Learner therapist (11) … Touches for life

Learner therapist (11) … Touches for life
Torrey Orton
July 30, 2011

Get a grip on yourselves before the roof blows off.

Non-verbal communication is recognised as much in its excess (hitting, slapping…) as its shortage (touch-free upbringings, non-contact sports….) in everyday life. More ordinary levels like handshakes and arm touches are the unconsciously applied media of daily interactions, from intimate to instrumental. Their therapeutic potential may be unnoticed. I offer three recent experiences for your appreciation.


M and A have explosively volatile struggles around their respective needs for care, powered by very different but equally searing injuries to self. These struggles have improved countably over three months of work (weekly) from daily 2-3 hour storms to weekly ones; from standing at the edge of the abyss of relationship implosion to enjoying each other much of the time. But still the volatility remains. The injuries will never fade away, especially his – he has a congenitally weak lower back. She only has interpersonally catastrophic parents, so far.


The signalling of their needs is still not fine enough and they turn any single glitch into another in the running sores of their past failures, still in often uncontrollable emotional flashes. Fine enough is what? It's a capacity to catch an emerging need default to disappointment when it's only a difference in the prevailing atmosphere of their joint life. Need defaults are moments like this:

Typically, he's having a bad back day, which means unpredictable pain grasping an apprehensive attitude (because always on edge for the unpredictable) and she's having a bad recall (which means direct experience of parental abandonments). He needs stillness; she needs a hug. Two into one don't go. He tenses and she pushes her need. She feels abandoned and he feels crowded. The great disappointment blast off.

Creating a fine enough treatment looks like:

This day they show up in therapy (session 12) with an increasing sense of achievement and a reminder of the distance to go – the blast off above, just a day before. In a guided revisit, they experience their respective hurts under control and agree that her hug is unreasonable for his pain. So then what? I ask her what would help her need for reassurance. She knows immediately and precisely: a held hand would do just fine.

I ask her to move a seat closer to him, within easy hand reach, and show him where to offer his hand. She places hers palm down just above her knee. He slides his under hers and she says "No". Through his shock he figures out the slide is a slip (but not what slip; it's the sexual one). She lifts hers and places his on top. Success. Abandonment defeated with visceral relief. Guilt at being unable to respond to her need fended off appropriately.

I think I may have primed this result by telling them a story of another couple (F and D) in their age range who were sitting in these seats a week before, separated by a similar need gap. It was crossed by the guy taking action to respond to her pain about their relationship arising from conflicted feelings about his responses to it earlier – that she often needed space and he needed closeness at the same moment. This typically happens at the end of the work day.

He initiated the same seat change spontaneously and grabbed her ambivalently available hand from a slightly cringed position in her chair. This allowed exploring just how close was too close, and considering how their attachment styles differed around a critical mutual reassurance behaviour. Joint distance regulation was tested live, and controllably, as they adjusted the hand holding to achieve optimum need fulfilment at the moment: giving help for him and acknowledging her distance for her in the same act.

These events seem to come in pairs and triplets, or just surges. A day later, a twenty years older couple (C and P) appeared, struggling with increasing success with rages driven largely by him and facilitated by her chronic passivity. His rage driver is an undiscoverable family history – an absent father of a one night's burst pregnancy untraceable by his mother, plus years of deception about his adoption heritage. At 17 he finally caught his otherwise caring adopters messing up their version of his life, an exposure he had long felt coming.


It leaves him hugely vulnerable to rushes of anxiety at perceived performance failures of his, or others in regard to him – a threat of not getting to anything on time will do it. This one was on the way to see me together, with her driving to pre-empt such a rage, but the tactic failing on the road. So,

...they had one of the blow-ups they so fear, but constrained enough by their joint therapeutic work to so reduce it that he just fumed in the passenger's seat about being late, maybe! Like the others above, these two had had a major explosion (first for some weeks) earlier that week.

Trouble is, the fuming is contagiously electric and bad memory inducing for her – will this be another rage or just a low grade trash fire?? So, she reached out to pat his head and he ducked away into a foetal sulk, with emanations of fury growth. They wondered what she could have done differently. It took us some while to come up with the insight that her intuitive touch had been conceptually right, only practically clumsy.

A head touch is not benign, but three others are: the shoulder, upper arm and forearm touches. These are almost universally recognised as OK touches, even between sexes/genders. Most others are sexual, domineering, or both.

The touch is essential to break the rage cycle once it has started. Words just feed it. The touch allows another level of consciousness to be accessed, wherein the path to freedom of the moment's disruptive passion.