brain imaging studies of empathy and compassion- gaelle desbordes

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Brain imaging studies of Empathy and Compassion Gaelle Desbordes CCARE Summer Research Institute July 2013

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Page 1: Brain Imaging Studies of Empathy and Compassion- Gaelle Desbordes

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Brain imaging studies of Empathy

and Compassion

Gaelle DesbordesCCARE Summer Research Institute

July 2013

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The neural basis of empathy

Bernhardt & Singer, Annual Review in

Neuroscience 2012

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Neural basis of empathy for pain

Bernhardt & Singer, Ann. Rev. Neurosci., 2012

Anterior InsulaAnterior/Middle

Cingulate Cortex

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Cue-based experiments

Bernhardt & Singer, Ann. Rev. Neurosci., 2012

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Cue-based experiments stimulate the

Mentalizing (Theory of Mind) network

Bernhardt & Singer, Ann. Rev. Neurosci., 2012

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Picture-based experiments stimulate

the Mirror-Neuron network

Bernhardt & Singer, Ann. Rev. Neurosci., 2012

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Empathy, and corresponding insula activation,

are modulated by individual traits such as

alexithymia

Bernhardt & Singer, Ann. Rev. Neurosci., 2012

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Empathy response to another player’s suffering

is modulated by their perceived fairness

Singer et al., Science, 2006; Bernhardt & Singer, Ann. Rev. Neurosci., 2012

Anterior Insula (AI)

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Empathy response to another player’s suffering

is modulated by their perceived fairness

Singer et al., Science, 2006; Bernhardt & Singer, Ann. Rev. Neurosci., 2012

Nucleus Accumbens (NAcc)

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Empathy response to another player’s

suffering is modulated by

ingroup/outgroup membership

Hein et al., Neuron, 2010; Bernhardt & Singer, Ann. Rev. Neurosci., 2012

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Empathy response to another player’s

suffering is modulated by

ingroup/outgroup membership

Hein et al., Neuron, 2010; Bernhardt & Singer, Ann. Rev. Neurosci., 2012

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Love hurts: an fMRI study

Cheng, Chen, Li, Chou & Decety, NeuroImage 2010

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Empathy for pain in 3 different

perspective-taking conditions

18Cheng et al., NeuroImage, 2010

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Empathy for pain in loved-one vs. stranger

engage different brain regions

19Cheng et al., NeuroImage, 2010

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Compassion meditation enhances empathic

accuracy and related neural activity

Mascaro, Rilling, Negi & Raison, Social Cognitive & Affective

Neuroscience 2013

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The Compassion Attention Longitudinal

Meditation (CALM) study

• healthy subjects, 25-55 years-old

• 8-week intervention, 2 hours/week

• 3 randomized groups:

 – Cognitively-Based Compassion Training (CBCT) – Mindful-Attention Training (shamatha meditation)

 – Active control

• Homework: meditate 20-30 min every day

21

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Reading the Mind in the Eyes Test (RMET):

testing “Mentalizing” abilities 

22Mascaro et al., SCAN , 2013

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23Mascaro et al., SCAN , 2013

After compassion

training, increased

activation in“mentalizing” areas 

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Functional neural plasticity and associated

changes in positive affect after compassion

training

Klimecki, Leiberg, Lamm & Singer, Cerebral Cortex 2013

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26Klimecki et al., Cerebral Cortex , 2013

Socio-Affective Video Task

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28Klimecki et al., Cerebral Cortex , 2013

Subjective ratings of 

empathy

Regions parametrically

modulated by self-

reported empathy:

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Study design

• 18 –35 year-old females

• 1-day (6-hr) course in loving-kindness meditation

• Guided practices of 15 –30 min each

Participants kept practicing for a few additional hours, duringevening classes, laboratory assessments (3x45 min), and at

home.

• Control group: Memory training.

