THE OTHER END OF THE LEASH

We just released a DVD of the seminar I did in Naples, Florida on Animal Assisted Therapy and Activities, “Lending a Helping Paw.” I’m excited about it, because it gives me the opportunity to help individuals and organizations who want to help others. It is an example of an activity we can do with our dogs that is a triple win (for us, our dogs, and people who need some oxytocin and/or physical therapy). Because of that, old social worker that I am, it’s near and dear to my heart.

Speaking of hearts, and what fills ours with happiness, the question arises about how effective AAT (Animal Assisted Therapy) and AAA (Animal Assisted Activities) really are. I remember a conference put on by the Delta Society many, many years ago that included a controversial study. It showed that, in this study anyway, the greatest benefit was to the owners of the dogs, not the patients in the facility. Whoops. While the audience greeted the news with a disapproving silence, I was cheering in the wings, because it’s good to examine the issue objectively, rather than just following our hearts in this case.

Indeed, the study was very useful and no doubt had an impact on “best practices” as currently defined. It found that the teams in this case had just walked into people’s rooms without asking permission. No surprise then that the residents weren’t all in favor of the project; they’d already lost so much control in their lives that the last thing they needed was to lose more. That’s why good programs like The Delta Society and TDI emphasize the importance of putting the patient first, and letting them drive the system.

But the question remains: Is AAT and AAA really effective? First, we need to distinguish between AAT and AAA. Much of what people call AAT isn’t truly therapy in the medical sense of the word.  To be labeled as therapy the interactions need to be directed or delivered by health and human service professionals, with goals set, treatment plans written and progress carefully recorded. Animal Assisted Activities, on the other hand, include visits, petting, games and tricks.

Here’s the good news for those of us who want to believe that AAA and AAT are beneficial to the recipients: There is indeed research that shows it’s efficacy in several modalities:  Two studies that I can think of off the top of my head found that visits from dogs decreased the perception of pain after surgery. One study asked children to rate their pain (Robbins et al, J of Holistic Nursing, Vol 24, No 1, 206) and another looked at the amount of pain medication used after joint surgery, which is a good, objective and quantifiable measure (Kaplan, AAT Conference Abstract 2004). A third study found that walking with a dog significantly increased compliance with physical therapy programs and increased ambulation exercise: 28% refused to walk without a dog, only 7.2% with a dog. In addition, steps walked more than doubled once patients did walk (Abate et al J. of Cardio. Nursing 2011).

This is not surprising to those of us who are aware of the impact of dogs on our oxytocin levels, and the impact of oxytocin on pain perception (it decreases), immune responses (it increases) and affect (it tends to make us feel safer and more secure). But we do have to be careful here: Not everyone benefits from visitations or therapy from a companion animals. You have to like dogs to get an oxytocin rush from them. (Most “therapy” animals are dogs, but some programs have cats or rabbits for selected patients. No reports of sheep yet….) Awhile ago I visited a senior center with a good friend and her dog. I’d guess about half the people we saw were interested in interacting. The rest appeared to be either neutral or clearly avoiding an interaction. My friend knows what she is doing, and was careful to not impose her dog onto anyone who wasn’t a dog lover.

This all gets back to one thing I emphasize in the DVD: The patient is the star of the program. Not your dog, not you. As much as we love our dogs, if we do this right we’re doing it for people who aren’t as fortunate as we are, and don’t have the opportunity to interact with dogs as we do. It’s all about them, and keeping that in mind is critical to a program’s success.

Other aspects of AAT and AAA are essential too: The Lending a Helping Paw DVD has an extensive section on what dogs are suited for therapy work, and how to ensure that your dog is really enjoying the process (these are the 2 most common problems that professionals in the field encounter). It discusses organizations that certify teams, what is required to obtain certification and how to work with facilities in a professional and pro-active way.

