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class="vector-toc-link" href="#Dolphin_therapy"> <div class="vector-toc-text"> 5.2 Dolphin therapy </div> </a> <ul id="toc-Dolphin_therapy-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Equine-related_therapy" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Equine-related_therapy"> <div class="vector-toc-text"> 5.3 Equine-related therapy </div> </a> <ul id="toc-Equine-related_therapy-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Pig_therapy" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Pig_therapy"> <div class="vector-toc-text"> 5.4 Pig therapy </div> </a> <ul id="toc-Pig_therapy-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Therapy_with_other_animals" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Therapy_with_other_animals"> <div class="vector-toc-text"> 5.5 Therapy with other animals </div> </a> <ul id="toc-Therapy_with_other_animals-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Effectiveness" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Effectiveness"> <div class="vector-toc-text"> 6 Effectiveness </div> </a> <button aria-controls="toc-Effectiveness-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> Toggle Effectiveness subsection </button> <ul id="toc-Effectiveness-sublist" class="vector-toc-list"> <li id="toc-Attention_deficit_hyperactivity_disorder" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Attention_deficit_hyperactivity_disorder"> <div class="vector-toc-text"> 6.1 Attention deficit hyperactivity disorder </div> </a> <ul id="toc-Attention_deficit_hyperactivity_disorder-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Post-traumatic_stress_disorder" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Post-traumatic_stress_disorder"> <div class="vector-toc-text"> 6.2 Post-traumatic stress disorder </div> </a> <ul id="toc-Post-traumatic_stress_disorder-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Autism_spectrum_disorder" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Autism_spectrum_disorder"> <div class="vector-toc-text"> 6.3 Autism spectrum disorder </div> </a> <ul id="toc-Autism_spectrum_disorder-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Dementia" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Dementia"> <div class="vector-toc-text"> 6.4 Dementia </div> </a> <ul id="toc-Dementia-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Limitations" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Limitations"> <div class="vector-toc-text"> 7 Limitations </div> </a> <ul id="toc-Limitations-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Ethical_concerns" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Ethical_concerns"> <div class="vector-toc-text"> 8 Ethical concerns </div> </a> <ul id="toc-Ethical_concerns-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-See_also" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#See_also"> <div class="vector-toc-text"> 9 See also </div> </a> <ul id="toc-See_also-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> 10 References </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-External_links" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#External_links"> <div class="vector-toc-text"> 11 External links </div> </a> <ul id="toc-External_links-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Toggle the table of contents" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" > Toggle the table of contents </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading">Animal-assisted therapy</h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. Available in 24 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-24" aria-hidden="true" > 24 languages </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%A7%D9%84%D8%B9%D9%84%D8%A7%D8%AC_%D8%A8%D9%85%D8%B3%D8%A7%D8%B9%D8%AF%D8%A9_%D8%A7%D9%84%D8%AD%D9%8A%D9%88%D8%A7%D9%86%D8%A7%D8%AA" title="العلاج بمساعدة الحيوانات – Arabic" lang="ar" hreflang="ar" data-title="العلاج بمساعدة الحيوانات" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target">العربية</a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Zooter%C3%A0pia" title="Zooteràpia – Catalan" lang="ca" hreflang="ca" data-title="Zooteràpia" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target">Català</a></li><li class="interlanguage-link interwiki-da mw-list-item"><a href="https://da.wikipedia.org/wiki/Terapidyr" title="Terapidyr – Danish" lang="da" hreflang="da" data-title="Terapidyr" data-language-autonym="Dansk" data-language-local-name="Danish" class="interlanguage-link-target">Dansk</a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Tiergest%C3%BCtzte_Therapie" title="Tiergestützte Therapie – German" lang="de" hreflang="de" data-title="Tiergestützte Therapie" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target">Deutsch</a></li><li class="interlanguage-link interwiki-et mw-list-item"><a href="https://et.wikipedia.org/wiki/Loomateraapia" title="Loomateraapia – Estonian" lang="et" hreflang="et" data-title="Loomateraapia" data-language-autonym="Eesti" data-language-local-name="Estonian" class="interlanguage-link-target">Eesti</a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Terapia_asistida_con_animales" title="Terapia asistida con animales – Spanish" lang="es" hreflang="es" data-title="Terapia asistida con animales" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target">Español</a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%AF%D8%B1%D9%85%D8%A7%D9%86_%D8%A8%D9%87_%DB%8C%D8%A7%D8%B1%DB%8C_%D8%AD%DB%8C%D9%88%D8%A7%D9%86" title="درمان به یاری حیوان – Persian" lang="fa" hreflang="fa" data-title="درمان به یاری حیوان" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target">فارسی</a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Zooth%C3%A9rapie" title="Zoothérapie – French" lang="fr" hreflang="fr" data-title="Zoothérapie" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target">Français</a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Zooterapia" title="Zooterapia – Galician" lang="gl" hreflang="gl" data-title="Zooterapia" data-language-autonym="Galego" data-language-local-name="Galician" class="interlanguage-link-target">Galego</a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EB%8F%99%EB%AC%BC_%EB%A7%A4%EA%B0%9C_%EC%B9%98%EB%A3%8C" title="동물 매개 치료 – Korean" lang="ko" hreflang="ko" data-title="동물 매개 치료" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target">한국어</a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Pet_therapy" title="Pet therapy – Italian" lang="it" hreflang="it" data-title="Pet therapy" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target">Italiano</a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%98%D7%99%D7%A4%D7%95%D7%9C_%D7%91%D7%A2%D7%96%D7%A8%D7%AA_%D7%91%D7%A2%D7%9C%D7%99_%D7%97%D7%99%D7%99%D7%9D" title="טיפול בעזרת בעלי חיים – Hebrew" lang="he" hreflang="he" data-title="טיפול בעזרת בעלי חיים" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target">עברית</a></li><li class="interlanguage-link interwiki-jv mw-list-item"><a href="https://jv.wikipedia.org/wiki/Terapi_autis" title="Terapi autis – Javanese" lang="jv" hreflang="jv" data-title="Terapi autis" data-language-autonym="Jawa" data-language-local-name="Javanese" class="interlanguage-link-target">Jawa</a></li><li class="interlanguage-link interwiki-lmo mw-list-item"><a href="https://lmo.wikipedia.org/wiki/Pet-therapy" title="Pet-therapy – Lombard" lang="lmo" hreflang="lmo" data-title="Pet-therapy" data-language-autonym="Lombard" data-language-local-name="Lombard" class="interlanguage-link-target">Lombard</a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Dierentherapie" title="Dierentherapie – Dutch" lang="nl" hreflang="nl" data-title="Dierentherapie" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target">Nederlands</a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E3%82%A2%E3%83%8B%E3%83%9E%E3%83%AB%E3%82%BB%E3%83%A9%E3%83%94%E3%83%BC" title="アニマルセラピー – Japanese" lang="ja" hreflang="ja" data-title="アニマルセラピー" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target">日本語</a></li><li class="interlanguage-link interwiki-no mw-list-item"><a href="https://no.wikipedia.org/wiki/Dyreassistert_terapi" title="Dyreassistert terapi – Norwegian Bokmål" lang="nb" hreflang="nb" data-title="Dyreassistert terapi" data-language-autonym="Norsk bokmål" data-language-local-name="Norwegian Bokmål" class="interlanguage-link-target">Norsk bokmål</a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Zooterapia" title="Zooterapia – Polish" lang="pl" hreflang="pl" data-title="Zooterapia" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target">Polski</a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%97%D0%BE%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D1%8F" title="Зоотерапия – Russian" lang="ru" hreflang="ru" data-title="Зоотерапия" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target">Русский</a></li><li class="interlanguage-link interwiki-sk mw-list-item"><a href="https://sk.wikipedia.org/wiki/Animoterapia" title="Animoterapia – Slovak" lang="sk" hreflang="sk" data-title="Animoterapia" data-language-autonym="Slovenčina" data-language-local-name="Slovak" class="interlanguage-link-target">Slovenčina</a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Terapija_z_%C5%BEivalmi" title="Terapija z živalmi – Slovenian" lang="sl" hreflang="sl" data-title="Terapija z živalmi" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target">Slovenščina</a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/%D0%97%D0%BE%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D1%98%D0%B0" title="Зоотерапија – Serbian" lang="sr" hreflang="sr" data-title="Зоотерапија" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target">Српски / srpski</a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/El%C3%A4inavusteinen_terapia" title="Eläinavusteinen terapia – Finnish" lang="fi" hreflang="fi" data-title="Eläinavusteinen terapia" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target">Suomi</a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%97%D0%BE%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D1%96%D1%8F" title="Зоотерапія – Ukrainian" lang="uk" hreflang="uk" data-title="Зоотерапія" data-language-autonym="Українська" data-language-local-name="Ukrainian" class="interlanguage-link-target">Українська</a></li> </ul> <div class="after-portlet after-portlet-lang"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q606591#sitelinks-wikipedia" title="Edit interlanguage links" class="wbc-editpage">Edit links</a></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div 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src="//upload.wikimedia.org/wikipedia/commons/8/85/Therapiehund.jpg" decoding="async" width="200" height="281" class="mw-file-element" data-file-width="200" data-file-height="281" /></a><figcaption>Dogs are common in animal-assisted therapy.</figcaption></figure> <style data-mw-deduplicate="TemplateStyles:r1251242444">.mw-parser-output .ambox{border:1px solid #a2a9b1;border-left:10px solid #36c;background-color:#fbfbfb;box-sizing:border-box}.mw-parser-output .ambox+link+.ambox,.mw-parser-output .ambox+link+style+.ambox,.mw-parser-output .ambox+link+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+style+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+link+.ambox{margin-top:-1px}html body.mediawiki .mw-parser-output .ambox.mbox-small-left{margin:4px 1em 4px 0;overflow:hidden;width:238px;border-collapse:collapse;font-size:88%;line-height:1.25em}.mw-parser-output .ambox-speedy{border-left:10px solid #b32424;background-color:#fee7e6}.mw-parser-output .ambox-delete{border-left:10px solid #b32424}.mw-parser-output .ambox-content{border-left:10px solid #f28500}.mw-parser-output .ambox-style{border-left:10px solid #fc3}.mw-parser-output .ambox-move{border-left:10px solid #9932cc}.mw-parser-output .ambox-protection{border-left:10px solid #a2a9b1}.mw-parser-output .ambox .mbox-text{border:none;padding:0.25em 0.5em;width:100%}.mw-parser-output .ambox .mbox-image{border:none;padding:2px 0 2px 0.5em;text-align:center}.mw-parser-output .ambox .mbox-imageright{border:none;padding:2px 0.5em 2px 0;text-align:center}.mw-parser-output .ambox .mbox-empty-cell{border:none;padding:0;width:1px}.mw-parser-output .ambox .mbox-image-div{width:52px}@media(min-width:720px){.mw-parser-output .ambox{margin:0 10%}}@media print{body.ns-0 .mw-parser-output .ambox{display:none!important}}</style><table class="box-POV plainlinks metadata ambox ambox-content ambox-POV" role="presentation"><tbody><tr><td class="mbox-image"><div class="mbox-image-div"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/f/fe/Unbalanced_scales.svg/45px-Unbalanced_scales.svg.png" decoding="async" width="45" height="40" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/f/fe/Unbalanced_scales.svg/68px-Unbalanced_scales.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/f/fe/Unbalanced_scales.svg/90px-Unbalanced_scales.svg.png 2x" data-file-width="400" data-file-height="354" /></div></td><td class="mbox-text"><div class="mbox-text-span">The <a href="/wiki/Wikipedia:Neutral_point_of_view" title="Wikipedia:Neutral point of view">neutrality</a> of this article is <a href="/wiki/Wikipedia:NPOV_dispute" title="Wikipedia:NPOV dispute">disputed</a>. Relevant discussion may be found on the <a href="/wiki/Talk:Animal-assisted_therapy##" title="Talk:Animal-assisted therapy">talk page</a>. Please do not remove this message until <a href="/wiki/Template:POV#When_to_remove" title="Template:POV">conditions to do so are met</a>. (March 2024) (<a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a>)</div></td></tr></tbody></table> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1251242444"><table class="box-COI plainlinks metadata ambox ambox-content ambox-COI" role="presentation"><tbody><tr><td class="mbox-image"><div class="mbox-image-div"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/f/fe/Unbalanced_scales.svg/45px-Unbalanced_scales.svg.png" decoding="async" width="45" height="40" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/f/fe/Unbalanced_scales.svg/68px-Unbalanced_scales.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/f/fe/Unbalanced_scales.svg/90px-Unbalanced_scales.svg.png 2x" data-file-width="400" data-file-height="354" /></div></td><td class="mbox-text"><div class="mbox-text-span"> A major contributor to this article appears to have a <a href="/wiki/Wikipedia:Conflict_of_interest" title="Wikipedia:Conflict of interest">close connection</a> with its subject. It may require cleanup to comply with Wikipedia's content policies, particularly <a href="/wiki/Wikipedia:Neutral_point_of_view" title="Wikipedia:Neutral point of view">neutral point of view</a>. Please discuss further on the <a href="/wiki/Talk:Animal-assisted_therapy" title="Talk:Animal-assisted therapy">talk page</a>. (March 2024) (<a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a>)</div></td></tr></tbody></table> Animal-assisted therapy (AAT) is an <a href="/wiki/Alternative_medicine" title="Alternative medicine">alternative or complementary</a> type of <a href="/wiki/Therapy" title="Therapy">therapy</a> that includes the use of animals in a treatment. The goal of this animal-assisted intervention is to improve a patient's social, emotional, or cognitive functioning. Studies have documented some positive effects of the therapy on subjective self-rating scales and on objective physiological measures such as blood pressure and hormone levels. The specific animal-assisted therapy can be classified by the type of animal, the targeted population, and how the animal is incorporated into the therapeutic plan. Various animals have been utilized for animal-assisted therapy, with the most common types being <a href="/wiki/Canine-assisted_therapy" class="mw-redirect" title="Canine-assisted therapy">canine-assisted therapy</a> and <a href="/wiki/Equine-assisted_therapy" title="Equine-assisted therapy">equine-assisted therapy</a>. <a href="#cite_note-1">[1]</a> Use of these animals in therapies has shown positives results in many cases, such as <a href="/wiki/Post-traumatic_stress_disorder" title="Post-traumatic stress disorder">post-traumatic stress disorder</a> (PTSD), <a href="/wiki/Depression_(mood)" title="Depression (mood)">depression</a>, <a href="/wiki/Anxiety" title="Anxiety">anxiety</a>, <a href="/wiki/Sexual_abuse" title="Sexual abuse">sexual abuse</a> victims, <a href="/wiki/Dementia" title="Dementia">dementia</a>, <a href="/wiki/Autism_spectrum" class="mw-redirect" title="Autism spectrum">autism</a>, and more. It can be used in many different facilities, like hospitals, prisons, and nursing homes, to aid in the therapy provided. Some studies have shown that animal-assisted therapy can improve many aspects of a patient's life, such as improving their overall mood or reducing feelings of <a href="/wiki/Social_isolation" title="Social isolation">isolation</a>.