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James R. Doty, M.D.

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The Science of Compassion

Posted: 06/07/2012 1:38 pm

Why, in a country that consumes 25% of the world's resources (the U.S.), is there an epidemic of loneliness, depression, and anxiety? Why do so many in the West who have all of their basic needs met still feel impoverished? While some politicians might answer, "It's the economy, stupid," Based on scientific evidence, a better answer is, "It's the lack compassion, stupid."

I recently attended the Templeton Prize ceremony at St. Paul's Cathedral in London and have been reflecting on the words of His Holiness the Dalai Lama in conversation with Arianna Huffington: "If we say, oh, the practice of compassion is something holy, nobody will listen. If we say, warm-heartedness really reduces your blood pressure, your anxiety, your stress and improves your health, then people pay attention." As director of the Center for Compassion and Altruism Research and Education (CCARE) at Stanford University (one of the two organizations recognized in the Templeton Prize press release), I would agree with the Dalai Lama.

What exactly is compassion? Compassion is the recognition of another's suffering and a desire to alleviate that suffering. Often brushed off as a hippy dippy religious term irrelevant in modern society, rigorous empirical data supports the view of all major world religions: compassion is good.

Our poverty in the West is not that of the wallet but rather that of social connectedness. In this modern world where oftentimes both parents work, we are spending less time as a family. People are living farther away from extended families and perhaps more disconnected than ever before as suggested by Robert Putnam in Bowling Alone. Putman observes that we thrive under conditions of social connection but that trust and levels of community engagement are on the decline. Loneliness is on the rise and is one of the leading reasons people seek counseling.

One particularly telling survey showed that 25% of Americans have no one that they feel close enough with to share a problem. That means that one in four people that you meet has no one to talk to and it is affecting their health. Steve Cole from UCLA, a social neuro-genetics scientist, has shown that loneliness leads to a less healthy immune stress profile at the level of the gene -- their gene expression makes them more vulnerable to inflammatory processes which have been shown to have negative effects on health. Research by expert well-being psychologists Ed Diener and Martin Seligman indicates that social connectedness is a predictor of longer life, faster recovery from disease, higher levels of happiness and well-being, and a greater sense of purpose and meaning. One large-scale study showed that lack of social connectedness predicts vulnerability to disease and death above and beyond traditional risk factors such as smoking, blood pressure, obesity and lack of physical activity.

While many pay attention to their diet and go to the gym regularly to improve their health, they don't think of social connectedness this way. Just like physical fitness, compassion can be cultivated and maintained. Chuck Raison and colleagues at Emory University have demonstrated that a regular compassion meditation practice reduces negative neuroendocrine, inflammatory and behavioral responses to psychosocial stress. Exercising compassion not only strengthens one's compassion but brings countless benefits to oneself and others. In fact, Jonathan Haidt at the University of Virginia and others have shown that, not only are we the recipient of compassion's benefits but others are inspired when they see compassionate actions and in turn become more likely to help others in a positive feedback loop.

As human beings, we will inevitably encounter suffering at some point in our lives. However, we also have evolved very specific social mechanisms to relieve that pain: altruism and compassion. It is not just receiving compassion that relieves our pain. Stephanie Brown, professor at SUNY Stony Brook University and the University of Michigan, has shown that the act of experiencing compassion and helping others actually leads to tremendous mental and physical well-being for us as well. While survival of the fittest may lead to short-term gain, research clearly shows it is survival of the kindest that leads to the long-term survival of a species. It is our ability to stand together as a group, to support each other, to help each other, to communicate for mutual understanding, and to cooperate, that has taken our species this far. Compassion is an instinct. Recent research shows that even animals such as rats and monkeys will go through tremendous effort and cost to help out another of its species who is suffering. We human beings are even more instinctually compassionate; our brains are wired for compassion.

At Stanford University's Center for Compassion and Altruism Research and Education (CCARE), in collaboration with colleagues in psychology and the neurosciences worldwide, we aim to further research on compassion and altruism. I'm happy to report that in July, CCARE will be sponsoring the largest gathering of experts ever brought together on this topic in a conference entitled, Science of Compassion: Origins, Measures and Interventions. Many of the pioneering researchers of compassion, including several mentioned in this article, will be presenting their latest research findings there. We invite you to join us. For more information, please click here.

