Empatía en Parejas

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    Understanding the One You Love: A Longitudinal Assessment of an Empathy Training

    Program for Couples in Romantic Relationships

    Author(s): Edgar C. J. Long, Jeffrey J. Angera, Sara Jacobs Carter, Mindy Nakamoto and

    Michelle Kalso

    Source: Family Relations, Vol. 48, No. 3 (Jul., 1999), pp. 235-242Published by: National Council on Family Relations

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     Understanding the One You Love:

     A Longitudinal Assessment of an Empathy Training Program

     for Couples in Romantic Relationships*

     Edgar C. J. Long,** Jeffrey J. Angera, Sara Jacobs Carter, Mindy Nakamoto, & Michelle Kalso

     Forty-eight couples in romantic relationships volunteered to participate in a 10-hour empathy training program. The five ses-

     sions of the program were briefly described and empirical support was given for each component of the training. Couples were

     randomly assigned to either a treatment or wait listed comparison group. Both groups completed the five-week training program

     at different times. The change in empathy was assessed by several repeated measures analyses of variance. Scores on three em-

     pathy measures improved in both groups over the six month period. A change in the perceptions of a partner's empathy at six

     months was positively related to relationship satisfaction at the six month follow-up.

     T he marital and premarital literature presently demonstrate

     that partner empathy is an important characteristic of a well-

     adjusted, stable relationship (Davis & Oathout, 1987; Fran-

     zoi, Davis, & Young, 1985; Long, 1990; 1993a, 1993b; Long &

     Andrews, 1990). Empathy (perspective taking and empathy will be

     used synonymously within the body of this paper), has been defined

     as the ability to understand what the other is thinking, put oneself in

     the other's place, and intellectually understand another's condition

     without vicariously experiencing their emotions (Hogan, 1969).

     This line of research clearly indicates that empathy, understanding

     the point of view of one's partner, is an important predictor of mari-

     tal adjustment and a propensity to divorce for both husbands and

     wives (Long, 1993a, 1993b; Long & Andrews, 1990). Individuals

     are more likely to have stable, well-adjusted relationships if they

     have partners who are capable of expressing empathy. As a result of

     this line of research, some marriage therapists have argued for the

     need of empathy training for couples in romantic relationships

     (Bagarozzi & Anderson, 1989; Long, 1993a, 1993b).

     Empathy training programs have been developed for a diver-

     sity of groups including: high school and college students (Hatcher

     et al., 1994), medical students (Patore, 1995), nursing staff (Herbek

     & Yammarion, 1990), and parents (Brems, Baldwin, & Baxter,

     1993). However, the authors are aware of no published programs

     that have a sole focus on an increased expression of empathy with

     a romantic partner. While numerous marital and premarital pro-

     grams are available that focus on active listening, communication,

     and conflict resolution skills, no other programs are designed

     solely to increase partner empathy. For example, the Relationship

     Enhancement Program (Guemey, 1988) has one component of the

     30-hour training that addresses the skill of empathy. However, the

     stated purpose of the nine-step program is to promote the values of

     honesty, compassion, and equity in order to improve family rela-

     tionships, not increase family empathy. Given the empirical sup-

     port for the importance of empathy, and the lack of other empathy

     training programs designed for couples in romantic relationships,

     the senior author developed an empathy training program (Long,

     1995). The purpose of the present study was to provide empathy

     instruction to a volunteer group of couples involved in romantic re-

     lationships and then assess the effectiveness of that instruction at

     the conclusion of and six months following the training.

     Empirical Rationale and

     Program Description by Session

     A very brief description of the empathy training program is

     provided in the body of this paper. The program was designed as

     a structured, psychoeducational group for couples who desired t

     increase their expression of empathy with a partner. Like other

     training programs, the information was developed to be easy to

     understand, free of formal terminology, and relevant to specifi

     romantic relationships (Brems et al., 1993). Six components of em-

     pathy were described and modeled for participants. The program-

     matic ideas and the six components of empathy were develope

     through a thorough review of the empathy literature. Several pro-

     grams that attempted to teach empathy skills to different popula-

     tions were especially useful for the development of this particular

     program (Brems et al., 1993; Hatcher et al., 1994; Herbek & Yam

     marion, 1990; Patore, 1995). The authors provided empirical sup

     port for each of the sessions and components of empathy in th

     session descriptions below.

     With all of the participants, every effort was made to encour-

     age active participation in the training process. Although couple

     were not expected to disclose private information about their re

     lationships while meeting with the group, they were expected t

     complete the homework and discuss issues privately with their

     partners. Each of the five, two-hour sessions included a brief lec-

     ture about a component of empathy, along with the opportunity

     for a large group discussion of the material. Then couples wer

     given an opportunity to discuss the expression of that component

     of empathy privately, within the context of their own relation

     ships. After Session One, each subsequent session began with

     rehearsal of the most salient points from the previous meeting to

     maintain continuity from week to week.

