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Old 4th November 2009, 01:31 PM   #1
RosesRoses
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Therapeutic Touch/Healing Touch/Reiki and Nursing

Hi.

I am new here and like to think that I am a rational human being, but have an open mind to new ideas.

I am a licensed vocational nurse by profession and work in long term care.

I have taken some courses in "energy healing" like Healing Touch and Reiki. These courses are offered through our local, public funded college. Although I found the courses fun and even relaxing, I am uncomfortable with the idea of charging people to wave my hands over them.

I'll admit, that I used this at work on a person who was agitated (they have dementia). I think that my attention and actions probably were pleasantly distracting (to both the patient and myself LOL) so that their agitation diminished.

When I hear a speaker going on about using energy healing in professional practice (usually the speaker is an RN who has higher level training in Healing Touch or Therapeutic Touch), I try to ask the hard questions:

"What emperical evidence is there that this actually works and is worth the money for a 'professional healing touch therapist' to offer workshops on site or use as a therapy for patients?"

"Would caring attention and distraction work just as well for someone?"

I am usually shut down very quickly with "I have used this technique and IT WORKS!"

When I counter that this is merely anecdotal evidence, I usually am called close minded. It doesn't help that I am the only person in the room who is skeptical

Can anyone here point to some published, emperical studies that disprove energy healing. It is nice to have some good ole facts to back me up (even if the adherents of these practices don't have such facts).

Thanks.
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Old 4th November 2009, 01:41 PM   #2
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You're a nurse.
And from your post you have worked it out.
You are paying attention to the patient though doing something they can't understand.
But you are paying attention to them of course they are going to quieten down.
I'd suggest your 'workmates' need a reality check
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Old 4th November 2009, 01:42 PM   #3
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Cochrane reviews on Therapeutic Touch:

http://www.cochrane.org/reviews/en/ab006240.html
http://www.cochrane.org/reviews/en/ab002766.html
http://www.cochrane.org/reviews/en/ab006535.html

And of course there is the famous study by Emily Rosa:

http://en.wikipedia.org/wiki/Emily_Rosa
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I think you'll find it's a little bit more complicated than that.
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Old 4th November 2009, 01:49 PM   #4
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Welcome to the forum RosesRoses.

People who don't have a firm grip on their beliefs and no understanding of what exactly it is that is at work will tend to get defensive like that. Stick to your guns, and put out a counter study. If anything, you could get published in a real journal.
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Old 4th November 2009, 01:51 PM   #5
George152
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Go to http://www.skepdic.com/ and follow the links from there.
Have fun :-)
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Old 4th November 2009, 06:27 PM   #6
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Show your coworkers the study by Emily Rosa, and tell them "See? Even a kid figured out this was a bunch of hooey!"

And welcome to the Forum
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Old 5th November 2009, 12:19 AM   #7
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You could also ask the nature of this mysterious "energy" they are supposedly manipulating. For example, can it be dangerous if an inexperienced practitioner misuses it? Will you cause brain tumors if you wave your hands too close to a patient's head? Actually, can there be any negative consequences from this "energy" at all? And can it be measured?

After all, we know that kinetic energy can kill us if we get hit by a bus. We know that solar energy can cause things to overheat and carries a risk of melanoma. Electrical energy is deadly in all sorts of ways. Nuclear energy - well, you get the idea.

As useful as these forms of energy are, they can be measured and do carry risks. So what are the risks of the mysterious energy harnessed by reiki and how do we measure it?
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Old 5th November 2009, 05:17 AM   #8
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Skepdic, referred to above, is a good source, as is www.quackwatch.org

If I recall correctly, Emily's mother (Linda Rosa, RN) once asked for documentation inre TT and was provided with newspaper and magazine clippings, as well as poorly done studies in "professional" journals. So, you need to track down the original (professional) publications and be able to evaluate their quality. Testamonial and anecdote abound, as you have noticed.

As for finding clinical studies that refute the quackery you refer to, you probably cannot do so. That is because A) one must refute each claim individually, B) believers doing such research do not usually report negative findings and C) as in the case of Emily Rosa, the believers say that negative studies were not done properly.

Quackery is becoming institutionalized in health professions, including nursing. Go to http://scienceblogs.com/insolence/ and search for "nursing" (or any such term) and you will see several examples.
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Old 7th November 2009, 06:33 AM   #9
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Originally Posted by AndyD View Post
So what are the risks of the mysterious energy harnessed by reiki and how do we measure it?
Good technique when debating the rationally minded. However, I predict the answer RosesRoses gets will simply and dismissively be, "It's not dangerous."

TT is a belief system. Nothing more. You can't challenge it with logic.

