Skip to main content
Log in

Disgust, Empathy, and Care of the Sick: an Evolutionary Perspective

  • Theoretical Article
  • Published:
Evolutionary Psychological Science Aims and scope Submit manuscript

Abstract

The presence of a sick individual may induce two contradictory reactions in observers. On the one hand, empathy, sympathy, and compassion may arise and, thus, the motivation to help the sufferer. On the other hand, observers may feel disgust and, thus, might be motivated to avoid the sufferer. From an evolutionary perspective, the former reaction may be explained by kin selection or reciprocal altruism; the latter reaction may be explained by the risk of infection. In many cases, the two emotions and respective motivations might be in conflict. The paper addresses the question of how these conflicting emotions and motivations may bring about adaptive behavioral reactions toward a sick individual. Thereby, the paper yields implications for research on empathy, the behavioral immune system, and the therapeutic encounter.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Al-Shawaf, L., Conroy-Beam, D., Asao, K., & Buss, D. M. (2016). Human emotions: an evolutionary psychological perspective. Emotion Review, 8(2), 173–186. doi:10.1177/1754073914565518.

    Article  Google Scholar 

  • Azevedo, R. T., Macaluso, E., Avenanti, A., Santangelo, V., Cazzato, V., & Aglioti, S. M. (2013). Their pain is not our pain: brain and autonomic correlates of empathic resonance with the pain of same and different race individuals. Human Brain Mapping, 34(12), 3168–3181. doi:10.1002/hbm.22133.

    Article  PubMed  Google Scholar 

  • Balliet, D., Wu, J., & De Dreu, C. K. W. (2014). Ingroup favoritism in cooperation: a meta-analysis. Psychological Bulletin, 140(6), 1556–1581. doi:10.1037/a0037737.

    Article  PubMed  Google Scholar 

  • Brown, G. D. A., Fincher, C. L., & Walasek, L. (2016). Personality, parasites, political attitudes, and cooperation: a model of how infection prevalence influences openness and social group formation. Topics in Cognitive Science, 8(1), 98–117. doi:10.1111/tops.12175.

    Article  PubMed  Google Scholar 

  • Bucchioni, G., Lelard, T., Ahmaidi, S., Godefroy, O., Krystkowiak, P., & Mouras, H. (2015). Do we feel the same empathy for loved and hated peers? Plos One, 10(5), e0125871. doi:10.1371/journal.pone.0125871.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cao, Y., Contreras-Huerta, S., McFadyen, J., & Cunnington, R. (2015). Racial bias in neural response to others’ pain is reduced with other-race contact. Cortex, 70, 68–78. doi:10.1016/j.cortex.2015.02.010.

    Article  PubMed  Google Scholar 

  • Carlson, M., Charlin, V., & Miller, N. (1988). Positive mood and helping behavior: a test of six hypotheses. Journal of Personality and Social Psychology, 55(2), 211–229. doi:10.1037/0022-3514.55.2.211.

    Article  PubMed  Google Scholar 

  • Case, T. I., Repacholi, B. M., & Stevenson, R. J. (2006). My baby doesn’t smell as bad as yours—the plasticity of disgust. Evolution and Human Behavior, 27(5), 357–365. doi:10.1016/j.evolhumbehav.2006.03.003.

    Article  Google Scholar 

  • Cheng, Y., Chen, C., Lin, C.-P., Chou, K.-H., & Decety, J. (2010). Love hurts: an fMRI study. NeuroImage, 51(2), 923–929. doi:10.1016/j.neuroimage.2010.02.047.

    Article  PubMed  Google Scholar 

  • Clark, J. A., & Fessler, D. M. T. (2014). Recontextualizing the behavioral immune system within psychoneuroimmunology. Evolutionary Behavioral Sciences, 8(4), 235–243. doi:10.1037/ebs0000024.

    Article  Google Scholar 

  • Corr, P. J. (2013). Approach and avoidance behaviour: multiple systems and their interactions. Emotion Review, 5(3), 285–290. doi:10.1177/1754073913477507.

