What is therapeutic touch?
Therapeutic touch is a form of healing that uses a practice called
"laying on of hands" to correct or balance energy fields. The word "touch" is
misleading because there is generally no direct physical touch involved.
Instead, the hands are moved just over the body. Therapeutic touch is based on
the theory that the body, mind, and emotions form a complex energy field.
According to therapeutic touch, health is an indication of a balanced energy
field and illness represents imbalance. Studies suggest that therapeutic touch
can help to heal wounds, reduce pain, and promote relaxation.
What is the energy field?
Although scientists have not detected a human energy field, the concept of an
energy field is also a part of other types of healing. In the ancient medical
systems of India and China, the energy field is described as life energy. It is
thought to exist throughout the body and is responsible for maintaining normal
physiological, psychological, and spiritual functions. In Traditional Chinese
Medicine this energy is called qi (pronounced "chee"), and in India's
Ayurvedic medicine it is called prana.
What is the history of therapeutic touch?
Dolores Krieger, a professor at New York University School of Nursing, and
Dora Kunz, a natural healer, developed therapeutic touch in the early 1970s. At
first, Krieger and Kunz only taught the techniques to Krieger's graduate school
nursing students, but Krieger's professional research and writing increased the
popularity of the technique, particularly among nurses. The practice grew
primarily through a grassroots effort of nurses throughout the United States.
Today, therapeutic touch is taught at more than 100 hospitals and health centers
worldwide and is most commonly practiced by nurses.
How does therapeutic touch work?
Scientists are not certain how therapeutic touch works. There are few
studies, and scientific investigators have so far not detected the human energy
field. Still, two theories have been put forward.
One theory is that the actual pain associated with a physically or
emotionally painful experience (such as infection, injury, or a difficult
relationship) remains in the body's cells. The pain stored in the cells is
disruptive, and prevents some cells from working properly with other cells in
the body. This results in disease. Therapeutic touch is thought to restore
health by restoring communication between cells.
The other theory is based on the principles of quantum physics. As blood,
which contains iron, circulates in our bodies an electromagnetic field is
produced. According to this theory, at one time we could all easily see this
field (called an aura), but now only certain individuals, such as those who
practice therapeutic touch, develop this ability.
More generally, therapeutic touch is based on the idea that optimal health
requires a balanced flow of life energy. Practitioners of therapeutic touch, by
their own description, sense the your energy through their hands and then send
healthy energy back to you. When receiving therapeutic touch you usually feel
such things as warmth, relaxation, and/or pain relief. The practitioner
describes your energy as hot or cold, active or passive, blocked or free. There
are eight general regions of the body above which energy is sensed
– head, throat, heart, stomach, lower abdomen, sacral
region, knees, and feet. Ultimately, you, the recipient of therapeutic touch is
the healer. The practitioner simply allows your body's own healing mechanisms to
emerge. The role of the practitioner is to facilitate this process.
What should I expect on my first visit?
Before the session begins, you will be asked to sit or lie down. No
undressing is necessary. Despite its name, therapeutic touch rarely involves
physical contact between the therapist and the person being treated. Sessions
can be broken down into four steps:
(1) Centering—the therapist becomes
"centered" by using breathing, imagery, and meditation to achieve an altered
state of consciousness for him or herself.
(2) Assessment—the therapist holds his or her
hands 2 to 4 inches away from your body while moving from your head to your
feet. This is done to assess the energy field surrounding your body. Therapists
often describe feelings of warmth, coolness, static, and tingling over the areas
of energy "congestion" or "blockage."
(3) Intervention—once a congested or blocked
area is located, the therapist will move his or her hands in a rhythmic motion
starting at the top of the blocked area and moving down and away from your body.
This action, known as unruffling, is repeated until the therapist no longer
senses congestion or until you begin to sense relief. The therapist will also
visualize and transmit life energy to specific areas of your body, also intended
to correct imbalances.
(4) Evaluation/Closure—once you've had a few
minutes to relax, the therapist will ask you how you feel. He or she may recheck
your energy field to be sure that no blockages were overlooked.
