Therapeutic Touch

Therapeutic touch is a healing method that presumes the existence of a huge magnetic field around the human body. Is there really such a field?

by Brian Dunning

Filed under Alternative Medicine, Paranormal

Skeptoid #203
April 27, 2010
Podcast transcript | Listen | Subscribe
 

Today we're going to point the skeptical eye at a healing modality that's non-invasive, requires no drugs, produces no unpleasant side effects, and is taught in nursing schools everywhere: therapeutic touch. As it does not actually involve any touching, it's also called distance healing, or non-contact therapeutic touch. The method is premised on the presumed existence of an "energy field" which practitioners believe extends around the human body, and which they believe they can see or touch, many claiming it's tactile and they can actually feel it. This "energy field" is then manipulated by waving the hands over the patient's body. Based on a number of varying explanations, this action is said to promote faster healing of wounds, reduce pain or anxiety, or promote wellness in some other way.

Therapeutic touch was developed in 1972, a collaboration between a self-described clairvoyant and a nursing professor. Dora Kunz was a member of the Theosophy Society in America, and soon to become its president. Theosophy is a form of religious mysticism which Kunz had studied under the Hungarian psychic healer Oskar Estabany. Dolores Krieger, who taught nursing at New York University, became engaged with Kunz's metaphysical approach to healing, and codified therapeutic touch into the system that it is today.

What sets therapeutic touch apart from most other alternative treatments is its level of acceptance within the medical community. Although it's made no inroads in medical schools or with doctors, it is taught in a surprising number of nursing schools and in continuing education for nurses. This apparent rubber stamp of legitimacy has convinced many that there's something to it. The University of Maryland Medical Center is one hospital that offers therapeutic touch, and on its web site, attempts to explain how they believe it works [They've since removed this web page, so the link goes to an archived version. - BD]. They offer two explanations, erroneously describing them as theories:

One theory is that the actual pain associated with a physically or emotionally painful experience (such as infection, injury, or a difficult relationship) remains in the body's cells. The pain stored in the cells is disruptive, and prevents some cells from working properly with other cells in the body. This results in disease. Practitioners believe therapeutic touch promotes health by restoring communication between cells.

I read this five times and still couldn't make any sense of it. Pain remains in the cells? Pain is transmitted by nerves, and does not exist in the body outside of nerves, so right off the bat this makes no medical sense in even a rudimentary way. Then they say this is the cause of disease. No, not exactly. We have very good theories of various diseases and almost all are well understood, and nowhere in the medical texts do we find "the pain of difficult relationships remaining the body's cells". Finally, wrapping this up with the assertion that "therapeutic touch promotes health by restoring communication between cells" is not, in fact, an explanation of how anything works. It is a non-specific claim loosely bolstered by a few vaguely medical-sounding words.

The other theory is based on the principles of quantum physics. As blood, which contains iron, circulates in our bodies an electromagnetic field is produced. According to this theory, at one time we could all easily see this field (called an aura), but now only certain individuals, such as those who practice therapeutic touch, develop this ability.

Ah yes, the tired old "appeal to quantum physics". Mention that phrase, and immediately you sound smart. Well, not so much in this case: circulating iron in the blood creating a magnetic field is not an example of quantum physics. It's also known to be untrue: the tiny amount of iron in our hemoglobin, each molecule of which has a jumbled pole pointing in a different direction, neither creates a magnetic field, nor is there any electromagnetic theory which predicts that it might. And, there has never been a sound theory that all humans could at one time see magnetic fields, and no example of anyone ever seeing one. If anyone could, they would be essentially blinded all day by the overwhelming influence of the Earth's magnetic field which is much stronger than the tiny ones we encounter all day long.

