The practice of many relaxation techniques is poorly regulated, and standards of practice and training are variable. This situation is unsatisfactory, but given that many relaxation techniques are relatively benign, the problem with this variation in standards is more in ensuring effective treatment and good professional conduct than in avoiding adverse effects. By selecting a license mental health professional (psychologist or social worker), patients are more likely to receive treatment from individuals who are well trained in the appropriate use of behavioral techniques.
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As a hypnotherapist, I've seen first-hand the incredible changes that this form of therapy can bring. I once had a client with an intense phobia of maggots who couldn't so much as utter the word without experiencing a strong physical and emotional response. But after just two sessions she found that she was able to talk about them comfortably and was also willing to watch videos of them online without feeling disturbed. She was hardly able to believe her progress.
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.
An 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).
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.
At the outset of cognitive behavioural therapy during the 1950s, hypnosis was used by early behaviour therapists such as Joseph Wolpe and also by early cognitive therapists such as Albert Ellis. Barber, Spanos, and Chaves introduced the term "cognitive-behavioural" to describe their "nonstate" theory of hypnosis in Hypnosis, imagination, and human potentialities. However, Clark L. Hull had introduced a behavioural psychology as far back as 1933, which in turn was preceded by Ivan Pavlov. Indeed, the earliest theories and practices of hypnotism, even those of Braid, resemble the cognitive-behavioural orientation in some respects.
Could imbalance in the autonomic nervous system explain the complexity and heterogeneity of autism spectrum disorder (ASD)? Could teaching kids and families affected by ASD skills in autonomic regulation broadly improve comfort and functioning? This is the first of three blog posts on our work at the Center for Applied Psychophysiology and Self-regulation at RIT.
There are no studies to show that hypnosis can affect outcomes after breast cancer specifically. However, hypnosis does appear to help with some of the symptoms of cancer and side effects of its treatment, such as pain, nausea, vomiting, stress, and anxiety. Research is also being done to find out whether hypnosis can help reduce hot flashes in women who have had breast cancer.
Self-hypnosis happens when a person hypnotises oneself, commonly involving the use of autosuggestion. The technique is often used to increase motivation for a diet, to quit smoking, or to reduce stress. People who practise self-hypnosis sometimes require assistance; some people use devices known as mind machines to assist in the process, whereas others use hypnotic recordings.
In a hypnotherapy session, after identifying client goals for the session and reviewing how the session will proceed, the practitioner will use guided imagery and soothing speech to help the person to feel relaxed and safe. When the recipient of hypnosis has achieved a more receptive state, the practitioner will provide suggestions that could help the person reach his or her goals. The person in the trancelike state remains aware and is usually able to return to a more alert state independently once the session is over. Some people find that just one hypnotherapy session is sufficient, and others may attend several sessions.
State theorists interpret the effects of hypnotism as due primarily 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:
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.
Jump up ^ Braid, J. (1844/1855), "Magic, Mesmerism, Hypnotism, etc., etc. Historically and Physiologically Considered", The Medical Times, Vol.11, No.272, (7 December 1844), pp.203-204, No.273, (14 December 1844), p.224-227, No.275, (28 December 1844), pp.270-273, No.276, (4 January 1845), pp.296-299, No.277, (11 January 1845), pp.318-320, No.281, (8 February 1845), pp.399-400, and No.283, (22 February 1845), pp.439-441: at p.203.
Austrian physician, Franz Mesmer (1734–1815), is credited with being the first person to scientifically investigate the idea of hypnotherapy, in 1779, to treat a variety of health conditions. Mesmer studied medicine at the University of Vienna and received his medical degree in 1766. Mesmer is believed to have been the first doctor to understand the relationship of psychological trauma to illness. He induced a trance-like state, which became known as mesmerism, in his patients to successfully treat nervous disorders. These techniques became the foundation for modern-day hypnotherapy.
Although there are different techniques, clinical hypnotherapy is generally performed in a calm, therapeutic environment. The therapist will guide you into a relaxed, focused state and ask you to think about experiences and situations in positive ways that can help you change the way you think and behave. Unlike some dramatic portrayals of hypnosis in movies, books, or on stage, you will not be unconscious, asleep, or in any way out of control of yourself. You will hear the therapist’s suggestions, but it is up to you to decide whether or not to act on them.