Empathy and Alfred Adler: An Integral Perspective Arthur J. Clark The Journal of Individual Psychology, Volume 72, Number 4, Winter 2016, pp. 237-253 (Article) Published by University of Texas Press DOI: https://doi.org/10.1353/jip.2016.0020 For additional information about this article https://muse.jhu.edu/article/640292 Access provided by University of South Dakota (27 Oct 2018 11:22 GMT) Empathy and Alfred Adler: An Integral Perspective Arthur J. Clark Abstract Empathy and empathic understanding are prominent in the theoretical orientation of Alfred Adler. He recognized the common occurrence of empathy in the lives of people and the critical role of the process in counseling and psychotherapy. From a contemporary perspective, an integral model of empathy encompasses three ways of knowing: subjective, interpersonal, and objective. In each modality, Adler’s empathic sensibility is possible to discern through a range of written accounts pertaining to his work. Subjective and interpersonal empathy involve experiential functions, and the objective mode relates to theoretically-informed perspectives. The article helps clarify Adler’s theoretical conceptualizations and therapeutic practices in the context of an integral model of empathy. Keywords: Individual Psychology, Alfred Adler, empathy When a person accidently drops a glass, or a speaker loses presence of mind, most people observing these occurrences empathize with the distress of each individual. At exciting football games, whole groups of spectators empathically arch their bodies in the direction of their favorite team as the players catch passes or run down the field. In the theater, when viewing plays or films, patrons identify with the joys and sorrows of the performers. Alfred Adler (1927) mentioned each of these common human experiences as illustrations of empathy in social interactions of everyday life. Empathy also assumed a prominent role in Adler’s theoretical orientation of Individual Psychology (Clark, 2007). In his treatment practices and conceptual formulations, empathy is notable as a key factor in understanding the feelings and meanings of a diverse range of clients. For Adler, empathy provided a means for experientially grasping the immediate functioning of an individual. At the same time, Adler utilized empathy from a broader perspective when employing such theoretical constructs as the lifestyle and holism in the service of understanding clients through conceptual knowledge. Early in the 20th century, Adler made explicit reference to empathy in a number of his writings, and various individuals documented accounts of his empathic style in therapy and interpersonal contexts. Consequently, Adler should be considered the first theorist to explicate the developmental and therapeutic significance of empathy. The Journal of Individual Psychology, Vol. 72, No. 4, Winter 2016 ©2016 by the University of Texas Press Editorial office located in the College of Education at Georgia State University. Published for the North American Society of Adlerian Psychology. 238 Arthur J. Clark In defining empathy, Adler (1930/1963) made reference to a quotation from an anonymous English author, “One must see with the other person’s eyes, hear with his ears, and feel with his heart” (p. 164). The ability to identify with a person is essential in Adler’s view for empathically understanding what it is like to be that particular individual. Although there is ambiguity and debate in the counseling and psychotherapy literature about the precise meaning of empathy, a broad consensus exists pertaining to its value as a therapeutic variable (Wampold & Imel, 2015). Diverse psychotherapies recognize the importance of empathy and empathic understanding in fostering open communication and trust, involvement and satisfaction in the therapy process, and successful treatment outcomes (Bohart, Elliott, Greenberg, & Watson, 2002; Norcross, 2010). Among the numerous meanings of empathy in the literature, a relatively new definition conceptualizes the process from multiple perspectives in therapeutic treatment (Clark, 2007). Integral empathy involves an attune­ ment with the feelings and meanings of an individual through the engagement of subjective, interpersonal, and objective modalities. In a framework that utilizes the three knowledge channels, integral empathy is compatible with Adler’s holistic orientation. This article helps clarify Adler’s theoretical conceptualizations and therapeutic practices with respect to an integral model of empathy. An Integral Model of Empathy in Counseling and Psychotherapy In the treatment relationship, an integral model encompasses subjective, interpersonal, and objective empathy (Clark, 2004, 2007, 2009, 2010a). As a reciprocal process, subjective empathy relates to a practitioner’s internal reactions in dialogue with a client. When attempting to empathically under­ stand an individual, there is a potential for counselors to momentarily engage their subjective empathy capacities of identification, imagination, intuition, and embodiment. In each of these functions the counselor experiences, for a fleeting period, what it is like to be the client. A correspondence of experiencing with a client by a practitioner is often sufficient to trigger a degree