Background
- Delores Krieger, RN, PhD, and Dora Kunz, a natural healer, developed Therapeutic Touch (TT) in the early 1970s. TT is an adaptation of several religious and secular healing traditions and is commonly used in nursing practice for many different conditions.
- TT practitioners hold their hands a short distance from the patient without actually making physical contact. The purpose of this technique is to detect the patient's energy field, allowing the TT practitioner to correct any perceived imbalances. Nurse Healers Professional Associates, Inc. is the primary training organization for Therapeutic Touch and teaches a standardized technique. TT treatment consists of four steps: centering (calming the mind and focusing attention on the patient), assessing the patient's energy field for irregularities, intervention to facilitate symmetrical flow of energy through the field, and evaluation/closure to verify the effects and conclude the treatment. Treatment sessions usually last from five to thirty minutes. Currently there is a lack of formal certification or competency-based assessment for this therapy.
- The concept of "life energy" or "life force" has sometimes been compared to spiritual rather than scientific principles. Some critics argue that because of its religious roots, TT should be treated as a religion rather than as a healthcare therapy. Skeptics have sought to eliminate Therapeutic Touch as a nursing practice, due to questions surrounding the mechanism of action. However, suggestive results from several human studies, positive clinical experience, and case reports have led to increasing use of TT.
- Several variations have emerged from the original treatment but aspects of centering and intent have remained the foundations of this technique. Janet Mentgen founded healing touch in the 1980s based on the principles of therapeutic touch. Healing touch adds patient empowerment, practitioner self care, and focuses on the impact of the practitioner-patient relationship.
References
- Blankfield RP, Sulzmann C, Fradley LG, et al. Therapeutic touch in the treatment of carpal tunnel syndrome. J Am Board Fam Pract 2001;14(5):335-342.
View Abstract - Denison B. Touch the pain away: new research on therapeutic touch and persons with fibromyalgia syndrome. Holist Nurs Pract 2004;18(3):142-151.
View Abstract - Frank LS, Frank JL, March D, et al. Does therapeutic touch ease the discomfort or distress of patients undergoing stereotactic core breast biopsy? A randomized clinical trial. Pain Med 2007 Jul-Aug;8(5):419-24.
View Abstract - Giasson M, Bouchard L. Effect of therapeutic touch on the well-being of persons with terminal cancer. J Holist Nurs 1998;16(3):383-398.
View Abstract - Gordon A, Merenstein JH, D'Amico F, et al. The effects of therapeutic touch on patients with osteoarthritis of the knee. J Fam Pract. 1998;47(4):271-277.
View Abstract - Gregory S, Verdouw J. Therapeutic touch: its application for residents in aged care. Aust Nurs J 2005 Feb;12(7):23-5.
View Abstract - Ireland M. Therapeutic touch with HIV-infected children: a pilot study. J Assoc Nurses AIDS Care 1998;9(4):68-77.
View Abstract - Larden CN, Palmer ML, Janssen P. Efficacy of therapeutic touch in treating pregnant inpatients who have a chemical dependency. J Holist Nurs 2004;22(4):320-332.
View Abstract - Lin Y-S, Taylor AG. Effects of therapeutic touch in reducing pain and anxiety in an elderly population. Integrative Medicine 1998;1(4):155-162.
- Müller-Oerlinghausen B, Berg C, Droll W. [The efficacy of Slow Stroke Massage in depression] Psychiatr Prax 2007 Sep;34 Suppl 3:S305-8.
View Abstract - Peters RM. The effectiveness of therapeutic touch: a meta-analytic review. Nursing Science Quarterly 1999;12(1):52-61.
- Post-White J, Kinney ME, Savik K, et al. Therapeutic massage and healing touch improve symptoms in cancer. IntegrCancer Ther 2003;2(4):332-344.
View Abstract - Rosa L, Rosa E, Sarner L, et al. A close look at therapeutic touch. JAMA 4-1-1998;279(13):1005-1010.
View Abstract - Turner JG, Clark AJ, Gauthier DK, et al. The effect of on pain and anxiety in burn patients. J Adv Nurs 1998;28(1):10-20.
View Abstract - Woods DL, Craven RF, Whitney J. The effect of on behavioral symptoms of persons with dementia. Altern Ther Health Med 2005;11(1):66-74.
View Abstract