On Empathy: The Psychology, Neuroscience, and Necessity of Emotional Boundaries
Empathy is our ability to feel into another’s emotional experience to sense their joy, suffering, hope, or pain as if it were our own. This innate human capacity, derived from the Greek em pathos ("feeling into"), profoundly shapes our relationships and daily lives. Psychology and neuroscience both inform the origins of empathy, and also confirm the importance of practicing it within the safety of healthy emotional boundaries.
Psychological Perspsectives
In 1873, German philosopher and art theorist Robert Vischer coined the term Einfühlung to describe the spontaneous, relational act of projecting psychic feeling onto other people and things. He viewed this unconscious process as a way to better understand beauty and expression, through aesthetically participating in others’ thoughts, feelings, and observed actions.
Later in 1924, English structuralist Edward Titchener coined the term empathy as his iteration of Einfühlung, defining it instead as a “reactive-projective perspective with an emphasis on perceptive awareness of another person’s affect of sharing of feelings”. From his view, this phenomenon was primarily a sensory experience by way of using keen observation and physiological mirroring to imitate another person’s internal state.
Carl Jung (1875–1961), who was a Swiss psychiatrist and founder of analytical psychology, framed empathy as a type of introjection, or adoption of others’ attitudes through attunement to their psyche’s experience of reality. In his words, “the man with the empathic attitude finds himself…in a world that needs his subjective feeling to give it life and soul. He animates it with himself”. Jung viewed this ability to attune to others as the result of sharing a collective unconscious, a well of archetypal forces feeding our capacity for symbolic imagination.
Most recently American psychologist Carl Rogers (1902–1987), who founded humanistic psychology and coined the phrase “unconditional positive regard” in the therapeutic relationship, suggested that empathy is the capacity to understand another’s experience in the world as if you were them. Importantly, he highlighted the critical distinction between dysfunctional emotional enmeshment with others, and the skill of maintaining emotionally boundaried relationships.
The Neuroscience of Empathy
Our experiences of empathy are shaped by brain mechanisms that include overall sensory processing, mirror neuron activity, and dopamine levels.
Sensory Processing
Sensory processing sensitivity (SPS) is a nervous system trait that determines an individual’s sensitivity to stimuli. Recent studies using functional magnetic resonance imaging (fMRI) have revealed that those with higher levels of SPS have greater activity in areas of the brain involved with high-order processing and attention including the right claustrum, left occipito-temporal, bilateral temporal, and medial and posterior parietal regions. Individuals who exhibit SPS traits are primed to respond more strongly to subtle physical, emotional, and social cues in their environment.
In the 1990s, American clinical psychologist Elaine Aron conducted further SPS research and developed the idea of the Highly Sensitive Person (HSP). She proposed that HSPs are a subset of the population who have demonstrably higher levels of sensitivity. According to Aron, roughly 15–20% of the general population are HSPs. Using her Highly Sensitive Person Scale, you can easily measure your sensitivity to things like pain, caffeine, noises, the arts, violence, and others’ moods.
Mirror Neurons and Emotional Contagion
Emotional contagion is defined as “the tendency to automatically mimic and synchronize expressions, vocalizations, postures, and movements with those of another person’s and, consequently, to converge emotionally”. Research has focused on instinctive mimicry of facial expressions, a skill developed in infancy. Using the Emotional Contagion Scale, you can measure your ability to absorb and reflect other’s feelings. It measures your likelihood to feel tense around challenging people, cry during movies, or feel positively after social interactions.
Our brain’s mirror neurons are involved in this transmission of emotional information. According to the American Psychological Association, mirror neurons are a type of brain cell that “respond equally when we perform an action and when we witness someone else perform the same action”. They were discovered by Italian researchers in the early 1990s, and explain how we can understand and relate to the feelings of others. FMRI scans have revealed how neural relay mechanisms in our anterior insular cortex enable us to instinctively imitate facial expressions, mannerisms, and body postures. This process helps us discern and interpret even the subtlest of micro-expressions.
