01
Set the scale
Use direction words instead of a pain contest
Agree that “lighter” means reduce now, “same” means maintain, and “more” is optional rather than a goal. Pain is not proof of effectiveness.
- Start lighter than requested
- Check after every change
- Never argue with feedback
02
Add location
Separate pressure from placement
“Move up,” “move away,” “not there,” and “skip this area” clarify location. Permission for one area does not transfer to another.
- Ask before changing areas
- Avoid intimate areas
- Keep the sequence non-clinical
03
Plan silence
Use a hand signal when words are difficult
A raised hand, two taps, or another agreed signal can mean pause or stop. The giver should respond immediately and wait for a new instruction.
- Make stop unmistakable
- Remove hands when signaled
- Do not resume automatically
