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08-06-2020 | REVIEW

Mindfulness and Empathy Among Counseling and Psychotherapy Professionals: A Systematic Review and Meta-analysis

Auteurs: David Cooper, Keong Yap, Maureen O’Brien, India Scott

Gepubliceerd in: Mindfulness | Uitgave 10/2020

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Abstract

Objectives

Past research shows that mindfulness-based training improves empathy in healthcare professionals and the general population. However, the empirical evidence for applying this assumption to counselors and psychotherapists is not well established. This review sought to examine the relationship between mindfulness and empathy, and the effects of mindfulness-based training on empathy among counselors and psychotherapists.

Methods

Published studies and dissertations indexed by PsycINFO, Scopus, Web of Science Core Collection, and Medline were systematically reviewed. We performed random-effects meta-analyses of both cross-sectional evidence and pre-post results of mindfulness-based training.

Results

A total of 22 studies met criteria. Greater self-reported levels of mindfulness were associated with less empathic personal distress, r = − .39, 95% CI [−.57, −.18], and greater perspective taking, r = .27, 95% CI [.09, .44]. An analysis of pre-post data indicated that mindfulness-based training did not have a significant effect on empathy.

Conclusions

There is a positive association between mindfulness and some aspects of empathy. However, mindfulness-based training did not significantly alter levels of empathy. Other methods of increasing empathy in counselors and psychotherapists should be explored. Furthermore, caution should be exercised when generalizing results from studies involving other healthcare professionals and the general population to counselors and psychotherapists.
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Literatuur
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://​doi.​org/​10.​1093/​clipsy.​bph077.
go back to reference Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2009). Introduction to meta-analysis. John Wiley and Sons. Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2009). Introduction to meta-analysis. John Wiley and Sons.
go back to reference Bruce, N. G., Shapiro, S. L., Constantino, M. J., & Manber, R. (2010). Psychotherapist mindfulness and the psychotherapy process. Psychotherapy: Theory, Research, Practice, Training, 47(1), 83–97 https://doi.org/10/dqx757.CrossRef Bruce, N. G., Shapiro, S. L., Constantino, M. J., & Manber, R. (2010). Psychotherapist mindfulness and the psychotherapy process. Psychotherapy: Theory, Research, Practice, Training, 47(1), 83–97 https://​doi.​org/​10/​dqx757.CrossRef
go back to reference Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: The Philadelphia Mindfulness Scale. Assessment, 15(2), 204–223. https://doi.org/10/d6mwqr. Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: The Philadelphia Mindfulness Scale. Assessment, 15(2), 204–223. https://​doi.​org/​10/​d6mwqr.
go back to reference Davis, M. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10. Davis, M. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10.
go back to reference Fulton, P., Germer, C. K., & Siegel, R. D. (2005). Mindfulness and psychotherapy. Guilford Press. Fulton, P., Germer, C. K., & Siegel, R. D. (2005). Mindfulness and psychotherapy. Guilford Press.
go back to reference Greason, P. B., & Cashwell, C. S. (2009). Mindfulness and counseling self-efficacy: The mediating role of attention and empathy. Counselor Education and Supervision, 49(1), 2–19. Greason, P. B., & Cashwell, C. S. (2009). Mindfulness and counseling self-efficacy: The mediating role of attention and empathy. Counselor Education and Supervision, 49(1), 2–19.
go back to reference Keefe, T. (1979). The development of empathic skill: A study. Journal of Education for Social Work, 15(2), 30–37. Keefe, T. (1979). The development of empathic skill: A study. Journal of Education for Social Work, 15(2), 30–37.
go back to reference Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., & Quill, T. E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA : The Journal of the American Medical Association, 302(12), 1284–1293. https://doi.org/10.1001/jama.2009.1384.CrossRefPubMed Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., & Quill, T. E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA : The Journal of the American Medical Association, 302(12), 1284–1293. https://​doi.​org/​10.​1001/​jama.​2009.​1384.CrossRefPubMed
go back to reference Lambert, M. J., & Witold, S. (2008). The therapeutic relationship: Central and essential in psychotherapy outcome. In S. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 19–34). Guilford Press. Lambert, M. J., & Witold, S. (2008). The therapeutic relationship: Central and essential in psychotherapy outcome. In S. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 19–34). Guilford Press.
go back to reference Lamothe, M., Rondeau, É., Malboeuf-Hurtubise, C., Duval, M., & Sultan, S. (2016). Outcomes of MBSR or MBSR-based interventions in health care providers: A systematic review with a focus on empathy and emotional competencies. Complementary Therapies in Medicine, 24, 19–28. https://doi.org/10.1016/j.ctim.2015.11.001. Lamothe, M., Rondeau, É., Malboeuf-Hurtubise, C., Duval, M., & Sultan, S. (2016). Outcomes of MBSR or MBSR-based interventions in health care providers: A systematic review with a focus on empathy and emotional competencies. Complementary Therapies in Medicine, 24, 19–28. https://​doi.​org/​10.​1016/​j.​ctim.​2015.​11.​001.
go back to reference Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, G. (2006). The Toronto Mindfulness Scale: Development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. https://doi.org/10.1002/jclp.20326. Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, G. (2006). The Toronto Mindfulness Scale: Development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. https://​doi.​org/​10.​1002/​jclp.​20326.
