Moderate similarity leads to empathic concern, but high similarity can also induce personal distress towards others’ pain

Abstract

Empathic concern and personal distress are common vicarious emotional responses that arise when witnessing someone else's pain. However, the influence of perceived similarity on these responses remains unclear. In this study, we examined how perceived similarity with an injured target impacts vicarious emotional responses. A total of 87 participants watched a video of an athlete in pain preceded by a clip describing the athlete's trajectory, which indicated either high, moderate, or low similarity to the participants. Emotional self-reports, facial expressions, gaze behavior, and pupil diameter were measured as indicators of the participants' emotional responses. Participants in the moderate- and high-similarity groups exhibited greater empathic concern, as evidenced by their display of more sadness compared with those in the low-similarity group. Furthermore, those in the moderate-similarity group exhibited less avoidance by displaying reduced disgust, indicating lower personal distress compared with those in the low-similarity condition. Nevertheless, the high-similarity group displayed just as much disgust as the low-similarity group. These findings suggest that perceived similarity enhances empathic concern to others' suffering, but that high similarity can also lead to personal distress. Future studies on empathy should explore distinct vicarious states using multimodal measurements to further advance our understanding of these processes.

Key words： compassion; empathy; facial action coding system; pain; sympathy

References

1 Antonetti, P., & Maklan, S. (2018). Identity bias in negative word of mouth following irresponsible corporate behavior: A research model and moderating effects. Journal of Business Ethics, 149(4), 1005–1023.

2 Azevedo, R. T., Macaluso, E., Avenanti, A., Santangelo, V., Cazzato, V., & Aglioti, S. M. (2013). Their pain is not our pain: Brain and autonomic correlates of empathic resonance with the pain of same and different race individuals. Human Brain Mapping, 34(12), 3168–3181.

3 Batson, C. D., Lishner, D. A., Cook, J., & Sawyer, S. (2005). Similarity and nurturance: Two possible sources of empathy for strangers. Basic and Applied Social Psychology, 27(1), 15–25.

4 Batson, C. D., & Powell, A. A. (2003). Altruism and prosocial behavior. In T. Millon & M. J. Lerner (Eds.), Handbook of psychology. John Wiley & Sons, Inc.

5 Blons, E., Arsac, L. M., Grivel, E., Lespinet-Najib, V., & Deschodt-Arsac, V. (2021). Physiological resonance in empathic stress: Insights from nonlinear dynamics of heart rate variability. International Journal of Environmental Research and Public Health, 18(4), 2081.

6 Bradley, M. M., Miccoli, L., Escrig, M. A., & Lang, P. J. (2008). The pupil as a measure of emotional arousal and autonomic activation. Psychophysiology, 45(4), 602–607.

7 Buffone, A. E. K., Poulin, M., DeLury, S., Ministero, L., Morrisson, C., & Scalco, M. (2017). Don't walk in her shoes! Different forms of perspective taking affect stress physiology. Journal of Experimental Social Psychology, 72(January), 161–168.

8 Cameron, C. D., Harris, L. T., & Payne, B. K. (2016). The emotional cost of humanity: Anticipated exhaustion motivates dehumanization of stigmatized targets. Social Psychological and Personality Science, 7(2), 105–112.

9 Carp, J., Halenar, M. J., Quandt, L. C., Sklar, A., & Compton, R. J. (2009). Perceived similarity and neural mirroring: Evidence from vicarious error processing. Social Neuroscience, 4(1), 85–96.

10 Cassidy, J., Stern, J. A., Mikulincer, M., Martin, D. R., & Shaver, P. R. (2018). Influences on Care for Others: Attachment security, personal suffering, and similarity between helper and care recipient. Personality and Social Psychology Bulletin, 44(4), 574–588.

11 Chiesa, P. A., Liuzza, M. T., Acciarino, A., & Aglioti, S. M. (2015). Subliminal perception of others' physical pain and pleasure. Experimental Brain Research, 233(8), 2373–2382.

12 Choi, D., & Watanuki, S. (2014). Effect of empathy trait on attention to faces: An event-related potential (ERP) study. Journal of Physiological Anthropology, 33, 4.

13 Cohn, J., Ambadar, Z., & Ekman, P. (2007). Observer-based measurement of facial expression with the facial action coding system. In J. A. Coan & J. J. B. Allen (Eds.), The handbook of emotion elicitation and assessment (pp. 203–221). Oxford University Press.

