Placing persons in a drowsy, sleeplike state in which they allegedly become vulnerable to the suggestions made by the hypnotist. Hypnosis may also be used to tap into the unconscious and is often characterized by vivid recall of memories and fantasies. These properties make hypnosis a useful tool in psychotherapy. Hypnosis also has sinister implications, for subjects may be manipulated to perform embarrassing actions or be susceptible to carrying out the hypnotist's commands after the hypnosis session (posthypnotic suggestion).
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.
Throughout Dr. Sapien’s medical career he always had a sense that mind was the original foundation of healing. After he trained at the Academy and began regularly using our methods in his medical practice, his premise was confirmed by how well his patients responded. He has stayed on as a practical skills coach to help new students in learning hypnotherapy and medical support hypnosis.
Relaxation techniques are often integrated into other health care practices; they may be included in programs of cognitive behavioral therapy in pain clinics or occupational therapy in psychiatric units. Complementary therapists, including osteopaths and massage therapists, may include some relaxation techniques in their work. Some nurses use relaxation techniques in the acute care setting, such as to prepare patients for surgery, and in a few general practices, classes in relaxation, yoga, or tai chi are regularly available.
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.
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 typically involves an introduction to the procedure during which the subject is told that suggestions for imaginative experiences will be presented. The hypnotic induction is an extended initial suggestion for using one's imagination, and may contain further elaborations of the introduction. A hypnotic procedure is used to encourage and evaluate responses to suggestions. When using hypnosis, one person (the subject) is guided by another (the hypnotist) to respond to suggestions for changes in subjective experience, alterations in perception, sensation, emotion, thought or behavior. Persons can also learn self-hypnosis, which is the act of administering hypnotic procedures on one's own. If the subject responds to hypnotic suggestions, it is generally inferred that hypnosis has been induced. Many believe that hypnotic responses and experiences are characteristic of a hypnotic state. While some think that it is not necessary to use the word "hypnosis" as part of the hypnotic induction, others view it as essential.
Hypnotherapy is being studied in children who have common, chronic problems and to aid in relieving pain. Children are particularly good candidates for hypnotherapy because their lack of worldly experience enables them to move easily between the rational world and their imagination. Studies with children have shown responses to hypnotherapy ranging from diminished pain and anxiety during a number of medical procedures, a 50% range in reduction of symptoms or a complete resolution of a medical condition, and a reduction in use of anti-nausea medication and vomiting during chemotherapy for childhood cancers.
Tai chi is a gentle system of exercises originating from China. The best known example is the “solo form,” a series of slow and graceful movements that follow a set pattern. It is said to improve strength, balance, and mental calmness. Qigong (pronounced “chi kung”) is another traditional Chinese system of therapeutic exercises. Practitioners teach meditation, physical movements, and breathing exercises to improve the flow of Qi, the Chinese term for body energy.