MEANWHILE, back on the farm: Instead of playing with the lambs or gardening, last night I went to a senior facility outside of Madison and delivered copies of the DVD to one of the stars of the show: Ruth Trameri. She’s the lovely lady on the right of the cover, with my good friend Beth Viney’s (on the left) and her certified therapy dog, Czar. (Czar was an early admirer of my Gr Pyr, Tulip… that’s actually how Beth and I met.) Here they are,  gracing the cover of the new DVD:

And here’s a video from the DVD of Tootsie’s first visit to a facility. We used her (and Willie and 3 other dogs) to evaluations of  potential therapy dogs. (Tootsie passed, Willie… no surprise here, does not: too enthusiastic). This video segment is testing for one of the most important qualities of a good therapy dog — sociability. Dogs need to be interested in everyone, true social butterflies, but calm and respectful at the same time. Watch how Tootsie tells us where she’d most like to be…. (and feel your oxytocin levels rise?). Thanks to Beth Viney, the Director of Pet Pals in Madison WI, Dr. Linda Sullivan, and Pet Pals volunteer Diane Peltin and Ruth Trameri for helping with the evaluation section of the video, we all had a great time and it resulted in some very instructive (and, I might add, amusing) videos.

As many of you know I recently presented a seminar on animal assisted therapy in Naples Florida. (Yes, it’ll be out as a DVD later this winter. Happy Dance!) One of the motivations for doing the seminar was the number of clients I had who wanted me to help them prepare their dog for therapy work. Sometimes it was like swimming downstream on a warm, cozy river. Their dog was a perfect fit and ended up doing wonderful work in the community. Other times… well,  it was reminiscent of trying to paddle up a cold, frothy waterfall. The fact is, therapy work can be hard work, and it takes a special kind of dog to be both good at it and to enjoy it. The directors of AAA and AAT (AAActivities and AATherapy) will tell you that one of their greatest challenges is working with people who want to volunteer but whose dogs just don’t qualify. Here’s a summary of the characteristics of a good therapy dog prospect, in hopes it will be helpful for those who are interested in doing this wonderful work:

Affiliative: This seems like a no-brainer, but the fact is that many dogs are presented for therapy work who really don’t like strangers all that much. They love their owners and good friends, but aren’t all that interested in other people. Good therapy dogs need to be the kind of dogs who ADORE people, all people, and want nothing more than to connect with them. It is, after all, the emotional connection that is often the therapeutic part of AAA and AAT.  It seems to me that dogs sort into 4 categories: 1) adore people, care little for other dogs, 2) adore dogs, care little for unfamiliar people, 3) adore members of both species and are thrilled to meet new ones and 4) adore neither dogs or people, except maybe their owner. Needless to say, only categories 1 and 3 are good therapy prospects.

Physically Calm: Many of the dogs who think all people hung the moon regrettably don’t fit into this category. Leaping, licking, pawing and body slamming just don’t work in senior centers and hospitals. This is why so many dogs don’t qualify when they are young, but could be great prospects when they are older. I wrote a chapter with Aubrey Fine for his great book The Handbook of Animal Assisted Therapy, and we had a long discussion about how many dogs would be GREAT for therapy work when they are six. Or eight. Or ten, but their owners get them evaluated at the age of two, the dogs are not “passed” and their owners never try again.

Psychologically Sound and Non-reactive: It doesn’t matter how much training or conditioning you do, therapy dogs need a certain level of rock solid soundness to be good prospects. Of course, the context does matter: some dogs are great in senior centers but are uncomfortable around children and would be disasters in a children’s hospital. It’s important to remember that AAA and AAT include a vast range of experiences, so every dog must be evaluated based on what they are going to be doing.  But it’s still essential to keep in mind that although your job is in part to protect your dog, once you are inside a facility you will have limited control over what happens. And what can happen (someone grabbing your dog, weird noisy medical equipment coming on, a medical crisis that results in tremendous chaos) is sometimes enough to terrify a sensitive dog.

Included in this category, although albeit somewhat different conceptually, is the state of being “emotionally mature” or able to handle frustration and deal with the world with a calm, measured demeanor. Again, just as in people, sometimes this takes several years to master.

Ridiculously clean and healthy: Unless you work in health care facilities it is easy to forget how differently sanitation needs to be handled in facilities and hospitals than it does in your own home. Pet Pals here in Madison, which organizes visits to the Children’s Hospital through the UW Vet School, requires that all dogs in the program go through extensive veterinary evaluations twice a year. This includes an entire day of testing for a vast range of diseases, from salmonella to MRSA. In this case the dogs are visiting children who are often immune compromised, and so their requirements are more stringent than some, but any facility, from a senior center to a hospital, is a very, very different place than your home. Germs love the kind of places that therapy dogs go to visit, and they can move around like wild-fire within very vulnerable populations.

Aware of their Job? This is gravy, pure gravy, but the fact is that some dogs do more than happily sit with strangers or participate in structured therapy treatment plans, as beneficial as that can be to some people. These dogs seem to sense why they are there, and seek out people who are especially needy, and make an emotional connection with them that changes their life. These connections happen, and hearing about them is enough to make you all gooey-eyed. Special stuff indeed.