Mirror-Touch Synesthesia
Mirror-touch synesthesia (MTS) is a condition related to unusually high mirror neuron activity, where individuals consciously experience physical sensations when seeing someone else being touched. It is difficult to develop measures to identify mirror-touch synesthetes since data is based on self-report. However, a 2018 study using the Empathy Quotient Scale found that self-described synesthetes demonstrated higher rates of emotional responsivity and overall perception. Further research has directly linked MTS with higher adeptness with empathy, through an emotion simulation process that echoes Titchener’s structuralist view.
Dopamine Activity
Dopamine activity in the brain is informed by levels of the dopamine beta-hydroxylase (DBH) enzyme, which regulates the conversion of dopamine to norepinephrine. The DBH gene thus regulates levels of norepinephrine, the neurotransmitter that determines levels of arousal, stress responses, and emotional reactivity. This directly impacts one’s ability to empathically resonate and feel moved by others’ emotions. Persistently low DBH activity is considered a risk factor for mental health conditions including depression, bipolar disorder, and schizophrenia.
Empathy and Mental Health
The term empath, first coined in 1956 by Scottish author JT McIntosh, has become widely used as a way to describe people with high empathy. Through his fiction writing, McIntosh colorfully portrayed paranormal beings who could sense human emotions almost as a form of telepathy.
Nowadays many consider empaths to be emotionally sensitive individuals who are deeply attuned to the emotions of others, and experience stronger internal reactions to emotional stimuli than the average person. As psychiatrist Nereida Gonzalez-Berrios described, at times “true empaths…go out of their comfort zone and start thinking, feeling, and acting for other people — even if they feel drained, emotionally overwhelmed, and exhausted — and can feel another person’s happiness or sadness as a part of their own self”. This reflects Rogers’ words of caution regarding the importance of personal emotional boundaries.
The Need for Emotional Boundaries
Our capacity to emotionally attune is directly tied to relationship fulfillment. Neurocognitive theories note the importance of empathy in generating positive social interactions, sustaining deep relationships, and establishing support networks. It positions us to cultivate social capital, which results in greater life meaning and fulfillment.
However, empaths face certain challenges. For example, they can easily be affected by others’ pain and find it difficult to maintain emotional boundaries. This can quickly lead to feelings of inadequacy, exhaustion, or sadness if they feel unable to help. Another typical outcome of poor emotional boundaries is increased anxiety. According to Dr. Judith Orloff, author of the bestselling book The Empath’s Survival Guide, empaths are prone to anxiety in social settings because their sensitivity makes it challenging to maintain necessary emotional distance.
This pattern can contribute to mental and physical stress. High sensory processing sensitivity has been connected to a greater likelihood of developing symptoms of depression. A 2006 study using Aron’s Highly Sensitive Person Scale found connections between high empathy and vulnerability to poorer mental health. Additionally, in a 2008 study participants were exposed to a range of heat levels and observers were asked to rate their own physical reactions. Those with the highest empathy scores felt the most bodily pain and discomfort while witnessing others’ suffering, suggesting that empathy alters pain perception.
Sometimes difficulty with emotional boundaries stems from relational trauma, such as attachment wounds with caregivers. Attachment traumas like childhood abuse and parentification can result in people pleasing or fawning behavior, scanning for signs of emotional danger, and adapting to others’ emotional states. However, research on post-traumatic growth also shows that profound experiences of suffering can strengthen one’s resiliency and ability to authentically connect with others.
Creating Healthy Boundaries
Self care practice is crucial for empaths to maintain personal emotional health, and can include use of solitude and time in nature. According to Aron, Highly Sensitive Persons frequently reported prioritizing solitude as a way to increase self-awareness, practice self-acceptance, and apply self-compassion. Rejuvenation through connecting with nature is also demonstrated to foster holistic rest and renewal.
