What is Tactile Defensiveness or Touch Sensory Sensitivity? - By GriffinOT (2024)

What causes tactile defensiveness?

The skin receives information from the skin about light touch, discriminative touch, touch pressure, pain, temperature and vibration. Each of these sensations give process different qualities of sensation and have different roles. I explore these roles in more depth in our article on the touch system. If you haven’t read this post, we recommend you read if first before reading any further. It will help with your understanding of tactile sensitivity.

You can also learn more about the touch system in our free course ‘Introduction to Sensory Processing.’

Roles of the touch sensations

Light touch and pain typically warn the body about potential threats, so are often called ‘protective sensations’. They are particularly sensitivity to touch. Their sensory information is taken along a different nerve pathway to discriminative touch sensations. (A nerve pathway is like a road that the sensory signals travel along to the brain.)

The protective sensations (light touch and pain) warn the brain that something has touched the skin, it may react immediately to protect the body. After this, the brain then receives extra information from the discriminative touch pathway to let it know what that something was.

For example, if you touch something hot, the brain will immediately acknowledge the feeling of pain. As a result, the brain will make the body move your hand away. Next, you will receive extra sensory information from the discriminatory touch pathway. This lets you know more about where the pain is and also that it feels like a burn. The brain receives different sensory information from each pathway.

As another example, if your hair is dangling in your face, the first time it touches your face you might get a surprise. You may not know exactly what the light touch sensation on your face was. However, extra information about that piece of hair will then go through the discriminatory touch pathway or you might brush your hand on your face and this will let the brain know it’s just a piece of hair. It is nothing to worry about and your brain will ignore it. For individuals who are hypersensitive to touch or bothered by textures, the brains do not ignore these micro touch sensations.

Sensory Integration – a theory behind tactile defensiveness

Jean Ayres thought tactile hypersensitivity occurs because the brain pays too much attention to light touch and protective sensations from the skin. Instead of listening to the extra information available from the discriminative pathway, the brain keeps paying attention to the light touch and protective sensations. These sensations are designed to alert the body to a problem or threat. They are designed to keep the body safe.

Each time the brain receives a message from these pathways it initially thinks that something might be wrong. It gets ready to protect the body. This is called a fight, flight or freeze response. Jean Ayres thought that the brains of children and adults with tactile defensiveness interpret ordinary touch sensations, such as clothing textures or hugs, as a threat. Their brains pay more attention to light touch sensations than the brains of children without touch sensitivity.

This helps to explain the behaviours that are seen in children or adults with tactile defensiveness. Their responses to everyday touch can often result in meltdowns, arguments and avoidance. This is because their brains are feeling that touch in the same way you might if you touched something hot or ran into a spider web. The everyday touch activates their brain’s protective system and triggers a fight, flight or freeze response. Some adults with touch hypersensitivity have also reported that certain everyday touch sensations feel painful.

Difficulty ignoring touch sensations

Children and adults who experience touch sensitivity may also find it more difficult to ignore touch sensations. A comparison would be the feeling of having a stone in your shoe, a stone that is very annoying and constantly drawing your attention until you take off your shoe and remove it. For children or adults with tactile hypersensitivity, sometimes it is everyday touch that feels like the stone. This could be something like the tag on the back of their t-shirt, or the feel or texture of a certain fabric. Their brains cannot ignore the feeling and they just need to get away from it, in the same way you want to remove the stone.

What is Tactile Defensiveness or Touch Sensory Sensitivity? - By GriffinOT (2024)

FAQs

What is Tactile Defensiveness or Touch Sensory Sensitivity? - By GriffinOT? ›

Tactile defensiveness is a term used to describe the reaction that occurs when someone is very sensitive to touch. Someone who experiences tactile defensiveness will be more sensitive to touch compared to others. Often their skin is more sensitive to every day things clothing textures and hair brushing.

What is an example of sensory defensiveness? ›

Symptoms of sensory defensiveness include: Tactile defensiveness: aversive reactions to clothing, waistbands, labels, brushing of hair and avoiding activities involving body contact. Olfactory defensiveness: agitation and distress due to certain smells, for example toys, clothing, people.

What will a child who experiences tactile defensiveness avoid? ›

Children with tactile defensiveness or hypersensitivity will avoid, become fearful of, or bothered by various, every-day touch experiences that typically would not cause alarm or issues for others.

What are the tactile sensations people are sensitive to? ›

The nerve endings in your skin can tell you if something is hot or cold. They can also feel if something is hurting you. Your body has about twenty different types of nerve endings that all send messages to your brain. However, the most common receptors are heat, cold, pain, and pressure or touch receptors.

