Greater Empathic Abilities and Resting State Brain Connectivity Differences in Psychotherapists Compared to Non-psychotherapists.

In a therapeutic environment a proper regulation of the empathic response strengthens the patient-therapist relationship. Thus, it is important that psychotherapists constantly regulate their own perspective and emotions to better understand the other's affective state. We compared the empathic abilities of a group of 52 psychotherapists with a group of 92 non-psychotherapists and found psychometric differences. Psychotherapists showed greater scores in Fantasy and Perspective Taking, both cognitive empathy constructs, and lower scores in the use of expressive suppression, an emotional regulation strategy that hampers the empathic response, suggesting that psychotherapists exert top-down processes that influence their empathic response. In addition, the expected sex differences in empathic concern and expressive suppression were only present in the non-psychotherapist group. To see if such psychometric differences were related to a distinctive functional organization of brain networks, we contrasted the resting state functional connectivity of empathy-related brain regions between a group of 18 experienced psychotherapists and a group of 18 non-psychotherapists. Psychotherapists showed greater functional connectivity between the left anterior insula and the dorsomedial prefrontal cortex, and less connectivity between rostral anterior cingulate cortex and the orbito prefrontal cortex. Both associations correlated with Perspective Taking scores. Considering that the psychometric differences between groups were in the cognitive domain and that the functional connectivity associations involve areas related to cognitive regulation processes, these results suggest a relationship between the functional brain organization of psychotherapists and the cognitive regulation of their empathic response.

Task difficulty and response complexity modulate affective priming by emotional facial expressions.

In this study we used an affective priming task to address the issue of whether the processing of emotional facial expressions occurs automatically independent of attention or attentional resources. Participants had to attend to the emotion expression of the prime face, or to a nonemotional feature of the prime face, the glasses. When participants attended to glasses (emotion unattended), they had to report whether the face wore glasses or not (the glasses easy condition) or whether the glasses were rounded or squared (the shape difficult condition). Affective priming, measured on valence decisions on target words, was mainly defined as interference from incongruent rather than facilitation from congruent trials. Significant priming effects were observed just in the emotion and glasses tasks but not in the shape task. When the key-response mapping increased in complexity, taxing working memory load, affective priming effects were reduced equally for the three types of tasks. Thus, attentional load and working memory load affected additively to the observed reduction in affective priming. These results cast some doubts on the automaticity of processing emotional facial expressions.

Cortical response of the ventral attention network to unattended angry facial expressions: an EEG source analysis study.

INTRODUCTION: We used an affective prime task composed of emotional (happy, angry, and neutral) prime faces and target words with either positive or negative valence. By asking subjects to attend to either the faces' emotional expression or to the glasses' shape, we assessed whether angry facial expressions were processed when they were unattended and task-irrelevant. METHODS: We conducted a distributed source analysis on the corresponding event-related potentials focused on the early activity of face processing and attention networks' related areas. We also evaluated the magnitude of the affective priming effect. RESULTS: We observed a reduction of occipitotemporal areas' (BA37) activation to unattended compared to attended faces and a modulation of primary visual areas' activity lateralization. The latter was more right lateralized for attended than for unattended faces, and emotional faces were more right lateralized than neutral ones only in the former condition. Affective priming disappeared when emotional expressions of prime faces were ignored. Moreover, an increased activation in the right temporo-parietal junction (TPJ), but not in the intraparietal sulcus, was observed only for unattended angry facial expressions at ∼170 ms after face presentation. CONCLUSION: We suggest that attentional resources affect the early processing in visual and occipito-temporal areas, irrespective of the faces' threatening content. The disappearance of the affective priming effect suggests that when subjects were asked to focus on glasses' shape, attentional resources were not available to process the facial emotional expression, even though emotion-relevant and emotion-irrelevant features of the face were presented in the same position. On the other hand, unattended angry faces evoked a pre-attentive TPJ activity, which most likely represents a bottom-up trigger that signals their high behavioral relevance, although it is unrelated to task demands.

Reorienting of spatial attention in gaze cuing is reflected in N2pc.

Research has shown that gaze cuing of attention is reflected in the modulation of P1 and N1 components of ERPs time-locked to target onset. Studies focusing on cue-locked analyses have produced mixed results. The present study examined ERP reflections of gaze cuing in further detail by recording electric brain activity from the scalp of participants engaged in a spatial cuing paradigm with noninformative gaze cues embedded in fearful, disgusted, or neutral faces. Unlike previous work, we focused on N2pc, a recent ERP index of attention shifting over space. Behavioral data showed that gaze-driven orienting was not influenced by facial expression. Importantly, electrophysiological data showed a significant amplitude modulation of the N2pc time-locked to target onset as a function of cue--target spatial congruence. This pattern, however, was independent of facial expression. The results are interpreted as evidence that N2pc can be used as a marker of reorienting of attention in spatially incongruent trials due to gaze cuing. The overall findings support the idea that the effects of facial expression on gaze cuing are weak and likely context-dependent.