dr. krishnan's introduction to hypnosis
DESCRIPTION
This is an introductory set of slides on Hypnosis. It aims to correct the myths prevailing even among professionals about hypnosis.TRANSCRIPT
Sunday, October 5, 2014 Dr. S. Krishnan 1
Dr. S. KrishnanAssociate Professor of
PsychiatryMedical College
Thiruvananthapuram
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This part of the presentation is brought to you by
Hypnosis – The Facts
Krishnan’s
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A therapeutic technique, historically investigated, and debated since many years
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Introduction
Imagination, - facilitates cognitive restructuring, planning, initiation, and implementation of behavior change.
Hypnosis can be understood as a form of controlled imagination.
Hypnosis is a useful instrument for the psychotherapist, like the scalpel is for the surgeon.
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Introduction
Trance states and hypnotic phenomena can occur spontaneously
Learning to recognize trance - helpful even if hypnosis is not used in the formal sense.
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Introduction Hypnos (G) = sleep A misleading term complex process of
attentive, receptive concentration.
Focal attention, is heightened during the hypnotic trance.
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History
First formally described as therapeutic instruments in the 18th century by Franz Anton Mesmer – Animal Magnetism
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NegativeAttention fromScientists and
French Government
Franz Anton Mesmer (1734-1815)
Unorthodox methods and explanations
of Magnetic force
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Hypnosis declared “heated imagination” (Paris - 1784)
Banjamin Franklin
Anton Laurent Lavoisier
Joseph Ignace Guillotin
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James Braid - Hypnosis
James Braid, (physician and surgeon – 1840s) in England during the 1840s,independently observed similar phenomena similar to what Mesmer had reported.
Trance states using eye fixation and eye closure.
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James Braid - Monoideism
1847 created a psychological concept called "monoideism"—(mental concentration on a single dominant idea).
Subjects are highly suggestible and could
focus their attention on specific ideas that would influence behavior.
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Charcot - Janet
Hypnosis is a Neurphysiological phenomenon
And a sign of mental illness
Supported
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Bernheim – Freud
Hypnosis was a function of Normal Brain
Central to his Classical work on Hysteria
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Freud gives up formal Hypnosis
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World wars I & II High incidence of shell-
shock during World War I, Ernst Simmel, a German
psychoanalyst, hypnosis for the treatment of war neurosis.
He developed a technique for accessing repressed material, Hypnoanalysis.
Treatment of pain, combat fatigue, and neurosis.
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From History…
Hull’s research on suggestibility (1933)
Development of standardized scales (1960s)
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1950s - Acceptance begins
1955 the British Medical Society formally recognized hypnosis and recommended that it be taught in medical schools.
1958, the American Medical Association and American Psychiatric Association followed this example.
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DEFINITION AND THEORY
Hypnosis – attentive, receptive focal concentration with diminished peripheral awareness.
All hypnosis is, in essence, self-hypnosis
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DEFINITION AND THEORY
Hypnotic experience - characterized by an intense and sensitive interpersonal relatedness between the two
With a relative suspension of critical judgment.
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DEFINITION AND THEORY
Currently understood as a normal activity of a normal mind.
Persons who report having intense absorbing experiences while reading a novel, watching a movie, or listening to music relatively highly hypnotizable.
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DEFINITION AND THEORY
Laboratory and clinical researches hypnotizability is a stable and measurable trait.
Hypnotizability varies somewhat throughout the life cycle– Peaking during the late childhood– Declines during adolescence– Declines further during senescence.
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Theories of Hypnosis
A form of deep relaxation (Edmonston 1981)
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Theories of Hypnosis
Sociocognitive Theory (Spanos, 1991)Epiphenomenon – exists as outcome of
other process – Social psychology explains it as role playing.