 

Follow James R. Doty, M.D. on Twitter: www.twitter.com/ccare

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11:57 PM on 06/30/2012
the points raised here are very important. i would add that poverty is indeed a very real problem in the west, though not one impacting many neurosurgeons. the total understanding of how poor many people are, within only a few miles of stanford university, is cognitively dissonant with the thesis of this article. this author is so out of touch with the suffering around him. that's pretty outrageous. how can one, especially a dr, not be aware of rising unemployment, student debt, homelessness, hunger, housing foreclosures not to mention lack of access to health care?

for people with fewer financial resources, this lack of connection, lack of mutual aid, social darwinism, blaming the victim, lack of a safety net, patronizing charity, and other symptoms of this collective epidemic, is even more severe and more threatening.

if the dr. doesn't do so already, perhaps he could drive a few miles to oakland and volunteer to provide vital medical care to people who don't have access to it, understanding that even his efforts are are a drop in the bucket of the vast human need even in the wealthiest nation on earth.
12:16 PM on 06/26/2012
Simple. Serve others and one gets all the benefits listed above. One slight addition perhaps. When we are focused on serving others, we may still be in emotional or physical pain, but we don't pay attention to it because it no longer matters. What matters more is the service.
06:46 PM on 06/16/2012
Compassion...hmmm.
What's in it for me?

LOL
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livingbettertherapy
Counselor, Therapist, Strategic Intervention
12:47 PM on 06/13/2012
Studies have shown that compassion is healthier for us. If it is indeed instinctual, many are doing all they can to resist it to the detriment of their health, happiness and relationships.
10:18 AM on 06/19/2012
Unfortunately, while compassion and empathy are instinctual, there are other components of our evolution that have not evolved to the present requirements of modern life and as a result in some instances make us our own worst enemy. That being said, within each of us is the capacity to "change our brain".
06:46 PM on 06/12/2012
The absence of empathy, which is the wellspring of both compassion and altruism, is the sine qua non of psychopathology. Interestingly, the wealthy have been shown to be considerably less empathetic than those with lesser means. It is small wonder that 10% of the people on Wall Street are believed to be psychopaths. It is only surprising that the percentage is not much higher.
10:23 AM on 06/19/2012
Sadly you are correct. At the same time, many of these individuals are suffering in different ways. It is easy to be critical of those who by appearances seem to have everything but in reality these are some of the most impoverished people there are. Unfortunately only a very small percentage of the extremely wealthy share it with those who are less fortunate. In fact, they hold onto so tightly because they fear that without it they will have to face the profound hollowness that exists within them.
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Richard Bartholomew
My micro-bio isn't empty.
03:24 AM on 06/11/2012
Bodeswell wrote: 'So is general taxation theft, then?'

It depends on what you mean by 'general taxation'.

'... maybe you have your own private army to protect you.'

Taxation to support a national army is not theft. Members of the U.S. Congress may legally (and morally, IMHO) to lay and collect Taxes, Duties, Imposts and Excises to support a national army pursuant to Article 1, Section 8, Clause 12 of the United States Constitution:

'To raise and support Armies, but no Appropriation of Money to that Use shall be for a longer Term than two Years;'
-- http://www.usconstitution.net/const.html

'Also, I'd be happy to be taxed for the health care of all, as I was when living abroad.'

The U.S. Constitution forbids elected federal representatives from collecting taxes for health care. Doing so is thus unequivocally illegal (as well as immoral).

'In the several countries I have lived in, I've never seen such eagerness to gain credit for charity, and the huge pre-eminence of sponsorship over giving for no reward, as we have here - even at small local charity levels.'

I've lived and worked in Germany for more than five years now. I notice no such difference.

'Apropos, reading per capita percentage of disposable income charitable donations in the developed world shows that we as individuals lag behind individuals in most countries where they also pay high taxes for health care and higher education.'

Cite your references please.
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03:49 AM on 06/10/2012
"If we say, oh, the practice of compassion is something holy, nobody will listen. If we say, warm-heartedness really reduces your blood pressure, your anxiety, your stress and improves your health, then people pay attention."

The Dalai Lama clearly did not have the US healthcare debate on his mind. Otherwise he might have added that compassion is also the only way to reign in healthcare costs.

Which is holy, when you adhere to the gospel of wealth.
06:48 PM on 06/16/2012
I wonder at your knowing what the Dalai Lama had in mind!

Zowie! Talk about well connected!
10:30 AM on 06/19/2012
Sadly we have not faced the demons that other industrialized countries have faced. What are the major causes of our healthcare debacle where we spend the most of any industrialized country per capita and have the lowest patient satisfaction. Where we have the highest number of uninsured and the highest infant mortality.

The causes-
1. Childhood poverty...an extraordinary predictor of future health. Poverty should not be blamed on those who are poor. We have a system that creates generational poverty.
2. Creating a system that has chosen a pound of cure instead of an ounce of prevention and that pound of cure comes at an exponentially higher cost.
3. The creation of a healthcare industrial complex that promotes technologies and pharmaceuticals that are either minimally more effective or only as effective when compared to other interventions and much less cost.

