Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 12 (3), 22-35
eCollection

The Psychotherapeutic Relationship in Massage Therapy

Affiliations

The Psychotherapeutic Relationship in Massage Therapy

Timothy Clark. Int J Ther Massage Bodywork.

Abstract

Background: Psychotherapy and massage therapy (MT) are effective treatments for depression and anxiety. Little is certain about the mechanisms behind these effects in MT, but in psychotherapy they are attributed to a combination of common and specific factors, at the heart of which lies the therapeutic relationship. Research into the psychotherapeutic relationship in MT, therefore, may advance understanding of its impact on depression and anxiety.

Purpose: This research seeks to elucidate the components of the psychotherapeutic relationship in MT to inform training, research, and practice.

Participants & setting: Two participants-a therapist and a client-from Melbourne, Australia.

Research design: A qualitative methodology was employed whereby one therapeutic relationship was observed over the course of three massage treatments. After each treatment, the participants commentated recordings of the sessions. The recordings were transcribed and analyzed using Interpretative Phenomenological Analysis (IPA) and Conversation Analysis (CA). Themes and subthemes were extracted from the analysis.

Results: Four overarching themes emerged: Separateness, Pleasure, Merging, and Internalization. Separateness is associated with the subthemes of Boundaries, Performance of Roles, and Power. Pleasure is associated with the subthemes of Safety, Comfort and Communication. Merging is associated with the subthemes of Contact and Empathy. Internalization has no subthemes.

Conclusions: The results suggest that a clearer conceptualization of the therapeutic relationship in MT may help massage therapists more purposefully treat depressed and anxious clients. A greater emphasis on self-awareness in the professional development of massage therapists may also foster this. Additionally, the role of pleasure in the therapeutic relationship in MT warrants closer examination.

Keywords: massage therapy; phenomenology; pleasure; psychotherapy; self-awareness; therapeutic relationship.

Conflict of interest statement

CONFLICT OF INTEREST NOTIFICATION The author declares there are no conflicts of interest.

Similar articles

See all similar articles

References

    1. Fortune LD, Hymel GM. Creating integrative work: a qualitative study of how massage therapists work with existing clients. J Bodywork Movement Ther. 2015;19(1):25–34. doi: 10.1016/j.jbmt.2014.01.005. - DOI - PubMed
    1. Moyer CA, Rounds J, Hannum JW. A meta-analysis of massage therapy research. Psych Bull. 2004;130(1):3–18. doi: 10.1037/0033-2909.130.1.3. - DOI - PubMed
    1. Moyer CA. Anxiety and depression. In: Dryden T, Moyer CA, editors. Massage Therapy: Integrating Research and Practice. USA: Human Kinetics; 2012. pp. 168–180.
    1. Campbell LF, Norcross JC, Vasquez MJ, Kaslow NJ. Recognition of psychotherapy effectiveness: the APA resolution. Psychotherapy. 2013;50(1):98–101. doi: 10.1037/a0031817. - DOI - PubMed
    1. Wampold BE. The Great Psychotherapy Debate: Model, Methods, and Findings. Mahwah, NJ: Lawrence Erlbaum Associates; 2001.

LinkOut - more resources

Feedback