What is therapeutic touch good for?
Most studies indicate that therapeutic touch can relieve tension headaches
and reduce pain, such as that associated with burns. osteoarthritis, or
following surgery. It may also speed the healing of wounds and improve function
in those with arthritis.
Therapeutic touch also promotes relaxation. Cancer, heart disease, and burn
patients have reported that therapeutic touch significantly lessens their
anxiety. Generally, the deep relaxation associated with therapeutic touch
reduces stress, lowers blood pressure, and improves breathing. Being relaxed may
also lead to lower cholesterol levels and also may improve immune and bowel
functions. Difficult pregnancies may also be made a little easier with the help
of therapeutic touch.
Together with medical treatment, therapeutic touch can help with many
additional conditions such as the following:
- fibromyalgia
- sleep apnea
- restless leg syndrome (a disorder that causes insomnia)
- allergies
- bronchitis
- addictions
- lupus
- Alzheimer's disease and, possibly, other forms of
dementia
Some people indicate that they experience emotional and spiritual changes
after receiving therapeutic touch. These may include greater self-confidence,
self-control, and self-understanding.
There is still controversy, however, as to whether the healing power of
therapeutic touch has anything to do with the "laying on of hands." Critics
suggest that the healing observed after therapeutic touch may be the result of
the relaxing nature of the therapy itself and not the energy transfer that is
believed to occur between the therapist's hands and the individual's body.
Is there anything I should watch out for?
You may feel thirsty, lightheaded, and a need to urinate. Lightheadedness
generally only lasts for 15 minutes after a session, but you may feel thirsty
for days. According to some practitioners, if you were flooded with too much
energy you might feel increased pain and be irritable, restless, anxious, or
even nauseated. Therapeutic touch may also worsen fevers and active
inflammation; therefore, it is best not to obtain therapeutic touch when you
have either a fever or active inflammation (such as an acutely swollen joint
from arthritis).
Some therapeutic touch practitioners recommend that children, the elderly,
and very sick people be treated for only a short time. Although there is no
actual touching involved with therapeutic touch, talk with your practitioner
about what to expect from a session, particularly if you have been physically or
sexually abused in your past.
How can I find a qualified practitioner?
There is no formal certification program in the United States for therapeutic
touch. Most therapeutic touch practitioners are in the nursing profession
(although some massage therapists, physical therapists, chiropractors,
acupuncturists, and others practice therapeutic touch as well). Nurse
Healers-Professional Associates International (NH-PAI) recommends that people
look for therapists who practice regularly (at least an average of 2 times per
week), have at least 5 years of experience, and have completed at least 12 hours
of therapeutic touch workshops. To locate a qualified practitioner near you,
contact the NH-PAI at 703-234-4149 or visit their website at
www.therapeutic-touch.org.
What is the future of therapeutic touch?
While there appear to be many potential uses for therapeutic touch,
particularly for chronically ill people, measuring the effectiveness of the
technique is very difficult. Because of this, much of the research that exists
has been criticized. Improved studies may lead to wider acceptance.
Supporting Research
Abbot NC. Healing as a therapy for human disease: a systematic review. J
Altern Complement Med. 2000;6(2):159-169.
Allaire KM. Unruffling the mystique of therapeutic touch. TT: the voices for.
Nurs Pract. 2002;27(2):7.
Astin JA, Harkness E, Ernst E. The efficacy of "distant healing": a
systematic review of randomized trials. Ann Intern Med.
2000;132:903-910.
Aveyard B, Sykes M, Doherty D. Therapeutic touch in dementia care. Nurs
Older People. 2002;14(6):20-21.
Begley SS. The energetic language of therapeutic touch. A holistic tool for
nurse practitioners. Adv Nurse Pract. 2002;10(5):69-71.
Claman H. 'Unruffling' the mystique of therapeutic touch. And voices against
TT. Nurs Pract. 2002;27(4):11.