    Article  Google Scholar 

  • Cosmides, L., & Tooby, J. (2013). Evolutionary psychology: new perspectives on cognition and motivation. Annual Review of Psychology, 64(1), 201–229. doi:10.1146/annurev.psych.121208.131628.

    Article  PubMed  Google Scholar 

  • Cuadrado, E., Tabernero, C., & Steinel, W. (2015). Motivational determinants of prosocial behavior: what do included, hopeful excluded, and hopeless excluded individuals need to behave prosocially? Motivation and Emotion, 39(3), 344–358. doi:10.1007/s11031-014-9460-z.

    Article  Google Scholar 

  • Cuff, B. M. P., Brown, S. J., Taylor, L., & Howat, D. J. (2016). Empathy: a review of the concept. Emotion Review, 8(2), 144–153. doi:10.1177/1754073914558466.

    Article  Google Scholar 

  • Curtis, V. A. (2014). Infection-avoidance behaviour in humans and other animals. Trends in Immunology, 35(10), 457–464. doi:10.1016/j.it.2014.08.006.

    Article  PubMed  Google Scholar 

  • Curtis, V. A., Aunger, R., & Rabie, T. (2004). Evidence that disgust evolved to protect from risk of disease. Proceedings of the Royal Society B-Biological Sciences, 271, S131–S133. doi:10.1098/rsbl.2003.0144.

    Article  PubMed Central  Google Scholar 

  • Curtis, V. A., de Barra, M., & Aunger, R. (2011). Disgust as an adaptive system for disease avoidance behaviour. Philosophical Transactions of the Royal Society B-Biological Sciences, 366(1563), 389–401. doi:10.1098/rstb.2010.0117.

    Article  PubMed Central  Google Scholar 

  • de Barra, M., & Cownden, D. (2016). Medicine as message: caregiving, illness deception, and the cultural evolution of harmful treatments. SocArXiv. https://osf.io/7d8zk/

  • de Barra, M., & Curtis, V. (2012). Are the pathogens of out-groups really more dangerous? Behavioral and Brain Sciences, 35(2), 85–86. doi:10.1017/S0140525X11000975.

    Article  PubMed  Google Scholar 

  • de Waal, F. B. M. (2008). Putting the altruism back into altruism: the evolution of empathy. Annual Review of Psychology, 59(1), 279–300. doi:10.1146/annurev.psych.59.103006.093625.

    Article  PubMed  Google Scholar 

  • de Zavala, A. G., Waldzus, S., & Cypryanska, M. (2014). Prejudice towards gay men and a need for physical cleansing. Journal of Experimental Social Psychology, 54, 1–10. doi:10.1016/j.jesp.2014.04.001.

    Article  Google Scholar 

  • Decety, J., & Fotopoulou, A. (2015). Why empathy has a beneficial impact on others in medicine: unifying theories. Frontiers in Behavioral Neuroscience, 8, 457. doi:10.3389/fobeh.2014.00457.

    Article  PubMed  PubMed Central  Google Scholar 

  • Decety, J., Bartal, I. B.-A., Uzefovsky, F., & Knafo-Noam, A. (2016). Empathy as a driver of prosocial behaviour: highly conserved neurobehavioural mechanisms across species. Philosophical Transactions of the Royal Society B-Biological Sciences, 371(1686), 20150077. doi:10.1098/rstb.2015.0077.

    Article  PubMed Central  Google Scholar 

  • Delton, A. W., & Robertson, T. E. (2016). How the mind makes welfare tradeoffs: evolution, computation, and emotion. Current Opinion in Psychology, 7, 12–16. doi:10.1016/j.copsyc.2015.06.006.

    Article  Google Scholar 

  • Drwecki, B. B., Moore, C. F., Ward, S. E., & Prkachin, K. M. (2011). Reducing racial disparities in pain treatment: the role of empathy and perspective-taking. Pain, 152(5), 1001–1006. doi:10.1016/j.pain.2010.12.005.

    Article  PubMed  Google Scholar 

  • Dunbar, R. I. M. (1995). Neocortex size and group size in primates: a test of the hypothesis. Journal of Human Evolution, 28(3), 287–296. doi:10.1006/jhev.1995.1021.