How to treat tactile defensiveness in adults? ›

Treatment for tactile defensiveness often involves a strategic, gradual build up of pressure and varied proprioceptive sensory input to help reduce sensitivity – and ultimately make it easier for the person to navigate the world around them without suffering extreme discomfort or disruptive meltdowns.

What does tactile defensiveness look like? ›

Tactile defensiveness may look like the following with your loved one: Becomes dysregulated, upset, or anxious with light and unexpected touch. Is bothered by certain textures of clothing, or the tag on clothing. Experiences difficulties walking barefoot on certain textures, like sand, grass, or carpet.

What does tactile defensiveness mean? ›

Tactile Defensiveness is fancy OT lingo for being hypersensitive to the touch sensation. People who experience tactile defensiveness have an extreme reaction to particular touch sensations/textures/feelings.

What is a sensory defensive behavior? ›

Sensory defensiveness is a misinterpretation by the nervous system, where regular sensory information is flagged as dangerous or harmful. This causes the body to go into a high arousal state or 'fright, flight or fight' mode. This can also result in: Disruptions to sleep. Social and emotional difficulties.

How do you fix tactile defensiveness? ›

Here are some strategies for handling tactile defensiveness:
  1. Try to understand your child. ...
  2. Use deep pressure. ...
  3. Utilize weighted items. ...
  4. Maintain safety. ...
  5. Allow active involvement. ...
  6. Select fabrics the child prefers. ...
  7. Inform before touching. ...
  8. Employ heavy work activities.
Sep 22, 2023

Is tactile defensiveness a symptom of ADHD? ›

Children with ADHD have more difficulties in tactile processing. The level of tactile defensiveness in females with ADHD is higher than that of males with ADHD. Tactile defensiveness is not part of a familial risk for ADHD because it is specific to children with ADHD and not to their sibling without ADHD.

Which body part is the most sensitive to touch? ›

The tongue, lips, and fingertips are the most touch- sensitive parts of the body, the trunk the least. Each fingertip has more than 3,000 touch receptors, many of which respond primarily to pressure.

What are the 4 tactile sensations? ›

Four major types of encapsulated mechanoreceptors are specialized to provide information to the central nervous system about touch, pressure, vibration, and cutaneous tension: Meissner's corpuscles, Pacinian corpuscles, Merkel's disks, and Ruffini's corpuscles (Figure 9.3 and Table 9.1).

Where on the body is tactile sensitivity greatest? ›

When an area has more sensory neurons there is a larger brain area devoted to receiving their signals, meaning more sensitivity. Most people find that their hands are much more sensitive than their backs or legs. Given how much you use your fingers for, that extra sensitivity makes good sense.

What triggers tactile defensiveness? ›

Tactile defensiveness – Quick summary

Sensitivity may occur with food textures, clothing or fabric textures, self-care tasks, and receiving a hug or kiss. Or, it could be with specific items like paper, pencil or messy play.

Can sensory issues get worse with age? ›

Can it become worse as one ages? SPD becomes worse with injuries and when with normal aging as the body begins to become less efficient. So, if you always had balance problems and were clumsy, this can become more of a problem in your senior years.

Can anxiety cause tactile sensitivity? ›

How Anxiety Affects Touch. Sensory abnormalities related to touch are common, although often the person suffering from them doesn't realize that it's a sensory problem. Anxiety can cause numbness and tingling, especially in the limbs, and some people experience burning sensations on their skin.

What are sensory defensive behaviors? ›

Their responses appear to be fight or flight reactions and are sometimes labeled sensory defensiveness. They often try to avoid or minimize sensations by withdrawing from the situation (e.g., covering their ears, pushing a person who touches them away, or closing their eyes) or they respond with aggressive behavior.

What is an example of a sensory conflict? ›

Motion sickness is a complex syndrome, characterized by the feeling of queasiness and nausea caused by sensory conflict (1)(2)(3) (4) . Other symptoms may be involved, such as pallor, sweating, stomach pain, drowsiness, and headache (1,5) . ...

What are defensive behaviors and give an example? ›

Defensive behaviors are a group of evolved responses to threat. They include flight, freezing, defensive threat, defensive attack, and risk assessment. The type of defensive behavior elicited in a particular situation depends on features of both the threat and the situation.

What are two examples of sensory interaction? ›

Some examples of sensory interactions include (1) using both taste and smell to savor food as it is eaten, (2) not crossing a road because a large vehicle is visually nearing and audibly honking its horn, and (3) using both sight and touch to put together a model of a boat.

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