Shared Pain, Shared Decisions: How Empathy Shapes Social Conformity Through Physiology and Visual Attention

Abstract

Empathy enables individuals to attune to others experiences through shared affective, sensorimotor, and neural representations, but its influence on higher-level decision-making and social alignment remains unknown. We examined whether empathy promotes social conformity and whether this effect depends on physiological arousal, visual attention, and socio-emotional traits. Seventy-three participants completed an empathy-for-pain task followed by a modified random-dot task in which they interacted with previously seen empathy targets, while physiological signals and eye movements were recorded. Drift-diffusion modeling showed that feedback from empathy targets increased conformity, reflected in stronger decision bias toward targets, faster evidence accumulation, and reduced decision conservatism. Visual attention to the eyes or mouth was linked to greater conformity depending on the context. Heart rate variability was unrelated to conformity, whereas phasic skin conductance was associated with smaller bias changes and greater conservatism. Alexithymia and autistic traits further shaped the empathy-conformity relationships. These findings suggest that empathic shared representation extends beyond affective resonance to influence social alignment in decision-making.