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Touch and vision in normal and Down's syndrome babies.

Two experiments are reported with young Down's syndrome and normal children matched for mental age, sex, and social class. In one, Down's syndrome children performed at chance level on two tactual--visual cross-modal tasks, and only the oldest succeeded with one of two visual--visual within-modal tasks. The modal children performed at above chance level on the visual--visual tasks, and on the tactual--visual tasks the oldest succeeded on two and the youngest on one of the tasks. These results suggest that Down's syndrome children may have some sort of difficulty involving tactual perception. The second experiment examined the effect of touch on visual behaviour. Down's syndrome children and their matched controls looked at pairs of shapes which sometimes could be touched and sometimes could not. In the former condition the Down's syndrome children touched less, and looking and touching was less coordinated than that of normal children. However, both groups made fewer but longer looks when they could touch the shapes. In the light of these results the role of tactual perception in Down's syndrome children is discussed.

Age Factors↗

Nursing home patients' perception of nurses' affective touching.

Within a sample of 99 elderly white patients in two nursing homes, E used the Comfort when Touched Inventory to measure Ss' perception of comfort-discomfort from affective touching by white nurses, and investigated the relationship of inconsistencies in perception to sex, age, and care classification. Results from alpha factor analysis with varimax rotation suggested that S would most likely perceive discomfort if an older male nurse affectively touched S; if a male nurse touched or held S's hand; or if a nurse, male or female, placed his/her arm around S's shoulders. Results from correlation procedures suggested that inconsistencies in perception were related only to sex; female Ss more than male Ss were likely to perceive discomfort from affective touching by nurses, especially if the nurse was a male.

Affect↗

Post-compliance touch: an incentive for task performance.

That a brief touch increases compliance to a request is well documented, but the effect of touch after compliance has already been obtained has not been investigated. The current experiment tested the effects of post-compliance touch on subjects' willingness to respond to items on a lengthy and difficult survey. A total of 104 women and 94 men, approached at random in an American university student union, agreed to participate in a survey of social attitudes. Subjects rated their amount of agreement or disagreement with 150 statements about social issues such as discrimination, abortion, euthanasia, politics, and religion. The effects of touch were assessed in two ways: by the number of survey items completed and the nature of these responses. Results indicated that both male and female subjects who were touched completed significantly more items than nontouched subjects, but there was no difference in the nature of their responses.

Analysis of Variance↗

Encountering touch: a path to affinity in psychiatric care.

The idea of physical contact and touching in psychiatric care has, in many instances, been considered inappropriate. Psychiatry is often perceived as a verbal process and it has been generally believed that touching can provoke both aggressiveness and destructive manifestations of sexuality. However, recent research has suggested that touching can play an important role in psychiatric treatment once a caring relationship has been established. The aim of this study is to investigate the meaning of physical contact for patients who have been treated for psychosis. Through four in-depth interviews and a life-world analysis the results show that touching means to be in need, to yearn, and to belong. Furthermore, touching also communicates feelings between bodies and, as such, it can be a path through which one feels acknowledged as a human being. The results indicate that a feeling of affinity can originate through physical contact, which can be regarded as a driving force in the search to feel a sense of belonging to the community.

Adult↗

Viewing touch improves tactile sensory threshold.

Previous research on multisensory integration has demonstrated that viewing the stimulated body part enhances discrimination ability. Participants in this experiment watched a video showing a hand being touched by a stick and a second video showing the stick touching the space beneath the hand. Sensory thresholds of the index fingers were tested with von Frey filaments. We found significant enhancements of the sensory threshold after showing the video with the touched hand but not after showing the video with no touch of the hand. This enhancement was specific for the index finger shown in the video. The results link the visuotactile enhancement of this study to the observation of touch rather than to the simple depiction of the body part.

Adult↗

The doctor's touch: tactile communication in the doctor-patient relationship.

