Oxytocin increases empathy to pain when adopting the other-but not the self-perspective
Abstract
There is growing evidence that the neuropeptide oxytocin (OT) facilitates various forms of sensitivity to others, but the mechanism by which OT enhances empathy in humans is unclear. In this study, we examined whether OT increases empathy by the way of blurring the distinction between self and other, or by enhancing the difference between self and other. In this double-blind, placebo-controlled, within-subject crossover design, empathic responses of healthy participants were compared when imagining oneself (i.e., self-perspective empathy) versus when imagining the other (i.e., other-perspective empathy) in painful and nonpainful situations. Under OT treatment, participants expressed more empathy when imagining others than when imagining oneself in pain. This was in contrast to the placebo condition where there were no differences between the empathic responses during the self- and the other-perspective. We propose that the modulatory effect of OT on empathy when taking the other-perspective may be mediated by its role in self- and other-distinctiveness and corollary by its role in increasing salience to social agents and cues.
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OXT has been found to increase taking another-but not a self-perspective in a pain perception context.
“OXT has also been found to increase taking another-but not a self-perspective in a pain perception context [Abu-Akel et al., 2015]”
From Oxytocin blurs the self-other distinction during trait judgments and reduces medial prefrontal cortex responses: Oxytocin Blurs Self-Other Distinction (2016) · cites this paper as Abu-Akel et al., 2015
Cites
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,385 · see citing works
Statistical Power Analysis for the Behavioral Sciences
Cohen, J. (2013) · doi:10.4324/9780203771587 · Cited by 25,373 · see citing works
Empathy: its ultimate and proximate bases
Preston, S. D., & de Waal, F. B. M. (2002) · Behavioral and Brain Sciences · doi:10.1017/s0140525x02000018 · Cited by 4,126 · see citing works
Oxytocin increases trust in humans
Kosfeld, M., Heinrichs, M., Zak, P. J., Fischbacher, U., & Fehr, E. (2005) · Nature · doi:10.1038/nature03701 · Cited by 3,690 · see citing works
The functional architecture of human empathy
Decety, J., & Jackson, P. L. (2004) · Behavioral and Cognitive Neuroscience Reviews · doi:10.1177/1534582304267187 · Cited by 3,407 · cited 3× · see citing works
“Research thus suggests that empathic concern is motivated by shared neural representations between self and other (Decety & Jackson, 2004; Decety & Sommerville, 2003; Lamm, Nusbaum, Meltzoff, & Decety, 2007; Perry, Bentin, Ben-Ame Bartal, Lamm, & Decety, 2010; Preston & De Waal, 2002).”
BackgroundSelf-citationThe Behavioral and Brain Sciences
D., C. P. (1979) · The American Journal of Psychology · doi:10.2307/1421932 · Cited by 2,935 · see citing works
Lamm, C., Decety, J., & Singer, T. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2010.10.014 · Cited by 2,016 · see citing works
The social neuroscience of empathy
Singer, T., & Lamm, C. (2009) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.04418.x · Cited by 1,981 · see citing works
Oxytocin Modulates Neural Circuitry for Social Cognition and Fear in Humans
Kirsch, P., Esslinger, C., Chen, Q., Mier, D., Lis, S., Siddhanti, S., Gruppe, H., Mattay, V. S., Gallhofer, B., & Meyer-Lindenberg, A. (2005) · The Journal of Neuroscience · doi:10.1523/jneurosci.3984-05.2005 · Cited by 1,639 · see citing works
Social effects of oxytocin in humans: context and person matter
Bartz, J. A., Zaki, J., Bolger, N., & Ochsner, K. N. (2011) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2011.05.002 · Cited by 1,572 · cited 1× · see citing works
“Moreover, the differential effect of OT on self-perspective versus other-perspective empathy further emphasizes the notion that OT does not up-regulate empathic concern in all conditions (Bartz et al., 2011).”
BackgroundThe Neural Substrate of Human Empathy: Effects of Perspective-taking and Cognitive Appraisal
Lamm, C., Batson, C. D., & Decety, J. (2007) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.2007.19.1.42 · Cited by 1,464 · see citing works
Self-citationSniffing neuropeptides: A transnasal approach to the human brain
Born, J., Lange, T., Kern, W., McGregor, G. P., Bickel, U., & Fehm, H. L. (2002) · Nature Neuroscience · doi:10.1038/nn0602-849 · Cited by 1,356 · see citing works
Oxytocin improves “mind-reading” in humans
Domes, G., Heinrichs, M., Michel, A., Berger, C., & Herpertz, S. C. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.07.015 · Cited by 1,298 · see citing works
Perspective Taking: Imagining How Another Feels Versus Imaging How You Would Feel
Batson, C. D., Early, S., & Salvarani, G. (1997) · Personality and Social Psychology Bulletin · doi:10.1177/0146167297237008 · Cited by 1,296 · see citing works
How do we perceive the pain of others? A window into the neural processes involved in empathy
Jackson, P. L., Meltzoff, A. N., & Decety, J. (2005) · NeuroImage · doi:10.1016/j.neuroimage.2004.09.006 · Cited by 1,257 · see citing works
Self-citationThese things called empathy: Eight related but distinct phenomena.
