Human infants are aroused and concerned by moral transgressions.

Humans reason and care about ethical issues, such as avoiding unnecessary harm. But what enables us to develop a moral capacity? This question dates back at least to ancient Greece and typically results in the traditional opposition between sentimentalism (the view that morality is mainly driven by socioaffective processes) and rationalism [the view that morality is mainly driven by (socio)cognitive processes or reason]. Here, we used multiple methods (eye-tracking and observations of expressive behaviors) to assess the role of both cognitive and socioaffective processes in infants' developing morality. We capitalized on the distinction between moral (e.g., harmful) and conventional (e.g., harmless) transgressions to investigate whether 18-mo-old infants understand actions as distinctively moral as opposed to merely disobedient or unexpected. All infants watched the same social scene, but based on prior verbal interactions, an actor's tearing apart of a picture (an act not intrinsically harmful) with a tool constituted either a conventional (wrong tool), a moral (producing harm), or no violation (correct tool). Infants' anticipatory looks differentiated between conventional and no violation conditions, suggesting that they processed the verbal interactions and built corresponding expectations. Importantly, infants showed a larger increase in pupil size (physiological arousal), and more expressions indicating empathic concern, in response to a moral than to a conventional violation. Thus, infants differentiated between harmful and harmless transgressions based solely on prior verbal interactions. Together, these convergent findings suggest that human infants' moral development is fostered by both sociocognitive (inferring harm) and socioaffective processes (empathic concern for others' welfare).

Are prosocial tendencies relevant for developmental psychopathology? The relations of prosocial behavior and empathy-related responding to externalizing problems, internalizing problems, and autism spectrum disorder.

The field of developmental psychopathology tends to focus on the negative aspects of functioning. However, prosocial behavior and empathy-related responding - positive aspects of functioning- might relate to some aspects of psychopathology in meaningful ways. In this article, we review research on the relations of three types of developmental psychopathology- externalizing problems (EPs), internalizing problems (IPs), and Autism Spectrum Disorder (ASD) - to empathy-related responding (e.g., affective and cognitive empathy, sympathy, personal distress) and prosocial behavior. Empathy-related responding and prosocial behavior generally have been inversely related to EPs, although findings are sometimes reversed for young children and, for empathy, weak for reactive aggression. Some research indicates that children's empathy (often measured as emotional contagion) and personal distress are positively related to IPs, suggesting that strong sensitivity to others' emotions is harmful to some children. In contrast, prosocial behaviors are more consistently negatively related to IPs, although findings likely vary depending on the motivation for prosocial behavior and the recipient. Children with ASD are capable of prosocially and empathy-related responding, although parents report somewhat lower levels of these characteristics for ASD children compared to neurotypical peers. Issues in regard to measurement, motivation for prosociality, causal relations, and moderating and mediating factors are discussed.

To tell the truth or not: What effortful control, false belief, and sympathy tell us about preschoolers' instrumental lies.

This study aimed to examine the predictors of instrumental lies in preschool children, specifically focusing on false belief, effortful control, and sympathy. Instrumental lies are intentional falsehoods used to achieve personal goals such as avoiding punishment and obtaining an undeserved reward. A total of 192 preschool children (age range = 32-73 month-olds), along with their mothers and fathers, participated in the study. The Temptation Resistance Paradigm, an experimental task, was employed to elicit instrumental lies from the children. The children also completed first-order false belief measures, and their parents filled out questionnaires assessing their children's effortful control and sympathy skills. Results revealed a positive association between children's effortful control and their decisions to tell instrumental lies. However, no significant relationship was found between false belief and instrumental lying. Age moderated the link between sympathy and the decision to tell instrumental lies, with sympathy being negatively associated with lie-telling behavior among older children but showing no effect among younger children. The study variables did not predict the maintenance of instrumental lies. Overall, this study provides valuable insights into the role of effortful control and sympathy as underlying temperamental and emotional processes influencing children's decisions to engage in instrumental lie-telling.

Daily moral identity: Linkages with integrity and compassion.

OBJECTIVE: The present study investigated how much variability in moral identity scores is attributable to individual differences that are stable over time and how much variability reflects daily fluctuations. METHOD: Participants (N = 138, M age = 25.11 years, SD = 10.77; 82% female) were asked to report the self-importance of three moral attributes (being honest, fair, and caring) once a day for 50 consecutive days. Ratings were decomposed into between- and within-person variability and analyzed in relation to individuals' self-reported feelings of integrity and compassion using hierarchical linear modelling. RESULTS: Daily measures of moral identity exhibited more between- than within-person variability (64% vs. 36%). Furthermore, feelings of integrity and compassion were more strongly positively correlated with moral identity on the inter-individual level than the intra-individual level. CONCLUSION: Overall, findings suggest that moral identity has both trait- and state-like characteristics and might be best conceptualized as a characteristic adaptation evidencing both stability and change.