Our future truly will require compassion for those who are less fortunate...
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jf12
When I saw her I marveled greatly.
06:10 PM on 06/09/2012
Prayer.
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12:25 AM on 06/10/2012
As an act of compassion?
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jf12
When I saw her I marveled greatly.
10:18 AM on 06/10/2012
Meditation compassion as an act of communication.
12:34 PM on 06/09/2012
"As human beings, we will inevitably encounter suffering at some point in our lives. However, we also have evolved very specific social mechanisms to relieve that pain: altruism and compassion. "

Of course evolution is assumed. How did it happen is the question.

"Somewhere in our evolutionary history, there were presumably similarly prodigious protohumans, produced by some accident of genetics or environment, whose greater intelligence gave them the edge over their less gifted peers. Today’s chimp prodigies do not seem to profit from their intelligence in the same way. Their society and environment do not reward it as ours did."

A question of intelligence
New Scientist 26 March 2012

Oh, that explains it.

In short, somewhere, in an unobserved evolutionary history, presumably, an accident of genetics or environment did something, perhaps developing a conscience, that internalized rules, generating “altruistic genes” that in turn produced true altruism, leading apes down a path that led to us humans with our intelligence, virtue and morality. To call evolutionary answers “hard wired” is being truly altruistic. That, in and of itself, is evidence that altruism and intelligence are not products of material processes of selection and “fortuitous” accident, but of design. It follows logically that it is neither virtuous nor sensible to think otherwise.
06:32 PM on 06/08/2012
Moderately good, James.
For more informations, ask your dog
08:06 AM on 06/08/2012
Compassion is an instinct?
What?
And how did you determine that?
How can you determine that?
Did you place new borns in a vacume and let them go it alone to adult hood?
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Tylerious
My mom thinks I'm awesome
11:08 AM on 06/08/2012
Sounds like you should do some research. It's pretty interesting how neurologists and psychologists can uncover aspects of the human condition.
12:08 PM on 06/08/2012
Most of which related to human behavior is changed or rejected in the future,
There is no way to establish compassion as an innate of man like eating, walking, etc.
From birth the infant is shown compassion. They are fed and held. That is an outside influence on the child.
12:20 AM on 06/29/2012
There are a number of lines of evidence supporting this position. The finding of "mirror neurons" and evidence for their activity through functional MRI scans have demonstrated that humans are "hard-wired" to experience 'sympathetic emotions' when exposed for example to someone in pain - as when people wince when seeing a player injured at football. While the ability to experience (or suppress) compassion can be learned, this evidence suggests an "instinctual" component to compassion. Another argument along Darwinian lines suggests that humans have evolved as social beings. For some animals (honey bees etc.) including humans there is a survival advantage to individuals looking after each other. "Social Darwinism" has been misunderstood as referring only to competitive aspects of social evolution. See Francis Fukuyama's book, "The Origins of Political Order," for an excellent discussion of this argument.
lastpost
see biography
07:28 AM on 06/08/2012
"compassion is good."
And like its mirror mercy, twice blessed.

"purpose and meaning."
Too far from the farm.

"Compassion is an instinct."
A veritable Unselfish Gene?

"the largest gathering of experts ever brought together on this topic"
should perhaps include Richard Dawkins. Offering both the opportunity for a new look, and the material for a new book?
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earthinretrograde
Information Is Power
06:47 AM on 06/08/2012
Compassionate conservitism gave a distortion to altruism. Some people are very confused.Good intentions but the two are polar opposites in the path taken to help.
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kamachanda
Mr. President, Tear this Wall Street down!
05:39 AM on 06/08/2012
This will not impress Ayn Rand or any other well known Rand....
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Richard Bartholomew
My micro-bio isn't empty.
06:46 AM on 06/08/2012
'A call to Libertarian charity
by Eric A. Bryant

'Libertarians believe that the primary political vice is the initiation of force, fraud, or coercion to achieve political aims. As a result, we renounce the welfare state as an unjust system of forced charity. We do not believe (in terms of platform) that needy individuals have a right to be helped by the government or that other individuals have a political obligation to help them.

'But does that mean libertarians should give to private charity? The answer is: Yes.

'Libertarians should be charitable not because we have a duty to help those less fortunate than us. We should be charitable, ironically, for more selfish reasons. We should regularly give to charity in order to increase our membership and political influence, thereby bringing ourselves closer to the free society we want to live in.'
-- http://forum.freestateproject.org/index.php?topic=3983.0;wap2
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kamachanda
Mr. President, Tear this Wall Street down!
09:10 AM on 06/08/2012
An untrustworthy crowd of people mangling the language for their own ends. I will stick with more reliable authors.

" The great enemy of clear language is insincerity "

"the whole aim of Newspeak is to narrow the range of thought?"

George Orwell
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Tylerious
My mom thinks I'm awesome
11:10 AM on 06/08/2012
Sounds just as plausible as communism.
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03:03 PM on 06/10/2012
Kudos for your microbio!
05:36 AM on 06/08/2012
Compassion and altruism are innate in human society. So are envy and pride.