Il grado zero dell’empatia

Capacità empatiche e correlati neurali nella psicopatia

  • Nicole Nascivera
  • Tilde Annunziato
  • Martina Messina
  • Anna Di Leva
  • Marco Letterese
  • Yari Mirko Alfano


Empathy is a multidimensional construct that develops on two levels: an affective level and a cognitive level. Recent studies have shown that empathic abilities are compromised in some specific cases. Psychopathy, in particular, is characterized by a total absence of affective empathy. Subjects with a diagnosis of psychopathy would seem, however, to possess the skills related to cognitive empathy. The main areas involved in empathic processes are the anterior cingulate cortex and the anterior insula. This work, starting from a careful analysis of the previous scientific literature, has made it possible to raise awareness of the impossibility, with psychopathic subjects, to develop therapeutic plans based on contact and management of emotions. Therefore, the possibility of creating a therapeutic plan aimed at strengthening empathic abilities in psychopathic subjects has been hypothesized. In conclusion, we highlight the possibility of using meditative techniques and mindfulness to increase the self-awareness of these subjects. Starting from these assumptions we hypothesize the need to investigate the effectiveness of these techniques in the treatment of subjects diagnosed with psychopathy, starting from the scientific results reported by studies in the neurobiological field.

Key words: empathy, empathic processes, psychopathy, mindfulness.

Abstract in italiano

L’empatia è un costrutto multidimensionale che si sviluppa su due livelli: un livello affettivo e un livello cognitivo. Studi recenti hanno dimostrato che le abilità empatiche risultano compromesse in alcuni casi specifici. La psicopatia, in particolare, è caratterizzata da una totale assenza di empatia affettiva. I soggetti con una diagnosi di psicopatia sembrerebbero, però, in possesso delle abilità relative all’empatia cognitiva. Le principali aree coinvolte nei processi empatici sono la corteccia cingolata anteriore e l’insula anteriore. Questo lavoro, a partire da una attenta analisi della letteratura scientifica pregressa, ha permesso di consapevolizzare l’impossibilità, con soggetti psicopatici, di elaborare piani terapeutici basati sul contatto e la gestione delle emozioni. Quindi, si è ipotizzata la possibilità di creare un piano terapeutico volto al potenziamento delle abilità empatiche nei soggetti psicopatici.In conclusione, si evidenzia la possibilità di servirsi di tecniche meditative e della mindfullness per l’incremento dell’autoconsapevolezza di tali soggetti. Partendo da tali assunti si ipotizza la necessità di indagare l’efficacia di tali tecniche nel trattamento dei soggetti con diagnosi di psicopatia, a partire dai risultati scientifici riportati dagli studi in ambito neurobiologico.

Parole chiave: empatia, processi empatici, psicopatia, mindfullness.

Riferimenti bibliografici

Bernhardt B. C., & Singer T. (2012). The neural basis of empathy. Annual review of neuroscience, 35, 1-23.

Batson C.D. (2009). These things called empathy. In J.Decety, W Ickes (Ed.),The Social Neuroscience of Empathy (pp. 16–31). Cambridge, MA: MIT Press.

Singer, T., &Lamm, C. (2009). The social neuroscience of empathy. Annals of the New York Academy of Sciences, 1156(1), 81-96.

Preston, S. D., & De Waal, F. B. (2002). Empathy: Its ultimate and proximate bases. Behavioral and brain sciences, 25(1), 1-20.

Gallese, V., Keysers, C., &Rizzolatti, G. (2004). A unifying view of the basis of social cognition. Trends in cognitive sciences, 8(9), 396-403.

Fox, G. R., Sobhani, M., & Aziz-Zadeh, L. (2013). Witnessing hateful people in pain modulates brain activity in regions associated with physical pain and reward. Frontiers in psychology, 4, 772.

Marsh A. A., Finger E. C., Fowler K. A., Adalio C. J., Jurkowitz I. T., Schechter, J. C., Pine D.S., Decety J., Blair, R. J. (2013). Empathic responsiveness in amygdala and anterior cingulate cortex in youths with psychopathic traits. Journal of Child Psychology and Psychiatry, 54 (8), 900-910.

Lamm, C., Decety, J., & Singer, T. (2011). Meta-analytic evidence for common and distinct neural networks associated with directly experienced pain and empathy for pain. Neuroimage, 54(3), 2492-2502.

Cox C. L., Uddin L. Q., Di Martino A., Castellanos F. X., Milham M. P., & Kelly C. (2011). The balance between feeling and knowing: affective and cognitive empathy are reflected in the brain’s intrinsic functional dynamics. Social cognitive and affective neuroscience, 7 (6), 727-737.

Shamay-Tsoory S.G. (2011). The neural bases for empathy. Neuroscientist, 17 (1), 18–24.

Ritter K., Dziobek I., Preissler S., Ruter A., Vater A., Fydrich T., Lammers C. H., Heekeren H. R. &Roepke S. (2011). Lack of empathy in patients with narcissistic personality disorder. Psychiatry Research, 187(1–2), 241–247.

Harari H., Shamay-Tsoory S. G., Ravid M., Levkovitz Y. (2010). Double dissociation between cognitive and affective empathy in borderline personality disorder. Psychiatry Research, 175 (3), 277–279.

Hurlemann R., Patin A., Onur O. A., Cohen M. X., Baumgartner T., Metzler S., Dziobek I., Gallinat J., Wagner M., Maierand W. & Kendrick K. M. (2010). Oxytocin enhances amygdala-dependent, socially reinforced learning and emotional empathy in humans. Journal of Neuroscience, 30 (14), 4999–5007.