     Session One

     During Session One, participants were provided with an

     overview of the five-week training, and were asked to complete

     informed consent forms. An operational definition of empathy

     was given to each of the individuals. Empathy was defined as: (a

     an accurate understanding of the situation of a partner, putting

     *An earlier version of this paper was presented at the Annual Meeting of The Na

     tional Council on Family Relations in Washington, D.C., 1997. We gratefully acknowledg

     the valuable contributions of Dr. Phame Camarena who read an earlier version of this paper.

     **Address correspondence to: Edgar C. J. Long, Ph.D., Department of Human Env

     ronmental Studies, Central Michigan University, Mt. Pleasant, MI 48859; e-mail

     [email protected]

     Key Words: dyadic perspective taking, empathy, marital and premarital enrichment, rela-

     tionship enhancement programs, relationship satisfaction.

     (Family Relations, 1999, 48, 235-242)

     1999 V48 N 3235

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     yourself in his/her shoes, seeing the world from his/her point of

     view and (b) communicating that understanding to a partner, thus

     increasing the likelihood that one's partner feels understood. The

     group then brainstormed a list of personal characteristics of indi-

     viduals they knew who were very empathic. For homework, cou-

     ples were asked to keep a mental log of people they observed

     during the week, other than their partners, who displayed either

     very high or very low levels of empathy.

     Session Two

     At the beginning of Session Two, individuals were asked to

     describe people they had noticed during the previous week who

     had demonstrated very high or low levels of empathy. The con-

     cept of empathic sensitivity was introduced and defined as a skill

     in understanding and being aware of and attuned to other people,

     even the most subtle forms of nonverbal communication of others.

     This discussion of empathic sensitivity was similar to the discus-

     sion of emotional sensitivity as defined by Riggio (1989). Couples

     were provided with a copy of the seven items from the Emotional

     Sensitivity Scale (Riggio, 1989) as a way of illustrating empathic

     sensitivity.

     To help participants think about their own empathic sensitiv-

     ity, the group was shown a video of a couple discussing a relation-

     ship problem. However, the volume was turned down so that no

     sound was audible, in order to encourage everyone to focus solely

     on the nonverbal channel of communication, rather than the ver-

     bal content of the message. Participants were encouraged to think

     about how sensitive they were to these subtle, nonverbal cues of

     others' communication. Based on observations of the video, par-

     ticipants were asked to make inferences about the messages they

     had observed being sent through the nonverbal channel of com-

     munication. The group then discussed their perceptions of the in-

     dividuals and the couple's relationship, basing them solely upon

     observation of the nonverbal cues on the video tape. Participants

     then rated themselves on a scale, indicating how empathetically

     sensitive they were to these nonverbal cues of people in general.

     The discussion then moved to empathic sensitivity with a

     partner. An important part of the present program was understand-

     ing those factors that would encourage the expression of empathy

     within the context of a specific relationship. Previous research in-

     dicated that people may have the ability to be empathic, but fail to

     be empathic within the context of a specific relationship (Long &

     Andrews, 1990). Davis and Franzoi (1991) differentiate between

     the capacity and the tendency to be empathic. A capacity refers to

     one's ability to be empathic; however, a tendency refers to the

     likelihood of being empathic with another. One can have a capacity

     that is not likely to be expressed within the context of a specific

     relationship. Throughout the entire empathy training, individuals

     were asked to think about those situations that would increase the

     likelihood they would express empathy with their partners. The

     training attempted to help couples understand and create an envi-

     ronment that would encourage the likelihood that empathy would

     be expressed with their partners. Thus, participants were also

     asked to rate how empathically sensitive they were towards their

     partners. The group brainstormed the reasons why it was often

     more difficult to be empathetically sensitive with a partner than it

     was to be empathetically sensitive with others in general. Individ-

     uals were asked to write down a list of those situations where they

     would be the most and the least likely to be empathetically sensi-

     tive with their partners. Couples were then given private time

     with each other to discuss this information. The facilitators were

     attempting to encourage couples' understanding of the fact that

     empathy is often relationship and situation specific, not expressed

     similarly across relationships and situations.