of identification (Ridge, Campbell, & Martin, 2002). When assuming a creative and exploratory posture, counselors are in a position to utilize their imagination and evoke mental images and emotional states similar to those of a client (Clark & Simpson, 2013). Another subjective empathy response occurs when the counselor, employing intuition, generates hunches and flashes of insight when reacting to a client’s experiencing (Rea, 2001). At times, a practitioner may also experience embodied sensations that emerge when listening to evocative narrations of an individual (Cooper, 2001; Shaw, 2004). Empathy and Adler 239 As a way of knowing that is conceptually more familiar to most counselors, interpersonal empathy focuses on the internal frame of reference of a client through a relational process (Ivey, Ivey, Myers, & Sweeney, 2005). Drawing from the verbal and nonverbal communications of the client, the counselor endeavors to express an empathic understanding of the phenomenological experiencing back to the individual. From an objective empa­ thy stance, a counselor utilizes theoretically informed material in order to empathically discern a client’s functioning from a broader referential perspective. This may include such conceptions as the lifestyle and holism that characterize an individual’s uniqueness in comparison to other people. In counseling practice, a practitioner triangulates among the three empathy modalities depending on the particular treatment context with a client (Rothbauer, 2008). An Integral Model of Empathy and Adler The multiple modalities of an integral model of empathy are possible to align with Adler’s theoretical conceptualizations and treatment practices given their holistic focus (Adler, 1929/1969; Clark, 2007). With respect to a subjective modality, Adler believed that the capacity to identify with people and engage intuition are universal human endowments for empathically under­standing others (Adler, 1927, 1933/1964b). In Adler’s view, a person’s imagination has the potential to stimulate vivid mental images of the life experiences of other individuals (Adler, 1931/1958). Also implicit in Adler’s treatment approach is his recognition of the potential for a practitioner to empathically understand clients through an awareness of internal sensations that are grounded in the body (Adler, 1927). From an interpersonal empathy perspective, Adler’s therapeutic approach reflects a phenomenological way of empathically understanding a client. Written accounts of his style of interacting with numerous individuals suggest an attentive and receptive quality that is intrinsic to empathy and empathic functioning (Ansbacher & Ansbacher, 1956, 1979; Manaster, Painter, Deutsch, & Overholt, 1977). Relating to objective empathy, there is an inherent relationship between empathy and the central Adlerian constructs of lifestyle, social interest, and holism. In order to comprehensively understand another person it is necessary to empathically grasp the lifestyle of the individual (Adler, 1927, 1929/1969). The presence or lack of empathy manifested in a person’s functioning is suggestive of a qualitative degree of social interest. When viewing the human personality holistically, patterns are possible to detect which clarify an individual’s uniqueness at more comprehensive and inclusive levels. 240 Arthur J. Clark Subjective Empathy and Adler In his written works Adler made reference to identification, imagination, intuition, and the embodiment process in the context of discussions relating to empathy. Commentary pertaining to the four internal referents will contribute to clarifying Adler’s thinking as it relates to subjective empathy in the therapeutic process (Adler, 1927, 1929/1969). Additionally, particular individuals have acknowleged Adler’s ability to vicariously grasp the experiencing of a range of persons in various contexts (Manaster et al., 1977). Identification. Adler recognized identification as a fundamental factor for empathically understanding another person across the spectrum of social interactions (May, 1939). Adler (1927) pointed out that, “Empathy occurs in the moment one human being speaks with another. It is impossible to understand another individual if it is impossible at the same time to identify oneself with him” (pp. 60–61). In observing the essential nature of empathy for purposeful communication, Adler (1927) contended that identification is an inherent endowment of people. Relating to this point, Adler (1927) stated, “We call this faculty identification, or empathy. It is extraordinarily developed in human beings. Its extent is so great that one finds it in every corner of the psychic life” (p. 60). From a treatment perspective, Adler frequently referred to clinical cases in his writings (Adler, 1929/1964a, 1929/1969, 1930/1963), and it is reasonable to speculate that he would employ his own capacity for identification in order to gain an empathic understanding of clients. As an example, Adler (1929/1969) discussed the plight of an early adolescent female who began acting out upon entering high school and felt isolated and unappreciated within her family and community. With respect to his therapeutic approach, Adler (1929/1969) noted, “In treating a case of this sort, identification—the