Empathy as ontological orientation: Embodiment, therapeutic presence and mirror-touch synaesthesia

Souvlakis, N. 2026. Empathy as ontological orientation: Embodiment, therapeutic presence and mirror-touch synaesthesia. British Journal of Psychotherapy. Advanced online publication. https://doi.org/10.1111/bjp.70052

TitleEmpathy as ontological orientation: Embodiment, therapeutic presence and mirror-touch synaesthesia
TypeJournal article
AuthorsSouvlakis, N.
Abstract

Empathy is widely regarded as a foundational element of effectivepsychotherapy and is routinely framed as a core clinical skill withintraining and accreditation frameworks. Despite this consensus,persistent conceptual and experiential tensions remain regardingwhether empathy can genuinely be taught or whether it reflects adeeper, dispositional mode of being that precedes formal instruction.This paper argues that empathy cannot be meaningfully taught as atechnique because it is not fundamentally a skill but an ontologicalorientation towards others grounded in embodied, pre-reflective andrelational processes. Drawing on humanistic psychotherapy,phenomenology, psychoanalytic theory and contemporary neuroscience,empathy is conceptualised as a way of being-with rather than aprocedural competency. Particular attention is given to mirror-touchsynaesthesia (MTS), a neurophenomenological condition in whichobserving touch to another evokes tactile sensation in the observer’sown body. MTS is examined as an intensified manifestation of empathicembodiment that illuminates the involuntary and perceptual foundationsof empathic resonance. The paper critiques skill-based pedagogies ofempathy and proposes a shift in therapist education towards formationpractices that cultivate reflexivity, affect tolerance and ethical presence.Implications for psychotherapy training, clinical practice andprofessional ethics are discussed.

KeywordsEMBODIMENT, EMPATHY, MIRROR-TOUCHSYNAESTHESIA, ONTOLOGY, PSYCHOTHERAPY, THERAPEUTICPRESENCE
JournalBritish Journal of Psychotherapy
ISSN0265-9883
Year2026
PublisherWiley
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1111/bjp.70052
Web address (URL)https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.70052
Publication dates
Published online24 Sep 2026

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