Empathy and social problem solving in alcohol dependence, mood disorders and selected personality disorders.
Abstract
Altered empathic responding in social interactions in concert with a reduced capacity to come up with effective solutions for interpersonal problems have been discussed as relevant factors contributing to the development and maintenance of psychiatric disorders. The aim of the current work was to review and evaluate 30 years of empirical evidence of impaired empathy and social problem solving skills in alcohol dependence, mood disorders and selected personality disorders (borderline, narcissistic, antisocial personality disorders/psychopathy), which have until now received considerably less attention than schizophrenia or autism in this realm. Overall, there is tentative evidence for dissociations of cognitive (e.g. borderline personality disorder) vs. emotional (e.g. depression, narcissism, psychopathy) empathy dysfunction in some of these disorders. However, inconsistencies in the definition of relevant concepts and their measurement, scarce neuroimaging data and rare consideration of comorbidities limit the interpretation of findings. Similarly, although impaired social problem solving appears to accompany all of these disorders, the concept has not been well integrated with empathy or other cognitive dysfunctions as yet.
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Cognitive empathy is the capability to figure out someone else's emotions and is strictly related to theory of mind.
“Cognitive empathy is the capability to figure out someone else’s emotions and it is strictly related to the theory of mind (1).”
From The dark side of empathy in narcissistic personality disorder (2023) · cites this paper as [1]
People affected by narcissistic personality disorder may have compromised empathic functioning due to deficits in emotional empathy and motivation-based impairment in their cognitive empathic functioning.
“Despite being able to perceive emotions like psychopaths (1, 32, 33), people affected by NPD may have compromised empathic functioning due to deficits in emotional empathy (e.g., neurobiological evidence) and motivation-based impairment in their cognitive empathic functioning.”
From The dark side of empathy in narcissistic personality disorder (2023) · cites this paper as [1]
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Self-citationThe dark side of empathy in narcissistic personality disorder
di Giacomo, E., Andreini, E., Lorusso, O., & Clerici, M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1074558 · Cited by 34 · see citing works
Kawaguchi, Y., Kurata, S., Kawata, N. Y. S., Yao, A., Nishitani, S., Fujisawa, T. X., & Tomoda, A. (2025) · Scientific Reports · doi:10.1038/s41598-025-92804-0 · Cited by 4 · see citing works
- Authors
- Thoma, P., Friedmann, C., & Suchan, B.
- Affiliations
- Ruhr University Bochum (DE)
- Corresponding author
- Thoma, Patrizia
- ORCID
- Thoma, Patrizia
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 37
- Issue
- 3
- Pages
- 448-470
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2060079705
- Cited by
- 134
- References
- 306
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 6 · 2023: 14 · 2022: 8 · 2021: 8 · 2020: 8 · 2019: 14 · 2018: 9 · 2017: 15 · 2016: 8 · 2015: 12 · 2014: 14 · 2013: 4
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- German Research Foundation (Deutsche Forschungsgemeinschaft–DFG) (TH 1535/2-1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- empathy, social problem solving, alcoholism, mood disorders, personality disorders, borderline personality disorder, narcissistic personality disorder, antisocial personality disorder, psychopathy, cognitive empathy, affective empathy, depression, comorbidities, neuroimaging
- MeSH terms
- Alcoholism, Empathy, Humans, Interpersonal Relations, Personality Disorders, Social Behavior, Mood Disorders
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