    Article  Google Scholar 

  • Dunbar, R. I. M., Korstjens, A. H., Lehmann, J., & British Academy Centenary Research Project. (2009). Time as an ecological constraint. Biological Reviews of the Cambridge Philosophical Society, 84(3), 413–429. doi:10.1111/j.1469-185X.2009.00080.x.

    Article  PubMed  Google Scholar 

  • Duncan, L. A., & Schaller, M. (2009). Prejudicial attitudes toward older adults may be exaggerated when people feel vulnerable to infectious disease: evidence and implications. Analyses of Social Issues and Public Policy, 9(1), 97–115. doi:10.1111/j.1530-2415.2009.01188.x.

    Article  Google Scholar 

  • Duncan, L. A., Schaller, M., & Park, J. H. (2009). Perceived vulnerability to disease: development and validation of a 15-item self-report instrument. Personality and Individual Differences, 47(6), 541–546. doi:10.1016/j.paid.2009.05.001.

    Article  Google Scholar 

  • Ellsworth, P. C. (2013). Appraisal theory: old and new questions. Emotion Review, 5(2), 125–131. doi:10.1177/1754073912463617.

    Article  Google Scholar 

  • Fabrega, H. (1997). Evolution of sickness and healing. Berkeley: University of California Press.

    Google Scholar 

  • Fathi, M., Bateson, M., & Nettle, D. (2014). Effects of watching eyes and norm cues on charitable giving in a surreptitious behavioral experiment. Evolutionary Psychology: An International Journal of Evolutionary Approaches to Psychology and Behavior, 12(5), 878–887.

    Article  Google Scholar 

  • Faulkner, J., Schaller, M., Park, J. H., & Duncan, L. A. (2004). Evolved disease-avoidance mechanisms and contemporary xenophobic attitudes. Group Processes & Intergroup Relations, 7(4), 333–353. doi:10.1177/1368430204046142.

    Article  Google Scholar 

  • Fincher, C. L., & Thornhill, R. (2012). Parasite-stress promotes in-group assortative sociality: the cases of strong family ties and heightened religiosity. Behavioral and Brain Sciences, 35(2), 61–79. doi:10.1017/S0140525X11000021.

    Article  PubMed  Google Scholar 

  • Fincher, C. L., Thornhill, R., Murray, D. R., & Schaller, M. (2008). Pathogen prevalence predicts human cross-cultural variability in individualism/collectivism. Proceedings of the Royal Society of London B: Biological Sciences, 275(1640), 1279–1285. doi:10.1098/rspb.2008.0094.

    Article  Google Scholar 

  • Forgiarini, M., Gallucci, M., & Maravita, A. (2011). Racism and the empathy for pain on our skin. Frontiers in Psychology, 2, 108. doi:10.3389/fpsyg.2011.00108.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gleichgerrcht, E., & Decety, J. (2013). Empathy in clinical practice: how individual dispositions, gender, and experience moderate empathic concern, burnout, and emotional distress in physicians. PLoS One, 8(4), e61526. doi:10.1371/journal.pone.0061526.

  • Goerdeler, K. J., Wegge, J., Schrod, N., Bilinska, P., & Rudolf, M. (2015). “Yuck, that’s disgusting!”—“No, not to me!”: antecedents of disgust in geriatric care and its relation to emotional exhaustion and intention to leave. Motivation and Emotion, 39(2), 247–259. doi:10.1007/s11031-014-9431-4.

    Article  Google Scholar 

  • Goetz, J. L., Keltner, D., & Simon-Thomas, E. (2010). Compassion: an evolutionary analysis and empirical review. Psychological Bulletin, 136(3), 351–374. doi:10.1037/a0018807.

    Article  PubMed  PubMed Central  Google Scholar 

  • Graziano, W. G., Habashi, M. M., Sheese, B. E., & Tobin, R. M. (2007). Agreeableness, empathy, and helping: a person × situation perspective. Journal of Personality and Social Psychology, 93(4), 583–599. doi:10.1037/0022-3514.93.4.583.

