Empathy is essential in healthcare communication. We introduce an annotation approach that draws on well-established frameworks for clinical empathy and breaking bad news (BBN) conversations for considering the interactive dynamics of discourse relations. We construct Empathy in BBNs, a span-relation task dataset of simulated BBN conversations in German, using our annotation scheme, in collaboration with a large medical school to support research on educational tools for medical didactics. The annotation is based on 1) Pounds (2011)’s appraisal framework for clinical empathy, which is grounded in systemic functional linguistics, and 2) the SPIKES protocol for breaking bad news (Baile et al., 2000), commonly taught in medical didactics training. This approach presents novel opportunities to study clinical empathic behavior and enables the training of models to detect causal relations involving empathy, a highly desirable feature of systems that can provide feedback to medical professionals in training. We present illustrative examples, discuss applications of the annotation scheme, and insights we can draw from the framework.

Empathetic leadership communication plays a pivotal role in modern workplaces as it is associated with a wide range of positive individual and organizational outcomes. This paper introduces LeadEmpathy, an innovative expert-annotated German dataset for modeling empathy in written leadership communication. It features a novel theory-based coding scheme to model cognitive and affective empathy in asynchronous communication. The final dataset comprises 770 annotated emails from 385 participants who were allowed to rewrite their emails after receiving recommendations for increasing empathy in an online experiment. Two independent annotators achieved substantial inter-annotator agreement of >= .79 for all categories, indicating that the annotation scheme can be applied to produce high-quality, multidimensional empathy ratings in current and future applications. Beyond outlining the dataset’s development procedures, we present a case study on automatic empathy detection, establishing baseline models for predicting empathy scores in a range of ten possible scores that achieve a Pearson correlation of 0.816 and a mean squared error of 0.883. Our dataset is available at https://github.com/caisa-lab/LEAD-empathy-dataset.