<a href="#cite_note-:6-2">[2]</a><a href="#cite_note-:2-3">[3]</a> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Description">Description</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=1" title="Edit section: Description">edit</a>]</div> Animal-assisted therapy is an <a href="/wiki/Alternative_medicine" title="Alternative medicine">alternative or complementary</a> type of <a href="/wiki/Therapy" title="Therapy">therapy</a> that includes the use of animals in a treatment.<a href="#cite_note-4">[4]</a><a href="#cite_note-5">[5]</a> It falls under the realm of animal-assisted intervention, which encompasses any intervention in the studio that includes an animal in a therapeutic context such as <a href="/wiki/Emotional_support_animal" title="Emotional support animal">emotional support animals</a>, <a href="/wiki/Service_animal" title="Service animal">service animals</a> trained to assist with daily activities, and animal assisted activity.<a href="#cite_note-:9-6">[6]</a><a href="#cite_note-:7-7">[7]</a><a href="#cite_note-:10-8">[8]</a><a href="#cite_note-9">[9]</a> The goal of animal-assisted therapy is to improve a patient's social, emotional, or cognitive functioning and literature reviews state that animals can be useful for educational and motivational effectiveness for participants.<a href="#cite_note-ReferenceB-10">[10]</a><a href="#cite_note-AAT-11">[11]</a> <div class="mw-heading mw-heading2"><h2 id="History">History</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=2" title="Edit section: History">edit</a>]</div> Research has found that animals can have an overall positive effect on health and improve mood and <a href="/wiki/Quality_of_life_(healthcare)" title="Quality of life (healthcare)">quality of life</a>.<a href="#cite_note-12">[12]</a><a href="#cite_note-:7-7">[7]</a><a href="#cite_note-13">[13]</a> Studies have documented some positive effects of the therapy on subjective self-rating scales and on objective physiological measures such as blood pressure and hormone levels.<a href="#cite_note-14">[14]</a> The positive effect has been linked to the <a href="/wiki/Human-animal_bond" class="mw-redirect" title="Human-animal bond">human-animal bond</a>. In a variety of settings, such as prisons, nursing homes, and mental institutions, these animals are used to assist people with different disabilities or disorders.<a href="#cite_note-Beck-15">[15]</a> In modern times animals are seen as "agents of socialization" and as providers of "social support and relaxation".<a href="#cite_note-16">[16]</a> The earliest reported use of the therapy for the mentally ill took place in the late 18th century at the <a href="/wiki/York_Retreat" class="mw-redirect" title="York Retreat">York Retreat</a> in England, led by <a href="/wiki/William_Tuke" title="William Tuke">William Tuke</a>.<a href="#cite_note-Serpell-17">[17]</a> Patients at this facility were allowed to wander the grounds which contained a population of small domestic animals. These were believed to be effective tools for socialization. In 1860, the <a href="/wiki/Bethlem_Hospital" class="mw-redirect" title="Bethlem Hospital">Bethlem Hospital</a> in England followed the same trend and added animals to the ward, greatly influencing the morale of the patients living there.<a href="#cite_note-Serpell-17">[17]</a> However, in other pieces of literature it states that animal-assisted therapy was used as early as 1792 at the Quaker Society of Friends York Retreat in England.<a href="#cite_note-Velde,_B._P._2005-18">[18]</a> Velde, Cipriani & Fisher also state "<a href="/wiki/Florence_Nightingale" title="Florence Nightingale">Florence Nightingale</a> appreciated the benefits of pets in the treatment of individuals with illness." <div class="mw-heading mw-heading3"><h3 id="Examples_of_historical_uses">Examples of historical uses</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=3" title="Edit section: Examples of historical uses">edit</a>]</div> The US military promoted the use of dogs as a therapeutic intervention with psychiatric patients in 1919 at <a href="/wiki/St_Elizabeth%27s_Hospital" class="mw-redirect" title="St Elizabeth's Hospital">St Elizabeth's Hospital</a> in Washington, DC.<a href="#cite_note-19">[19]</a> <a href="/wiki/Sigmund_Freud" title="Sigmund Freud">Sigmund Freud</a> kept many dogs and often had his <a href="/wiki/Chow_Chow" title="Chow Chow">chow</a> Jofi present during his pioneering sessions of <a href="/wiki/Psychoanalysis" title="Psychoanalysis">psychoanalysis</a>. He noticed that the presence of the dog was helpful because the patient would find that their speech would not shock or disturb the dog and this reassured them and so encouraged them to relax and confide. This was most effective when the patient was a child or adolescent.<a href="#cite_note-20">[20]</a><a href="#cite_note-21">[21]</a> Increased recognition of the value of human–pet bonding was noted by <a href="/wiki/Boris_M._Levinson" title="Boris M. Levinson">Dr. Boris M. Levinson</a> in 1961.<a href="#cite_note-Velde,_B._P._2005-18">[18]</a> Levinson accidentally used animals in therapy with children when he left his dog alone with a nonverbal child, and upon returning, found the child talking to the dog.<a href="#cite_note-Reichert,_E._1998-22">[22]</a> <div class="mw-heading mw-heading2"><h2 id="Physiological_effects">Physiological effects</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=4" title="Edit section: Physiological effects">edit</a>]</div> <a href="/wiki/Edward_O._Wilson" class="mw-redirect" title="Edward O. Wilson">Edward O. Wilson</a>'s (1984) <a href="/wiki/Biophilia_hypothesis" title="Biophilia hypothesis">biophilia hypothesis</a> is based on the premise that our attachment to and interest in animals stems from the strong possibility that human survival was partly dependent on signals from animals in the environment indicating safety or threat.<a href="#cite_note-23">[23]</a> The biophilia hypothesis suggests that if we see animals at rest or in a peaceful state, this may signal to us safety, security and feelings of well-being which in turn may trigger a state where personal change and healing are possible. Six <a href="/wiki/Neurotransmitter" title="Neurotransmitter">neurotransmitters</a> that influence mood have been documented to release after a 15-minute or more interaction with animals.<a href="#cite_note-24">[24]</a> <a href="/wiki/Mirror_neuron" title="Mirror neuron">Mirror neuron activity</a> and disease-perception through <a href="/wiki/Olfaction" class="mw-redirect" title="Olfaction">olfactory</a> (smelling) ability in dogs may also play important roles in helping dogs connect with humans during therapeutic encounters.<a href="#cite_note-ReferenceB-10">[10]</a> Animal-assisted therapy has also been shown to have a positve impact on brain, neurochemical, and cardiovascular function. Interventions involving canines has been shown to decrease blood pressure, the stress hormones epinephrine and noepinephrine, and increase hormones associated with pleasure, like dopamine and oxytocin<a href="#cite_note-25">[25]</a> <div class="mw-heading mw-heading2"><h2 id="Medical_uses">Medical uses</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=5" title="Edit section: Medical uses">edit</a>]</div> Animals can be integrated into settings such as prisons, nursing homes, mental institutions,<a href="#cite_note-26">[26]</a><a href="#cite_note-27">[27]</a> and in the home.<a href="#cite_note-Beck-15">[15]</a><a href="#cite_note-28">[28]</a> The techniques used depend on the needs and condition of the patient. Assistance dogs can support certain life activities and help people navigate outside the home.<a href="#cite_note-Beck-15">[15]</a><a href="#cite_note-29">[29]</a> Assessing whether a program is effective as far as its outcomes are concerned is easier when the goals are clear and are able to be specified. There are a range of goals for animal-assisted therapy programs relevant to children and young people, including enhanced capacity to form positive relationships with others. It is understood that pets provide benefits to those with mental health conditions, but further research is required to test the nature and extent of this relationship with an animal as a pet and how it differs between pets, emotional support animals, service animals, and animal-assisted therapy.<a href="#cite_note-30">[30]</a> <div class="mw-heading mw-heading3"><h3 id="Cognitive_rehabilitation_treatment">Cognitive rehabilitation treatment</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=6" title="Edit section: Cognitive rehabilitation treatment">edit</a>]</div> <a href="/wiki/Acquired_brain_injury" title="Acquired brain injury">Acquired brain injury</a> survivors with <a href="/wiki/Cognitive_impairment" title="Cognitive impairment">cognitive impairments</a> can benefit from animal-assisted therapy as part of a comprehensive rehabilitation treatment plan.