Hypnotherapy can have negative outcomes. When used as entertainment, people have been hypnotized to say or do things that would normally embarrass them. There have been instances where people already dangerously close to psychological breakdown have been pushed into an emotional crisis during what was supposed to be a harmless demonstration of hypnosis. A statement from the World Hypnosis Organization (WHO) warns against performing hypnosis on patients suffering from psychosis, organic psychiatric conditions, or antisocial personality disorders. Because there are no standard licensing requirements, in the wrong hands, there is a risk that the hypnotist will have difficulty in controlling or ending a hypnotic state that has been induced in the patient.
During hypnosis, a person is said to have heightened focus and concentration. The person can concentrate intensely on a specific thought or memory, while blocking out sources of distraction. Hypnotised subjects are said to show an increased response to suggestions. Hypnosis is usually induced by a procedure known as a hypnotic induction involving a series of preliminary instructions and suggestion. The use of hypnotism for therapeutic purposes is referred to as "hypnotherapy", while its use as a form of entertainment for an audience is known as "stage hypnosis". Stage hypnosis is often performed by mentalists practicing the art form of mentalism.
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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.
Stage hypnosis is a form of entertainment, traditionally employed in a club or theatre before an audience. Due to stage hypnotists' showmanship, many people believe that hypnosis is a form of mind control. Stage hypnotists typically attempt to hypnotise the entire audience and then select individuals who are "under" to come up on stage and perform embarrassing acts, while the audience watches. However, the effects of stage hypnosis are probably due to a combination of psychological factors, participant selection, suggestibility, physical manipulation, stagecraft, and trickery. The desire to be the centre of attention, having an excuse to violate their own fear suppressors, and the pressure to please are thought to convince subjects to "play along". Books by stage hypnotists sometimes explicitly describe the use of deception in their acts; for example, Ormond McGill's New Encyclopedia of Stage Hypnosis describes an entire "fake hypnosis" act that depends upon the use of private whispers throughout.
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For some psychologists who uphold the altered state theory of hypnosis, pain relief in response to hypnosis is said to be the result of the brain's dual-processing functionality. This effect is obtained either through the process of selective attention or dissociation, in which both theories involve the presence of activity in pain receptive regions of the brain, and a difference in the processing of the stimuli by the hypnotised subject.
A 2006 declassified 1966 document obtained by the US Freedom of Information Act archive shows that hypnosis was investigated for military applications. The full paper explores the potentials of operational uses. The overall conclusion of the study was that there was no evidence that hypnosis could be used for military applications, and no clear evidence whether "hypnosis" is a definable phenomenon outside ordinary suggestion, motivation, and subject expectancy. According to the document:
Braid worked very closely with his friend and ally the eminent physiologist Professor William Benjamin Carpenter, an early neuro-psychologist who introduced the "ideo-motor reflex" theory of suggestion. Carpenter had observed instances of expectation and imagination apparently influencing involuntary muscle movement. A classic example of the ideo-motor principle in action is the so-called "Chevreul pendulum" (named after Michel Eugène Chevreul). Chevreul claimed that divinatory pendulae were made to swing by unconscious muscle movements brought about by focused concentration alone.
Around 1900, there were very few preoperative anesthetic drugs available. Patients were naturally apprehensive when facing surgery. One out of four hundred patients would die, not from the surgical procedure, but from the anesthesia. Dr. Henry Munro was one of the first physicians to use hypnotherapy to alleviate patient fears about having surgery. He would get his patients into a hypnotic state and discuss their fears with them, telling them they would feel a lot better following surgery. Ether was the most common anesthetic at that time, and Dr. Munro found that he was able to perform surgery using only about 10% of the usual amount of ether.
Jump up ^ De Pascalis, V.; Magurano, M.R.; Bellusci, A. (1999). "Pain perception, somatosensory event-related potentials and skin conductance responses to painful stimuli in high, mid, and low hypnotizable subjects: Effects of differential pain reduction strategies". Pain. 83 (3): 499–508. doi:10.1016/S0304-3959(99)00157-8. PMID 10568858. INIST:1291393.
the induction of a specific altered state (trance) for memory retrieval, relaxation, or suggestion. Hypnotherapy is often used to alter habits (e.g., smoking, obesity), treat biological mechanisms such as hypertension or cardiac arrhythmias, deal with the symptoms of a disease, alter an individual's reaction to disease, and affect an illness and its course through the body.
Jump up ^ For example, see Media Release 89/70: issued on 12/4/1989, by Peter Collins — who was, at the time, the NSW State Government Minister for Health — which announced that the N.S.W. Government had made "a decision not to proceed with plans to place controls on Hypnosis and to ban Stage Hypnosis". Also, see Dewsbury, R., "Reversal by Govt over hypnotists", The Sydney Morning Herald, (Thursday, 13 April 1989), p.8.
We also wonder how the suppression mechanism in PHA relates to the vast array of forgetting in the laboratory and in the world? Whereas some forgetting is seen as strategic, effortful and conscious (say, suppression), other forgetting is seen as automatic, effortless and unconscious (say, repression). Having mapped the common features of PHA and functional amnesia, we now need to explore and compare in greater detail their common processes (such as strategy use, motivation, level of awareness).
Not every person is hypnotizable to the same degree; some aren’t hypnotizable at all. “Hypnotizability … is modestly correlated with absorption, a personality construct reflecting a disposition to enter states of narrowed or expanded attention and a blurring of boundaries between oneself and the object of perception,” writes John F. Kihlstrom, a psychologist at the University of California, Berkeley, in a 2013 paper in Cortex. “Absorption, in turn, is related to ‘openness to experience,’ one of the ‘Big Five” dimensions of personality.”
Hypnotherapy is a form of therapy used to reprogram the subconscious mind. When under hypnosis, you put your mind and body into a heightened state of learning, making you more susceptible to suggestions for self-improvement or behavior modification. The goal is to put the subconscious and conscious mind in harmony, which in turn helps give you greater control over your behavior and emotions.
Finally, the neural underpinnings of PHA will be even clearer when we incorporate its most important aspect in imaging studies—the dissociation between implicit and explicit memory. In PHA (and in functional amnesia) the person is unable to explicitly recall certain information, yet we see evidence of this material on implicit measures. For instance, a participant given PHA may fail to recall the word “doctor,” learned earlier, but will have no trouble completing the word fragment “d _ _ t _ r”. Mendelsohn et al. did not assess implicit memory. Rather, they tested recognition, which in a sense confounds explicit and implicit memory. We’d like to compare brain scans of a PHA group trying to explicitly recall the movie (they should show reduced activation, as above) with brain scans of the same group completing an implicit memory measure of the movie (they should show normal activation). This would be tricky to do—implicit measures of complex material such as movies and autobiographical memories are hard to find or construct. But it would contribute to a more complete neural picture of the processes involved in these fascinating forms of forgetting.
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).
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.
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In 1985, The AMA convened a commission that warned against using hypnotherapy to aid in recollection of events. The commission cited studies that showed the possibility of hypnotic recall resulting on confabulation or an artificial sense of certainty about the course of events. As a result, many states limit or prohibit testimony of hypnotized witnesses or victims.
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.