"My sympathetic clinician": perception of sympathy by patients with Alzheimer's disease increases when asked to provide autobiographical memories.

BACKGROUND AND AIMS: Autobiographical memory serves to recall past personal experiences and share them with others, promoting social bonding and communication. In this study, we investigated whether encouraging patients with Alzheimer's disease (AD) to share autobiographical memories during formal neuropsychological testing may boost the patient-clinician relationship, and more specifically, the neuropsychologist's level of sympathy as perceived by patients. METHODS: We invited patients with mild AD to perform neuropsychological testing in two conditions. In one condition, we invited patients to retrieve and share two autobiographical memories after testing, while in a control condition, the testing session ended without asking patients to retrieve and share any autobiographical memories. After the two conditions, patients were invited to rate the neuropsychologist's level of sympathy towards them. RESULTS: Analysis demonstrated that patients perceived a higher level of sympathy when their neuropsychologist invited them to retrieve and share past personal experiences. DISCUSSION: By inviting patients with AD to retrieve past personal experiences, clinicians can promote a sense of sharing, create a social bond and, consequently, enhance the therapeutic relationship. In other words, by inviting patients with AD to share autobiographical memories, clinicians can promote a "social glue" with their patients, boosting mutual sympathy and patients' well-being.

COVID-19 and Beyond: The Need for Copathy and Impartial Advisers.

When humanity has either suppressed coronavirus disease 2019 or learned to come to terms with its continued existence, governments and corporations probably return to their prepandemic stances. Solutions to the world's problems are sought from technology and business innovations, not from considerations of equality and well-being for all. This is in stark contrast with the pandemic-time situation. Many governments, at least initially, listened to the recommendations of expert advisers, most notably public health authorities, who proceeded from considerations of equality and common good. I suggest that we should continue on this path when the immediate threat of the disease is over. Other crises are already ongoing-poverty, conflicts, climate change, financial bubbles, and so on-and it would be good to use expert knowledge rather than interests and ideologies in dealing with them. To assist in this, I outline the characteristics of a new kind of counsellor, impartial adviser, who is normatively motivated by a sense of copathy and who takes into account all views, nice and not-so-nice alike. I illustrate the nature and ideological orientation of copathic impartial advisers by placing them on a map of justice and examining their relationships with the main political moralities of our time.

Consoling the Bereaved: Exploring How Sympathy Cards Influence What People Say.

In a sequential mixed methods study, interview data showed that bereaved parents consistently reported "stupid" or "insensitive" things people said that were not helpful when their child died. Subsequently, a discourse analysis of 170 sympathy cards was conducted to assess societal messaging that may influence people's insensitive words. The findings reflected two distinct time periods in the bereavement process: a time of sadness followed by a time of peace. Possible links to insensitive things people said included: suggestions that the sad time should only last a few days, suggestions of "healing," religious statements such as the deceased being with God or advice to pray to God, and notions of celebration in some contexts. Very few excerpts were similar to the advice-giving quotes that interviewees considered to be insensitive. Many cards reflected the love and memories inherent in creating a continuing bond with the deceased and achieving peace.

The Relationship Between Media Involvement and Death Anxiety of Self-Quarantined People in the COVID-19 Outbreak in China: The Mediating Roles of Empathy and Sympathy.

The COVID-19 outbreak put health threat to people globally, and self-quarantine was suggested by the Chinese government to contain the outbreak. In self-quarantine, media was the most important way to get information about the outbreak. However, the relationship between media involvement and death anxiety, and the underlying mechanism are poorly understood. We conducted an online survey of 917 participants to assess the media involvement and other potential factors (empathy, sympathy and affect) which might affect death anxiety. Correlation analysis and mediation models were conducted to examine the relationship between media involvement and death anxiety, and the possible mediating roles of empathy, sympathy, and affect. It was found that media involvement was positively associated with death anxiety. Empathy, sympathy, and negative affect played mediating roles between them. However, empathy and sympathy act differently in the association, as empathy could lead to the increase of negative affect, while sympathy did not.

Framing Sympathy-Worthiness: Informal Support and the Use of Disclosure Myths.