14 Condliffe, O., & Maratos, F. A. (2020). Can compassion, happiness and sympathetic concern be differentiated on the basis of facial expression? Cognition and Emotion, 9931, 1395–1407.

15 Damisch, L., Mussweiler, T., & Plessner, H. (2006). Olympic medals as fruits of comparison? Assimilation and contrast in sequential performance judgments. Journal of Experimental Psychology: Applied, 12(3), 166–178.

16 Danioni, F., Coen, S., Rosnati, R., & Barni, D. (2020). The relationship between direct and indirect measures of values: Is social desirability a significant moderator? Revue Europeenne de Psychologie Appliquee, 70(3), 100524.

17 Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.

18 Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126.

19 Davis, M. H., Mitchell, K. V., Hall, J. A., Lothert, J., Snapp, T., & Meyer, M. (1999). Empathy, expectations, and situational preferences: Personality influences on the decision to participate in volunteer helping behaviors. Journal of Personality, 67(3), 469–503.

20 Decety, J., & Lamm, C. (2009). Empathy versus personal distress: Recent evidence from social neuroscience. In J. Decety & W. Ickes (Eds.), The social neuroscience of empathy (pp. 199–213). MIT Press.

21 Decety, J., & Meltzoff, A. N. (2011). Empathy, imitation, and the social brain. In Empathy: Philosophical and psychological p erspectives (pp. 58–81). Oxford University Press.

22 Dorris, L., Young, D., Barlow, J., Byrne, K., & Hoyle, R. (2022). Cognitive empathy across the lifespan. Developmental Medicine and Child Neurology, 64(12), 1524–1531.

23 Dor-Ziderman, Y., Cohen, D., Levit-Binnun, N., & Golland, Y. (2021). Synchrony with distress in affective empathy and compassion. Psychophysiology, 58(10), e13889.

24 Eisenberg, N. (2010). Empathy-related responding: Links with self-regulation, moral judgment, and moral behavior. In Prosocial motives, emotions, and behavior: The better angels of our nature (pp. 129–148). American Psychological Association.

25 Eisenberg, N. (2017). Empathy-related responding and its relations to positive development. In N. Roughley & T. Schramme (Eds.), Forms of fellow feeling: Empathy, sympathy, concern and moral agency (pp. 165–183). Cambridge University Press.

26 Eisenberg, N., & Eggum, N. (2009). Empathic responding: Sympathy and personal distress. In J. Decety & W. Wickes (Eds.), The social neuroscience of empathy (pp. 71–84). The MIT Press.

27 Eisenberg, N., Fabes, R. A., Murphy, B., Karbon, M., Maszk, P., Smith, M., O'Boyle, C., & Suh, K. (1994). The relations of emotionality and regulation to dispositional and situational empathy-related responding. Journal of Personality and Social Psychology, 28(2), 367–382.

28 Eisenberg, N., McCreath, H., & Ahn, R. (1988). Vicarious emotional responsiveness and prosocial behavior. Personality and Social Psychology Bulletin, 14(2), 298–311.

29 Eisenberg, N., VanSchyndel, S. K., & Spinrad, T. L. (2016). Prosocial motivation: Inferences from an opaque body of work. Child Development, 87(6), 1668–1678.

30 Ekman, P., & Cordaro, D. (2011). What is meant by calling emotions basic. Emotion Review, 3(4), 364–370.

31 Ekman, P., Friesen, W. V., & Hager, J. C. (2002a). Facial action coding system: The manual on CD ROM. The Human Face.

32 Ekman, P., Friesen, W. V., & Hager, J. C. (2002b). Facial action coding system – Investigator's guide. In FACS.

33 Ekman, P., & Rosenberg, E. L. (2012). What the face reveals: Basic and applied studies of spontaneous expression using the facial action coding system (FACS). In What the face reveals: Basic and applied studies of spontaneous expression using the facial action coding system (FACS). Oxford University Press.

34 Fabes, R. A., Eisenberg, N., & Eisenbud, L. (1993). Behavioral and physiological correlates of Children's reactions to others in distress. Developmental Psychology, 29(4), 655–663.

35 Falconer, C. J., Lobmaier, J. S., Christoforou, M., Kamboj, S. K., King, J. A., Gilbert, P., & Brewin, C. R. (2019). Compassionate faces: Evidence for distinctive facial expressions associated with specific prosocial motivations. PLoS One, 14(1), 1–17.

36 Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2013). G*power 3.1.7 software. Heinrich-Heine University – Institute for Experimental Psychology.