     Several scholars have suggested that an important componen

     of empathy is the suspension of one's own thoughts and feeling

     (Barret-Lennard, 1962; Gladstein & Feldstein, 1983). It is impossi-

     ble for an individual to be empathic if that person is overly focused

     upon his/her self. One can only express empathy towards a part

     ner by focusing on the point of view of the partner, at least tem-

     porarily putting one's own point of view aside. Couples were asked

     to generate a list of the situations that increase the likelihood o

     suspending one's own thoughts and feelings in order to focus

     upon the thoughts and feelings of the partner. Partners then

     shared this information with each other.

     An additional component of empathy is listening (Guerney

     1974; Ickes, 1997; Rogers, 1957). Empathic listening was defined

     as a situation where a person is consciously, and in a very inten-

     tional fashion, attempting to listen to all communicative information

     from a partner. The goal of all listening was described as a shared

     meaning. A shared meaning is a situation where the message sen

     is understood by the listener exactly as it was intended by the

     speaker (Miller, Nunally, & Wackman, 1979). To facilitate listening

     Egan (1994) suggested that people enact the behaviors within the

     SOLER position. Egan suggested that listening was most effectiv

     when one faced the person squarely, had open posture, leaned

     slightly towards the speaker, had appropriate eye contact, and

     practiced these skills in a relaxed fashion.

     Couples were asked to discuss with each other how they

     would feel if their partner made a concerted effort to be an em-

     pathic listener. After couples had completed this assignment in

     dyads, facilitators asked couples to share the benefits of empathi

     listening with the entire group. Individuals were asked to thin

     about those situations in their relationships that were likely to make

     empathic listening with their partners happen in a satisfactory man

     ner and then communicate that information with their partners.

     Finally, a relationship issue was defined as a situation in a re

     lationship where a decision needed to be made that concerned on

     or both people (Miller et al., 1979). For homework, individual

     made a list of the issues they felt needed to be discussed within

     their own relationships. Individuals then ranked the severity o

     each issue on a seven point scale, indicating how emotionally easy

     (0) or difficult (6) it would be to discuss each issue with their part-

     ners. During empathy assignments, couples were encouraged t

     only discuss issues that were on both partners' lists, and those that

     were not too negatively charged with emotion, since they were

     learning new skills.

     Session Three

     Session Three began with a brief talk about gender differences

     in communication (Tannen, 1990). Tannen argues that women typi

     cally use language to get close to people and join; thus, communi

     cation is seen as a way of developing intimacy. On the other hand

     males have been socialized to believe that communication is a way

     of dominating others and pushing them around. For males, com

     munication is often used to protect oneself from others. Severa

     scholars indicate that gender differences in communication pat

     terns give rise to the pursuer/withdrawal pattern (Gottman, 1994;

     Markman, Stanley, & Blumberg, 1994; Notarius, & Markman

     1993). Though this pattern does not always hold true, men are

     more likely to withdraw from the discussion of relationship issues

     236Fm yRton

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     whereas women want to pursue the discussion of issues. The facili-

     tators then encouraged a large group discussion of this pursuer/

     withdrawal situation within the context of participants' own inti-

     mate relationships.

     Communication, listening, and paraphrasing have long been

     perceived as important components of empathy (Rogers, 1957).

     One very effective method of helping couples communicate, lis-

     ten, and paraphrase is the speaker/listener technique developed

     by Markman and his colleagues in the Prevention and Relation-

     ship Enhancement Program (Markman, Floyd, Stanley, & Lewis,

     1986). This technique has been developed as a way of discussing

     relationship issues. The speaker/listener technique involves one

     person adopting the role of the speaker while the partner listens

     and then paraphrases the content and feelings of the speaker.

     Then, individuals change roles. The facilitators presented a video

     demonstration of the speaker/listener technique and a couple

     trained to use this process modeled the successful use of the tech-

     nique. Finally, couples were given time with their partners to

     practice the technique. After couples had practiced the speaker/

     listener skills, they were asked to evaluate this process and deter-

     mine whether or not partners were feeling understood. Any ques-

     tions couples had were discussed and answered within the large

     group setting. At the end of this session, a homework assignment

     was given to couples to select a minor relationship issue and prac-

     tice the speaker/listener skill twice during the upcoming week.

     Session Four

     At the beginning of Session Four, the facilitators introduced

     the idea of empathy checking, which is an attempt to assess the

     degree to which an empathic understanding had taken place. The

     question posed to the speaker was, To what degree was the lis-

     tener's paraphrase an accurate understanding of the message

     sent? If the listener could communicate the message so that the

     speaker felt clearly understood, then empathy had been expressed.

     The degree of empathy was demonstrated to the listener on a

     bull's eye target. If a message was completely understood, then

     the speaker was to point to the bull's eye center of the target. If

     the listener did not completely understand the communication,

     then the speaker was to point out a location on the target that best

     represented the appropriate level of listener empathy. Not arriving

     at a complete bull's eye was not initially framed as problematic.

