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Empathy, Justice, and Moral Behavior

Article in The American Journal of Bioethics · August 2015


DOI: 10.1080/21507740.2015.1047055

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AJOB Neuroscience, 6(3): 3–14, 2015
Copyright © Taylor & Francis Group, LLC
ISSN: 2150-7740 print / 2150-7759 online
DOI: 10.1080/21507740.2015.1047055

Target Article

Empathy, Justice, and Moral Behavior


Jean Decety, University of Chicago and University of Chicago Medicine
Jason M. Cowell, University of Chicago

Empathy shapes the landscape of our social lives. It motivates prosocial and caregiving behaviors, plays a role in inhibiting
aggression, and facilitates cooperation between members of a similar social group. Thus, empathy is often conceived as a
driving motivation of moral behavior and justice, and, as such, everyone would think that it should be cultivated. However, the
relationships between empathy, morality, and justice are complex. We begin by explaining what the notion of empathy
encompasses and then argue how sensitivity to others’ needs has evolved in the context of parental care and group living. Next,
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we examine the multiple physiological, hormonal, and neural systems supporting empathy and its functions. One troubling but
important corollary of this neuro-evolutionary model is that empathy produces social preferences that can conflict with fairness
and justice. An understanding of the factors that mold our emotional response and caring motivation for others helps provide
organizational principles and ultimately guides decision making in medical ethics.
Keywords: decision making, empathy, fairness, group biases, justice, morality, social neuroscience

Empathy is everywhere in both the popular and academic care for others. This agrees with his invocations of empa-
arenas including medicine, law, and economics. However, thy combined with concern for the less advantaged. How-
not everyone agrees with the idea that empathy is a good ever, legal and just do not always go together, nor does
thing, from a moral point of view, or that it is something empathy systematically lead to moral decisions.
we should cultivate because it makes us better people. The relationships between empathy, morality, and jus-
Recall, for instance, the visceral responses from conserva- tice are indeed complex. For instance, regardless of
tive pundits when President Obama, speaking of his whether one considers that the law should be a self-
choice to nominate a new Supreme Court Justice, said, “I referring construct of “pure geometry,” that is, absent
will seek someone who understands that justice isn’t about social or environmental context considerations, or a “social
some abstract legal theory or footnote in a casebook; it is process that deals with human activity, with cause and
also about how laws affect the daily realities of people’s effect, with the past and the future” (Cohen 1935), one can
lives.” That kind of judge, Obama explained, will have argue that law and morality are two distinct domains and
empathy: “I view the quality of empathy, of understanding that a system of law can rest on an immoral foundation,
and identifying with people’s hopes and struggles as an like the apartheid in South Africa between 1948 until
essential ingredient for arriving at just decisions and out- 1994. Do we need judges who have the empathy to recog-
comes.” Obama spoke at length about the “empathy defi- nize what is like to be a young teenage mom or to under-
cit” in a January 20, 2008, campaign speech in Atlanta: stand what it’s like to be poor, African American, or gay?
“I’m talking about an inability to recognize ourselves in Do we need medical ethicists to have empathy when
another; to understand our brother’s keeper; we are our examining cost-effectiveness or resource allocation in
sister’s keeper; that, in the words of Dr. King, we are all medical care?
tied together in a single garment of destiny.” President The purpose of this article is to examine the intersection
Obama considers principles like freedom and fairness, not of neuroscience and psychology on the study of empathy
just for ourselves but for everyone, to be products of our and moral decision making.1 Substantial progress has

1. Morality encompasses notions of justice, fairness, and rights, as well as maxims regarding interpersonal relations. Another theoretical
view contends that morality includes the full array of psychological mechanisms that are active in the moral lives of people across cul-
tures. Rather than stating the content of moral issues (e.g., justice and welfare), this definition specifies the function of moral systems as
an interlocking sets of values, virtues, norms, practices, and identities that work together to suppress or regulate selfishness and make
cooperative social life possible. What seems clear is that, regardless of the definition, a central focus of morality is the judgment of the
rightness or wrongness of acts or behaviors that knowingly cause harm to people.
Address correspondence to Jean Decety, Child Neurosuite—Department of Psychology and Psychiatry, University of Chicago, 5848 S.
University Avenue, Chicago, IL 60637, USA. E-mail: decety@uchicago.edu
Color versions of one or more of the figures in this article can be found online at www.tandfonline.com/uabn

