There is some recent academic literature suggesting that compassion fatigue is a misnomer and should be replaced with the term, empathy fatigue. Evidence supporting this change comes from a burgeoning literature examining the neurophysiology of empathy versus compassion meditation practices. Whereas empathy can be defined as feeling what another feels and cumulative negative effects over time can come from the accretion of the assumptions of others painful emotions and experience. Compassion relates to a feeling of caring, loving or desire to improve the lot of others and may or may not require awareness of others' feeling and emotions, but instead arises from a humanistic or even altruistic desire for subject to be free of suffering. Studies of training of compassion practices among health care provides has demonstrated positive effects compared to empathy practices which do not improve provider functioning.