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. 2025 Oct 16:jhaf027.
doi: 10.1093/jmp/jhaf027. Online ahead of print.

Compassionate Understanding

Affiliations

Compassionate Understanding

Steve Matthews. J Med Philos. .

Abstract

The trauma and anguish professional people encounter in their work over time can lead to losses in competence and occupational burnout. However, the practice of detachment designed to avoid these outcomes can tip over into losses in the ability to connect with clients, and even to alienation from the professional role itself. Some have thought that the proper regulation of levels of empathic concern ensures a balance between these two poles. I argue against this and instead advocate for a stance I call compassionate understanding. I contend that this best achieves sustained professionalism while remaining morally attuned to the norms of one's occupation. I focus on health care to illustrate what is at stake in compassionate understanding, though the position I defend has applications across a significant range of professions.

Keywords: compassion; detachment; empathy; professional; virtue.

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