Skip to main content

From surviving to living after a stroke

26 November 2021 | Reflective practice 2021 |

Wibbels-Pancras F.
Keywords| affective touch| Chronic pain| CVA/stroke| haptonomy| Haptotherapy| IJHH| non-congenital brain injury| phases of recovery| rehabilitation| sensory integration| trauma


In this article, a case study is used to describe the recovery process following a right-hemisphere stroke from a haptotherapeutic perspective. This article also introduces three phases of recovery from a haptotherapeutic perspective: from surviving to recovering to living, inspired by the phases of recovery from psychological trauma as described by Judith Herman (Herman, 2017). The choice was made to use the theory and models of Frans Veldman (Veldman, 2007) as the underlying principle. Because this article also tries to give non-haptonomically trained healthcare professionals an insight into the ideas and working method of the haptotherapist, the latter are explained.

These phases may serve as the basis for developing a clinical practice guideline for haptotherapy in secondary healthcare after a cerebrovascular accident. Based on this clinical practice guideline the haptotherapist and client can formulate a meaningful treatment plan together, centred around the client’s preferences. This clinical practice guideline can also serve as a theoretical document for further research on haptotherapy and CVA.

  1. Hoedeman, R., Wijers, J. H. L., Beek, E. J. van der, Koppele, A. te (2006). Toepassing van het SCEGS-model in de begeleiding van somatiserende werknemers. Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde. 14: p. 441-444.
  2. IJHH (2013-2023). International Journal of Haptonomy and Haptotherapy. Available via:
  3. Klabbers, G. A. (2013). Four-Dimensional Symptom Questionnaire (4DSQ) in the Primary Healthcare Practice of Therapists. International Journal of Haptonomy and Haptotherapy. 1, 1-16.
  4. Klabbers, G. A. (2020). Impaired ability to feel: indication for haptotherapy. International Journal of Haptonomy and Haptotherapy. 3, 12-14.
  5. Klabbers, G. A., Bouwman, P. M., Dekker, M., Hagg, J. W., Harte-Sluman, R. R., Spil, C., & de Vos, R. H. (2023). Impaired ability to feel in cases of pelvic floor issues: two case descriptions of haptotherapy treatment. International Journal of Haptonomy and Haptotherapy. 1: p. 1-8.
  6. Klabbers, G. A., Hagg, J. W. (2021). Haptotherapeutische Welbevinden Schaal (HWS). Digital Dutch version; available via:
  7. Klabbers, G. A., Vingerhoets A. J. J. M. (2021). Satisfaction and specific and non-specific therapy factors: haptotherapy from a patient perspective. International Journal of Haptonomy and Haptotherapy. 3: p. 20-29.
  8. Klabbers, G. A., Vingerhoets, A. J. J. M. (2022). Measuring patient well-being: an exploratory study of the Haptotherapeutic Well-being Scale (HWS). International Journal of Haptonomy and Haptotherapy. 1: p. 1-7.
  9. Klabbers, G. A., Wijma, K., Paarlberg, K. M., Emons, W. H. M., & Vingerhoets, A. J. J. M. (2014). Treatment of severe fear of childbirth with haptotherapy, a multicentre randomized controlled trial. BMC, Complementary and Alternative Medicine. 14, p. 1-10.
  10. Plooij, E. (2005). Haptotherapie, Praktijk en theorie, Amsterdam, the Nederlands:
  11. Harcourt.Terluin, B., Marwijk, H. W. van, Adèr, H. J., Vet, H. C. de, Penninx, B. W., Hermens, M. L., Boeijen C. A. van, Balkom A. J. L. M. van, Klink J. J. L. van der & Stalman, W. A. (2006). The Four-Dimensional Symptom Questionnaire (4DSQ): a validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety, and somatization. BMC Psychiatry, 6(1), 1-20.
  12. Veldman, F. (2007). Levenslust en Levenskunst. Zin, inhoud en betekenisverlening aan het persoonlijk leven binnen de menselijke samenleving. Van der Veer Media.
  13. VVH (2023). Vereniging van Haptotherapeuten. Available via: https://www.haptotherapeuten-vvh.nlBijl, M. (2018). Rinkeldekink. Amsterdam: Atlas Contact.
  14. Herman, J. (2017). Trauma en herstel. Amsterdam: Wereldbibliotheek.
  15. IASAT (2021). What is Affective Touch? From
  16. Instituut Toegepaste Haptonomie. (2017). Haptonomische begeleiding. Nijmegen: Instituut Toegepaste Haptonomie.
  17. Jenkinson, P. M., Papadaki, C., Besharati, S., Moro, V., Gobbetto, V., Crucianelli, L. & Fotopoulou, A. (2020). Welcoming back my arm: affective touch increases body ownership following right-hemisphere stroke. Oxford University Press, 1-15.
  18. Klabbers, G. A. (2021). Hapto-educatie, from
  19. Kolk, B. v.d. (2017). Traumasporen. Eeserveen: Uitgeverij Mens!
  20. Levine, P. A. (2011). De stem van je lichaam. Haarlem: Altamira.
  21. Limburg, P. d., & Dr. ir. Voogdt, H. (2012, November). Zorgstandaard-CVA-2012, from
  22. Lindeboom, M.H. (2012). Haptotherapie bij burn-out. In M. H. Lindeboom, Haptotherapie bij burn-out. Woerden:
  23. Veldman, F. (1988). Haptonomie Wetenschap van de Affectiviteit. Utrecht: Uitgeverij Erven J. Bijleveld.
  24. Veldman, F. (2007). Levenslust en Levenskunst. Blaricum: Van der Veer Media.
  25. Veldman, F. (2010). Adesse Animo. In F. Veldman, Adesse Animo (p. 102). Saint-Estève: Presses littéraires.
  26. Veldman, F. R. (2004). In contact zijn. Assen: Koninklijke Van Gorcum BV.
  27. Veldman, F., & Soler, A. (2013). Woordenboek van de haptonomie. Haptotherapie Nederland.
  28. Verhoeven, D. (2013). Geen lichte last. In D. Verhoeven, Werken met gevoel (p. 15). Hilversum: Uitgeverij Verloren.

Volume 9

No. 5
  • Publication date:
    November 26, 2021
  • Volume:
  • No.:
  • Page:
How to cite (apa)
Wibbels-Pancras, F. (2021). From surviving to living after a stroke. In International Journal of Haptonomy and Haptotherapy (Vol. 9, Issue 5, pp. 36-45).
Related Articles