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been made in recent years toward a comprehensive under- 1. Affective sharing, which reflects the natural capacity to
standing of the evolutionary processes that have favored the become affectively aroused by others’ emotions.
development of complex social behaviors in humans, along 2. Empathic concern, which corresponds to the motivation
with the brain architecture that supports them. In particular, of caring for another’s welfare.
research in social neuroscience, relying on multilevel integra- 3. Perspective taking, which is the ability to consciously
tive analysis studies (from genes to social interactions), pro- put oneself into the mind of another individual and
vides a mechanistic comprehension of empathy and caring imagine what that person is thinking or feeling.
for others. Drawing from theoretical and empirical work in
developmental science, social psychology, and affective neu- Each of these emotional, motivational, and cognitive
roscience, we argue that empathy should be regarded with facets of empathy emerges from specific neurobiological
caution and is not enough to serve as a central motivation in processes and reflects evolved functions that allow
driving moral judgment and decision making. The evidence humans to thrive by detecting and responding to signifi-
supports a more moderate view of the role of empathy in cant social events necessary for surviving, reproducing,
morality. Cognitive reasoning is equally important for moral and maintaining well-being.
reasoning and justice. Understanding the role of empathy in
morality requires a precise description of what the concept
empathy embodies. NEUROBIOLOGICAL MECHANISMS UNDERLYING
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EMPATHY
While it is important to consider the broad range of spe-
THE TOO MANY MEANINGS OF EMPATHY cies-specific behaviors when dealing with motivated
behaviors, there is a clear evolutionary continuity in paren-
One reason that the notion of empathy has become so pop-
tal care and the underlying physiological mechanisms
ular in academia as well as to the lay public is that this con-
across mammalian species. In humans, the evolutionary
cept is used to refer to a heterogeneous collection of related
emergence of higher level neural structures occurred with-
phenomena. However, careful analysis shows that they are
out the replacement of more primitive neural systems.
not aspects or facets of a single thing, as one might say that
Rather, the human brain is organized so that the same
an attitude has cognitive, affective, and behavioral compo-
inputs are parallel processed at multiple levels, with the
nents (Batson 2009). Empathy is such an unwieldy concept
responses orchestrated at lower levels of the central ner-
that any academic book on the topic usually includes a
vous system elaborated on and modulated by higher levels
whole chapter to define exactly what empathy is. Keeping
of the neuraxis (Decety, Norman, Berntson, and Cacioppo
track of these different conceptualizations is important
2012). It is worth noting that the representation of function
because they refer to distinct psychological processes that
across the neuraxis does not entail that lower level struc-
vary, sometimes widely, in their function, phenomenol-
tures are entirely subject to commands from higher level.
ogy, mechanisms, and effects (Coplan 2011).
In fact, a large percentage of neural processes occur with-
Furthermore, given that empathy encompasses so
out the engagement of neocortical structures. Indeed,
many different facets, it should not come as a surprise
higher level cortical processing may be necessary only in
that there is no single measure to reliably assess this dis-
situations with high ambiguity and low predictability.
position. All self-report questionnaires parse empathy
This framework applies to affective sharing and empathic
into a number of dimensions, such as personal distress,
concern, which are present in nonhuman animals,
perspective taking, and empathic concern, or at least cog-
although perspective taking (or cognitive empathy) is
nitive and emotional empathy. But these dispositional
arguably specific to our species (see Figure 1 for the multi-
measures do not consistently relate to specific neural
ple neural systems involved in empathy).
mechanisms. For instance, a developmental study with
participants aged between 4 and 17 years reported that
while females scored higher than males on an empathy
questionnaire, a difference that increased with age, no AFFECTIVE SHARING
change was detected in the pattern of the neural response One primary facet of empathy, affective or emotional shar-
measured with functional magnetic resonance imaging ing, is essential in generating the motivation to care for
(MRI) when participants viewed stimuli depicting indi- others and is relatively independent of mindreading and
viduals being physically hurt (Michalska, Kinzler, and perspective-taking capacities. It is often viewed as the sim-
Decety 2013). plest form of empathy and can be observed across a multi-
Despite such diverse understandings of empathy, tude of species from birds to rodents and humans (Edgar
recent research in developmental and social neuroscience et al. 2012), andit appears very early in ontogeny (Cheng,
has narrowed down its scope such that that it involves Chen, and Decety 2014). Often, affective sharing is synony-
three dissociable components that are not completely over- mous with emotional contagion. However, the latter con-
lapping in functions and mechanisms, but yet can interact cept has a much greater scope than the former.
(Decety 2011; Decety and Jackson 2004). These components Specifically, emotional contagion usually refers to the ten-
include: dency to automatically mimic and synchronize facial

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Empathy, Justice, and Moral Behavior
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Figure 1. Empathy is implemented by a complex network of distributed, often recursively connected, interacting
neural regions including the brainstem, amygdala, hypothalamus, striatum, insula, anterior cingulate cortex, and
orbitofrontal cortex. The experience of empathy also involves the autonomic nervous system (parasympathetic and
sympathetic branches, which represent antagonist and coordinated regulation of internal states), and neuroendocrine
processes implicated in social behaviors and emotional states. Thus empathy and motivation to care for others emerge
from the interaction of multiple areas and circuits in conjunction with the autonomic nervous system and
the neuroendocrine system.

