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Healing Hands, by Robert Pope The Art and Science of Therapeutic Touch as a Spiritual Intervention Rev. David Maginley Spiritual Care, QEII Health Sciences Centre David Maginley, QEII Health Sciences Centre Objectives 1. 2. 3. 4. 5. Define Therapeutic Touch Review its history and present practice Explore the concept of energy medicine Review research and discuss challenges Explore its application in spiritual care David Maginley, QEII Health Sciences Centre 2008 - $33.9 billion 85% of medical schools offer courses National Center for Health Statistics, 2009. David Maginley, QEII Health Sciences Centre Therapeutic Touch 1. One of may expressions of subtle energy therapies experienced as spiritual interventions 2. Represents a recovery and integration of ancient healing arts 3. Transpersonal connection and consciousness that extends beyond the physical 4. An experience that recontextualizes identity, meaning and relationship - “who and what I am” David Maginley, QEII Health Sciences Centre Therapeutic Touch A five step process in which the practitioner modulates energy through the hands to assist a person’s natural healing Both healer and healee are mutual expressions of a unified therapeutic interaction through which both are made whole Based on Rogerian Nursing Theory Resonance: a continuous change exists from lower to higher frequencies in the human and environmental energy fields Helicity: These same fields progress to states of greater diversity and order Integrality: Mutual interaction occurs between human and environmental fields David Maginley, QEII Health Sciences Centre Therapeutic Touch Physical Anatomy Biochemical, anatomical Health is a state of complete physical well-being Illness is impairment of normal physiological function affecting part or all of an organism Spiritual Anatomy Energetic, consisting of physical, mental, emotional and spiritual fields Health results when fields function with balance and integration both within the individual and with the environment Illness results from dissonance in the fields which eventually manifests in the body. David Maginley, QEII Health Sciences Centre A new/ancient model Traditional Mode Integrative Model Physics: Newtonian Physics: Einstein & quantum Human body: biochemical physiological systems Human being: open series of energy systems, continuously interacting Consciousness: by-product of the brain’s electrical activity Consciousness: emanates from the mind-body-spirit connection Emotions influence illness & pain through neurohormonal connections Emotions, thoughts & the spirit influence illness & pain through energetic & neurohormonal connections Focus: fixing Focus: healing Focus on problems Focus on wellness David Maginley, QEII Health Sciences Centre A new/ancient model Non-Theistic Theistic Universal Field God Negentropic Love Healing is a natural human potential Healing is a gift of the Spirit Dependant on presence and practice Dependant on faith A universal phenomenon Restricted to a specific religious tradition Focus on compassion Focus on Jesus David Maginley, QEII Health Sciences Centre Dr. Dolores Krieger Dora Kunz David Maginley, QEII Health Sciences Centre The Influence of an Unorthodox Method of Treatment on Wound Healing in Mice Grad, Bernard, Remi J. Cadoret, and G. I. Paul Oscar Estabany, Hungarian healer Double-blind experiment on wound healing in 300 mice 100 in control group, 100 held by a healer, 100 held by students Before treatment 14 days Control Healer Students International Journal of Parapsychology 3, no. 2 (1961) David Maginley, QEII Health Sciences Centre Therapeutic Touch 1. Centering: bringing the body and emotions into a quiet, focused state of awareness 2. Assessment: using the hands to determine the nature of the dynamic energy field 3. Clearing: facilitating symmetrical flow of energy throughout the field 4. Evaluation: use of professional, informed and intuitive judgment to determine when to end a session 5. Grounding: facilitating the flow of energy to the ground David Maginley, QEII Health Sciences Centre Evaluation Grounding David Maginley, QEII Health Sciences Centre Centered Consciousness Rapid psychomotor quieting of the physical body A significant lessening of usually uncontrollable verbalizations in the mind A sense of timelessness expands within one’s awareness A profound stillness and a sense of peace A reduction or shift of egocentric focus There is greater clarity in recognition of compassion