Confusion can occur when one seeks a hypnotherapist, as a result of the various titles, certifications, and licenses in the field. Many states do not regulate the title "hypnotist" or "hypnotherapist," so care must be exercised when selecting someone to see. As a rule, it is best to consult a professional in the field of mental health or medicine, although alternative sources for hypnosis are available. Care must be taken also by the therapist to ensure adequate training and sufficient experience for rendering this specialized service. The therapist must be well grounded in a psychotherapeutic approach before undertaking the use of hypnotherapy. Professionals should not attempt hypnotherapy with any disorder for which they would not use traditional therapeutic approaches. The patient seeking hypnotherapy is reminded that unskilled or amateur hypnotists can cause harm and should not be consulted for the purpose of implementing positive change in an individual's life. The detrimental effects of being subjected to amateur or inadequately trained persons can be severe and long lasting. (See abnormal results below.)
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.
The main theorist who pioneered the influential role-taking theory of hypnotism was Theodore Sarbin. Sarbin argued that hypnotic responses were motivated attempts to fulfill the socially constructed roles of hypnotic subjects. This has led to the misconception that hypnotic subjects are simply "faking". However, Sarbin emphasised the difference between faking, in which there is little subjective identification with the role in question, and role-taking, in which the subject not only acts externally in accord with the role but also subjectively identifies with it to some degree, acting, thinking, and feeling "as if" they are hypnotised. Sarbin drew analogies between role-taking in hypnosis and role-taking in other areas such as method acting, mental illness, and shamanic possession, etc. This interpretation of hypnosis is particularly relevant to understanding stage hypnosis, in which there is clearly strong peer pressure to comply with a socially constructed role by performing accordingly on a theatrical stage.
The regulation of the hypnotherapy profession in the UK is at present the main focus of UKCHO, a non-profit umbrella body for hypnotherapy organisations. Founded in 1998 to provide a non-political arena to discuss and implement changes to the profession of hypnotherapy, UKCHO currently represents 9 of the UK's professional hypnotherapy organisations and has developed standards of training for hypnotherapists, along with codes of conduct and practice that all UKCHO registered hypnotherapists are governed by. As a step towards the regulation of the profession, UKCHO's website now includes a National Public Register of Hypnotherapists who have been registered by UKCHO's Member Organisations and are therefore subject to UKCHO's professional standards. Further steps to full regulation of the hypnotherapy profession will be taken in consultation with the Prince's Foundation for Integrated Health.
Jump up ^ Michel Weber is working on a Whiteheadian interpretation of hypnotic phenomena: see his « Hypnosis: Panpsychism in Action », in Michel Weber and William Desmond, Jr. (eds.), Handbook of Whiteheadian Process Thought, Frankfurt / Lancaster, ontos verlag, Process Thought X1 & X2, 2008, I, pp. 15-38, 395-414 ; cf. « Syntonie ou agencement ethnopsychiatrique ? », Michel Weber et Vincent Berne (sous la direction de), Chromatikon IX. Annales de la philosophie en procès — Yearbook of Philosophy in Process, Les Editions Chromatika, 2013, pp. 55-68.
The Mitchell method involves adopting body positions that are opposite to those associated with anxiety (fingers spread rather than hands clenched, for example). In autogenic training, patients concentrate on experiencing physical sensations, such as warmth and heaviness, in different parts of their bodies in a learned sequence. Other methods encourage the use of diaphragmatic breathing that involves deep and slow abdominal breathing coupled with a conscious attempt to let go of tension during exhalation.
Olness thinks there must be something about the intense mental imagery that comes with a hypnotic state. One little boy she worked with told her he was imagining that he was touching the sun. Whether such visions activate different parts of the brain than those associated with rational thought is less clear. As Olness says, “We’re a long way from specifics on that.”