Batson, C. (2009) · The MIT Press eBooks · doi:10.7551/mitpress/9780262012973.003.0002 · Cited by 1,181 · see citing works
Shamay-Tsoory, S. G. (2011) · The Neuroscientist · doi:10.1177/1073858410379268 · Cited by 1,059 · see citing works
Decety, J., & Lamm, C. (2007) · The Neuroscientist · doi:10.1177/1073858407304654 · Cited by 1,044 · see citing works
Self-citationShared representations between self and other: a social cognitive neuroscience view
Decety, J., & Sommerville, J. A. (2003) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2003.10.004 · Cited by 996 · see citing works
Self-citationIntranasal oxytocin improves emotion recognition for youth with autism spectrum disorders.
Guastella, A. J., Einfeld, S. L., Gray, K. M., Rinehart, N. J., Tonge, B. J., Lambert, T. J., & Hickie, I. B. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2009.09.020 · Cited by 962 · see citing works
Oxytocin promotes human ethnocentrism
De Dreu, C. K. W., Greer, L. L., Van Kleef, G. A., Shalvi, S., & Handgraaf, M. J. J. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1015316108 · Cited by 838 · see citing works
Jackson, P. L., Brunet, E., Meltzoff, A. N., & Decety, J. (2006) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2005.07.015 · Cited by 838 · see citing works
Hein, G., Silani, G., Preuschoff, K., Batson, C. D., & Singer, T. (2010) · Neuron · doi:10.1016/j.neuron.2010.09.003 · Cited by 821 · see citing works
Oxytocin, vasopressin, and human social behavior
Heinrichs, M., von Dawans, B., & Domes, G. (2009) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2009.05.005 · Cited by 799 · see citing works
Oxytocin increases gaze to the eye region of human faces
Guastella, A. J., Mitchell, P. B., & Dadds, M. R. (2008) · Biological Psychiatry · doi:10.1016/j.biopsych.2007.06.026 · Cited by 798 · see citing works
Oxytocin enhances amygdala-dependent, socially reinforced learning and emotional empathy in humans
Hurlemann, R., Patin, A., Onur, O. A., Cohen, M. X., Baumgartner, T., Metzler, S., Dziobek, I., Gallinat, J., Wagner, M., Maier, W., et al. (2010) · The Journal of Neuroscience · doi:10.1523/jneurosci.5538-09.2010 · Cited by 771 · see citing works
Ruby, P., & Decety, J. (2004) · Journal of Cognitive Neuroscience · doi:10.1162/0898929041502661 · Cited by 659 · see citing works
Self-citationIs empathy-induced helping due to self-other merging?
Batson, C. D., Sager, K., Garst, E., Kang, M., Rubchinsky, K., & Dawson, K. (1997) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.73.3.495 · Cited by 637 · see citing works
Olff, M., Frijling, J. L., Kubzansky, L. D., Bradley, B., Ellenbogen, M. A., Cardoso, C., Bartz, J. A., Yee, J. R., & van Zuiden, M. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.06.019 · Cited by 620 · see citing works
Neuroanatomical and neurochemical bases of theory of mind.
Abu-Akel, A., & Shamay-Tsoory, S. (2011) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2011.07.012 · Cited by 616 · see citing works
Self-citationFacing others in pain: the effects of empathy
Goubert, L., Craig, K. D., Vervoort, T., Morley, S., Sullivan, M. J. L., Williams, D. C. A. C., Cano, A., & Crombez, G. (2005) · Pain · doi:10.1016/j.pain.2005.10.025 · Cited by 554 · see citing works
Intranasal Administration of Oxytocin Increases Envy and Schadenfreude (Gloating)
Shamay-Tsoory, S. G., Fischer, M., Dvash, J., Harari, H., Perach-Bloom, N., & Levkovitz, Y. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2009.06.009 · Cited by 542 · cited 4× · see citing works
“The increased empathy we observed under the OT condition when taking the other-perspective can also be explained by its role in increasing the salience of socially relevant cues (Groppe et al., 2013; Guastella, Mitchell, & Dadds, 2008; Shamay-Tsoory et al., 2009), an effect that has been shown to improve social cognit…”
BackgroundMethodInfluentialSelf-citationEffects of intranasal oxytocin on emotional face processing in women
Domes, G., Lischke, A., Berger, C., Grossmann, A., Hauenstein, K., Heinrichs, M., & Herpertz, S. C. (2010) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.06.016 · Cited by 521 · cited 1× · see citing works
“…size, dosage, and waiting time corresponded to those previously used in experiments designed to investigate the effect of the intranasal administration of OT on behavior in humans (Domes et al., 2010; Guastella et al., 2010; Kirsch et al., 2005; Kosfeld, Heinrichs, Zak, Fischbacher, & Fehr, 2005).”
