Empathy in high-tech and high-touch medicine

Abstract

Objective: Surgeons and psychiatrists have been described as two contrary groups, the one healing by hands and the other by words. Empathy is needed in every physician-patient relationship. We tested whether (1) surgeons and psychiatrists show different levels of cognitive and emotional empathy; (2) measurements of cognitive and emotional empathy correlate with physician-specific empathy; and (3) gender, experience, and career choices are influencing factors.

Methods: 56 surgeons and 50 psychiatrists participated. We measured empathy with the Jefferson Scale of Physician Empathy (JSPE), cognitive empathy with the Reading the Mind in the Eyes Test Revised (RME-R6), and emotional empathy with the Balanced Emotional Empathy Scale (BEES).

Results: Male psychiatrists scored significantly higher than that of male surgeons (118.0±9.86 vs. 107.5±13.84; p=0.0006) in the JSPE. Analytically trained psychiatrists scored significantly higher in the JSPE than that of behaviorally trained psychiatrists (p=0.024, F test, adjusted for gender). Both the RME and the BEES correlated positively with the JSPE.

Conclusion: Higher scores for empathy were found in male psychiatrists than in male surgeons.

Practice implications: Further research is needed to learn about the effects of general medical training on empathy.

Keywords: Cognitive empathy; Emotional empathy; Jefferson Scale of Physician Empathy; Psychiatrist; Reading the Mind in the Eyes Test Revised; Surgeon.