In 2007, a meta-analysis from the Cochrane Collaboration found that the therapeutic effect of hypnotherapy was "superior to that of a waiting list control or usual medical management, for abdominal pain and composite primary IBS symptoms, in the short term in patients who fail standard medical therapy", with no harmful side-effects. However the authors noted that the quality of data available was inadequate to draw any firm conclusions.
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.
Barber, Spanos, and Chaves (1974) proposed a nonstate "cognitive-behavioural" theory of hypnosis, similar in some respects to Sarbin's social role-taking theory and building upon the earlier research of Barber. On this model, hypnosis is explained as an extension of ordinary psychological processes like imagination, relaxation, expectation, social compliance, etc. In particular, Barber argued that responses to hypnotic suggestions were mediated by a "positive cognitive set" consisting of positive expectations, attitudes, and motivation. Daniel Araoz subsequently coined the acronym "TEAM" to symbolise the subject's orientation to hypnosis in terms of "trust", "expectation", "attitude", and "motivation".
Mesmer's original interest was in the effect of celestial bodies on human lives. He later became interested in the effects of magnetism, and found that magnets could have tremendous healing effects on the human body. Mesmer believed that the human body contained a magnetic fluid that promoted health and well being. It was thought that any blockage to the normal flow of this magnetic fluid would result in illness, and that the use of the mesmerism technique could restore the normal flow.
This state of awareness can be achieved by relaxing the body, focusing on breathing, and shifting attention away from the external environment. In this state, the patient has a heightened receptivity to suggestion. The usual procedure for inducing a hypnotic trance in another person is by direct command repeated in a soothing, monotonous tone of voice.
Pioneers in this field, such as James Braid and James Esdaile discovered that hypnosis could be used to successfully anesthetize patients for surgeries. James Braid accidentally discovered that one of his patients began to enter a hypnotic state while staring at a fixed light as he waited for his eye examination to begin. Since mesmerism had fallen out of favor, Braid coined the term hypnotism, which is derived from the Greek word for sleep. Braid also used the techniques of monotony, rhythm, and imitation to assist in inducing a hypnotic state. As of 2000, these techniques are still in use.
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.
Hypnosis or deep relaxation can sometimes exacerbate psychological problems—for example, by retraumatizing those with post-traumatic disorders or by inducing “false memories” in psychologically susceptible individuals. Evidence, although inconclusive, has raised concerns that the dissociation necessary to participate in relaxation or hypnosis can lead to the manifestation of the symptoms of psychosis. Only appropriately trained and experienced practitioners should undertake hypnosis. Its use should be avoided in patients with borderline personality disorder, dissociative disorders, or with patients who have histories of profound abuse. Competent hypnotherapists are skilled in recognizing and referring patients with these conditions.
Hypnosis is first and foremost a self-accepted journey away from the reality of the moment. Although the trance state is often referred to as if the patient is asleep, nothing could be further from the truth. The patient is fully awake at all times. The hypnotic subject is simply in a heightened, more receptive state of mind. This fact is proven with inductions called open-eye techniques, where the patient keeps his/her eyes open during the hypnotherapy. Full and deep trance is still achievable.
People have been entering into hypnotic-type trances for thousands of years. In many cultures and religions, it was regarded as a form of meditation. Modern day hypnosis, however, started in the late 18th century and was made popular by Franz Mesmer, a German physician who became known as the father of ‘modern hypnotism’. In fact, hypnosis used to be known as ‘Mesmerism’ as it was named after Mesmer.
Neuro-Linguistic Programming (NLP) is the name given to a series of models and techniques used to enhance the therapist's ability to do hypnotherapy. NLP consists of a number of models, with a series of techniques based on those models. Sensory acuity and physiology is one model whose premise is that a person's thought processes change their physiological state. People recognize such a physiological change when startled. The body receives a great dose of adrenaline, the heart beats faster, the scare may be verbalized by shouting, and the startled person may sweat. Sensory acuity, (i.e., being attuned to changes occurring in another person) will strengthen communication to a person in ways over and above simple verbal cues, therefore making the therapist more effective. A second model of NLP deals with representational systems. The idea behind this model is that different people represent knowledge in different sensory styles. In other words, an individual's language reveals that person's mode of representation. There are three basic modes of representation. These are: Auditory, Visual, and Kinesthetic. The same information will be expressed differently by each. For example, the auditory person might say, "That sounds good to me;" the visual person might convey, "I see it the same way;" and the kinesthetic person would offer, "I'm comfortable with it too."
In a July 2001 article for Scientific American titled "The Truth and the Hype of Hypnosis", Michael Nash wrote that, "using hypnosis, scientists have temporarily created hallucinations, compulsions, certain types of memory loss, false memories, and delusions in the laboratory so that these phenomena can be studied in a controlled environment."
The next major development came from behavioural psychology in American university research. Clark L. Hull (1884–1952), an eminent American psychologist, published the first major compilation of laboratory studies on hypnosis, Hypnosis & Suggestibility (1933), in which he proved that hypnosis and sleep had nothing in common. Hull published many quantitative findings from hypnosis and suggestion experiments and encouraged research by mainstream psychologists. Hull's behavioural psychology interpretation of hypnosis, emphasising conditioned reflexes, rivalled the Freudian psycho-dynamic interpretation which emphasised unconscious transference.
He also believed that hypnosis was a "partial sleep", meaning that a generalised inhibition of cortical functioning could be encouraged to spread throughout regions of the brain. He observed that the various degrees of hypnosis did not significantly differ physiologically from the waking state and hypnosis depended on insignificant changes of environmental stimuli. Pavlov also suggested that lower-brain-stem mechanisms were involved in hypnotic conditioning.
After developing a substantial following — “mesmerism” became “the height of fashion” in late 1780s Paris, writes Marchant — Mesmer became the subject of what was essentially the world’s first clinical trial. King Louis XVI pulled together a team of the world’s top scientists, including Benjamin Franklin, who tested mesmerism and found its capacity to “cure” was, essentially, a placebo effect. “Not a shred of evidence exists for any fluid,” Franklin wrote. “The practice … is the art of increasing the imagination by degrees.”
Pierre Janet originally developed the idea of dissociation of consciousness from his work with hysterical patients. He believed that hypnosis was an example of dissociation, whereby areas of an individual's behavioural control separate from ordinary awareness. Hypnosis would remove some control from the conscious mind, and the individual would respond with autonomic, reflexive behaviour. Weitzenhoffer describes hypnosis via this theory as "dissociation of awareness from the majority of sensory and even strictly neural events taking place."
My young son recently experienced the loss of a close relative close to him in age. He now has a severe phobia about dying. He's not eating well, he's also showing signs of depression and anxiety. Could I make things worse by trying hypnosis? He's only seven so I don't think it would be hard to try these techniques on him, but I want to make sure before attempting it that there's no way this could have a negative affect and make it worse. I tried to take him to talk to a physician but all she wanted to do was give him pills and that's not something I'm comfortable with without trying some other things first, like hypnosis for example. What are your thoughts, do you have any advise for me.
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Some therapists use hypnosis to recover possibly repressed memories they believe are linked to the person's mental disorder. However, the quality and reliability of information recalled by the patient under hypnosis is not always reliable. Additionally, hypnosis can pose a risk of creating false memories -- usually as a result of unintended suggestions or the asking of leading questions by the therapist. For these reasons, hypnosis is no longer considered a common or mainstream part of most forms of psychotherapy. Also, the use of hypnosis for certain mental disorders in which patients may be highly susceptible to suggestion, such as dissociative disorders, remains especially controversial.