go back to reference Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., & Eiroa-Orosa, F. J. (2019). Mindfulness-based interventions in the workplace: An inclusive systematic review and meta-analysis of their impact upon wellbeing. The Journal of Positive Psychology, 14(5), 625–640. psyh. https://doi.org/10.1080/17439760.2018.1519588. Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., & Eiroa-Orosa, F. J. (2019). Mindfulness-based interventions in the workplace: An inclusive systematic review and meta-analysis of their impact upon wellbeing. The Journal of Positive Psychology, 14(5), 625–640. psyh. https://​doi.​org/​10.​1080/​17439760.​2018.​1519588.
go back to reference McConville, J., McAleer, R., & Hahne, A. (2017). Mindfulness training for health profession students—the effect of mindfulness training on psychological well-being, learning and clinical performance of health professional students: A systematic review of randomized and non-randomized controlled trials. Explore: The Journal of Science and Healing, 13(1), 26–45. https://doi.org/10.1016/j.explore.2016.10.002. McConville, J., McAleer, R., & Hahne, A. (2017). Mindfulness training for health profession students—the effect of mindfulness training on psychological well-being, learning and clinical performance of health professional students: A systematic review of randomized and non-randomized controlled trials. Explore: The Journal of Science and Healing, 13(1), 26–45. https://​doi.​org/​10.​1016/​j.​explore.​2016.​10.​002.
go back to reference Mehrabian, A. (1998). Manual for the balanced emotional empathy scale (BEES). Mehrabian, A. (1998). Manual for the balanced emotional empathy scale (BEES).
go back to reference Mills, E. (2010). Effect of mindfulness on empathy of student therapists Master’s thesis. Pacific University. Mills, E. (2010). Effect of mindfulness on empathy of student therapists Master’s thesis. Pacific University.
go back to reference Morgan, W. D., & Morgan, S. T. (2005). Cultivating attention and empathy. In C. K. Germer, R. D. Siegel, & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 73–90). Guilford Press. Morgan, W. D., & Morgan, S. T. (2005). Cultivating attention and empathy. In C. K. Germer, R. D. Siegel, & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 73–90). Guilford Press.
go back to reference Raab, K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. Journal of Health Care Chaplaincy, 20(3), 95–108.CrossRefPubMed Raab, K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. Journal of Health Care Chaplaincy, 20(3), 95–108.CrossRefPubMed
go back to reference Rissman, L. S. (2016). A program evaluation of the institute for meditation and psychotherapy’s certificate program [doctoral dissertation]. Wright Institute Graduate School of Psychology. Rissman, L. S. (2016). A program evaluation of the institute for meditation and psychotherapy’s certificate program [doctoral dissertation]. Wright Institute Graduate School of Psychology.
go back to reference Shamay-Tsoory, S. G., Aharon-Peretz, J., & Perry, D. (2009). Two systems for empathy: A double dissociation between emotional and cognitive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. Brain, 132(Pt 3), 617–627. https://doi.org/10.1093/brain/awn279. Shamay-Tsoory, S. G., Aharon-Peretz, J., & Perry, D. (2009). Two systems for empathy: A double dissociation between emotional and cognitive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. Brain, 132(Pt 3), 617–627. https://​doi.​org/​10.​1093/​brain/​awn279.
go back to reference Shapiro, S. L., & Izett, C. D. (2008). Meditation: A universal tool for cultivating empathy. In S. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 161–175). Guilford Press. Shapiro, S. L., & Izett, C. D. (2008). Meditation: A universal tool for cultivating empathy. In S. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 161–175). Guilford Press.
go back to reference Spreng, R. N., McKinnon, M. C., Mar, R. A., & Levine, B. (2009). The Toronto Empathy Questionnaire: Scale development and initial validation of a factor-analytic solution to multiple empathy measures. Journal of Personality Assessment, 91(1), 62–71. https://doi.org/10.1080/00223890802484381. Spreng, R. N., McKinnon, M. C., Mar, R. A., & Levine, B. (2009). The Toronto Empathy Questionnaire: Scale development and initial validation of a factor-analytic solution to multiple empathy measures. Journal of Personality Assessment, 91(1), 62–71. https://​doi.​org/​10.​1080/​0022389080248438​1.
go back to reference Sterne, J. A. C., Hernán, M. A., Reeves, B. C., Savović, J., Berkman, N. D., Viswanathan, M., Henry, D., Altman, D. G., Ansari, M. T., Boutron, I., Carpenter, J. R., Chan, A.-W., Churchill, R., Deeks, J. J., Hróbjartsson, A., Kirkham, J., Jüni, P., Loke, Y. K., Pigott, T. D., et al. (2016). ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ, 355. https://doi.org/10.1136/bmj.i4919. Sterne, J. A. C., Hernán, M. A., Reeves, B. C., Savović, J., Berkman, N. D., Viswanathan, M., Henry, D., Altman, D. G., Ansari, M. T., Boutron, I., Carpenter, J. R., Chan, A.-W., Churchill, R., Deeks, J. J., Hróbjartsson, A., Kirkham, J., Jüni, P., Loke, Y. K., Pigott, T. D., et al. (2016). ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ, 355. https://​doi.​org/​10.​1136/​bmj.​i4919.
go back to reference Walsh, R. (2008). Mindfulness and empathy: a hermeneutic circle. In S. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 72–88). Guildord Press. Walsh, R. (2008). Mindfulness and empathy: a hermeneutic circle. In S. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 72–88). Guildord Press.
Metagegevens
Titel
Mindfulness and Empathy Among Counseling and Psychotherapy Professionals: A Systematic Review and Meta-analysis
Auteurs
David Cooper
Keong Yap
Maureen O’Brien
India Scott
Publicatiedatum
08-06-2020
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 10/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-020-01425-3

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