Research shows that we are each born with a given number of neurons that participate in an empathetic response. But early life experience shapes how we act on it.

Credit Gracia Lam
Jane E. Brody

As the year’s end approaches, most Americans get bombarded by emailed and snail-mailed requests for donations to all manner of charities, A to Z.

I’m an easy target, a softy readily seduced by impassioned pleas to help improve the well-being of people, animals and the environment, and I often respond to more appeals than my earnings warrant.

This year will be different, thanks to advice from one of the leading experts on empathy, Dr. Helen Riess, associate professor of psychiatry at Harvard Medical School and author of a new book, “The Empathy Effect,” that explores the neuroscience behind concern for others and offers advice on how to nurture and implement it most effectively.

Instead of a scattershot of small gifts to a dozen or more charities, Dr. Riess suggested in an interview that I “pick one or two where a more substantial contribution can really make a difference.” She told me to use “cognitive empathy,” a more rational, less emotional approach. Empathy doesn’t mean saying “yes” to every request, she emphasized. “Recognize that you can’t save the world, and give to organizations that are most important to you.”

Let something from your own life experience determine which issues are closest to your heart and most deserve your money, she suggests in her book. For me, that would be education and food security; I’ll leave it to others to save abandoned pets and the planet this year.

Perhaps no one knows the importance of balancing feelings with thoughts better than Dr. Judith Orloff, a Los Angeles-based psychiatrist and the author of “The Empath’s Survival Guide.” Her book can help highly sensitive people avoid taking on everyone else’s needs and problems, which Dr. Riess says can lead to “compassion fatigue” and burnout.

“There’s healthy giving and there’s unhealthy, codependent giving that can ultimately make you feel worse,” Dr. Orloff said in an interview. “It’s important to be empathetic but also to set healthy limits and boundaries rather than being a doormat. If you’re a highly sensitive person, you have to learn how to channel your energy. Healthy empathy is when you give from your heart, but not martyr yourself.”

She added, “You have to practice self-care. ‘No’ is a complete sentence — no explanation needed.” If that seems too abrupt, ‘I’m sorry but I can’t do that’ is a reasonable add-on.

While overly empathetic individuals can be their own worst enemy, more distressing to me, at least, are people who seem deficient, even devoid, of empathy. They are self-focused, narcissistic, always thinking about what’s in it for them and never recognizing and responding to the needs of others, a deficit that can undermine human survival, which depends on community support.

People with empathy deficiency disorder, as some experts call it, lack a moral compass. They can’t distinguish between right and wrong, Dr. Riess said.

Research by Dr. Riess and her collaborators has shown that we are each born with a given number of neurons that participate in an empathetic response. But whether this potential to care appropriately for one’s fellow beings is realized or undermined is largely molded by early life experiences, starting at birth and continuing throughout childhood.

How, then, can a healthy degree of empathy be instilled in a child? “Empathy is a mutable trait, it can be taught,” Dr. Riess told me. “We’re all born with a certain endowment, but it can be dramatically up-regulated or down-regulated depending upon environmental factors,” especially, she said, by the examples set by a child’s caregivers.

Dr. Riess urges parents to be role models who show respect and caring for others: “Billy scraped his knee. Let’s go get a Band-Aid for him,” or “Mrs. Jones just came home from the hospital. Let’s take her some soup.”

Teachers and caregivers in child care and pre-K settings can foster empathy by acknowledging rather than dismissing a child’s distress or by bringing a toy or doll to comfort a child who is upset or injured. Libraries and bookstores are replete with stories in print and video that demonstrate the giving and receiving of empathy for children at different age levels. Among the many choices: “I Am Human,” “What’s Wrong with Timmy?” and a personal favorite, “Wonder,” which was also made into a popular movie last year.

Dr. Riess has vivid memories of how her parents demonstrated empathy, by bringing turkeys before Thanksgiving to the homes of people who had almost nothing. “Kids tend to focus on what they don’t have — this exposes them to people who have so much less and gives them the gift of being a giver.”

[To read the full story by Jane E. Brody, to go https://www.nytimes.com/2018/12/10/well/live/how-to-foster-empathy-in-children.html]