Spiritual healing is usually conducted by a fully clothed healer and recipient and often the healer will not touch the recipient, or if they do, usually it will be very light touch on the shoulder areas only. The spiritual healer is a medium, receiving and channelling universal energy and caring love usually non verbally, to the recipient over the course of 15 to 30 minutes, sometimes more. Healing can also be sent while the recipient is not in attendance. Called ‘absent’ healing or ‘distant’ healing, this can also be powerfully regenerating. Usually permission is asked before absent healing is sent to a recipient, if the recipient cannot give permission, such as a baby, comatose patient, animal, etc., permission is assumed and healing sent ‘for the highest good’.