     The abilities to communicate and experience an empathic under-

     standing were conveyed as difficult processes which took time

     and effort. If a complete empathic understanding was not

     achieved during the empathy check, then the speaker was to com-

     municate the message once again to the listener in an attempt to

     assist the listener's arrival at a more accurate empathic understand-

     ing. The goal was to achieve the level of empathic understanding

     demonstrated by a bull's eye. Individuals were asked to explain to

     their partners how it felt when they were fully understood.

     Session Five

     On the fifth evening, the facilitators reviewed each of the

     components of empathy. Again, the facilitators stressed the im-

     portance of understanding the situations that make an empathic

     understanding more or less likely to happen within the context of

     a specific relationship. At this stage of the process, individuals

     not only understood the components of empathy, but also the sit-

     uations within their own relationships that would make the ex-

     pression of empathy more or less likely to take place.

     Up to this point in the training, any attempt to solve any rela-

     tionship issues had not been made. The sole purpose of the program

     was to gain an empathic understanding of the issues. For some cou

     ples, this sole focus upon empathy without any attempt to solv

     issues in their relationship was frustrating. Thus, in this final ses

     sion, once empathy had been demonstrated, the facilitators dis

     cussed resolving relationship issues. To solve specific relationshi

     issues the facilitators suggested that couples follow four steps

     which were an adapted and abbreviated version of the nine-step

     Mutual Problem Solving Training (Ridley & Nelson, 1984). Th

     four steps were: (a) use all of the empathy skills outlined in the

     empathy training program to communicate and listen to each

     other; (b) brainstorm as many possible solutions to a situation a

     possible; (c) evaluate all of the options and then implement on

     possible solution; and (d) set a specific date to evaluate the solu

     tion to see if the problematic issue is resolved. If the solution wa

     not working by that date, couples were instructed to return to ste

     c and attempt another solution.

     Method

     Participants and Recruitment Procedure

     Through newspaper, radio advertisements, and editorials, 4

     couples in the central region of Michigan registered to participate

     in a five-week, 10-hour empathy training program. Participant

     were volunteers who received no compensation for their involve

     ment. The advertised goals of the program were to teach individ

     uals the skills that were the components of empathic behavior

     and then encourage couples to practice those skills with thei

     partners. Participants were told that the following six component

     of empathy would be taught: empathic sensitivity, suspension o

     one's own thoughts and feelings, empathic listening, empathi

     communication, the communication of an empathic understand

     ing through paraphrasing, and empathic checking with a partner

     The average age of the participants was 31.84 years. The partici

     pants' ages ranged from 18 through 54 years. Sixteen percent o

     the couples were cohabiting, 66% had been married an averag

     of 10 years, and 18% had been dating for an average of 21/2 year

     The intent of the program was not to assist couples in resolvin

     their relationship issues or problems as much as it was to hel

     them better express an empathic understanding of each other.

     Design

     A longitudinal, quasi-experimental design was used to asses

     the effectiveness of the training program over time. Pre and post

     treatment assessments were undertaken to see if the expression o

     empathy with a partner increased over time as a result of the treat-

     ment program. Random assignment to either a treatment or wai

     listed comparison group was used to control for any pretest differ

     ences in empathy that might have existed between the two groups

     prior to the empathy training (Kerlinger, 1973). Both groups wen

     through the same training at different times. The treatment grou

     was trained five weeks before the wait listed comparison group

     The authors did not consider it feasible to have a compariso

     group that received no treatment at all. Volunteers were all re

     cruited based on their interest in empathy training, therefore, th

     authors felt ethically obliged to offer the empathy training to a

     the volunteers.

     Two different groups were in the research design for sever

     reasons. Practically speaking, to have 96 people all taking empa

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     Figure 1. Research Design for Empathy Training

     Tm WekI Wek5Wek10Wek24Wek29

     Treatmnt Group* Pre-Test Treatmnt Post-Test l) Post-Test 2

     (Six month follow-up)

     Wit Lsted Comparison Group* Pre-Test Treatmnt Post-Test l) Post-Test 2

     (Six month follow-up)

     *Couples were randomly assigned to either the treatment or wait listed comparison group. Both groups took the same training at different times. The training was de-

     layed for the wait listed comparison group.

     thy training at the same time and location would have been very

     difficult because the training involved interaction within a large

     group as well as interaction between members of the dyad. The

     two group design could also be effective in demonstrating a repli-

     cation of the results. If both groups received the treatment at dif-

     ferent times and scores in both groups increased, it could be

     concluded that differences in empathy scores were the result of a

     treatment effect and not historical factors outside the training.

