Helping through touch: The embodiment of caring

There is a power to touch, and a magic. Some call it mystery. The purpose of this paper is to reflect on the various meanings and uses of touch, particularly within the context of relationship and helping. There will be no attempt to formulate a protocol for touch or to lay claim to a definitive meaning for touch. Reflection about touch may instead clarify some of its meanings and dynamics while encouraging care providers to embrace the experience of helping-through-touch. This paper supports a considered use of empathie touch because of its power and its ability to embody care.     

Reach out to one and you reach out to many: Social touch affects third‐party observers

Casual social touch influences emotional perceptions, attitudes, and behaviours of interaction partners. We asked whether these influences extend to third‐party observers. To this end, we developed the Social Touch Picture Set comprising line drawings of dyadic interactions, half of which entailed publicly acceptable casual touch and half of which served as no‐touch controls. In Experiment 1, participants provided basic image norms by rating how frequently they observed a displayed touch gesture in everyday life and how comfortable they were observing it. Results implied that some touch gestures were observed more frequently and with greater comfort than others (e.g., handshake vs. hug). All gestures, however, obtained rating scores suitable for inclusion in Experiments 2 and 3. In Experiment 2, participants rated perceived valence, arousal, and likeability of randomly presented touch and no‐touch images without being explicitly informed about touch. Image characters seemed more positive, aroused, and likeable when they touched as compared to when they did not touch. Image characters seemed more negative and aroused, but were equally likeable, when they received touch as compared to when there was no physical contact. In Experiment 3, participants passively viewed touch and no‐touch images while their eye movements were recorded. Differential gazing at touch as compared to no‐touch images emerged within the first 500 ms following image exposure and was largely restricted to the characters' upper body. Gazing at the touching body parts (e.g., hands) was minimal and largely unaffected by touch, suggesting that touch processing occurred outside the focus of visual attention. Together, these findings establish touch as an important visual cue and provide novel insights into how this cue modulates socio‐emotional processing in third‐party observers.     

Investigating Maternal Touch and Infants' Self‐Regulatory Behaviours during a Modified Face‐to‐Face Still‐Face with Touch Procedure

Maternal touch and infants' self‐regulatory behaviours were examined during a modified Still‐Face with Touch (SF + T) procedure. Mothers and their 5½‐month‐old infants participated in one period of Normal interaction followed by three SF + T periods. Maternal functions of touch, and infants' self‐regulatory behaviour, affect, and attention were evaluated. Contrary to a typical SF procedure, the amount of smiling remained high while fretting remained low. High levels of maternal touching and variations in the functions of maternal touch were observed across periods. Playful touch remained high while there was an increase in nurturing touch and a decrease in attention‐getting touch from the Normal to all SF + T periods. Similar amounts of self‐regulatory behaviours were observed across periods with the exception of a decrease in bidirectional exchanges during the SF + T periods. Finally, across periods, maternal touch and infants' self‐regulatory behaviours were found to be temporally organized with infants' affect and attention. Examining how mothers use touch when other forms of communication are absent increased our understanding of the role of touch in infants' emotion regulation. Copyright © 2014 John Wiley & Sons, Ltd.     

Need for touch and information processing strategies: An empirical examination

Drawing from literatures on haptic modality and information processing, direct measures of information processing strategy are developed and applied to investigate whether touch search is a form of analytical processing. Applying two distinct approaches in the two studies, evidence of the processing style of those high in need for touch, compared with those low in need for touch, is gathered and tested in an online context where touch is not available. Cumulatively, the findings indicate that high‐need‐for‐touch consumers follow an analytical, feature‐by‐feature processing strategy, whereas those low in need for touch rely more on a relational processing strategy. Theoretical and managerial implications are provided. Copyright © 2012 John Wiley & Sons, Ltd.     

Touch attitudes in cross‐sex friendships: We're just friends

Results from this survey indicated that within heterosexual cross‐sex friendships, perceptions of friendship intimacy for females were more strongly tied to their positive attitudes toward: enacting and receiving more touch, enacting and receiving more safe haven (e.g., caretaking) touch, and perceiving touch as more sexually arousing, when compared to males. Females were more motivated not to touch their cross‐sex friends in public regardless of intimacy perceptions and did not positively perceive safe haven touch if they did not have a romantic partner. It is argued that males' and females' attitudes toward touch in cross‐sex friendships diverge due to evolved differences related to parental investment and the manner in which they are socialized to perceive their roles in cross‐sex friendships.     

