Empathy vs Sympathy vs Compassion

Sympathy and empathy are two closely related but distinct emotions. Sympathy involves feeling sorry or pity for someone, whereas empathy involves understanding and sharing someone’s feelings. Sympathy is more of an external expression of emotion, while empathy is an internal emotional response.

Simply put, sympathy is feeling for someone, while empathy is feeling with someone. Understanding the difference between these two emotions can help us communicate and connect with others on a deeper level.

empathy and compassion

Sympathy vs Empathy vs Compassion

The words sympathy, empathy, and compassion are closely related terms that are often used interchangeably.

However, they are different. Each one describes a different way a person can respond to someone else’s suffering (Jeffrey, 2016).

Philosophers of emotion even argue that the boundaries between the three are genuinely contested, not just a matter of everyday sloppiness (Breyer, 2020).

  • Sympathy is an emotion experienced in reaction to something that happens to others. When someone understands what another person is going through and feels sorrow or pity toward them, this is sympathy. 
  • Empathy is the ability to intimately feel and see another’s suffering, not just through understanding what they are going through but by being able to put themselves in another’s shoes. When expressing empathy, a person may use their personal experience to relate to another’s suffering. 
  • Compassion means ‘to suffer together,’ which is an expression of caring and warmth. Someone who expresses compassion recognizes the pain in another person and is motivated to help them. 

Side by side, the three differ in how they feel, how well they understand, and whether they drive action.

FeatureSympathyEmpathyCompassion
Core responseSorrow or pity for someone’s situationFeeling, and understanding, what they feelCaring warmth toward their pain
UnderstandingDoes not require real understandingUnderstands from the insideWorks without a personal frame of reference
Drive to helpNot requiredOptional (empathic action)Built in
Best suited toDistant relationships, such as a co-worker or bossClose relationships, such as a lifelong friendSuffering you have never personally lived through

difference between Empathy and Sympathy

While sympathy and empathy are often used interchangeably, there are crucial differences that lead to different outcomes. 

Emotion is the main difference

While sympathy means that someone understands someone else’s suffering, it is more cognitive and keeps a certain distance between the sufferer and the listener.

Being able to empathize means being able to experience another’s feelings. It requires an emotional component of really feeling what the other person is feeling.

The two can come apart. Someone can read another person’s emotions accurately without feeling any sorrow on their behalf. Someone else can express sorrow without grasping what the other person is going through.

Difference in levels of understanding

Empathy and sympathy also differ in depth of understanding.

Empathy is the ability to understand the emotions of another person from the inside. In contrast, sympathy is often what a person reaches for when they do not necessarily relate to or fully understand the circumstances someone is suffering through.

Sympathy does not translate as understanding since the listener may shift focus away from the person in distress to focus on themselves instead. 

sympathy vs empathy 1

The relationship matters

With empathy and sympathy, there is often a difference in the relationship between the listener and the sufferer.

In certain settings, such as when a co-worker or boss is suffering from loss, sympathy may be more appropriate to maintain particular social dynamics. This was especially true without an intimate connection.

However, if a lifelong friend experiences a loss, sending a card or flowers may be inadequate. Empathy is usually expected more when the relationship between the sufferer and listener is close and strong. 

Sympathy drives disconnection

Empathy is thought to drive connection, while sympathy is thought to drive disconnection, according to social psychologist Brené Brown (Brown et al., 2013).

Empathy brings people together and builds on strong connections. Sympathy can create a divide between people.

Sympathetic statements such as ‘I’m sorry you feel like that’ or ‘It could have been worse’ can come across as patronizing.

Likewise, statements such as ‘I feel bad for you’ can come across as pitying, which can make the sufferer feel unsupported. 

How do sympathy and empathy relate to compassion?

It is thought that empathy and sympathy can be sensations and open expressions of compassion.

Empathy and sympathy only function as expressions of compassion when they come from a place of sincerity. Compassion itself is fueled by understanding another’s emotions and a genuine desire to connect with their experience.

Two Routes to Compassion

Compassion has two sources. It can arise from empathy, when someone shares a similar experience directly, or from sympathy, when understanding is gained indirectly.