Dolores Krieger, one of the co-founders of therapeutic touch, offers yet another completely different explanation for how it works. In 1975, she wrote in the American Journal of Nursing that this manipulation of the body's magnetic field raises the body's hemoglobin levels. This statement packs about as many implausible falsehoods into one sentence as I've ever seen. Placing a hand into a magnetic field does not alter that magnetic field. A magnetic field strong enough to extend several inches out from the human body would have to be immensely strong, and we wouldn't be able to wear metal jewelry or get out of our car, and we'd be sticking to each other all day. There is no explanation for how or why any magnetic effects would create hemoglobin, and no report of such a thing ever happening from magnetic resonance imaging or other applications of real magnetic fields to the human body. Finally, raising hemoglobin levels may be an effective therapy for some conditions, but not for pain, which is the primary use of therapeutic touch. One has to marvel at how Krieger, an experienced medical professional, could have strung together such an outlandish chain of nonsense and promoted it as sound science.

The most famous example of therapeutic touch's basic premise being put to the test was in 1996, when a 9-year-old girl, Emily Rosa, ran an experiment for her fourth grade science fair. Her parents, who were both critical of therapeutic touch, helped her devise a simple protocol. She visited 15 practitioners who claimed to be able to detect the presence of a "human energy field", and had them stick both hands through a screen. She then held her own hand directly above one of the practitioner's hands, selected randomly, and the practitioner stated each time which hand detected her field. They failed to guess better than random chance, indicating that practitioners cannot, in fact, do what they claim. The following year, the TV show Scientific American Frontiers filmed her repeating the test, with the same results. The year after that, Dr. Stephen Barrett contacted the Rosas and helped them write it up and had the study published in the Journal of the American Medical Association. This gave young Emily, then 11, the world record for the youngest person to have a scientific paper published in a peer-reviewed journal.

As you can imagine, the therapeutic touch community responded harshly. Healing Touch International, which was at the time the leading self-certification institute for practitioners, published an official response to the Journal's article with several key criticisms:

The published study does not test any critical variables related to therapeutic touch. The ability to sense the energy field of another is simply not a requirement of a TT practitioner.

This statement that "the ability to sense the energy field of another is simply not a requirement" is staggering. The entire practice is founded on manipulation of this energy field, which is described by practitioners as "tingling, pulling, throbbing, hot, cold, spongy, and tactile as taffy". They've now moved the goalposts. They've gone from sensing and manipulating this alleged energy field, to stating that it's not necessary to actually sense anything. How are you supposed to manipulate something you can't detect?

Healing Touch International's response to Rosa's study continues:

The study design was not representative of a therapeutic touch session. It was set up more as a parlor game. Therapeutic touch studies using people with health problems would most likely demonstrate positive effects.

They are correct that Rosa's study was not to test the efficacy of therapeutic touch on sick patients, it was about something else. It showed that therapeutic touch's fundamental concept is nonexistent. However, the studies they ask for do already exist. The authors of Rosa's paper included a literature analysis of 853 such studies. They concluded:

There is not a sufficient body of data, both in quality and quantity, to establish TT as a unique and efficacious healing modality... With little clinical or quantitative research to support the practice of TT, proponents have shifted to qualitative research, which merely compiles anecdotes.

Since the publication of Rosa's study, the healing touch industry now publishes only research that considers the improvement reported by patients, without regard to the method used. Most therapeutic touch web sites cite a small number of studies where a small effect was shown, but ignore the much larger number of larger, better controlled studies that show no effect. This suggests deliberate deception on their part; it's impossible to do an honest search of the literature without happening to notice the saturation of large studies showing no results.

The next point in their response:

Tip Skeptoid $2/mo $5/mo $10/mo One time

The child conducting the study was not neutral about therapeutic touch, and therefore could have affected the results. The studies of Dan O'Leary at SUNY-Stony Brook have shown the "experimenter bias" effect, in which the beliefs of the experimenter tend to be confirmed. Controlled experiments look like they cannot possibly be affected by the experimenter's beliefs, but O'Leary showed that in the real world, they are.

The only thing I can think of to say to this is "pot-kettle-black". Emily Rosa did employ good controls, of which the same cannot be said for the majority of the studies that find therapeutic touch to have a beneficial effect. It's fine to point out that she was a child, and it's fine to say that someone else once found that some studies are weakened by experimenter bias; but if you want to poke holes in Rosa's study, you have to actually find some. You can't merely insinuate that others have found holes in other studies, thus the child's results are automatically suspect. The editor of the Journal said "Age doesn't matter. All we care about is good science. This was good science."