MethodPutting together phylogenetic and ontogenetic perspectives on empathy
Decety, J., & Svetlova, M. (2012) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2011.05.003 · Cited by 508 · see citing works
Oxytocin selectively improves empathic accuracy
Bartz, J. A., Zaki, J., Bolger, N., Hollander, E., Ludwig, N. N., Kolevzon, A., & Ochsner, K. N. (2010) · Psychological Science · doi:10.1177/0956797610383439 · Cited by 442 · see citing works
Empathy-Motivated Helping: The Moderating Role of Group Membership
Stürmer, S., Snyder, M., Kropp, A., & Siem, B. (2006) · Personality and Social Psychology Bulletin · doi:10.1177/0146167206287363 · Cited by 425 · see citing works
Lamm, C., Nusbaum, H. C., Meltzoff, A. N., & Decety, J. (2007) · PLoS ONE · doi:10.1371/journal.pone.0001292 · Cited by 411 · see citing works
Empathy-induced altruistic motivation.
Batson, C. D. (2010) · American Psychological Association eBooks · doi:10.1037/12061-001 · Cited by 401 · see citing works
Decety, J., Chen, C., Harenski, C., & Kiehl, K. A. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00489 · Cited by 386 · see citing works
Oxytocin enhances brain function in children with autism
Gordon, I., Vander Wyk, B. C., Bennett, R. H., Cordeaux, C., Lucas, M. V., Eilbott, J. A., Zagoory-Sharon, O., Leckman, J. F., Feldman, R., & Pelphrey, K. A. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1312857110 · Cited by 336 · see citing works
Pedersen, C. A., Gibson, C. M., Rau, S. W., Salimi, K., Smedley, K. L., Casey, R. L., Leserman, J., Jarskog, L. F., & Penn, D. L. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.07.027 · Cited by 305 · see citing works
Bethlehem, R. A. I., van Honk, J., Auyeung, B., & Baron-Cohen, S. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.10.011 · Cited by 285 · see citing works
Prosocial effects of oxytocin and clinical evidence for its therapeutic potential
Striepens, N., Kendrick, K. M., Maier, W., & Hurlemann, R. (2011) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2011.07.001 · Cited by 283 · see citing works
Reducing racial disparities in pain treatment: The role of empathy and perspective-taking
Drwecki, B. B., Moore, C. F., Ward, S. E., & Prkachin, K. M. (2011) · Pain · doi:10.1016/j.pain.2010.12.005 · Cited by 281 · see citing works
Cheng, Y., Chen, C., Lin, C., Chou, K., & Jean Decety, A. (2010) · NeuroImage · doi:10.1016/j.neuroimage.2010.02.047 · Cited by 255 · see citing works
Singer, T., Snozzi, R., Bird, G., Petrovic, P., Silani, G., Heinrichs, M., & Dolan, R. J. (2008) · Emotion · doi:10.1037/a0014195 · Cited by 248 · see citing works
Di Simplicio, M., Massey-Chase, R., Cowen, P., & Harmer, C. (2009) · Journal of Psychopharmacology · doi:10.1177/0269881108095705 · Cited by 229 · see citing works
Groppe, S. E., Gossen, A., Rademacher, L., Hahn, A., Westphal, L., Gründer, G., & Spreckelmeyer, K. N. (2013) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.12.023 · Cited by 218 · see citing works
Danziger, N., Faillenot, I., & Peyron, R. (2009) · Neuron · doi:10.1016/j.neuron.2008.11.023 · Cited by 215 · see citing works
Smith, K. E., Porges, E. C., Norman, G. J., Connelly, J. J., & Decety, J. (2014) · Social Neuroscience · doi:10.1080/17470919.2013.863223 · Cited by 195 · see citing works
The social self: Cognitive, interpersonal and intergroup perspectives
Otten, S. (2002) · Cited by 188 · see citing works
Rosenfeld, A. J., Lieberman, J. A., & Jarskog, L. F. (2011) · Schizophrenia Bulletin · doi:10.1093/schbul/sbq015 · Cited by 178 · see citing works
(2011) · The MIT Press eBooks · doi:10.7551/mitpress/9780262016612.001.0001 · Cited by 162 · see citing works
Affective reactions to pictures of ingroup and outgroup members
Brown, L. M., Bradley, M. M., & Lang, P. J. (2006) · Biological Psychology · doi:10.1016/j.biopsycho.2005.06.003 · Cited by 151 · see citing works
“Feeling” the pain of those who are different from us: Modulation of EEG in the mu/alpha range
Perry, A., Shlomo Bentin, A., Bartal, I. B.-A., Lamm, C., & Jean Decety, A. (2010) · Cognitive Affective & Behavioral Neuroscience · doi:10.3758/cabn.10.4.493 · Cited by 146 · see citing works
