The Empathy Exams by Leslie Jamison
Graywolf • $15 • ISBN 9781555976712
Published April 1, 2014
order from: BAM | B & NIndiebound | Amazon

I dare anyone who doubts the abillity of the personal essay to enlighten to remain in that mindset after reading even two pages of The Empathy Exams. In a dozen wide-ranging essays, Jamison, a Brooklyn-based writer who previously published the novel The Gin Closet, seems to leave no nook or cranny of the human experience unexplored. With fearless honesty, she reveals the ways pain—both physical and mental—affects us and the ways we respond to others around us. Take the title essay, which takes on the subject of empathy using the lens of Jamison's experience as a medical actor, as she displaying symptoms for doctors-in-training who must ask the right questions to unlock a diagnosis. During this process, she reflects on her own response to others in pain, and on the ways she expects those around her to react when she is in need of empathy.


I wonder which parts of my brain are lighting up when the med students as me: "How does that make you feel?" Or which parts of their brains are glowing when I say, "the pain in my abdomen is a ten." My condition isn't real. I know this. They know this. I'm simply going through the motions. They're simply going through the motions. But motions can be more than rote. They don't just express feeling; they can give birth to it.

Empathy isn't just something that happens to us—a meteor shower of synapses firing across the brain—it's also a choice we make: to pay attention, to extend ourselves. It's made of exertion, that dowdier cousin of impulse. Sometimes we care for one another because we know we should, or because it's asked for, but this doesn't make our caring hollow. The act of choosing simply means we've committed ourselves to a set of behaviors greater than the sum of our individual inclinations: I will listen to his sadness, even when I'm deep in my own. To say going through the motions—this isn't reduction so much as acknowledgement of effort—the labor, the motions, the dance—of getting inside another person's state of heart or mind. 


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