<a href="#cite_note-31">[31]</a> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Stella_at_school..jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b7/Stella_at_school..jpg/220px-Stella_at_school..jpg" decoding="async" width="220" height="215" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b7/Stella_at_school..jpg/330px-Stella_at_school..jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/b/b7/Stella_at_school..jpg 2x" data-file-width="413" data-file-height="404" /></a><figcaption>Pets may promote kindness in children.</figcaption></figure> <div class="mw-heading mw-heading3"><h3 id="Pediatric_care">Pediatric care</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=7" title="Edit section: Pediatric care">edit</a>]</div> Animals can be used as a distraction method when it comes to various situations or pain, and animals can also help bring happiness, pleasure, and entertainment to the pediatric population.<a href="#cite_note-:152-32">[32]</a> Animals can also help improve children's moods and reinforce positive behaviors while helping to decrease negative ones.<a href="#cite_note-:152-32">[32]</a> <div class="mw-heading mw-heading4"><h4 id="Behavioral_health">Behavioral health</h4>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=8" title="Edit section: Behavioral health">edit</a>]</div> Therapists rely on techniques such as monitoring a child's behavior with the animal, their tone of voice, and indirect interviewing.<a href="#cite_note-:152-32">[32]</a><a href="#cite_note-:22-33">[33]</a> Animal-assisted therapy can be used in children with mental health problems, as a stand-alone treatment, or along with conventional methods.<a href="#cite_note-:22-33">[33]</a> <div class="mw-heading mw-heading4"><h4 id="Hospital_setting">Hospital setting</h4>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=9" title="Edit section: Hospital setting">edit</a>]</div> Animal-assisted therapy (AAT) is used in hospital settings with children to try to improve their overall well-being and mood during their stay.<a href="#cite_note-:33-34">[34]</a><a href="#cite_note-35">[35]</a> Most commonly reported research results are decreased anxiety and pain within the pediatric population.<a href="#cite_note-:152-32">[32]</a><a href="#cite_note-36">[36]</a><a href="#cite_note-:33-34">[34]</a> One area of pediatric hospital care in which the use of AAT has been studied is <a href="/wiki/Magnetic_resonance_imaging" title="Magnetic resonance imaging">MRI</a> procedures which can trigger negative emotions in children, causing them to move and require procedural sedation.<a href="#cite_note-:02-37">[37]</a> After AAT intervention, the anxiety levels of the subjects decreased significantly when compared to controls.<a href="#cite_note-:02-37">[37]</a> Dogs have been shown to increase comfort and decrease pain in pediatric <a href="/wiki/Palliative_care" title="Palliative care">palliative care</a>.<a href="#cite_note-:16-38">[38]</a> Specific tactics have not been researched, but collective reviews of varied techniques displayed similar results of increased comfort reports by children and guardians.<a href="#cite_note-:16-38">[38]</a> Though <a href="/wiki/Meta-analysis" title="Meta-analysis">meta-analysis</a> has determined that children receiving AAT have seen a reduction in pain when compared to control groups, further quantitative research is needed to confirm this conclusion.<a href="#cite_note-39">[39]</a> <div class="mw-heading mw-heading4"><h4 id="Potential_risks">Potential risks</h4>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=10" title="Edit section: Potential risks">edit</a>]</div> Though AAT has existed and been in practice for decades, the lack of standardization creates potential risks for both the animals and humans involved.<a href="#cite_note-:43-40">[40]</a> As the use among pediatric populations continues to climb, another concern that has been raised about the use of animals in a hospital setting is the spread of germs.<a href="#cite_note-:17-41">[41]</a> Many children in hospital settings have weakened immune systems and are already at risk of contracting <a href="/wiki/Hospital-acquired_infection" title="Hospital-acquired infection">hospital-borne infections</a>. It has been found that both the patients and dogs participating in therapy experienced changes to their biome after their sessions.<a href="#cite_note-:17-41">[41]</a> Whether these changes pose a long-term benefit or risk has yet to be proven, and more in depth studies are needed to make this determination.<a href="#cite_note-:17-41">[41]</a> Additionally researchers are working to find an accurate way to determine the effects of AAT on both the service animal and the human participating in therapy.<a href="#cite_note-42">[42]</a> <div class="mw-heading mw-heading3"><h3 id="Prisons">Prisons</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=11" title="Edit section: Prisons">edit</a>]</div> Animal-assistance programs, such as <a href="/wiki/Cell_dog" title="Cell dog">cell dog</a> programs, may be useful in prisons to relieve stress of the inmates and workers, or to provide other benefits, but further study is needed to confirm the effectiveness of such programs in these settings.<a href="#cite_note-43">[43]</a> Internal file data reviews, anecdotal stories, and surveys of inmate and staff perceptions have been used to gauge the effectiveness of animal-assisted therapy in prisons, but these methods are limited and have resulted in an inadequate assessment.<a href="#cite_note-44">[44]</a><a href="#cite_note-45">[45]</a> Researchers have, however, begun to find methods of gauging the effectiveness of prison animal programs (PAPs) by using <a href="/wiki/Propensity_score_matching" title="Propensity score matching">Propensity Score Watching</a>. One study using this method found that PAPs positively impact reductions in severe or violent infractions. A reduction in offenses statistically may reduce <a href="/wiki/Recidivism" title="Recidivism">recidivism</a> rates and increase former inmate job marketability and societal reintegration.<a href="#cite_note-46">[46]</a> Training and being responsible for an animal can foster empathy, <a href="/wiki/Emotional_intelligence" title="Emotional intelligence">emotional intelligence</a>, communication, and self-control in inmates; however, the results of studies done so far must be taken with caution as the methodological quality of existing studies is limited.<a href="#cite_note-47">[47]</a> PAPs also benefit the animals involved as many come from situations where they faced abuse, neglect or potential euthanasia.<a href="#cite_note-48">[48]</a> <div class="mw-heading mw-heading3"><h3 id="Nursing_homes">Nursing homes</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=12" title="Edit section: Nursing homes">edit</a>]</div> The findings offer proof of the concept that canine-assisted therapies are feasible and can elicit positive quality-of-life experiences in institutionalized people with dementia.<a href="#cite_note-Wood_et_al_2017-49">[49]</a> Researchers and practitioners need to elucidate the theoretical foundations of animal-assisted therapies. The Lived Environment Life Quality Model may serve as a guide for client-centered, occupation-focused, and ecologically valid approaches to animal-assisted occupational therapy beyond people with dementia.<a href="#cite_note-Wood_et_al_2017-49">[49]</a> When elderly people are transferred to nursing homes or long-term care facilities, they often become passive, agitated, withdrawn, depressed, and inactive because of the lack of regular visitors or the loss of loved ones.<a href="#cite_note-Sutton-50">[50]</a> Supporters of animal-assisted therapy say that animals can be helpful in motivating the patients to be active mentally and physically, keeping their minds sharp and bodies healthy.<a href="#cite_note-AAT-11">[11]</a> A significant difference has been seen among verbal interactions among nursing home residents with a dog present.<a href="#cite_note-:2-3">[3]</a> Therapists or visitors who bring animals into their sessions at the nursing home are often viewed as less threatening, which increases the relationship between the therapist or visitor and patient.