Research on sexual violence has shown that social support sources can have both positive and negative outcomes for victims' health. Yet few studies examine how informal supporters construct meaning from initial disclosure experiences to produce these outcomes. Using a social constructionist framework, I analyze 30 in-depth interviews with friends, family members, and partners who received disclosures of sexual violence. I examine how confidants construct meaning from initial disclosures to negotiate and construct victims' "sympathy-worthiness". Disclosure recipients express several facilitators and obstacles to constructing victims as sympathetic that draw on notions about their social proximity to victims, expectations of assault based on gender and sexuality, disclosure temporality, trauma visibility, and victims' post-disclosure "recovery-work." I argue these positionings contribute to, and draw upon, "disclosure myths" that frame confidants' differential interpretations of victims' narratives, resulting in both the provision and denial of support.

Identification with all humanity and willingness to help people in COVID-19 affected countries: Testing a moderated mediation model.

The conceptualization of Identification with All Humankind (IWAH) suggests that human beings care deeply not only for their own ingroups but for all humanity as a whole. The COVID-19 pandemic has witnessed so much international help across national borders. Inspired by research on IWAH, we examined whether IWAH was associated with adolescents' sympathy for people in COVID-19 affected countries, which was further related to their willingness to help. The moderating role of conscientiousness on this indirect association was also examined. Eight hundred and fifty four students were recruited as participants. Data were obtained with adolescents reporting on their IWAH, sympathy for and willingness to help people in COVID-19 affected countries. The results indicated that IWAH was both directly and indirectly associated with their willingness to help people in COVID-19 affected countries via sympathy for them. Adolescents' conscientiousness moderated the indirect relation of adolescents' IWAH with their willingness to help via sympathy for people in COVID-19 affected countries. Specifically, for adolescents high in conscientiousness, IWAH was more strongly associated with willingness to give help. The main conclusion is that adolescents high in IWAH were more likely to experience sympathy for people in COVID-19 affected countries, thus making them more likely to give help, especially for adolescents high in conscientiousness.

Civic Competencies During Adolescence: Longitudinal Associations with Sympathy in Childhood.

Civic competencies are essential prerequisites for adolescents' active citizenship; however, little is known about their developmental precursors. In order to address this research gap, this study examined the role of sympathy in late childhood, early, and mid adolescence for civic competencies in mid and late adolescence. Based on a representative sample of 1118 Swiss children (51% females, Mage T1 = 9.26, SDageT1 = 0.20, rangeageT1: 8.50-9.67-years), this study investigated associations of sympathy with four components of civic competence: attitudes about social justice, informal helping, perceived efficacy to take responsibility and perceived political efficacy. The findings revealed that sympathy in late childhood (i.e., age 9) reflected an early predictor of all four components of civic competence assessed 6 years later. Moreover, sympathy in early adolescence (i.e., age 12) positively predicted attitudes about social justice and informal helping in late adolescence (i.e., age 18). Lastly, changes in sympathy from mid to late adolescence (i.e., age 15 to 18) positively correlated with changes in all four components of civic competence. This study highlights that civic competencies reflect a multidimensional construct that starts to form in late childhood, with sympathy being a central individual predictor in the emergence of civic competencies during adolescence.

Science, sensitivity and the sociozoological scale: Constituting and complicating the human-animal boundary at the 1875 Royal Commission on Vivisection and beyond.

Arnold Arluke and Clinton Sanders (1996) have argued that human societies index both humans and animals as belonging to particular rungs of the social hierarchy. They term this multispecies ranking the "sociozoological scale". This paper will investigate how claims at the 1875 Royal Commission on Vivisection about the sensitivity of particular species and breeds not only reflected assumptions about human social hierarchy but also blurred the boundaries between the human and the animal in the process. It will further be shown how these claims were informed by 18th and 19th century humanitarianism, classism, scientific racism and evolutionary theory, and how these influences combined in claims-making about the relative capacity of particular animals to sense pain and ethical duties towards them that followed from this sensitivity. Particular attention will be given to the opposing efforts of commissioners Thomas Henry Huxley and Richard Holt Hutton to demarcate human and animal sensitivity and exempt companion animals from vivisection respectively. The paper concludes by considering the sociozoological orders constituted by the 1876 Cruelty to Animals Act, particularly through its focus on calculating pain, and the legacy and limitations of this constitution.

Déficits précoces de l'empathie et psychopathologie Early empathy deficits and psychopathology.