expressions, vocalizations, and postures with those of familiarity, even to one’s own strain, seems required for
another individual to converge emotionally. Affective the expression of prosocial behavior in rodents.
sharing, as used here, is not necessarily an automatic pro- Studies using electroencephalography (EEG) in chil-
cess and does not entail convergence of emotion; rather, it dren and adults viewing stimuli depicting conspecifics in
is the detection of another’s motivational and emotional physical pain have documented specific event-related
states that can elicit an adaptive response (such as caring potentials (ERPs) components. These include an early
or helping) from the observer. For instance, a mother rat automatic attentional salience (N2) and late positive poten-
who detects signals from her pup expressing hunger will tials (LPP) associated with affective arousal and affective
experience affective sharing without feeling hungry her- appraisal of the stimuli, respectively, which are detectable
self, as would be implied by emotional contagion. as of 3 years of age (Cheng et al. 2014; Cheng, Hung, and
Nonhuman animals show preference toward in-group Decety 2012; Sheng and Han 2012). Numerous functional
members in detection and reaction to the distress of others. magnetic resonance imaging studies (fMRI) with both
For instance, rodents are discriminant in their reactions to children (Decety and Michalska 2010) and adults (Lamm,
others in distress. In one study, a female mouse moving Decety, and Singer 2011) have reliably demonstrated that
toward a dyad member in physical pain led to a decrease when participants watch (or even imagine) another person
in the physical symptoms of pain (less writhing) in the experiencing pain, sadness, or emotional distress, brain
dyad member only when the mouse was a cage mate of regions involved in the firsthand physical pain are acti-
the mouse in pain, not when they were strangers (Lang- vated. These regions include the ACC, anterior insula
ford et al. 2010). Similarly, female mice exhibit higher fear (aINS), supplementary motor area (SMA), amygdala,
responses when exposed to the pain of a close relative somatosensory cortex, and periaqueductal gray area
than when exposed to the pain of a more distant relative (PAG). Thus, observing another individual in distress
(Jeon et al. 2010). Importantly, it is not necessarily genetic induces a visceral arousal in the perceiver by eliciting neu-
affiliation that solely facilitates assistive behaviors. Rats ral response in regions known to be involved in the first-
fostered from birth with another strain have been shown hand experience of pain (also known as the pain matrix), a
to help strangers of the fostering strain but not rats of network also implicated in salience processing that relates
their own strain (Ben-Ami Bartal et al. 2014). Thus, strain to interoceptive-autonomic processing (Seeley et al. 2007).

