The ethical use of touch in psychotherapy:
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Thousand Oaks [u.a.]
Sage
1998
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XVIII, 301 S. Ill. |
| ISBN: | 0761903607 0761903615 |
Staff View
MARC
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Record in the Search Index
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| adam_text | Contents
Preface xiii
Acknowledgments xviii
Part I Foundations and Historical
Background 1
1. The Physiology of Touch 3
The Evolution and Mechanics of Skin Sensitivity 4
The Structure of the Skin 5
Physiological Responses to Touch 6
Variations in Touch Perception 7
Touch as Validation of Reality Through Integration
With Other Senses 7
The Relationship of Touch to Memory 8
Touch and Psychological Development 11
Summary 15
2. The Influence of Touch on Socialization 16
The Language of Touch 16
Touch as a Tool for Interaction and Exchange 19
The Impact of Touch on Communication
and Physical Development 23
Touch as a Facilitator of Attachment and Affect Development 26
Touch as a Facilitator of Separation and Individuation 33
The Impact of Touch Dysfunctions on Child Development 38
The Relevance of Touch With Older Persons 40
Summary 42
3. Traditions of Touch Within Various Cultures 43
Christian and Other Religious Traditions 44
The Practices of Medicine 46
Child Rearing 49
Summary 50
4. Traditions of Touch in Psychotherapy 51
Psychoanalysis 52
Freud 52
Ferenczi 56
Reich 56
Body Oriented Psychotherapies 57
Bioenergetics 58
Adler 58
Human Potential Movement 59
Behaviorism 61
Marriage and Family Therapy 61
Sex Therapy 62
Hypnotherapy 63
Contemporary Factors That Influence Individual Views
on the Use of Touch in Psychotherapy 64
Psychotherapists Are Members of the Wider Culture 64
Touch and Taboo 65
The Taboo of Touch Within Psychotherapy 67
Despite a Hostile Environment, Touch
Is Used in Psychotherapy 68
Our Position on the Use of Touch in Psychotherapy 69
Recommendations for the Field of Psychotherapy 70
Recommendations to the Reader 71
Summary 72
Part II Clinical Application of Touch
in Psychotherapy 73
5. Power Dynamics That Effect the Use
of Touch in Therapy 75
An Introduction to the Dynamics of Power 77
Relevant Dimensions of Power 81
Status/Role Norms 81
Cultural/Ethnic Norms 84
Gender Norms 89
Summary 95
6. Functions of Touch in Psychotherapy 96
Factors Influencing the Interpretation of Touch 96
Sensory Experience 96
Intention of Touch 97
Context of Touch 98
Expectation of Touch 99
Previous Experience 99
Possible Negative Effects of Touch 100
Possible Effects of the Lack of Touch 102
Possible Positive Effects of Touch 103
Research Supporting the Ethical Use of Touch 103
Positive Functions of Touch 107
To Provide Real or Symbolic Contact 108
To Provide Nurturance 108
To Facilitate Access to, Exploration of, and Resolution
of Emotional Experiences 108
To Provide Containment 109
To Restore Touch as a Significant and Healthy
Dimension in Relationships 109
Summary 110
7. The Dynamics of Touch When Applied
in Psychotherapy 111
Initial Considerations 111
Touch and the Variability of Meaning 115
Accidental Touch 115
Task Oriented Touch 116
Attentional Touch 117
Touch for Greeting and Departure 118
Referential Touch 119
Courtesy Touch 120
Celebratory/Affectional Touch 120
Emotional/Expressive Touch 121
Appreciative Touch 121
Reinforcing Touch 122
Supportive Touch 122
Protective Touch 123
Playful/Affectionate Touch 123
Touch for Catharsis 124
Aggressive Touch 124
Sensual Touch 125
Sexual Touch 126
Appropriate Situations for Using Touch 127
To Reorient a Client 127
To Emphasize a Point 127
To Access Memories or Emotions 128