as power An increase in self-confidence A strong grasp of intuitive insights and access to deep inquiry A tacit understanding of the power of effortless effort The awareness that the deeper one goes within oneself, the easier it is to heal David Maginley, QEII Health Sciences Centre Effect of TT Deep relaxation Relief from pain Accelerated healing Connection to non-physical sensation Imparts a sense of calm, safety, wonder Hope/awareness that the body is not all there is Practical, compassionate tool for family members Expands capacity for caring and prevents burnout David Maginley, QEII Health Sciences Centre Does the Human Energy Field Exist? Dr. Robert Becker Cells and tissues generate electrical fields that can be detected on the skin surface Meridians of currents mapped on the body SQUID Magnetometer Superconducting Quantum Interference Device All tissues produce biomagnetic fields from 0.3hz - 30hz. Field from the heart and hands are strongest, and in the same frequency range as brain waves. This may explain how the hands are able to stimulate healing. The direct current control system. A link between environment and organism. Becker Ro, Bachman Ch, Friedman H. NY State J Med. 1962 Apr 15;62:1169-76. SQUID Magnetometers: Uses in Medicine S.J. Swithenby 1987 Physics in Technology 18 17 Radiogenic metabolism: an alternative cellular energy source M. S. Benford. Medical Hypotheses. 2001;56(1):33-39 David Maginley, QEII Health Sciences Centre Does the Human Energy Field Exist? David Maginley, QEII Health Sciences Centre Fritz-Albert Popp Theoretical biophysicist University of Marburg, Germany David Maginley, QEII Health Sciences Centre Light Within the Body “University of California researchers find new lightsensing mechanism in neurons” Science Journal, March 3, 2011 “New, wireless method of brain stimulation has the potential to activate specific regions of the brain or restore function to damaged or cut nerves” March 16, 2009 Case Western Reserve University Blue-light sensing arousal neurons (credit: UCI) David Maginley, QEII Health Sciences Centre Light in human consciousness "Orchestrated Objective Reduction of Quantum Coherence in Brain Microtubules: The 'Orch OR' Model for Consciousness" by Stuart Hameroff and Roger Penrose Dentrite Dentrite Spine/Synaptic Receptor Nucleus Membrane Axiom Microtubule Microtubule Associated Protein David Maginley, QEII Health Sciences Centre David Maginley, QEII Health Sciences Centre Therapeutic Touch “Fields alone are real, they are the substance of the universe” Guillemin V: The Story of Quantum Mechanics, New York, Charles Scribner’s Sons, 1968 “The pattern and organization of any biological system is established by a complex electrodynamic field.” Burr HS, Northrop FS: The Electrodynamic Theory of Life Q Rev Biol 1935;10:322-333 David Maginley, QEII Health Sciences Centre Research anxiety, pain, relaxation response (Boguslawski, 1980, 1990; Cox and Hayes,1997; Denison, 2004; Green, 1998; Heidt, 1981,1990, 1991; Lionberger, 1985; Meehan 1991) the healing process (Wirth and Barrett, 1994) chemotherapy related side effects, improve several aspects of immune function in patients with cancer (Caudell, 1996) hemoglobin levels (Kreiger, 1975, 1979) initiates changes in lymphocyte levels (Quinn & Strelkauskas, 1993) A review of studies to date suggests that TT promotes comfort, calmness, and well-being among hospitalized patients (Newshan & Schuller-Civitella, 2003). David Maginley, QEII Health Sciences Centre Therapeutic Touch affects DNA synthesis and mineralization of human osteoblasts in culture. Jhaveri A, Walsh SJ, Wang Y, McCarthy M, Gronowicz G Objective: To determine if TT had any effect on osteoblast proliferation, differentiation, and mineralization in vitro. Method: TT performed twice a week for 10 min each on human osteoblasts and on an osteosarcoma-derived cell line Results: After four TT treatments in 2 weeks, TT significantly (p = 0.03) increased HOB DNA synthesis compared to controls. At 2 weeks in differentiation medium, TT significantly increased mineralization in HOBs (p = 0.016) and decreased mineralization in SaOs-2 (p = 0.0007), compared to controls. J Orthop Res. 2008 Nov;26(11):1541-6. David Maginley, QEII Health Sciences Centre The effect of therapeutic touch on pain and anxiety in burn patients. Turner JG, Clark AJ, Gauthier DK, Williams M. Objective: Determine if TT versus placebo produce greater pain relief as an adjunct to narcotic analgesia, a greater reduction in anxiety, and alterations in plasma T-lymphocyte concentrations among burn patients. Method: Single-blinded randomized clinical trial. 