger clearly meets the criteria, contempt and disgust less so. Guilt passes easily, and shame fares better than some may expect. Among the positive candidates, compassion and empathy both meet the criteria but are somewhat difficult to separate. Finally, elevation and awe have numerous prosocial consequences, but awe is rarely triggered by moral stimuli.
This chapter reviews research on social cognition and age. This covers self-focused processes, including self-referencing and memory as well as own-age bias and stereotype threat and stigma. Processes focused on other people are also reviewed, including moral judgment, empathy, theory of mind, social interactions and impression formation, memory for impressions, and trust.
Traditionally, the fields of Diversity, Equity, and Inclusion (DEI) and Intercultural Citizenship Education (ICitE) have been treated separately in Higher Education (HE) and beyond, with DEI often being associated with domestic diversity, while ICitE is often situated within international contexts. Although such binary perception is no longer adequate due to the superdiversity that characterizes today's university communities, the origins of this categorical distinction can be explained through an examination of the disciplinary roots, theoretical foundations, primary focus, and implementation approaches. Despite this difference in perspectives between the two fields, the Element argues that DEI and ICitE can complement each other in a variety of positive and productive ways. It does so by identifying the intersections between these two distinct yet interrelated fields and by providing an example of how they can be intentionally synergized in HE practice.
In a time of unprecedented displacement, hostility toward refugees is widespread. Two common strategies refugee advocates pursue to counter hostility and promote inclusion are perspective-getting exercises and providing information that corrects misperceptions. In this study, we evaluate whether these strategies are effective across four outcomes commonly used to measure outgroup inclusion: warmth toward refugees, policy preferences, behavior, and beliefs about a common misperception concerning refugees. Using three studies with nearly 15,000 Americans, we find that information and perspective-getting affect different outcomes. We show that combining both interventions produces an additive effect on all outcomes, that neither strategy enhances the other, but that bundling the strategies may prevent backfire effects. Our results underscore the promise and limits of both strategies for promoting inclusion.
Borderline personality disorder (BPD) is a highly stigmatised mental disorder. A variety of research exists highlighting the stigma experienced by individuals with BPD and the impacts of such prejudices on their lives. Similarly, much research exists on the benefits of engaging in compassionate acts, including improved mental health recovery. However, there is a notable gap in understanding how stigma experienced by people with BPD acts as a barrier to compassion and by extension recovery. This paper synthesises these perspectives, examining common barriers to compassionate acts, the impact of stigma on people with BPD, and how these barriers are exacerbated for individuals with BPD due to the stigma they face. The synthesis of perspectives in the article highlights the critical role of compassion in supporting the recovery of individuals with BPD, while also revealing the significant barriers posed by stigma. Addressing these challenges requires a comprehensive understanding of the intersection between compassion and stigma, informing the development of targeted interventions to promote well-being and recovery for individuals with BPD.
Engaging in acts of kindness, such as volunteering and donating, has profound benefits for mental and emotional wellbeing. These actions foster a sense of purpose and fulfilment, enriching both personal lives and communities. Volunteering promotes social responsibility and community cohesion, fostering empathy and personal growth. Research shows that volunteering is associated with greater life satisfaction, reduced symptoms of depression and anxiety, and improved cognitive function, particularly in older adults. The act of giving activates brain regions involved in reward and social attachment, releasing neurotransmitters like dopamine and serotonin that enhance mood and promote pro-social behaviour. Serotonin levels influence empathy and cooperation, while dopamine reinforces altruistic behaviour. Pro-social actions contribute to a harmonious society, fostering connection, understanding, and mutual support. Despite global challenges, people continue to donate and volunteer, driven by a sense of global responsibility and empathy. Embracing kindness not only benefits others, but also enhances personal wellbeing and satisfaction, regardless of age.
If being asked to give to charity stimulates an emotional response, like empathy, that makes giving difficult to resist, a natural self-control mechanism might be to avoid being asked in the first place. We replicate a result from a field experiment that points to the role of empathy in giving. We conduct an experiment in a large superstore in which we solicit donations to charity and randomly allow shoppers the opportunity to avoid solicitation by using the other door. We find the rate of avoidance by store entrants to be 8.9 %. However, we also find that the avoidance effect disappears in very cold weather, suggesting that avoidance behavior is sensitive to its cost.