To Communicate Empathy 129
To Provide Safety or to Calm a Client 129
To Assist in Enhancing Ego Strength 130
To Change the Level of Intimacy 132
As an Adjunct in Hypnosis 133
To Assist in Working With Past Traumatic Experience 134
Summary 135
8. Guidelines for Using Touch in Psychotherapy 136
When Is It Clinically Appropriate to Use Touch
in Psychotherapy? 138
The Client Wants to Touch or to Be Touched 138
The Purpose of the Touch Is Clear 139
The Touch Is Clearly Intended for the Client s Benefit 141
The Client Understands Concepts of Empowerment
and Has Demonstrated an Ability to
Use Those Concepts in Therapy 141
The Therapist Has a Solid Knowledge Base
About the Clinical Impact of Using Touch 142
The Boundaries Governing the Use of Touch
Are Clearly Understood by Both Client and Therapist 143
Enough Time Remains in the Therapy Session
to Process the Touch Interaction 143
The Therapist Client Relationship Has
Developed Sufficiently 143
Touch Can Be Offered to All Types of Clients 144
Consultation Is Available and Used 145
The Therapist Is Comfortable With the Touch 146
When Is It Clinically Advisable Not to Use Touch
in Psychotherapy? 147
The Focus of Therapy Involves Sexual
Content Prior to Touch 147
A Risk of Violence Exists 148
The Touch Occurs in Secret 148
The Therapist Doubts the Client s Ability to Say No 149
The Therapist Has Been Manipulated
or Coerced Into the Touch 149
The Use of Touch Is Clinically Inappropriate 150
The Touch Is Used to Replace Verbal Therapy 150
The Client Does Not Want to Touch or Be Touched 150
The Therapist Is Not Comfortable Using Touch 151
Summary 152
Appendix 8.1: Model Informed Consent Form 153
Appendix 8.2: Documentation of Touch in Client Records 156
9. A Continuum of Touch 159
Language as Touch 160
Self Touch 163
Touch by Proxy 165
Physical Touch 167
The Laying on of Hands 169
Hand Holding 169
Hugging 171
Holding 173
The Importance of Observing a Client s Breathing 175
Summary 176
10. Specific Techniques and Case Examples
Involving the Use of Touch 177
Tuned Touch 177
Supervised Massage 179
Case Examples 181
The Tattoo 181
The Heart Transplant 186
Role Plays 194
Summary 202
11. The Use of Touch in Various Modalities
and With Specific Populations 204
Working With Couples 205
Working With Families 210
Group Psychotherapy 213
Working With Survivors of Childhood Trauma 215
Summary 218
12. The Use of Bodyworkers as an Adjunct
to Psychotherapy 219
Advantages 219
Stage 1: Establishing Safety 220
Stage 2: Remembrance and Mourning 222
Stage 3: Reconnection 222
Psychotherapists Concerns 223
Questions to Ask a Bodyworker Prior to Making a Referral 224
Arrangements 226
Summary 227
Appendix 12.1: Excerpts From the Ethical Code of
the Massachusetts Association of Body Centered
and Body Oriented Psychotherapist and
Counseling Bodyworkers 228
Part III Materials and
Training Aids 229
13. Erotic Issues Within the Psychotherapy Relationship 231
Professional Standards Regulating Erotic Touch Between
Psychotherapists and Clients 233
Research on Professional Conduct Regarding Erotic Touch 234
Problematic Behaviors Exhibited by Psychotherapists
Prior to Erotic Contact With Clients 237
Time 238
Money 238
Clothing 238
Language 239
Self Disclosure 239
Place 240
Physical Contact 241
Inappropriate Therapeutic Relationships That
Can Lead to Inappropriate Touch 241
Clinical Considerations Regarding Erotic Issues
As a Variable in Psychotherapy 244
Transference and Countertransference 245
The Therapist as Perpetrator 248
The Therapist as Nurturant Figure 248
The Therapist as an Ideal Figure 249
The Therapist as the Good Partner 249
The Therapist as the Object of Developmental Transference 249
Perpetrator Countertransference 250