Learning about a form of abuse, for example, can help someone build sympathy for people who have been abused, even if they have never experienced it themselves.

This indirect route matters. Compassion typically goes a step further than either empathy or sympathy alone.

Someone feeling it recognizes another’s pain and is motivated to help, even without any personal frame of reference for that pain.

That capacity is valuable. Being able to extend care beyond one’s own direct experience means people can become motivated to reduce suffering they have never personally lived through.

A compassionate response in one situation can also become a wider force for change. Compassionate people often become socially active on behalf of a cause well beyond the original person who moved them.

Compassion Without Excusing Harm

Compassion can seem to conflict with accountability. As the licensed marriage and family therapist Esther Perel explains, empathizing with someone who has caused harm is often misread as making excuses for it. She argues the opposite is closer to the truth.

Activating empathy for the person who caused harm is what allows reconnection to become possible again, not a way of minimizing what happened.

In a separate session, Perel draws a sharp line between compassion and excusing behavior. Compassion, she says, can sit alongside righteous anger.

Seeing a partner’s humanity and difficulties, she argues, does not mean excusing what they did. It is what stops someone concluding that everything they shared was a lie.

Types of Empathy

To better understand how empathy differs from sympathy, it’s helpful to recognize its components:

  1. Cognitive Empathy: The ability to intellectually understand another’s perspective.
  2. Emotional Empathy: Feeling the emotions of another person.
  3. Empathic Action: Responding supportively based on understanding and feeling.

While sympathy often stops at cognitive understanding, true empathy involves all three components.

The Neuroscience of Empathy

Empathy’s neural basis has been studied most directly through pain.

In one influential imaging study, the anterior insula and anterior cingulate cortex (ACC), two brain regions, were active when participants felt a painful stimulus themselves.

The same regions activated when participants merely learned that a loved one nearby was receiving a similar shock, and their activity tracked participants’ individual empathy scores (Singer et al., 2004).

By contrast, the brain areas that encode the sensory details of pain, such as where it hurts and how intense it is, activated only when participants felt pain themselves.

This split matters. It suggests empathy recruits the emotional, motivationally relevant share of the pain response, without borrowing the sensory circuitry needed to pinpoint or grade a pain.

This fits the broader idea that empathy runs on shared neural representations between self and other, rather than a dedicated “empathy centre” (Preston & de Waal, 2002).

The mechanism behind this is debated. This step, where perceiving another activates a matching representation, is often linked to the mirror neuron system. These are cells, first identified in monkeys, that fire both when an animal acts and when it watches another animal perform the same action.

The human evidence for an equivalent system is mostly indirect, so how large a role mirror neurons play in human empathy remains an open question.

This makes a prediction. If empathy for pain shares machinery with feeling pain, a person’s own pain sensitivity should predict their empathy for others. Behavioral evidence supports it.

Flasbeck et al. (2023) combined a pressure-pain test and a cold-pressor test with an empathy-for-pain task. Participants who found their own physical pain more unpleasant gave higher pain ratings when watching others in physical or psychological pain.

Pain thresholds and pain tolerance did not predict empathy. How unpleasant a given level of pain felt, not how much pain someone could withstand, tracked their empathic response.

Research on Sympathy and Empathy

Recent studies provide valuable insights into the development and function of empathy and sympathy across different age groups.

How Empathy and Sympathy Develop

The strongest evidence comes from a meta-analysis, which pools results across many studies. Yavuz et al. (2024) found that emotion regulation was more strongly associated with sympathy than with empathy across childhood and adolescence.

This suggests that managing one’s own emotions matters more for feeling concern on someone else’s behalf than for simply sharing what they feel.

Younger children fit the pattern. Chan et al. (2023) validated the Measure of Empathy in Early Childhood (MEEC) for 4- to 7-year-olds.

Personal distress is a self-focused discomfort at witnessing someone else’s suffering, which tends to motivate escaping the situation rather than helping. On the MEEC, it fell with age while sympathy rose.

That is what the meta-analysis would predict if better-regulated children are freer to attend to someone else’s distress than to be overwhelmed by their own.