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Interestingly, the neural response elicited by the per- representations for felt pain and perceived pain in others
ception of others in distress is either strengthened or weak- seem to fit perfectly with this implicit simulation interpreta-
ened by interpersonal relationships, implicit attitudes, and tion. However, fine-grain data analyses of fMRI data demon-
group preferences. Activity in the neural network includ- strate that the activation in the ACC in the firsthand
ing the ACC, aINS, and PAG is significantly enhanced experience of pain and the perception of pain in others are
when individuals view their loved ones in physical pain as neither necessarily coincident nor coextensive (Morrison
compared to strangers (Cheng et al. 2010). A priori, and Downing 2007). In addition, vicariously instigated acti-
implicit, value-based attitudes toward conspecifics also vations in this neural network are not necessarily specific to
modulate the response. For example, study participants the emotional experience of pain. Rather they reflect more
were significantly more sensitive to the pain of individuals general processes such as negative stimulus evaluation,
who had contracted AIDS as the result of a blood transfu- attention to noxious stimuli, somatic monitoring, and the
sion as compared to individuals who had contracted AIDS selection of appropriate skeletomuscular defensive move-
as the result of their illicit drug addiction, as evidenced by ments (Decety 2011). In support of this interpretation, one
higher subjective ratings of pain and greater neuro-hemo- study reported that perceiving a hated person’s face, com-
dynamic activity in the ACC, aINS, and PAG, although the pared with that of a neutral person, elicited increased activ-
actual intensity of the facial expressions that they viewed ity in the insula and ACC, and activity in these regions was
was strictly similar across all videos clips (Decety, Echols, correlated to the subjective rating of hate participants felt for
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and Correll 2009). Another fMRI study found modulation the hated people (Zeki and Romaya 2008). Another fMRI
of empathic neural responses by racial group membership study found greater activity in this pain network, including
(Xu et al. 2009). Notably, the response in the ACC to view- the aINS, ACC, and somatosensory cortex, when Jewish par-
ing others in pain decreased remarkably when participants ticipants viewed hateful (anti-Semitic) individuals com-
viewed faces of racial out-group members relative to racial pared with likable targets in pain (Fox, Sobhani, and Aziz-
in-group members. This effect was comparable in Cauca- Zadeh 2013). Together, these studies demonstrate that
sian and Chinese subjects and suggests that modulations increased activity in this pain network seems to be more
of empathic neural responses by racial group membership related to increased salience and relevance of the pain-
are similar in different ethnic groups. Another study dem- related cues rather than to increased empathy-related proc-
onstrated that the failures of an in-group member are pain- essing per se. Thus, activation of shared neural representa-
ful, whereas those of a rival out-group member give tions in the affective-motivational regions of the pain matrix
pleasure—a feeling that may motivate harming rivals are not specific to the sensory qualities of pain, but instead
(Cikara, Botvinick, and Fiske 2011). In that study, partici- are associated with more general survival mechanisms such
pants who reported greater rival-specific aggression not as attention to highly salient cues, and aversion and with-
only reported more pleasure, but also exhibited greater drawal when exposed to danger and threat.
activity in the ventral striatum (a subcortical region
involved in reward and pleasure) in response to watching
rivals fail, even against a third party.
Empathic Concern
Empathic concern refers to other-oriented emotion elicited
SHARING THE PAIN OF OTHERS OR SIMPLY by and congruent with the perceived welfare of a person
ATTENTION TO SALIENT INFORMATION? in need. This motivation is a product of (a) perception of
The overlap in activation in between viewing others in pain another as in need and (b) intrinsic valuing of that other’s
and experiencing pain oneself is often interpreted in favor of welfare (Batson 2009), and has evolved with generalized
shared neural representations between self and others, parental nurturance. All mammals depend on other con-
which is the fuel of resonance-based, mirroring, social cogni- specifics for survival and reproduction. Caring for the
tion. The idea is deceptively simple: Shared representations needs of others is thus a vital product of our evolution,
or resonance mechanisms (including mirror neurons) under- particularly parental care, which is necessary for infant
lie our ability to read intentions and emotions in to the survival and development (Decety et al. 2012). Depending
behavior of other people.2 Unsurprisingly, shared neural on each species, the level of care varies, but the underlying
neural circuitry for responding to infants (especially sig-
nals of vulnerability and need) is universally present and
2. Due to space constraint, we cannot elaborate on the validity of highly conserved across mammalian species (Numan and
the resonance/mirror neurons account of social cognition and the Insel 2003. Animal research demonstrates that being
unprecedented enthusiasm that has captivated so many scholars affected by others’ emotional states, an ability integral to
across disciplines. See Hickok (2014) for a debunking of all the
maintaining the social relationships important for survival,
grandiose claims that have been made on behalf of mirror neu-
rons. Sophisticated analyses of fMRI data using multivoxel pattern is organized by basic neural, autonomic, and neuroendo-
analysis show that while perception, execution, and imagination crine systems subserving attachment-related processes,
of simple actions such as grasping overlap in several cortical which are implemented in the brainstem, preoptic area of
regions, patterns of activation within these commonly activated the thalamus, basal ganglia, and paralimbic areas, as well
regions are actually distinct (Filimon et al., 2014). as the autonomic nervous system (Panksepp 1998).

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Empathy, Justice, and Moral Behavior