Victim Countertransference 251
Authoritarian Countertransference 251
Therapist as Client Countertransference 252
Sexual and Voyeuristic Countertransference 252
Clinical Presentations Exhibited by Clients That
Indicate the Emergence of Erotic Transference 254
Acceptance 254
Rejection 254
Becoming the Special Client 255
Testing the Therapist 255
Self image Problem 255
Repetition Compulsion 255
Fear of Being Alone 256
Envy 256
A Sign of the Client s Increased Maturity 256
Conclusions and Recommendations 257
Summary 258
Appendix 13.1: Prohibitions to Erotic Contact
in Professional Codes 259
American Association for Counseling and Development 259
American Association for Marriage and Family Therapists 259
American Group Psychotherapy Association 260
American Psychiatric Association 260
American Psychological Association 261
National Association of Social Workers 261
14. Examining Personal Views on the Use of Touch in
Psychotherapy 262
Actions That Could Be Misinterpreted by a Client 262
Examining Personal Experiences 264
Clarifying Personal Views: Questions to Consider 266
Questions to Identify Signs of Boundary Violations 268
Examining Beliefs That Can Lead to Inappropriate
Touch Within Psychotherapy 270
Experiential Learning 271
Round 1 271
Round 2 272
Round 3 273
Summary 274
References 275
Index 288
About the Authors 299
|
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| spelling | Hunter, Mic Verfasser aut The ethical use of touch in psychotherapy Mic Hunter ; Jim Struve Thousand Oaks [u.a.] Sage 1998 XVIII, 301 S. Ill. txt rdacontent n rdamedia nc rdacarrier Aanraking gtt Ethische aspecten gtt Psychotherapie gtt Psychothérapeutes - Déontologie ram Psychothérapie ram Toucher - Emploi en thérapeute ram Ethik Psychotherapie Ethics, Medical Psychotherapy Touch Touch Therapeutic use Psychotherapie (DE-588)4047746-0 gnd rswk-swf Körperkontakt (DE-588)4073573-4 gnd rswk-swf Psychotherapie (DE-588)4047746-0 s Körperkontakt (DE-588)4073573-4 s DE-604 Struve, Jim Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007975492&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Hunter, Mic Struve, Jim The ethical use of touch in psychotherapy Aanraking gtt Ethische aspecten gtt Psychotherapie gtt Psychothérapeutes - Déontologie ram Psychothérapie ram Toucher - Emploi en thérapeute ram Ethik Psychotherapie Ethics, Medical Psychotherapy Touch Touch Therapeutic use Psychotherapie (DE-588)4047746-0 gnd Körperkontakt (DE-588)4073573-4 gnd |
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| title | The ethical use of touch in psychotherapy |
| title_auth | The ethical use of touch in psychotherapy |
| title_exact_search | The ethical use of touch in psychotherapy |
| title_full | The ethical use of touch in psychotherapy Mic Hunter ; Jim Struve |
| title_fullStr | The ethical use of touch in psychotherapy Mic Hunter ; Jim Struve |
| title_full_unstemmed | The ethical use of touch in psychotherapy Mic Hunter ; Jim Struve |
| title_short | The ethical use of touch in psychotherapy |
| title_sort | the ethical use of touch in psychotherapy |
| topic | Aanraking gtt Ethische aspecten gtt Psychotherapie gtt Psychothérapeutes - Déontologie ram Psychothérapie ram Toucher - Emploi en thérapeute ram Ethik Psychotherapie Ethics, Medical Psychotherapy Touch Touch Therapeutic use Psychotherapie (DE-588)4047746-0 gnd Körperkontakt (DE-588)4073573-4 gnd |
| topic_facet | Aanraking Ethische aspecten Psychotherapie Psychothérapeutes - Déontologie Psychothérapie Toucher - Emploi en thérapeute Ethik Ethics, Medical Psychotherapy Touch Touch Therapeutic use Körperkontakt |
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