Supportive interpersonal skills include learning to say “no” and honor your limits, externalizing others’ emotional reactions, and mindfully acknowledging where one’s self ends and another person begins. Practicing self-empathy is critical for navigating the initial discomfort of having to say “no” to others. For those with attachment trauma history, an attuned mental health therapist can be a compassionate resource for developing robust emotional boundaries.
Article Sources
Acevedo, B. P., Aron, E. N., Aron, A., Sangster, M. D., Collins, N., & Brown, L. L. (2014). The highly sensitive brain: An fMRI study of sensory processing sensitivity and response to others’ emotions. Brain and Behavior, 4(4), 580–594. https://doi.org/10.1002/brb3.242
Aron, E. (Accessed February 15, 2023). The highly sensitive person.
https://hsperson.com/
Banissy, M., & Ward, J. (2007). Mirror-touch synesthesia is linked with empathy. Nature Neuroscience, 10(7), 815–816. https://doi.org/10.1038/nn1926
Benham, G. (2006). The highly sensitive person: Stress and physical symptom reports. Personality and Individual Differences, 40(7), 1433–1440. https://doi.org/10.1016/j.paid.2005.11.021
Black, B.A., & Kern, M.L. (2020). A qualitative exploration of individual differences in wellbeing for highly sensitive individuals. Palgrave Communications, 6. https://doi.org/10.1057/s41599-020-0482-8
Blakemore, S. J., Bristow, D., Bird, G., Frith, C., & Ward, J. (2005). Somatosensory activations during the observation of touch and a case of vision–touch synaesthesia. Brain, 128(7), 1571–1583. https://doi.org/10.1093/brain/awh500
Carr, L., Lacoboni, M., Dubeau, M. C., Mazziotta, J. C., & Lenzi, G. L. (2003). Neural mechanisms of empathy in humans: A relay from neural systems for imitation to limbic areas. Proceedings of the National Academy of Sciences of the United States of America, 100(9), 5497–5502. https://doi.org/10.1073/pnas.0935845100
Decety, J., & Fotopoulou, A. (2015). Why empathy has a beneficial impact on others in medicine: Unifying theories. Frontiers in Behavioral Neuroscience, 8, 457. https://doi.org/10.3389/fnbeh.2014.00457
Duan, C., & Hill, E. C. (1996). The current state of empathy research. Journal of Counseling Psychology, 43(3), 261–274.
Garland, E., & Biaggioni, I. (2019). Dopamine beta-hydroxylase deficiency. In: Adam, M., Everman, D., Mirzaa, G., et al., Ed. GeneReviews. https://www.ncbi.nlm.nih.gov/books/NBK1474/
Gong, P., Liu, J., Li, S., & Zhou, X. (2014). Dopamine beta-hydroxylase gene modulates individuals’ empathic ability. Social Cognitive and Affective Neuroscience, 9(9), 1341–1345. https://doi.org/10.1093/scan/nst122
Gonzalez-Lopez, E., & Vrana, K.E. (2020). Dopamine beta-hydroxylase and its genetic variants in human health and disease. Journal of Neurochemistry,152, 157–181. https://doi.org/10.1111/jnc.14893
Greenberg, D. M., Baron-Cohen, S., Rosenberg, N., Fonagy, P., & Rentfrow, P. J. (2018). Elevated empathy in adults following childhood trauma. PLOS One, 13(10). https://doi.org/10.1371/journal.pone.0203886
Greven., C., Lionetti, F., Booth, C., Aron, E., Fox, E., Schendan, H., Pluess, M., Bruining, H., Avecedo, B., Pijttebier, P., & Homberg, J. (2019). Sensory processing sensitivity in the context of environmental sensitivity: A critical review and development of research agenda. Neuroscience & Biobehavioral Reviews. 98, 287–305. https://doi.org/10.1016/j.neubiorev.2019.01.009
Grühn, D., Rebucal, K., Diehl, M., Lumley, M., & Labouvie-Vief, G. (2008). Empathy across the adult lifespan: Longitudinal and experience-sampling findings. Emotion (Washington, D.C.), 8(6), 753–765. https://doi.org/10.1037/a0014123
Hansen, E., Eklund, J., Hallén, A., Bjurhager, C., Norrström, E., Viman, A. & Stocks, E. (2018) Does feeling empathy lead to compassion fatigue or compassion satisfaction? The role of time perspective. The Journal of Psychology, 152(8), 630–645. https://doi.org/10.1080/00223980.2018.1495170
Hatfield, E., Cacioppo, J. T., & Rapson, R. L. (1993). Emotional contagion. New York: Cambridge University Press.