Hypnotherapy has been used to stop self-destructive and addictive habits like smoking. It has also been used to curb the urge to eat for overeaters, to stem the disruptive actions of tics, cure insomnia , stop bed-wetting, and minimize anxiety. Excessive stress can be generated from any number of sources and can be the springboard for anxiety. Some of the more prominent sources of anxiety and stress for which people seek hypnotherapy are: public speaking, test taking, and job stress. Hypnotherapy also works well for other anxiety disorders such as phobias and has proven to be an effective treatment for mild to moderate depression. In one study, hypnotherapy was used in conjunction with traditional cognitive therapy, to assist persons who had severe aversion to needles. The treatment was necessary, because it was essential that each participant receive periodic medical injections. However, the participants would have become non-compliant without the adjunct intervention of hypnotherapy. In another case, involving care for terminally ill cancer patients, it was concluded that hypnotherapy was more effective at enhancing quality of life and relieving anxiety and depressive symptoms, when compared to others who received traditional care.
“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.”
Findings from randomized controlled trials support the use of various relaxation techniques for treating both acute and chronic pain, although 2 recent systematic reviews suggest that methodologic flaws may compromise the reliability of these findings. Randomized trials have shown hypnosis is valuable for patients with asthma and irritable bowel syndrome, yoga is helpful for patients with asthma, and tai chi helps to reduce falls and fear of falling in elderly people. Evidence from systematic reviews shows hypnosis and relaxation techniques are probably not of general benefit in stopping smoking or substance misuse or in treating hypertension.hypertension.,,
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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.
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High hypnotizable people with PHA typically show impaired explicit memory, or difficulty consciously recalling events or material targeted by the suggestion, and a dissociation between implicit and explicit memory, so that even though they can’t recall the forgotten information it continues to influence their behavior, thoughts and actions. The forgetting is reversible—when the suggestion is cancelled, their memories come flooding back. These last two features—the dissociation and reversibility—confirm that PHA is not the result of poor encoding of the memories or of normal forgetting, because the memories return as soon as PHA is cancelled. Rather, PHA reflects a temporary inability to retrieve information that is safely stored in memory. That makes it a useful tool for research.
Hypnosis has been used as a supplemental approach to cognitive behavioral therapy since as early as 1949. Hypnosis was defined in relation to classical conditioning; where the words of the therapist were the stimuli and the hypnosis would be the conditioned response. Some traditional cognitive behavioral therapy methods were based in classical conditioning. It would include inducing a relaxed state and introducing a feared stimuli. One way of inducing the relaxed state was through hypnosis.
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This finding—that PHA temporarily disrupted some people’s ability to recall the past—echoes decades of hypnosis research. What is entirely new in Mendelsohn et al.’s study is their demonstration that PHA was associated with a specific pattern of brain activation. Consistent with what normally occurs in remembering, when people in the non-PHA group performed the recognition task and successfully remembered what happened in the movie, fMRI showed high levels of activity in areas responsible for visualizing scenes (the occipital lobes) and for analyzing verbally presented scenarios (the left temporal lobe). In stark contrast, when people in the PHA group performed the recognition task and failed to remember the content of the movie, fMRI showed little or no activity in these areas. Also, fMRI showed enhanced activity in another area (the prefrontal cortex) responsible for regulating activity in other brain areas.
The earliest definition of hypnosis was given by Braid[contradictory], who coined the term "hypnotism" as an abbreviation for "neuro-hypnotism", or nervous sleep, which he contrasted with normal sleep, and defined as: "a peculiar condition of the nervous system, induced by a fixed and abstracted attention of the mental and visual eye, on one object, not of an exciting nature."
It may here be requisite for me to explain, that by the term Hypnotism, or Nervous Sleep, which frequently occurs in the following pages, I mean a peculiar condition of the nervous system, into which it may be thrown by artificial contrivance, and which differs, in several respects, from common sleep or the waking condition. I do not allege that this condition is induced through the transmission of a magnetic or occult influence from my body into that of my patients; nor do I profess, by my processes, to produce the higher [i.e., supernatural] phenomena of the Mesmerists. My pretensions are of a much more humble character, and are all consistent with generally admitted principles in physiological and psychological science. Hypnotism might therefore not inaptly be designated, Rational Mesmerism, in contra-distinction to the Transcendental Mesmerism of the Mesmerists.
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.