abusive tickling is capable of provoking extreme physiological reactions in the victim, such as vomiting, urinary incontinence, and losing consciousness due to inability to breathe. There is currently no evidence that tickle torture was ever widespread or was practiced by governments. The very small amount of related documentation discovered thus far originates from England and the United States. A 1903 article described an immobilized suicidal patient at the Hudson River State Hospital who was tied to a bed for his own safety. While he lay helpless, the patient's feet were tickled by one of the hospital attendants, Frank A. Sanders. "Sanders is said to have confessed that while intoxicated he amused himself by tickling the feet and ribs of Hayes and pulling his nose." Sanders also gave his restrained victim a black eye. Another hospital employee came upon Sanders while he was entertaining himself at his patient's expense, and the criminal was brought before a grand jury. An 1887 article entitled "England in Old Times" states, "Gone, too, are the parish stocks, in which male offenders against public morality formerly sat imprisoned, with their legs held fast beneath a heavy wooden yoke, while sundry small but fiendish boys improved the occasion by deliberately pulling off their shoes and tickling the soles of the men’s defenseless feet." Other uses and meanings The term tickle torture can apply to many different situations that do not include the aforementioned acts of either sexual gratification or malicious torture. A common form of tickle torture is tickling being used by siblings as an alternative of using outright violence to attempt to dominate each other or settle disputes. Tickle torture can be an extended act of tickling where the recipient of the tickling would view it as a long time or tickling of an intense nature. This can be due to the length of time they are tickled, the intensity of the tickling or the areas that are being tickled. This can simply be a 30-second tickle applied to the victim's bare feet, which can seem like a much longer time if the victim's feet are very ticklish. While the palm of the hand is far more sensitive to touch, other commonly ticklish areas include the armpits, sides of the torso, neck, knee, midriff, thighs, navel, and the ribs. Many people consider the soles of their feet the most ticklish, due to the many nerve endings