Brazil et al. (2023) compared three forms of empathy as predictors of behavior in adolescents, and the pattern held across measures.

  • Sympathetic empathy: a blend of sympathy and empathy, and the strongest predictor of prosocial traits and behavior. It was also the strongest negative predictor of antisocial ones.
  • Cognitive empathy alone: predicted prosocial behavior.
  • Affective empathy alone: predicted emotionality but not behavior directly.

Regulated concern for another person, rather than simply catching their feelings, is what tends to turn into helping.

On the theory side, Arman (2023) proposed a model in which compassion is the foundation from which empathy, sympathy, and altruism all grow. It associates empathy with cognitive processes, sympathy with emotional engagement, and altruism with action.

Cultural Limits of the Evidence

Much of this evidence comes from culturally narrow samples. The developmental research above draws predominantly on Western, English-language samples (Chan et al., 2023; Yavuz et al., 2024).

Culture can shape empathy itself. Heinke and Louis (2009) compared Asian and European Australian participants. Cultural background and individualist or collectivist values shaped how strongly perceived similarity to a person in distress translated into perspective-taking and empathy. Collectivist values went with higher empathy scores overall.

Claims of a universal path from personal distress to sympathy are therefore provisional until cross-cultural research tests them outside that range.

Empathy in Long-Term Relationships

Most of the research above comes from children and teenagers. A 2025 study looked instead at how accurately adults read each other’s emotions once a relationship is already established (Kotiuga et al., 2025).

The study followed 327 couples through a 35-day daily diary. Each day, both partners reported their own emotions, their sense of their partner’s emotions, and how much they had shared their feelings that day.

Partners were generally accurate at tracking day-to-day changes in each other’s emotions, especially on days when feelings had been voiced out loud. Accuracy was not the whole story, though.

Partners also leaned heavily on their own current mood as a cue to guess what their partner was feeling. How cared-for someone felt tracked the intensity of emotion more closely than it tracked raw accuracy.

Being read correctly is not quite the same as being made to feel understood.

Attachment and Individual Differences

Why do some adults find empathy and compassion easier to extend than others? Recent evidence points to attachment, the bond formed with early caregivers.

Gallistl et al. (2024) combined three measures. An interview scored how coherently adults talk about their early attachment relationships, and a questionnaire captured self-reported attachment.

A behavioral task measured empathy, compassion, and theory of mind, the ability to infer what others think and feel.

Interview-rated attachment security was linked to better theory-of-mind performance. Self-reported attachment avoidance, by contrast, was linked to lower behavioral compassion.

The two attachment measures did not agree with each other. The researchers read this as evidence that they capture different facets of attachment history. The interview tracked the cognitive side of social processing, and the questionnaire tracked the motivational, caring side.

One implication is that avoiding closeness may blunt the caring side of social processing without dulling the more detached, cognitive side.

Empathy and Compassion in Healthcare

Physicians have traditionally been trained to keep some emotional distance from patients. The reasoning was that unregulated emotional resonance is exhausting over a career (Jeffrey, 2016).

Patients describe what that distance feels like.

A 2025 study interviewed 18 patients about what empathy from a clinician actually felt like to receive (von Knorring et al., 2025). Their central need, the researchers found, was to be known as a whole human being.

One patient described being reduced to a diagnosis.

“I felt like all I was, was an arm… I felt as if I was disgusting” (von Knorring et al., 2025).

Another patient explained what it felt like to be genuinely attended to instead.

“The patient needs to be regarded as a resource… I feel like I am being taken seriously” (von Knorring et al., 2025).

A third patient put it simply.

“They need to show real interest in my story and that I am the most important thing” (von Knorring et al., 2025).

Read alongside the couples’ findings above, the pattern repeats: what people register as being cared for is not raw accuracy at guessing an inner state.

It is sustained, visible engagement with the person in front of them.

Teaching Empathy in Schools

School programs that teach empathy and compassion directly, rather than assuming children pick them up unaided, have accumulating evidence behind them.

The Roots of Empathy program brings an infant and parent into the classroom each month as a springboard for lessons on emotions and perspective-taking.