We could go on all day like this, but it's pointless. The only thing that matters when we evaluate a new treatment is whether it works. The therapeutic touch proponents will quote studies that show that it does work, usually Wirth's 1990 study, "The Effect of Non-Contact Therapeutic Touch on the Healing Rate of Full Thickness Dermal Wounds". But they fail to note that an effect was found in only two of Wirth's five trials, and Wirth's own conclusion was "The overall results of the series are inconclusive in establishing the efficacy of the treatment interventions examined." The best state of our experimental knowledge is that therapeutic touch does not work. It certainly has no plausible foundation, and no physiological reason to suspect that the body's healing mechanisms are dependent upon some outside person waving their hands around. Really this is one for the kindergarten files, and responsible nurses should look instead to treatments that have credible hope of doing some good.

Brian Dunning

© 2010 Skeptoid Media, Inc. Copyright information

References & Further Reading

Butler, K. "Therapeutic Touch: Are We Being Touched?" The Skeptic. 1 Jul. 2000, Volume 20, Number 3: 8-9.

Courcey, K. "Further Notes on Therapeutic Touch." Quackwatch. Stephen Barrett, MD, 14 Dec. 2002. Web. 16 Apr. 2010. <http://www.quackwatch.org/01QuackeryRelatedTopics/tt2.html>

Ehrlich, S. "Therapeutic Touch." Medical Reference, Complementary Medicine. University of Maryland Medical Center, 24 Aug. 2009. Web. 17 Apr. 2010. <http://www.umm.edu/altmed/articles/therapeutic-touch-000362.htm>

Krieger, D. Therapeutic Touch Inner Workbook. Santa Fe: Bear & Company Publishing, 1996.

Rosa, L., Rosa, E., Sarner, L, Barrett, S. "A Close Look at Therapeutic Touch." Journal of the American Medical Association. 1 Apr. 1998, Vol. 279 No. 13: 1005-1010.

Scheiber, B., Selby, C. Therapeutic Touch. Buffalo: Prometheus Books, 2000.

Reference this article:
Dunning, B. "Therapeutic Touch." Skeptoid Podcast. Skeptoid Media, Inc., 27 Apr 2010. Web. 24 Oct 2014. <http://skeptoid.com/episodes/4203>

Discuss!

10 most recent comments | Show all 80 comments

I don't know where you got this concept of "religion" from Mud. You brought it up in our discussions of viewing the "etheric" glow.
It was just a simple thing to try, with no implications of anything else. If it didn't work for some, no problem.
I don't mind in the least if anybody isn't able to view the glow after at least trying for a while. I'm not trying to push anything. You are the one who got all carried away over it with terms like "rabid bullshit" "backflipping" etc.

I'm not disrespectful of Gavin's experiences in his Tai Chi / Chi Kung. After all, there are many Chinese practitioners of martial arts who are not aware of, or have no concept of chi. Many like you simply don't believe in it, even in China. That's fine.

But to just dismiss it all as crud or bullshit is just sweeping something aside that I believe could be more seriously investigated, and perhaps found to be a form of EM.
There is no doubt that with concentration and visualisation, "something" can be made to move around the body, and can be felt quite distinctly, even sometimes by others nearby.

"Science tells you what to do Macky..." You keep on saying this Mud.
While science is wonderful and certainly helps me through the day, give me some examples of what science actually TELLS me to do, would you ?

Macky, Auckland
September 4, 2012 1:56pm

Any atom that contains one or more unpaired electrons technically has a magnetic moment and can thus "generates" an extremely tiny magnetic field. In theory, the movement of these atoms should generate an equally tiny electromagnetic field. Iron (III) has 5 unpaired electrons (one of the highest possible). This property is often exploited in inorganic chemical analysis. But we're talking infinitesimal here. I don't disagree with your overall assessment but I did want you to know that, technically, it is not true that iron cannot produce a magnetic field. Under the right conditions ANY and ALL matter can produce a magnetic, electric and/or electromagnetic field.