ability to place oneself empathically in the situation of a person—is all-important” (p. 109). As a facet of subjective empathy, identification involves a counselor’s momentary resonance of commonality with a client in a treatment context (Beres & Arlow, 1974; Ehmann, 1971; Ridge et al., 2002). When engaging identification in a counseling setting, a practitioner briefly senses what it is like to be the client by drawing on similarities of experience (McWilliams, 2004; Stewart, 1955). Specifically relating to the assessment process, Adler routinely employed early recollections as a projective technique in o ­ rder to empathically understand clients. Regarding this approach, Adler (1929/­ 1969) stated, “The art of understanding early recollections involves a high degree of empathy, an ability to identify with the child in his childhood situation” (p. 14). In making reference to clients with limitations in the ability to empathize, Adler recognized disturbances in their relationships with other living beings. Adler (1927) observed, “There are manifestations which are Empathy and Adler 241 intimately related to a deficient degree of empathy. The inability to identify oneself with another may lead so far that an individual refuses entirely to cooperate with his fellow men” (p. 62). In this regard, Adler believed that a lack of empathy potentially contributed to interpersonal difficulties and mental health problems. Imagination. The imaginative faculty of Adler for empathically understanding human beings has been compared to that of an artist (Rattner, 1983; Way, 1950). Accordingly, Way (1950) made reference to Adler: “It was always his view that to understand the unique individuality of a person requires more than the ability to analyse like the scientist; it requires the artist’s ability to grasp with the imagination” (p. 55). Yet, in order to comprehend Adler’s imaginal engagement and to appreciate how the function relates to subjective empathy, it is necessary to clarify the process in a treatment context. In a representative case, Adler (1931/1958) described the situation of a 10-year-old male who was referred for treatment as a result of having threatened other children. In his home, the boy slept on a daybed in the dining room and his sister slept on a cot in her parents’ room. Adler felt that the sleeping arrangement was troubling to the boy because he sought his mother’s attention. Adler (1931/1958) went on to state: “We are trying to think, feel, and see through the boy’s mind” (p. 113). When a practitioner envisions a daybed, a cot, or a myriad of other objects and situations, the empathic function involves imagining widely varying experiences in the lives of clients (Freedman & Combs, 1996). Beyond evoking visual images, Adler (1933/1964b) also recognized that the imaginative mode has a potential to trigger affective reactions on the part of an empathic counselor or therapist, “by rousing expectant feelings and emotions” (p. 249). Adler drew an analogy to the imaginal process by relating its effect to opening the throttle of an automobile and increasing emotional activity. In listening to the narratives of individuals in treatment, it is a creative endeavor to imaginatively grasp situations that may be puzzling or even remote from the counselor’s experiencing (Powers & Griffith, 1987). Through a posture of curiosity and discovery, it is possible to envision actions and aspirations that are unique to a particular individual (Vanaerschot, 1997; Margulies, 1989). In addition to receptively listening to clients share their life experiences, Adler engaged his imagination as an internal response when clients recounted their dreams and early recollections (Adler, 1936, 1937; Clark, 2002, 2013; Pomeroy & Clark, 2015). Successful efforts to empathically understand a client’s dreams and early childhood memories can only be done by evoking mental images and sensory impressions that are a product of the counselor’s imagination (Clark & Simpson, 2013). Intuition. As another internal referent, Adler believed that intuition is an indispensable faculty in the everyday lives of people (Adler, 1933/1964b). 242 Arthur J. Clark Relating to the intuitive process, Adler (1933/1964b) stated, “Many people call this gift ‘intuition,’ and believe that it is the special possession only of the loftiest spirits. As a matter of fact, it is the most universal of all human gifts” (p. 33). Intuitive functioning on the part of the counselor or therapist occurs rapidly and entails hunches and flashes of insight (Rea, 2001). As an example, in a counseling session with a late-adulthood client, a counselor experiences an impulse to ask a question that has a probability for therapeutic gain, but is also potentially threatening. The counselor senses that unless she immediately renders the question, an opportunity would be lost to clarify the client’s functioning. As an implicit capacity, a practitioner’s intuition also involves drawing inferences, recognizing whole patterns, and forming impressions of clients (Eisengart & Faiver, 1996). Intuition as a way of knowing draws from a counselor’s fund of theoretical knowledge and practical experience (Eisengart & Faiver, 1996). Given these aspects of intuition, it is highly probable that Adler