Modern hypnotherapy is widely accepted for the treatment of certain habit disorders, to control irrational fears, as well as in the treatment of conditions such as insomnia and addiction. Hypnosis has also been used to enhance recovery from non-psychological conditions such as after surgical procedures, in breast cancer care and even with gastro-intestinal problems, including IBS.
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The central theoretical disagreement regarding hypnosis is known as the "state versus nonstate" debate. When Braid introduced the concept of hypnotism, he equivocated over the nature of the "state", sometimes describing it as a specific sleep-like neurological state comparable to animal hibernation or yogic meditation, while at other times he emphasised that hypnotism encompasses a number of different stages or states that are an extension of ordinary psychological and physiological processes. Overall, Braid appears to have moved from a more "special state" understanding of hypnotism toward a more complex "nonstate" orientation.
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“Each unhealthy current behavior, such as smoking, losing one’s temper, excessive alcohol consumption, or compulsive overeating has a chain of events that laid the foundation for all of our current unhealthy choices. Through the ‘memory chip’ that has been laid down in the subconscious mind, we can trace back the experiences and subconscious decisions we made as children that may be leading us to the behavior that is no longer healthy for us.”
Braid made a rough distinction between different stages of hypnosis, which he termed the first and second conscious stage of hypnotism; he later replaced this with a distinction between "sub-hypnotic", "full hypnotic", and "hypnotic coma" stages. Jean-Martin Charcot made a similar distinction between stages which he named somnambulism, lethargy, and catalepsy. However, Ambroise-Auguste Liébeault and Hippolyte Bernheim introduced more complex hypnotic "depth" scales based on a combination of behavioural, physiological, and subjective responses, some of which were due to direct suggestion and some of which were not. In the first few decades of the 20th century, these early clinical "depth" scales were superseded by more sophisticated "hypnotic susceptibility" scales based on experimental research. The most influential were the Davis–Husband and Friedlander–Sarbin scales developed in the 1930s. André Weitzenhoffer and Ernest R. Hilgard developed the Stanford Scale of Hypnotic Susceptibility in 1959, consisting of 12 suggestion test items following a standardised hypnotic eye-fixation induction script, and this has become one of the most widely referenced research tools in the field of hypnosis. Soon after, in 1962, Ronald Shor and Emily Carota Orne developed a similar group scale called the Harvard Group Scale of Hypnotic Susceptibility (HGSHS).
Ernest Hilgard, who developed the "neodissociation" theory of hypnotism, hypothesized that hypnosis causes the subjects to divide their consciousness voluntarily. One part responds to the hypnotist while the other retains awareness of reality. Hilgard made subjects take an ice water bath. None mentioned the water being cold or feeling pain. Hilgard then asked the subjects to lift their index finger if they felt pain and 70% of the subjects lifted their index finger. This showed that, even though the subjects were listening to the suggestive hypnotist, they still sensed the water's temperature.
Something I hear a lot from clients is, "I've tried everything, but I just feel hopeless." Another client I worked with suffered from Irritable Bowel Syndrome (IBS) for several years. She also struggled with her weight as she tried to find the source of what was causing the pain she had suffered daily. Her motivation and mood were at an all time low, and she was almost at the point where she had given up hope.
Finally, the neural underpinnings of PHA will be even clearer when we incorporate its most important aspect in imaging studies—the dissociation between implicit and explicit memory. In PHA (and in functional amnesia) the person is unable to explicitly recall certain information, yet we see evidence of this material on implicit measures. For instance, a participant given PHA may fail to recall the word “doctor,” learned earlier, but will have no trouble completing the word fragment “d _ _ t _ r”. Mendelsohn et al. did not assess implicit memory. Rather, they tested recognition, which in a sense confounds explicit and implicit memory. We’d like to compare brain scans of a PHA group trying to explicitly recall the movie (they should show reduced activation, as above) with brain scans of the same group completing an implicit memory measure of the movie (they should show normal activation). This would be tricky to do—implicit measures of complex material such as movies and autobiographical memories are hard to find or construct. But it would contribute to a more complete neural picture of the processes involved in these fascinating forms of forgetting.