Converging evidence from animal behavior, neuroimag- Overall, the subcortical and cortical circuits that
ing studies in healthy individuals, and lesion studies in neu- developed originally in service of parental nurturance in
rological patients demonstrates that caring for others mammalian species continued to evolve in humans,
employs a large array of systems neural mechanisms, extend- accompanied by an increase in the plasticity and flexibility
ing beyond the cortex, including the amygdala, brainstem, provided by the prefrontal cortex, which led to a height-
hypothalamus, insula, ACC, and orbitofrontal cortex (Preston ened capacity for learning. In this way, these circuits began
2013). It also involves the autonomic nervous system, hypo- to operate at the level of the social group and cultural level.
thalamic–pituitary–adrenal axis, and endocrine and hor- Importantly, the biological mechanisms underpinning
monal systems that regulate bodily states, emotion, and empathic concern are distinct from those involved in affec-
social sensitivity. In particular, oxytocin, a neuropeptide with tive sharing.
widespread targets in both the brain and periphery, has been
implicated in the regulation of various social behaviors rang-
ing from social bonding, attachment, and parental care. A Perspective Taking
number of studies have found that individuals carrying a G Perspective taking or cognitive empathy refers to the abil-
allele for the rs53576 variant of the oxytocin receptor gene ity to consciously put oneself into the mind of another
exhibit higher levels of empathic concern and prosocial individual to understand what that person is thinking or
behaviors (Smith et al. 2014). feeling. This “putting oneself in another’s skin” is achieved
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This motivation to care for others is deeply rooted in through a variety of strategies, each of which is argued to
our biology, is very flexible, and arises early in ontogeny. relate to emotional and cognitive outcomes (Myers,
Children’s capacities to respond emotionally to the joys Laurent, and Hodges 2013). Perspective taking has been
and sorrows of others and to express empathic concern are linked to the recognition of one’s uniqueness in the face of
present during the first year of life (Davidov et al. 2013). others, as well as the appreciation of other’s independent
People can feel empathic concern for a wide range of tar- experiences and emotional states (Gilin et al. 2013).
gets when cues of vulnerability and need are highly salient, Accordingly, the neural network recruited by affective per-
including nonhumans, and in Western culture particularly spective taking partly overlaps with that underlying theory
domestic animals like puppies (Batson 2012). Neural of mind and comprises the dorsomedial prefrontal cortex
regions involved in perceiving the distress of other humans (dmPFC) and posterior superior temporal sulcus (pSTS),
are similarly recruited when witnessing the distress of as well as amygdala, aINS, and ACC (Schnell et al. 2011).
domesticated animals (Franklin et al. 2013). Furthermore, Cognitive empathy has been linked to social compe-
the motivation of caring for others is associated with posi- tence and social reasoning, and a substantial body of
tive feelings, which reinforce this behavior. Behavioral and behavioral studies has documented that affective perspec-
functional neuroimaging studies demonstrate that being tive taking is a powerful way to elicit empathy and concern
nice and caring for others make us feel good by the release for others, including for out-group members (Batson 2012).
of dopamine through the projection of neural pathways For instance, taking the perspective of an out-group mem-
from the brainstem to the nucleus accumbens. The fronto- ber decreases the use of explicit and implicit stereotypes
mesolimbic reward network is engaged to the same extent for that individual, and leads to more positive evaluations
when individuals receive monetary rewards and when of that group as a whole (Galinsky and Moskowitz 2001).
they freely choose to donate money to charitable organiza- Assuming the perspective of another brings about changes
tions (Moll et al. 2006). Another fMRI study found that in the way we see the other, and these changes generalize
participants who showed sympathetic behavior by tossing to people similar to that other, notably, members of the
a ball to the isolated player (in a computer simulation) same social groups to which they belong (Kidd and
reported enhancement of self-positive feelings and antici- Castano 2013). Some studies have documented long-last-
pation of feeling improvements of the isolated player, as ing effects of such interventions. For instance, Sri Lankan
well as increased activity in the striatum (Kawamichi et al. Singhalese participants expressed enhanced empathy
2013). Additional support for a link between positive toward Tamils even a year after participating in a 4-day
arousal and generosity comes from an fMRI study that intergroup workshop (Malhotra and Liyanage 2005).
demonstrated that increased activity in the ventral striatum Adopting the perspective of another person, in partic-
predicted increased subjects’ donations to orphans ular someone from another social group, is cognitively
depicted in photographs (Genevsky et al. 2013). demanding and hence requires additional attentional
Finally, research shows that empathic concern reduces resources and working memory, which tax executive
cortisol activity in stressful situations for participants who function abilities. Cognitive neuroscience research dem-
gave social support to a partner during the experiment onstrates that when individuals adopt the perspective of
(Smith et al. 2009). In mothers who are asked to make another, neural circuits common to the ones underlying
caregiving decisions to meet the needs of children, first-person experiences are activated as well (Lamm,
dispositional empathic concern is associated with ventral Meltzoff, and Decety 2009). However, taking the perspec-
striatum, ventrolateral prefrontal cortex, and SMA activa- tive of another produces increased activation in regions
tion (Ho et al. 2014). of the prefrontal cortex subserving executive function