37 Feng, X., Sun, B., Chen, C., Li, W., Wang, Y., Zhang, W., Xiao, W., & Shao, Y. (2020). Self–other overlap and interpersonal neural synchronization serially mediate the effect of behavioral synchronization on prosociality. Social Cognitive and Affective Neuroscience, 15(2), 203–214.

38 Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41.

39 Gobbini, M. I., & Haxby, J. V. (2007). Neural systems for recognition of familiar faces. Neuropsychologia, 45(1), 32–41.

40 Goetz, J. L., Keltner, D., & Simon-Thomas, E. (2010). Compassion: An evolutionary analysis and empirical review. Psychological Bulletin, 136(3), 351–374.

41 Grynberg, D., & Konrath, S. (2020). The closer you feel, the more you care: Positive associations between closeness, pain intensity rating, empathic concern and personal distress to someone in pain. Acta Psychologica, 210, 103175.

42 Haidt, J. (2003). The moral emotions. In R. J. Davidson, K. R. Scherer, & H. H. Goldsmith (Eds.), Handbook of affective sciences (pp. 852–870). Oxford University Press.

43 Haidt, J., & Keltner, D. (1999). Culture and facial expression: Open-ended methods find more expressions and a gradient of recognition. Cognition and Emotion, 13(3), 225–266.

44 Hall, J. A., & Schwartz, R. (2019). Empathy present and future. Journal of Social Psychology, 159(3), 225–243.

45 Herz, R. (2012). That's disgusting: Unraveling the mysteries of repulsion. In Choice reviews online. WW Norton & Company.

46 Hochberg, Y. (1988). A sharper bonferroni procedure for multiple tests of significance. Biometrika, 75(4), 800–802.

47 Israelashvili, J., Sauter, D., & Fischer, A. (2020b). Two facets of affective empathy: Concern and distress have opposite relationships to emotion recognition. Cognition and Emotion, 34(6), 1112–1122.

48 Israelashvili, J., Sauter, D. A., & Fischer, A. H. (2020a). Different faces of empathy: Feelings of similarity disrupt recognition of negative emotions. Journal of Experimental Social Psychology, 87, 103912.

49 Kassem, K., Salah, J., Abdrabou, Y., Morsy, M., El-Gendy, R., Abdelrahman, Y., & Abdennadher, S. (2017, November). DiVA: exploring the usage of pupil diameter to elicit valence and arousal. In Proceedings of the 16th International Conference on Mobile and Ubiquitous Multimedia (pp. 273–278).

50 Krebs, D. (1975). Empathy and altruism. Journal of Personality and Social Psychology, 32(6), 1134–1146.

51 Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.

52 Krol, S. A., & Bartz, J. A. (2022). The self and empathy: Lacking a clear and stable sense of self undermines empathy and helping behavior. Emotion (Washington, D.C.), 22(7), 1554–1571.

53 Kupfer, T. R. (2018). Why are injuries disgusting? Comparing pathogen avoidance and empathy accounts. Emotion, 18(7), 959–970.

54 Lamm, C., Batson, C. D., & Decety, J. (2007). The neural substrate of human empathy: Effects of perspective-taking and cognitive appraisal. Journal of Cognitive Neuroscience, 19(1), 42–58.

55 Lamm, C., Porges, E. C., Cacioppo, J. T., & Decety, J. (2008). Perspective taking is associated with specific facial responses during empathy for pain. Brain Research, 1227, 153–161.

56 Le, J., Kou, J., Zhao, W., Fu, M., Zhang, Y., Becker, B., & Kendrick, K. M. (2020). Oxytocin facilitation of emotional empathy is associated with increased eye gaze toward the faces of individuals in emotional contexts. Frontiers in Neuroscience, 14(August), 1–9.

57 Lim, D., & DeSteno, D. (2016). Suffering and compassion: The links among adverse life experiences, empathy, compassion, and prosocial behavior. Emotion, 16(2), 175–182.

58 Lischke, A., Pahnke, R., Mau-Moeller, A., Behrens, M., Grabe, H. J., Freyberger, H. J., Hamm, A. O., & Weippert, M. (2018). Inter-individual differences in heart rate variability are associated with inter-individual differences in empathy and alexithymia. Frontiers in Psychology, 9(FEB), 1–9.

59 López-Pérez, B., & Ambrona, T. (2015). The role of cognitive emotion regulation on the vicarious emotional response. Motivation and Emotion, 39(2), 299–308.

60 McKeever, R. (2015). Vicarious experience: Experimentally testing the effects of empathy for media characters with severe depression and the intervening role of perceived similarity. Health Communication, 30(11), 1122–1134.

