Evidence map›Paper›PMID 41675301›Full record

ArticlePhenomenology and the cognitive sciences2026

The epistemic harms of empathy in phenomenological psychopathology.

Lucienne Spencer, Matthew Broome

Abstract read
In one paragraph

Article in Phenomenology and the cognitive sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Overvalued Ideas: Conceptual Analysis and Literature Review.Behavioral sciences (Basel, Switzerland) · 2026
    Review
  2. Article
  3. Silence as epistemic agency in mania.Medicine, health care, and philosophy · 2025
    Article
  4. Fundamental issues in epistemic injustice in healthcare.Medicine, health care, and philosophy · 2025
    Article
  5. The future of phenomenological psychopathology.Philosophical psychology · 2025
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Lucienne SpencerInstitute of Mental Health, University of Birmingham, Birmingham, UK.ORCID 0000-0002-4929-5300
Matthew BroomeInstitute of Mental Health, University of Birmingham, Birmingham, UK.ORCID 0000-0002-6963-8884

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Jaspers identifies empathic understanding as an essential tool for grasping not the mere psychic content of the condition at hand, but the lived experience of the patient. This method then serves as the basis for the phenomenological investigation into the psychiatric condition known as 'Phenomenological Psychopathology'. In recent years, scholars in the field of phenomenological psychopathology have attempted to refine the concept of empathic understanding for its use in contemporary clinical encounters. Most notably, we have Stanghellini's contribution of 'second-order' empathy and Ratcliffe's 'radical empathy'. Through this paper, we reject the pursuit of a renewed version of 'empathic understanding', on the grounds that the concept is fundamentally epistemically flawed. We argue that 'empathic understanding' risks (1) error, leading to misdiagnosis, mistreatment and an overall misunderstanding of the experience at hand, (2) a unique form of epistemic harm that we call 'epistemic co-opting' and (3) epistemic objectification. To conclude, we propose that empathic understanding ought to be replaced with a phenomenological account of Fricker's virtuous listening.

Indexed as

EmpathyEpistemic injusticeEpistemic objectificationJaspersPhenomenologicalPsychopathologyTransformative experience

Identifiers

PMID41675301
PMCPMC12886269

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.