     The design for the research is represented by Figure 1.

     Measures

     General empathy of each participant was assessed using the

     perspective taking subscale (PT) of the Interpersonal Reactivity

     Index (Davis, 1980). The measure was designed to assess the de-

     gree to which a person could understand the point of view of others

     in general. The measure included items such as, I sometimes try

     to understand my friends better by imagining how things look

     from their perspective. The PT subscale was a seven item, self-

     report measure shown to be stable over time, with adequate inter-

     nal consistency and validity (Bernstein & Davis, 1982; Davis,

     1980; Davis, Hull, Young, & Warren, 1987). The Alpha coefficient

     of reliability with the present sample was .81.

     The self-reported expression of empathy with a partner was

     assessed using the Self Dyadic Perspective Taking (SDPT) Scale

     (Long, 1990). The SDPT was a 13 item, self-report scale which

     included items such as, I sometimes try to understand my partner

     better by imagining how things look from his/her perspective. An

     item analysis and assessments of construct and concurrent validity

     indicated that the scale had adequate validity. The Alpha coeffi-

     cient of reliability with the present sample was .80.

     The perceptions of the expression of empathy of one's own

     partner were assessed using the Other Dyadic Perspective Taking

     (ODPT) Scale (Long, 1990). The ODPT was a 20 item, paper/

     pencil assessment of the empathic expressions of a partner. A sam-

     ple item from the scale was, My partner is able to accurately com-

     pare his/her point of view with mine. The Alpha coefficient for

     the ODPT with the present sample was .94. An item analysis and

     assessments of construct and concurrent validity indicated that

     the measure had adequate validity.

     The propensity for partners to terminate the relationship was

     measured with a revised version of the abbreviated Marital Sta-

     Table 1

     Repeated Measures Analyses of Variance: Change in Empathy Scores Over Six

     Months

     Scale Time Gender Time * Gender Interaction

    PT1129*** 63 867***

    SDPT785*** 38 473*

     ODPT638 2916

     PT: Measure of general perspective taking. SDPT: Measure of self dyadic per-

     spective taking. ODPT: Measure of other dyadic perspective taking.

     *p

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     perception of partner empathy, the authors hypothesized that indi-

     viduals would also perceive an increase in their respective partner's

     expression of empathy (ODPT) over the six-month period of time.

     As well as the three hypotheses above, an additional ex-

     ploratory question was formulated to examine gender differences

     on each of the three hypotheses. While females typically score

     higher than males on self-report measures of empathy (Eisenberg

     & Lennon, 1983), the authors wanted to investigate whether or not

     any gender differences in the treatment effect of the empathy train-

     ing program would appear. If empathy scores increased over time,

     would there be any gender differences in the treatment effect? This

     was merely an exploratory question, as no previous empirical work

     on which to formulate any directional hypotheses was available.

     Hypothesis Four: Since empathy had been positively related

     to relationship satisfaction in previous studies (Long, 1993a; Long

     & Andrews, 1990), the authors hypothesized that a positive

     change in the expression of empathy with a partner over five

     weeks and six months would be positively related to relationship

     satisfaction at five weeks and six months. Any improvement in the

     expression of empathy would be assumed to be related to higher

     relationship satisfaction. Hypothesis Five: Since empathy had been

     negatively related to a propensity to terminate a relationship in

     previous empirical work (Long, 1993a; Long & Andrews, 1990),

     changes in empathy at five weeks and six months were predicted

     to be negatively related to a propensity to terminate the relation-

     ship at five weeks and at six months.

     Results

     As mentioned above, couples were randomly assigned to either

     a treatment or a wait listed comparison group. However, three

     couples could not attend the group they had been randomly as-

     signed to because of schedule conflicts. As a result of a need for

     participants, the authors allowed these couples to participate in

     the program and attend the group they had not been assigned to.

     The authors did a series of analyses examining any possible em-

     pathy differences between the wait listed comparison and treat-

     ment groups' empathy scores before the training began. These

     analyses were necessary because of the assignment problem

     mentioned above, because the sample size was relatively small,

     and because random assignment cannot guarantee equal groups.

     A series of ANOVA's were used to examine pre-training group

     differences on all three empathy measures, general empathy with

     others (PT), self-reported empathy with one's partner (SDPT),

     and, finally, one's perceptions of a partner's empathy (ODPT).

     No significant differences between the treatment and wait listed

     comparison group scores on any of the three empathy measures

     were found. Thus, the authors could say with certainty that both

     groups' empathic abilities, as measured by the three empathy

     scales, were equal before the training began.

