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Should a therapist ever shake hands with a client, or touch a client's hand or shoulder? There are taboos against erotic touch in psychotherapy, for excellent reasons, but what about nonerotic touch? These latter forms of physical contact are not explicitly taboo and they can be powerful forms of communication. Research and clinical experience indicate that they can contribute to positive therapeutic change when used appropriately. What, then, is appropriate use?
Touch may well be one of the least understood or talked about subjects in the helping professions. A discussion on the importance and ethics of positive, caring, and appropriate touch in professions such as teaching, nursing and counselling is long overdue. Touch in the Helping Professions delivers just that, weaving together scholarly evidence, research and clinical practice from a wide range of perspectives encompassing philosophy, theology, psychology, and anthropology to challenge assumptions about the role of touch in the helping professions. The contributors to the volume focus not only on the overarching roles of gender, age, culture and life experience, but go beyond to encompass canine-assisted therapy, touch deprivation, sacred objects, as well as key ethical considerations. The prevailing lack of dialogue, due to fear of contravening ethical boundaries, has stood in the way of an open and responsible discussion on the use of touch in therapy. Touch in the Helping Professions is a welcome and much needed contribution to the field—a window onto a fundamental need. This book is published in English. - Cet ouvrage offre un ensemble de données probantes et de résultats cliniques à l’appui du toucher dans le développement physique et émotionnel. Il est structuré selon trois axes : la théorie sur le toucher; la pratique du toucher dans un contexte de thérapie, et les questions éthiques. Il aborde la question du rôle du genre, de l’âge, de la culture et de l’expérience de vie, des sujets comme la zoothérapie, la privation sensorielle, des objets sacrés, et des considérations d’ordre éthique. Les approches variées – philosophie, théologie, psychologie, anthropologie – remettent en question les présuppositions, offrent un contexte historico-culturelprofessionnel, et font appel à des données primaires. Les collaborateurs soutiennent que le toucher sain et non sexuel n’est pas suffisamment enseigné dans le cadre de la formation professionnelle. Cette absence de dialogue – engendrée par la crainte de dépasser des bornes éthiques, fait en sorte qu’une discussion ouverte et responsable sur l’utilisation du toucher dans un cadre thérapeutique ne peut avoir lieu, alors même qu’elle contribuerait aux balises théoriques de notre compréhension de cet enjeu fondamental. Ce livre est publié en anglais.
Is ethical touch an oxymoron? Is the bias against touch in psychotherapy justified? Can the recovery process be complete without healing touch? Mental health professionals are entrusted with the awesome responsibility of providing appropriate treatment for clients in a safe environment that nurtures trust, a necessary ingredient for optimum movement through the therapeutic process. Though treatment approaches vary, most modalities are verbally based and, in theory, exclude physical contact. Fearing that any form of touch would likely lead to sexual feelings or interaction, clinicians tend to shy away from the topic. In The Ethical Use of Touch in Psychotherapy, however, authors Mic Hunter and Jim Struve skillfully demonstrate that touch--a most basic human need--is intrinsic to the healing process along with talk-therapy, regardless of the practitioner′s theoretical orientation. While the use of touch is a given in other health care settings, it remains a benefit denied as taboo in psychotherapeutic relationships, due to transgressors whose unscrupulous use of a valuable technique have marred its reputation. This book encourages readers to conduct a meaningful self-reflection and explore possible misconceptions related to touch in order to rejuvenate its acceptance. Based on years of sound research and clinical experience, The Ethical Use of Touch in Psychotherapy promises to enrich clinical discussion and stimulate further empirical research. This insightful and progressive presentation is a must read for clinicians, interns, and advanced students, as well as lay readers interested in the dynamics and innovations in psychotherapy.
Touch in Child Counseling and Play Therapy explores the professional and legal boundaries around physical contact in therapy and offers best-practice guidelines from a variety of perspectives. Chapters address issues around appropriate and sensitive therapist-initiated touch, therapeutic approaches that use touch as an intervention in child treatment, and both positive and challenging forms of touch that are initiated by children. In these pages, professionals and students alike will find valuable information on ways to address potential ethical dilemmas, including defining boundaries, working with parents and guardians, documentation, consent forms, cultural considerations, countertransference, and much more.