    Article  PubMed  Google Scholar 

  • Green, C. R., Anderson, K. O., Baker, T. A., Campbell, L. C., Decker, S., Fillingim, R. B., et al. (2003). The unequal burden of pain: confronting racial and ethnic disparities in pain. Pain Medicine, 4(3), 277–294. doi:10.1046/j.1526-4637.2003.03034.x.

  • Gurven, M., Allen-Arave, W., Hill, K., & Hurtado, M. (2000). “It’s a Wonderful Life”: signaling generosity among the Ache of Paraguay. Evolution and Human Behavior, 21(4), 263–282. doi:10.1016/S1090-5138(00)00032-5.

    Article  PubMed  Google Scholar 

  • Gurven, M., Stieglitz, J., Hooper, P. L., Gomes, C., & Kaplan, H. (2012). From the womb to the tomb: the role of transfers in shaping the evolved human life history. Experimental Gerontology, 47(10), 807–813. doi:10.1016/j.exger.2012.05.006.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hart, B. L. (1990). Behavioral adaptations to pathogens and parasites: five strategies. Neuroscience & Biobehavioral Reviews, 14(3), 273–294. doi:10.1016/S0149-7634(05)80038-7.

    Article  Google Scholar 

  • Hart, B. L. (2011). Behavioural defences in animals against pathogens and parasites: parallels with the pillars of medicine in humans. Philosophical Transactions of the Royal Society, B: Biological Sciences, 366(1583), 3406–3417. doi:10.1098/rstb.2011.0092.

    Article  PubMed Central  Google Scholar 

  • Haselton, M. G., & Nettle, D. (2006). The paranoid optimist: an integrative evolutionary model of cognitive biases. Personality and Social Psychology Review, 10(1), 47–66. doi:10.1207/s15327957pspr1001_3.

    Article  PubMed  Google Scholar 

  • Hein, G., Silani, G., Preuschoff, K., Batson, C. D., & Singer, T. (2010). Neural responses to ingroup and outgroup members’ suffering predict individual differences in costly helping. Neuron, 68(1), 149–160. doi:10.1016/j.neuron.2010.09.003.

    Article  PubMed  Google Scholar 

  • Hill, K., & Hurtado, A. M. (2009). Cooperative breeding in South American hunter-gatherers. Proceedings of the Royal Society B-Biological Sciences, 276(1674), 3863–3870. doi:10.1098/rspb.2009.1061.

    Article  PubMed Central  Google Scholar 

  • Hojat, M., Louis, D. Z., Markham, F. W., Wender, R., Rabinowitz, C., & Gonnella, J. S. (2011). Physicians’ empathy and clinical outcomes for diabetic patients. Academic Medicine, 86(3), 359–364. doi:10.1097/ACM.0b013e3182086fe1.

    Article  PubMed  Google Scholar 

  • Hopkins, N., & Reicher, S. (2016a). Adding a psychological dimension to mass gatherings medicine. International Journal of Infectious Diseases, 47, 112–116. doi:10.1016/j.ijid.2015.12.017.

    Article  PubMed  Google Scholar 

  • Hopkins, N., & Reicher, S. (2016b). The psychology of health and well-being in mass gatherings: a review and a research agenda. Journal of Epidemiology and Global Health, 6(2), 49–57. doi:10.1016/j.jegh.2015.06.001.

    Article  PubMed  Google Scholar 

  • Hublin, J.-J. (2009). The prehistory of compassion. Proceedings of the National Academy of Sciences of the United States of America, 106(16), 6429–6430. doi:10.1073/pnas.0902614106.

    Article  PubMed  PubMed Central  Google Scholar 

  • Humphrey, N., & Skoyles, J. (2012). The evolutionary psychology of healing: a human success story. Current Biology, 22(17), R695–R698.

    Article  PubMed  Google Scholar 

  • Jaeggi, A. V., & Gurven, M. (2013). Natural cooperators: food sharing in humans and other primates. Evolutionary Anthropology, 22(4), 186–195. doi:10.1002/evan.21364.