I’ll leave the training and evaluations required to be a registered therapy team for another blog, but I thought it’d be interesting to ask all of you to add to this list–specifically, what type of personality do you think a therapy dog needs to be successful? If you’ve either had a working AAA or AAT dog, or been the beneficiary of one, I’d love to hear what criteria you’d put on the list. FYI, I’ll write another time about what the handler at the other end of the leash needs (a list too often ignored!), and some good books for people interested in getting involved, but right now I’d like to think about the dogs themselves. Aside from training for specific cues and conditioning to things like medical equipment, what traits do you think good therapy dogs need?

MEANWHILE, back on the farm: It was eight below (Fahrenheit) when I got up yesterday morning, three below today. I think the high is expected to be around eight or so, and we’re expecting 2 to 7 inches of snow tomorrow (2 to 7? that’s a big difference!).  I wish I didn’t have to drive to town to get ready to start teaching at the university (“The Biology and Philosophy of Human/Animal Relationships”), but still it’ll be sort of fun to get the snow. If it had been snowing all winter I’d be tired of it, but we’ve hardly had any winter at all til now, so it feels sort of good in some strange, possibly masochistic kind of way.

The great news is that Tootsie, who began her life here explaining to me that her paws did not participate in wet or cold, now trots happily outside in the worst of weather, does her business and then runs, ears flapping and tongue lolling, back into the garage. When we got her as a puppy mill dog she understandably had no concept of going outside and eliminating on cue right away, and then going right back in if the weather was inclement. She’d stand at the end of the garage and look plaintive and miserable, but refuse to go out. And even in great weather, once out she’d sniff and sniff and sniff and sniff… you get the idea.  What a great reminder of how handy it is to put peeing and pooping on cue.

And now you should see her! Out she runs, does her business and then runs back in… while Willie stays outside and looks at me like “WHAT? Go back inside now? Whatever for?” So Tootsie goes back inside and Willie and I play outside for awhile. I should tell you though that yesterday there was one time, during the coldest part of the morning, when she did refuse to go out. But she’d been outside to pee recently, and I took it as “Truly, I don’t have to go at all, and it’s really, really cold. Would it work for you if I stayed inside this time?” And indeed it did. Honor your dog, right? The next time I took her out her bladder was fuller, and out she went, did her business and ran to me for her treat. Now, I just have to work on her barking if she sees me and Willie outside through the window… One thing at a time!

Willie is good good good. His shoulder seems good (almost afraid to write that) and he’s loving everyone he meets lately. He still isn’t buddies with Tootsie. They STILL ignore each other, it’s a bit strange sometimes, but he is very tolerant of her and the only sign of problems I see is when I come home she has taken over our greeting rituals. Rather than being all over me, Willie runs to get a toy and lets her get the first attention. I’m not liking that, I think he is a bit frustrated, but doesn’t like competing with Tootsie for attention, and unwilling to get into any conflict about it… I’ll be working on that in the near future too. Never a dull moment with dogs, hey?

Why do I live in a place that can be colder in the winter than the inside of your freezer? Here’s the reason: Sunrise yesterday.  Eight below. And a sky simply too beautiful for words…

Home Sweet Home!! Florida was great is so many ways (thank you everyone!), but I have to admit I am sooo happy to be home. Willie and Tootsie are great, Sushi and the sheep too, the snow (finally!) didn’t delay our planes and it is heaven to be back in Wisconsin. I’m planning on 2 blogs next week on 1) the results of our survey in Orlando about the emotional state of the dog in Michelle Wan’s video and 2) what kind of dog is most qualified to do AAA and AAT work. And then there’s so much I want to talk about from Kathy  Sdao’s seminar on Sunday on Orlando… And then there’s talking about my BFF from graduate school, Disney World’s Sr Conservation Biologist Anne Savage, who is doing kick ass research/economic enrichment in Columbia as well as other places… so many topics, so little time!

But for now I need to get my paws back on the ground, play with the dogs, and get a bit of rest. I’m a tad tuckered from doing 2 new seminars and a fund raising speech in Naples (accompanied by music from the wedding reception beside us… talking about the human/animal bond with the song YMCA blasting in the background is an interesting experience).

