Tough places to be tender: contracting for happy or 'good enough' endings in therapeutic massage/bodywork?

Abstract

Listening to others has inspired this paper, as they share their experience and analyze their practice, and in the process uncover what is quintessential to therapeutic work. Of course, stories and insights can illuminate our own reflections and in turn deepen our understanding of what it means to be a nurse and massage therapist. They can also challenge what we think to be truths and sacred cows. This paper is about how confusion can be our best teacher when we seek to understand notions of contact and engagement in therapeutic work. When a patient says 'yes' to massage/bodywork what do they expect? Perhaps the massage will ease backache or leave them feeling profoundly relaxed; or could it be that the human contact is the most important need, but that need may be harder to express or even acknowledge? In examining the issues raised by this paper the author proposes a 'structural, emotional and energetic' (SEE) model for massage/bodywork contracts, and recommends that therapists seek supervision and support for their work.