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.
In the 1950s, Milton H. Erickson developed a radically different approach to hypnotism, which has subsequently become known as "Ericksonian hypnotherapy" or "Neo-Ericksonian hypnotherapy." Erickson made use of an informal conversational approach with many clients and complex language patterns, and therapeutic strategies. This divergence from tradition led some of his colleagues, including Andre Weitzenhoffer, to dispute whether Erickson was right to label his approach "hypnosis" at all.
Evidence from randomized controlled trials indicates that hypnosis, relaxation, and meditation techniques can reduce anxiety, particularly that related to stressful situations, such as receiving chemotherapy (see box). They are also effective for insomnia, particularly when the techniques are integrated into a package of cognitive therapy (including, for example, sleep hygiene). A systematic review showed that hypnosis enhances the effects of cognitive behavioral therapy for conditions such as phobia, obesity, and anxiety.
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The use of hypnotherapy with cancer patients is another area being investigated. A meta-analysis of 116 studies showed very positive results of using hypnotherapy with cancer patients. Ninety-two percent showed a positive effect on depression; 93% showed a positive effect on physical well-being; 81% showed a positive effect on vomiting; and 92% showed a positive effect on pain.
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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.
Pioneers in this field, such as James Braid and James Esdaile discovered that hypnosis could be used to successfully anesthetize patients for surgeries. James Braid accidentally discovered that one of his patients began to enter a hypnotic state while staring at a fixed light as he waited for his eye examination to begin. Since mesmerism had fallen out of favor, Braid coined the term hypnotism, which is derived from the Greek word for sleep. Braid also used the techniques of monotony, rhythm, and imitation to assist in inducing a hypnotic state. As of 2000, these techniques are still in use.
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.
Many religions do not condone the practice of hypnotherapy. Leaders of the Jehovah's Witnesses and Christian Science religions oppose the use of hypnotherapy and advise their members to avoid it completely, whether for entertainment or therapy. The Church of Jesus Christ of Latter-Day Saints approves it for medical purposes, but cautions members against allowing themselves to be hypnotized for entertainment or demonstration purposes.
Some therapists use hypnosis to recover possibly repressed memories they believe are linked to the person's mental disorder. However, the quality and reliability of information recalled by the patient under hypnosis is not always reliable. Additionally, hypnosis can pose a risk of creating false memories -- usually as a result of unintended suggestions or the asking of leading questions by the therapist. For these reasons, hypnosis is no longer considered a common or mainstream part of most forms of psychotherapy. Also, the use of hypnosis for certain mental disorders in which patients may be highly susceptible to suggestion, such as dissociative disorders, remains especially controversial.
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.