Here, though, is one of my favorite parts of Disney World: The Tree of Life. It’s a constructed “tree” that is 14 stories high and 50 feet wide, with animals sculpted into the bark.  This is the whole tree:

And here’s a close up of just a part of it: how many animals can you find in the bark? (Okay, I know, it’s sort of goofy, but Jim and I had a ball trying to find them all.) And I’d love to hear from others about their favorite parts of the Animal Kingdom park at Disney World. I have a few… I’ll tell you about them next week, but I’d love to hear yours!

Eeeps, where’d the day go? I was going to write about the emotion of disgust, but it’ll have to wait til tomorrow. But before the day is over I wanted to remind you that the Early Registration for the Jan 7-8 seminar I’m doing with Kathy Sdao is over tonight at midnight. I’m doing a new day-long seminar on Canine Communication: communication of all kinds between dogs, from dogs to people, and from people to dogs. Lots of it is interactive: you’ll be working like a dog searching for scents (sort of!), interpreting visual signals, and translating dog vocalizations.  I’ll be adding in all the new research that relates to communication, so if you want to up your understanding of all things dog, you definitely want to come. It’s in Orlando, Florida too… not a bad place to be in January, and easy to fly to as well if it’s too far to drive.

Kathy Sdao is presenting on Sunday, and I put her in the same category as Ken Ramirez–great speaker, great trainer and an inspiration. If you missed Ken, then don’t miss Kathy, I never, never leave her talks without being energized and inspired.

I’m also doing a second half-day seminar on using your dog in Animal Assisted Therapy and Activities in Naples, Florida on January 12th in Naples, Florida. (More on that on our website soon.) Katie and I just finished taping a great sequence of evaluating 4 dogs, including Willie and Tootsie, as potential therapy dogs. (Our purpose was to illustrate an evaluation procedure, not actually put either of my dogs in a program right away. But, I can tell you: one would have passed, one would not have. You’ll have to guess which til later!) I’m excited about this seminar too, it’s a great opportunity to help people who want to help others through their dogs.

So here’s the plan: Go to Orlando, come to the seminar there, treat yourself to a few days in Disney World (that’s where I’ll be!), and then drive over to Naples and catch the seminar on using dogs for AAT and AAA. It’s a win/win for everyone. Hope to see you there.

MEANWHILE, back on the farm: I’ve gotta go and feed Sushi, dogs and sheep. They are all waiting. The dogs patiently, the cat impatiently, and the sheep, well, they are beginning to bang on the sides of the barn. More tomorrow! But here’s a photo, not from today, and not from the farm, but it’s one of my favorites that I took in New Zealand, so what the heck!

THANKS to you all for contributing to the survey! I’ll give you the results of the blog survey first and then compare them on the right with a survey done at the Madison Seminar (thanks!) and with research done by Morris et. al. in 2008 (Cognition & Emotion 22(1), 3-20). First, emotions and dogs (of course!)

CAN DOGS EXPERIENCE THE FOLLOWING EMOTIONS?

EMOTION   BLOG YES                SEMINAR YES                      MORRIS 2008 YES

FEAR                   100%                               100%                                       93%

JOY                       100%                              99.5%                                      99%

ANGER                85.7%                             95.1%                                       65%

DISGUST            78.3%                              66.2%                                      34%

GUILT                 22.9%                              40.0%                                      74%

JEALOUSY         82.9%                               84.6                                        81%

Pretty interesting, hey? Note that Fear, Anger and Jealousy have relatively similar responses between blog readers, seminar attendees and animal owners as asked by Morris et al. (Although isn’t it interesting that only 93% of dog owners thought dogs could experience fear? Oh my. Look, though, at the answers to Disgust and Guilt. Wow, quite a difference, hey? And only 65% of Morris’s respondents thought dogs could be angry, while 86% of blog readers did.



IF ONE ASKS THE SAME QUESTION ABOUT “ANIMALS:” (And yes, the question does arise, as well it should, what animals? Grasshoppers?  Morris’ research actually asked animal owners: “Is your animals ever fearful?” The respondents could have birds, horses, hamsters, etc. So in that sense I didn’t follow the methods of the research, but I was curious what folks would say to the general question and would like to compare it later to my UW student’s answers, so bear with me….). You’ll see that the Madison seminar attendees were not asked this question:

EMOTION       BLOG YES               MORRIS YES

FEAR                      100%                                      97%

JOY                          98.4%                                    98%

ANGER                   93.5 %                                    68%

DISGUST               82.3%                                     33%

GUILT                    47.6%                                      41%

JEALOUSY           87.3%                                       63%

* Percentages don’t always add up to 100% because some answers were “don’t know.” In addition, some respondents included humans (logically) and I think answered if ANY animal could, while others answered if ALL animals could. A good example of a poorly worded question! Note to self.