utilized intuitive processing in his treatment approach considering his incisive discernment of human nature, receptive emotional attunement with clients, and comprehensive grasp of psychotherapeutic conceptual material. Even with an understanding of its properties, however, the intuitive modality may seem to be somewhat vague and obscure in the counseling process (Sweeney, 2009). At the same time, intuition does not occur in isolation, and in an integral model of empathy, more explicit knowledge channels can augment intuitive functioning. Rattner (1983) addressed this concern about intuition in the context of Adlerian psychology: “Individual psychology postulates an intuitive understanding of human nature, but it has also provided aids to support intuition with scientific apparatus” (p. 103). Further, although Adler’s ability to rapidly, and at times dramatically, capture the essence of an individual’s way of being was exceptional; it was his observation that intuition is a universal human capacity that is a gift to all. Embodiment. In the context of a discussion on empathy, Adler (1927) cited an example of what it is like for individuals on the ground to watch a person wash windows near the top of a tall building. For most observers, they are likely to experience sinking and tingling sensations in their stomach as they peer far up at the worker. In this instance, an empathic response to the window washer goes beyond that of feelings and extends to the realm of physiological or embodied reactions. In the therapeutic process, a practitioner may also resonate with internal sensations when empathically attuning to the narratives of a client (Shaw, 2004). As an example, a single parent with three young children plaintively expresses worries about falling behind on the rent for her one-bedroom apartment and paying other mounting bills. Listening to the client’s distressful story, the counselor is aware of a tightening sensation in her own face and chest. As a consequence, the counselor’s visceral Empathy and Adler 243 response provides a deeper grasp of what it is like to be the client in an embodied way (Cooper, 2001; Corcoran, 1981; Gendlin, 1961; Shaw, 2004). Although there is an emerging awareness of the importance of a sensitivity to the physical reactions of counselors (Corcoran, 1981; Sawyier, 1975; Vanaerschot, 1997), Adler, as is the case with most practitioners of his era, rarely referred to his own embodied experiencing in therapeutic contexts. At the same time, however, considering Adler’s holistic orientation, it is reasonable to assume that he used his internal bodily cues in the service of empathically understanding clients (Adler, 1927). From a developmental perspective, Adler (1931/1958) recognized that influences of human potentialities include how individuals perceive environmental experiences and somatic reactions. Specifically, Adler (1931/1958) observed, “The path he chooses to follow will depend on the impressions and sensations he receives from his environment and from his own body, and on the interpretation he makes of these impressions and sensations” (p. 169). Expanding on this perspective, Sawyier (1975) made the point that because an individual’s awareness of the environment arises out of physical sensations, and that the person who is a focus of empathic understanding exists in an external context, it follows that the dynamic structure of empathy rests on sensory processing. Importantly, when a counselor engages the subjective modality there is a potential for crossing or merging personal boundaries with a client, and this conflation may contribute to countertransference reactions. In these instances, distinguishing between the purposeful and transitory qualities of subjective empathy and the conflictive nature of countertransference is essential (McWilliams, 2004; Zepf & Hartmann, 2008). Another useful consideration for a counselor to keep in mind when employing subjective empathy is the distinction between sympathy and empathy (Clark, 2010b). The two processes are subject to confusion, and failing to differentiate empathy from sympathy contributes to therapeutic misdirection. Among other concerns that can occur when communicating sympathy rather than empathy, a counselor may side with a client and thus restrict or preclude the exploration of alternative and potentially constructive perspectives. Interpersonal Empathy and Adler As a complement to the internal processing of subjective empathy, a counselor’s interpersonal manifestation of empathy involves attempting to grasp overt expressions of a client’s phenomenological experiencing (Clark, 2007). Through a relational process, a counselor strives to comprehend the internal frame of reference and the feelings and meanings of a client (Egan, 2014; Ivey, Ivey, & Zalaquett, 2014). Drawing from the verbal and nonverbal communications of a client, the counselor seeks to capture and express an understanding of an individual’s world (Carlson, Watts, & Maniacci, 244 Arthur J. Clark 2006; Dinkmeyer & Sperry, 2000). Most practitioners are familiar with inter­ personal empathy as a way of knowing because the modality constitutes a major training focus across counselor education programs and in the counseling and psychotherapy literature (Clark, in