    Article  PubMed  Google Scholar 

  • Kaplan, H., Hill, K., Lancaster, J., & Hurtado, A. M. (2000). A theory of human life history evolution: diet, intelligence, and longevity. Evolutionary Anthropology: Issues, News, and Reviews, 9(4), 156–185. doi:10.1002/1520-6505(2000)9:4<156::AID-EVAN5>3.0.CO;2-7.

    Article  Google Scholar 

  • Knowles, M. L. (2014). Social rejection increases perspective taking. Journal of Experimental Social Psychology, 55, 126–132. doi:10.1016/j.jesp.2014.06.008.

    Article  Google Scholar 

  • Levine, M., Prosser, A., Evans, D., & Reicher, S. (2005). Identity and emergency intervention: how social group membership and inclusiveness of group boundaries shape helping behavior. Personality and Social Psychology Bulletin, 31(4), 443–453. doi:10.1177/0146167204271651.

    Article  PubMed  Google Scholar 

  • Lieberman, D. L., Tybur, J. M., & Latner, J. D. (2012). Disgust sensitivity, obesity stigma, and gender: contamination psychology predicts weight bias for women, not men. Obesity, 20(9), 1803–1814. doi:10.1038/oby.2011.247.

    Article  PubMed  Google Scholar 

  • Maner, J. K., Nathan, C., Baumeister, R. F., & Schaller, M. (2007). Does social exclusion motivate interpersonal reconnection? Resolving the porcupine problem. Journal of Personality and Social Psychology, 92(1), 42–55. doi:10.1037/0022-3514.92.1.42.

    Article  PubMed  Google Scholar 

  • Manesi, Z., Lange, P. A. M. V., & Pollet, T. V. (2016). Eyes wide open: only eyes that pay attention promote prosocial behavior. Evolutionary Psychology, 14(2), 1474704916640780. doi:10.1177/1474704916640780.

    Article  Google Scholar 

  • Martin, L. J., Hathaway, G., Isbester, K., Mirali, S., Acland, E. L., Niederstrasser, N., et al. (2015). Reducing social stress elicits emotional contagion of pain in mouse and human strangers. Current Biology, 25(3), 326–332. doi:10.1016/j.cub.2014.11.028.

  • Mathur, V. A., Harada, T., Lipke, T., & Chiao, J. Y. (2010). Neural basis of extraordinary empathy and altruistic motivation. NeuroImage, 51(4), 1468–1475. doi:10.1016/j.neuroimage.2010.03.025.

    Article  PubMed  Google Scholar 

  • Meiring, L., Subramoney, S., Thomas, K. G., Decety, J., & Fourie, M. M. (2014). Empathy and helping: effects of racial group membership and cognitive load. South African Journal of Psychology, 44(4), 426–438. doi:10.1177/0081246314530280.

    Article  Google Scholar 

  • Montalan, B., Lelard, T., Godefroy, O., & Mouras, H. (2012). Behavioral investigation of the influence of social categorization on empathy for pain: a minimal group paradigm study. Frontiers in Psychology, 3, 389. doi:10.3389/fpsyg.2012.00389.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murray, D. R., & Schaller, M. (2016). The behavioral immune system: implications for social cognition, social interaction, and social influence. In J. M. Olson. and M. P. Zanna (Eds.), Advances in experimental social psychology, vol. 53 (pp. 75–129). New York: Academic Press.

  • Navarrete, C. D., & Fessler, D. M. T. (2006). Disease avoidance and ethnocentrism: the effects of disease vulnerability and disgust sensitivity on intergroup attitudes. Evolution and Human Behavior, 27(4), 270–282. doi:10.1016/j.evolhumbehav.2005.12.001.

    Article  Google Scholar 

  • Nesse, R. M. (2005). Natural selection and the regulation of defenses: a signal detection analysis of the smoke detector principle. Evolution and Human Behavior, 26(1), 88–105. doi:10.1016/j.evolhumbehav.2004.08.002.