This paper reviews the historical meanings of tactile communication to the doctor (the diagnostic touch) and to the patient (the healing touch) and discusses the importance of touching in the context of changing medical technology. The quality of health care depends not only on how well physicians and other health professionals perform their tasks and the reliability of the technologies they use, but also on their ability to be human. To touch and be touched is part of the process of staying well or getting well.

Communication↗

Early parental touch and preterm infants.

Thirty-six parents were videotaped during visits with their preterm infants in a neonatal intensive care unit in order to describe some characteristics of parental touch. Parents most often touched infants' hands, backs, and heads, using stroke, hold, or contact actions of moderate intensity. Mothers and grandmothers provided more touch than fathers, and parents provided less touch to infants at or below a gestational age of 28 weeks. The results can be used as a basis for more controlled experimental studies evaluating preterm infants' physiologic responses to early parental touch.

Adolescent↗

Representation of touch location by a population of leech sensory neurons.

To form accurate representations of the world, sensory systems must accurately encode stimuli in the spike trains of populations of neurons. The nature of such neuronal population codes is beginning to be understood. We characterize the entire sensory system underlying a simple withdrawal reflex in the leech, a bend directed away from the site of a light touch. Our studies show that two different populations of mechanosensory neurons each encode touch information with an accuracy that can more than account for the behavioral output. However, we found that only one of the populations, the P cells, is important for the behavior. The sensory representation of touch location is based on the spike counts in all of the four P cells. Further, fewer than three action potentials in the P cell population, occurring during the first 100 ms of a touch stimulus, may be required to process touch location information to produce the appropriately directed bend.

Action Potentials↗

Gender and national differences in attitudes toward same-gender touch.

Women have been reported to be more positive about same-gender touch, but cross-cultural information about this touch is limited. Male and female students from Chile (n = 26), Spain (n = 61), Malaysia (n = 32), and the US (n = 77) completed a same-gender touch scale. As in past studies, US women had more positive scores than US men. Malaysians had more negative scores than the other three groups. Spanish and US students had more positive scores than Chilean students. National differences in attitudes toward particular types of touch were also noted. The need for new methods for examining cross-cultural differences in touch was discussed.

Adult↗

The efficacy of therapeutic touch for improving functional ability in elders with degenerative arthritis.

The purpose of this Rogerian study was to determine whether therapeutic touch improved functional ability in elders with arthritis as compared to routine treatment and progressive muscle relaxation. Eighty-two non-institutionalized elders were randomly assigned to therapeutic touch or progressive muscle relaxation treatments. Subjects served as their own control for 4 weeks, then received six treatments at 1-week intervals. Pain, tension, mood, and satisfaction improved after therapeutic touch and progressive muscle relaxation. Hand function improved after therapeutic touch; walking and bending improved after progressive muscle relaxation. Functional ability was significantly different between the two groups for mobility and hand function. Lower scores (indicating better function) were attained by the therapeutic touch group.

Activities of Daily Living↗

Rethinking physiologic stability: touch and intracranial pressure.

The purpose of this research was to examine the contingent nature of physiologic stability with respect to the impact of nursing and parental care touch on intracranial pressure (ICP) in children. Data were reanalyzed from those previously collected in eight children in a pediatric intensive care unit who had intracranial hypertension from a variety of causes and whose ICP was invasively monitored. One hundred forty-nine clusters of spontaneous touch/talking were available for analysis after those occurring close in time to procedures and drugs affecting ICP were dropped. Twenty-three episodes of investigator touch (without talking) were also analyzed. ICP stability was defined as any tracing over a defined time period in which the peak-to-trough amplitude did not exceed twice the calculated resting variability. Such an approach allowed classification and counting of stable versus unstable baselines, and stable versus unstable responses to touch. Therefore, ICP stability was examined by comparing the stability of the ICP tracing the last minute prior to a cluster of nonprocedural touch (baseline) with the first minute after the cluster. Clusters of spontaneous touch were nearly always associated with talking to the child and rarely were followed by change in level of ICP greater than that child's ICP variability at rest. Investigator stroking without talking never was followed by a significant change in level of ICP. There was a contingent relationship between stability of the ICP tracing prior to a cluster of touching/talking such that the probability of ICP becoming more stable when the touch/talk occurred on an unstable baseline was twice that of touch/talk occurring on an stable baseline.

