This study examined how empathy is communicated and experienced in the help
ing interactions of couples expecting their first baby. Eighteen couples to
ok part in a semistructured communication task, and then, in a tape-assiste
d recall session, identified helper responses that were high and low in emp
athy. Qualitative data analysis yielded five themes characterizing high emp
athy responses-checking out or exploring meaning, acknowledging the concern
, articulating meaning or summarizing, offering solutions, and a mutual exp
erience-and five themes characterizing low empathy responses-missing the po
int, dismissing the concern, offering solutions, redirecting the conversati
on and persuading. The findings suggest both similarities and differences b
etween the communication of empathy in this population and existing theoret
ical conceptions of empathy in psychological therapy. Implications for Prev
entive interventions for couples are discussed. (C) 2001 John Wiley & Sons,
Inc.