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Posted by Danny | Posted in dog care | Posted on 26-02-2010

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Psychologist Manly: The Dog And The Psychologist Manly

When you visit the clinic of Drew Ramsey, you will definitely be acquintted with Gus, a shih tzu. After escorting you through the waiting room, he may hop onto the ottoman and go to sleep or sit beside you on the couch.

Some patients pat Gus while they talk to Dr. Ramsey. A few talk to Gus instead. And if they get emotional, Gus provides physical comfort that therapists can’t offer. "It's the emotional part that they contributed much" , he says. Ramsey, who began bringing his dog to his office two years ago. Now, he says, “I think about Gus the way a cowboy thinks of his horse—he’s part of the job.”

A small but growing number of psychologists manly, psychiatrists, social workers and other therapists are bringing their dogs to work in their private practices, where they help calm patients down, cheer them up and offer a happy distraction with a wagging tail. The job is similar to what therapy dogs do when they visit at hospitals or nursing homes, but these “canine therapy-assistants” often work full days and get to know the patients just as well as the doctors.

Even some psychologist manly have put their pups to work. Lacey, part golden retriever, part spaniel, entertains waiting patients at New York plastic surgeon Janis Di Pietro’s office, though she isn’t allowed in the procedure room.

Lola and Wolfie, mutts aged three and 17, put elderly patients at ease for New York neurologist Gayatri Devi, who specializes in memory disorders. Dogs are helpful for patients with dementia, seeing the dogs would help keep their spirits high. They feel comfortable and secure.

Research shows that a few minutes of stroking a pet dog decreases cortisol, the stress hormone, in both the human and the dog. It also increases prolactin and oxytocin, hormones that govern nurturing and security, as well as serotonin and norepinephrine, neurotransmitters that boost mood. One study found that five minutes with a dog was as relaxing as a 20-minute break for hospital staffers.

“It’s chemical, not magical,” says Rebecca Johnson, who teaches a popular course in animal-human interaction at the University of Missouri and has conducted much of the research.

While there are no set requirements for having an animal assistant, most dogs who work with doctors have been trained in obedience and as therapy dogs. Just like all those other organization, the Delta Society also offers the human-pet pairs approach.

Interacting with a dog can work wonders for some patients. Early in his practice, child psychologist Aubrey Fine treated a 9-year-old girl who was painfully withdrawn and refused to speak until his golden retriever, Puppy, laid her head in the girl’s lap. The girl slowly began patting Puppy, smiled and spoke to her as her astonished parents looked on.

For the past 30 years, Dr. Fine, who practices in Claremont, Calif., has used dogs and other animals to help treat children disorders such as autism, attention-deficit/hyperactive disorder and obsessive compulsive disorder. To help the kids learn about consentration, eye contact and communication interaction with animals are very helpful. “With some children, I use the dog as an external form of biofeedback,” to help them learn to regulate their behavior, says Dr. Fine, who edited the “Handbook on Animal-Assisted Therapy,” a key textbook in the field.

You will never experience the difficulty of getting your child see the doctor. Fine—they want to go,” says Velene Lima, whose daughter, Angela, now 24, has been a patient since infancy, when a brain tumor left her with multiple challenges. “She would be bouncing off the wall when she was young, but with Dr. Fine, she’d be calm. The dogs are well-loved.”

Some therapists report that their dogs act differently with different patients, depending on their conditions.

“I call them ‘seeing heart dogs’—because they can see into people’s hearts,” says Lois Abrams, a marriage and family therapist in Los Alamitos, Calif., who practices with her two cavalier King Charles spaniels, Duke, 11, and Romeo, eight. Duke lies on the floor next to patients with anxiety disorders and sits on the couch close to those who are depressed.

Once, Duke jumped up and sat next to a patient she hadn’t realized was depressed. “When I asked if she was, suddenly the woman poured out her heart to me,” says Dr. Abrams. “My three-year-old dog knew more than I did.”

How can dogs be that sensitive to human emotions?

Experts speculate that people give off tell-tale scents under certain physical or psychological conditions that only dogs can detect.

That acute sense of smell also enables specially trained service dogs to recognize when seizures, diabetic comas or heart attacks are imminent in humans. Just as much as a dog can detect explosives or illegal drugs on a luggage, a dog can be trained on how to detect cancer cells in lab specimens as well.

That still doesn’t explain some of the things dogs seem to intuit. Sandra Barker, director of the School of Medicine Center for Human-Animal Interaction at Virginia Commonwealth University, recalls taking a therapy dog to visit a patient who was paralyzed from the neck down. As soon as the patient allows him to let the dog join them, the dog immediately nestled around his head. “How did that dog know that was the only part of his body that had any feeling?” Dr. Barker marvels.

Anita Sacks, an assistant professor of psychiatry at New York University’s Langone Medical Center, “prescribes” dogs for some patients. From a psychoanalytic perspective, dogs offer the kind of unconditional love that some people didn’t get from their mothers, which sets them up for life-long attachment problems, says Ms. Sacks,who practices with her chocolate lab, Deacon.

Dr. Ramsey thinks their appeal is simpler. “Like Freud said about cigars, sometimes a dog in the office is just a dog in the office,” he says. It's always nice to have them around the office.”

He also thinks Gus is good for his own mental health. “Much of psychiatry is about loss and depression, so when I get a break, it’s great to have him there to take for a walk.”

What do dogs get out of working with patients?

“Lots of cookies,” says Dr. Barker, whose Lhasa apso, High Anxiety, or Hi for short, helped out in her practice treating trauma survivors for nine years before retiring.

They even noticed that dogs tend to be more happy if they are given a task to do. And the great thing is the patients started to bring gifts for them. “Gus got a Freud chew toy,” Dr. Ramsey says.

Not every dog is being cut out on the health-care career. Dogs that are highly energetic, territorial or demanding could be disruptive to a practice. Temperament of one's dog isthe essential thing more than the breed of the dog to be used. Barker emphasizes that in Virginia Commonweath program, the therapy dogs are very much in demand and had helped them alot.

As a rule, dogs are better suited to therapy than other animals. “Cats like relationships on their own terms,” says Dr. Johnson, who is president of the International Association of Human-Animal Interaction Organizations, a nonprofit working to advance the nascent science of understanding between humans and animals.

However, there are animals that can assist you in other areas as well. Besides golden retrievers and black labs, Dr. It also work with some other animals like the guinea pig, rabbits, reptiles, and birds. He recalls one lizard that had a severed tail and chronic constipation, which helped some children relate to her even more closely. “She was one of the nicest lizards I have ever met,” he says.

But there are also patients who are allergic or maybe frightened around animals which are not helpful to the approach. Doctor's who carries dogs on their clinics informs their clients ahead of time before the first session and if the clients refuses to have the dog around during the course of the session he needs to put the dog elsewhere. But most find that practicing with a dog is a draw for patients, not a deterrent.

Animal-assisted therapy is still in its infancy. But research is expanding and interest is growing steadily. Some universities now offer undergraduate courses. VCU’s School of Medicine offers a course in human-animal interaction for fourth-year medical students and another for psychiatry residents.

“When you have psychiatrists who say, ‘I want to leave my practice and come and work with you,’ you know it’s an area of great interest,” says Dr. Barker.

Charlie, Oso, Clover, Kenya and friends relaxing in fog

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