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"Hypnotized" redirects here. For other uses, see Hypnotized (disambiguation).
Hypnosis is a mental state (state theory) or set of attitudes (non-state theory) usually induced by a procedure known as a hypnotic induction, which is commonly composed of a series of preliminary instructions and suggestions.[1] Hypnotic suggestions may be delivered by a hypnotist in the presence of the subject, or may be self-administered ("self-suggestion" or "autosuggestion"). The use of hypnotism for therapeutic purposes is referred to as "hypnotherapy". The words 'hypnosis' and 'hypnotism' both derive from the term "neuro-hypnotism" (nervous sleep) coined by the Scottish physician and surgeon James Braid around 1841. Braid based his practice on that developed by Franz Anton Mesmer and his followers ("Mesmerism" or "animal magnetism"), but differed in his theory as to how the procedure worked. Although a popular misconception is that hypnosis is a form of unconsciousness resembling sleep, contemporary research suggests that it is actually a wakeful state of focused attention[2] and heightened suggestibility,[3] with diminished peripheral awareness.[4] In the first book on the subject, Neurypnology (1843), Braid described "hypnotism" as a state of physical relaxation accompanied and induced by mental concentration ("abstraction").[5]
[edit] CharacteristicsSkeptics point out the difficulty distinguishing between hypnosis and the placebo effect, proposing that the state called hypnosis is so heavily reliant upon the effects of suggestion and belief that it would be hard to imagine how a credible placebo control could ever be devised for a hypnotism study.[6] Many researchers and clinicians would object however that hypnotic suggestion is explicitly intended to make use of the placebo effect, e.g., Irving Kirsch has proposed a definition of hypnosis as a "non-deceptive mega-placebo", i.e., a method which openly makes use of suggestion and employs methods to amplify its effects. [edit] DefinitionsThe earliest definition of hypnosis was given by Braid, who coined the term "hypnotism" as an abbreviation for "neuro-hypnotism", or nervous sleep, which he opposed to normal sleep, and defined as:
Braid elaborated upon this brief definition in a later work:
Braid therefore defined hypnotism as a state of mental concentration which often led to a form of progressive relaxation termed "nervous sleep". Later, in his The Physiology of Fascination (1855), Braid conceded that his original terminology was misleading, and argued that the term "hypnotism" or "nervous sleep" should be reserved for the minority (10%) of subjects who exhibited amnesia, substituting the term "monoideism", meaning concentration upon a single idea, as a description for the more alert state experienced by the others. A contemporary account of hypnosis, derived from academic psychology, was provided in 2005, when the Society for Psychological Hypnosis, Division 30 of the American Psychological Association (APA), published the following formal definition:
[edit] InductionHypnosis is normally preceded by a "hypnotic induction" technique. Traditionally this was interpreted as a method of putting the subject into a "hypnotic trance"; however subsequent "nonstate" theorists have viewed it differently, as a means of heightening client expectation, defining their role, focusing attention, etc. There are an enormous variety of different induction techniques used in hypnotism. However, by far the most influential method was the original "eye-fixation" technique of Braid, also known as "Braidism". Many variations of the eye-fixation approach exist, including the induction used in the Stanford Hypnotic Susceptibility Scale (SHSS), the most widely-used research tool in the field of hypnotism. Braid's original description of his induction is as follows:
Braid himself 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 (q.v., Barber, Spanos & Chaves, 1974). Many variations and alternatives to the original hypnotic induction techniques were subsequently developed. However, exactly 100 years after Braid introduced the method, another expert could still state: "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."[11] [edit] SuggestionMain article: Suggestion When James Braid first described hypnotism, he did not use the term "suggestion" but referred instead to the act of focusing the conscious mind of the subject upon a single dominant idea. Braid's main therapeutic strategy involved stimulating or reducing physiological functioning in different regions of the body. In his later works, however, Braid placed increasing emphasis upon the use of a variety of different verbal and non-verbal forms of suggestion, including the use of "waking suggestion" and self-hypnosis. Subsequently, Hippolyte Bernheim shifted the emphasis from the physical state of hypnosis on to the psychological process of verbal suggestion.
