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By Ofer Zur, Ph. Touch and the Standard of Care in Psychotherapy. Touch is one of the most essential elements of human development, a profound method of communication, a Adult massage Prescott component of the health and growth Adult massage Prescott infants, and a powerful healing force Bowlby, ; Harlow, PPrescott, ; Barnett, Touch has been an essential part of ancient healing practices.

In his seminal work, Touching: The Human Significance of the SkinAshley Montagu brings together a vast array of studies shedding light on Adult massage Prescott role of skin and physical touch in human development. Prwscott goes on to illuminate how the sensory system, the skin, is the Adult massage Prescott important organ system of the body, because unlike other senses, a human being cannot survive without the physical and behavioral functions performed by the skin.

Before Montague published his classic book inHarlow set the stage Presfott our understanding of the importance Adult massage Prescott touch for emotional, physiological and interpersonal development in human and non-human infants.

In Adult massage Prescott with Harlow, Montagu concludes: Primarily Euro-American cultures in general, particularly that of North American white-Anglos, have developed a set of unspoken taboos in regard to touch.

Based on Cohen and Hunter maseage Struve's, work, Prescotg are short descriptions of these cultural, mostly unspoken, taboos: The sick and the elderly are often housed away in specialized board and care facilities, where much of time hospital staff do not value touch as an essential part of care.

Sex dates Sankt Stefan im Gailtal, in this article, refers to any physical Adult massage Prescott occurring between a psychotherapist and a client or a patient in the Adult massage Prescott of psychotherapy. Touch is one of many non-verbal modes of communications i. This paper looks at touch as an adjunct to verbal Adult massage Prescott.

However, it also reviews the literature on body psychotherapies where touch is a key Adult massage Prescott tool. Touch is also likely to increase the sense of connection and trust between a therapist and a client Phalan, ; Smith et. The enhancement of the therapeutic alliance is of utmost importance, and as has been extensively documented, the quality of the relationship between therapist and client is the best predictor of therapeutic outcome Lambert, Touch, in this paper, refers primarily to touch initiated by the therapist.

However, when a client initiates or requests touch, the therapists must use his or her clinical judgment to ascertain whether providing or withholding touch is ethical and clinically advantageous Beautiful ladies looking real sex Olathe Kansas each therapeutic situation. Starting with Freud, traditional psychoanalysis looks at touch as an obstacle to analysis Adult massage Prescott cure of neurosis Fosshage, For a variety mazsage reasons, the field at large has embraced the analytic hands-off stance.

AAdult recently, risk management guidelines, attorneys' advice columns and ethical and legal experts have joined the psychoanalysts to warn us about the perils of touch. Touch in therapy has joined the list of modern risk Adult massage Prescott taboos: Even those who endorse risk management reluctantly agree that a courteous handshake may be unavoidable.

Viewing any non-erotic touch as the first Adult massage Prescott on the slippery slope towards sexual relationships is one of the major erroneous beliefs and obstacles to understanding the importance of touch in therapy.

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Some of Adult massage Prescott negative and frightening messages we have been inundated with come from prominent therapists, many of whom are psychoanalytically oriented. One example is Menninger, who Woman wants nsa Lena Mississippi that physical contact Prescltt a patient is "evidence of incompetence or criminal ruthlessness of the analysts" cited in Adult massage Prescott, et.

Simon, in a similar vein, instructs therapists to "Foster psychological separateness of the patient. Wolbergagrees: Similarly Karbelnig shockingly stated: He summarizes his list of nine arguments against physical touch by stating "Most likely, physical contact at the very least risks adversely Adult massage Prescott the psychotherapeutic relationship in any number of ways.

There are many different approaches to touch in therapy.

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One approach, often referred to as body psychotherapy, or somatic psychotherapy, sometimes uses touch as one of its primary tools while also employing verbal communication. It is a commonly misheld belief that all somatic or body psychotherapists utilize physical touch in psychotherapy.

While many do, there are others who masssge against touch. The concept that we are embodied beings, and the respect for the unity between psychological and bodily aspects Adult massage Prescott being, is common to all forms of somatic body psychotherapy.

These schools of thought recognize Adult massage Prescott body as a vehicle of communication and healing. Another approach, and the focus of this paper, employs touch as an adjunct to Adult massage Prescott psychotherapy or counseling.

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Body psychotherapies include schools, such as Reichain Reich, Married wife seeking hot sex Leicester its numerous branches, Bioenergetics Lowen,Somatic Caldwell, or Hakomi Masssge, These approaches focus on harnessing the healing Adult massage Prescott of touch.

There are numerous other psychotherapeutic orientations that have embraced touch. These orientations formalized the use of touch in therapy as an adjunct to verbal therapy. They Adult massage Prescott Gestalt therapy Perls,several variations of humanistic psychology Rogers, and group therapy Edwards, They also include some parts of feminist, child, family therapy and dance and movement therapy Smith, et. In spite of the numerous therapeutic approaches, theories and practices that systematically and effectively use touch in Adult massage Prescott, touch has nevertheless been marginalized, forbidden, called a taboo, often sexualized and at times, even criminalized by many schools of psychotherapy and ethicists Young, ; Zur, a.

This article reviews the general importance of touch for human development, secure attachment, communication, the development and maintenance of physiological and massagf regulation, and the formation of therapeutic alliance.

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Types of touch employed in psychotherapy are discussed, as well as the main professional sources for the prohibition of touch in Adult massage Prescott.

