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One well-known example of a relaxation technique is known variously as progressive muscle relaxation, systematic muscle relaxation, and Jacobson relaxation. The patient sits comfortably in a quiet room. He or she then tenses a group of muscles, such as those in the right arm, holds the contraction for 15 seconds, then releases it while breathing out. After a short rest, this sequence is repeated with another set of muscles. In a systematic fashion, major muscle groups are contracted, then allowed to relax. Gradually, different sets of muscle are combined. Patients are encouraged to notice the differences between tension and relaxation.
Hypnosis has long been considered a valuable technique for recreating and then studying puzzling psychological phenomena. A classic example of this approach uses a technique known as posthypnotic amnesia (PHA) to model memory disorders such as functional amnesia, which involves a sudden memory loss typically due to some sort of psychological trauma (rather than to brain damage or disease). Hypnotists produce PHA by suggesting to a hypnotized person that after hypnosis he will forget particular things until he receives a “cancellation,” such as “Now you can remember everything.” PHA typically only happens when it is specifically suggested and it is much more likely to occur in those with high levels of hypnotic ability, or “high hypnotizable” people. Now a new study shows that this hypnotic state actually influences brain activity associated with memory.
Adverse events resulting from relaxation techniques are uncommon. Rare reports describe basilar or vertebral artery occlusion after yoga postures that put particular strain on the neck. People with poorly controlled cardiovascular disease should avoid progressive muscle relaxation because abdominal tensing can cause the Valsalva response. Patients with a history of psychosis or epilepsy have reportedly had further acute episodes after deep and prolonged meditation.
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.
Barber et al. noted that similar factors appeared to mediate the response both to hypnotism and to cognitive behavioural therapy, in particular systematic desensitization. Hence, research and clinical practice inspired by their interpretation has led to growing interest in the relationship between hypnotherapy and cognitive behavioural therapy.:105
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.
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:
“Learning hypnotherapy does not commit you to drastically changing your therapy practice,” says hypnotherapist Catherine Reiss. “The training will allow you to more quickly and effectively get to the cause of your clients’ unwanted behaviors and the feelings they present with it, but it also facilitates the use of trance in more traditional formats.”
Hypnosis might not be appropriate for a person who has psychotic symptoms, such as hallucinations and delusions, or for someone who is using drugs or alcohol. It should be used for pain control only after a doctor has evaluated the person for any physical disorder that might require medical or surgical treatment. Hypnosis also may be a less effective form of therapy than other more traditional treatments, such as medication, for psychiatric disorders.
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It is far easier to describe what hypnosis is not rather than to describe what it is. For example, it is not one person controlling the mind of another. The patient is not unconscious and does not lose control of his or her faculties. People will not do things under hypnosis that they would be unwilling to do otherwise. The person being hypnotized is always in control. The hypnotized person decides how deep the trance will be, what suggestions will be accepted, and when to awaken. Therefore, a hypnotyized person cannot be forever "lost" if the therapist should fall dead during an induction or while the patient is deep in trance.
Hypnotherapy is used for nonmedical patients as well as those who wish to overcome bad habits. Hypnotherapy has been shown to help those who suffer from performance anxiety, such as in sports, and speaking in public. In academic applications, it has also been shown to help with learning, participating in the classroom, concentrating, studying, focusing attention span, improving memory, and helping remove mental blocks about particular subjects.
Despite briefly toying with the name "rational Mesmerism", Braid ultimately chose to emphasise the unique aspects of his approach, carrying out informal experiments throughout his career in order to refute practices that invoked supernatural forces and demonstrating instead the role of ordinary physiological and psychological processes such as suggestion and focused attention in producing the observed effects.
After developing a substantial following — “mesmerism” became “the height of fashion” in late 1780s Paris, writes Marchant — Mesmer became the subject of what was essentially the world’s first clinical trial. King Louis XVI pulled together a team of the world’s top scientists, including Benjamin Franklin, who tested mesmerism and found its capacity to “cure” was, essentially, a placebo effect. “Not a shred of evidence exists for any fluid,” Franklin wrote. “The practice … is the art of increasing the imagination by degrees.”
Take any bright object (e.g. a lancet case) between the thumb and fore and middle fingers of the left hand; hold it from about eight to fifteen inches from the eyes, at such position above the forehead as may be necessary to produce the greatest possible strain upon the eyes and eyelids, and enable the patient to maintain a steady fixed stare at the object.
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, but that this would probably weaken the outcome: "It is very probable, too, that the application of our therapy to numbers will compel us to alloy the pure gold of analysis plentifully with the copper of direct [hypnotic] suggestion."
Visualization and imagery techniques involve the induction of a relaxed state followed by the development of a visual image, such as a pleasant scene that enhances the sense of relaxation. These images may be generated by the patient or suggested by the practitioner. In the context of this relaxing setting, patients can also choose to imagine themselves coping more effectively with the stressors in their lives.