Bernheim's conception of the primacy of verbal suggestion in hypnotism dominated the subject throughout the twentieth century, leading some authorities to declare him the father of modern hypnotism (Weitzenhoffer, 2000). Contemporary hypnotism makes use of a wide variety of different forms of suggestion including: direct verbal suggestions, "indirect" verbal suggestions such as requests or insinuations, metaphors and other rhetorical figures of speech, and non-verbal suggestion in the form of mental imagery, voice tonality, and physical manipulation. A distinction is commonly made between suggestions delivered "permissively" or in a more "authoritarian" manner. Some hypnotic suggestions are intended to bring about immediate responses, whereas others (post-hypnotic suggestions) are intended to trigger responses after a delay ranging from a few minutes to many years in some reported cases. [edit] Consciousness vs. unconscious mindSome hypnotists conceive of suggestions as being a form of communication directed primarily to the subject's conscious mind, whereas others view suggestion as a means of communicating with the "unconscious" or "subconscious" mind. These concepts were introduced into hypnotism at the end of 19th century by Sigmund Freud and Pierre Janet. The original Victorian pioneers of hypnotism, including Braid and Bernheim, did not employ these concepts but considered hypnotic suggestions to be 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 believed that responses are mediated primarily by an "unconscious mind", like Milton Erickson, made more 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 also depends upon this view of the mind. By contrast, hypnotists who believed that responses to suggestion are primarily mediated by the conscious mind, such as Theodore Barber and Nicholas Spanos tended to make more use of direct verbal suggestions and instructions. [edit] Ideo-dynamic reflexMain article: ideo motor response The first neuro-psychological theory of hypnotic suggestion was introduced early on 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, other than muscular movement, can be thus affected, e.g., 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 hold 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, e.g., including mental imagery, or memories, etc. [edit] Post-hypnotic suggestionMain article: Post-hypnotic suggestion It has been alleged post-hypnotic suggestion can be used to change people's behaviour after emerging from hypnosis. One author wrote that "a person can act, some time later, on a suggestion seeded during the hypnotic session". A hypnotherapist told one of his patients, who was also a friend: 'When I touch you on the finger you will immediately be hypnotised.' Fourteen years later, at a dinner party, he touched him deliberately on the finger and his head fell back against the chair."[12] [edit] SusceptibilityMain article: Hypnotic susceptibility Braid made a rough distinction between different stages of hypnosis which he termed the first and second conscious stage of hypnotism; he later replaced this with a distinction between "sub-hypnotic", "full hypnotic", and "hypnotic coma" stages. Jean-Martin Charcot made a similar distinction between stages named somnambulism, lethargy, and catalepsy. However, Ambroise-Auguste Liébeault and Bernheim introduced more complex hypnotic "depth" scales, based on a combination of behavioural, physiological and subjective responses, some of which were due to direct suggestion and some of which were not. In the first few decades of the 20th century, these early clinical "depth" scales were superseded by more sophisticated "hypnotic susceptibility" scales based on experimental research. The most influential were the Davis-Husband and Friedlander-Sarbin scales developed in the 1930s. Andre Weitzenhoffer and Ernest R. Hilgard developed the Stanford Scale of Hypnotic Susceptibility in 1959, consisting of 12 suggestion test items following a standardised hypnotic eye-fixation induction script, and this has become one of the most widely-referenced research tools in the field of hypnosis. Soon after, in 1962, Ronald Shor and Emily Carota Orne developed a similar group scale called the Harvard Group Scale of Hypnotic Susceptibility (HGSHS). Whereas the older "depth scales" tried to infer the level of "hypnotic trance" based upon supposed observable signs, such as spontaneous amnesia, most subsequent scales measure the degree of observed or self-evaluated responsiveness to specific suggestion tests, such as direct suggestions of arm rigidity (catalepsy). [edit] HistoryMain article: History of hypnosis [edit] PrecursorsAccording to his writings, Braid began to hear reports concerning the practices of various Oriental meditation techniques immediately after the publication of his major book on hypnotism, Neurypnology (1843). Braid first discusses hypnotism's historical precursors in a series of articles entitled Magic, Mesmerism, Hypnotism, etc., Historically & Physiologically Considered. He draws analogies between his own practice of hypnotism and various forms of Hindu yoga meditation and other ancient spiritual practices. Braid’s interest in meditation really developed when he was introduced to the Dabistān-i Mazāhib, the “School of Religions”, an ancient Persian text describing a wide variety of Oriental religious practices.
