 Whereas it is quite plausible to assume that empathy—that is, empathy with negative emotions of another or what Hoffman (2000) calls “veridical empathic distress”—under certain conditions (and when certain developmental markers are achieved) can give rise to sympathy, it should be stressed that the relation between affective empathy and sympathy is a contingent one; the understanding of which requires further empirical research. First, sympathy does not necessarily require feeling any kind of congruent emotions on part of the observer, a detached recognition or representation that the other is in need or suffers might be sufficient. (See Scheler 1973 and Nichols 2004). Second, empathy or empathic distress might not at all lead to sympathy. People in the helping professions, who are so accustomed to the misery of others, suffer at times from compassion fatigue. It is also possible to experience empathic overarousal because one is emotionally so overwhelmed by one’s empathic feelings that one is unable to be concerned with the suffering of the other (Hoffman 2000, chap. 8). In the later case, one’s empathic feeling are transformed or give rise to mere personal distress, a reactive emotional phenomenon that needs to be distinguished from emotional contagion, empathy, and sympathy.