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Empathy Deficit Disorder? Seriously?

For years, the DSM has been criticized as a codification of human behavior that has been given too much credence as a measure of dysfunction. Like Freud-speak, Shakespeare and the Bible, its vernacular has weedled its way so deeply into our language, consciousness and culture that its labels and categories have become almost ubiquitous. So ubiquitous in this case, in fact, that there has come to be an increasing imperative on the part of some professionals to justify the veracity of what could easily be construed as nominal observations with official sounding language.

Frankly, my dismay and disappointment at finding this article on the front page of CNN.com, via Oprah.com, has left me quite uncharacteristically speechless.

Although Douglas LaBier's position on empathy deficit as a social condition is not untenable, labeling a failure of relationship and communication skills driven by a lack of emotional maturity and/or failure of social intelligence -- see, now I'm doing it -- an actual disorder seems, to me at least, a questionable misapplication of language and, for that reason, somewhat beyond the pale.

As I have no real comment -- read on, and draw your own conclusions.

Empathy deficit disorder -- do you suffer from it?

An Addendum: Upon reflection, I'd like to add (see my reply to the comment below) that the difficulty I am having with the position of empathy deficit as a disorder is that calling something that is a sweeping rend in the fabric of culture -- namely our lack of compassion and empathy (not to mention just plain old fashioned good manners) -- a disorder seems to trivialize it.  Slapping a label on something so huge, to my mind, makes it less than what it is.

© 2008 Michael J. Formica, All Rights Reserved

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Comments

EDD - hidden in plain sight

Michael, perhaps you're fortunate enough never to have needed the social and welfare services of your local authority, or stood in line at an unemployment centre, or needed the police as a victim of crime, or been hospitalised in a public facility, or become disabled, or homeless (just think 'Katrina' for example), or any number of situations where the massive legions of public 'service' providers and bureaucrats hold power over your life and, but for the grace of God, have themselves narrowly escaped any or all of those misfortunes.

Routinely, people who have encountered any of these situations find that they can easily become a specimen, a hapless sub-human to whom anything can be done, upon whom any amount of casual, callous abuse can be heaped.

Such unfortunate people soon find that there certainly is a massive deficit in empathy amongst the general populace. In fact, it's so pervasive and epidemic that most of us do not even notice it now. (And let's not even get started on the millions of children who die or are maimed each week as a result of famine, war, poverty. All the endless atrocities of endless wars and conflicts. Etc.etc. While the rest of us turn a convenient blind eye.)

No, I am sure that Empathy Deficit Disorder is real and at devastating levels. May I, with great respect, suggest that you might revisit what 'empathy' really means and perhaps also spend a week at a public employment bureau, or a police station, or a state facility for those with learning difficulties or paraplegia, or at public hospital - the possibilities are almost endless. Tell the staff that you're doing research into 'how badly behaved service users are, how they are ingrates and abusive, how demanding they are'. That'll immediately yield a tremendous welter of staff tales of their routinely callous and punitive treatment of service users - and usually delivered with a smirking sneer - before you even begin your observations.

As a regular reader of your blog, and others here, I genuinely look forward to your report back.


I couldn't agree more...

Sammy:

As I noted, I believe the failure of empathy -- not the lack...the FAILURE (caps because I can't do italics here)-- is a demonstrable social condition. You don't even have to go as far as you suggest to get a taste of it. Just go stand in line at the bank.

My point was that what is obvious should not be, in point of fact, trivialized by slapping a label on it. Nor should that which is trivial be aggrandized via the same mechanism.

As a regular reader, you have come across my references to compassion. We lack compassion as a culture -- we lack empathy as a culture. It's not a disorder, it's bigger than that...that was my point. Calling it something it's not makes it less than what it is.

We have an epidemic of obesity in kids...what's that?...Involuntary Obesity Disorder? The hyper-sexulization and objectification of women is one of the engines of our culture...Sexual Objectification Disorder? One of my clients doesn't use email and refuses to purchase a cell phone...Media Convergence Deficit Disorder? Goodness, it's starts to sound like a drinking game!

Bad behavior does not make for bad people. But bad people make for bad behavior. This is bad behavior on a global scale as a result of a flaw in the fabric of the culture. A disorder suggests a problem. What irked me was trivializing what I, and apparently you, consider an eggregious social condition with a label.

Apparently I didn't make clear my point. My apologies. Thanks for prompting me, in some measure, to do so.

Blessings,
Michael


a misunderstanding?

I would have to agree with the author that you misunderstood his point. By creating a disorder for what can simply defined as a lack of compassion, it becomes a statistical category. When you tell someone that they need to be kinder, or have more compassion, they can only argue with the premise that compassion is necessary. Once it becomes a disorder, people will hide behind it, and claim that they want to be more compassionate, but can't, due to some defect. It's like considering someone with no sense of humor a disordered person.