Although he disputed the religious interpretation given to these phenomena throughout this article and elsewhere in his writings, Braid seized upon these accounts of Oriental meditation as proof that the effects of hypnotism could be produced in solitude, without the presence of a magnetiser, and therefore saw this as evidence that the real precursor of hypnotism was to be sought in the ancient practices of meditation rather than in the more recent theory and practice of Mesmerism. As he later wrote:
[edit] Franz MesmerFranz Mesmer (1734-1815) believed that there was a magnetic force or "fluid" within the universe which influenced the health of the human body. He experimented with magnets to influence this field and so cause healing. By around 1774 he had concluded that the same effects could be created by passing the hands, at a distance, in front of the subject's body, referred to as making "Mesmeric passes." The word mesmerize originates from the name of Franz Mesmer; and was intentionally used to separate its users from the various "fluid" and "magnetic" theories embedded within the label "magnetism". In 1784, at the request of King Louis XVI, a series of French scientific committees, one of which included the American ambassador to France, Benjamin Franklin, scrutinized Mesmer's theories. They also investigated the practices of a disaffected student of Mesmer, one Charles d'Eslon (1750-1786), and despite the fact that they accepted that Mesmer's results were valid, their placebo-controlled experiments following d'Eslon's practices convinced them that Mesmerism's were most likely due to belief and imagination rather than to any sort of invisible energy ("animal magnetism") transmitted from the body of the Mesmerist. In other words, despite accepting that Mesmer's practices seemed to have efficacy, both committees totally rejected all of Mesmer's theories. [edit] James BraidMain article: James Braid (physician) Following the French committee's findings, in his Elements of the Philosophy of the Human Mind (1827), Dugald Stewart, an influential academic philosopher of the "Scottish School of Common Sense", encouraged physicians to salvage elements of Mesmerism by replacing the supernatural theory of "animal magnetism" with a new interpretation based upon "common sense" laws of physiology and psychology. Braid quotes the following passage from Stewart:[16]
In Braid's day, the Scottish School of Common Sense provided the dominant theories of academic psychology and Braid refers to other philosophers within this tradition throughout his writings. Braid therefore revised the theory and practice of Mesmerism and developed his own method of "hypnotism" as a more rational and "common sense" alternative.
Despite briefly toying with the name "rational Mesmerism", Braid ultimately emphasised his approach's uniqueness, carrying out informal experiments throughout his career to refute the arguments invoking supernatural practices, and demonstrate instead the role of ordinary physiological and psychological processes such as suggestion and focused attention in producing the observed effects. Braid worked very closely with his friend and ally the eminent physiologist Professor William Benjamin Carpenter an early neuro-psychologist, who introduced the "ideo-motor reflex" theory of suggestion. Carpenter had observed examples of expectation and imagination apparently influencing involuntarily muscle movement. A classic example of the ideo-motor principle in action is the so-called "Chevreul pendulum" (named after Michel Eugène Chevreul). Chevreul claimed that pendulum can be made to swing by appropriate concentration alone. Braid soon assimilated Carpenter's observations into his own theory, realising that the effect of focusing attention was to enhance the ideo-motor reflex response. Braid extended Carpenter's theory to encompass the influence of the mind upon the body more generally, beyond the muscular system, and therefore referred to the "ideo-dynamic" response and coined the term "psycho-physiology" to refer to the study of general mind/body interaction. In his later works, Braid reserved the term "hypnotism" for cases in which subjects entered a state of amnesia resembling sleep. For the rest, he spoke of a "mono-ideodynamic" principle to emphasise that the eye-fixation induction technique worked by narrowing the subject's attention to a single idea or train of thought ("monoideism") which amplified the effect of the consequent "dominant idea" upon the subject's body by means of the ideo-dynamic principle. [edit] Hysteria vs. suggestionFor several decades, Braid's work became more influential abroad than in his own country, except for a handful of followers, most notably Dr. John Milne Bramwell. The eminent neurologist Dr. George Miller Beard took Braid's theories to America. Meanwhile his works were translated into German by Wilhelm T. Preyer, Professor of Physiology at Jena University. The psychiatrist Albert Moll subsequently continued German research, publishing Hypnotism in 1889. France became the focal point for the study after the eminent neurologist Dr. Étienne Eugène Azam presented Braid's research to the French Academy of Sciences. Azam also