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Theories of Hypnosis
Neo-Dissociative Theory (Hilgard 1991) – (Most popular view of those that believe in Hypnosis)
Most people can separate one part of the mind from another
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Theories of Hypnosis
Social-Psychobiological (Eva Banya 1991)
Subjective experience of altered consciousness with somatic and behavioral changes
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SPECTRUM THEORY OF HYPNOSIS
Hypnotizability has implications beyond the choice of hypnosis to facilitate treatment.
Hypnotizability represents a convergence of biopsychosocial phenomena.
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SPECTRUM THEORY OF HYPNOSIS
A process that transforms a trait into a state.
The degree of hypnotizability information about the way in which an individual relates to the self and the social environment.
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Components of Hypnotizability
Experiencing hypnotic concentration requires a convergence of three essential components—all of which are necessary to some degree—– Absorption
– Dissociation– and suggestibility
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1. Absorption
An ability to reduce peripheral awareness to facilitate greater focal attention.
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2. Dissociation
A functional separation of elements of identity, memory, perception, consciousness, or motor response from the mainstream of conscious awareness.
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3. Suggestibility
A tendency to perceive and accept signals and information with a relative suspension of customary critical judgment.
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MISCONCEPTIONS ABOUT HYPNOSIS
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Myth 1: Hypnosis Is Sleep
Hypnosis is aroused, attentive concentration.
EEG studies demonstrate that the hypnotic trance state is consistent with a state of resting alertness and inconsistent with sleep by EEG criteria.
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Myth 2: Hypnosis Is Projected Onto the Patient
The role of the therapist is to provide an occasion during which persons may identify, explore, and mobilize their own trance capacity.
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Myth 3: Only Weak or Sick People Are Hypnotizable
The vast majority of highly hypnotizable persons do not have mental disorders.
Highly hypnotizable persons are absent among schizophrenic patients.
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Myth 4: Everybody is Hypnotizable
About 5 percent of mentally healthy
persons are not hypnotizable (?).
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Myth 5: Females are more hypnotizable
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Myth 6: Hypnosis Is Therapy
There is no hypnotherapy.
Hypnosis is best used to facilitate a primary treatment strategy.
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Myth 7: Hypnosis Is Dangerous
No one has ever been lost in a trance state or been psychologically damaged merely from entering a trance state.
Compared with other psychiatric interventions, hypnosis is a benign and safe facilitator of treatment.
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Myth 8: Symptom Removal Is Dangerous
Some psychiatrists believe that the removal of a symptom before the development of insight regarding the meaning of the symptom leaves the original conflict unresolved
Predisposes to development
of a new and possibly more serious symptom.
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Myth 9: hypnosis is a “truth serum, it can retrieve memories”
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Myth 10: Hypnosis is just relaxation
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Myth 11:Hypnosis causes dependency
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Myth 12: Hypnosis overrules will
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Myth 14: Only some people can be hypnotized
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Myth 15: Hypnosis is caused by the hypnotist’s power
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Myth 16: Hypnosis = Gullibility
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Myth 17: Hypnotic Trance is Therapeutic
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Fields of Application
Stage hypnosisPsychotherapyMedical hypnosisDental hypnosisEducationForensic hypnosisSportsBusiness
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INDICATIONS - 1
Smoking CessationManagement of alcohol use Weight ControlEnhancing Medical CareSurgical PreparationSide effects of Chemotherapy
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INDICATIONS -2
Anesthesia Anxiety DisordersPTSD Dissociative DisordersPsychosomatic DisordersRemoval of wartTo aid psychotherapy
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CONTRAINDICATIONS
Paranoid personsCertain personality disorders Intoxicated statesThreatening atmosphereSevere depressionAcute dissociative events
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The clinician should
– Explain briefly and directly the nature of hypnosis
– Emphasize the importance of hypnotizability as a trait to reduce anxiety about performance or coercion
– State that the patient may discontinue the trance experience at any time, and
– Clarify the goals of the hypnotic intervention.
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SEE YOU IN
PART II