Shamay-Tsoory, S. G., Aharon-Peretz, J., & Perry, D. (2009). Two systems for empathy: a double dissociation between emotional and cognitive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. Brain, 132(3), 617-627.

Brook M., &Kosson D. S. (2013). Impaired cognitive empathy in criminal psychopathy: Evidence from a laboratory measure of empathic accuracy. Journal of abnormal psychology, 122 (1), 156-166.

Hare R. D. (2006). Psychopathy: A clinical construct whose time has come. In C. R. Bartol& A. M. Bartol (Eds.), Current perspectives in forensic psychology and criminal justice (pp. 107 –117). Thousand Oaks, CA: Sage Publications.

Soderstrom, H. (2003). Psychopathy as a disorder of empathy. Europeanchild&adolescentpsychiatry, 12(5), 249-252.

Hare R. D. (1993). La psicopatia. Valutazione diagnostica e ricerca empirica. Astrolabio Ubaldini.

Sandvik A. M., Hansen A. L., Johnsen B. H., &Laberg J. C. (2014). Psychopathy and the ability to read the “language of the eyes”: Divergence in the psychopathy construct. Scandinavian journal of psychology, 55(6), 585-592.

Dadds, M. R., Hawes, D. J., Frost, A. D., Vassallo, S., Bunn, P., Hunter, K., &Merz, S. (2009). Learning to ‘talk the talk’: The relationship of psychopathic traits to deficits in empathy across childhood. Journal of child psychology and psychiatry, 50(5), 599-606.

Hastings, M. E., Tangney, J. P., &Stuewig, J. (2008). Psychopathy and identification of facial expressions of emotion. Personality and individual differences, 44(7), 1474-1483.

Dolan, M., &Fullam, R. (2006). Face affect recognition deficits in personality-disordered offenders: association with psychopathy. Psychological medicine, 36(11), 1563-1569.

Blair, R. J. R., Colledge, E., Murray, L., & Mitchell, D. G. V. (2001). A selective impairment in the processing of sad and fearful expressions in children with psychopathic tendencies. Journal of abnormal child psychology, 29(6), 491-498.

Díaz-Galván K. X., Ostrosky-Shejet F., & Romero-Rebollar C. (2015). Cognitive and affective empathy: The role in violent behavior and psychopathy. RevistaMédica Del Hospital General De México, 78 (1), 27-35.

Hare R. D. (1999). Without conscience: The disturbing world of the psychopaths among us. New York, NY: Guilford Press.

Korponay, C., Pujara, M., Deming, P., Philippi, C., Decety, J., Kosson, D. S., ... &Koenigs, M. (2017). Impulsive-antisocial psychopathic traits linked to increased volume and functional connectivity within prefrontal cortex. Social cognitive and affective neuroscience, 12(7), 1169-1178.

Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of personality and social psychology, 44(1), 113.

Brook, M., Brieman, C. L., &Kosson, D. S. (2013). Emotion processing in Psychopathy Checklist—assessed psychopathy: A review of the literature. Clinicalpsychologyreview, 33(8), 979-995.

Caretti V., Manzi G. S., Schimmenti A., &Seragusa L. (2011). PCL-R. Hare Psychopathy Checklist Revised. Firenze, Italy: OS Giunti.

Ciulla S., Caretti V., &Schimmenti A. (2012). La Psychopathy Checklist–Revised di Robert Hare. Items. La newsletter del testing psicologico, 23.

Strickland C. M., Drislane L. E., Lucy M., Krueger R. F., & Patrick C. J. (2013). Characterizing psychopathy using DSM-5 personality traits. Assessment, 20 (3), 327-338.

American PsychiatricAssociation. (2014). DSM-5: Manuale Diagnostico e Statistico dei disturbi mentali. Raffaello Cortina Editore.

Neumann, C. S., & Hare, R. D. (2008). Psychopathic traits in a large community sample: links to violence, alcohol use, and intelligence. Journal of consulting and clinical psychology, 76(5), 893.

Drislane L. E., Vaidyanathan U., & Patrick C. J. (2013). Reduced cortical call to arms differentiates psychopathy from antisocial personality disorder. Psychological medicine, 43 (4), 825-835.

Velotti P., Garofalo C., D’Aguanno M., Petrocchi C., Popolo R., Salvatore G., Dimaggio G. (2016). Mindfulness moderates the relationship between aggression and Antisocial Personality Disorder traits: Preliminary investigation with an offender sample. Comprehensive Psychiatry, 64, 38–45.

Tang, Y. Y., Posner, M. I., &Rothbart, M. K. (2014). Meditation improves self-regulation over the life span. Annals of the New York Academy of Sciences, 1307, 104.

Tang YY. (2017). The Neuroscience of Mindfulness Meditation: How the Body and Mind Work Together to Change Our Behaviour. Springer.

Laneri D., Krach S., Paulus F.M., Kanske P., Schuster V., Sommer J., & Muller-Pinzler L. (2017). Mindfulness Meditation Regulates Anterior Insula Activity During Empathy for Social Pain. Human Brain Mapping, 38 (8), 4034 – 4046.

Come citare
Nascivera, N., Annunziato, T., Messina, M., Di Leva, A., Letterese, M., & Alfano, Y. (2019). Il grado zero dell’empatia. Phenomena Journal - Giornale Internazionale Di Psicopatologia, Neuroscienze E Psicoterapia, 1(2), 76 - 82.
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