AND  HAMSTERS? Fewer of you responded here, 50 versus 70 for dogs (understandably, and good for you for saying you didn’t know!). Summarizing, all three groups are less likely to attribute all emotions except Fear to hamsters than dogs (Yes to Joy in Hamsters was from 80 to 91% — the highest number from Morris’ research interestingly enough!). For example, 83% of blog readers thought dogs could be jealous, but only 36 % thought hamsters could.

Interesting stuff, hey? Here’s what I plan to do next week: Enroll you in why ALL mammals can experience Disgust, Fear and Anger, show you some research that suggests that indeed dogs can experience something akin to human Jealousy, and agree with many of you that Guilt is a complicated construct that of all the emotions is least like to be similar in dogs and people. (Great research on that to come too!)

Til then, see you in Cleveland I hope this weekend, and if not, definitely in Orlando January 7th for an all new seminar on Canine Communication that I am having a ball working on, or Naples on January 12th for a half-day seminar on using dogs in AAT and AAA (details to come VERY soon.)

MEANWHILE, back on the farm: Oh the weather! Why am I inside for heaven’s sake! It’s been sunny and 50′s, and everyone who has lived here a few years know how very sweet the weather is for this time of year. Tootsie did beautifully with the snow after a few days, but now the ground is dry again so I’m sure we’ll have to start over once it snows or rains again. Her biggest strides in the last few weeks have been coming when called. She’s doing so well I am even taking her outside off leash, but only under certain circumstances: I have incredibly good food and she knows it; we’re behind the house and she can’t be distracted by cars on the road; I know she needs to pee;  Willie is beside us and is under 100% vocal control and she pays some attention to where he goes; and, most importantly, we only stay out for 3-4 minutes maximum.  In other contexts she’s on leash and I practice calling TOOTSIE COME! and run the other way and give her treat treat treat for turning and running to me. I gotta tell you, there’s not much cuter than watching her fly across the grass, ears flapping like Dumbo, tail turning like a crank, mouth drooling in anticipation of treats.

And good news on the Willie front too. He’s progressed enough that he gets occasional times outside without the Hobbles (rare and short), and today, for the FIRST TIME since February, I took him up the hill behind the house and let him run free (with Hobbles on, but still…) I’ll take it back a notch tomorrow and keep him extra quiet until I see how he does. We go one two steps forward and one step back, but mostly we’re going in the right direction. My dream of working him on sheep in November is gone (today was going to be the day, by the way. I circled it on the calendar many months ago.)  His PT says probably not until well into 2012. Deep breath. We’ll be okay, it’ll come before we know it, and at least he can be off leash outside now for awhile.

Willie and Tootsie are about the same with each other. They continue to pretend that they are the only dog in the house. They do sneak sniffs more often when the other isn’t looking, and Willie gets my eternal gratitude for tolerating all kinds of rude behavior from her. He lets her lick food out of the same plate (allowed after the humans are done with dinner), ignores it when she dances on his head to get up to our faces, and let’s her take over a sleeping place without so much of a grumble. Again, I see no love lost, but they seem to be accepting each other as the new normal. I’ll keep you posted.

It’s gorgeous outside. I just wish I was able to spend more time out there. But it is great to feel like we’re getting ready for winter. Our chest freezer (large enough to put a cow into. Standing up. Well, okay, not quite, but it’s HUGE) is full to the brim with strawberries and raspberries and rhubarb and apple butter and chard and broccoli and spinach and 1/4 of a kindly raised hog, an entire lamb from the farm, and 15 organic, local chickens. And a gazillion other things. Trips to the market will be little more than orange juice and toilet paper, flour and sugar.  And best of all, all the ewes have been bred by the new ram, King Charles. (I named him KC because he seemed tiny to me when he arrived. I named him after, you guessed it, King Charles Cavalier Spaniels).

Here’s the evening sun on the back hills behind Lady Godiva, Spot and Rosebud, who have come down for their nightly alfalfa. This was last week, now the snow is long gone, the sun is shining and it’s warm and balmy.

I love the patterns of snow on branches and sun on leaves: