“…There was no evidence that data from different sources, gathered in different ways, provide the same or similar meanings of the construct. This underscores the confusion in the literature concerning attempts to define empathy (Aspy, 1975;Bachrach, 1976; Becker & Meyers, 1974; Beres & Arlow, 1974; Conklin & Hunt, 1975;Gladstein, 1977;Hackney, 1978;Hogan, 1975;Iannotti, 1975; Keefe, 1976Keefe, , 1977 Rogers, 1975;Rotenberg, 1974;Shapiro, 1974;Stark, 1977;Stetler, 1977;Szalita, 1976;Wasmuth, 1978). It follows that if empathy cannot be defined dialectically, there will be continued confusion over how it is measured and whether it has positive effects on the patients/clients outcome.…”