At no point did the author claim that compassion wasn't necessary. His point, as has been echoed by professionals and in various journals, is that the nature of the DSM has changed the way that our culture views and handles what we consider psychological conditions, for lack of a better word. Calling something a disorder won't make it go away, and arguably, may make the problem more difficult to solve. Instead of addressing a need to change the general fabric of our culture, a lack of empathy becomes one of hundreds, if not thousands, of disorders that become like noise in the backgound of our cultural language.

Note--I am not speaking on behalf of the author, just defending him based on my own observations.


Points well met...

Your points are well met and well taken. Thank you for adding yet another perspective on this issue, and elucidating some points that I had not even considered.

Blessings,
Michael


Agreement?...

I hope it was clear that I was agreeing with you, Michael..."author" is a rather indistinct title...


Of course...

Yes, it was quite clear. Thanks!

MJ


excuses?

In a nutshell, can't we argue that in this case, 'disorder' is just another way (or excuse) of saying, 'they can't help it'?

A lack of common sense, not a people person, lacking street smarts or plain old fashioned selfishness?

A person cuts in line, rides your tail to make you go faster on the street because they need to be somewhere. Stuck in traffic? Ever wonder if anyone's dead or are you wondering if you can sneak into the shoulder to pass the line of cars?

It makes me angry to think that our culture is finding more and more ways to excuse (as you say), it's 'bad behavior'.

If there are actually people who suffer from this, that's unfortunate but giving it a name doesn't make it okay.

Now please excuse my own brashness, I have douchebag disorder.


reminds me

You lived in my neighborhood, when I was little.
ha ha Didn't you ? I know you did !

Empathetic disorder, a label that only masks the
deeper, unresolved, conflicted, disturbing issues.
Unsafe person to themselves and others.
I am only speaking of what I observed how our
childhood life affected my brother.


I am certain that...

...you're messing with me!

Blessings,
Michael


Hello Michael and

Hello Michael and others

Thank you for making this distinction clear. It's helped me to understand far better your whole gist.

I certainly agree that probably far too many people welcome a disorder label which exonerates them from working on their deficits.

I also believe that this wholesale empathy deficit is a cultural requisite - that is, it's required of an individual in order to function in our western culture. I think, elaborating my thoughts here, that cultural leaders and trendsetters possibly do suffer from this putative 'Empathy Deficit Disorder' as individuals. Indeed that's the mechanism by which they manage to climb to positions of influence. These are the people who do need treatment and to be removed - lawfully and by societal pressure, of course - from positions of influence and power.

Although we don't want to use this putative 'EDD' as an excuse generator, such an identification assessment could and even should be a prime requisite of job and officeholder selection processes.So, for that reason I believe that a DSM-listed disorder could be very helpful. A tricky-trap one though, I agree.

Another trap set for us by the medical profession is that it most often defines major, widespread issues as individual difficulties. This has a number of effects. It removes responsibility from the medical profession for doing anything much, it transfers responsibility (and blame) to the individual - would you trust a psychopathic killer or a psychotic schizophrenic, for example, to take sole responsibility for their own treatment?! No, and neither should we allow EDD sufferers to either. Unfortunately, this is just what happens. Doctors and other professionals stand by whilst evil prospers. They too are symptomatic of the compassion/empathy deficit introduced and then imposed by EDD people who pervade our public services and media.

I fear I could write a PhD thesis here. So I'll stop there. But thank you again for clarifying and extending your points.Despite my questions, I believe you've raised a fundamentally important issue and one that the vast majority do not want to touch with an insulated, disinfected bargepole!


You missed the point, again...

By using the word 'putative', you are suggesting that the existence of EDD is a generally accepted notion to the point of being a foregone conclusion.

Lack of empathy is not a disorder; it is a symptom of a cultural condition.

Blessings,
MIchael


depression devastates the personality

To lack empathy is to lack emotion,hence the mostly genetic condition called DEPRESSION, which is a personal vulnerability to stress,a stress which can be experienced through society. The depressive then sees society as the enemy, something to revolt against, weather in a mild or drastic response. DSM is another observation of the personality that is seen outside of depression.A big mistake.Sincerely, David


Clarification...

David:

While your comments are appreciated, I am uncertain what you are talking about. A clarification would be most appreciated.

Blessings,
Michael


I agree

I agree this is not a disorder,but a personality flaw directly related to depression. Emotions and self esteem are the most notable things to be affected by depression. You are correct to be critical. Sincerely-David


EDD

Some people say I am a cynic some people say I am realist. I totally have this thing whatever it is. I am a friendly neighbor, hard worker and loving parent. But I am not the one you lean on when you have a bad day. I just don't feel sorry for people. I don't feel sorry for myself either. The only people I feel sorry for is dead babies and starvig babies. Just little ones who can't take care of them selves anyone else should be happy they are not a starving baby, and shut the hell up.


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