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An introduction to catharsis and the healing crisis in reflexology

Authors: Mackereth P AJournal: Complementary therapies in nursing & midwiferyPublished: June 1, 1999
Q1 JournalSJR: 1h-index: 87SCImago
Preliminary EvidenceQualitative

In Plain Language: reflexology, explained

This paper explores the concept of healing through catharsis in relation to the practice of reflexology. The literature will be reviewed to inform a critical analysis of the role of the reflexologist and specifically the therapeutic relationship. This area was chosen as I have had experiences of reflexology clients reporting feeling 'emotional', 'being tearful', and 'thinking more about their lives' past and present'. These observations have been illuminated by a recent study that suggests reflexology can be helpful for people with emotional needs (Trousdall 1997). Emotional and physical responses to reflexology are traditionally attributed to 'detoxification' and the signs of it occurring known as a 'healing crisis' (Sahai 1993, Griffiths 1995). Consideration will be given to the practitioner's skills and support, issues of boundaries to practice, and the effective management of patient's emotional and physical responses. The safety and potency of the therapeutic work will be key elements to the discussions.

Key Findings: what this qualitative study found

  • ✓Reflexology clients frequently report emotional responses including feeling tearful and increased reflection on their past and present lives.
  • ✓Emotional and physical responses to reflexology are traditionally attributed to a 'healing crisis' or 'detoxification' process, though this concept requires critical analysis.
  • ✓The therapeutic relationship and practitioner skills are essential components for safely managing clients' emotional and physical responses during reflexology treatment.

What This Means for You

Emotional responses during reflexology may be meaningful, but evidence is still developing—talk openly with your reflexologist about any concerns and ensure they are trained to handle emotional support.

What This Means for Practitioners

Develop clear boundaries, emotional support skills, and protocols for managing client catharsis during reflexology to ensure safe and ethical therapeutic practice.

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Common questions about this study

What does this study mean in practice?

Emotional responses during reflexology may be meaningful, but evidence is still developing—talk openly with your reflexologist about any concerns and ensure they are trained to handle emotional support.

What did this study find?

Reflexology clients frequently report emotional responses including feeling tearful and increased reflection on their past and present lives. Emotional and physical responses to reflexology are traditionally attributed to a 'healing crisis' or 'detoxification' process, though this concept requires critical analysis. The therapeutic relationship and practitioner skills are essential components for safely managing clients' emotional and physical responses during reflexology treatment.

How strong is this evidence?

This is a qualitative study and we rate its evidence preliminary. It was published in Complementary therapies in nursing & midwifery, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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