<a href="#cite_note-Marx-51">[51]</a> <div class="mw-heading mw-heading3"><h3 id="Occupational_therapy">Occupational therapy</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=13" title="Edit section: Occupational therapy">edit</a>]</div> Occupational therapists can use animal-assisted therapies to work on the child's motivation.<a href="#cite_note-Andreasen_1–17-52">[52]</a> Some <a href="/wiki/Occupational_therapy" title="Occupational therapy">occupational therapy</a> goals using animal-assisted therapies include improving attention skills, social skills, participation in play, self-esteem, and reducing anxiety, loneliness, and isolation.<a href="#cite_note-Andreasen_1–17-52">[52]</a> <div class="mw-heading mw-heading2"><h2 id="Types">Types</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=14" title="Edit section: Types">edit</a>]</div> Various animal species are used in animal-assisted therapy. Individual animals are evaluated with strict criteria before being used. The criteria include appropriate size, age, aptitude, typical behaviors and the correct level of training. The most commonly used species are dogs and horses. Research has been published on dolphin therapy.<a href="#cite_note-:1-53">[53]</a> <div class="mw-heading mw-heading3"><h3 id="Canine-assisted_therapy">Canine-assisted therapy</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=15" title="Edit section: Canine-assisted therapy">edit</a>]</div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">Main article: <a href="/wiki/Therapy_dog" title="Therapy dog">Therapy dog</a></div> In canine-assisted therapy, therapy dogs interact with patients in animal assisted interventions, to enhance therapeutic activities and well-being including the physical, cognitive, behavioral and socio-emotional functioning of clients.<a href="#cite_note-:4-54">[54]</a><a href="#cite_note-:0-55">[55]</a><a href="#cite_note-:3-56">[56]</a> Well-trained therapy dogs exhibit the behavior that human patients construe as friendly and welcoming.<a href="#cite_note-:3-56">[56]</a> They comfort patients via body contact.<a href="#cite_note-:0-55">[55]</a> Therapy dogs are also required to possess a calm temperament for accommodating the contact with unfamiliar clients while they serve as a source of comfort.<a href="#cite_note-:0-55">[55]</a> They promote patients engaging in interactions which can help patient improve motor skills and establish trusting relationship with others.<a href="#cite_note-57">[57]</a> The interaction between patients and therapy dogs also aids reducing stressful and anxious feelings patients have.<a href="#cite_note-:0-55">[55]</a> Due to those benefits, canine-assisted therapy is used as a complement to other therapies to treat diagnosis such as post-traumatic stress disorder, attention deficit hyperactivity disorder, autism spectrum disorder, and dementia.<a href="#cite_note-:4-54">[54]</a><a href="#cite_note-:3-56">[56]</a><a href="#cite_note-:0-55">[55]</a> Canine assistance can also be used in classroom for promoting the development of creative writing and living skills and the participation of children in group activities.<a href="#cite_note-:4-54">[54]</a> There are programs called canine-assisted reading programs which facilitate children with special educational needs. These programs utilize the calm, non-judgmental, happy characteristics of canines to let the process of reading become more meaningful and enjoyable for children. With these benefits, researchers suggest incorporating dogs into assisting learning and educational programs.<a href="#cite_note-:4-54">[54]</a> <div class="mw-heading mw-heading3"><h3 id="Dolphin_therapy">Dolphin therapy</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=16" title="Edit section: Dolphin therapy">edit</a>]</div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Main article: <a href="/wiki/Swimming_with_dolphins" title="Swimming with dolphins">Swimming with dolphins</a></div> Dolphin-assisted therapy refers to the controversial <a href="/wiki/Alternative_medicine" title="Alternative medicine">alternative medicine</a> practice of <a href="/wiki/Swimming_with_dolphins" title="Swimming with dolphins">swimming with dolphins</a>. This form of therapy has been strongly criticized as having no long-term benefit,<a href="#cite_note-MariLili-58">[58]</a> and being based on flawed observations.<a href="#cite_note-ReferenceA-59">[59]</a> Psychologists have cautioned that dolphin-assisted therapy is not known to be effective for any condition and that it presents considerable risks to both human patients and the captive dolphins.<a href="#cite_note-Science_Daily-60">[60]</a> The child has a one-on-one session with a therapist in a marine park.<a href="#cite_note-Humphries_2003-61">[61]</a> An ethical issue with data on dolphin-assisted therapy and the effectiveness of it is that most of the research is done by people who operate the dolphin-assisted therapy programs.<a href="#cite_note-Humphries_2003-61">[61]</a> <div class="mw-heading mw-heading3"><h3 id="Equine-related_therapy">Equine-related therapy</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=17" title="Edit section: Equine-related therapy">edit</a>]</div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Main article: <a href="/wiki/Equine-assisted_therapy" title="Equine-assisted therapy">Equine-assisted therapy</a></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Therapeutic_horseback_riding_2.JPG" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/8/8d/Therapeutic_horseback_riding_2.JPG/280px-Therapeutic_horseback_riding_2.JPG" decoding="async" width="280" height="210" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/8/8d/Therapeutic_horseback_riding_2.JPG/420px-Therapeutic_horseback_riding_2.JPG 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/8/8d/Therapeutic_horseback_riding_2.JPG/560px-Therapeutic_horseback_riding_2.JPG 2x" data-file-width="2288" data-file-height="1712" /></a><figcaption><a href="/wiki/Hippotherapy" class="mw-redirect" title="Hippotherapy">Hippotherapy</a> is promoted as a treatment for people with physical or mental challenges.</figcaption></figure> Equine-assisted therapy encompasses a range of treatments that involve activities with horses and other equines to promote human physical and mental health. Therapeutic riding is used by disabled individuals who ride horses to relax, and to develop muscle tone, coordination, confidence, and well-being.<a href="#cite_note-62">[62]</a> Equine-assisted psychotherapy (EAP) or Equine Facilitated Psychotherapy (EFP) is the use of equines to treat human psychological problems in and around an <a href="/wiki/Equestrian_facility" title="Equestrian facility">equestrian facility</a>. The existing body of evidence does not justify the promotion and use of equine-related treatments for mental disorders.<a href="#cite_note-anestis-63">[63]</a> <div class="mw-heading mw-heading3"><h3 id="Pig_therapy">Pig therapy</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=18" title="Edit section: Pig therapy">edit</a>]</div> Pigs have been used in various types of animal-assisted therapy to perform duties in facilities including airports,<a href="#cite_note-64">[64]</a><a href="#cite_note-65">[65]</a> hospitals,<a href="#cite_note-Thunderbolt-66">[66]</a> nursing homes,<a href="#cite_note-67">[67]</a> and special-needs schools, or as emotional support animals for individuals with conditions such as autism or anxiety<a href="#cite_note-68">[68]</a> and veterans with PTSD.<a href="#cite_note-69">[69]</a> Two well-known <a href="/wiki/Miniature_pig" title="Miniature pig">miniature pigs</a> named <a href="/wiki/Thunder_and_Bolt" title="Thunder and Bolt">Thunder and Bolt</a> trained by children to certified animal therapy status have been put to work in a number of nursing homes, schools and a hospital.<a href="#cite_note-Thunderbolt-66">[66]</a> <div class="mw-heading mw-heading3"><h3 id="Therapy_with_other_animals">Therapy with other animals</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=19" title="Edit section: Therapy with other animals">edit</a>]</div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">See also: <a href="/wiki/Therapy_cat" class="mw-redirect" title="Therapy cat">Therapy cat</a></div> Llamas are also used in therapy.<a href="#cite_note-Ettinger2020-70">[70]</a> For patients that have allergies to animals that have fur, snakes have been used to provide emotional support.