Of course, any such field generated by Fe3+ in hemoglobin would VERY small and impossible for any human to detect.

Jake Johnson, Little Rock, AR
December 4, 2012 6:42pm

I'm currently taking a complementary therapies class in my BSN nursing program. I've always been interested in these kinds of things, and find merit in some well-studied therapies and alternative means of healing. I have had Reiki done to me, and admit I felt better and more calm, however, I think it was just because I was asked to relax, be at peace and let my mind wander, and a good-looking guy was putting his warm hands all over me. Yeah, 'nuf said...though we don't know everything about everything, the glaring examples of bunk that therapeutic touch people are trying to push as truth are a loud warning alarm going off. And the huge amounts of money people ask for "training" people in touch therapies like Reiki are another alarm bell. It's sad, because I genuinely wanted there to be more to it than there is.

Cara, Milan, IN
February 14, 2013 9:27am

Jake, You have ruined life for the ICP and its legion!

Cara, you sound just like the person who should open a therapeutic touch practice!

Cara's "It doesnt work" will get you kudos from all us skeptics!

Moral Dolphin Back in Mud Suit, Greenacres by the sea Oz
June 5, 2013 9:59pm

Haha, who's "us skeptics" Mud ?

You're not a skeptic, you're merely a follower of the crowd, a safe and secure position with which to cast aspersions on anything that doesn't fit in to your belief-system.

You wouldn't personally subject yourself to try any tests to determine if therapeutic touch has any chance of working.

All your skepticism amounts to is data from someone else's work, from which you make your pronouncements that are nothing more than your own personal opinion.

Heck Henk, you can't even do a personal test on glow-viewing and report back to Skeptoid in plain English what you saw and what you think it was.

Are you saying that the nurses' hands on your body didn't make any difference to how you felt after your stomach ulcers treatment in hospital ?

Macky, Auckland
July 5, 2013 2:11pm

Huh? crowd? This comes from a boasting quack? A self empowered individual who dishes out medical advice to people with mental health issues..Shame Macky...

Therapeutic touch was devalued by their own practtioners and their literature and was hilariously devalued by a twelve year old girls experiments..But forgive me, you arent very well informed.

Macky, you have never had a personal opinion, yours is all directed view.

So, what gives you the confidence in therapeutic touch?..

a review of the literature please..

Otherwise, the quack and continuing quack tag holds..

Its so nice to have a skeptoid contributor boast of their personal quackness. Congrats Macky!

sorry,

Quacky!

Midrash Delinquent, Gerringong NSW Oz
July 12, 2013 11:21pm

"So, what gives you the confidence in therapeutic touch?.."

I was a boxer once. Does that count, Honk ?

Macky, Auckland
July 13, 2013 3:03pm

I must admit Gavin is correct after people ask you to review their unread literature wrt their claims.

But being asked to review the ...
Publications of The Institute of Canine Biology with respect to woo energy is probably the most astounding request I have ever seen.

Maybe its distemper..I'll look it up..

Mktwo Degreaser, Greenacres by the sea Oz
August 24, 2013 10:06pm

So after you look up yet another journal or book, Mud, why not post to Skeptoid what you saw when you followed my instructions in the Aura thread, re viewing the "etheric" glow around the hands/fingers, and what you "immediately realized what it was" ?

It's a simple request that I've made several times now, and I don't think it's too much to ask, given that you assured Skeptoid you had indeed followed my instructions in the first place.

Or didn't you really follow my instructions for 2-3 weeks, after all ?

Macky, Auckland
August 24, 2013 11:17pm

Touch is important.

I totally hate it when my co-worker Dandelion drapes herself all over me radiating her Christian love and fellowship and personal bonding energies or what ever the hell it is she is drivelling about today. I feel my blood pressure rising just thinking about it.

I totally love it when my black cate Emma drapes herself across my shoulders, props her chin on my collarbone, and purrs. Stress wanders away and gets lost.

Establishing good scientific controls is impossible when the matter being investigated is entirely subjective. If you can't measure it, it's not science.

Swampwitch, Gainesville Fl
February 25, 2014 9:35am

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