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The Mitchell method involves adopting body positions that are opposite to those associated with anxiety (fingers spread rather than hands clenched, for example). In autogenic training, patients concentrate on experiencing physical sensations, such as warmth and heaviness, in different parts of their bodies in a learned sequence. Other methods encourage the use of diaphragmatic breathing that involves deep and slow abdominal breathing coupled with a conscious attempt to let go of tension during exhalation.
Pierre 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 had completed his PhD, which dealt with psychological automatism. In 1898, Janet was appointed psychology lecturer at the Sorbonne, and in 1902 he 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, rivalled Freud's attempt to provide a more comprehensive theory of psychotherapy.
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Ernest Hilgard, who developed the "neodissociation" theory of hypnotism, hypothesized 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. None mentioned 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.
Something I hear a lot from clients is, "I've tried everything, but I just feel hopeless." Another client I worked with suffered from Irritable Bowel Syndrome (IBS) for several years. She also struggled with her weight as she tried to find the source of what was causing the pain she had suffered daily. Her motivation and mood were at an all time low, and she was almost at the point where she had given up hope.
Hypnosis is first and foremost a self-accepted journey away from the reality of the moment. Although the trance state is often referred to as if the patient is asleep, nothing could be further from the truth. The patient is fully awake at all times. The hypnotic subject is simply in a heightened, more receptive state of mind. This fact is proven with inductions called open-eye techniques, where the patient keeps his/her eyes open during the hypnotherapy. Full and deep trance is still achievable.
Confusion can occur when one seeks a hypnotherapist, as a result of the various titles, certifications, and licenses in the field. Many states do not regulate the title "hypnotist" or "hypnotherapist," so care must be exercised when selecting someone to see. As a rule, it is best to consult a professional in the field of mental health or medicine, although alternative sources for hypnosis are available. Care must be taken also by the therapist to ensure adequate training and sufficient experience for rendering this specialized service. The therapist must be well grounded in a psychotherapeutic approach before undertaking the use of hypnotherapy. Professionals should not attempt hypnotherapy with any disorder for which they would not use traditional therapeutic approaches. The patient seeking hypnotherapy is reminded that unskilled or amateur hypnotists can cause harm and should not be consulted for the purpose of implementing positive change in an individual's life. The detrimental effects of being subjected to amateur or inadequately trained persons can be severe and long lasting. (See abnormal results below.)
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 is the induction of a deeply relaxed state, with increased suggestibility and suspension of critical faculties. Once in this state, sometimes called a hypnotic trance, patients are given therapeutic suggestions to encourage changes in behavior or relief of symptoms. For example, in a treatment to stop smoking, a hypnosis practitioner might suggest that the patient will no longer find smoking pleasurable or necessary. Hypnosis for a patient with arthritis might include a suggestion that the pain can be turned down like the volume of a radio.
“I arrived at the Hypnotherapy Academy of America believing that I had paid for and would receive the most comprehensive hypnotherapy training in the world. What I didn’t expect, however, was to find myself in an environment where I would have so many profound life transforming experiences. By the end of the second week I was completely in awe and felt that our class had already gotten more than our money’s worth. Upon completion of the course, I feel sure of two things. First, that I’m fully prepared to begin a successful hypnotherapy practice. Second, that my life will never be the same again.”
It is used for a wide variety of applications, and studies into its efficacy are often of poor quality which makes it difficult to determine efficacy. Several recent meta-analyses and systematic reviews of the literature on various conditions have concluded that the efficacy of hypnotherapy is "not verified", that there is no evidence or insufficient evidence for efficacy.