Cerebrovascular Circulation↗

Therapeutic effects of massage therapy and handling touch on caregivers of patients undergoing autologous hematopoietic stem cell transplant.

PURPOSE/OBJECTIVES: To examine the effect of massage therapy and Healing Touch on anxiety, depression, subjective caregiver burden, and fatigue experienced by caregivers of patients undergoing autologous hematopoietic stem cell transplant. DESIGN: Quasi-experimental repeated measures. SETTING: Oncology/hematology outpatient clinic in a large midwestern city. SAMPLE: 36 caregivers: 13 in the control group, 13 in the massage therapy group, and 10 in the Healing Touch group. Average age was 51.5 years; most participants were Caucasian. METHODS: All caregivers completed the Beck Anxiety Inventory, the Center for Epidemiologic Studies Depression Scale, the Subjective Burden Scale, and the Multidimensional Fatigue Inventory-20 before and after treatment consisting of two 30-minute massages or Healing Touch treatments per week for three weeks. Caregivers in the control group received usual nursing care and a 10-minute supportive visit from one of the researchers. MAIN RESEARCH VARIABLES: Anxiety, depression, subjective burden, fatigue, Healing Touch, massage therapy. FINDINGS: Results showed significant declines in anxiety scores, depression, general fatigue, reduced motivation fatigue, and emotional fatigue for individuals in the massage therapy group only. In the Healing Touch group, anxiety and depression scores decreased, and fatigue and subjective burden increased, but these changes did not achieve statistical significance. CONCLUSIONS: Caregivers can benefit from massage therapy in the clinic setting. IMPLICATIONS FOR NURSING: Oncology nurses care for both patients and their caregivers. Although some transplant programs provide services to support lay caregivers, studies indicate that these individuals continue to feel stressed by their situation. Massage might be one intervention that can be used by nurses to decrease feelings of stress in patients' caregivers.

Anxiety↗

Usability of touch-panel interfaces for older adults.

The usability of a touch-panel interface was compared among young, middle-aged, and older adults. In addition, a performance model of a touch panel was developed so that pointing time could be predicted with higher accuracy. Moreover, the target location to which a participant could point most quickly was determined. The pointing time with a PC mouse was longer for the older adults than for the other age groups, whereas there were no significant differences in pointing time among the three age groups when a touch-panel interface was used. Pointing to the center of a square target led to the fastest pointing time among nine target locations. Based on these results, we offer some guidelines for the design of touch-panel interfaces and show implications for users of different age groups. Actual or potential applications of this research include designing touch-panel interfaces to make them accessible for older adults and predicting movement times when users operate such devices.

Adult↗

Somatosensory coding of roughness: the effect of texture adaptation in direct and indirect touch.

To examine somatosensory mechanisms contributing to the perception of roughness, subjects examined surfaces with rigorously specified spatial textures under conditions of direct moving contact between the fingertip and the surface (direct touch) and contact through a rigid probe (indirect touch). Subjects were trained to scan the surfaces along a consistent path and with a speed of 2.7 cm/s. With each mode of touch, periods of prolonged inspection of a single adapting surface were followed by shorter periods in which the roughness of multiple test surfaces was reported. Adaptation caused a drop in perceived roughness under conditions of indirect touch, reflecting the reduced sensitivity of vibrotactile mechanisms that are the main recipients of textural information transmitted through the probe. During direct touch, adaptation had no significant effect on the perception of textures with spatial period >200 mum, which are spatially encoded. The results have an important implication for the physiological basis of the spatial code, which is believed to involve somatosensory cortical neurons with highly structured receptive fields: these cortical populations appear to be less susceptible to adaptation than otherwise similar neuronal populations in the visual system.