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(working memory, attention, and inhibitory control). In with which humans form groups and favor in-group
another fMRI study, participants viewed video clips fea- members, across cultures and from a very early age.
turing patients undergoing a painful medical intervention However, the functional benefits of group membership
and were asked either to put themselves in the shoes of notwithstanding, group life is also a source of prejudice,
the patient (imagine self perspective) or to focus on the biases, and of social strife.
patient’s feelings and affective expressions (imagine other Several aspects of empathy, such as accuracy and con-
perspective) (Lamm, Batson, and Decety 2007). Explicitly cern for others, as well as generosity and other-oriented
projecting oneself into the patient’s situation led to higher behavior, are influenced by social status. Social class seems
levels of personal distress, and was associated with to shape not only people’s values and behavior but also
enhanced activation in the amygdala and ACC. Imagining their affective responses that relate to sensitivity to the
the other’s perspective was accompanied by higher welfare of others. Research shows that lower class individ-
empathic concern, lower personal distress, increased uals, relative to their upper class counterparts, score higher
activity in the executive attention network and vmPFC, on a measure of empathic accuracy, and judge the emo-
and reduced the amygdala response. tions of a stranger more accurately (Kraus, C^ ote, and Kelt-
Thus, affective perspective taking simultaneously ner 2010). Another set of studies indicates that relative to
engages neural regions associated with theory of mind, upper class people, lower class individuals exhibited more
executive functions, and limbic areas involved in the generosity, more support for charity, more trust behavior
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experience of emotion. Interestingly, burgeoning work in toward a stranger, and more helping behavior toward a
social neuroscience provides support for a primary role of person in distress (Piff et al. 2010). Despite their reduced
cognitive empathy (and not emotional empathy) in resources and subordinate rank, lower class individuals
explaining individual differences in individuals’ concern are more willing than their upper class counterparts to
for justice. Two neuroimaging studies, one using func- increase another’s welfare, even when doing so is costly to
tional MRI (Yoder and Decety 2014b) and another one the self. The authors speculated that, relative to upper class
using high-density EEG (Yoder and Decety 2014a), individuals, lower class individuals construe themselves
showed that justice sensitivity not only predicted behav- more in terms of their relationships to others, and this
ioral ratings of praise and blame when participants evalu- self–other overlap facilitates their sensitivity to other peo-
ate morally laden behavior, but also modulated the online ple’s welfare. Moreover, such acts of generosity and proso-
neural response and functional connectivity between the ciality among lower class people play a critical role in
pSTS and prefrontal cortex. Justice sensitivity modulates cultivating relationships and strengthen social bonds.
activity across several domain-general systems, particu- Even assigning individuals to arbitrary groups readily
larly in regions of the prefrontal cortex involved in inten- elicits evaluative preferences for in-group relative to out-
tion, understanding, and goal representations in service group members, and this can affect empathetic respond-
of moral decision making, and importantly does not influ- ing. In one such study, participants were assigned to arti-
ence the salience network involved in affective appraisal. ficial groups and then asked to perform pain intensity
These findings are also supported by a study that exam- evaluations of pictures depicting bodily injuries from self,
ined the association between individual differences in dif- in-group, or out-group perspectives. Participants rated
ferent facets of empathy (affective, motivational, and the stimuli as more painful when they had to adopt the
cognitive), justice sensitivity, and psychopathy (Decety and perspective of an in-group member as compared to their
Yoder 2015). Participants rated the permissibility of every- own perspective, while the out-group perspective did not
day moral conflict in situations that pit personal benefit induce different responses to the painful stimuli as com-
against moral standards of justice. Contrary to common pared to the self perspective (Montalan, Lelard, Godefroy,
sense, affective empathy (emotional sharing) was not associ- and Mouras 2012). Moreover, the ratings differences
ated with sensitivity to justice for others. Rather, cognitive between the painful and nonpainful pictures were more
empathy and concern predicted sensitivity to justice for important in the in-group perspective than in the out-
others, as well as endorsing moral rules. It may then be group perspective. In an fMRI study, participants were
more effective to focus on utilizing perspective taking to scanned while viewing in-group or out-group perpetra-
elicit empathic concern for others, rather than emphasizing tors intentionally harming in-group or out-group mem-
emotional sharing. bers. Participants showed greatest empathic sadness and
anger for an in-group victim harmed by a member of the
out-group (Molenberghs et al. 2014). In support of this
EMPATHY CAN LEAD TO PAROCHIAL MORAL finding, there was increased activity in the orbitofrontal
BEHAVIOR cortex when viewing in-group members being harmed by
Empathy has some unfortunate features that can conflict out-group individuals.
with moral behavior. Individuals who identify and coop-
erate with in-group members enjoy numerous benefits,
including the fulfillment of many basic psychological IN-GROUP MORALITY, OXYTOCIN, AND CHILDREN
needs (Cikara and Van Bavel 2014). The value humans The moral problem of group biases can be detected at the
place on group membership is exemplified by the ease neurohormonal level as well. For instance, oxytocin, which

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Empathy, Justice, and Moral Behavior