translated Braid's last manuscript (On Hypnotism, 1860) into French. At the request of Azam, Paul Broca, and others, the French Academy of Science, who had examined Mesmerism in 1784, examined Braid's writings shortly after his demise. Azam's enthusiasm for hypnotism influenced Ambroise-Auguste Liébeault, a country doctor. Hippolyte Bernheim discovered Liébeault's enormously popular group hypnotherapy clinic and subsequently became an influential hypnotist. The study of hypnotism subsequently revolved around the fierce debate between Jean-Martin Charcot and Hippolyte Bernheim, the two most influential figures in late 19th century hypnotism. Charcot operated a clinic at the Pitié-Salpêtrière Hospital (thus, also known as the "Paris School" or the "Salpêtrière School"), while Bernheim had a clinic in Nancy (also known as the "Nancy School"). Charcot, influenced more by the Mesmerists, argued that hypnotism was an abnormal state of nervous functioning found only in certain hysterical women. He claimed that it manifested in a series of physical reactions which could be divided into distinct stages. Bernheim argued that anyone could be hypnotised, that it was an extension of normal psychological functioning, and that its effects were due to suggestion. After decades of debate, Bernheim's view dominated. Charcot's theory is now just a historical curiosity. [edit] Pierre JanetPierre Janet (1859-1947) reported studies on a hypnotic subject in 1882. Charcot subsequently appointed him director of the psychological laboratory at the Salpêtrière in 1889, after Janet completed his doctorate in philosophy which dealt with psychological automatism. In 1898 Janet was appointed psychology lecturer at the Sorbonne, and in 1902 became chair of experimental and comparative psychology at the Collège de France. Janet reconciled elements of his views with those of Bernheim and his followers, developing his own sophisticated hypnotic psychotherapy based upon the concept of psychological dissociation which, at the turn of the century, rivaled Freud's attempt to provide a more comprehensive theory of psychotherapy. [edit] Sigmund FreudSigmund Freud, the founder of psychoanalysis, studied hypnotism at Paris school and briefly visited the Nancy school. Initially, Freud was an enthusiastic proponent of hypnotherapy, and soon began to emphasise hypnotic regression and ab reaction (catharsis) as therapeutic methods. He wrote a favorable encyclopedia article on hypnotism, translated one of Bernheim's works into German, and published an influential series of case studies with his colleague Joseph Breuer entitled Studies on Hysteria (1895). This became the founding text of the subsequent tradition known as "hypno-analysis" or "regression hypnotherapy." However, Freud gradually abandoned hypnotism in favour of psychoanalysis, emphasizing free association and interpretation of the unconscious. Struggling with the great expense of time that psychoanalysis required, Freud later suggested that it might be combined with hypnotic suggestion to hasten the outcome of treatment,
However only a handful of Freud's followers were sufficiently qualified in hypnosis to attempt the synthesis. Their work had a limited influence on the hypno-therapeutic approaches now known variously as "hypnotic regression", "hypnotic progression", and "hypnoanalysis". [edit] Émile CouéÉmile Coué (1857-1926) assisted Ambroise-Auguste Liébeault for around two years at Nancy. After practicing for several years as a hypnotherapist employing the methods of Liébeault and Bernheim's Nancy School, Coué developed a new orientation called "conscious autosuggestion." Several years after Liébeault's death in 1904, Coué founded what became known as the New Nancy School, a loose collaboration of practitioners who taught and promoted his views. Coué's method did not emphasise "sleep" or deep relaxation and instead focused upon autosuggestion involving a specific series of suggestion tests. Although Coué argued that he was no longer using hypnosis, followers such as Charles Baudouin viewed his approach as a form of light self-hypnosis. Coué's method became a renowned self-help and psychotherapy technique, which contrasted with psychoanalysis and prefigured self-hypnosis and cognitive therapy. [edit] Clark L. HullThe next major development came from behavioral psychology in American university research. Clark L. Hull, 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, emphasizing conditioned reflexes, rivaled the Freudian psycho dynamic interpretation emphasizing unconscious transference. [edit] Milton EricksonMilton H. Erickson, M.D. was one of the most influential post-war hypnotherapists. He wrote several books and journal articles on the subject. During the 1960s, Erickson popularized a new branch of hypnotherapy, known as Ericksonian hypnotherapy, primarily characterised by indirect suggestion, "metaphor" (actually analogies), confusion techniques, and double binds in place of formal hypnotic inductions. However, the difference between Erickson's methods and traditional hypnotism led contemporaries such as André Weitzenhoffer, to question whether he was practicing "hypnosis" at all, and his approach remains in question.
[edit] Cognitive-behaviouralIn the latter half of the twentieth century, two factors contributed to the development of the cognitive-behavioural approach to hypnosis. 1) Cognitive and behavioural theories of the nature of hypnosis (influenced by the theories of Sarbin[21] and Barber [22]) became increasingly influential. 2) The therapeutic practices of hypnotherapy and various forms of cognitive-behavioural therapy overlapped and influenced each other.[23] Although cognitive-behavioural theories of hypnosis must be distinguished from cognitive-behavioural approaches to hypnotherapy, they share similar concepts, terminology, and assumptions and have been integrated by influential researchers and clinicians such as Irving Kirsch, Steven Jay Lynn, and others [24]. At the outset of cognitive-behavioural therapy during the 1950s, hypnosis was used by early behaviour therapists such as Joseph Wolpe[25] and also by early cognitive therapists such as Albert Ellis[26]. Barber, Spanos & Chaves introduced the term "cognitive-behavioural" to describe their "nonstate" theory of hypnosis in Hypnotism: Imagination & Human Potentialities (1974)[22]. However, Clark L. Hull had introduced a behavioural psychology as far back as 1933, which in turn was preceded by Ivan Pavlov.[27]. Indeed, the earliest theories and practices of hypnotism, even those of Braid, resemble the cognitive-behavioural orientation in some respects[28]. [edit] Uses[edit] HypnotherapyMain article: Hypnotherapy Modern hypnotherapy has been used in a variety of forms, such as regression hypnotherapy (or "hypnoanalysis") and Ericksonian hypnotherapy. Hypnosis has been studied clinically with varying success.[29] Applications include:
Self-hypnosis is popularly used to quit smoking and reduce stress, while stage hypnosis can persuade people to perform unusual public feats.[37] [edit] Medical applications Relaxation techniques and suggestion have been used to reduce pain in childbirth (sometimes called 'Hypnobirthing')[38] Hypnotherapy has been used to treat irritable bowel syndrome. Researchers who recently reviewed the best studies in this area conclude:
Hypnosis for IBS has received moderate support in the National Institute for Health and Clinical Excellence guidance published for UK health services.[40] It has been used as an aid or alternative to chemical anaesthesia,[41][42][43] and it has been studied as a way to soothe skin ailments.[44] A number of studies show that hypnosis can reduce the pain experienced during burn-wound debridement, bone marrow aspirations, and childbirth. The International Journal of Clinical and Experimental Hypnosis found that hypnosis relieved the pain of 75% of 933 subjects participating in 27 different experiments.[45] In 1996, the National Institutes of Health declared hypnosis effective in reducing pain from cancer and other chronic conditions.[45] Nausea and other symptoms related to incurable diseases may also be managed with hypnosis.[46][47][48][49] For example, research done at the Mount Sinai School of Medicine studied two patient groups facing breast cancer surgery. The group that received hypnosis reported less pain, nausea, and anxiety post-surgery. The average hypnosis patient reduced treatment costs by an average $772.00.[50][51] The American Psychological Association published a study comparing the effects of hypnosis, ordinary suggestion and placebo in reducing pain. The study found that highly suggestible individuals experienced a greater reduction in pain from hypnosis compared with placebo, whereas less suggestible subjects experienced no pain reduction from hypnosis when compared with placebo. Ordinary non-hypnotic suggestion also caused reduction in pain compared to placebo, but was able to reduce pain in a wider range of subjects (both high and low suggestible) than hypnosis. The results showed that it is primarily the subjects responsiveness to suggestion, whether within the context of 'hypnosis' or not, that is the main determinant of causing reduction in pain.[52] Treating skin diseases with hypnosis (hypnodermatology)has performed well in treating warts, psoriasis, and atopic dermatitis.