The Benefits of Equine-Assisted Therapy

Equine-assisted therapy is becoming a recognized method for working with mental and behavioral health clients. Also known as horse therapy, people might be surprised to learn that this method offers evidence-based treatment to help clients suffering from a wide variety of physical, emotional, and psychological issues.

What is Equine-Assisted Therapy?

Equine-assisted therapy combines a level of equestrian activities and philosophies with the treatment of physical and mental health issues. It dates back thousands of years to the ancient Greeks, who wrote of the benefits of horse riding. Today, a variety of programs exist to serve different categories of individual needs; equine-assisted therapy has been shown to help those struggling with mental/cognitive issues such as ADD, ADHD, substance abuse/addiction, anxiety, dementia, depression, TBIs, behavioral issues, PTSD, and much more. 

The Types of Equine-Assisted Therapy

Equine-Assisted Psychotherapy (EAP)

This is used to treat a variety of psychological conditions. Different from therapeutic riding, this method focuses on horse groundwork. EAP involves interacting with horses while staying on the ground through grooming, feeding, and ground exercise. A horse can often act as a mirror for the emotions of the human it’s interacting with, but also meet the human with an immovable acceptance – both powerful tools for self-knowledge and healing.

Hippotherapy

This method involves occupational therapists, physiotherapists, or speech and language therapists. With a focus on the physical experience of riding, hippotherapy helps the rider strengthen their muscles through different postural responses and develop well-being both physically and emotionally. 

Equine-Assisted Learning (EAL)

EAL programs are used to help participants develop self-awareness. This method concentrates on education, professional development, and personal development. It builds confidence through learning how to work with a large and strong animal through non-verbal communication.

Therapeutic Riding

The most common form of equine-assisted therapy is therapeutic riding. This method focuses on riding the horse and is typically taught by an instructor. This incorporates exercise, confidence building, and emotional well-being techniques. An individual learns how to work with and connect with the horse.

How Can Equine-Assisted Therapy Help?

Communication

Horses are known for their sensitivity to non-verbal communication and body language. This is incredibly useful when working with individuals that suffer from behavioral disorders, anxiety, those with language barriers, and other mental health-related issues that affect our ability to communicate. Individuals can grow in non-verbal communication and trust-building skills through their work with horses. 

Trust

Many individuals are afraid of horses for their large size and strength. Building trust with such a powerful animal can be a great metaphor and even proxy for the large things we face in life. Equine-assisted therapy can help a person work through building trust and overcoming things that frighten them.

Understanding Boundaries

Horses are creatures that require mutual respect with their rider. The rider is never someone that dominates or controls their horse. Working with horses can help people who struggle with relationship boundaries or the need to control a situation.

Stress Management

In its most basic form, equine-assisted therapy can be a great way for someone to reduce stress. Simply spending time with a horse with it can bring someone enough joy to help them better manage the stress they deal with in their daily life.

If you are interested or wish to learn more about equine-assisted therapy, click here to search your area and then filter for Type of Therapy>Animal and Equine-Assisted Psychotherapies. 

Physical touch has long been a controversial issue in psychotherapy. While some professionals consider touch one type of nonverbal communication that can have therapeutic value, it is also widely believed that touch in therapy can be too easily abused and that any value may be outweighed by the risk of harm to people in treatment.

The creation of an artificial mind-body split in psychotherapy began around the 1970s with the advent of cognitive-based therapies which, I believe, helped contribute to the divorcing of our emotions from their very real physical base—without our bodies there would be no emotions! Around the same time, controversy and publicity surrounding some approaches to sex therapy practices and an increase in risk management practices led to an emphasis on protecting people receiving therapy from abuse through inappropriate touch. Concerns continue today with the use of body-based therapies internationally, though in America, the level of concern about the use of touch in therapy appears to be much higher, as Courtenay Young points out in the article “About the Ethics of Professional Touch.”

Certainly anyone experiencing posttraumatic stress as a result of having been physically or sexually abused may be hyper-sensitive to any type of touch and/or issues of established personal space, with good reason. The impact of abuse, and the process of healing, is likely to have an impact on interpersonal relations throughout life. Therapists who work with people experiencing these and related symptoms need to be particularly sensitive, as it is possible for people healing from abuse to easily be re-traumatized by a careless touch or embrace.

[fat_widget_right]

Touch and Talk Therapy: The Rosen Method

Techniques involving touch have been used as approaches to healing for many years. Some techniques, such as the Rubenfeld Synergy Method and the Rosen Method, combine touch with talk therapy. The Rosen Method, a combination of gentle touch and verbal feedback that reflects what the person in therapy is experiencing, was developed by Marion Rosen, a physical therapist who worked with individuals undergoing psychoanalysis in Germany in the 1930s. She drew on touch therapy as a way to help some individuals access unconscious memories and past events they had forgotten or suppressed.