Shamay-Tsoory, S. G., Abu-Akel, A., Palgi, S., Sulieman, R., Fischer-Shofty, M., Levkovitz, Y., & Decety, J. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.09.015 · Cited by 123 · see citing works
Self-citationEffect of Oxytocin on Placebo Analgesia: A Randomized Study
Kessner, S., Sprenger, C., Wrobel, N., Wiech, K., & Bingel, U. (2013) · JAMA · doi:10.1001/jama.2013.277446 · Cited by 114 · see citing works
Personality-dependent effects of oxytocin: greater social benefits for high alexithymia scorers
Luminet, O., Grynberg, D., Ruzette, N., & Mikolajczak, M. (2011) · Biological Psychology · doi:10.1016/j.biopsycho.2011.05.005 · Cited by 107 · see citing works
Juif, P.-E., & Poisbeau, P. (2013) · Pain · doi:10.1016/j.pain.2013.05.003 · Cited by 101 · see citing works
Pincus, D. (2010) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2010.00134 · Cited by 91 · see citing works
Bruneau, E., Dufour, N. P., & Saxe, R. R. (2012) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2011.0293 · Cited by 88 · see citing works
van der Heiden, L., Scherpiet, S., Konicar, L., Birbaumer, N., & Veit, R. (2012) · NeuroImage · doi:10.1016/j.neuroimage.2012.10.003 · Cited by 64 · see citing works
Oxytocin sharpens self-other perceptual boundary
Colonnello, V., Chen, F. S., Panksepp, J., & Heinrichs, M. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.08.010 · Cited by 58 · see citing works
Empathy, ToM, and self–other differentiation: An fMRI study of internal states
Reniers, R. L. E. P., Vӧllm, B., Elliott, R., & Corcoran, R. (2013) · Social Neuroscience · doi:10.1080/17470919.2013.861360 · Cited by 51 · see citing works
Gender differences in oxytocin-associated disruption of decision bias during emotion perception
Lynn, S. K., Hoge, E. A., Fischer, L., Barrett, L. F., & Simon, N. M. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.04.031 · Cited by 43 · see citing works
Theodoridou, A., Rowe, A. C., & Mohr, C. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00197 · Cited by 40 · cited 2× · see citing works
“This view is consistent with the studies showing that OT increases theory of mind/perspective-taking abilities (Domes et al., 2007; Theodoridou et al., 2013), as well as with the reports showing that imagining others in pain was associated with activations in the precuneus and the pSTS (Jackson et al.”
ResultAbu-Akel, A. M., Fischer-Shofty, M., Levkovitz, Y., Jean Decety, A., & Shamay‐Tsoory, S. (2014) · Psychological Medicine · doi:10.1017/s003329171400097x · Cited by 33 · see citing works
Self-citationIt’s More than Skin Deep: Empathy and Helping Behavior across Social Groups
Echols, S., & Correll, J. (2011) · The MIT Press eBooks · doi:10.7551/mitpress/9780262016612.003.0004 · Cited by 33 · see citing works
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- Authors
- Abu-Akel, A., Palgi, S., Klein, E., Decety, J., & Shamay-Tsoory, S.
- Affiliations
- University of Birmingham (GB)
- University of Haifa (IL)
- Rambam Health Care Campus (IL)
- Corresponding author
- Abu-Akel, Ahmad
- ORCID
- Abu-Akel, Ahmad
- Venue
- Social Neuroscience
- Publisher
- Informa UK Limited
- Published
- 2014-08-07
- Volume
- 10
- Issue
- 1
- Pages
- 7-15
- ISSN
- 1747-0919 (ISSN-L)
- 1747-0927
- OpenAlex
- W2024693951
- Semantic Scholar
- eafe17df0953936e0a7543fab48231d47d79417b
- Cited by
- 83
- References
- 68
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 7 · 2020: 13 · 2019: 5 · 2018: 11 · 2017: 14 · 2016: 6 · 2015: 5 · 2014: 2
- FWCI
- 13.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- oxytocin, empathy, pain, self-perspective, other perspectives, self-other distinction, social cognition, placebo effect, social salience
- MeSH terms
- Adult, Analysis of Variance, Double-Blind Method, Empathy, Female, Humans, Imagination, Male, Middle Aged, Oxytocin, Pain, Pain Measurement, Photic Stimulation, Self Concept, Social Behavior, Cross-Over Studies
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