61 Montalan, B., Lelard, T., Godefroy, O., & Mouras, H. (2012). Behavioral investigation of the influence of social categorization on empathy for pain: A minimal group paradigm study. Frontiers in Psychology, 3(OCT), 1–5.

62 Moreland, R. L., & Beach, S. R. (1992). Exposure effects in the classroom: The development of affinity among students. Journal of Experimental Social Psychology, 28(3), 255–276.

63 Moreland, R. L., & Topolinski, S. (2010). The mere exposure phenomenon: A lingering melody by Robert Zajonc, 2(4), 329–339.

64 Moreland, R. L., & Zajonc, R. B. (1982). Exposure effects in person perception: Familiarity, similarity, and attraction. Journal of Experimental Social Psychology, 18(5), 395–415.

65 Myers, M. W., Laurent, S. M., & Hodges, S. D. (2014). Perspective taking instructions and self-other overlap: Different motives for helping. Motivation and Emotion, 38(2), 224–234.

66 Navarro, E. (2022). What is theory of mind? A psychometric study of theory of mind and intelligence. Cognitive Psychology, 136, 101495.

67 Nishihara, K., Isho, T., Nishihara, K., & Isho, T. (2012). Location of electrodes in surface EMG. In EMG methods for evaluating muscle and nerve function. IntechOpen.

68 Nitschke, J. P., & Bartz, J. A. (2023). The association between acute stress & empathy: A systematic literature review. In. Neuroscience and Biobehavioral Reviews, 144, 105003.

69 Partala, T., & Surakka, V. (2003). Pupil size variation as an indication of affective processing. International Journal of Human Computer Studies., 59, 185–198.

70 Perry, A., & Shamay-Tsoory, S. (2013). Understanding emotional and cognitive empathy. In A neuropsychological perspective. Understanding other minds: Perspectives from developmental social Neurosciene. Oxford University Press.

71 Pilch, M., OʼHora, D., Jennings, C., Caes, L., McGuire, B. E., Kainz, V., & Vervoort, T. (2020). Perspective-taking influences attentional deployment towards facial expressions of pain: An eye-tracking study. Pain, 161(6), 1286–1296.

72 Preis, M. A., & Kroener-Herwig, B. (2012). Empathy for pain: The effects of prior experience and sex. European Journal of Pain (United Kingdom), 16(9), 1311–1319.

73 Richardson, M., McEwan, K., Maratos, F., & Sheffield, D. (2016). Joy and calm: How an evolutionary functional model of affect regulation informs positive emotions in nature. Evolutionary Psychological Science, 2, 308–320.

74 Rosenberg, E. L., & Ekman, P. (1994). Coherence between expressive and experiential Systems in Emotion. What the Face Reveals: Basic and Applied Studies of Spontaneous Expression Using the Facial Action Coding System (FACS), 8(3), 201–229.

75 Rosenberg, E. L., Zanesco, A. P., King, B. G., Jacobs, T. L., MacLean, K. A., Shaver, P. R., Ferrer, E., Lavy, S., Aichele, S. R., Bridwell, D. A., Sahdra, B. K., Wallace, B. A., & Saron, C. D. (2015). Intensive meditation training influences emotional responses to suffering. Emotion, 15(6), 775–790.

76 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.

77 Sayette, M. A., Cohn, J. F., Wertz, J. M., Perrott, M. A., & Parrott, D. J. (2001). A psychometric evaluation of the facial action coding system for assessing spontaneous expression. Journal of Nonverbal Behavior, 25(3), 167–185.

78 Schreiter, S., Pijnenborg, G. H. M., & Aan Het Rot, M. (2013). Empathy in adults with clinical or subclinical depressive symptoms. Journal of Affective Disorders, 150(1), 1–16.

79 Shaver, P. R., Mikulincer, M., & Shemesh-Iron, M. (2010). A behavioral-systems perspective on prosocial behavior. In M. Mikulincer & P. R. Shaver (Eds.), Prosocial motives, emotions, and behavior: The better angels of our nature (pp. 73–91). American Psychological Association.

80 Shenhav, A., & Mendes, W. B. (2014). Aiming for the stomach and hitting the heart: Dissociable triggers and sources for disgust reactions. Emotion, 14(2), 301–309.

81 Siem, B. (2022). The relationship between empathic concern and perceived personal costs for helping and how it is affected by similarity perceptions. Journal of Social Psychology, 162(1), 178–197.