is often naively described as the “moral” hormone, in fact make. In one such study (Batson et al. 1995), college
promotes human ethnocentrism, that is, the tendency to students required to assign a good task and a bad task
view one’s group as superior to other group, fueling preju- to two individuals overwhelmingly endorsed random
dice and xenophobia. A series of experiments showed that assignment (i.e., a coin flip) as the most fair means for
oxytocin administration creates intergroup bias because it deciding who would be assigned with the bad task. How-
motivates in-group favoritism and, in some cases, out- ever, when asked to consider the feelings of a worker who
group derogation. These findings provide evidence for the had recently suffered hardship, students readily offered
idea that neurobiological mechanisms in general, and the good task to the worker, rather than using random
oxytocinergic systems in particular, evolved to sustain and assignment.
facilitate within-group coordination and cooperation All these behavioral, developmental, and functional
(De Dreu et al. 2011). The authors concluded that, rather neuroimaging studies clearly demonstrate that distinct
than making humans prosocial, oxytocin functions to components of empathy are influenced by many aspects of
strengthen an evolved, functional tendency to discriminate social categorizations. They are by-products of living in
between in-group and out-group, as well as to give mem- social groups and they shape in fundamental ways how
bers of one’s own group preferential treatment. Thus, people perceive their social environment, experience
again oxytocin should not be construed of as a panacea for empathy, and behave prosocially toward others.
moral behavior. Indeed, it can facilitate just the opposite
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behavior.
While empathic concern is one of the earliest social EMPATHY AND DECISION MAKING
emotional competencies that develop (Davidov et al. Empathy, whether in the form of affective sharing or
2013), children do not display empathy and concern empathic concern elicited by cues of vulnerability, can have
toward all people equally. Instead they show bias toward important consequences for decision making. For instance,
individuals and members of groups with which they iden- people can be moved to help identifiable others. This pref-
tify. For instance, children at 2 years of age display more erence for giving to single vivid individuals over less iden-
empathy-related behaviors toward their mother than tifiable others has been called the “identifiable victim
toward an unfamiliar individual. In line with the in-group effect.” The identifiable victim effect resists explanation by
hypothesis, 8-year-old children were more likely to be normative economic models, since identifiable stimuli add
emotionally reactive toward their in-group members com- no objective value or relevant information. In one series of
pared with members of the out-group, and dispositional experiments, participants’ greater willingness to help iden-
empathy (as well as social anxiety) was positively corre- tified victims, relative to nonidentified ones, was examined
lated with group identification (Masten, Gillen-O’Neel, by varying the singularity of the victim (single vs. a group
and Brown 2010). Moreover, children (aged 3–9 years) of eight individuals) and the availability of individually
view social categories as marking patterns of intrinsic identifying information (the main difference being the
interpersonal obligations; that is, they view people as inclusion of a picture in the “identified” versions) (Kogut
intrinsically obligated only to their own group members, and Ritov 2005). The results support the proposal that the
and consider within-group harm as wrong regardless of “identified victim effect” is largely restricted to situations
explicit rules, but they view the wrongness of between- with a single victim: The identified single victim elicited
group harm as contingent on the presence of such rules considerably more contributions than the nonidentified sin-
(Rhodes and Chalik 2013). gle victim, while the identification of the individual group
Straightforward predictions between empathic concern members had essentially no effect on willingness to contrib-
and morality are highly influenced by context. For ute. Importantly, participants also reported experiencing
instance, in one study, when individuals viewed the Brit- empathic distress when there is a single, identified victim
ish and African nations as two separate races, they felt more than in any other condition. Hence, the empathetic
greater guilt over historic transgressions and had lesser reaction to the victims appears to be a major source of the
expectations of forgiveness for atrocities committed than effect rather than an objective decisional process.
when they viewed individual nations as part of a greater While the precise ways in which empathy contributes
whole (Morton and Postmes 2011). Moreover, in another to moral judgment remain debated, in addition to influ-
study, upper class individuals were more likely to make encing moral evaluation, it may also play an important
calculated, dispassionate moral judgments in dilemmas in developmental role. This may lead to the aversion of vio-
which utilitarian choices were at odds with visceral moral lent actions without necessarily empathizing with the vic-
intuitions (C^ ote, Piff, and Willer 2013). In this way, the tims of such actions (Miller, Hannikainen, and Cushman
lowered concern of upper class individuals ironically led 2014). One paradigm often used in psychological and
them to make moral decisions that were more likely to some neuroscience studies of moral judgment is a thought
maximize the greatest good for the greatest number. experiment borrowed from philosophy, the Trolley
Further evidence from studies with adults suggests Dilemma, but the utility of this paradigm in assessing
that while empathic concern does not necessarily change everyday moral judgment has recently been subject of
notions of fairness (e.g., what is the just action in a certain great debate (Rosas and Koenigs 2014). This classic
situation), it does change the decision an individual will thought problem, comparing impersonal and personal