At the heart of the Rosen Method is a belief that chronic muscular tension is a way of “holding against” feeling something we’d rather avoid, a belief that is in line with current thinking about trauma. Many individuals who have participated in the Rosen Method treatment report feelings of safety and support, along with deep relaxation.

The Use of Touch in Therapy Today

Many recently developed conventional therapy modalities fall under the umbrella of cognitive therapy. As this name implies, these approaches rely heavily on the thoughts of the person seeking treatment. In general these therapies would never involve the sensation of touch, as healing is considered to occur through cognitions: thoughts, observations, and verbal affirmations.

However, some older therapy practices do support the use of touch. Body-based psychotherapy, for example, which is taught by the Hartford Family Institute, has its roots in Gestalt therapy and Bioenergetic Analysis. Gestalt therapy, developed in the 1940s and 50s, emphasizes what is being done and felt in the present moment. Bioenergetic Analysis, developed in the 1950s by Alexander Lowen, is grounded in the idea that chronic muscle tensions in the body can serve as (often unconscious) blocks to emotional expression. Both of these therapies emphasize the experience occurring in the present moment, which includes both physical and emotional sensations.

The Institute provides for a therapist’s touch as a means of healing while still emphasizing the need to maintain appropriate professional boundaries, respect for the person in treatment, and a keen awareness of any individual’s personal history that might sensitize them to touch. According to Dr. Lubin-Alpert, one of the founders of the Institute, “Not to touch any clients at any time can be experienced as abusive as the original neglect to the … infant inside the adult client.” Touch might occur in the form of hands on the shoulders in support of a person imagining a confrontation with a childhood abuser or gently holding hands with someone grieving a personal loss.

In all cases permission is sought before the gesture is made, in order to maintain the empowerment and safety of the person in treatment. “Would it be okay to move a little closer?” and “Would you like to take my hand?” are typical questions a therapist might ask. In no case would a therapist proceed without a clear indication from the person being treated that it is acceptable for touch to be used.

The Ethics of Touch for Professionals

The question of appropriate professional standards is addressed by all professional organizations representing people who provide psychotherapy. The National Association of Social Workers, which represents most of the professionals providing behavioral health services in the U.S., explicitly addresses the issue of physical contact between therapist and person in treatment, mentioning “cradling and caressing” techniques. Such activities are prohibited when there is a chance of psychological harm to the client.

The American Psychological Association addresses the issue more narrowly in the context of sexual harassment, mentioning physical advances sufficiently severe or intense as to be considered abusive but not the broader issue of touch. The American Counseling Association has similar guidelines in its code of ethics.

In general, most therapists are very reluctant to use touch for both ethical and potential legal reasons. If you are comfortable with your therapist and feel that something like this might benefit you, you may wish to bring this up in session, as your therapist may be willing to discuss their feelings and concerns openly.

There are sufficient arguments both for and against the use of ethical touch in therapy. While the potential ramifications of the abuse of therapeutic touch must be considered, it’s also worth considering that most of us, from time to time, could use a hug or even just a pat on the back.

References:

1. Alexander, B. (2009, March 26). ‘Sex surrogates’ put personal touch on therapy. NBCNEWS.com. Retrieved from http://www.nbcnews.com/id/29881206/ns/health-sexual_health/t/sex-surrogates-put-personal-touch-therapy/#.WVLjCGjyuCg
2. Code of ethics. (2008). The National Association of Social Workers. Retrieved from https://www.socialworkers.org/pubs/code/code.asp
3. Lubin-Alpert, N. (2015). The ethics of caring and touch from a mind, body, spirit perspective. The Door Opener. Jun-Aug, 222.
4. History of the Rosen Method. (n.d.) The Rosen Institute. Retrieved from http://roseninstitute.net/about/about-rosen-method/history
5. Kertay, L., & Reviere, S. L. (1993). The use of touch in psychotherapy: Theoretical and ethical considerations. Psychotherapy: Theory, Research, Practice, Training, 30(1), 32-40.
6. Young, C. (2005). About the ethics of professional touch. European Association for Body Psychotherapy. Retrieved from http://www.eabp.org/pdf/TheEthicsofTouch.pdf
7. Zur, O. (2017). Touch in therapy and the standard of care in psychotherapy and counseling: Bringing clarity to illusive relationships. United States Association of Body Psychotherapists Journal, 6(2), 61-93. Retrieved from http://www.zurinstitute.com/touch_standardofcare.pdf
8. Zur, O., & Nordmarken, N. (2017). To touch or not to touch: Exploring the myth of prohibition on touch in psychotherapy and counseling. Retrieved from http://www.zurinstitute.com/touchintherapy.html