[53] Hypnosis may be useful as an adjunct therapy for weight loss. A 1996 meta-analysis studying hypnosis combined with cognitive-behavioural therapy found that people using both treatments lost more weight than people using CBT alone.[54] [edit] Military ApplicationsA recently declassified document obtained by The Black Vault Freedom of Information Act archive, shows that hypnosis was investigated for military applications.[55] However, the overall conclusion of the study was that there was no evidence that hypnosis could be used for military applications, and also that there was no clear evidence for whether 'hypnosis' actually exists as a definable phenomena outside of ordinary suggestion, high motivation and subject expectancy. According to the document,
Furthermore, the document states that:
The study concludes:
Research into hypnosis in military applications is further verified by the MKULTRA experiments, also conducted by the CIA.[56] According to Congressional testimony[57], the CIA experimented with utilizing LSD and hypnosis for mind control. Many of these programs were done domestically and on participants who were not informed of the study's purposes or that they would be given drugs.[57] The full paper explores the potentials of operational uses[58]. [edit] Psychotherapy Professor Charcot (left) of Paris' Salpêtrière demonstrates hypnosis on a "hysterical" patient, "Blanche" (Marie) Wittman, who is supported by Dr. Joseph Babiński. Hypnotherapy is the use of hypnosis in psychotherapy.[59] It is used by licensed physicians, psychologists, and others. Physicians and psychiatrists may use hypnosis to treat depression, anxiety, eating disorders, sleep disorders, compulsive gaming, and posttraumatic stress.[60][61] Certified hypnotherapists who are not physicians or psychologists often treat smoking and weight management. (Success rates vary: a meta-study researching hypnosis as a quit-smoking tool found it had a 20 to 30 percent success rate, similar to other quit-smoking methods[62], while a 2007 study of patients hospitalised for cardiac and pulmonary ailments found that smokers who used hypnosis to quit smoking doubled their chances of success.[63]) In a July 2001 article for Scientific American titled "The Truth and the Hype of Hypnosis", Michael Nash wrote:
Controversy surrounds the use of hypnotherapy to retrieve memories, especially those from early childhood or (alleged) past-lives. The American Medical Association and the American Psychological Association caution against repressed memory therapy in cases of alleged childhood trauma, stating that "it is impossible, without corroborative evidence, to distinguish a true memory from a false one."[64] Past life regression, meanwhile, is often viewed with skepticism.[65] [edit] Self-hypnosisMain article: Self-hypnosis Self-hypnosis happens when a person hypnotises himself or herself, commonly involving the use of autosuggestion. The technique is often used to increase motivation for a diet, quit smoking, or reduce stress. People who practice self-hypnosis sometimes require assistance; some people use devices known as mind machines to assist in the process, while others use hypnotic recordings. Self-hypnosis is claimed to help with stage fright, relaxation, and physical well-being.[66] [edit] Stage hypnosisMain article: Stage hypnosis Stage hypnosis is a form of entertainment, traditionally employed in a club or theatre before an audience. Due to stage hypnotists' showmanship, many people believe that hypnosis is a form of mind control. However, the effects of stage hypnosis are probably due to a combination of psychological factors such as peer pressure, social compliance, participant selection, suggestibility, physical manipulation, stagecraft, and trickery.[67] The desire to be the centre of attention, having an excuse to violate their own fear suppressors and the pressure to please are thought to convince subjects to 'play along'.[68][page needed] Books by stage hypnotists sometimes explicitly describe the use of deception in their acts, for example, Ormond McGill's New Encyclopedia of Stage Hypnosis describes an entire "fake hypnosis" act which depends upon the use of private whispers throughout.