This book explores the therapeutic use of touch, focusing on an in-depth case study of work in an NHS setting with a client with learning disabilities, and situating this within a wide theoretical context. This is a unique and influential study illustrating the impact of touch in dance movement psychotherapy and laying the ground for a theory on the use of touch in Dance Movement Psychotherapy (DMP). The case study illustrates the impact of touch upon the therapeutic relationship with the use of video transcription and descriptive reflexive accounts of the session content. The case analysis sections establish the ground for a paradigm shift, and for emergent theory and methods in support of the use of touch in Dance Movement Psychotherapy and other contexts. The role touch takes is beyond its affect, which expands our understanding of its potency as an intervention. The writing is embedded in many years of practice-led-research in the field of dance and somatic practices, in particular Body-Mind Centering® and Contact Improvisation, in which touching and being touched is met with curiosity as a place of insight and revelation, beyond the bounds of taboo and social diktat. The study considers the philosophical landscape of both touch and non-touch. This book explores and reflects upon the use of touch, considering the wider context and socially imposed perceptions that would prevent touch from taking place – including philosophical and social discourses. Through telling the story of a client case, the book offers a wealth of thought-provoking content to inspire continued dialogue. Key strengths of this book are the depth, warmth and perceptiveness of the case history, and the way in which this is successfully linked with theory. Particular attention is paid to embodied cognition and exosystemic theory, the two leading developments of current thinking. With the ethical, practical and philosophical content, the book will be of interest to psychotherapists, health and social care practitioners, as well as arts in health practitioners and beneficiaries in educational programs and settings. Primary readership will be among DMP psychotherapists, body psychotherapists, drama therapists, Body Mind Centering® practitioners, arts in health practitioners, people working with clients with learning disabilities and any practitioner and researcher interested in understanding the role touch may play in the psychotherapeutic encounter.
Touch has been a taboo in mainstream Western talking therapies since their inception. This book examines the effects on us of touch, and of touch deprivation – what we feel when we are touched, what it means to us, and the fact that some individuals and cultures are more tactile than others. The author traces the development and perpetuation of the touch taboo, puts forward counterarguments to it, outlines criteria for the safe and effective use of touch in therapy, and suggests ways of dismantling the touch taboo should we wish to do so. Through moving interviews with clients who have experienced life-changing benefits of physical contact at the hands of their therapists, the place of touch in therapy practice is re-evaluated and the therapy profession urged to re-examine its attitudes towards this important therapeutic tool. This book will be essential reading for therapists, counsellors, social workers, educators, health professionals and for any general reader interested in the crucial issue of touch in everyday life.
Exploring Masculinity, Sexuality, and Culture in Gestalt Therapy is an invitation to explore social and political issues within the psychotherapeutic framework. It describes and analyses the author’s journey of becoming a gestalt therapist in Poland and England through analyses of masculinity, sexuality, relationality, and culture. This book addresses the collective gestalts exploring the psychotherapeutic taboos of sexual transference, same-sex attraction, use or lack of touch, gender equality, and inter-cultural conflicts. Each chapter is an exploration of prejudices embedded in our cultures and therapeutic work, and provides a theoretical challenge to current practices within gestalt therapy and beyond. The author advocates for a more collective understanding of embodied sensations emerging in the therapeutic context as collective gestalts. Through the use of autoethnographic research methodology, this book shows how personal embodied experiences are intertwined with the social, political, and material context. It is essential reading for gestalt therapists, as well as readers interested in gestalt approaches.
Is the bias against touch in psychotherapy justified? Is ethical touch an oxymoron? Can the recovery process be complete without healing touch? Mental health professionals are entrusted with the awesome responsibility of providing appropriate treatment for clients in a safe environment that nurtures trust, a necessary ingredient for optimum movement through the therapeutic process. Though treatment approaches vary, most modalities are verbally based and, in theory, exclude physical contact. Fearing that any form of touch would likely lead to sexual feelings or interaction, clinicians tend to shy away from the topic. In this book, however, Mic Hunter and Jim Struve skilfully demonstrate that touch - a most basic human need - is intrinsic to
Designed specifically for the needs of trainees and newly-qualified therapists, Relational Integrative Psychotherapy outlines a form of therapy that prioritizes the client and allows for diverse techniques to be integrated within a strong therapeutic relationship. Provides an evidence-based introduction to the processes and theory of relational integrative psychotherapy in practice Presents innovative ideas that draw from a variety of traditions, including cognitive, existential-phenomenological, gestalt, psychoanalytic, systems theory, and transactional analysis Includes case studies, footnotes, ‘theory into practice’ boxes, and discussion of competing and complementary theoretical frameworks Written by an internationally acclaimed speaker and author who is also an active practitioner of relational integrative psychotherapy