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We have no more effective tool than how we relate. In a recent article, "Empathy: A Clinician's Perspective" (Aug. 15, 2006), Lisa Moore alerts us that expressing empathy toward clients heightens their satisfaction with treatment even when they fail to meet personal goals. In a guest editorial (Silverman, E.-M., 2003, "Shared Connections-Spirituality in Clinical Practice," Vol. 8(17), p. 40), I shared my personal experience witnessing how badly treatment can go when clinicians fail to engage compassionately with their clients. At the time, without directly saying so, I was encouraging compassionate caring.
The difference between empathy and compassion may seem subtle, and, it is, since compassion constitutes a subset of empathy. Compassion expresses as carefully considering others' feelings as reflections of their beliefs, wishes, and state of mind in preparation for undertaking skilled action to help them live more personally satisfying lives. Relating compassionately alleviates suffering and even the causes of suffering. Empathy presents as attending to others' feelings and acknowledging them.
Clearly, our chosen path allows us to participate in the lives of others. If we empathize with them, they may feel better for having been known by someone who cares. If we relate compassionately, they may be more likely to become better off for the rest of their lives.
Ellen-Marie Silverman
Milwaukee, WI
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