<a href="#cite_note-Ettinger2020-70">[70]</a> <div class="mw-heading mw-heading2"><h2 id="Effectiveness">Effectiveness</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=20" title="Edit section: Effectiveness">edit</a>]</div> Based on current research, there are many conditions that can benefit from animal-assisted therapy in diverse settings around the world. Those conditions include psychological disorder, developmental disorder, dementia, chronic pain, advanced heart failure, etc.<a href="#cite_note-:0-55">[55]</a><a href="#cite_note-:1-53">[53]</a> Animal-assisted therapy is commonly used for psychological disorders. Attention deficit hyperactivity disorder, autism spectrum disorder, post-traumatic stress disorder, and major depressive disorder are among the psychological disorders that can benefit from animal-assisted therapy.<a href="#cite_note-:22-33">[33]</a><a href="#cite_note-:3-56">[56]</a><a href="#cite_note-:0-55">[55]</a><a href="#cite_note-:1-53">[53]</a> In recent decades, an increased amount of research indicates the social, psychological, and physiological benefits of animal-assisted therapy in the fields of health and education.<a href="#cite_note-:4-54">[54]</a> Although the effectiveness of animal-assisted therapy is still unclear due to the lack of clarity regarding the degree to which the animal itself contributes in the recovery process,<a href="#cite_note-:0-55">[55]</a> there is a growing awareness that the therapy may be effective in treating attention deficit hyperactivity disorder, post-traumatic stress disorder, autism spectrum disorder, and dementia.<a href="#cite_note-71">[71]</a><a href="#cite_note-72">[72]</a><a href="#cite_note-73">[73]</a> <div class="mw-heading mw-heading3"><h3 id="Attention_deficit_hyperactivity_disorder">Attention deficit hyperactivity disorder</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=21" title="Edit section: Attention deficit hyperactivity disorder">edit</a>]</div> Children with <a href="/wiki/Attention_deficit_hyperactivity_disorder" title="Attention deficit hyperactivity disorder">attention deficit hyperactivity disorder</a> (ADHD) may decrease behavioral issues and improve socialization skills with the intervention of animal-assisted therapy. Compared to children who received only cognitive-behavioral therapy, children who received both canine-assisted therapy and cognitive-behavioral therapy had reduced severity of ADHD symptoms.<a href="#cite_note-:22-33">[33]</a><a href="#cite_note-:3-56">[56]</a><a href="#cite_note-:0-55">[55]</a><a href="#cite_note-:1-53">[53]</a> However, the dog-assisted therapy did not relieve symptoms in long-term treatment.<a href="#cite_note-:3-56">[56]</a> <div class="mw-heading mw-heading3"><h3 id="Post-traumatic_stress_disorder">Post-traumatic stress disorder</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=22" title="Edit section: Post-traumatic stress disorder">edit</a>]</div> <a href="/wiki/Post-traumatic_stress_disorder" title="Post-traumatic stress disorder">Post-traumatic stress disorder</a> (PTSD) is a psychological disorder affects people's mental health and has varying severity and forms.<a href="#cite_note-:0-55">[55]</a><a href="#cite_note-:6-2">[2]</a>[<a href="/wiki/Wikipedia:Citing_sources" title="Wikipedia:Citing sources">page needed</a>] It is often difficult to treat due to high drop-out rates and low responses to traditional psycho-therapeutic approaches and interventions.<a href="#cite_note-:7-7">[7]</a> Animals have both direct and indirect effects on a mental health spectrum including biological, psychological, and social responses,<a href="#cite_note-:6-2">[2]</a> further targeting marked symptoms of post-traumatic stress disorder (i.e., re-experiencing, avoidance, changes in beliefs/feelings, and hyperarousal). Direct effects of animals include a decrease in anxiety and blood pressure while indirect effects result in increased social interactions and overall participation in everyday activities.<a href="#cite_note-:6-2">[2]</a> Biologically, specific chemicals are released when observing human and animal interactions.<a href="#cite_note-:6-2">[2]</a> Similarly, dog assistance can potentially mediate <a href="/wiki/Oxytocin" title="Oxytocin">oxytocin</a> which effects social and physical well-being and decrease blood pressure.<a href="#cite_note-74">[74]</a>[<a href="/wiki/Wikipedia:Please_clarify" title="Wikipedia:Please clarify">clarification needed</a>] The psychological benefits of animals focus mainly on dog and human interactions, the reduction of anxiety and depressive symptoms, and increased resilience.<a href="#cite_note-:6-2">[2]</a> Animals in this capacity can further provide emotional and psychological assistance and support, addressing several of the disorder's symptoms.<a href="#cite_note-:6-2">[2]</a><a href="#cite_note-:9-6">[6]</a> The presence of an animal can alleviate intrusion symptoms by providing a reminder that there is no danger present.<a href="#cite_note-:9-6">[6]</a> Animals can further elicit positive emotions, targeting emotional numbing experiences.<a href="#cite_note-:9-6">[6]</a> Animal interactions also provide social benefits, providing companionship and alleviate feelings of loneliness and isolation through everyday routines and increased social interactions in public.<a href="#cite_note-:6-2">[2]</a><a href="#cite_note-:9-6">[6]</a> The incorporation and involvement of animals dates back to the earliest forms of organized combat.<a href="#cite_note-:6-2">[2]</a> Dogs, in particular, were utilized in different capacities.<a href="#cite_note-:6-2">[2]</a> Ancient armies employed dogs as soldiers and companions which extended to modern combat including dogs as a crucial asset in communication, detection, and intimidation.<a href="#cite_note-:6-2">[2]</a> While a range of animals can be utilized, dogs and horses have been the principal species studied in practice.<a href="#cite_note-:6-2">[2]</a> Dog-assisted therapy and therapeutic horseback riding are non-invasive methods for treating post-traumatic stress disorder in veterans.<a href="#cite_note-75">[75]</a> Canines can easily integrate into a multitude of environments, are highly responsive to humans, and are very intelligent.<a href="#cite_note-76">[76]</a>[<a href="/wiki/Wikipedia:Citing_sources" title="Wikipedia:Citing sources">page needed</a>] For those reasons, dogs are the species most commonly used in interventions.<a href="#cite_note-:10-8">[8]</a> Dogs are typically categorized according to the level of training received and the specific needs of the individual.<a href="#cite_note-:10-8">[8]</a> A service dog provides relief through specialized support related to a physical, mental, or psychological disability.<a href="#cite_note-:11-77">[77]</a> Emotional support animals solely provide psychological relief and do not require specialized training.<a href="#cite_note-:11-77">[77]</a> Therapy animals often provide additional support in a therapeutic environment by supporting counselors or therapists in their therapeutic duties.<a href="#cite_note-:11-77">[77]</a> While service dogs, emotional support animals, and therapy dogs can support the diverse symptoms that veterans, specifically bred and selected post-traumatic stress disorder service dogs, are trained and assigned to veterans with the disorder to support with daily life activities <a href="#cite_note-van_Houtert_1518199-78">[78]</a> as well as with emotional and mental health needs.<a href="#cite_note-:6-2">[2]</a> Dogs provide subjective positive effects to veterans and serve as a compassionate reminder to veterans with post-traumatic stress disorder that danger is not present, creating a safe space for the veteran.<a href="#cite_note-:7-7">[7]</a> They are often sensitive to humans and have the ability to adapt their behavior accordingly by doing tasks such as preventing panic, waking a veteran from a nightmare, and nudging to help the veteran "stay in the present".<a href="#cite_note-:12-79">[79]</a> Dogs provide veterans with a nonjudgmental and safe environment that can help a veteran express feelings and process thoughts without interruption, criticism or advice.<a href="#cite_note-:13-80">[80]</a> Interactions, such as petting, playing and walking, with the dog can increase physical activity, reduce anxiety, and provide encouragement to stay in the present moment.<a href="#cite_note-:13-80">[80]</a> The interaction between dog and veterans supports social interactions for isolated veterans, reduces symptoms associated with the disorder such as depression and anxiety, and increases veterans' calmness.