Antes la psicóloga tenía poca empatía, o mejor dicho, ninguna; pero ahora es diferente.

Questions & Answers about Antes la psicóloga tenía poca empatía, o mejor dicho, ninguna; pero ahora es diferente.

Why is mejor dicho used here instead of just saying o ninguna?
Mejor dicho (literally "better said") is a discourse marker used to self-correct or add a more precise nuance to what you just said. Here, the speaker starts with poca empatía (little empathy) and then immediately corrects it to the harsher truth: ninguna (none). It translates best to "or rather" or "or better said".
Why does the sentence use ninguna instead of ninguno or nada?
Ninguna acts as a pronoun here, replacing the noun empatía. Because empatía is a feminine singular noun, the pronoun must match it exactly. You use it to avoid repeating the noun, similar to saying "none" instead of "no empathy" in English.
Could I say está diferente instead of es diferente here?
Yes, but the nuance changes. Using es diferente (from the verb ser) implies that her overall character or professional style has fundamentally changed in this new era. If you used está diferente (from the verb estar), it would imply she is simply acting differently at the moment or going through a temporary phase.
Why do we use poca for "little" instead of pequeña?
Poca (feminine of poco) means "little" in the sense of a small quantity or amount, which is required for uncountable, abstract nouns like empatía. Pequeña means "little" in the sense of physical size, which wouldn't make sense here.

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