Stage hypnosis traditionally employs three fundamental strategies:
The strategies of deception employed in traditional stage hypnosis can be categorised as follows:
[edit] Other usesHypnotism has also been used in forensics, sports, education, physical therapy and rehabilitation.[70] Hypnotism has also been employed by artists for creative purposes most notably the surrealist circle of André Breton who employed hypnosis, automatic writing and sketches for creative purposes. Some people have drawn analogies between certain aspects of hypnotism and areas such as crowd psychology, religious hysteria, and ritual trances in preliterate tribal cultures.[71][page needed] [edit] Theories[edit] The state versus nonstate debateThe central theoretical disagreement is known as the "state versus nonstate" debate. When Braid introduced the concept of hypnotism he equivocated over the nature of the "state", sometimes describing it as a specific sleep-like neurological state comparable to animal hibernation or yogic meditation, while at other times he emphasised that hypnotism encompassed a number of different stages or states which were an extension of ordinary psychological and physiological processes. Overall, Braid appears to have moved from a more "special state" understanding of hypnotism toward a more complex "nonstate" orientation. State theorists interpret the effects of hypnotism as primarily due to a specific, abnormal and uniform psychological or physiological state of some description, often referred to as "hypnotic trance" or an "altered state of consciousness." Nonstate theorists rejected the idea of hypnotic trance and interpret the effects of hypnotism as due to a combination of multiple task-specific factors derived from normal cognitive, behavioural and social psychology, such as social role-perception and favorable motivation (Sarbin), active imagination and positive cognitive set (Barber), response expectancy (Kirsch), and the active use of task-specific subjective strategies (Spanos). The personality psychologist Robert White is often cited as providing one of the first nonstate definitions of hypnosis in a 1941 article:
Put simply, it is often claimed that whereas the older "special state" interpretation emphasises the difference between hypnosis and ordinary psychological processes, the "nonstate" interpretation emphasises their similarity. Comparisons between hypnotised and non-hypnotised subjects suggest that if a "hypnotic trance" does exist it only accounts for a small proportion of the effects attributed to hypnotic suggestion, most of which can be replicated without hypnotic induction. [edit] Hyper-suggestibilityBraid can be taken to imply, in later writings, that hypnosis is largely a state of heightened suggestibility induced by expectation and focused attention. In particular, Hippolyte Bernheim became known as the leading proponent of the "suggestion theory" of hypnosis, at one point going so far as to declare that there is no hypnotic state, only heightened suggestibility. There is a general consensus that heightened suggestibility is an essential characteristic of hypnosis.