29

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30Klimecki et al., Cerebral Cortex , 2013

Changes in positive affect, negative affect, and

empathy after Compassion or Memory training

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31

Effects of COM and MEM training on brain

response to HE videos

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Conclusion: Effects of one-day training

in compassion meditation

1. Increased positive affect, even in response to others’ suffering 

2. Stronger activations in a specific neural network including the

mOFC, pallidum, putamen, and VTA/SN—brain regions

previously implicated in positive valuation, love, and

affiliation

32Klimecki et al., Cerebral Cortex , 2013

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Differential pattern of functional brain

plasticity after compassion and empathy

training

Klimecki, Leiberg, Ricard & Singer, Social Cognitive &

 Affective Neuroscience 2013

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Study design:

empathy, followed by compassion, training

vs. memory training

34Klimecki et al., SCAN , 2013

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Empathy and compassion engage

distinct brain networks

35Klimecki et al., SCAN , 2013

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36

Empathy, compassion, memory training:

different effects on

empathy- and compassion-related brain regions

Klimecki et al., SCAN , 2013

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Effects of mindful-attention and compassion

meditation training on amygdala response to

emotional stimuli in an ordinary, non-

meditative state

Desbordes, Negi, Pace, Wallace, Raison & Schwartz, Frontiers

in Human Neuroscience 2012

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PRE POST

Amygdala response to emotional

images, PRE/POST 8-week training

 p<0.05

PRE POST

PRE POST

Control

PRE POST

PRE POST PRE POST* 

Desbordes et al., Frontiers in Human Neuroscience, 2012  38

Compassion

Meditation

Mindful-Attention

Meditation

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Temporo-Parietal Junction (TPJ):

global decrease

Control Compassion

Meditation

PRE POST PRE POST PRE POST

PRE POST PRE POSTPRE POST

**

****

*

 p<0.05  p<0.05

39

Mindful-Attention

Meditation

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Right Anterior Insula: global decrease

40

PRE POST PRE POST

* p<0.05

PRE POST

Control MAT Compassion

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Compassion training alters altruism and

neural responses to suffering

Weng, Fox, Schackman, Stodola, Caldwell, Olson,

Rogers & Davidson, Psychological Science 2013

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Study design

• COM: Loving-kindness and compassion training,inspired from Tibetan tradition, similar to CBCT

• REA: Active control: Reappraisal technique (from CBT)

• 2 weeks, 30-min per day (guided practice)

• Healthy 18-45 y.o., N=20 COM, N=21 REA.

• PRE and POST: fMRI task: watch IAPS images (sufferingor neutral) while applying training (COM or REA)

•POST only: play redistribution game with “real” playersover the Internet

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Hypotheses

• 2 brain systems for empathy: – Experience sharing (putting yourself in someone else’s

shoes)

 – Mentalizing (social inferences and self-referential

processes)• Altruistic responses to others’ suffering can be

strengthened through 2 regulatory pathways: – Decreased personal distress via stronger emotion

regulation (increased PFC, decreased Amyg) – Increased empathic concern (increased Ant Insula and

NAcc)

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Redistribution game

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Weng et al., Psych Sci, 2013

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Weng et al., Psych Sci, 2013

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Conclusions• Compassion trainees were more altruistic in redistribution game

than reappraisal trainees

• In COM group, greater redistribution was associated with greateractivation in right inferior parietal cortex when watching IAPSimages of suffering (vs. neutral images) while evoking compassion.(No such association in REA group.)

• Similar effect in R DLPFC (with opposite (!) association in REAgroup).

• In COM group, greater redistribution tended to be associated (N/S)with higher DLPFC-NAcc connectivity: maybe increased positiveappraisal of aversive stimuli, e.g. enhancing the reward value of thevictim’s well-being (e.g., caring) and increasing the anticipated

reward of helping the victim.• In REA group, lower redistribution was significantly associated with

higher DLPFC-NAcc connectivity: goal was to decrease personalnegative emotions?