Haviland, J. M., & Lelwica, M. (1987). The induced affect response: l0-week-old infants’ responses to three emotion expressions. Developmental Psychology, 23, 97–104.
Jung, C., Hull, F., & Baynes, H. (1971). The type of problem in aesthetics. Routledge.
Korpela, K., & Staats, H. (2013). The restorative qualities of being alone in nature. The Handbook of Solitude: Psychological Perspectives on Social Isolation, Social Withdrawal, and Being Alone. https://doi.org/10.1002/9781118427378.ch20
Loggia, M. L., Mogil, J. S., & Bushnell, M. (2008). Empathy hurts: compassion for another increases both sensory and affective components of pain perception. Pain, 136(1–2), 168–716. https://doi.org/10.1016/j.pain.2007.07.017
Mandriota, M. (2021, June 8). True empaths make up a tiny portion of the population — are you one or more so an empathetic person? Well + Good. https://www.wellandgood.com/empath-vs-empathic/
Merriem Webster (Accessed 2023, February 15). Empath. https://www.merriam-webster.com/dictionary/empath
Mount Sinai. (2012, September 1). Researchers identify part of the brain that processes empathy. https://www.mountsinai.org/about/newsroom/2012/researchers-identify-area-of-the-brain-that-processes-empathy
Neukrug, E. (2017, February 2). Creative and novel approaches to empathy. Counseling Today. https://ct.counseling.org/2017/02/creative-novel-approaches-empathy/
O’Brien, E., Konrath, S., Grühn, D., & Hagen, A. (2013). Empathic concern and perspective taking: Linear and quadratic effects of age across the adult life span. The Journals of Gerontology, 68(2), 168–175. https://doi.org/10.1093/geronb/gbs055
Promises Behavioral Health. (2020, January 18). The hazards of being an empath. https://www.promises.com/addiction-blog/the-hazards-of-being-an-empath
Purrington. (2020, February 28). Carl Jung on empathy. Carl Jung Depth Psychology. https://carljungdepthpsychologysite.blog/2020/02/28/carl-jung-on-empathy
Riess, H. (2017). The science of empathy. Journal of Patient Experience, 4(2), 74–77. https://doi.org/10.1177/2374373517699267
Sun, Z., Ma, Y., Li, W., He, J., Li, J., Yang, X., Mao, P., Cubellis, J., & Tang, Y. (2018) Associations between the DBH gene, plasma dopamine beta-hydroxylase activity and cognitive measures in Han Chinese patients with schizophrenia. Schizophrenia Research,193, 58–63. https://doi.org/10.1016/j.schres.2017.06.028
Van der Mijl, R. C. W., & Vingerhoets, A. (2017). The positive effects of parentification: An exploratory study among students. Psihologijske Teme, 26(2), 417–430. https://doi.org/10.31820/pt.26.2.8
Ward, J., Schnakenberg, P., & Banissy, M. J. (2018). The relationship between mirror-touch synaesthesia and empathy: New evidence and a new screening tool. Cognitive Neuropsychology, 35(5–6), 314–332. https://doi.org/10.1080/02643294.2018.1457017
Winerman, L. (2005). The mind’s mirror. American Psychological Association Monitor, 36(9), 48. https://www.apa.org/monitor/oct05/mirror