99 subjects, 15-68 yrs hospitalized for severe burns received either TT or placebo once a day for 5 days. Blood drawn on days 1 and 6 for lymphocyte subset analysis. Medication usage for pain were recorded. Results: Subjects who received TT reported significantly greater reduction in pain than did those who received placebo. CD8 + lymphocyte concentration for TT group. J Adv Nurs. 1998 Jul;28(1):10-20. David Maginley, QEII Health Sciences Centre The effects of therapeutic touch on patients with osteoarthritis of the knee Gordon A, Merenstein JH, D’Amico F, Hudgens D Objective: Determine if TT is effective in the treatment of osteoarthritis of the knee. Method: 25 patients, 40-80 yrs received TT, placebo and no treatment. Qualitative and quantitative evaluation. All patients had a diagnosis of osteoarthritis of at least 1 knee, had not had a knee replacement, and had no other connective tissue disease. Both the TT group and the placebo group received a treatment once weekly for 6 weeks. Results: Statistically significant improvements with TT. J Fam Pract.1998;47(4):271–277 David Maginley, QEII Health Sciences Centre The effects of therapeutic touch on patients with osteoarthritis of the knee Gordon A, Merenstein JH, D’Amico F, Hudgens D pain function arthritis at week 7 (P = .05) and the number of tender joints (P = .02). energy (P = .02), frustrations (P = .02), mood (P = .04) pain over time in the TT treatment group than in the placebo group. analgesics for their arthritis pain, delayed steroid injections, and being able to walk further without swelling or pain at 7 weeks post Tx. J Fam Pract.1998;47(4):271–277. David Maginley, QEII Health Sciences Centre Effect of therapeutic touch on the well-being of persons with terminal cancer Giasson M, Bouchard L. Objective: Examine the effect of three TT treatments on the well-being of 20 persons with terminal cancer in palliative care. Method: Experimental group (n = 10) received three noncontact TT treatments for 15 to 20 minutes. Control group (n = 10) participated in three rest periods. Well-being measured at pre-intervention time and immediately postintervention time using the Well-Being Scale, a visual analogue scale measuring pain, nausea, depression, anxiety, shortness of breath, activity, appetite, relaxation, and inner peace. Results: The results of the study support the hypothesis that three noncontact TT treatments increase sensation of well-being in persons with terminal cancer. J Holist Nurs. 1998 Sep;16(3):383-98. David Maginley, QEII Health Sciences Centre Research Weaknesses Inconsistencies in methodology Lack of studies on larger populations Difficult to isolate the effect of intention influencing outcomes Unable to observe or quantify the energy field due to limited funding or lack of knowledge of available technology. The scientific method is not well designed to address healing intention. Science demands repetition, but that very demand compromises the effect. Strengths Demonstrated decrease in the amount of pain medications required and increases in the time span between dosages In vitro studies demonstrate energetic effects on cells Induces the relaxation response Improved well-being Energy Healing and Pain: A Review of the Literature Dolores L. Fazzino, DNP, RN, FNP-BC, CRNFA, Mary T. Quinn Griffin, PhD, RN, Sister Rita McNulty, DNP, RN, APRN-BC, Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN Holist.Nurs.Pract. 2010 24(2) 79-88 David Maginley, QEII Health Sciences Centre Sunshine Room – 368 patients David Maginley, QEII Health Sciences Centre Therapeutic Touch & Spiritual Care Referrals TT in a Clinical Unit 40% Patient referral from a nurse 30% Chaplain’s visit 20% Patient request (patients sharing information with each other) 10% Doctor referral Referrals are verbal or noted in progress notes Positive and consistent benefits in alleviating: Anticipatory nausea and vomiting (ANV) Pain management Intractable NV Anxiety David Maginley, QEII Health Sciences Centre Therapeutic Touch & Spiritual Care In following 10 patients through their course of ABVD at MDU, TT was given before and during direct infusion. All patients experienced a decrease in ANV, Better able to tolerate the protocols. Nausea in two cases was debilitating and extreme. Deep relaxation experienced Chemotherapy well tolerated Strength, appetite and energy improved the rest of the day and through