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.
In the 2000s, hypnotherapists began to combine aspects of solution-focused brief therapy (SFBT) with Ericksonian hypnotherapy to produce therapy that was goal focused (what the client wanted to achieve) rather than the more traditional problem focused approach (spending time discussing the issues that brought the client to seek help). A solution-focused hypnotherapy session may include techniques from NLP.
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Hypnosis is the induction of a deeply relaxed state, with increased suggestibility and suspension of critical faculties. Once in this state, sometimes called a hypnotic trance, patients are given therapeutic suggestions to encourage changes in behavior or relief of symptoms. For example, in a treatment to stop smoking, a hypnosis practitioner might suggest that the patient will no longer find smoking pleasurable or necessary. Hypnosis for a patient with arthritis might include a suggestion that the pain can be turned down like the volume of a radio.
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".
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.
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.
We also wonder how the suppression mechanism in PHA relates to the vast array of forgetting in the laboratory and in the world? Whereas some forgetting is seen as strategic, effortful and conscious (say, suppression), other forgetting is seen as automatic, effortless and unconscious (say, repression). Having mapped the common features of PHA and functional amnesia, we now need to explore and compare in greater detail their common processes (such as strategy use, motivation, level of awareness).
The weird thing is I was a really shy kid, and would never act like a moron or do embarrassing stuff (like he has us do) in front of my whole school - WILLINGLY! But I DID! I remember feeling really calm, and confident and WANTED to put on a fun show for the school. It felt like the audience was cloudy and obscured by a fog and I just felt so calm and zen like in a trance - but totally aware and intentionally playing along. The last thing he has us do at the end of the event was ask for a signature from anyone we met, believing they were a celebrity (we were instructed to have them sign our hands). I remember people's expressions, they thought we were insane, but i felt empowered by being able to convince others that I was hypnotized - like they were being laughed at not me.
Braid later acknowledged that the hypnotic induction technique was not necessary in every case, and subsequent researchers have generally found that on average it contributes less than previously expected to the effect of hypnotic suggestions. Variations and alternatives to the original hypnotic induction techniques were subsequently developed. However, this method is still considered authoritative. In 1941, Robert White wrote: "It can be safely stated that nine out of ten hypnotic techniques call for reclining posture, muscular relaxation, and optical fixation followed by eye closure."
Hypnosis, an enhanced state of inner focus, can be an effective tool for improving a range of symptoms, including those related to mood and learning. The ADHD drug methylphenidate (Concerta, Ritalin) has been shown to increase hypnotizability in a sample of patients with ADHD and thus may enable patients to benefit from adding hypnosis to their treatment regimens.
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.
One well-known example of a relaxation technique is known variously as progressive muscle relaxation, systematic muscle relaxation, and Jacobson relaxation. The patient sits comfortably in a quiet room. He or she then tenses a group of muscles, such as those in the right arm, holds the contraction for 15 seconds, then releases it while breathing out. After a short rest, this sequence is repeated with another set of muscles. In a systematic fashion, major muscle groups are contracted, then allowed to relax. Gradually, different sets of muscle are combined. Patients are encouraged to notice the differences between tension and relaxation.
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.