Schonert-Reichl et al. (2012) found that participating children showed more advanced social and emotional understanding than non-participants. They also showed less proactive aggression and more prosocial behavior.

A more recent evaluation covered SEE Learning, a compassion-based social and emotional curriculum. It involved 685 elementary-school children across 33 classrooms.

Children who took the 12-week program reported more self-compassion, perspective-taking, and empathic concern than wait-list controls (Frazier et al., 2025).

Both evaluations used quasi-experimental designs without random assignment, so neither can rule out that classrooms differed beforehand. Neither followed children long enough to show the gains last. Frazier and colleagues call for randomized trials with longer follow-up.

Empathy in Leadership

Empathic leadership has been studied as a predictor of employee outcomes beyond morale. In a survey of 301 employees across industries, leader empathy was positively associated with employees’ innovative behavior (Ma et al., 2024).

Career adaptability statistically explained the link. This is employees’ sense of concern, control, curiosity, and confidence about their own career development.

Researchers generally treat empathy as necessary but not sufficient for a leader. Understanding what a team is going through changes little without follow-through, the motivation to act that compassion adds.

Alternative Models of Empathy and Compassion

The cognitive-emotional-action split above is a useful teaching model, but it is not the only account of empathy in the psychological literature. Rival models disagree about the underlying architecture in ways that change how empathy is measured and trained.

ModelHow it carves up empathyKey claim
Three-part modelCognitive, emotional, and action componentsThe components can be present or absent independently, and sympathy often stops at the cognitive one
Perception-Action Model (Preston & de Waal, 2002)One continuous perception-to-action processFeeling and acting are coupled by default, and “cognitive empathy” reflects self-regulation
Four-facet model (Davis, 1983)Perspective-taking, fantasy, empathic concern, and personal distressDistress drives escape and concern drives help, so they must be separated

One Mechanism or Three Separate Skills?

The Perception-Action Model (PAM) argues that empathy is not a stack of independent skills. It is one evolutionarily continuous process (Preston & de Waal, 2002).

Perceiving another person’s state directly activates the observer’s own matching representation of that state. This in turn triggers a matching bodily response.

On this account, the same basic circuitry that produces alarm-calling and mother-infant responsiveness across many species also underlies human empathy.

PAM starts somewhere different from the three-part model above. Instead of three skills that can be present or absent independently, it treats feeling and acting as coupled by default.

What looks like a separate “cognitive empathy” skill is really self-regulation: keeping another person’s state from simply taking over one’s own.

Davis’s Four-Facet Model

Davis’s (1983) multidimensional model, built around a measure called the Interpersonal Reactivity Index, splits empathy into four facets. They are perspective-taking, fantasy, empathic concern, and personal distress.

Personal distress is folded into “emotional empathy” in the three-part model above. Davis treats it separately, because it behaves differently.

Personal distress and empathic concern produce opposite motivational consequences. Distress drives escape from the situation, while concern drives help even when escape is easy.

Collapsing the two into one category, as the three-part model does, can hide exactly the distinction that predicts whether feeling something for another person actually turns into helping them.

This is not just a labelling dispute: the contrast comes from Batson’s empathy-altruism research.

Where Does Compassion Come From?

Three accounts disagree about where compassion itself originates.

  • Compassion as the root: Arman’s (2023) model treats compassion as the source from which empathy, sympathy, and altruism all grow.
  • Compassion as its own emotion: Goetz et al. (2010) argue it has its own signal of touch, posture, and vocalisation, distinct from sadness or love, and evolved to motivate protection of the vulnerable.
  • Compassion as an evolved system: Gilbert (2014) traces it to older caring and affiliative systems, shaped by parental care, that clash with newer capacities for self-criticism.

None has been decisively favoured, and each implies a different way to train compassion.

Goetz et al. point to teaching recognition and motivation directly. Arman points to building it through empathy and sympathy first. Gilbert points to training access to the older caring systems, which is the basis of compassion-focused therapy (CFT).

