The Many Faces of Empathy

Empathy is a primitive force that drives social cohesion and enhanced our survival as early humans. Today it touches our lives in many ways, some surprising.

Angus was nervous. It was our first meeting, and he sat restlessly through our introductions.

He is a high achiever. He sailed through his undergraduate studies on a full scholarship, and was recruited to a leading medical school where he earned recognition for clinical competence and academic leadership. He accepted a top fellowship and is busy enhancing his reputation as a caring physician and an incisive scientist.

But today is different. He is struggling with a big question. He is no longer sure that he is on the right professional pathway. Having been so sure for so long, these doubts are deeply disturbing.

Halfway through our first meeting, we uncovered a force that has deeply colored his life, and will clearly be important in the big decision he now faces.

We surfaced this powerful gift as we discussed his clinical practice. He recounted the emotions that surface when he helps his sickest patients.

I feel their pain so intensely, Roddy, that sometimes I just have to look away.”

His strong blue eyes filled with tears.

As scientists we know a lot about empathy. We know where it resides in the human brain, and the many associated centers of higher function which integrate it into our modern life. We understand how brain injury can disrupt it, and we know how emotional trauma can affect it.

Empathy is Mother Nature’s gift that enables us to build profound social relationships within our tribes. It is the primal glue that holds us together. When we deeply experience the joy and pain of those we love and live with, we build indestructible bonds that ensure our survival as a tribe, and as a species.

Not all scientists are equally enamored with the positive expression of empathy. Many prominent researchers also identify it to be the root cause of political and racial polarization.

Empathy is at the root of the “us and them” phenomenon. It selectively reinforces intense bonds between close social allies, sometimes leaving “them” (anybody else) on the outside. “They” then become the object of reverse empathy.

Empathy alone doesn’t drive our choices and behavior. For this to happen, we need its close cousin compassion.

Compassion converts feeling into action. It is the difference between the many who walk past the destitute homeless man sleeping in the gutter, and the few good Samaritans who actively reach out.

Mercifully, this attenuation also holds true for the activation of reverse empathy. Only a few are inspired to convert hostile feelings into actions of hatred.

I know that empathy will be a constant theme as we continue to explore Angus’ dilemma.

On the one hand, I know that this powerful gift has driven him to choose a caring profession. He has followed the voice that deeply understands the condition of his patients.

On the other hand, I have little doubt that we will soon discover that his empathy has also exaggerated the influence of the well-intended thoughts and desires of teachers, friends and family on his early decisions. I am sure that his career choice has been influenced by a desire to appease their own hopes and aspirations for him.

He must carefully pick a path between these two powerful forces in order to reach the fulfillment and happiness he deserves.

The Neurocentric Coaching process will help Angus to identify the hidden (often conflicting) voices deep within that drive his everyday decisions. When we’re done with our work, he will have the enduring clarity and self-trust he seeks to make and maintain this momentous decision.

I’m curious to see where the fresh insight takes him on his magnificent journey.

I hope that you, like Angus, will have the courage to look within where magic happens and dreams come to life.

Have fun,


Dr. Roddy Carter, MD, has over 30 years of experience working across a range of medical disciplines and corporate settings. 

At the height of his successful career, Roddy experienced his own health and happiness crisis. During this profoundly transformative time, he began applying his deep knowledge of performance neuroscience to his everyday life. He discovered that, in moments of trauma, the brain develops intricate psycho-protective adaptations to ensure our short-term survival; however, these adaptations often impose substantial residual limitations, create distress, and prevent us from reaching our full innate potential. 

Today, Roddy is an author and executive coach dedicated to helping others unlock their full potential by applying compassionate neuroscience and sharing his unique approach to Personal Mastery™. 

To learn more about Roddy and his coaching services, and to follow his blog, visit You can find his books, BodyWHealth and Sunset Lessons, on Amazon.