Infant touching behaviour during mother–infant face‐to‐face interactions

The study of infant communication during mother–infant interactions has largely focused on infants' distal behaviours, while neglecting their more proximal behaviours, such as touch. Yet, touch is an important modality through which infants and mothers communicate; it is also a vital means through which infants self‐regulate and explore their surroundings. The present study was designed to investigate the touching behaviours of 44, 51/2‐month‐old, healthy, full‐term infants during face‐to‐face mother–infant interactions. A still‐face (SF) procedure was used in order to examine differences in the types and locations of infant touch across normal and perturbed interaction periods, when mothers exhibit changes in their emotional availability. Results revealed that infant touch varied with changes in maternal availability. During the SF period, when mothers were unavailable, infants used more active, soothing, and reactive tactile behaviours (stroke, finger, pat, and pull), and they spent more time touching themselves. In contrast, infants used mostly passive touch (static) during the Normal periods, when their mothers were available. They also spent a significant portion of time touching their mothers. The variations in infant touch across periods suggest that infants communicate their affective states through touch. The findings also support the regulatory and exploratory roles of infant touch, especially during periods of maternal unavailability. Copyright © 2007 John Wiley & Sons, Ltd.     

The Use of Touch in Counseling: An Ethical Decision‐Making Model

Although some counselors have advocated for the limited use of touch in counseling, others have argued that touch has no place within the counseling relationship. Despite the controversy, the use of touch has been shown to have a number of therapeutic benefits; however, there are few ethical decision‐making models that are appropriate for considering the use of touch in counseling. The authors discuss the controversy surrounding the use of touch and the benefits/contraindications of touch. The 5 ethical principles of counseling are also examined; a new ordering of the principles is presented as a useful ethical decision‐making model when considering the use of touch in counseling.     

Nonphysical touch: modes of containment and communication within the analytic process

Psychoanalysis has struggled with issues of touching and being touched, and of holding and being held, since Freud's early essays toward "taking hold" of elusive thoughts through various means. More recently, observations of early dyadic interchanges between caretaker and child have illuminated how facets of the analytic process, such as the quality of gaze, tone, or empathic resonance, affect feelings of "being held" within the object world. These studies interplay with other analytic depictions and the work of affect theorists to show how meanings become represented and manifested over time through verbal versus nonverbal means. The author uses this literature to explore how our capacity to receive and transmit information cross-modally creates an interpenetration of meanings between self and other in the absence of actual physical contact. Clinical illustrations explore some of the meanings and uses of nonphysical modes of touch within the analytic environment.     

Touching at depth: The potential of feeling and connection

The senses are often talked of as bodily senses. Although more recently there has been valuable work on the cross-over of the senses, it is still common for our understanding of the senses to be located in the finite body: the body that hears, smells, sees, tastes and touches. There is a defined subjectivity and identity logic here which ontologically impacts on how we feel, particularly in the context of touch. For example, if it is my body that touches, it must be my body that feels. Or, if my body touches another, that body feels my touch and vice versa. Emphasis is on intersubjectivity and separate bodies/senses rather than on feeling, connection and emotion. This paper explores affective and embodied meanings of touch. It moves beyond common assumptions underlying most literature on touch, assumptions which regard touch as physical and visible. Touch cannot be viewed primarily as a bodily sense for it then emanates from a finite body, a body which is separate, subjective and contained. This type of touch (or body) stifles the potential for feeling and connection. When touch is viewed as ‘flesh’ or ‘mi’, however, we become aware of a non-finite logic of the world which helps us reassess touch. There is a sensuous and embodied connection in flesh that is at the ‘heart’ of this type of touch. This paper develops the notion of a ‘touching at depth’ which helps us move beyond the senses in a bodily (and therefore finite) capacity and explore an encompassing space and relationship in touch that brings out the potential of feeling, connection and emotion.     

Touch attenuates infants’ physiological reactivity to stress

Animal studies demonstrate that maternal touch and contact regulate infant stress, and handling during periods of maternal deprivation attenuates the stress response. To measure the effects of touch on infant stress reactivity during simulated maternal deprivation, 53 dyads were tested in two paradigms: still‐face (SF) and still‐face with maternal touch (SF+T). Maternal and infant cortisol levels were sampled at baseline, reactivity, and recovery and mother’s and infant’s cardiac vagal tone were measured during the free play, still‐face, and reunion episodes of the procedure. Cortisol reactivity was higher among infants in the SF condition and while cortisol decreased at recovery for infants in the SF+T, it further increased for those in the SF. Vagal tone showed a greater suppression when SF was not accompanied by maternal touch. Touch synchrony during free play was associated with higher infant vagal tone, whereas touch myssynchrony – maternal tactile stimulation while the infant gaze averts – correlated with higher maternal and infant cortisol. In humans, as in mammals, the provision of touch during moments of maternal unavailability reduces infants’ physiological reactivity to stress.     