press; Dyche & Zayas, 2001; Greason & Cashwell, 2009; Nerdrum & Ronnestad, 2002). In training initiatives, counselors traditionally practice improving their ability to accurately employ interpersonal empathy through didactic instruction and observable therapeutic transactions. Carl Rogers (1975) was instrumental in advancing the prominence of interpersonal empathy and extending its training potential through the use of audio and cinematic recordings of counseling sessions. With the availability of verbatim accounts of client-counselor dialogues, the influence and accuracy of a counselor’s engagement of an interpersonal mode of empathy have become a major focus of practice in terms of skill development (Ivey et al., 2014). Although Adler’s professional work preceded the availability of recorded counseling transcriptions, an engagement of interpersonal empathy is possible to infer through written accounts of his treatment interactions and observations of individuals familiar with his psychotherapeutic style. In discussing his general approach to the counseling process, Adler emphasized the use of tact and patience in developing an empathic alliance. Adler (1920/1968) stated, “Every therapeutic treatment and certainly every clumsy and tactless attempt to tell the patient the truth, deprives the patient of the very source of his irresponsibility and must expect to encounter the most violent resistance” (p. 236). Adler also suggested that only after establishing a positive relationship and empathically understanding a client is it a sound treatment direction to disclose insights to the individual about his or her functioning. In a further development of this point, Adler (1933/1964b) observed, “It is preferable to keep one’s views to oneself, so that later on, after the case has been understood, they may be used in a suitable way without injuring the patient’s hypersensitiveness, which is always in evidence” (p. 287). Even when the therapeutic process reaches the time for a counselor to disclose observations about a client, Adler believed that this should be done in a tactful and empathic way. Specifically, Adler (1933/1964b) related, “When mistakes are discovered they should always be explained in a friendly manner, patiently and without threats” (p. 304). After Adler made progress in developing trust and rapport with a client, he often became more overtly persuasive and direct (Adler, 1929/1969; Grey, 1998). Yet even then, Adler continued to maintain an empathic sensibility in his interactions with an individual. Empathic engagement from an interpersonal stance involves grasping the essence of a client’s phenomenological state of being (Dinkmeyer & Sperry, 2000; Hanna, 1996). In seeking to empathically understand individuals, Adler (1933/1964b) made reference to the influence of phenomenological Empathy and Adler 245 experiencing. Adler (1933/1964b) related, “It is very obvious that we are influenced not by ‘facts’ but by our interpretations of facts” (p. 26). In a similar line of reasoning, Ansbacher and Ansbacher (1956) stated, “Although Adler did not use the term phenomenology, he consistently used the method in that he emphasized the unprejudiced approach to the patient, and based his understanding on empathy” (p. 14). Involving inherent aspects of empathy and phenomenology, the counseling intervention of encouragement is prominent in Adler’s treatment approach (Adler, 1930, 1931/1958, 1930/1963; Carlson et al., 2006; Dinkmeyer & Sperry, 2000). With respect to encouragement, Rattner (1983) made the observation, “To encourage a person is a skill that can be learned through the techniques of individual psychology, but only training and the most sensitive fellow feeling can develop to the degree of subtlety that is required in psycho­ therapy” (p. 89). Watts and Pietrzak (2000) stated that essential aspects of encouragement in a counseling relationship involve a counselor’s expression of concern for a client through empathy, and active or reflective listening. Addressing the use of encouragement with children, Adler (1930) related, “Children who lose confidence in themselves and faith in the future must be encouraged. They must be treated gently, patiently, and tolerantly” (p. 157). Adler’s communication of interpersonal empathy is also possible to infer through accounts and commentaries of individuals who had occasions to observe him when interacting with others. Adler frequently utilized a therapeutic approach of meeting with clients in front of public and professional assemblies. As a frequent observer of the treatment sessions, Hertha Orgler recalled, “I shall always remember the happy expression on the face of a child who, when brought before Adler, was either shy or defiant at first, but suddenly changed in its whole bearing. This change was brought about by Adler’s gentle, kind and understanding way of speaking to the child. One secret of his success was that he saw with the eyes of the other person, heard with the ears of the other, and felt with the heart of the other” (Orgler, 1963, pp. xiv–xv). On another occasion, at the age of 15, Robert Plank attended an evening school course in Vienna on Individual Psychology conducted by Adler (Manaster et al., 1977). Although the presentations did not take place in a clinical setting, Adler’s manner as an instructor suggested aspects of an empathic communication style. Plank (Manaster et al.) stated, “He gazed at everybody and everything with the same penetrating and benign glance; he listened as though he was weighing every word you uttered, and his response showed that he understood all you said and all that was behind it” (p. 60). Various other individuals have made reference to Adler’s gentle, attentive, patient and perceptive way of listening in personal and professional contexts (May, 1939; Orgler, 1963; Rattner, 1983; Sperber, 1974; Stone & Drescher, 2004). 