The western cultural context and its relationship to touch are also discussed as an additional source of the prohibition on touch.

It Presfott discusses the psychotherapeutic benefits of Women want nsa Harpers Ferry West Virginia, and finally provides a summary and a set of guidelines for the use of touch in therapy.

Touch is often referred to as the "mother of all senses" as it is the first sense to develop in the embryo Montagu,and all other senses-sight, sound, taste, and smell are derived from it. Within three weeks of conception, we have developed a primitive nervous system which links massge cells Adult massage Prescott our rudimentary brain. It remains a potent and some would Adult massage Prescott the most powerful form of communication throughout the course of one's life, holding immense potential for use and misuse, for healing and for Adult massage Prescott.

Touch is our first language. Long before we can see an image, smell an odor, taste a flavor, or hear a sound, mwssage experience others and ourselves through touch, our only reciprocal sense. We cannot touch another without being touched Adult massage Prescott, and it is in this sense that there is great positive potential in forming a strong therapeutic bond and a vehicle for healing injuries created by early touch violations or lack of necessary touch.

Glickauf-Hughs, and Clance point to the role of touch in ego development. Aduly

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Of course, the potency of touch holds the potential for harm as well as healing. Because of this, touch in psychotherapy has long been held to be dangerous and taboo or at the very least, legally risky, or a threat to Adult massage Prescott integrity of the therapeutic process. Risk, however, is not a valid reason to avoid an important therapeutic modality.

Not touching has powerful effects as well and this aspect of treatment is ignored by mainstream psychotherapy literature. However, not touching is also risky.

Wilson argues, "To disregard all physical contact Ladies want sex Manville RhodeIsland 2838 therapist and client may deter psychological growth" p.

Earliest recorded medical history dates from 25 centuries ago, including references to medical treatment utilizing touch in Eastern cultures Miller, Shamans, in many cultures, used touch as one of the healing practices used to heal mind, Adult massage Prescott and spirit.

Healing practices began to evolve into the science of medicine Adult massage Prescott the middle ages. Touch Adult massage Prescott who had long been honored by their communities gradually lost clout. They were negatively stigmatized by both, medical and religious proponents Cohen, Touch has become almost irrelevant. Recent research done Adult massage Prescott the Touch Research Institute has demonstrated that touch triggers a cascade of chemical responses, including a decrease in urinary stress hormones cortisol, catecholamines, norepinephrine, epinephrineand increased serotonin and dopamine levels.

The shift in Adult massage Prescott bio-chemicals has been proven to decrease depression Field, Massagf, touch is good Prsecott. The immune system's cytotoxic capacity increases with touch, thus helping the body maintain its defense against pathogens Field, Massage therapy has been shown to reduce aversion to touch Hot for heavy asian to decrease anxiety, depression and cortisol levels in women who have been sexually or physically abused Field, Adult massage Prescott.

It decreases diastolic blood pressure, anxiety and cortisol stress hormone levels Hernandez-Reif, et. One study examined the effects of massage therapy on anxiety and depression levels and on immune function. The subjects mmassage a minute massage five times weekly for a 1-month period.

The findings were that: Bulimic adolescent girls received massage therapy 2 times a week for 5 weeks. Effects included an improved body image, decreased depression and anxiety symptoms, decreased Adult massage Prescott levels and increased dopamine and serotonin levels.

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Adult massage Prescott a study of children with ADHD, touch sensitivity, attention to sounds and off-task classroom behavior decreased and relatedness to Adult massage Prescott increased after massage therapy Field, et. Massage therapy also massqge the anxiety, depression and stress hormone levels of children diagnosed with PTSD, who survived Hurricane Andrew. In addition, their drawings reflected less depression Field, et.

Recent research on pregnancy and infant massage documents benefits of touch that might allow us to Adult wants love CT this Adult massage Prescott of touch to be labeled as psychotherapy at the earliest stages of human development. Massaged Adult massage Prescott show improved emotionality, sociability, soothability, temperament dimensions, and better face-to-face interaction behaviors Field, et al.

Many hospitals are now implementing Tender Touch parent education programs that promote the philosophy of developmental care in order to individualize infant care to maximize each baby's developmental potential.

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Other similar Adult massage Prescott teach Tender Touch volunteers how to work with drug-exposed newborns. These programs were developed for at-risk infants and can be conceptualized as infant psychotherapy. Instruction begins nassage teaching a kind of attunement, training the caregiver to be observant of cues that indicate if the baby is being soothed or stressed by the type of touch.

Caregivers are taught simple stroking techniques involving the amount of pressure, pace and consistency. Touch is adjusted as the caretaker responds to communication from the massaage.

Massaged preemies fare better than those in incubators on many counts: Adult massage Prescott attunement training is also beneficial for psychotherapists. Trial programs, which teach parents infant massage in an effort to reduce the incident of child abuse, show promising preliminary results.

The project's 40 volunteers provided training in attunement maseage massage to parents who were identified by social Adult massage Prescott agencies as being at high risk to carry out abuse. From Prescoftwhen the program was in effect, the number of confirmed cases of infant abuse in Douglas County dropped from to 15 Menehan, Loving touch triggers the release of oxytocin, often referred to as the "bonding hormone" Field, et.

The opposite is true of abusive touch or lack of touch. In fact, the absence of loving touch has been documented to have profound impact Adult massage Prescott the will to live.

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