Mother–child and metapelet–child touch behavior with three‐year‐old kibbutz children in two contexts

The frequency and function of self‐touch and of touching another was studied among 32 three‐year‐old kibbutz children, their mothers, and their metaplot [caretakers; singular: metapelet] in two contexts: coconstruction of a narrative with Duplo toys, and coconstruction of a narrative with an emotion‐evoking picture book without text. Self‐touch, mainly fidgeting, was more frequent for children during the task with the picture book and more frequent for adults during the task with the Duplo toys. Mothers and children touched each other more often than metaplot and children. Adults' touches of the children were perceived as either expressions of affection or as acts of grooming and were task‐related. The children's touching of the adults was mainly task‐related. It appears that self‐touch is for children and adults alike a mode of self‐regulation of mild stress and that touching the other has a wide range of functions, especially in intimate relationships. ©2003 Michigan Association for Infant Mental Health.     

Do children's number words begin noisy?

How do children acquire exact meanings for number words like three or forty‐seven? In recent years, a lively debate has probed the cognitive systems that support learning, with some arguing that an evolutionarily ancient “approximate number system” drives early number word meanings, and others arguing that learning is supported chiefly by representations of small sets of discrete individuals. This debate has centered around the findings generated by Wynn's ( 1990 , 1992 ) Give‐a‐Number task, which she used to categorize children into discrete “knower level” stages. Early reports confirmed Wynn's analysis, and took these stages to support the “small sets” hypothesis. However, more recent studies have disputed this analysis, and have argued that Give‐a‐Number data reveal a strong role for approximate number representations. In the present study, we use previously collected Give‐a‐Number data to replicate the analyses of these past studies, and to show that differences between past studies are due to assumptions made in analyses, rather than to differences in data themselves. We also show how Give‐a‐Number data violate the assumptions of parametric tests used in past studies. Based on simple non‐parametric tests and model simulations, we conclude that (a) before children learn exact meanings for words like one, two, three, and four, they first acquire noisy preliminary meanings for these words, (b) there is no reliable evidence of preliminary meanings for larger meanings, and (c) Give‐a‐Number cannot be used to readily identify signatures of the approximate number system.     

How Do Body Diagrams Affect the Accuracy and Consistency of Children's Reports of Bodily Touch Across Repeated Interviews?

We examined the amount, accuracy, and consistency of information reported by 58 5‐ to 7‐year‐old children about a staged event that included physical contact/touching. Both 1 and 7 months following the event, children were asked both open and yes/no questions about touch [i] when provided with human body diagrams (HBDs), [ii] following instruction and practice using the HBDs, or [iii] without HBDs. Children interviewed with HBDs reported more information at 7 months, but a high proportion of inaccurate touches. Children seldom repeated touch‐related information across the two interviews and did not incorporate errors made in the 1‐month interview into their open‐ended accounts 6 months later. Asking children to talk about innocuous touch may lead them to report unreliable information, especially when HBDs are used as aids and repeated interviews are conducted across delays that resemble those typical of forensic contexts. Copyright © 2011 John Wiley & Sons, Ltd.     

RELATIONAL MESSAGES ASSOCIATED WITH NONVERBAL BEHAVIORS

Based on the assumptions that relational messages are multidimensional and that they are frequently communicated by nonverbal cues, this experiment manipulated five nonverbal cues -eye contact, proximity, body lean, smiling, and touch - to determine what meanings they convey along four relational message dimensions. Subjects (N= 150) observed 2 out of 40 videotaped conversational segments in which a male-female dyad presented various combinations of the nonverbal cues. High eye contact, close proximity, forward body lean, and smiling all conveyed greater intimacy, attraction, and trust. Low eye contact, a distal position, backward body lean, and the absence of smiling and touch communicated greater detachment. High eye contact, close proximity, and smiling also communicated less emotional arousal and greater composure, while high eye contact and close proximity alone conveyed greater dominance and control. Effects of combinations of cues and sex-differences are also reported.     

Exploring consumers' health meaning categories: towards a health consumption meaning model

• Health marketplace offers a lucrative business for many companies. However, there is a gap in consumer research in understanding what health as a target of consumption really means to consumers. The subtleties and multiplicity of meanings rural and urban (both younger and older) consumers attach to health in their everyday lives are empirically explored in this article. Findings of a focus group interview‐based interpretive analysis are reported. It was found that meanings consumers associate with health are profound and multi‐faceted (identification of several health‐meaning categories) with some evidence for age‐ and area‐of‐ residency‐related health‐meaning differences. The article is concluded by advancing theory‐building in consumer research in the form of developing a tentative framework model that can be used to analyze health consumption meanings.