246 Arthur J. Clark Objective Empathy and Adler Some counselors and therapists may be skeptical about conceptualizing an objective perspective of empathy in counseling contexts. Primarily focusing on theoretical formulations and assessment data, an objective stance may even seem antithetical to a traditional conception of empathy with its phenomenological emphasis. At the same time, access to particular conceptualizations and normative findings has the potential for empathically understanding individuals at a deeper and more inclusive level (Clark, 2007, 2010a). As a counselor experientially interacts with a client through subjective and interpersonal modalities, the practitioner’s attention may at times shift or traverse to a more objective posture. In these instances, the counselor is in a position to draw from referential material for empathically understanding a client. For example, Adler’s conceptions of degree of activity and safeguarding tendencies provide structures to uniquely know a client through frameworks that are relevant for all individuals (Clark, 1999, 2000; Clark & Butler, 2012). A counselor may also enhance an empathic understanding of a client by employing normed self-report inventories, multicultural research, and behavioral observations. What is most important, however, when giving consideration to such data, is for a practitioner to assume an empathic position of what the lived experience is like for the individual. For example, what is daily existence like for a person who obtains a highly elevated score on a depression inventory, or what is it like to be a child who is repeatedly ignored or bullied on the school playground? Adler’s holistic stance included several theoretically-informed conceptions that have a potential for empathically understanding individuals from an objective perspective. In particular, the constructs of lifestyle, social interest, and holism enable a counselor to engage theoretical reasoning in order to extend an empathic understanding of a client (Clark, 2007). For instance, estimating a client’s level of social interest is possible; however, in order to enhance clinical utility, the construct may be evaluated in comparison with other individuals in treatment contexts (Mozdzierz, Greenblatt, & Murphy, 2007). Lifestyle. According to Adler (1927, 1929/1969, 1933/1964b), individuals develop enduring convictions about life in their first four or five years. This style of life or lifestyle is a unique pattern relating to ingrained assumptions about oneself, other people, and events (Clark, 2002; Pomeroy & Clark, 2015; Sweeney, 2009). In Adler’s view, the conception epitomizes what life is like or about for a person, and the art of understanding a client relates to comprehending the individual’s style of life. With respect to the lifestyle, Adler stated, “Insight into the meaning of this plan is best obtained through artistic and intuitive empathy with the essential nature of the patient” (Ansbacher & Ansbacher, 1956, p. 328). For Adler, the lifestyle provided a Empathy and Adler 247 conceptual framework for making inferences about an individual’s enduring personality pattern. Various appraisal methods contribute to evaluating a client’s lifestyle, such as the exploration of early recollections, day and night dreams, birth order positions, childhood behavior problems, and adaptations to developmental challenges (Adler, 1933/1964b). With specific reference to early recollections, Adler believed that people remember those early life experiences which relate to the formulation and expression of their style of life (Clark, 2002, 2013; May, 1939). Most individuals recall a relatively small number of early childhood memories and the recollections provide an essential method for understanding one’s lifestyle (Adler, 1931/1958). In this regard, Adler (1931/1958) related, “Early recollections have especial significance. To begin with they show the style of life in its origins and in its simplest expressions” (p. 74). Relatedly, Olson (1979) thought that the interpretation of early recollections “is an exercise in empathy” (p. 78). Social Interest. From Adler’s perspective, empathy is a facet of an individual’s emotional connection and identification with other people (Adler, 1933/1964b; Oberst & Stewart, 2003; Terner & Pew, 1978). Referring to this function as social interest, Adler gave prominence in his theoretical approach to the quality of an individual’s kinship with humanity and a desire to belong to a community. Adler asserted, “Individual Psychology may claim as its contribution to have pointed out that empathy and understanding are facts of social feeling, of being in