This groundbreaking book presents a new model for incorporating the human body, and specifically physical touch, into psychoanalysis and psychotherapy, particularly for patients who have experienced trauma. Novak’s model of informed and disciplined touch articulates five categories of touch and three phases of therapeutic body work, all of which can help move the patient and therapist directly into bodily experiences that enable trauma memories to be processed, and then analyzed and transformed. This transformation leads to patients experiencing their bodies in fundamentally new ways, both relationally and intrapsychically. The book also grapples with the risks and ethics of working directly with patients’ bodies, outlining theoretical and clinical elements that help create a safe and sacred therapeutic structure. Novak’s model offers a continuum of touch from everyday physical interactions, such as handshakes or hugs, to more complex and complete ways of working with the body that are safe and meaningful and that create an integrated experience of the patient’s mind and body. Physical Touch in Psychoanalytic Psychotherapy is of interest to therapists at all levels of experience in the fields of counseling, social work, psychotherapy, and psychoanalysis. Practitioners in other helping professions such as healthcare, massage therapy, and physical therapy, as well as providers of wholistic medicine, will also be able to make use of the comprehensive clinical model and case studies detailed in the book.

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?

For the first time, the controversial issue of physical contact in the consulting room is explored by distinguished psychoanalysts and psychotherapists representing a diverse range of psychoanalytic viewpoints. The contributors focus on the unconscious meanings of touch, or absence of touch, or unwelcome touch, or accidental touch in the psychoanalytic clinical situation. There are plenty of clinical vignettes and the discussions are grounded in clinical experience. Out of all medical and therapeutic treatments, psychoanalysis remains one of the very few that uses no physical contact. Sigmund Freud stopped using the 'pressure technique' in the late 1890s, a technique whereby he would press lightly on his patient's head while insisting that they remembered forgotten events. He gave up this procedure in favour of encouraging free association, then listening and interpreting without touching his patient in any way. Psychoanalysis was born and the use of touch, as a technique reminiscent of hypnosis, was explicitly prohibited. The avoidance of physical contact between the analyst and patient was established as a key component of the classical rule of abstinence.

Considers the problematic topic of under what circumstances psychotherapists, counsellors, psychoanalysts and other helping professionals may legitimately use touch to help their clients.

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.