[edit] Conditioned inhibitionIvan Pavlov stated that hypnotic suggestion provided the best example of a conditioned reflex response in human beings, i.e., that responses to suggestions were learned associations triggered by the words used. Pavlov himself wrote:
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.[75][page needed][76] Pavlov's ideas combined with those of his rival Bekhterev and became the basis of hypnotic psychotherapy in the Soviet Union, as documented in the writings of his follower K.I. Platonov. Soviet theories of hypnotism subsequently influenced the writings of Western behaviourally-oriented hypnotherapists such as Andrew Salter. However, this theory of hypnosis as a specific state of conditioned cortical inhibition has received little support. [edit] NeuropsychologyNeurological imaging techniques provide no evidence of a neurological pattern that can be equated with a "hypnotic trance". Changes in brain activity have been found in some studies of highly responsive hypnotic subjects. These changes vary depending upon the type of suggestions being given.[77][78] However, what these results indicate is unclear. They may indicate that suggestions genuinely produce changes in perception or experience that are not simply a result of imagination. However, in normal circumstances without hypnosis, the brain regions associated with motion detection are activated both when motion is seen and when motion is imagined, without any changes in the subjects' perception or experience.[79] This may therefore indicate that highly suggestible hypnotic subjects are simply activating to a greater extent the areas of the brain used in imagination, without real perceptual changes. Another study has demonstrated that a color hallucination suggestion given to subjects in hypnosis activated color-processing regions of the occipital cortex.[80] A 2004 review of research examining the EEG laboratory work in this area concludes:
The induction phase of hypnosis may also affect the activity in brain regions which control intention and process conflict. Anna Gosline claims:
[edit] DissociationPierre 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."[84][page needed] [edit] NeodissociationErnest Hilgard, who developed the "neodissociation" theory of hypnotism, hypothesised that hypnosis causes the subjects to divide their consciousness voluntarily. One part responds to the hypnotist while the other retains awareness of reality. Hilgard made subjects take an ice water bath. They said nothing about the water being cold or feeling pain. Hilgard then asked the subjects to lift their index finger if they felt pain and 70% of the subjects lifted their index finger. This showed that even though the subjects were listening to the suggestive hypnotist they still sensed the water's temperature.[85] [edit] Mind-dissociationThis surprisingly simple theory was proposed by Y.D. Tsai in 1995[86] as part of his psychosomatic theory of dreams. Inside each brain, there is a program " I " (the conscious self) which is distributed over the conscious brain and coordinates mental functions (cortices), such as thinking, imagining, sensing, moving, reasoning … etc. "I" also supervises memory. Many bizarre states of consciousness are actually the results of dissociation of certain mental functions from "I". When a person is hypnotized, it might be that his/her imagination is dissociated and sends the imagined content back to the sensory cortex, resulting in dreams or hallucinations; or that some senses are dissociated, resulting in hypnotic anesthesia; or that motor function is dissociated, resulting in immobility; or that reason is dissociated and he/she obeys the hypnotist's orders; or that thought is dissociated and not controlled by reason, hence strives to straighten out his/her body between two chairs. A command can also be acted out long after the hypnosis session, as follows: The subject obeys the voice of reason in normal state, but when hypnotized, reason is replaced by the hypnotist's command to make decisions or believes, and will be very uneasy if he/she does not do things as decided or his/her belief is contradicted. Hypnotherapy is also based on this principle. [edit] Social role-taking theoryThe 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 role of hypnotic subject. 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. Hence, the social constructionism and role-taking theory of hypnosis suggests that individuals are enacting (as opposed to merely playing) a role and that really there is no such thing as a hypnotic trance. A socially-constructed relationship is built depending on how much rapport has been established between the "hypnotist" and the subject (see Hawthorne effect, Pygmalion effect, and placebo effect). Psychologists such as Robert Baker and Graham Wagstaff claim that what we call hypnosis is actually a form of learned social behaviour, a complex hybrid of social compliance, relaxation, and suggestibility that can account for many esoteric behavioural manifestations.[87][page needed] [edit] Cognitive-behavioural theoryBarber, Spanos, & 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". Barber et al., noted that similar factors appeared to mediate the response both to hypnotism and to cognitive-behavioural therapy (CBT), in particular systematic desensitization. Hence, research and clinical practice inspired by their interpretation has led to growing interest in the relationship between hypnotherapy and CBT. [edit] Information theoryAn approach loosely based on Information theory uses a brain-as-computer model. In adaptive systems, feedback increases the signal-to-noise ratio, which may converge towards a steady state. Increasing the signal-to-noise ratio enables messages to be more clearly received. The hypnotist's object is to use techniques to reduce interference and increase the receptability of specific messages (suggestions).[88] [edit] Systems theorySystems theory, in this context, may be regarded as an extension of Braid's original conceptualization of hypnosis[89][page needed] as involving a process of enhancing or depressing nervous system activity. Systems theory considers the nervous system's organization into interacting subsystems. Hypnotic phenomena thus involve not only increased or decreased activity of particular subsystems, but also their interaction. A central phenomenon in this regard is that of feedback loops, which suggest a mechanism for creating hypnotic phenomena.[90][91] [edit] See also[edit] Historical figures[edit] Modern researchers[edit] Related subjects
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