Which model an empathy-training programme or clinical assessment assumes changes what it measures and what it tries to build. A three-component framework invites teaching perspective-taking as if it were separable from emotional resonance, which the four-facet and continuous-process accounts both suggest may not be possible in practice.

Building Empathy as a Listener

Because empathy means feeling with someone rather than only understanding them, it can be built deliberately through listening practice. The habits below put that into practice.

Actively listen

When someone actively listens, they are not just listening to the words being said.

They pay close attention to what the other person says, sense the feelings behind it, and watch for non-verbal cues.

Listen patiently instead of planning your reply. When the person finishes, take a moment to process what was said before you respond (Salem, 2003).

Mediators treat this as a distinct, trainable skill, separate from simply being agreeable. It means tracking a disputing party’s underlying feelings and needs well enough to reflect them back accurately (Salem, 2003).

Understand what the other person needs

Resist the urge to leap to conclusions about what someone needs when they tell you what they are going through.

Use listening skills to figure out what they need. If this is unclear, it is better to ask directly than to offer the wrong kind of support.

Repeating back to someone what was heard is a good way to find out what someone needs.

For instance, saying, ‘What I am hearing is that you don’t feel valued when X happens, is that right?’ can get to the point of what the other person needs. 

Prioritize emotional intelligence 

Those who have high emotional intelligence tend to be more self-aware, are better able to manage themselves, are aware of social cues, and are more capable of managing relationships.

Practicing ways of being more emotionally intelligent can therefore go hand-in-hand with being an empathic listener. 

What not to do

  • Don’t interrogate or argue: Direct questions, arguments, and disputed facts put a barrier between listener and sufferer. Focus fully on what is being said and how the speaker feels instead.
  • Skip unsolicited opinions: The listener does not need to agree with everything the other person says. What matters is showing the speaker they are cared for and that they matter.
  • Don’t fill the silence: Sometimes all someone needs is to feel heard. A pause may just be the speaker gathering their thoughts or processing their emotions.

Frequently Asked Questions

Which is stronger: sympathy or empathy?

Sympathy is essentially telling someone, ‘I u003cemu003eknowu003c/emu003e how you feel,’ whereas empathy is saying, ‘I u003cemu003efeel u003c/emu003ehow you feel.’u003cbru003eu003cbru003eEmpathy is deeper and more intense than sympathy. It is about acknowledging a person’s feelings and genuinely imaging and trying to feel what it’s like to be in their situation. 

Can you be empathetic without being sympathetic?

Empathy is the ability to feel someone else’s emotions, whereas sympathy means feeling and/or showing a reaction such as sorrow or pity. u003cbru003eu003cbru003eIn the same way that sympathy can occur without empathy, it is possible to understand another person’s emotions without being sympathetic. For example, someone who is a u003ca href=u0022https://www.simplypsychology.org/narcissistic-personality-disorder.htmlu0022 data-type=u0022postu0022 data-id=u002211434u0022u003enarcissistu003c/au003e may be able to perceive what others are feeling but lack the sympathy to care about another person. 

Is empathy the same as altruism?

These two terms are related emotions; therefore, many tend to consider them as the same thing. However, someone who is altruistic can practice selfless concern for others’ welfare. u003cbru003eu003cbru003eIt is the charitable emotion to help others without expecting anything in return. Empathy, on the other hand, is the ability to understand another’s emotions and to share their feelings. u003cbru003eu003cbru003eEmpathy and altruism are related since both trigger acts of generosity in someone towards another. Empathy can also be the reason why someone is altruistic. 

What is a dark empath?

Not all empaths have good intentions. Someone who is a u003ca href=u0022https://www.simplypsychology.org/dark-triad-personality.htmlu0022 data-type=u0022postu0022 data-id=u002211613u0022u003edark empathu003c/au003e is highly attuned to others’ emotions, but they use their empathic abilities as a weapon.u003cbru003eu003cbru003eA dark empath knows how to connect with another person but can use their knowledge to manipulate or take advantage of another person. u003cbru003eu003cbru003eA dark empath can give a false sense of trust to others when first getting to know them since they can portray their empathy in a positive light. This can lead to others thinking highly of them since they clearly show displays of empathy. u003cbru003eu003cbru003eThis makes it more dangerous later down the line: the dark empath uses their empathy to manipulate others for personal gain. That manipulation may go unnoticed until people are hurt.  