<a href="#cite_note-81">[81]</a>[<a href="/wiki/Wikipedia:Please_clarify" title="Wikipedia:Please clarify">clarification needed</a>] Similar to dogs, horses have been included in the treatment of veterans with post-traumatic stress disorder<a href="#cite_note-:10-8">[8]</a> by providing an accepting and nonjudgmental environment,<a href="#cite_note-:8-82">[82]</a> which further facilitates a veterans' ability to cope with symptoms.<a href="#cite_note-:8-82">[82]</a> Because horses are social animals, they are capable of creating and responding to relationships based on the veteran's energy, providing an opportunity for veterans to regain the ability to form trusting relationships.<a href="#cite_note-83">[83]</a> Therapeutic work with horses varies from ground-based activities, mounted activities, or a combination of both.<a href="#cite_note-:10-8">[8]</a> In the therapeutic context, horses can promote cognitive reframing as well as an increase in the use of mindfulness practice.<a href="#cite_note-:8-82">[82]</a> While there is limited research and standardized instruments to measure the effects, veterans who have participated in pilot programs have better communication skills, self-awareness, and self-esteem,<a href="#cite_note-:8-82">[82]</a> promoting safety and support during the transition into civilian life.<a href="#cite_note-:14-84">[84]</a> Long-term effects of equine-based interventions with veterans include increased happiness, social support, and better sleep hygiene<a href="#cite_note-:10-8">[8]</a> because they are able to process information regarding their emotions and behaviors in a nonjudgmental space.<a href="#cite_note-:14-84">[84]</a> While animal-assisted interventions may be effective, it is not yet verified due to limited research.<a href="#cite_note-:7-7">[7]</a> Animal-assisted interventions can be challenging to study. Because of lack of effective resources, most studies are limited to small sample sizes which prevents genralizing results over a larger population. <a href="#cite_note-:8-82">[82]</a> Furthermore, there is often a lack of randomization and a lack of information about sample representativeness that prevents widespread application. <a href="#cite_note-:12-79">[79]</a> Hospital-based animal-assisted therapy programs may present a slight risk of pathogen transmission, but further research is needed.<a href="#cite_note-85">[85]</a> Post-traumatic stress disorder in sexual assault survivors <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Rape_trauma_syndrome" title="Rape trauma syndrome">Rape trauma syndrome</a></div> The disorder can develop when a person experiences a sexual assault or rape.<a href="#cite_note-86">[86]</a><a href="#cite_note-87">[87]</a> Sexual assault is the leading cause of post-traumatic stress disorder in women; an estimated 50% of women who were sexually assaulted develop the condition.<a href="#cite_note-88">[88]</a> Animal-assisted therapy can be an effective in treating the trauma for survivors of sexual assault.<a href="#cite_note-89">[89]</a> The presence of dogs have been shown to improve communication between the survivor and the therapist and to decrease survivors' anxiety and fear-responses.<a href="#cite_note-90">[90]</a> Animal-assisted therapy increases social interaction for those with the disorder.<a href="#cite_note-91">[91]</a> Studies show that animal-assisted therapy leads to an overall reduction of symptoms including anger, depression, and dissociation in survivors of sexual assault.<a href="#cite_note-92">[92]</a> Animal-assisted therapy has also been shown to reduce problem behavior and improves overall behavioral functioning for children survivors of sexual assault.<a href="#cite_note-93">[93]</a> Further research is needed to show the effectiveness of animal-assisted interventions in treating post-traumatic stress disorder for sexual assault survivors across varying demographics. Limitations in current research include small sample sizes and reliance on anecdotal evidence. <div class="mw-heading mw-heading3"><h3 id="Autism_spectrum_disorder">Autism spectrum disorder</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=23" title="Edit section: Autism spectrum disorder">edit</a>]</div> Animal-assisted therapy may reduce the symptoms of <a href="/wiki/Autism_spectrum" class="mw-redirect" title="Autism spectrum">autism spectrum disorder</a> such as aggressiveness, irritability, difficulty concentrating, and hyperactivity.<a href="#cite_note-:22-33">[33]</a> In one review,<a href="#cite_note-:22-33">[33]</a> five out of nine studies reviewed showed positive effects of therapeutic horseback riding on children with autism spectrum disorder. Canine-assisted intervention provides a calmer environment by reducing the stress, irritation, and anxiety that children with autism spectrum disorder experience.<a href="#cite_note-:1-53">[53]</a><a href="#cite_note-:5-94">[94]</a> Playing with dogs increases positive mood in children with autism spectrum disorder.<a href="#cite_note-:5-94">[94]</a> Animals also can serve as a social catalyst. In the presence of animals, children with autism spectrum disorder are more likely to engage in social interactions with humans.<a href="#cite_note-:5-94">[94]</a> However, the impact of animal-assisted therapy upon parent–child interaction is not clear.<a href="#cite_note-:22-33">[33]</a> <div class="mw-heading mw-heading3"><h3 id="Dementia">Dementia</h3>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=24" title="Edit section: Dementia">edit</a>]</div> Animal-assisted therapy encourages expressions of emotions and cognitive stimulation through discussions and reminiscing of memories while the patient bonds with the animal. Studies have found that animal-assisted therapies (particularly using dogs) resulted in measurable quality of life improvements for patients with <a href="/wiki/Dementia" title="Dementia">dementia</a>.<a href="#cite_note-Wood_et_al_2017-49">[49]</a> Patients with dementia were also found to improve their social interactions and their scores on the Cohen-Mansfield Agitation Inventory.<a href="#cite_note-95">[95]</a> Animal-assisted therapy has been shown to slightly reduce depressive symptoms in people with dementia in a 2019 <a href="/wiki/Systematic_review" title="Systematic review">systematic review</a>.<a href="#cite_note-96">[96]</a> <div class="mw-heading mw-heading2"><h2 id="Limitations">Limitations</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=25" title="Edit section: Limitations">edit</a>]</div> There is limited scientific research on the use of the therapy among adults who have been sexually assaulted. While animals do tend to comfort survivors, animal therapy may not be the catalyst that provides positive success in therapy sessions. As mentioned above, adults tend not to focus as much on having an animal companion, and therefore, animal therapy cannot be attributed as the reason for success in those types of therapy sessions.<a href="#cite_note-97">[97]</a> There are some ethical concerns that arise when applying animal therapy to younger survivors of sexual assault. For example, if a child is introduced to an animal that is not their pet, the application of animal therapy can cause some concerns. First of all, some children may not be comfortable with animals or may be frightened which could be avoided by asking permission to use animals in therapy. Second, a special bond is created between animal and child during animal therapy. Therefore, if the animal in question does not belong to the child, there may be some negative side effects when the child discontinues therapy. The child will have become attached to the animal, which does raise some ethical issues as far as subjecting a child to the disappointment and possible relapse that can occur after therapy discontinues.<a href="#cite_note-98">[98]</a> It is unclear to what degree the animal itself contributes in the recovery process.<a href="#cite_note-:0-55">[55]</a> There are some concerns specific to dolphin-assisted therapy: First, it is potentially hazardous to the human patients, and it is harmful to the dolphins themselves; by taking dolphins out of their natural environment and putting them in captivity for therapy can be hazardous to their well-being.<a href="#cite_note-Science_Daily-60">[60]</a> Second, dolphin-assisted therapy has been strongly criticized as having no long-term benefit,<a href="#cite_note-MariLili-58">[58]</a> and being based on flawed observations.<a href="#cite_note-ReferenceA-59">[59]</a> Third, psychologists have cautioned that dolphin-assisted therapy is not effective for any known condition.