Empathy is a complex social-cognitive ability that is best understood by distinguishing its emotional, cognitive and motivational dimensions, which from early childhood interact between the child and her/his social environment. To date, among the many factors that are acknowledged to influence the development of empathy, children's temperament and parenting behaviors have been identified as interacting in predicting the extent to which children demonstrate empathic responses. Recent studies in developmental social neuroscience cast light on the neural networks engaged in the development of each of the dimensions that constitute empathy, which are needed to navigate social interaction and establishing positive social relationships. Indeed, early deficits in empathic processes can lead to difficulties in socialization, particularly associated with reduced attention to others' emotions, especially when they are suffering, a lesser degree of remorse and guilt, and a greater tendency to ignore social norms or break the rules. Difficulties in socialization are particularly visible in two well-known developmental disorders: children with autism spectrum disorders (ASD) and children with conduct disorder and callous unemotional traits (CU). This paper provides a critical and selective review of recent empirical studies in psychopathology and developmental neuroscience by addressing the dimensions underlying empathy, specifically emotional sharing and caring for others. For children with ASD, some studies report that they pay less attention to another person in distress. However, functional neuroimaging studies conducted with ASD adolescents indicate that the emotional dimension appears to be preserved, but a lack of emotional self-regulation may impair them from experiencing empathic concern. Children with conduct disorder and CU traits clearly manifest a reduced autonomic nervous system response to others' distress or suffering. This may account for their disregard or contempt for others' well-being and social norms. Functional neuroimaging studies show that atypical patterns of brain activity at 15 months of age can predict later severe conduct disorder. Neural regions engaged in emotional processing such as the anterior cingulate cortex, insula and amygdala shown reduced activation to empathy-eliciting stimuli in children with CU. Finally, the genetic nature of CU traits is highlighted in several studies. We conclude by proposing several avenues for developmental research to identify biomarkers from an early age and by inviting to focus on psychological interventions with those populations accordingly.

L'empathie est un phénomène complexe dont la compréhension est améliorée par la distinction de ses dimensions émotionnelle, cognitive et motivationnelle, qui interagissent entre I'individu et son l'environnement dès le plus jeune âge. Des déficits précoces dans les processus empathiques peuvent conduire à des difficultés de socialisation qui se manifestent particulièrement chez les enfants présentant des troubles du spectre de l'autisme et le trouble des conduites. Cette revue critique des connaissances en psychopathologie et neuroscience développementale aborde les dimensions sous-jacentes à l'empathie que sont le partage affectif et le souci de l'autre. L'article conclut en proposant des pistes de recherche pour identifier des biomarqueurs précoces.

The relations of White parents' implicit racial attitudes to their children's differential empathic concern toward White and Black victims.

The goal of this study was to investigate the relations between White parents' implicit racial attitudes and their children's racially based bias in empathic concern toward White and Black victims of injustice as well as the moderating role of children's age in this relation. Children aged 5-9 years (N = 190) reported how sorry (i.e., sympathy) and nervous (i.e., personal distress) they felt after watching sympathy-inducing videos in which either a White (non-Hispanic) child or a Black child was teased by peers. Participants' primary caregivers (mostly mothers) completed a computerized Implicit Association Test to assess their implicit racial attitudes. Parents' implicit race bias was associated with their children's reported sympathy toward Black victims and their sympathetic bias (i.e., relative sympathy toward White vs. Black victims); however, results were moderated by children's age. Specifically, parents with higher implicit race bias tended to have children with lower levels of sympathy toward Black victims for younger children and higher levels of sympathetic bias for younger and average-aged children but not for older children. Older children tended to report relatively high levels of sympathy toward Black victims and low levels of sympathetic bias regardless of their parents' implicit attitudes. The importance of parents' implicit attitudes in understanding young children's race-based moral emotional responses and the implications for intervention work are discussed.

Nursing strike, America, 2019: Concept analysis to guide practice.

BACKGROUND: In 2018 a nursing 'sympathy strike' occurred. Although unionized nurses were directed to participate, many expressed questions about what a strike or sympathy strike was. Literature revealed no seminal article to define the term. A concept analysis for the nursing workforce was created. METHOD: The Hybrid Method of Concept Analysis, (theoretical literature analysis, qualitative stakeholder interviews; applicability) was used. 33 articles and 7 books were reviewed. Nine interviews took place. RESULTS: The literature and interviews agreed on the definition, antecedents, and consequences of a nursing strike. Strikes in the United States were defined as "a last resort effort, after significant bargaining on the issue between nurses and management has not allowed for agreement, where a work stoppage occurs and nurses leave the bedside." Interviews alone introduced the concept of duty to patients. A model case, contrary case and borderline case are offered. CONCLUSION: This study contains recommendations for practice.

Humor and sympathy in medical practice.