    Article  Google Scholar 

  • Neuberg, S. L., Kenrick, D. T., & Schaller, M. (2011). Human threat management systems: self-protection and disease avoidance. Neuroscience & Biobehavioral Reviews, 35(4), 1042–1051. doi:10.1016/j.neubiorev.2010.08.011.

    Article  Google Scholar 

  • Panksepp, J. (2007). Criteria for basic emotions: is DISGUST a primary “emotion”? Cognition & Emotion, 21(8), 1819–1828. doi:10.1080/02699930701334302.

    Article  Google Scholar 

  • Panksepp, J. (2013). Cross-species neuroaffective parsing of primal emotional desires and aversions in mammals. Emotion Review, 5(3), 235–240. doi:10.1177/1754073913477515.

    Article  Google Scholar 

  • Park, J. H., Faulkner, J., & Schaller, M. (2003). Evolved disease-avoidance processes and contemporary anti-social behavior: prejudicial attitudes and avoidance of people with physical disabilities. Journal of Nonverbal Behavior, 27(2), 65–87. doi:10.1023/A:1023910408854.

    Article  Google Scholar 

  • Park, J. H., Schaller, M., & Crandall, C. S. (2007). Pathogen-avoidance mechanisms and the stigmatization of obese people. Evolution and Human Behavior, 28(6), 410–414. doi:10.1016/j.evolhumbehav.2007.05.008.

    Article  Google Scholar 

  • Peng, M., Chang, L., & Zhou, R. (2013). Physiological and behavioral responses to strangers compared to friends as a source of disgust. Evolution and Human Behavior, 34(2), 94–98. doi:10.1016/j.evolhumbehav.2012.10.002.

    Article  Google Scholar 

  • Pollet, T. V., Tybur, J. M., Frankenhuis, W. E., & Rickard, I. J. (2014). What can cross-cultural correlations teach us about human nature? Human Nature, 25(3), 410–429. doi:10.1007/s12110-014-9206-3.

    Article  PubMed  Google Scholar 

  • Preston, S. D. (2013). The origins of altruism in offspring care. Psychological Bulletin, 139(6), 1305–1341. doi:10.1037/a0031755.

    Article  PubMed  Google Scholar 

  • Rakel, D. P., Hoeft, T. J., Barrett, B. P., Chewning, B. A., Craig, B. M., & Niu, M. (2009). Practitioner empathy and the duration of the common cold. Family Medicine, 41(7), 494–501.

    PubMed  PubMed Central  Google Scholar 

  • Reicher, S. D., Templeton, A., Neville, F., Ferrari, L., & Drury, J. (2016). Core disgust is attenuated by ingroup relations. Proceedings of the National Academy of Sciences, 113(10), 2631–2635. doi:10.1073/pnas.1517027113.

    Article  Google Scholar 

  • Ryan, S., Oaten, M., Stevenson, R. J., & Case, T. I. (2012). Facial disfigurement is treated like an infectious disease. Evolution and Human Behavior, 33(6), 639–646. doi:10.1016/j.evolhumbehav.2012.04.001.

    Article  Google Scholar 

  • Sassenrath, C., Diefenbacher, S., Siegel, A., & Keller, J. (2016). A person-oriented approach to hand hygiene behaviour: emotional empathy fosters hand hygiene practice. Psychology & Health, 31(2), 205–227. doi:10.1080/08870446.2015.1088945.

    Article  Google Scholar 

  • Schaller, M. (2011). The behavioural immune system and the psychology of human sociality. Philosophical Transactions of the Royal Society of London B: Biological Sciences, 366(1583), 3418–3426. doi:10.1098/rstb.2011.0029.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schaller, M., & Park, J. H. (2011). The behavioral immune system (and why it matters). Current Directions in Psychological Science, 20(2), 99–103. doi:10.1177/0963721411402596.

    Article  Google Scholar 

  • Schaller, M., Murray, D. R., & Bangerter, A. (2015). Implications of the behavioural immune system for social behaviour and human health in the modern world. Philosophical Transactions of the Royal Society B-Biological Sciences, 370(1669), UNSP 20140105. doi:10.1098/rstb.2014.0105.