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DISCLAIMER: The above post is for informational and/or educational purposes only. It is not a substitute for the professional judgment of, in direct consultation with, a health care professional in diagnosing, treating, and/or preventing any disease or disorder. It is not to be construed as individualized medical advice, diagnosis, or a treatment recommendation. Your reliance upon the information obtained or used by you at, through, or as a result of this post is solely at your own risk.
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Old 7th November 2009, 09:31 AM   #10
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RosesRoses
Good luck with refuting pseudo stuff. I am at present going slowly through 'Bad Science' by Ben Goldacre and he has a web site which might be useful. He is a Doctor and in fact was one of the speakers at TAM London. A strong campaigner against false ideas, but someone who recognises that placebo effects work.

And, of course, as the others have said - Welcome to the forum.
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Old 7th November 2009, 09:38 AM   #11
Eos of the Eons
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I don't see a problem if it is free, and the patient is actually affected (calmed) by it. Somebody tried that with me once, and I just wanted to punch them. It gave me a stomach ache too because it not only weirded me out, but they insulted my intelligence. If I got charged for it, I really really really would want to punch em out. It's placebo, and the patient must be gullible enough to eat it up.

We need more nurses like you with a brain and ethics.
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Old 7th November 2009, 08:17 PM   #12
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Originally Posted by Eos of the Eons View Post
I don't see a problem if it is free, and the patient is actually affected (calmed) by it. Somebody tried that with me once, and I just wanted to punch them. It gave me a stomach ache too because it not only weirded me out, but they insulted my intelligence. If I got charged for it, I really really really would want to punch em out. It's placebo, and the patient must be gullible enough to eat it up.

We need more nurses like you with a brain and ethics.
I agree.
I'm curious though.
What specifically do you mean by "wierded me out?"
Did it make you feel weird in some way. Or was it just that it was all so dumb.

The practice does invade personal space, and that's potentially a personal boundary violation.

Personal boundary issues was the main reason I stopped practicing Reiki.
Then, of course there was all the scam involved in it as well.
(I never charged anyone for Reiki sessions.)
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Last edited by Apathia; 7th November 2009 at 09:39 PM.
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Old 7th November 2009, 09:11 PM   #13
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Originally Posted by Apathia View Post
(I never charged anyone for Reiki sessions.)
Other than the 'opportunity cost'

Although the placebo effect and treatments that are harmonious with fairy tales can suffice for many patients, there are occasions when there is only enough time for nursing care that is consistent with reality
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Old 8th November 2009, 07:31 AM   #14
PingOfPong
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Quote:
I am uncomfortable with the idea of charging people to wave my hands over them.
That's very ethical of you. Kudos, seriously.
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Old 8th November 2009, 08:47 AM   #15
pakeha
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I just found this:
Quote:

Effects of reiki in clinical practice: a systematic review of randomised clinical trials.
Lee MS, Pittler MH, Ernst E.

Complementary Medicine, Peninsula Medical School, Universities of Exeter & Plymouth, Exeter, UK. myeong.lee@pms.ac.uk

INTRODUCTION: The aim of this systematic review is to summarise and critically evaluate the evidence for the effectiveness of reiki. METHODS: We searched the literature using 23 databases from their respective inceptions through to November 2007 (search again 23 January 2008) without language restrictions. Methodological quality was assessed using the Jadad score. RESULTS: The searches identified 205 potentially relevant studies. Nine randomised clinical trials (RCTs) met our inclusion criteria. Two RCTs suggested beneficial effects of reiki compared with sham control on depression, while one RCT did not report intergroup differences. For pain and anxiety, one RCT showed intergroup differences compared with sham control. For stress and hopelessness a further RCT reported effects of reiki and distant reiki compared with distant sham control. For functional recovery after ischaemic stroke there were no intergroup differences compared with sham. There was also no difference for anxiety between groups of pregnant women undergoing amniocentesis. For diabetic neuropathy there were no effects of reiki on pain. A further RCT failed to show the effects of reiki for anxiety and depression in women undergoing breast biopsy compared with conventional care. DISCUSSION: In total, the trial data for any one condition are scarce and independent replications are not available for each condition. Most trials suffered from methodological flaws such as small sample size, inadequate study design and poor reporting. CONCLUSION: In conclusion, the evidence is insufficient to suggest that reiki is an effective treatment for any condition. Therefore the value of reiki remains unproven
here:
http://www.ncbi.nlm.nih.gov/pubmed/18410352
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Old 8th November 2009, 12:02 PM   #16
Eos of the Eons
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Originally Posted by Apathia View Post
I agree.
I'm curious though.
What specifically do you mean by "wierded me out?"
Did it make you feel weird in some way. Or was it just that it was all so dumb.

