In 1996, as a result of a three-year research project led by Lindsay B. Yeates, the Australian Hypnotherapists Association (founded in 1949), the oldest hypnotism-oriented professional organization in Australia, instituted a peer-group accreditation system for full-time Australian professional hypnotherapists, the first of its kind in the world, which "accredit[ed] specific individuals on the basis of their actual demonstrated knowledge and clinical performance; instead of approving particular 'courses' or approving particular 'teaching institutions'" (Yeates, 1996, p.iv; 1999, p.xiv). The system was further revised in 1999.
More than 200 years later, research in neuroscience is confirming at least parts of Mesmer’s outlandish theory. No, there is not magnetic fluid coursing through our bodies. But the power of mere suggestion — of imagination, as Franklin phrased it — is a more effective treatment than many modern skeptics might expect, causing real, measurable changes in the body and brain. Hypnotism has been shown to be an effective treatment for psychological problems, like phobias and eating disorders, but the practice also helps people with physical problems, including pain — both acute and chronic — and some gastrointestinal diseases. Physicians and psychologists have observed this with their own eyes for decades; now, many of them say that brain-imaging studies (not to mention the deep respect people tend to have for all things prefixed by “neuro”) are helping them finally prove their point.
Some therapists use hypnotherapy to recover repressed memories they believe are linked to the person’s mental disorder. However, it also poses a risk of creating false memories—usually as a result of unintended suggestions by the therapist. For this reason, using hypnotherapy for certain mental disorders, such as dissociative disorders, remains controversial.
Hypnosis has been used as a supplemental approach to cognitive behavioral therapy since as early as 1949. Hypnosis was defined in relation to classical conditioning; where the words of the therapist were the stimuli and the hypnosis would be the conditioned response. Some traditional cognitive behavioral therapy methods were based in classical conditioning. It would include inducing a relaxed state and introducing a feared stimuli. One way of inducing the relaxed state was through hypnosis.
“That study changed the whole landscape,” said Dave Patterson, a psychologist at the University of Washington in Seattle, who has been using hypnosis since the 1980s to help burn victims withstand the intense pain that comes with the necessary but excruciating bandage removal and wound cleaning. Since the ’90s, other well-designed, controlled studies have been published showing similar changes in brain activity. In another slightly trippy example, researchers suggested to people in a hypnotic state that the vibrant primary colors found in paintings by Piet Mondrian were actually shades of gray. “Brain-scan results of these participants showed altered activity in fusiform regions involved in color processing,” notes psychologist Christian Jarrett.
Advertisers have used this knowledge forever. They get our focus and then they pull us in with keywords and authoritative speech that enter the subconscious mind, bypassing our mental filters. Even as you read this, your mind is focused on the words you are reading and you are not fully aware of the world around you. So trance is a very natural state of mind and doesn't feel weird or different from what you often feel every day.
Therefore, Braid defined hypnotism as a state of mental concentration that often leads 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 exhibit amnesia, substituting the term "monoideism", meaning concentration upon a single idea, as a description for the more alert state experienced by the others.
Although he rejected the transcendental/metaphysical interpretation given to these phenomena outright, Braid accepted that these accounts of Oriental practices supported his view that the effects of hypnotism could be produced in solitude, without the presence of any other person (as he had already proved to his own satisfaction with the experiments he had conducted in November 1841); and he saw correlations between many of the "metaphysical" Oriental practices and his own "rational" neuro-hypnotism, and totally rejected all of the fluid theories and magnetic practices of the mesmerists. As he later wrote:
We know it is hard to sort out all the different claims made by some so-called “hypnosis schools and boards.” Stay away from “distance learning” or correspondence courses that claim to certify you as a clinical hypnotherapist. Hypnosis and hypnotherapy is a healing art based on scientific methods. Only basic hypnotherapy theory can be obtained from the right books or videos. Effectiveness is unlikely without live demonstrations, in-depth and advanced discussion, question and answer opportunities and supervised clinical practice. Just as correspondence courses are inappropriate for counselors, medical doctors and massage therapists, they are wrong for people who want to be effective and successful clinical hypnotherapists.
One obvious risk to patients is the insufficiently trained therapist. The inadequately trained therapist can cause harm and distort the normally pleasant experience of hypnotherapy. A second risk for patients is the unscrupulous practitioner who may be both inadequately trained and may have some hidden agenda. These rare individuals are capable of causing great harm to the patient and to the profession. As mentioned above, the patient should carefully scrutinize their chosen therapist before submitting themselves to this dynamic form of therapy.