  • Sebastian Contreras-Huerta, L., Hielscher, E., Sherwell, C. S., Rens, N., & Cunnington, R. (2014). Intergroup relationships do not reduce racial bias in empathic neural responses to pain. Neuropsychologia, 64, 263–270. doi:10.1016/j.neuropsychologia.2014.09.045.

    Article  Google Scholar 

  • Sheng, F., & Han, S. (2012). Manipulations of cognitive strategies and intergroup relationships reduce the racial bias in empathic neural responses. NeuroImage, 61(4), 786–797. doi:10.1016/j.neuroimage.2012.04.028.

    Article  PubMed  Google Scholar 

  • Shenhav, A., & Mendes, W. B. (2014). Aiming for the stomach and hitting the heart: dissociable triggers and sources for disgust reactions. Emotion, 14(2), 301–309. doi:10.1037/a0034644.

    Article  PubMed  Google Scholar 

  • Steinkopf, L. (2015). The signaling theory of symptoms: an evolutionary explanation of the placebo effect. Evolutionary Psychology, 13(3), 1474704915600559. doi:10.1177/1474704915600559.

    Article  Google Scholar 

  • Steinkopf, L. (2016). An evolutionary perspective on pain communication. Evolutionary Psychology, 14(2), 1474704916653964. doi:10.1177/1474704916653964.

    Article  Google Scholar 

  • Stevenson, R. J., & Repacholi, B. M. (2005). Does the source of an interpersonal odour affect disgust? A disease risk model and its alternatives. European Journal of Social Psychology, 35(3), 375–401. doi:10.1002/ejsp.263.

    Article  Google Scholar 

  • Stevenson, R. J., Case, T. I., & Oaten, M. J. (2009). Frequency and recency of infection and their relationship with disgust and contamination sensitivity. Evolution and Human Behavior, 30(5), 363–368. doi:10.1016/j.evolhumbehav.2009.02.005.

    Article  Google Scholar 

  • Stone, A., & Potton, A. (2014). Emotional responses to disfigured faces: the influences of perceived anonymity, empathy, and disgust sensitivity. Basic and Applied Social Psychology, 36(6), 520–532. doi:10.1080/01973533.2014.958491.

    Article  Google Scholar 

  • Sugiyama, L. S. (2004). Illness, injury, and disability among Shiwiar forager-horticulturalists: implications of health-risk buffering for the evolution of human life history. American Journal of Physical Anthropology, 123(4), 371–389. doi:10.1002/ajpa.10325.

    Article  PubMed  Google Scholar 

  • Sugiyama, L. S., & Sugiyama, M. S. (2003). Social roles, prestige, and health risk: social niche specialization as a risk-buffering strategy. Human Nature-An Interdisciplinary Biosocial Perspective, 14(2), 165–190. doi:10.1007/s12110-003-1002-4.

    Google Scholar 

  • Tarrant, M., Dazeley, S., & Cottom, T. (2009). Social categorization and empathy for outgroup members. British Journal of Social Psychology, 48(3), 427–446. doi:10.1348/014466608X373589.

    Article  PubMed  Google Scholar 

  • Tewari, S., Khan, S., Hopkins, N., Srinivasan, N., & Reicher, S. (2012). Participation in mass gatherings can benefit well-being: longitudinal and control data from a North Indian Hindu pilgrimage event. PLoS One, 7(10), e47291. doi:10.1371/journal.pone.0047291.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tiokhin, L. (2016). Do symptoms of illness serve signaling functions? (HINT: YES). The Quarterly Review of Biology, 91(2), 177–195.

    Article  PubMed  Google Scholar 

  • Todd, A. R., Forstmann, M., Burgmer, P., Brooks, A. W., & Galinsky, A. D. (2015). Anxious and egocentric: how specific emotions influence perspective taking. Journal of Experimental Psychology. General, 144(2), 374–391. doi:10.1037/xge0000048.

    Article  PubMed  Google Scholar 

  • Tooby, J., & Cosmides, L. (2008). The evolutionary psychology of the emotions and their relationship to internal regulatory variables. In M. Lewis, J. M. Haviland-Jones, & L. F. Barrett (Eds.), Handbook of emotions (3rd ed., pp. 114–137). New York: Guilford.

