At first, Freud was an enthusiastic proponent of hypnotherapy. He "initially hypnotised patients and pressed on their foreheads to help them concentrate while attempting to recover (supposedly) repressed memories", and he soon began to emphasise hypnotic regression and ab reaction (catharsis) as therapeutic methods. He wrote a favorable encyclopedia article on hypnotism, translated one of Bernheim's works into German, and published an influential series of case studies with his colleague Joseph Breuer entitled Studies on Hysteria (1895). This became the founding text of the subsequent tradition known as "hypno-analysis" or "regression hypnotherapy".
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In hypnosis, patients typically see practitioners by themselves for a course of hourly or half-hourly treatments. Some general practitioners and other medical specialists use hypnosis as part of their regular clinical work and follow a longer initial consultation with standard 10- to 15-minute appointments. Patients can be given a post-hypnotic suggestion that enables them to induce self-hypnosis after the treatment course is completed. Some practitioners undertake group hypnosis, treating up to a dozen patients at a time—for example, teaching self-hypnosis to prenatal groups as preparation for labor.
Charcot operated a clinic at the Pitié-Salpêtrière Hospital (thus, known as the "Paris School" or the "Salpêtrière School"), while Bernheim had a clinic in Nancy (known as the "Nancy School"). Charcot, who was influenced more by the Mesmerists, argued that hypnotism was an abnormal state of nervous functioning found only in certain hysterical women. He claimed that it manifested in a series of physical reactions that could be divided into distinct stages. Bernheim argued that anyone could be hypnotised, that it was an extension of normal psychological functioning, and that its effects were due to suggestion. After decades of debate, Bernheim's view dominated. Charcot's theory is now just a historical curiosity.
In Trance on Trial, a 1989 text directed at the legal profession, legal scholar Alan W. Scheflin and psychologist Jerrold Lee Shapiro observed that the "deeper" the hypnotism, the more likely a particular characteristic is to appear, and the greater extent to which it is manifested. Scheflin and Shapiro identified 20 separate characteristics that hypnotized subjects might display: "dissociation"; "detachment"; "suggestibility", "ideosensory activity"; "catalepsy"; "ideomotor responsiveness"; "age regression"; "revivification"; "hypermnesia"; "[automatic or suggested] amnesia"; "posthypnotic responses"; "hypnotic analgesia and anesthesia"; "glove anesthesia"; "somnambulism"; "automatic writing"; "time distortion"; "release of inhibitions"; "change in capacity for volitional activity"; "trance logic"; and "effortless imagination".
The use of hypnotherapy with cancer patients is another area being investigated. A meta-analysis of 116 studies showed very positive results of using hypnotherapy with cancer patients. Ninety-two percent showed a positive effect on depression; 93% showed a positive effect on physical well-being; 81% showed a positive effect on vomiting; and 92% showed a positive effect on pain.
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.
Changes in brain activity have been found in some studies of highly responsive hypnotic subjects. These changes vary depending upon the type of suggestions being given. The state of light to medium hypnosis, where the body undergoes physical and mental relaxation, is associated with a pattern mostly of alpha waves However, what these results indicate is unclear. They may indicate that suggestions genuinely produce changes in perception or experience that are not simply a result of imagination. However, in normal circumstances without hypnosis, the brain regions associated with motion detection are activated both when motion is seen and when motion is imagined, without any changes in the subjects' perception or experience. This may therefore indicate that highly suggestible hypnotic subjects are simply activating to a greater extent the areas of the brain used in imagination, without real perceptual changes. It is, however, premature to claim that hypnosis and meditation are mediated by similar brain systems and neural mechanisms.
Hypnotherapy is a use of hypnosis in psychotherapy. It is used by licensed physicians, psychologists, and others. Physicians and psychologists may use hypnosis to treat depression, anxiety, eating disorders, sleep disorders, compulsive gambling, and posttraumatic stress, while certified hypnotherapists who are not physicians or psychologists often treat smoking and weight management.
