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To the Editor: In their response¹ to a letter by Dr Schmidt² received in response to their article,³ Ms Rosa and coauthors state that "Dr Schmidt suggests that our test subjects might not have been sufficiently skilled. That would be impossible to determine because [Therapeutic Touch (TT)] has no accepted standards of training or practice."

This statement is incorrect. Nurse Healers–Professional Associates International, Inc (NH-PAI), the official organization for TT, has had Standards of Care, Scope of Practice, and Therapeutic Touch Policy and Procedure for Health Professionals in place for a number of years. The organization was founded in 1977 and has had criteria for practice and teaching, including levels of advancement for practitioners, in place for more than 8 years.

Rebecca M. Good, MA, RNC, LPC
Nurse Healers–Professional Associates International, Inc
Philadelphia, Pa

1. Rosa L, Sarner L, Barrett S. An even closer look at Therapeutic Touch. JAMA. 1998;280:1908. FREE FULL TEXT 2. Freinkel A, Collins SB, Carpenter J, et al. An even closer look at Therapeutic Touch. JAMA. 1998;280:1905-1908. FREE FULL TEXT 3. Rosa L, Rosa E, Sarner L, Barrett S. A close look at Therapeutic Touch. JAMA. 1998;279:1005-1010. FREE FULL TEXT

In Reply: The existence of the documents to which Ms Good refers does not negate what . . . [Full Text of this Article]