The Vitalizing and the Revitalizing Experience of Reliability: The place of touch in psychotherapy

A particular psychotherapeutic procedure described by the authors as The Vitalizing and the Revitalizing Experience of Reliability, is used as an adjunct to enhance the effectiveness of the treatment. Characteristically, it is a nonmanipulative, nonseductive procedure used during particular stressful times with certain patients—adults as well as children—to facilitate a confirmation of the self as separate from others. It should also instill in the patient a feeling of increased safety and reliability as well as promoting basic trust in self and others with the ultimate goal of reintegration of a fragmented ego. Such an adjunct can take various forms. The one described here is a highly controversial one, physical touch. Two clinical examples are given which emphasize transferential and countertransferential considerations. The paper describes the delicate balance between discipline and flexibility required by the therapist.This paper was presented to the Psychoanalytic Psychologists of Long Island, 1985 and to the New York State Society of Clinical Social Work Psychotherapists, Nassau County Chapter, 1985.