Engebretson J, Wardell DW. Experience of a Reiki session. Altern Ther
Health Med. 2002;8(2):48-53.
Gorski T. Unruffling the mystique of therapeutic touch. TT: the voices
against. Nurs Pract. 2002;27(2):7.
Green S. Unruffling the mystique of therapeutic touch. TT: the voices
against. Nurs Pract. 2002;27(2):7.
Kelley M. Strategies for innovative energy-based nursing practice: the
healing touch program. SCI Nurs. 2002;19(3):117-124.
Kiernan J. The experience of Therapeutic Touch in the lives of five
postpartum women. MCN Am J Matern Child Nurs. 2002;27(1):47-53.
Lafreniere KD, Mutus B, Cameron S, et al. Effects of therapeutic touch on
biochemical and mood indicators in women. J Altern Complement Med.
1999;5(4):367-370.
Ledwith S. Therapeutic Touch. In: Novey DW, ed. Clinician's Complete
Reference to Complementary and Alternative Medicine. St. Louis, Mo: Mosby;
2000:462-471.
Leskowitz ED. Phantom limb pain treated with therapeutic touch: a case
report. Arch Phys Med Rehabil. 2000;81(4):522-524.
London WM. Unruffling the mystique of therapeutic touch. TT: the voices
against. Nurs Pract. 2002;27(2):7.
Lowry RC. The effect of an educational intervention on willingness to receive
therapeutic touch. J Holist Nurs. 2002;20(1):48-60.
O'Mathúna, DP. Therapeutic Touch and Wound Healing. In: Micozzi MS, Bacchus
AN, eds. The Physician's Guide to Alternative Medicine. Atlanta, Ga:
American Health Consultants; 1999:273-276.
Peck SDE. The effectiveness of therapeutic touch for decreasing pain in
elders with degenerative arthritis. J Holistic Nurs. 1997;15:176-198.
Randi J. Unruffling the mystique of therapeutic touch. TT: the voices
against. Nurs Pract. 2002;27(2):7.
Redwood D. Therapeutic Touch. In: Micozzi MS, Bacchus AN, eds. The
Physician's Guide to Alternative Medicine. Atlanta, Ga: American Health
Consultants; 1999:261-264.
Rosa L, Sarner L. 'Unruffling' the mystique of therapeutic touch. And voices
against TT. Nurs Pract. 2002;27(4):11.
Sampson W. Unruffling the mystique of therapeutic touch. TT: the voices
against. Nurs Pract. 2002;27(2):7.
Slater VE. Healing Touch. In: Micozzi MS, ed. Fundamentals of
Complementary and Alternative Medicine. New York, NY: Churchill Livingstone
Inc.; 1996:121-136.
Smith DW, Arnstein P, Rosa KC, Wells-Federman C. Effects of integrating
therapeutic touch into a cognitive behavioral pain treatment program. Report of
a pilot clinical trial. J Holist Nurs. 2002;20(4):367-387.
Tanne JH. Therapeutic touch fails text. BMJ. 1998;316:1037.
Turner JG, Clark AJ, Gauthier DK, Williams M. The effect of therapeutic touch
on pain and anxiety in burn patients. J Adv Nurs. 1998;28(1):10-20.
Wardell DW, Engebretson J. Biological correlates of Reiki Touchism healing.
J Adv Nurs. 2001;33:439-445.
Wilkinson DS, Knox PL, Chatman JE, et al. The clinical effectiveness of
healing touch. J Altern Complement Med. 2002;8(1):33-47.
Winstead-Fry P, Kijek J. An integrative review and meta-analysis of
therapeutic touch research. Alternative Therapies. 1999;5(6):58-67.
Winstead-Fry P. 'Unruffling' the mystique of therapeutic touch. A voice for
TT. Nurs Pract. 2002;27(4):11.
Woods DL, Dimond M. The effect of therapeutic touch on agitated behavior and
cortisol in persons with Alzheimer's disease. Biol Res
Nurs.2002;4(2):104-114.