Can you have compassion without empathy? 

Compassion is not the same as empathy, although the concepts are related. Empathy refers more generally to the ability to take the perspective of and feel the emotions of another person. Compassion is when those feelings and thoughts include the desire to help.u003cbru003eu003cbru003eIt is possible to display kindness and compassion for practical reasons without any real empathy for others’ suffering. Someone may have the desire to help people in need without attaching deeper emotions and understanding of the suffering they are going through. 

What is more important: empathy or compassion? 

Empathy and compassion are needed in everyday life, especially when interacting with others. Without them, it can be difficult to maintain healthy relationships. u003cbru003eu003cbru003eEmpathy and compassion can help people to exhibit kind and loving behavior toward people they care about, which helps reinforce relationships.  u003cbru003eu003cbru003eDark empaths and narcissists can misuse empathy to manipulate others. A time when empathy may be dangerous on its own is when it comes to u003ca href=u0022https://www.simplypsychology.org/leadership-styles.htmlu0022 data-type=u0022postu0022 data-id=u002211478u0022u003eleadershipu003c/au003e. u003cbru003eu003cbru003eIn times of crisis, having a leader who is only empathetic may understand others’ suffering, but this does not mean they will do anything about it. Being a compassionate leader, on the other hand, can cultivate positive change and unify people. 

Key Takeaways

  • Sympathy vs Empathy: Sympathy is feeling concern for someone from a cognitive distance; empathy is feeling with them, sharing their emotion directly.
  • Three Components: Empathy breaks down into cognitive, emotional, and action components. Sympathy usually stops at the cognitive level.
  • Compassion: Compassion goes further than either, motivating someone to help even when they cannot personally relate to the other person’s pain.
  • Context Matters: Closer relationships tend to call for empathy, while more socially distant ones, such as a co-worker or boss, often call for sympathy instead.
  • Recent Evidence: 2025 research on couples and on healthcare patients both suggest what matters most is not accuracy in reading someone’s feelings, but sustained, visible care.
  • Dark Empaths: High cognitive empathy combined with dark triad traits can be used to manipulate people rather than help them (Heym et al., 2021).

References 

Arman, M. (2023). Empathy, sympathy, and altruism—An evident triad based on compassion. A theoretical model for caring. Scandinavian Journal of Caring Sciences, 37(3), 862-871.

Brazil, K. J., Volk, A. A., & Dane, A. V. (2023). Is empathy linked to prosocial and antisocial traits and behavior? It depends on the form of empathy. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 55(1), 75.

Breyer, T. (2020). Empathy, sympathy and compassion. In The Routledge handbook of phenomenology of emotion (pp. 429-440). Routledge.

Brown, B., Davis, K., Stephenson, A., & Francis-Sears, A. (2013). Brené Brown on empathy.

Chan, A. B., Fleming, G. E., Kaouar, S., & Kimonis, E. R. (2023). The measure of empathy in early childhood: Testing the reliability, validity, and clinical utility of scores in early childhood. Psychological Assessment, 35(9), 791–803.

Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113-126. https://doi.org/10.1037/0022-3514.44.1.113

Flasbeck, V., Matthiessen, A., Alabowitz, A., Rusu, A. C., & Brüne, M. (2023). Is your pain my pain? A study exploring the relation between pain sensitivity, pain thresholds and empathy for somatic and psychological pain. British Journal of Clinical Psychology, 62(4), 748-761. https://doi.org/10.1111/bjc.12436

Frazier, T., Roeser, R. W., Schonert-Reichl, K. A., & Negi, L. T. (2025). Evaluating the feasibility and preliminary impact of the Social, Emotional, and Ethical (SEE) Learning program: A compassion-based social and emotional learning program for elementary school children. PLOS ONE, 20(8), e0328519. https://doi.org/10.1371/journal.pone.0328519