    Google Scholar 

  • Tooby, J., Cosmides, L., Sell, A., Lieberman, D., & Sznycer, D. (2008). Internal regulatory variables and the design of human motivation: a computational and evolutionary approach. In A. J. Elliot (Ed.), Handbook of approach and avoidance motivation (pp. 251–271). New York: Lawrence Erlbaum.

    Google Scholar 

  • Toronchuk, J. A., & Ellis, G. F. R. (2007a). Criteria for basic emotions: seeking DISGUST? Cognition & Emotion, 21(8), 1829–1832. doi:10.1080/02699930701334419.

    Article  Google Scholar 

  • Toronchuk, J. A., & Ellis, G. F. R. (2007b). Disgust: sensory affect or primary emotional system? Cognition & Emotion, 21(8), 1799–1818. doi:10.1080/02699930701298515.

    Article  Google Scholar 

  • Tybur, J. M., & Lieberman, D. (2016). Human pathogen avoidance adaptations. Current Opinion in Psychology, 7, 6–11. doi:10.1016/j.copsyc.2015.06.005.

    Article  Google Scholar 

  • Tybur, J. M., Lieberman, D., Kurzban, R., & DeScioli, P. (2013). Disgust: evolved function and structure. Psychological Review, 120(1), 65–84. doi:10.1037/a0030778.

    Article  PubMed  Google Scholar 

  • Wandner, L. D., Scipio, C. D., Hirsh, A. T., Torres, C. A., & Robinson, M. E. (2012). The perception of pain in others: how gender, race, and age influence pain expectations. The Journal of Pain, 13(3), 220–227. doi:10.1016/j.jpain.2011.10.014.

    Article  PubMed  PubMed Central  Google Scholar 

  • West, S. G., & Jan Brown, T. (1975). Physical attractiveness, the severity of the emergency and helping: a field experiment and interpersonal simulation. Journal of Experimental Social Psychology, 11(6), 531–538. doi:10.1016/0022-1031(75)90004-9.

    Article  Google Scholar 

  • White, A. E., Johnson, K. A., & Kwan, V. S. Y. (2014). Four ways to infect me: spatial, temporal, social, and probability distance influence evaluations of disease threat. Social Cognition, 32(3), 239–255.

    Article  Google Scholar 

  • Williams, A. C. de C., (2002). Facial expression of pain: an evolutionary account. Behavioral and Brain Sciences, 25(4), 439.

  • Williams, A. C. de C., Gallagher, E., Fidalgo, A. R., & Bentley, P. J. (2016). Pain expressiveness and altruistic behavior: an exploration using agent-based modeling. Pain, 157(3), 759–768. doi:10.1097/j.pain.0000000000000443.

  • Wilson, E. (1978). On human nature. Cambridge: Harvard University Press.

    Google Scholar 

  • Wong, C. K. M., Yip, B. H. K., Mercer, S., Griffiths, S., Kung, K., Wong, M. C.-S., et al. (2013). Effect of facemasks on empathy and relational continuity: a randomised controlled trial in primary care. BMC Family Practice, 14, 200. doi:10.1186/1471-2296-14-200.

  • Xu, X., Zuo, X., Wang, X., & Han, S. (2009). Do you feel my pain? Racial group membership modulates empathic neural responses. The Journal of Neuroscience, 29(26), 8525–8529. doi:10.1523/JNEUROSCI.2418-09.2009.

    Article  PubMed  Google Scholar 

  • Zuo, X., & Han, S. (2013). Cultural experiences reduce racial bias in neural responses to others’ suffering. Culture and Brain, 1(1), 34–46. doi:10.1007/s40167-013-0002-4.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Leander Steinkopf.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Steinkopf, L. Disgust, Empathy, and Care of the Sick: an Evolutionary Perspective. Evolutionary Psychological Science 3, 149–158 (2017). https://doi.org/10.1007/s40806-016-0078-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40806-016-0078-0

Keywords

Navigation