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Modesty and Cultural Sensitivity
Felicia Brown, spa consultant and owner of Spalutions!, sees a large overlap between boundaries, ethics and cultural sensitivity. She believes that cultural insensitivity starts with the assumption that everybody is just like us. “We have to be aware that just because something feels good to you, or fits with your value system, does not mean that it feels
good to someone else,” she says.
Language is a powerful part of
the therapist-client relationship.
But it also bears the capacity for
misunderstanding. “There are so
many slang terms that have become
part of our language, which means
people can say things without
realizing they are being potentially
disrespectful,” Brown says. Likewise,
Brown cautions therapists about
using industry lingo that others may
not understand, such as “intention,”
“palpate,” and “insertion.” Although
it could be overwhelming to try
to understand all the nuances of
different cultures, she says you
can go a long way toward cultural
sensitivity by asking yourself a
simple question: “How would I feel
if this comment was made to my
mother, sister or child?”
Brown says that when clients know
what to expect, they can relax and be
more comfortable. Knowing that their
one-hour session is truly 60 minutes,
that a full-body session consists of
work on these specific areas, and that
the therapist will communicate any
changes in the schedule, technique
or areas to be touched, all help them
be at ease, as much as knowing the
sheet is a boundary that protects
their modesty.
Group practices and spas can
start by teaching staff members to
be more sensitive to each other. In
her continuing education classes on
cultural sensitivity, Brown helps staff
learn about each other’s backgrounds
and experiences through games,
partner exercises and group
discussions. These exercises help
them understand that everyone’s
perspectives and boundaries are
different. By acknowledging their
differences and similarities, they
begin to lay the foundation for a
deeper acceptance and respect for
their clients’ different value systems.
This also holds true for
preventing sexual harassment. In
Brown’s seminar entitled “When
Intention Doesn’t Matter,” she helps
therapists protect themselves by
first implementing good boundaries
in the workplace. Some of her
suggestions include:
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Ask everyone in the workplace
permission to touch them. “As
touch providers, we tend to think
that everyone loves massage,
especially if they work in the
environment. We need to be
sensitive to the differences.”
-
Make your massage session with
co-workers as professional as with
your clients. “Casual touch in the
workplace is confusing. Therapists
should exercise caution when they
have the urge to massage their coworkers
off the table.”
-
Respect people’s sensitivity about
touch and modesty. “To a touch
provider, hearing someone has
a headache or aching shoulder
means they want hands-on time.
This isn’t necessarily the case.”
Crossing Generations: special considerations for modesty
| Type of Client |
Remember... |
Special Considerations |
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Children
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The power differential is quadrupled.
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- Always have parents in the room.
- Allow children to choose everything in the session.
- Do not have children remove clothing.
- Just work on what’s injured—think subtle and minimal.
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Teenagers
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Things move through their body very quickly—less is more.
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- Get informed consent from a parent. Consider having the parent in the room.
- Always “undertreat” rather than “overtreat.”
- Remember the slightest thing can cause a teen to have sexual feelings (and feel guilty)—proceed carefully.
- Avoid stomach and thighs.
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Seniors
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Each person is different. Don’t make assumptions.
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- Some are extremely modest—accommodate their comfort level.
- Some ask for no covering because they are “hot”—turn on an air conditioner or open a window, but insist on using a sheet.
- Have clear boundaries whether you will help an infirmed client undress, get on the table, etc.
- Consider either having them bring a caregiver to help, working in the chair or working on them fully clothed.
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