Cally uses hypnotherapy to help people feel empowered in mind and body. Hypnotherapy can be integrated into your health care to address sleep problems, stress relief, general anxiousness, freedom from smoking, weight management, pain management, self-confidence, and fears that get in the way of daily life. Cally will teach you self-hypnosis, provide you with a list of strategies and resources for relaxation, and a digital audio file for reinforcement at home.
"How long will I spend in therapy?", is like asking, "How long is a piece of string?" Everyone is different and everyone's individual needs and circumstances vary. There is no definitive answer. However, while some talking therapies can require commitments of a year or more, hypnotherapy tends to be a much faster solution. The average length of time I spend with a client is around 4-6 weekly sessions, to create sustainable changes which some have been trying to implement for years.
Hypnosis is not a dangerous procedure. It is not mind control or brainwashing. A therapist cannot make a person do something embarrassing or that the person doesn't want to do. The greatest risk, as discussed above, is that false memories can potentially be created and that it may be less effective than pursuing other, more established and traditional psychiatric treatments.
We experience trance states every day of our lives. When you are day-dreaming, in deep thought, or even watching television, you are in a trance. When you are going to sleep at night, you are in a trance. Trance states are observed in science by brainwave activity. These waves change when a person's brain becomes relaxed. A trance can be light, or very deep like deep sleep.
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. The state of light to medium hypnosis, where the body undergoes physical and mental relaxation, is associated with a pattern mostly of alpha waves 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. 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. It is, however, premature to claim that hypnosis and meditation are mediated by similar brain systems and neural mechanisms.
Whereas the older "depth scales" tried to infer the level of "hypnotic trance" from supposed observable signs such as spontaneous amnesia, most subsequent scales have measured the degree of observed or self-evaluated responsiveness to specific suggestion tests such as direct suggestions of arm rigidity (catalepsy). The Stanford, Harvard, HIP, and most other susceptibility scales convert numbers into an assessment of a person's susceptibility as "high", "medium", or "low". Approximately 80% of the population are medium, 10% are high, and 10% are low. There is some controversy as to whether this is distributed on a "normal" bell-shaped curve or whether it is bi-modal with a small "blip" of people at the high end. Hypnotizability Scores are highly stable over a person's lifetime. Research by Deirdre Barrett has found that there are two distinct types of highly susceptible subjects, which she terms fantasizers and dissociaters. Fantasizers score high on absorption scales, find it easy to block out real-world stimuli without hypnosis, spend much time daydreaming, report imaginary companions as a child, and grew up with parents who encouraged imaginary play. Dissociaters often have a history of childhood abuse or other trauma, learned to escape into numbness, and to forget unpleasant events. Their association to "daydreaming" was often going blank rather than creating vividly recalled fantasies. Both score equally high on formal scales of hypnotic susceptibility.
Milton Erickson (1901–1980), the founding president of the American Society for Clinical Hypnosis and a fellow of the American Psychiatric Association, the American Psychological Association, and the American Psychopathological Association, 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 therapy, characterised primarily 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 practising "hypnosis" at all, and his approach remains in question.
The British Psychological Society commissioned a working group to survey the evidence and write a formal report on hypnotherapy in 2001. They found, “Enough studies have now accumulated to suggest that the inclusion of hypnotic procedures may be beneficial in the management and treatment of a wide range of conditions and problems encountered in the practice of medicine, psychiatry and psychotherapy.”
Contemporary hypnotism uses a variety of suggestion forms 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" and those delivered in a more "authoritarian" manner. Harvard hypnotherapist Deirdre Barrett writes that most modern research suggestions are designed to bring about immediate responses, whereas hypnotherapeutic suggestions are usually post-hypnotic ones that are intended to trigger responses affecting behaviour for periods ranging from days to a lifetime in duration. The hypnotherapeutic ones are often repeated in multiple sessions before they achieve peak effectiveness.
Sometimes those shoulds and shouldn'ts seem to only take us so far, before we reach a seemingly insurmountable hurdle that even the strongest willpower just can't quite conquer. This is because we're trying to address these issues on a purely conscious level, which is similar to applying a bandaid over an internal wound. Sooner or later, we need to deal with the root cause.
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.