Medical professionals seem to interpret their uses of humor very differently from those outside the medical profession. Nurses and physicians argue that humor is necessary for them to do their jobs well. Many (potential) patients are horrified that they could one day be the butt of their physician's jokes. The purpose of this paper is to encourage the respectful use of humor in clinical prac-tice, so as to support its importance in medical practice, while simultaneously protecting against its potential abuse. I begin by examining two extremes of supporting or chastising the use of medical humor. I look at these views through the lenses of popular theories of humor to help explain their theoretical bases. In this second section, I explain the emotional aspect of humor as an embodied and embedded transformation of the world. This clarifies the role that humor plays in our daily lives, as well as why the ethical or unethical nature of its use is dependent on context. Third, I address the potential problems in the relationship between humor and clinical sympathy, and how this further affects the relationship between medical professionals and their patients. I conclude by arguing that humor can conflict with clinical sympathy, but this need not be the case. If medical professionals actively engage with clinical sympathy and focus on using humor in a way that is respectful towards their patients, then humor can continue to be a positive force in their lives while still providing the best care for their patients.

Sympathy for the applicant: investigating its role in decisions about state compensation for violent crime victimization.

In the Netherlands, as in many other Western countries, state compensation for violent crime victimization is only to be granted if the applicant provides a plausible victimization story and did not contribute to the crime. However, due to the discretion left to those who decide upon requests for state compensation, decisions about state compensation may be subject to the influence of legally irrelevant factors. This study investigated the potential influence of one such legally irrelevant factor: feelings of sympathy for the applicant. Forty-seven lawyers who work for the Dutch Violent Offences Compensation Fund (VOCF) were presented five vignettes about a fictitious act of violent crime and asked to rate their feelings of sympathy for the victims and to indicate how they would decide about the victims' requests for state compensation. Results indicate that feelings of sympathy may indeed play a role in the decision-making process.

Children's moral judgments about psychological harm: Links among harm salience, victims' vulnerability, and child sympathy.

This study examined 106 5- and 6-year-olds' (M = 5.84 years, SD = 0.62) judgments and justifications about psychological harm (e.g., acts such as teasing or excluding others) assessed in three experimental harm salience conditions (highly salient harm, less salient harm, and no harm) crossed with two victims' vulnerability conditions (typical child and vulnerable child). We also examined interactions between these features and parent and child ratings of sympathy. Children evaluated highly salient harm as more unacceptable, more punishable, and more wrong independent of authority and as resulting in victims' more negative emotions than less salient harm and, in turn, no harm. Children reasoned about others' welfare most for highly salient harm stories, whereas children reasoned about less salient harm stories as involving moral and non-moral concerns. In considering victims' vulnerability, children evaluated harm done to typical victims as more wrong than harm done to vulnerable victims. Higher levels of child-reported sympathy were associated with ratings of transgressions as more unacceptable and wrong independent of authority, but only for less salient harm stories. The results demonstrate children's ability to incorporate different features of psychological harm into their moral judgments and highlight the importance of child sympathy in their understanding of more nuanced forms of harm.

Respiratory sinus arrhythmia and prosociality in childhood: Evidence for a quadratic effect.

Research investigating the link between the parasympathetic nervous system (PNS) and prosociality in childhood has yielded inconsistent findings. This relation has mainly been conceptualized as linear, however, the broader physiological literature suggests that children's physiological arousal and task performance may be related in an inverted U-shaped fashion-with peak performance at moderate levels of arousal. Therefore, we tested whether resting respiratory sinus arrhythmia (RSA)-a dispositional indicator of PNS activity-was quadratically related to child- and caregiver-reported sympathy and prosocial behaviors in an ethnically diverse sample of 4- and 8-year-olds (N = 300). We found a quadratic inverted U-shaped association between resting RSA and child-reported sympathy and prosocial behavior in 8-year-olds, whereas no consistent findings emerged for 4-year-olds. Therefore, moderate resting RSA in middle childhood may facilitate sympathy and prosocial behaviors. Dispositional over- or under-arousal of the PNS may impair children's ability to attend and respond to the distress of others by middle childhood.

Understanding the Victimization-Aggression Link in Childhood: The Roles of Sympathy and Resting Respiratory Sinus Arrhythmia.

With a sample of 4- and 8-year-olds (N = 131), we tested the extent to which more frequent experiences of victimization were associated with heightened aggression towards others, and how sympathetic concern and resting respiratory sinus arrhythmia (RSA) factored into this relationship. Caregivers reported their children's aggression and sympathy. Children reported their victimization and their resting RSA was calculated from electrocardiogram data in response to a nondescript video. Findings revealed that children who reported more frequent victimization were rated as less sympathetic and, in turn, more aggressive. However, resting RSA moderated this path, such that children with high levels were rated as more versus less sympathetic when they reported less versus more victimization, respectively. Results suggest that considering children's sympathetic tendencies and physiology is important to gain a nuanced understanding of their victimization-related aggression.