Many religions do not condone the practice of hypnotherapy. Leaders of the Jehovah's Witnesses and Christian Science religions oppose the use of hypnotherapy and advise their members to avoid it completely, whether for entertainment or therapy. The Church of Jesus Christ of Latter-Day Saints approves it for medical purposes, but cautions members against allowing themselves to be hypnotized for entertainment or demonstration purposes.
The practice of many relaxation techniques is poorly regulated, and standards of practice and training are variable. This situation is unsatisfactory, but given that many relaxation techniques are relatively benign, the problem with this variation in standards is more in ensuring effective treatment and good professional conduct than in avoiding adverse effects. By selecting a license mental health professional (psychologist or social worker), patients are more likely to receive treatment from individuals who are well trained in the appropriate use of behavioral techniques.
Whereas the older "depth scales" tried to infer the level of "hypnotic trance" from supposed observable signs such as spontaneous amnesia, most subsequent scales have measured the degree of observed or self-evaluated responsiveness to specific suggestion tests such as direct suggestions of arm rigidity (catalepsy). The Stanford, Harvard, HIP, and most other susceptibility scales convert numbers into an assessment of a person's susceptibility as "high", "medium", or "low". Approximately 80% of the population are medium, 10% are high, and 10% are low. There is some controversy as to whether this is distributed on a "normal" bell-shaped curve or whether it is bi-modal with a small "blip" of people at the high end. Hypnotizability Scores are highly stable over a person's lifetime. Research by Deirdre Barrett has found that there are two distinct types of highly susceptible subjects, which she terms fantasizers and dissociaters. Fantasizers score high on absorption scales, find it easy to block out real-world stimuli without hypnosis, spend much time daydreaming, report imaginary companions as a child, and grew up with parents who encouraged imaginary play. Dissociaters often have a history of childhood abuse or other trauma, learned to escape into numbness, and to forget unpleasant events. Their association to "daydreaming" was often going blank rather than creating vividly recalled fantasies. Both score equally high on formal scales of hypnotic susceptibility.
The first neuropsychological theory of hypnotic suggestion was introduced early by James Braid who adopted his friend and colleague William Carpenter's theory of the ideo-motor reflex response to account for the phenomenon of hypnotism. Carpenter had observed from close examination of everyday experience that, under certain circumstances, the mere idea of a muscular movement could be sufficient to produce a reflexive, or automatic, contraction or movement of the muscles involved, albeit in a very small degree. Braid extended Carpenter's theory to encompass the observation that a wide variety of bodily responses besides muscular movement can be thus affected, for example, the idea of sucking a lemon can automatically stimulate salivation, a secretory response. Braid, therefore, adopted the term "ideo-dynamic", meaning "by the power of an idea", to explain a broad range of "psycho-physiological" (mind–body) phenomena. Braid coined the term "mono-ideodynamic" to refer to the theory that hypnotism operates by concentrating attention on a single idea in order to amplify the ideo-dynamic reflex response. Variations of the basic ideo-motor, or ideo-dynamic, theory of suggestion have continued to exercise considerable influence over subsequent theories of hypnosis, including those of Clark L. Hull, Hans Eysenck, and Ernest Rossi. It should be noted that in Victorian psychology the word "idea" encompasses any mental representation, including mental imagery, memories, etc.
Some hypnotists view suggestion as a form of communication that is directed primarily to the subject's conscious mind, whereas others view it as a means of communicating with the "unconscious" or "subconscious" mind. These concepts were introduced into hypnotism at the end of the 19th century by Sigmund Freud and Pierre Janet. Sigmund Freud's psychoanalytic theory describes conscious thoughts as being at the surface of the mind and unconscious processes as being deeper in the mind. Braid, Bernheim, and other Victorian pioneers of hypnotism did not refer to the unconscious mind but saw hypnotic suggestions as being addressed to the subject's conscious mind. Indeed, Braid actually defines hypnotism as focused (conscious) attention upon a dominant idea (or suggestion). Different views regarding the nature of the mind have led to different conceptions of suggestion. Hypnotists who believe that responses are mediated primarily by an "unconscious mind", like Milton Erickson, make use of indirect suggestions such as metaphors or stories whose intended meaning may be concealed from the subject's conscious mind. The concept of subliminal suggestion depends upon this view of the mind. By contrast, hypnotists who believe that responses to suggestion are primarily mediated by the conscious mind, such as Theodore Barber and Nicholas Spanos, have tended to make more use of direct verbal suggestions and instructions.