     Treatment Effect of the Training

     Changes in general empathy over time. The statistic used to

     test for a significant change in empathy scores over six months was

     a repeated measures analysis of variance. A significant change in

     scores over the six-month period of time was found on the general

     empathy scale (PT). No differences in this effect by group were

     shown; both the treatment and wait listed comparison group scores

     improved over time. Since no differences were evident by group

     on any of the three empathy measures, the group variable was not

     included in the table of results. Hypothesis One was rejected be-

     Figure 2. Changes in PT Means Over Time by Gender

     3.8 -

     36- Feme

    34- a - Mes

     ; 32 -

     3- X

     123

     Time of Measurement

     Time of Measurement 1 = Pre-test (before the training)

     Time of Measurement 2 = Five weeks (at the end of the training)

     Time of Measurement 3 = Six months (six months following the training)

     PT: Measure of general perspective taking

     cause over the six-month period the participants' scores on th

     general expression of empathy increased. No gender differences in

     the increase in the general empathy scores were shown. Male

     and females improved equally as a result of the training. How

     ever, a time by gender interaction on the general expression o

     empathy with others was demonstrated. Thus, the change over

     time was unique by gender.

     Changes in self-reported empathy with one's partner ove

     time. On the self-reported expression of empathy with a partner

     (SDPT), a significant change in the scores over time was demon

     strated. Once again, no differences by group on the SDPT wa

     shown; both the treatment and wait listed comparison group scores

     increased over time. Thus, over the six-month time period, all par-

     ticipants stated that they had improved the expression of empathy

     with their partners. Hypothesis Two was, therefore, supported. Th

     analyses also revealed no gender differences on the increase in the

     SDPT scores. Males' and females' self-reported expressions o

     empathy both increased as a result of the training. However, a tim

     by gender interaction effect was evident. Thus, again, the change

     over time was unique by gender, as evidenced in figure 3.

     Changes in perception of partner's empathy over time. A sig

     nificant change in the perceptions of a partner's empathy (ODPT)

     over time was indicated. No differences by group on the ODPT

     were evident; both the wait listed comparison and treatment group

     scores on the ODPT improved over time. Over the six-month

     period, all the participants reported an increase in their partner's

     expression of empathy. Hypothesis Three was also supported

     Once again no gender differences in the changes in the ODPT

     scores were found. Both males' and females' scores improved as

     result of the training. On the ODPT no time by gender interaction

     effect was demonstrated.

     Figure 3. Changes in SDPT Means Over Time by Gender

     2.8 -

     6 - 4 Femes

     2.4 -~ - U Mles

    L-

     22

     

    123

     Time of Measurement

     Time of Measurement 1 = Pre-test (before the training)

     Time of Measurement 2 = Five weeks (at the end of the training)

     Time of Measurement 3 = Six months (six months following the training)

     SDPT: Measure of self dyadic perspective taking

     1999 V48 N 3239

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     Figure 4. Changes in ODPT Means Over Time by Gender

     2.4 -

     2 3

    > 22 - /, * *-Femes

    21- -0Mes

     0 2- *

    1.9 - I l l__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

     123

     Time of Measurement

     Time of Measurement 1 = Pre-test (before the training)

     Time of Measurement 2 = Five weeks (at the end of the training)

     Time of Measurement 3 = Six months (six months following the training)

     ODPT: Measure of other dyadic perspective taking

     Empathy change and relationship outcome measures. To test

     Hypotheses Four and Five empathy difference scores were calcu-

     lated for all participants. For example, a difference score was cal-

     culated for the general measure of empathy by subtracting the PT

     score at the end of the five-week training (post-test 1) from the

     pre-test PT score. This PT difference score (PT5) was then used as

     a measure to demonstrate the degree of improvement in the gen-

     eral expression of empathy with others during the five week pro-

     gram. Another difference score was calculated for each individual

     by subtracting the PT score at the end of six months (post-test 2)

     from the pre-test PT score. This difference score (PT6) was used

     as a measure of the individuals' increased expression of empathy

     with others in general at the end of six months. Similar difference

     scores were developed for the SDPT SDPT5, SDPT6) and

     ODPT (ODPT5, ODPT6) measures. Thus, six difference scores

     were calculated for each individual, two for each of the three em-

     pathy measures. The first difference score indicated the change in

     empathy from the beginning to the end of the five-week training

     program. The second difference score demonstrated changes in

     empathy through the six-month follow-up.

     Each of these difference scores were then correlated with re-

     lationship satisfaction and propensity to terminate the relationship

     scores. A series of correlation coefficients were calculated to test

     these hypotheses. When all participants were examined, only the

     change in the ODPT over six months (ODPT6) was significantly

     related to relationship satisfaction at the six-month follow-up.

