Provisional chap“er
The B”ilding of Empa“hy: Concep“”al ŗPillarsŘ and
Conversa“ional Prac“ices in Psycho“herapy
Michael B. B”chholz, Jörg Bergmann,
Marie-L”ise Alder, Michael M. Di““mann,
Florian Dreyer and Hors“ Kächele
Addi“ional informa“ion is available a“ “he end of “he chap“er
Abstract
Empathy can be considered a special type of cooperation between therapist and patient.
This exploratory study compares psychoanalytical, depth-psychological and behavioural
therapy, in each case using transcriptions of audio recordings of initial, mid-term and late
sessions. For each school of therapy, five treatments are included, creating a database of 45
sessions. We describe the project and the method of conversation analysis using examples
of these transcripts and hypothesise that while all three schools of therapy are faced with
common fundamental problems concerning the realisation of empathy, one can observe
empathy profiles specific to each school. Here, we introduce theoretical groundwork and
the terminology of conversation analysis. The topic may be of particular interest to clini-
cians, since everyday problems are examined through the prism of microanalysis.
Keywords: empathy, psychotherapy, conversation analysis, psychoanalysis, cognitive
behavioural therapy
1. Introduction
Empathy is not a binary variable that can be reduced to “yes” or “no”. What one person
experiences as a moment of empathy another might not. Hence, empathy cannot be defined a
priori or in abstract terms, rather it is something that is created—through conversation.
An approach based on conversation and its analysis represents a departure from other important
studies which examine empathy as an individual “ability” [1]. Tests have already been devel-
oped [2] which have proved useful for studying autism for instance. “Empathy” and “evil” are
often perceived as a continuum; lack of empathy is connected to violence, while empathy pre-
vents it.
© 2017 The A”“hor(s). Licensee InTech. This chap“er is dis“rib”“ed ”nder “he “erms of “he Crea“ive Commons
A““rib”“ion License (h““p://crea“ivecommons.org/licenses/by/3.0), which permi“s ”nres“ric“ed ”se,
dis“rib”“ion, and reprod”c“ion in any medi”m, provided “he original work is properly ci“ed.
%XFKKRO] 0LFKDHO % %HUJPDQQ -|UJ
5 $OGHU 0DULH/XLVH 'LWWPDQQ 0LFKDHO
0 'UH\HU )ORULDQ .lFKHOH +RUVW
7KH %XLOGLQJ RI (PSDWK\
&RQFHSWXDO SLOODUV DQG &RQYHUVDWLRQDO
3UDFWLFHV LQ 3V\FKRWKHUDS\ LQ .RQGR
0DNLNR +UVJ (PSDWK\ $Q
HYLGHQFHEDVHG LQWHUGLVFLSOLQDU\
SHUVSHFWLYH
KWWSVZZZLQWHFKRSHQFRPERRNV
2SHQ $FFHVV ,Q7HFK