The Ethics of Touch
Table of Contents

The Hands-on Practitioner's Guide To Creating a Professional, Safe and Enduring Practice

Preface Ethical Principles Boundaries Dynamics of Effective Communication Dual Relationships Sex, Touch and Intimacy Ethical Practice Management Business Ethics Special Considerations In Cases of Trauma Supervision Appendix A: Forms Appendix B: Specialized Protocols Appendix C: Codes of Ethics Endnotes Index

---

1 - Ethical Principles

Key Terms	2
Codes of Ethics	3
Self-Accountability	4
Values Clarification	7
Ethical Dilemmas	9
Resolving Ethical Dilemmas	10
Core Psychological Concepts	14
In Conclusion...	22
Chapter Highlights	23
Discussion Questions and Activities	24

2 - Boundaries

What Are Boundaries?	26
Types of Boundaries	28
Boundary Models	30
How Boundaries Develop	35
Boundary Crossings and Violations	39
Why Boundary Crossings Occur	44
Establish, Maintain & Change Boundaries	49
In Conclusion...	50
Chapter Highlights	51
Discussion Questions and Activities	52

3 - Dynamics of Effective Communication

Communication Barriers	56
Learning Styles	58
Managing Boundaries	58
Emotions in the Treatment Room	62
Reflective Listening	65
Interactive Speaking	67
Body Language Awareness	69
Tools for Maintaining Boundaries	71
Process Recordings	73
The Assertion Sequence	75
In Conclusion...	81
Chapter Highlights	82
Discussion Questions and Activities	83

4 - Dual Relationships

An Historical Perspective	87
Sequential Relationships	88
The Range of Dual Relationships	88
The Risks of Dual Relationships	90
Minimizing Concerns	94
The Special Case of Schools	97
In Conclusion...	98
Chapter Highlights	99
Discussion Questions and Activities	100

5 - Sex, Touch and Intimacy

A Psychosocial Overview	104
Touch	106
Intimacy	112
Sex	114
Sexuality	116
Sex and Touch Therapy	119
Sexual Misconduct	127
Desexualizing the Touch Experience	134
In Conclusion...	138
Chapter Highlights	139
Discussion Questions and Activities	141

6 - Ethical Practice Management

Professionalism	144
Scope of Practice	145
Standards of Practice	151
Policy Statements	152
Working With Minors	162
Informed Consent	165
Declining Potential New Clients	167
Dismissing A Client	168
The Team Approach	171
Spa and Salon Issues	176
In Conclusion...	176
Chapter Highlights	177
Discussion Questions and Activities	178

7 - Business Ethics

Attitudes About Money	182
Fee Structures	184
Tips	187
Barter	188
Gift Certificates	190
Taxes	191
Product Sales	191
Referrals	193
Marketing Materials	194
Legal Issues	196
Insurance Issues	207
In Conclusion...	210
Chapter Highlights	211
Discussion Questions and Activities	213

8 - Special Considerations In Cases of Trauma

Understanding Trauma and Abuse	216
The Core of Trauma and Abuse	218
The Benefits of Touch Therapy	224
Prerequisites for Working with Survivors	226
Body Memories and Flashbacks	231
In Conclusion...	235
Chapter Highlight	236
Discussion Questions and Activities	239

9 - Supervision

The Role of Clinical Supervision	242
Essential Elements of Helpful Supervision	249
How to Find a Supervisor	250
Peer Supervision	251
In Conclusion	252
Chapter Highlights	253
Discussion Questions and Activities	254

Appendix A -- Forms

Boundary Clarification Exercise Answer Key	256
Client Bill of Rights	257
Sample Oriental Medicine Office Policies	260
Sample Massage Therapy Center Policies	261
Sample School Clinic Informed Consent	263
Sample Massage Therapy Informed Consent	264
Trauma Survivor Handout: Feelings List	265

Appendix B -- Specialized Protocols

Specific Techniques for Working with   Self-Disclosed Survivors of Trauma and Abuse	268
BITE Model of Cult Mind Control	276

Appendix C -- Codes of Ethics

American Chiropractic Association	280
American Massage Therapy Association	283
American Organization for   Bodywork Therapies of Asia (tm)	284
American Physical Therapy Association	285
American Polarity Therapy Association	286
Associated Bodywork & Massage Professionals	290
Feldenkrais Guild (tm) of North America	291
International Massage Association Group	292
Kripalu Yoga Teachers Association	293
National Certification Board for   Therapeutic Massage & Bodywork	294
National Certification Commission for   Acupuncture & Oriental Medicine	295
Ontario Massage Therapist Association	296
Trager International	297

---