Gallistl, M., Kungl, M., Gabler, S., Kanske, P., Vrticka, P., & Engert, V. (2024). Attachment and inter-individual differences in empathy, compassion, and theory of mind abilities. Attachment & Human Development, 26(4), 350-365. https://doi.org/10.1080/14616734.2024.2376762

Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6-41. https://doi.org/10.1111/bjc.12043

Goetz, J. L., Keltner, D., & Simon-Thomas, E. (2010). Compassion: An evolutionary analysis and empirical review. Psychological Bulletin, 136(3), 351-374. https://doi.org/10.1037/a0018807

Heinke, M. S., & Louis, W. R. (2009). Cultural background and individualistic-collectivistic values in relation to similarity, perspective taking, and empathy. Journal of Applied Social Psychology, 39(11), 2570-2590. https://doi.org/10.1111/j.1559-1816.2009.00538.x

Heym, N., Kibowski, F., Bloxsom, C. A., Blanchard, A., Harper, A., Wallace, L., Firth, J. & Sumich, A. (2021). The Dark Empath: Characterising dark traits in the presence of empathy. Personality and individual differences, 169, 110172.

Jeffrey, D. (2016). Empathy, sympathy and compassion in healthcare: Is there a problem? Is there a difference? Does it matter?. Journal of the Royal Society of Medicine, 109(12), 446-452.

Kotiuga, J., Daspe, M.-È., Dawson, S. J., Bergeron, S., & Vaillancourt-Morel, M.-P. (2025). Empathic accuracy in couples: A daily diary study of relationship-related emotions. Emotion, 25(7), 1690–1703. https://doi.org/10.1037/emo0001532

Ma, G., Wu, W., Liu, C., Ji, J., & Gao, X. (2024). Empathetic leadership and employees’ innovative behavior: examining the roles of career adaptability and uncertainty avoidance. Frontiers in Psychology, 15, 1371936. https://doi.org/10.3389/fpsyg.2024.1371936

Preston, S. D., & de Waal, F. B. M. (2002). Empathy: Its ultimate and proximate bases. Behavioral and Brain Sciences, 25(1), 1-20. https://doi.org/10.1017/S0140525X02000018

Salem, R. (2003). Empathic listening. Beyond intractability. 

Schonert-Reichl, K. A., Smith, V., Zaidman-Zait, A., & Hertzman, C. (2012). Promoting children’s prosocial behaviors in school: Impact of the “Roots of Empathy” program on the social and emotional competence of school-aged children. School Mental Health, 4(1), 1-21. https://doi.org/10.1007/s12310-011-9064-7

Singer, T., Seymour, B., O’Doherty, J., Kaube, H., Dolan, R. J., & Frith, C. D. (2004). Empathy for pain involves the affective but not sensory components of pain. Science, 303(5661), 1157-1162. https://doi.org/10.1126/science.1093535

von Knorring, J., Lehti, A., Lindvall, K., & Semb, O. (2025). I want to be known as a whole human being: A qualitative study about patients’ experiences of empathy in health care. Journal of Patient Experience, 12. https://doi.org/10.1177/23743735251369702

Yavuz, H. M., Colasante, T., Galarneau, E., & Malti, T. (2024). Empathy, sympathy, and emotion regulation: A meta-analytic review. Psychological Bulletin, 150(1), 27–44.

Further information

An animated video that discusses the differences between sympathy and empathy, narrated by Dr Brené Brown

A split screen infographic outlining what sympathy is on one side and empathy on the other side, outlining the differences between them both.

Saul McLeod, PhD

BSc (Hons) Psychology, MRes, PhD, University of Manchester

Chartered Psychologist (CPsychol)

Saul McLeod, PhD, is a qualified psychology teacher with over 18 years of experience in further and higher education. He has been published in peer-reviewed journals, including the Journal of Clinical Psychology.


Olivia Guy-Evans, MSc

Associate Editor for Simply Psychology

BSc (Hons) Psychology, MSc Psychology of Education

Olivia Guy-Evans is a writer and associate editor for Simply Psychology, where she contributes accessible content on psychological topics. She is also an autistic PhD student at the University of Birmingham, researching autistic camouflaging in higher education.