The term "hypnosis" comes from the ancient Greek word ὕπνος hypnos, "sleep", and the suffix -ωσις -osis, or from ὑπνόω hypnoō, "put to sleep" (stem of aorist hypnōs-) and the suffix -is. The words "hypnosis" and "hypnotism" both derive from the term "neuro-hypnotism" (nervous sleep), all of which were coined by Étienne Félix d'Henin de Cuvillers in 1820. These words were popularized in English by the Scottish surgeon James Braid (to whom they are sometimes wrongly attributed) around 1841. Braid based his practice on that developed by Franz Mesmer and his followers (which was called "Mesmerism" or "animal magnetism"), but differed in his theory as to how the procedure worked.
That's not to say that hypnotherapy is a "quick fix." Unfortunately there is no magic wand, no miracle cure, and if I could just click my fingers and change lives then believe me, I'd be a lot richer! Hypnotherapy is something that we, my client and I, do together — they commit to their intentions and I give them the metaphorical assistance they need.
Pierre Janet (1859–1947) reported studies on a hypnotic subject in 1882. Charcot subsequently appointed him director of the psychological laboratory at the Salpêtrière in 1889, after Janet had completed his PhD, which dealt with psychological automatism. In 1898, Janet was appointed psychology lecturer at the Sorbonne, and in 1902 he became chair of experimental and comparative psychology at the Collège de France. Janet reconciled elements of his views with those of Bernheim and his followers, developing his own sophisticated hypnotic psychotherapy based upon the concept of psychological dissociation, which, at the turn of the century, rivalled Freud's attempt to provide a more comprehensive theory of psychotherapy.
To investigate the effectiveness of cognitive hypnotherapy (CH), hypnosis combined with cognitive-behavioral therapy (CBT), on depression, 84 depressives were randomly assigned to 16 weeks of treatment of either CH or CBT alone. At the end of treatment, patients from both groups significantly improved compared to baseline scores. However, the CH group produced significantly larger changes in Beck Depression Inventory, Beck Anxiety Inventory, and Beck Hopelessness Scale. Effect size calculations showed that the CH group produced 6%, 5%, and 8% greater reduction in depression, anxiety, and hopelessness, respectively, over and above the CBT group. The effect size was maintained at 6-month and 12-month follow-ups. This study represents the first controlled comparison of hypnotherapy with a well-established psychotherapy for depression, meeting the APA criteria for a "probably efficacious" treatment for depression.
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The British Psychological Society commissioned a working group to survey the evidence and write a formal report on hypnotherapy in 2001. They found, “Enough studies have now accumulated to suggest that the inclusion of hypnotic procedures may be beneficial in the management and treatment of a wide range of conditions and problems encountered in the practice of medicine, psychiatry and psychotherapy.”
In this state, you are also highly suggestible. That is, when the hypnotist tells you do something, you'll probably embrace the idea completely. This is what makes stage hypnotist shows so entertaining. Normally reserved, sensible adults are suddenly walking around the stage clucking like chickens or singing at the top of their lungs. Fear of embarrassment seems to fly out the window. The subject's sense of safety and morality remain entrenched throughout the experience, however. A hypnotist can't get you to do anything you don't want to do.
The hypnotized individual appears to heed only the communications of the hypnotist and typically responds in an uncritical, automatic fashion while ignoring all aspects of the environment other than those pointed out by the hypnotist. In a hypnotic state an individual tends to see, feel, smell, and otherwise perceive in accordance with the hypnotist's suggestions, even though these suggestions may be in apparent contradiction to the actual stimuli present in the environment. The effects of hypnosis are not limited to sensory change; even the subject's memory and awareness of self may be altered by suggestion, and the effects of the suggestions may be extended (posthypnotically) into the subject's subsequent waking activity.
It is used for a wide variety of applications, and studies into its efficacy are often of poor quality which makes it difficult to determine efficacy. Several recent meta-analyses and systematic reviews of the literature on various conditions have concluded that the efficacy of hypnotherapy is "not verified", that there is no evidence or insufficient evidence for efficacy.