Research demonstrates that highly self-critical individuals can respond negatively to the initial introduction of a range of therapeutic interventions. Yet touch as a form of therapeutic intervention in self-critical individuals has received limited prior investigation, despite documentation of its beneficial effects for well-being. Using the Forms of Self-Criticism/SelfReassuring Scale, 15 high-and 14 low-self-critical individuals (from a sample of 139 females) were recruited to assess how self-criticism impacts upon a single instance of focused touch.All participants took part in a hand massage-and haptic control-intervention. Salivary cortisol and alpha amylase, as well as questionnaire measures of emotional responding were taken before and after the interventions. Following hand massage, analyses revealed cortisol decreased significantly across all participants; and that significant changes in emotional responding reflected well-being improvements across all participants. Supplementary analyses further revealed decreased alpha amylase responding to hand massage as compared to a compassion-focused intervention in the same (highly self-critical) individuals. Taken together, the physiological and emotional data indicate high self-critical individuals responded in a comparable manner to low self-critical individuals to a single instance of hand massage. This highlights that focused touch may be beneficial when first engaging highly self-critical individuals with specific interventions. 3
Introduction:Self-criticism, which is the tendency to harshly judge and scrutinize oneself (Shahar et al., 2012), is a major source of vulnerability to psychopathology. Self-criticism has been implicated in a range of disorders spanning those associated with anxiety, eating, substance abuse and personality (see Kannan and Levitt, 2013 for review). In particular, the vulnerability, course and form of a variety of mental health problems are all linked to self-criticism (Zuroff and Mongrain, 1987; Gilbert et al., 2004;Zuroff et al., 2005; Kannan and Levitt, 2013; Yamaguchi et al., 2014). Self-criticism is also associated with poorer recovery rates from depression (Bulmash et al., 2009) and is a barrier to treatment effectiveness (Rector et al., 2000). Moreover, for women, self-criticism appears to be a characterological trait in both major depression and bipolar disorder, as compared to non-psychiatric controls (Rosenfarb et al., 1998). Consequently, self-criticism has become a major target for psychotherapeutic interventions, given it has been linked to threat processing and negative thinking, and avoidance of positive emotions (Gilbert and Irons, 2005; Gilbert, 2014). Considering this, stimulating more positive affiliative processes has been recommended as a therapeutic intervention for those higher in self-criticism, with increasing evidence of the effectiveness of this approach (Gilbert and Procter, 2006; Fredrickson et al., 2008; Hutcherson et al., 2008; Laithwaite, et al., 2008; Beaumont et al., 2012; Judge et al...