the week. David Maginley, QEII Health Sciences Centre Therapeutic Touch & Spiritual Care Phantom limb pain Palliative care Allergy to antiemetics David Maginley, QEII Health Sciences Centre Spiritual Issues History of healing brought under the church’s control Hostility to women continuing traditional practice Context and language of treatment can be challenging to conservative theology Occult influence, identification of Eastern concepts with demonic deception Fear, misunderstanding of mysticism, meditation, and it’s deep roots in Christianity Resistance to reducing healing to scientific terms David Maginley, QEII Health Sciences Centre Spiritual Issues John 14:13-14 To pray in the name of Jesus is to act in the same character and relationship to God as Jesus. Reference of identification that manifests in character, not doctrine or formula of authorization. TT can also be upsetting to scientific world view Nurse witnessing treatment becomes upset Spiritual care is rooted in psychosocial models energetic interventions limited to CAM David Maginley, QEII Health Sciences Centre David Maginley, QEII Health Sciences Centre Demonstration David Maginley, QEII Health Sciences Centre Therapeutic Touch in Canada BC Cancer Agency – – – – Vancouver Cancer Centre Fraser Valley Cancer Centre Abbotsford Centre Kelowna Ontario – – – Toronto East General Casey House AIDS Hospice Wellspring London/Toronto/ Sunnybrook/Niagra/Bramptom Alberta – – Wellspring Edmonton Wellspring Calgary Nova Scotia – – – – QEII Health Sciences Centre NS Environmental Clinic Marguerite Centre CCS Lodge that Gives David Maginley, QEII Health Sciences Centre Therapeutic Touch Worldwide Over 50 doctoral dissertations Taught to over 200,000 in 104 countries First healing method taught at the doctoral level An extension of nursing professional nursing skills Most extensively researched (over 1000 studies and articles) Taught at over 70 universities in North America Practiced in over 50 medical centres. David Maginley, QEII Health Sciences Centre Credentialing Practitioner Three levels are each taught in full day workshops Repeat levels with a different teacher Complete workbook with 60 case studies and 15 supervised treatments Practice Group An Advanced workshop Membership in the Therapeutic Touch Network Signed statement of ethics and conduct Teacher Practiced Therapeutic Touch regularly One year teaching mentorship with a Qualified TT teacher Signed statement of ethics and conduct David Maginley, QEII Health Sciences Centre A Vision for the Future Changing landscape of professional Spiritual Care SC working collaboratively in developing true integrative practice: mind, body, spirit Leading the disciplines in the field of subtle energetics Thought, intention and compassion in medical staff understood as central energetic interventions e.g. How the poor delivery of bad news affects outcomes Fusion of ancient and modern practices High tech, high touch David Maginley, QEII Health Sciences Centre Resources: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Therapeutic touch Network of Ontario: http://www.therapeutictouchontario.org Detecting cellular light: http://www.tohtech.ac.jp/~elecs/ca/kobayashilab_hp/NewScientist.html DNA emits light: http://viewzone2.com/dna.html Light sensing mechanisms in neurons: http://www.today.uci.edu/briefs/2011/03/nb_holmes_110303.php Imaging brain connections: http://www.kurzweilai.net/102187 Wireless brain stimulation: http://www.physorg.com/news156443682.html The "Orch OR" Model for Consciousness: http://www.quantumconsciousness.org/penrose-hameroff/orchor.html Global Consciousness Project: http://noosphere.princeton.edu/index.html Primary Perception: http://www.theepochtimes.com/n2/science/the-secret-life-ofplants-29564.html International society for the study of subtle energy and energy medicine: http://www.issseem.org The Intention Experiment: http://www.theintentionexperiment.com/the-field.htm Institute for Noetic Sciences: http://www.noetic.org Institute of HeartMath: http://www.heartmath.org Abrams, Donald and Weil, Andrew. Integrative Oncology, Oxford University Press 2009 Gerber, Richard. A Practical Guide to Vibrational Medicine, Harper Collins 2000 Gordon, James. Manifesto for a New Medicine, Harper Collins 1996 Harper, Tom. The Uncommon Touch, McClelland & Stewart 1994 Dossey, Larry. Healing Words, Harper Collins 1993 David Maginley, QEII Health Sciences Centre Healing Hands, by Robert Pope Thank You! David Maginley, QEII Health Sciences Centre