Do this all in a smooth and quick transition, this quick action is what creates the break in the thought process of the person being hypnotized. There is a disrupt in the mental filter that separates our inner voice and thoughts from our sensory reality. This is the door to our suggested command to sleep. Thus bypassing the person's ability to filter the command out. This is a split second window of opportunity to get your command in.
In 1784, at the request of King Louis XVI, a Board of Inquiry started to investigate whether animal magnetism existed. Among the board members were founding father of modern chemistry Antoine Lavoisier, Benjamin Franklin, and an expert in pain control, Joseph-Ignace Guillotin. They investigated the practices of a disaffected student of Mesmer, one Charles d'Eslon (1750–1786), and though they concluded that Mesmer's results were valid, their placebo-controlled experiments using d'Eslon's methods convinced them that mesmerism was most likely due to belief and imagination rather than to an invisible energy ("animal magnetism") transmitted from the body of the mesmerist.
Around 1900, there were very few preoperative anesthetic drugs available. Patients were naturally apprehensive when facing surgery. One out of four hundred patients would die, not from the surgical procedure, but from the anesthesia. Dr. Henry Munro was one of the first physicians to use hypnotherapy to alleviate patient fears about having surgery. He would get his patients into a hypnotic state and discuss their fears with them, telling them they would feel a lot better following surgery. Ether was the most common anesthetic at that time, and Dr. Munro found that he was able to perform surgery using only about 10% of the usual amount of ether.
A wide variety of the complementary therapies claim to improve health by producing relaxation. Some use the relaxed state to promote psychological change. Others incorporate movement, stretches, and breathing exercises. Relaxation and “stress management” are found to a certain extent within standard medical practice. They are included here because they are generally not well taught in conventional medical curricula and because of the overlap with other, more clearly complementary, therapies.therapies.
Contrary to popular belief, hypnosis does not involve being put in a deep sleep, and the client cannot be forced to do anything that they would not ordinarily do. They remain completely aware of their surroundings and situation. The essential thing is how much they are motivated to make a change, and to stay away from their habit or addiction. Their motivation and eagerness, as well as their relationship with the therapist, are major factors leading to the success of hypnotherapy.
The science behind hypnotherapy is just now beginning to catch up to reports of its beneficial nature. The scientific community is beginning to rave about the potential benefits of hypnosis and what it could do for patients who are looking for a new treatment option. Hypnosis could prove to be a valuable weapon in fighting a multitude of psychological, physical, or behavioral issues.
Hypnosis is not a dangerous procedure. It is not mind control or brainwashing. A therapist cannot make a person do something embarrassing or that the person doesn't want to do. The greatest risk, as discussed above, is that false memories can potentially be created and that it may be less effective than pursuing other, more established and traditional psychiatric treatments.
Azam's enthusiasm for hypnotism influenced Ambroise-Auguste Liébeault, a country doctor. Hippolyte Bernheim discovered Liébeault's enormously popular group hypnotherapy clinic and subsequently became an influential hypnotist. The study of hypnotism subsequently revolved around the fierce debate between Bernheim and Jean-Martin Charcot, the two most influential figures in late 19th-century hypnotism.
Look for a hypnotherapist who is a member of the American Society of Clinical Hypnosis (ASCH) or the Society for Clinical and Experimental Hypnosis. To be a member of either of these organizations, a hypnotherapist must have a doctorate level degree in medicine, dentistry, or psychology, or a master’s degree in nursing, social work, psychology, or marital/family therapy plus a specific number of hours of approved training in hypnotherapy. In some cases, accredited, doctoral-level practitioners of alternative health care, such traditional Chinese medicine, may also be approved for membership. Of course, in addition to looking at qualifications, you should also find a hypnotherapist with whom you feel confident and comfortable in a therapeutic relationship.