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AJOB Neuroscience

moral decision making has led to a great deal of inquiry coin is that empathic concern, because it evolved to favor
about the nature of individuals who will push the large kin and members of one own social group, can bias deci-
man in front of the trolley. sion making by valuing one single individual over a group
Are individuals who make utilitarian judgments in per- of others, and this can frontally conflict with fairness and
sonal situations more rational and calculating, or are they justice: for instance, spending millions of dollars to
simply colder and less averse to harming others? Support for develop a drug for a very limited number of patients suf-
a link between empathy and moral reasoning is given by fering from an orphan disease at the expense of a much
studies demonstrating that low levels of dispositional larger group of people in need. Similarly, empathy can
empathic concern predict utilitarian moral judgment in impair our capacity for justice and consequentialist action.
some situations (Gleichgerrcht and Young 2013). A func- Empathic concern reduces our willingness to sacrifice indi-
tional neuroimaging study recently examined the neural viduals for the good of the many, as in the classic trolley
basis of such indifference to harming while participants moral dilemmas, or makes us respond more to humanitar-
were engaged in moral dilemmas (Wiech et al. 2013). A ten- ian crises when there are individuals to identify with than
dency toward counterintuitive impersonal utilitarian judg- when they impact tens of thousands of people. Cues of
ment was associated both with “psychoticism” (or vulnerability, like baby faces, are powerful motivators of
psychopathy), a trait linked with a lack of empathic concern empathy and have evolved to facilitate parental care. The
and antisocial tendencies, and with “need for cognition,” a same cues in a criminal, however, may elicit lighter sen-
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trait reflecting preference for effortful cognition. Impor- tence from jurors. It may be disturbing to recognize that
tantly, only psychoticism was also negatively correlated sometimes psychopaths “get it right” by making conse-
with activation in the vmPFC during counterintuitive utili- quentialist judgments, to benefit the many at the expense
tarian judgments. These findings suggest that when individ- of the few, precisely because they are less swayed by
uals reach highly counterintuitive utilitarian conclusions, it empathy (Paytas 2014).
does not need to reflect greater engagement in explicit moral Clearly, empathic reactions are inherently linked to
deliberation. It may rather reveal a lack of empathic concern, partiality. And this partiality requires a framework of jus-
and diminished aversion to harming others. Lesions of the tice principles to counter its biasing effects and keep
orbitofrontal cortex (including the vmPFC) have been associ- social allocation behaviors in check (Blader and Tyler
ated with increased utilitarian choices in highly conflicting 2002). This idea is not new. Mill (1875) warned us about
moral dilemmas more often than control subjects, opting to people who may be amiable to those with whom they
sacrifice one person’s life to save a number of other individu- sympathize, and grossly unjust and unfeeling to the rest
als (Young and Dungan 2012). of the world.3
These parochial tendencies need to be rationally regu-
lated and guided. This is especially important when one
REASON PROVIDES THE LEASH TO USE EMPATHY strives to uphold general principles of justice and fairness
WISELY and it obviously has clear implications in social policy and
Across both popular press and academic research, the use law. For instance, in Sweden, a closely patrolled pro-
of empathy has become pervasive to the point of cliche, immigration consensus has sustained extraordinarily lib-
possibly because of the generally admitted idea that eral policies while placing a virtual taboo on questions
empathy plays a central role in smooth social interaction about the social and economic costs. In neighboring Nor-
and moral behavior. However, a critical analysis of the way, however, a strong tradition of free speech and effi-
work in social neuroscience calls for a more cautious cient administration has produced a hard-nosed approach
understanding of the functions of empathy in moral deci- about which and how many refugees to take in. The Nor-
sion making. wegian Foreign Ministry has imposed a much stricter pol-
Empathy does play an important function in motivat- icy than Sweden’s, due to careful calculations of all the
ing caring for others and in guiding moral judgment in social, health, housing, and welfare benefits mandated by
various forms, but this is far from being systematic or irre- the state. Those calculations indicated that supporting a
spective to the social identity of the targets, interpersonal single refuge would cost $120,000, which would be
relationships, and social context. Its role in shaping peo- enough to support 26 Syrians in a Jordanian refugee camp
ple’s understanding of why harming others is wrong and (Eakin 2014). Therefore, the Norwegian government chose
in producing the relevant motivation is, however, more to send money to support the Jordanian refugee camps
limited than people think. This is because social forces that rather than accepting immigrants.
unite and divide groups affect empathy, moral reasoning, Skeptics may argue that reason cannot lead us in
and prosocial behavior. Both behavioral and social neuro- directions that are good, just, or moral. It can deliver a
science studies have reliably demonstrated that empathy
(affective sharing and concern) is experienced more read-
ily for in-group members, and found that people show 3. Another example is John Rawls’s “veil of ignorance” as a
diminished neural responses when witnessing an out- method to defend against the motivational force of empathy for
group relative to an in-group member in distress and emo- oneself or others by a procedure that minimizes the influences of
tional pain, or out-group derogation. The other side of the one’s emotion (Rawls, 1971).

10 ajob Neuroscience July–September, Volume 6, Number 3, 2015


Empathy, Justice, and Moral Behavior

roadmap to peace if the peace is the goal, but it can also Thus empathy influences many facets of our social
provide a path to conflict if conflict is desired. Reason relations with others and is clearly an essential input into
may help to convince the most selfish and skeptical of us decision making, but not necessarily for the best.
to make sound decisions for himself as well as for the
many. Everyone cares about his or her well-being, yet
because we live in a global community we can interact
and comprehend each other’s perspectives. For instance, ACKNOWLEDGMENTS
if we ensure a sustainable system of energy and health The writing of this article was supported by grants from
care, providing a basic standard of living for everyone, the John Templeton Foundation (Wisdom Research at the
then even in times of hardship, we will never be too University of Chicago) and from the National Institutes of
badly off. If we guarantee that all people are educated, Health (R01 MH087525; R01 MH084934).
then that will lead to increased reasoning, science, and
art, ultimately resulting in more chances to benefit from
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