     The ODPT6 score was positively related to the global measure of

     relationship satisfaction score at the six-month follow-up (r = .39,

     p < .05). Thus, for all participants, changes in the perceptions of

     their partners' expression of empathy six months after the training

     were positively related to their own relationship satisfaction at the

     six-month follow-up. Fifteen percent of the variance in relationship

     satisfaction at the six-month follow-up was related to the percep-

     tion of their partner's change in empathy. None of the difference

     scores were significantly related to a propensity to terminate the

     relationship. Therefore Hypothesis Four was supported and Hy-

     pothesis Five was rejected.

     Discussion and Conclusion

     The authors believe this study adds to the empirical literature

     on the study of empathy. To this point in time, numerous pro-

     grams have been designed to teach empathy to a variety of popu-

     lations. However, this is the only program the authors are aware of

     that has a sole focus on an increased expression of empathy with

     a romantic partner. The program shows promise in this first assess-

     ment, as participants in both the treatment and wait listed compar-

     ison groups had increased scores on all three empathy measures.

     Surprisingly, the present study was able to demonstrate

     treatment effect in the expression of empathy with others in gen

     eral. This was evidenced even though the purpose of the program

     was solely to increase empathy with a partner. Subjects in thi

     study reported that their new empathic understanding was general-

     ized to relationships outside of the relationship with their romantic

     partners. The self-report of empathy with others increased for both

     males and females. In this culture, empathy is a behavioral expec

     tation for females more than it is for males; thus, one might expec

     females to generalize their new empathy skills to other relation

     ships more than males. However, having highlighted the impor

     tance of empathy within relationships, both genders realized th

     importance of empathy within the context of relationships and re-

     ported they were more empathic with others in general.

     As expected, an increase in the self-reported expression of em

     pathy with a partner and an increase in the perception of one's part

     ner's empathy were demonstrated. Males and females both rate

     themselves as being more empathic and rated their partners a

     more empathic over the six-month period. For a time, social scien

     tists debated whether or not people could learn to be more em

     pathic with others (Myrick & Erney, 1985). This study, however

     adds to a growing body of literature that demonstrates that empa-

     thy can, indeed, be learned. Even within the context of intimate re-

     lationships, people can learn to express greater empathy toward

     their partners. Even in a culture where males are often not expected

     to be as empathic as females, males can learn to be more empathic.

     The increase in empathy scores at six months for both genders

     is an important finding within this study. Since the program doe

     demonstrate a change in empathy, the authors were encouraged to

     see that the change could be measured at the time of the secon

     post-test. As noted above, the authors attempted to make the pro-

     gram easy to understand and relevant. The fact that the change in

     empathy scores could be measured at six months may be an indica-

     tion that the program achieved the goals of ease and relevance. Fu-

     ture research would do well to assess the effect of the program for

     an even longer period of time, so that interventionists can decid

     when couples may need a booster training session.

     The interaction effects noted in these analyses need clarifica-

     tion in future research. For both the self-report PT and SDPT

     scales, the pattern of change over time was different by gender.

     The time by gender interaction effect denotes the importance o

     gender change over time. As indicated in figure two, the change in

     empathy scores during the first five weeks was more pronounced

     for females than males. When asked about their own general em-

     pathic abilities, females were more likely than males to report

     more rapid response to the training. While gender difference in

     scores were not demonstrated, the change over time was uniqu

     by gender. Future research would do well to assess the reason and

     extent of that gender change in scores over time.

     Also important is the fact that the change in empathic expres-

     sion with a partner was positively related to relationship satisfac-

     tion. The increased expression of empathy over six month

     accounted for 15% of the relationship satisfaction six months fol-

     lowing the training. The change in the expression of empathy a

     five weeks was not significantly related to satisfaction at five

     weeks but only after six months. Perhaps both males and female

     were waiting to see if their partners' empathy change would las

     over time. Had one's partner really changed or did a 10-hour pro-

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     gram only temporarily influence the expression of empathy? The

     results indicated that by six months those who truly perceived their

     partners as more empathic were also more likely to have higher

     levels of relationship satisfaction. Since partner empathy has been

     previously shown to be positively related to relationship satisfac-

     tion, one would expect this finding. This finding again verified the

     importance of empathy within the context of intimate relationships.

     When individuals improve their empathic abilities, partners' rela-

     tionship satisfaction improves.

     The authors expected that increased empathy would also be

     negatively related to thoughts about terminating the relationship.