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In most states, the practice of hypnosis is not regulated, so it's important to look for someone who's experienced. Many licensed health care professionals, such as social workers, psychologists, and medical doctors, have been trained in hypnotherapy. People who are not health care professionals can be certified at a number of schools, which may require 60 to more than 200 hours of training. In the United States, certified, experienced practitioners can be found at the National Board for Certified Clinical Hypnotherapists (NBCCH). Although certification with the NBCCH is not a requirement for practicing hypnosis, the NBCCH was formed by hypnotherapists hoping to improve the standards and integrity of the hypnosis profession. Other countries have their own systems of certification.
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).
Many of the clucking chicken images are the result of hypnosis’s forefather, Franz Anton Mesmer (1734-1815). Mesmer believed that there was an invisible force, a cosmic energy, that could be harnessed by one person to influence another person’s behavior. While his theory was wrong, the techniques he used were effective. These techniques were picked up on and developed over the coming years for therapeutic and medical purposes. Sigmund Freud, for instance, used hypnosis techniques. In the mid-1900s, hypnotherapy as we know it evolved. Milton Erickson (1901-1980) pioneered “indirect hypnosis,” during which therapists work with individual patients to shift their perceptions of themselves and their issues.
Speech, on account of the whole preceding life of the adult, is connected up with all the internal and external stimuli which can reach the cortex, signaling all of them and replacing all of them, and therefore it can call forth all those reactions of the organism which are normally determined by the actual stimuli themselves. We can, therefore, regard "suggestion" as the most simple form of a typical reflex in man.
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.
Hypnosis is a wellness technique that works by promoting positive behavioral or cognitive changes. During successful hypnosis, the client should be eased into a state of deep relaxation in which the conscious mind takes a back seat and the subconscious mind becomes more active. The client is often able to let go of critical thoughts and become receptive to the therapist’s suggestions. In this state of hypnosis, motivating suggestions can bypass your usual mental resistance and internal defense mechanisms. For example, even if you want to quit overeating cupcakes, you may have some level of resistance that your rational mind can’t overcome. During hypnosis, the positive suggestions made by the hypnotherapist can bypass your usual blocks, helping you to achieve the formerly unachievable: stopping overeating, quitting smoking, mastering public speaking, or losing your fear of heights. The goal of hypnosis is to strengthen and empower the client’s motivation, commitment and focus. Consider working with someone who is not just trained in hypnosis but also is a licensed therapist or psychotherapist who can bring their academic background into your session.
In the brain, this state looks stranger still. A landmark study in the prestigious journal Science in the late 1990s, led by Pierre Rainville of the University of Montreal, described a study in which hypnotized people briefly placed their left hand in either painfully hot water, heated to 116 degrees Fahrenheit, or room-temperature water. Some of them had been told that they would be experiencing pain, but that they wouldn’t be very bothered by it — if, on a scale of one to ten, the hurt would normally register at an eight, they’d feel it as if it were a four. As all the participants placed their hands in the 116-degree water, their brains were scanned. The results were clear: Those who had been told that the pain would be less intense showed less activity in their brains — specifically, in the anterior cingulate cortex, which is associated with pain processing.
Suggestion therapy relies on the patient’s ability to respond to suggestions from the hypnotherapist while in this trance-like state. This method is commonly used to control or stop unwanted behaviors such as smoking, gambling, nail biting, or over-eating. It has also been shown particularly useful in treating pain, or increasing the instance of positive behavior such as self-motivation or confidence.
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Jump up ^ Greetham, Stephanie; Goodwin, Sarah; Wells, Liz; Whitham, Claire; Jones, Huw; Rigby, Alan; Sathyapalan, Thozhukat; Reid, Marie; Atkin, Stephen (2016-10-01). "Pilot Investigation of a Virtual Gastric Band Hypnotherapy Intervention". International Journal of Clinical and Experimental Hypnosis. 64 (4): 419–433. doi:10.1080/00207144.2016.1209037. ISSN 0020-7144. PMID 27585726.
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.
Jump up ^ Lynn, Steven Jay; Green, Joseph P.; Kirsch, Irving; Capafons, Antonio; Lilianfeld, Scott O.; Laurence, Jean-Roch; Montgomery, Guy (October 2015). "Grounding hypnosis in science: The 'new' APA Division 30 definition of hypnosis as a step backward". American Journal of Clinical Hypnosis. 57 (4): 390–401. doi:10.1080/00029157.2015.1011472. PMID 25928778.
Research on the effectiveness of hypnotherapy on a variety of medical conditions is extensive. In one study, the use of hypnotherapy did not seem to alter the core symptoms in the treatment of attention-deficit hyperactivity disorder (ADHD); however, it did seem to be useful in managing the associated symptoms including sleep disturbances and tics.
Jump up ^ The accreditation criteria and the structure of the accreditation system were based on those described in Yeates, Lindsay B., A Set of Competency and Proficiency Standards for Australian Professional Clinical Hypnotherapists: A Descriptive Guide to the Australian Hypnotherapists' Association Accreditation System, Australian Hypnotherapists' Association, (Sydney), 1996. ISBN 0-646-27250-0  Archived 2009-09-12 at the Wayback Machine.