Cited by 148Action Observation and SynchronizationEmpathy and Medical EducationNeural and Behavioral Psychology Studies

Acute lesions that impair affective empathy

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Leigh, Richard, Oishi, Kenichi, Hsu, John, Lindquist, Martin, Gottesman, Rebecca F., Jarso, Samson, Crainiceanu, Ciprian, Mori, Susumu +1 more·2013·Brain

Abstract

Functional imaging studies of healthy participants and previous lesion studies have provided evidence that empathy involves dissociable cognitive functions that rely on at least partially distinct neural networks that can be individually impaired by brain damage. These studies converge in support of the proposal that affective empathy--making inferences about how another person feels--engages at least the following areas: prefrontal cortex, orbitofrontal gyrus, anterior insula, anterior cingulate cortex, temporal pole, amygdala and temporoparietal junction. We hypothesized that right-sided lesions to any one of these structures, except temporoparietal junction, would cause impaired affective empathy (whereas bilateral damage to temporoparietal junction would be required to disrupt empathy). We studied 27 patients with acute right hemisphere ischaemic stroke and 24 neurologically intact inpatients on a test of affective empathy. Acute impairment of affective empathy was associated with infarcts in the hypothesized network, particularly temporal pole and anterior insula. All patients with impaired affective empathy were also impaired in comprehension of affective prosody, but many patients with impairments in prosodic comprehension had spared affective empathy. Patients with impaired affective empathy were older, but showed no difference in performance on tests of hemispatial neglect, volume of infarct or sex distribution compared with patients with intact affective empathy.

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  1. Finley A, Saver J, Alger J, Pregenzer M, Leary M, Ovbiagele B. Diffusion weighted imaging assessment of insular vulnerability in acute middle cerebral artery infarctions [abstract] Stroke. 2003;34:259. discussion. [Google Scholar]

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Authors
Leigh, R., Oishi, K., Hsu, J., Lindquist, M., Gottesman, R. F., Jarso, S., Crainiceanu, C., Mori, S., & Hillis, A. E.
Affiliations
Johns Hopkins University (US)
Venue
Brain
Published
2013-07-03
Volume
136
Issue
8
Pages
2539-2549
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W2170090072
Cited by
148
References
60
Citations by year
2026: 4 · 2025: 9 · 2024: 10 · 2023: 8 · 2022: 15 · 2021: 12 · 2020: 12 · 2019: 16 · 2018: 18 · 2017: 9 · 2016: 10 · 2015: 13 · 2014: 10 · 2013: 2
FWCI
17.46
Type
journal article
Language
en
Open access
Locations
  • Brain (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Neurological Disorders and Stroke (R01 NS47691, R01NS047691)
  • National Institute of Biomedical Imaging and Bioengineering (P41EB015909)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD065955)
Topics
  • Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords
affective empathy, acute stroke, right hemisphere infarction, temporal pole, anterior insula, temporoparietal junction, hemispatial neglect
MeSH terms
Adult, Aged, Brain, Brain Mapping, Brain Ischemia, Cognition, Emotions, Empathy, Female, Humans, Functional Laterality, Male, Middle Aged, Nerve Net, Social Perception, Stroke

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