Action Potentials↗

Touching a rubber hand: feeling of body ownership is associated with activity in multisensory brain areas.

In the "rubber-hand illusion," the sight of brushing of a rubber hand at the same time as brushing of the person's own hidden hand is sufficient to produce a feeling of ownership of the fake hand. We shown previously that this illusion is associated with activity in the multisensory areas, most notably the ventral premotor cortex (Ehrsson et al., 2004). However, it remains to be demonstrated that this illusion does not simply reflect the dominant role of vision and that the premotor activity does not reflect a visual representation of an object near the hand. To address these issues, we introduce a somatic rubber-hand illusion. The experimenter moved the blindfolded participant's left index finger so that it touched the fake hand, and simultaneously, he touched the participant's real right hand, synchronizing the touches as perfectly as possible. After approximately 9.7 s, this stimulation elicited an illusion that one was touching one's own hand. We scanned brain activity during this illusion and two control conditions, using functional magnetic resonance imaging. Activity in the ventral premotor cortices, intraparietal cortices, and the cerebellum was associated with the illusion of touching one's own hand. Furthermore, the rated strength of the illusion correlated with the degree of premotor and cerebellar activity. This finding suggests that the activity in these areas reflects the detection of congruent multisensory signals from one's own body, rather than of visual representations. We propose that this could be the mechanism for the feeling of body ownership.

Adult↗

An evaluation of touch on a large request: a field setting.

The effect of touch on compliance to a request has traditionally been tested with small solicitation (answer to a small questionnaire, give a dime to a confederate ....). In our experiment a larger request was evaluated. Passersby, 53 men and 67 women, were asked by two confederates to look after a large and very excited dog for 10 minutes because each wanted to go into a pharmacy where animals were prohibited. In half of the cases, subjects were touched during the request. Analysis showed that, when touched, 55% of the subjects agreed with the request whereas 35% only in the no-touch control condition agreed. This finding indicates that touch was positively associated with the subjects' compliance (p<.03).

Adolescent↗

Clinically improving communication through touch.

1. Touch is an integral, yet under appreciated, aspect of nursing care. The language of touch includes the tactile symbols of duration, location, action, intensity, frequency, and sensation. 2. Touch is used in different ways: affectional, functional, protective, and non-physical (personal space). The need for touch does not lessen with age. In fact, it may increase due to loss of vision and hearing and increased personal and social isolation. 3. Nursing educators need to recognize the importance of nonverbal communication skills (ie, touch and personal space), and incorporate learning techniques into classroom and clinical experiences.

Humans↗

[A study on clinical teaching method in nursing education--focusing on teaching method of touching].

The purpose of this study is the development of effective clinical teaching methods of nursing education using touching in hospital nursing care. The clinical teaching-learning process was designed based on the Steinaker, N.W. & R. Bell's experiential learning model (1979), in which teaching-learning process was divided into five steps-exposure, participation, identification, internalization, and dissemination. Three hypotheses were postulated as follows: 1-1. Guidance given to nursing students to use touching in nursing care will make them conscious of the efficiency of touching. 1-2. Nursing students will grasp the efficiency of their nursing action by "cause and effect" relations. 2-0. Guidance given to nursing students to use touching in their nursing care will allay and soften their anxiety and tension toward such nursing practices. 3-0. Nursing intervention by touching will heighten the clinical judgement ability of nursing students. The teaching-learning plan was carried out in a nursing school in Kitakyushu-shi. Fifteen nursing students studied by this plan. The results was as follows: a. Hypotheses 1-1, 1-2, 2-0, were confirmed. b. Hypothesis 3-0, was not confirmed.

Clinical Competence↗