82 Singer, T., & Klimecki, O. M. (2014). Empathy and compassion. Current Biology, 24(18), R875–R878.

83 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(5661), 1157–1162.

84 Song, J., Zhao, Z., Jiao, Z., Peng, Y., & Chu, M. (2023). Subliminal perception of others' physical pain induces personal distress rather than empathic concern. BMC Psychology, 11(1), 276.

85 Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092.

86 Steinkopf, L. (2017). Disgust, empathy, and Care of the Sick: An evolutionary perspective. Evolutionary Psychological Science, 3(2), 149–158.

87 Stellar, J. E., Cohen, A., Oveis, C., & Keltner, D. (2015). Affective and physiological responses to the suffering of others: Compassion and vagal activity. Journal of Personality and Social Psychology, 108(4), 572–585.

88 Stotland, E. (1969). Exploratory investigations of empathy. Advances in Experimental Social Psychology, 4(C), 271–314.

89 Stürmer, S., Snyder, M., Kropp, A., & Siem, B. (2006). Empathy-motivated helping: The moderating role of group membership. Personality and Social Psychology Bulletin, 32(7), 943–956.

90 Sun, Y. B., Wang, Y. Z., Wang, J. Y., & Luo, F. (2015). Emotional mimicry signals pain empathy as evidenced by facial electromyography. Scientific Reports, 5(1), 1–10.

91 Tan, Q., Zhan, Y., Gao, S., Fan, W., Chen, J., & Zhong, Y. (2015). Closer the relatives are, more intimate and similar we are: Kinship effects on self-other overlap. Personality and Individual Differences, 73, 7–11.

92 Tullett, A. M., Harmon-Jones, E., & Inzlicht, M. (2012). Right frontal cortical asymmetry predicts empathic reactions: Support for a link between withdrawal motivation and empathy. Psychophysiology, 49(8), 1145–1153.

93 Upshaw, M. B., Kaiser, C. R., & Sommerville, J. A. (2015). Parents' empathic perspective taking and altruistic behavior predicts infants' arousal to others' emotions. Frontiers in Psychology, 6(APR), 360.

94 Vaish, A., & Warneken, F. (2013). Social-cognitive contributors to Young Children's empathic and prosocial behavior. In Empathy (pp. 131–146). The MIT Press.

95 Wang, C. A., Baird, T., Huang, J., Coutinho, J. D., Brien, D. C., & Munoz, D. P. (2018). Arousal effects on pupil size, heart rate, and skin conductance in an emotional face task. Frontiers in Neurology, 9(December), 1–13.

96 Weisz, E., & Zaki, J. (2018). Motivated empathy: A social neuroscience perspective. Current Opinion in Psychology, 24, 67–71.

97 White, T. L., Cunningham, C., & Herz, R. S. (2018). Individual differences and the “selfish” connection between empathy and disgust. American Journal of Psychology, 131(4), 439–450.

98 Wu, X., Lu, X., Zhang, H., Bi, Y., Gu, R., Kong, Y., & Hu, L. (2023). Sex difference in trait empathy is encoded in the human anterior insula. Cerebral Cortex, 33(9), 5055–5065.

99 Yamada, M., & Decety, J. (2009). Unconscious affective processing and empathy: An investigation of subliminal priming on the detection of painful facial expressions. Pain, 143(1–2), 71–75.

100 Yan, Z., Pei, M., & Su, Y. (2017). Children's empathy and their perception and evaluation of facial pain expression: An eye tracking study. Frontiers in Psychology, 8(DEC), 1–12.

101 Yan, Z., Pei, M., & Su, Y. (2018). Physical cue influences children's empathy for pain: The role of attention allocation. Frontiers in Psychology, 9(NOV), 1–10.

102 Zellmer-Bruhn, M. E., Maloney, M. M., Bhappu, A. D., & Salvador, R.(Bombie). (2008). When and how do differences matter? An exploration of perceived similarity in teams. Organizational Behavior and Human Decision Processes, 107(1), 41–59.

103 Zhang, J., Park, S., & Cho, A. (2022). Significant measures of gaze and pupil movement for.

104 Zhou, Q., Valiente, C., & Eisenberg, N. (2003). Empathy and its measurement. In S. J. Lopez & C. R. Snyder (Eds.), Positive psychological assessment: A handbook of models and measures (pp. 269–284). American Psychological Association.

105 Zwarts, M. J., & Stegeman, D. F. (2003). Multichannel surface EMG: Basic aspects and clinical utility. Muscle & Nerve, 28(1), 1–17.