<a href="#cite_note-Science_Daily-60">[60]</a> There are concerns that people may become dependent on the animal and could interfere with the recovery process for PTSD.<a href="#cite_note-99">[99]</a> People may feel as though they cannot do things on their own without the presence of the animal. <div class="mw-heading mw-heading2"><h2 id="Ethical_concerns">Ethical concerns</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=26" title="Edit section: Ethical concerns">edit</a>]</div> Though AAT has existed and been in practice for decades, the lack of standardization creates potential risks for both the animals and humans involved.<a href="#cite_note-:43-40">[40]</a> Due to the unclear structural guidelines on the use of animals in therapeutic settings, possible impacts to the animal include stress, injury, and health complications.<a href="#cite_note-:43-40">[40]</a><a href="#cite_note-:422-100">[100]</a> Research has shown that despite quality guidelines in place to ensure the health of the therapy animal, there are reports of negative interactions between human participant and therapy dogs.<a href="#cite_note-:422-100">[100]</a><a href="#cite_note-:632-101">[101]</a> These reports include mistreating and teasing the dogs by patients and staff at locations in which therapy is hosted.<a href="#cite_note-:422-100">[100]</a> In studies conducted, people with certain disabilities had to be excluded from the experiment due to increase in the stress of the therapy dog, and ultimately decline in overall well-being.<a href="#cite_note-:422-100">[100]</a> There is a question as to whether bringing animals into AAT settings where the client has a history of violence is ethical, or if the benefit outweighs the risk.<a href="#cite_note-:43-40">[40]</a> Equine-assisted therapy showed a need for more studies of equine behavior to obtain an understanding of stress signals from horses.<a href="#cite_note-:632-101">[101]</a> Through understanding the stress signals shown by horses, a safe and healthy experience during the therapy session can be held, by allowing handlers to minimize stress.<a href="#cite_note-:632-101">[101]</a> For therapy animals limited time for rest, multiple sessions, and long duration of sessions were linked to higher stress.<a href="#cite_note-:422-100">[100]</a><a href="#cite_note-:632-101">[101]</a><a href="#cite_note-:32-102">[102]</a><a href="#cite_note-:52-103">[103]</a> Assessing animals for signs of fatigue and stress can prevent negative experience for both humans and animals involved.<a href="#cite_note-:422-100">[100]</a><a href="#cite_note-:32-102">[102]</a><a href="#cite_note-:632-101">[101]</a><a href="#cite_note-:52-103">[103]</a> Animals used should be limited to a specific duration and number of sessions, as well as given access to proper environmental conditions, food, water, and rest.<a href="#cite_note-:422-100">[100]</a><a href="#cite_note-:632-101">[101]</a> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=27" title="Edit section: See also">edit</a>]</div> <style data-mw-deduplicate="TemplateStyles:r1184024115">.mw-parser-output .div-col{margin-top:0.3em;column-width:30em}.mw-parser-output .div-col-small{font-size:90%}.mw-parser-output .div-col-rules{column-rule:1px solid #aaa}.mw-parser-output .div-col dl,.mw-parser-output .div-col ol,.mw-parser-output .div-col ul{margin-top:0}.mw-parser-output .div-col li,.mw-parser-output .div-col dd{page-break-inside:avoid;break-inside:avoid-column}</style><div class="div-col" style="column-width: 22em;"> <ul><li><a href="/wiki/Animal_cognition" title="Animal cognition">Animal cognition</a></li> <li><a href="/wiki/Animal_consciousness" title="Animal consciousness">Animal consciousness</a></li> <li><a href="/wiki/Care_farming" title="Care farming">Care farming</a></li> <li><a href="/wiki/Classroom_pet" title="Classroom pet">Classroom pet</a></li> <li><a href="/wiki/Emotional_support_animal" title="Emotional support animal">Emotional support animal</a></li> <li><a href="/wiki/Human-canine_bond" class="mw-redirect" title="Human-canine bond">Human-canine bond</a></li> <li><a href="/wiki/Service_animal" title="Service animal">Service animal</a></li> <li><a href="/wiki/Service_dog" class="mw-redirect" title="Service dog">Service dog</a></li> <li><a href="/wiki/Therapy_cat" class="mw-redirect" title="Therapy cat">Therapy cat</a></li> <li><a href="/wiki/Therapy_dog" title="Therapy dog">Therapy dog</a></li></ul></div> <div class="mw-heading mw-heading2"><h2 id="References">References</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=28" title="Edit section: References">edit</a>]</div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output 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title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Physiology+%26+Behavior&rft.atitle=The+influence+of+human+interaction+on+guinea+pigs%3A+Behavioral+and+thermographic+changes+during+animal-assisted+therapy&rft.volume=225&rft.pages=113076&rft.date=2020-10-15&rft_id=info%3Adoi%2F10.1016%2Fj.physbeh.2020.113076&rft_id=info%3Apmid%2F32673619&rft.aulast=Wirth&rft.aufirst=S&rft.au=Gebhardt-Henrich%2C+SG&rft.au=Riemer%2C+S&rft.au=Hattendorf%2C+J&rft.au=Zinsstag%2C+J&rft.au=Hediger%2C+K&rft_id=https%3A%2F%2Fdoi.org%2F10.1016%252Fj.physbeh.2020.113076&rfr_id=info%3Asid%2Fen.wikipedia.org%3AAnimal-assisted+therapy" class="Z3988"> </li> </ol></div> <div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2>[<a href="/w/index.php?title=Animal-assisted_therapy&action=edit&section=29" title="Edit section: External links">edit</a>]</div> <ul><li><a href="/wiki/File:Commons-logo.svg" class="mw-file-description"><img alt="" src="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/12px-Commons-logo.svg.png" decoding="async" width="12" height="16" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/18px-Commons-logo.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/24px-Commons-logo.svg.png 2x" data-file-width="1024" data-file-height="1376" /></a> Media related to <a href="https://commons.wikimedia.org/wiki/Category:Animal-assisted_therapy" class="extiw" title="commons:Category:Animal-assisted therapy">Animal-assisted therapy</a> at Wikimedia Commons</li> <li><a rel="nofollow" class="external text" href="https://www.animallaw.info/topic/table-state-assistance-animal-laws">Assistance Animal State Laws</a> - Michigan State University</li> <li><a rel="nofollow" class="external text" href="https://www.tsa.gov/travel/special-procedures">Disabilities and Medical Conditions</a> - TSA (Transport Security Administration)</li> <li>Skloot, Rebecca (December 31, 2008) <a rel="nofollow" class="external text" href="https://www.nytimes.com/2009/01/04/magazine/04Creatures-t.html">"Creature Comforts"</a>, <a href="/wiki/The_New_York_Times" title="The New York Times">The New York Times</a></li> <li><a rel="nofollow" class="external text" href="https://medicinehorse.org">Medicine Horse</a></li></ul> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1129693374">.mw-parser-output .hlist dl,.mw-parser-output .hlist ol,.mw-parser-output .hlist ul{margin:0;padding:0}.mw-parser-output .hlist dd,.mw-parser-output .hlist dt,.mw-parser-output .hlist li{margin:0;display:inline}.mw-parser-output .hlist.inline,.mw-parser-output .hlist.inline dl,.mw-parser-output .hlist.inline ol,.mw-parser-output .hlist.inline ul,.mw-parser-output .hlist dl dl,.mw-parser-output .hlist dl ol,.mw-parser-output .hlist dl ul,.mw-parser-output .hlist ol dl,.mw-parser-output .hlist ol ol,.mw-parser-output .hlist ol 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title="Laboratory animal">Laboratory animal</a></li> <li><a href="/wiki/Livestock" title="Livestock">Livestock</a></li> <li><a href="/wiki/Pack_animal" title="Pack animal">Pack animal</a></li> <li><a href="/wiki/Pet" title="Pet">Pet</a></li> <li><a href="/wiki/Equestrianism" title="Equestrianism">Equestrianism</a></li> <li><a href="/wiki/Service_animal" title="Service animal">Service animal</a></li> <li><a class="mw-selflink selflink">Animal-assisted therapy</a></li> <li><a href="/wiki/Working_animal" title="Working animal">Working animal</a></li></ul> </div></td><td class="noviewer navbox-image" rowspan="2" style="width:1px;padding:0 0 0 2px"><div><a href="/wiki/File:Capitoline_she-wolf_Musei_Capitolini_MC1181.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/a/aa/Capitoline_she-wolf_Musei_Capitolini_MC1181.jpg/100px-Capitoline_she-wolf_Musei_Capitolini_MC1181.jpg" decoding="async" width="100" height="75" class="mw-file-element" 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