Copyright © 2006 John Wiley & Sons, Ltd.     

Is touch a valid therapeutic intervention? Early returns from a qualitative study of therapists' views

Findings are reported from six semi‐structured interviews with experienced psychotherapists, focusing on the reasons for using touch and the sort of touch used. They suggest that there is a distinction being made by therapists between ‘social space’ and ‘therapeutic space’, and a different view of touch taken if it is judged by the therapist to be ‘out of the therapeutic environment’. Whether or not touch was initiated by the therapist or the client would also appear to influence its further discussion by the therapist, either in processing it with the client or in supervision. What also emerged from the interviews was the finding that an exploration of touch in supervision was unusual. The implications for practice, supervision and training are discussed as areas for further exploration in the main survey, which will be conducted in the second year of the research.     

A group‐randomized evaluation of a theatre‐based sexual abuse prevention programme for primary school children in Germany

The study reports a group‐randomized trial of a theatre‐based intervention to prevent sexual abuse targeting first and second grade primary school children in Germany. A sample of 148 first and second graders saw a live performance of a play designed to promote skills in dealing with abuse‐prone interactions with adults, watched a recording of the play on DVD or were assigned to a no intervention control group. Both the live performance and the DVD groups showed significant increases in the target variables (distinguishing good/bad touch and secrets, getting help, rejecting unwanted touch) from baseline to post‐intervention and a follow‐up after 2 weeks, while the control group did not show changes. The live performance and DVD groups participated in a further follow‐up 30 weeks post‐intervention, which showed sustained effects of the intervention. The findings indicate that with appropriately culture‐sensitive measures, sexual abuse prevention programmes can have sustainable effects with young primary school children. Copyright © 2009 John Wiley & Sons, Ltd.     

The SMAART Scale: A Measure of Individuals’ Automatic Access to Secondary Meanings in Polysemous Statements

Psycholinguistic and neuropsychological research shows that individuals differ in their ability to access the multiple meanings implied by polysemous expressions. Drawing on these studies, a novel, computer‐based measure of automatic access to secondary meaning (SMAART) is developed to distinguish individuals more likely to access only a single, immediately available meaning from those accessing multiple meanings. The new measure is found to be reliable and distinct from several established measures assessing higher level verbal abilities such as the verbal SAT. Several experimental studies demonstrate the scale's usefulness for predicting who is most susceptible to the priming effects of the secondary meanings contained in the polysemous headlines in consumer‐oriented communications.     

How do Finnish pre‐adolescents perceive religion and spirituality?

The purpose of this study is to investigate how Finnish pre‐adolescents perceive religion and spirituality. The participants of the study are 12‐ to 13‐year‐old Grade 6 pupils (N=102). The pupils were asked to give their meanings of religion and spirituality. The data includes over 700 written expressions on the two concepts. The qualitative content analysis of the data produced three dimensions. They were called the institutional dimension, the humanistic dimension, and the supernatural dimension. The students emphasized different dimensions in the data concerning religion compared to the data concerning spirituality. Most of the meanings given to religion belonged to the institutional dimension (68.2%). In the data concerning spirituality most of the meanings belonged to the humanistic dimension (66.2%).     

‘Not in our front garden’: Land use conflict,spatial meaning and the politics of naming place

Strategies aimed at reducing land use conflict often stress the need to make planning decisions more democratic. However, this goal is obstructed by overly‐narrow conceptual perspectives that neglect the symbolic significance of place. We illustrate this by examining place names, which function as repositories of socio‐political meaning. Drawing on elements of discursive and rhetorical psychology and subject positioning theory, we investigated the variety of meanings associated with place names in the context of a proposed housing development in Swindon, in the South of England. Thirty interviews with different stakeholders were conducted to gauge their opinions towards the proposal. Noting differences in the way the proposed site was named, we analysed the range of meanings associated with each name in relation to participants' stances towards development. Our results show how, in naming place, spatial meanings are negotiated and contested in ways that support contrasting political objectives. We conclude that planning professionals should exercise greater sensitivity towards existing spatial meanings, especially place names. In addition, socio‐political understandings of subjective spatial relationships can serve as a basis for achieving more productive dialogue and improving development designs. Copyright © 2009 John Wiley & Sons, Ltd.