     When individuals improve their empathic abilities, partners would

     be less likely to leave the relationship. However, increased expres-

     sion of empathy was not related to fewer thoughts about leaving

     the relationship. For the most part, couples in this study were in

     long term relationships. On the average, the married couples had

     been together 10 years and the dating couples 21/2 years. Perhaps

     therapists and marriage scholars should not expect a change in

     the expression of empathy to quickly influence people's thoughts

     about terminating a relationship. Other empirical work does indi-

     cate that the process of relationship disaffection takes a consider-

     able amount of time (Kayser, 1996). Thus, more than a six-month

     period may be necessary for the expression of empathy to make

     significant changes in people's thoughts about leaving or staying

     in a relationship. Future researchers should examine changes in

     empathy for a time period greater than six months.

     A gender difference noted within this sample that contrasts

     with previous empirical work was the fact that, at the pre-test, fe-

     males did not have significantly higher scores than males on all

     three empathy measures. Historically, females' scores on self-report

     measures of empathy have typically been higher than males' scores

     (Eisenberg & Lennon, 1983). Why does this sample demonstrate a

     difference? Perhaps the type of males who agreed to be involved in

     this program already were more empathic than males in the general

     population. If that is the case, this type of a program may only be

     assisting males who are already more empathic than average males

     in the population.

     Future research also needs to examine the relationship char-

     acteristics of those most likely to participate in an empathy enrich-

     ment program and the relationship characteristics of those most

     and least likely to improve their skills during such a program.

     During discussions with couples the facilitators realized that pre-

     existing levels of relationship conflict seemed to impede some

     couples' ability to respond empathetically to each other. Perhaps

     high levels of conflict within a relationship at the outset of a pro-

     gram may diminish the desire to express empathy with a partner,

     regardless of one's empathic ability. Individuals in these troubled

     relationships may feel angry or frustrated that a partner does not

     understand their needs for affection, sex, or caring, thus their mo-

     tivation to express empathy with a partner might be weak. From

     this point of view, expressing empathy to a partner may be highly

     unlikely, even with adequate empathy skills. In this troubled rela-

     tionship situation, a partner may be more likely to seek to change

     or hurt the other partner, with little desire to understand one's part-

     ner's point of view. Coming into empathy training in this condi-

     tion, the person may not be as motivated to express empathy as

     are those individuals who come without a history of relationship

     problems. These questions should be examined in future research.

     Limitations of the Study

     Several limitations within the design of this study need to be

     understood when interpreting the results of this work. First, the

     sample of couples for this study was a volunteer sample of people

     who responded to newspaper advertisements and radio editorials

     These findings may not generalize to a cross section of people in

     intimate, heterosexual relationships who would not volunteer t

     be involved in such a program. In what way does the uniquenes

     of these volunteer couples influence the results of this program

     A definitive answer to this question cannot be given at this time

     This type of program may be too time and energy intensive for

     some individuals. The largest number of couples discontinued th

     training after the first session when they realized the time com

     mitment involved. For the program to be effective, couples mus

     be willing to invest a sufficient amount of time and energy. Futur

     research needs to examine the relationship and individual charac

     teristics of those willing and unwilling to invest five weeks in th

     improvement of their relationships.

     As is true with any longitudinal design, attrition of partici

     pants was a problem with the current study. Several subjects wh

     completed the program and the five week assessment had moved

     and could not be located at the six-month follow-up. The author

     have no way of knowing whether or not the results would chang

     if these participants were included in the six-month follow-up data

     Evaluation researchers also suggest that programs be evalu

     ated and compared to alternate treatment programs (Guerney

     Maxson, 1990). Since this was the initial assessment of the empathy

     training program, we believe the design implemented was appro

     priate for this stage of program evaluation. However, future research

     would do well to compare this empathy training program with

     the relationship outcomes of individuals who have taken othe

     programs such as PREP (Markman et al., 1986), the Relationship

     Enhancement Program (Guerney, 1974), or have been involved in

     individual counseling to improve empathy with a partner.

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     Edgar C. J. Long, Ph.D., is Professor of Family Studies and Direc

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     Jeffrey J. Angera, Ph.D., is an Assistant Professor of Counseling a

     Central Michigan University.

     Sara Jacobs Carter is a graduate of Central Michigan University

     Family Studies Program and is a graduate student at Arizona Stat

     University in Marriage and Family Therapy.

     Mindy Nakamoto is a graduate of Central Michigan University

     Family Studies Program and is a graduate student at University o

     Minnesota in Family Science.

     Michelle Kalso, is a graduate of Central Michigan University Fam

     ily Studies Program and is employed by Families First in Detroit

     Michigan.

     Received 6-6-1998

     Revised & Resubmitted 1-18-1999

     Accepted 5-10-1999

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