The practice does invade personal space, and that's potentially a personal boundary violation.

Personal boundary issues was the main reason I stopped practicing Reiki.
Then, of course there was all the scam involved in it as well.
(I never charged anyone for Reiki sessions.)
Yeah, cuz it was DUMB. I didn't have personal boundary issues with the person who did it, she wasn't a practitioner, she does think it is a treatment though and was just showing me what they do wth their hands. I was kind enough to not tell her it was stupid.
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Old 8th November 2009, 12:57 PM   #17
Apathia
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Originally Posted by Eos of the Eons View Post
Yeah, cuz it was DUMB. I didn't have personal boundary issues with the person who did it, she wasn't a practitioner, she does think it is a treatment though and was just showing me what they do wth their hands. I was kind enough to not tell her it was stupid.
Perhaps then, you'd have not have had the stomach ache, if you'd found a way to kindly tell her how nonsensical it was for you.

But, yeah, most times I just suck it in rather than try to explain to people why their wonderthing isn't the miracle they think it is.
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Old 8th November 2009, 01:00 PM   #18
Eos of the Eons
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Originally Posted by Apathia View Post
Perhaps then, you'd have not have had the stomach ache, if you'd found a way to kindly tell her how nonsensical it was for you.

But, yeah, most times I just suck it in rather than try to explain to people why their wonderthing isn't the miracle they think it is.
She only did it for a second, and she was not a practitioner, she was demonstrating. I wouldn't go to a practitioner because it is stupid to pay someone to do it. I got a stomache ache because I couldn't tell her how stupid it was, and that is frustrating (leading to my physiologic response to frustration). I won't get into the rest of the story since it is irrelevant. No way, no how, can she know I think it is stupid.
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Old 8th November 2009, 01:26 PM   #19
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I became a registered nurse in June. I always had something to say about TT and reiki. I finally did a care plan which included "Disturbed Energy Field". Seeing it written out, with links to Lil' Emily's paper, made my instructors laugh out loud.

Several of my classmates (after graduation) made it know on facebook, that they were b'leevers and got very upset with my quick link to Quackwatch and my pointing out what evidence based practice meant. One of their friends (a grocery store clerk, probably always surrounded at work by respected medical journals like the National Enquirer) lit into me. It was very disheartening.
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Old 8th November 2009, 01:37 PM   #20
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Originally Posted by Eos of the Eons View Post
She only did it for a second, and she was not a practitioner, she was demonstrating. I wouldn't go to a practitioner because it is stupid to pay someone to do it. I got a stomache ache because I couldn't tell her how stupid it was, and that is frustrating (leading to my physiologic response to frustration). I won't get into the rest of the story since it is irrelevant. No way, no how, can she know I think it is stupid.
Yup! I've been there with people too.
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Old 8th November 2009, 04:09 PM   #21
Eos of the Eons
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Originally Posted by Wolrab View Post
I became a registered nurse in June. I always had something to say about TT and reiki. I finally did a care plan which included "Disturbed Energy Field". Seeing it written out, with links to Lil' Emily's paper, made my instructors laugh out loud.

Several of my classmates (after graduation) made it know on facebook, that they were b'leevers and got very upset with my quick link to Quackwatch and my pointing out what evidence based practice meant. One of their friends (a grocery store clerk, probably always surrounded at work by respected medical journals like the National Enquirer) lit into me. It was very disheartening.
Don't let it bother you. I've quite figured out when to nod and smile and ignore people. They aren't stupid, just not able to add critical thinking to their view of the world.

Here is a linky, it's the kind of thing that oddly makes me feel better:

http://www.newscientist.com/article/mg20427321.000-clever-fools-why-a-high-iq-doesnt-mean-youre-smart.html?full=true
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Old 8th November 2009, 04:14 PM   #22
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That link is broken...

Try www.newscientist.com Clever fools: Why a high IQ doesn't mean you're smart
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Old 8th November 2009, 09:34 PM   #23
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This is one of those prime examples of why I laugh so hard when forum members suggest that autodidacts are so inferior to college grads
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Old 8th November 2009, 09:58 PM   #24
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Originally Posted by pipelineaudio View Post
This is one of those prime examples of why I laugh so hard when forum members suggest that autodidacts are so inferior to college grads


Huh?

What is "one of those prime examples"?
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Old 11th November 2009, 04:02 AM   #25
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Originally Posted by six7s View Post


Huh?

What is "one of those prime examples"?
Ahh sorry didn't mean to make it look like I was responding to you. I meant that these people in the health profession, surely after spending more time in higher education than most, will still suck in the woo with those silly autodidacts
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