harmony with the universe” (Ansbacher & Ansbacher, 1979, p. 43). In Adler’s view (1927), social interest is an inborn capacity that is necessary to nurture in childhood in order for a person to identify oneself with others and strive to contribute to the welfare of the larger community. At the same time, according to Adler (1927), a deficit of social interest relates to an insensitivity to the emotions and experiences of others and a relative lack of empathy. Adler (1927) related “Just as there are various degrees of the social feeling so there are various degrees of empathy” (pp. 61–62). In a counseling context, Adler (1927, 1933/1964b) recognized that empathic understanding has a key role in promoting the development of an individual’s sense of belonging and identification with others (Curlette & Kern, 2010; Oberst & Stewart, 2003). Holism. Recognizing the unique and indivisible quality of a person’s holistic functioning contributes to a deeper level of empathic understanding (Brown, 1972; Sweeney, 2009). Comparing Adler’s treatment approach to that of an artist, Rattner (1983) drew a relationship between empathy and holism by stating: “Although Adler’s understanding of human nature is formulated in scientific terms, it also has significant artistic aspects. This is clearly revealed in the demand that the personality be grasped as a unity, with empathy similar to that which an artist grasps his object before depicting it” (p. 89). In an integral empathy model, weaving together observations 248 Arthur J. Clark and impressions of a client from multiple perspectives contributes to holistically knowing an individual. In an artful way, the counselor blends perspectives from the various knowledge channels in order to grasp the unity of a client’s personality from a broader vantage point (Hazler, 2001). This totality of an individual’s functioning is particularly evident in thematic patterns that emerge from multiple early recollections of an individual (Clark, 2002, 2013; Dreikurs, 1967). Dreikurs (1967) observed this holistic orientation: “From all the millions of experiences to which we are exposed in our early childhood, we remember only those which coincide with our outlook on life. All early recollections show, therefore, the same pattern; and where they differ, they supplement but never contradict each other” (p. 87). Conclusions In utilizing an integral model of empathy, Adler’s prominent employment of empathic understanding is apparent in his therapeutic orientation. A multiple perspective view of empathy advances the theoretical understanding of Adler’s treatment approach as it relates to the critical variable in counseling and psychotherapy. Importantly, there are implications for educational and training pursuits when considering the employment of integral empathy in treatment contexts (Clark, in press). From a subjective empathy stance, Adler thought that the internal referents were universal human capacities that contribute to empathically understanding individuals. With this in mind, cultivating a practitioner’s faculties of identification, imagination, intuition, and embodiment has a potential to enhance therapeutic progress. Adler demonstrated essential qualities of interpersonal empathy in his tactful interactions with clients, and this focus is a well-established training pursuit in contemporary counselor education programs (Sommers-Flanagan & Sommers-Flanagan, 2009). Interpersonal empathy focuses on grasping the feelings and meanings of a client and expressing an empathic understanding back to the individual. Adler had a gift for developing a therapeutic relationship with clients, and his interpersonal skills in this pursuit deserve to be an object of study in training endeavors. With respect to objective empathy, Adler’s conceptual formulations provide vehicles for empathic understanding. In particular, Adler’s constructs of lifestyle, social interest, and holism are essential frameworks for knowing clients from broader and deeper perspectives. Many years ago, Adler gave consideration to the essential nature of empathy in human relationships and its function in therapeutic contexts. Today, an integral model brings prominence to empathy and empathic understanding in Adler’s theoretical orientation in counseling and psychotherapy. Empathy and Adler 249 References Adler, A. (1927). Understanding human nature (W. B. Wolf, Trans.). 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The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). New York, NY: Routledge. Watts, R. E., & Pietrzak, D. (2000). Adlerian “encouragement” and the therapeutic process of solution-focused brief therapy. Journal of Counseling and Development, 78, 442–447. Way, L. (1950). Adler’s place in psychology. New York, NY: Macmillan. Zepf, S., & Hartmann, S. (2008). Some thoughts on empathy and countertransference. Journal of the American Psychoanalytic Association, 56, 741–768. Arthur J. Clark is a professor emeritus at St. Lawrence University, Canton, NY. He is the author of Defense Mechanisms in the Counseling Process, Early Recollections: Theory and Practice in Counseling and Psychotherapy, Empathy in Counseling and Psychotherapy: Perspectives and Practices, and Dawn of Memories: The Meaning of Early Recollections in Life.