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PubMed2000

Relationship between QEEG relative power and hypnotic susceptibility.

The purpose of this study was to investigate the relationship between quantitative electroencephalograph relative amplitude, relative power and hypnotic susceptibility. Hypnotic susceptibility, measured by the Wickramasekera Experience Inventory, was found to be positively correlated with QEEG theta relative amplitude (r = 0.260, p < .10). In addition, hypnotic susceptibility was found to be negatively correlated with QEEG alpha relative amplitude (r = -.323, p < .05) and alpha relative power (r = -0.322, p < .05). These findings suggest that QEEG relative amplitude and QEEG relative power, as correlates of hypnotic susceptibility, may be a promising avenue for future research.

Adult↗
PubMedDate not supplied

Assessment of response to clinical hypnosis: development of the Hypnotic State Assessment Questionnaire.

This study describes the development and preliminary psychometric properties of a scale for measuring hypnotic response in clinical hypnosis sessions. The Hypnotic State Assessment Questionnaire (HSAQ), a brief, multidimensional measure of hypnotic response during clinical sessions of hypnosis, is intended to facilitate supervision of hypnosis trainees and to document subjects' response in clinical hypnosis sessions. Results indicate that most HSAQ subscales have good interrater and internal consistency reliability. Furthermore, HSAQ observations correlated with post-hypnotic behaviors and subjective experiences of hypnosis. Use of the HSAQ in hypnosis training settings allows supervisors to obtain standardized data describing hypnosis sessions conducted by trainees. This data may also be used to document clinical response for record keeping or research.

Humans↗
PubMed2003

The hypnotic belay in alpine mountaineering: the use of self-hypnosis for the resolution of sports injuries and for performance enhancement.

The author, an experienced alpine mountaineer, sustained several traumatic climbing injuries over a two-year period. This article describes her multiple uses of self-hypnosis to deal with several challenges related to her returning to successful mountain climbing. She used self-hypnosis for physical healing and to enhance her motivation to resume climbing. While training for her next expedition, she successfully utilized self-hypnotic techniques to deal with acute stress and later post-traumatic symptoms that had emerged related to her climbing injuries. She describes her use of hypnotic ego-strengthening, mental rehearsal, age progression, and "Inner Strength" as well as active-alert trance states. Her successful summitting of Ecuador's Cotopaxi at 19,380 feet was facilitated by "The Hypnotic Belay" which permitted her to secure herself by self-hypnosis in addition to the rope used to secure climbers. In 1994, the author returned to the Cascade Mountains where she had been injured three years earlier and reached the summit of Mount Shuksan. This time she was secured by "The Hypnotic Belay".

Athletic Injuries↗
PubMed2000

Treatment outcome expectancies and hypnotic susceptibility as moderators of pain reduction in patients with chronic tension-type headache.

The aim of this study was to determine whether hypnotic susceptibility (a) predicts pain reduction posttreatment and at follow-up independent of generic expectations of treatment outcome and mode of treatment and (b) predicts persistence of pain reduction during the follow-up period. In 169 patients with chronic tension-type headaches randomly allocated to either self-hypnosis or autogenic training, pain reduction posttreatment and at follow-up was significantly associated with hypnotic susceptibility independent of generic expectations of treatment outcome and treatment condition. Moreover, it was found that early responders obtained significantly higher hypnotic susceptibility scores than nonresponders, although there were no significant differences in hypnotic susceptibility between late responders in comparison to early and nonresponders. However, almost one fourth of those who were nonresponders posttreatment did respond at follow-up.

Adult↗
PubMed2001

Is the hypnotized subject complying.

To examine the role of compliance in responses to hypnotic suggestions, the authors administered a number of suggestions in the standard hypnotic manner and, also, with urging to comply. Participants' overt behavioral responses were noted, and they were questioned about their subjective experience of the suggestions, with electrodermal skin conductance responses providing a measure of the truthfulness of their reports. Results indicated that, although behavioral and verbal responses were consistent with the hypnotic suggestions under both instructional sets, responses in the standard hypnotic setting appeared to be experienced as genuine. That is, reports of subjective experiences met the criterion for truthfulness, whereas reports of suggested experiences administered with urging to comply did not meet the criterion for truthfulness.

Adult↗
PubMed2005

Control conditions in hypnotic-analgesia clinical trials: challenges and recommendations.

Case studies and controlled clinical trials indicate that hypnotic analgesia can effectively reduce pain in patients with a number of different chronic pain conditions. However, because none of the studies published to date have included a credible control condition that adequately controls for expectancy effects, at this point we cannot conclude that hypnotic-analgesia treatment has a specific effect on chronic pain beyond that that might be produced by a credible placebo intervention. This paper (a) describes the types of control conditions that have been, or might be, used in clinical trials of hypnotic analgesia for chronic pain; (b) reviews their strengths and weaknesses; and (c) concludes with specific recommendations that investigators should consider when designing clinical trials of hypnotic analgesia.

Analgesia↗
PubMed2005

Direct and indirect scales of hypnotic susceptibility: resistance to therapy and psychometric comparability.

Groups of participants were randomly assigned to receive either direct hypnotic procedure using the Harvard Group Scale of Hypnotic Susceptibility: Form A (HGSHS:A) or its indirect counterpart, the Alman-Wexler Indirect Hypnotic Susceptibility Scale (AWIHSS). Prior to hypnosis, participants completed the Inventory of Childhood Memories and Imaginings (a measure of fantasy proneness) and the Therapeutic Reactance Scale (TRS, a measure of resistance to therapeutic directives). The Phenomenology of Consciousness Inventory was completed in reference to a 2-minute sitting-quietly period embedded in the hypnotic procedure. Although results generally suggest that the two scales are alternate measures of hypnotizability, some differences were observed: (a) item difficulty levels differed on 4 of the 12 items; (b) subjects reported greater altered awareness with the direct method; and (c) contrary to the results of previous research, the more resistant subjects showed a tendency toward higher hypnotizability scores with the HGSHS:A, while the less resistant subjects responded better with the AWIHSS.

Attitude↗
PubMed2005

The Harvard Group Scale of Hypnotic Susceptibility: accuracy of self-report and the memory for items.

Whereas early studies have found moderately high agreement between self- and observer-rated scores on the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS:A), these studies shared a common confound in that participants were aware of being directly observed. In the present study, confederates made surreptitious observations of group participants' hypnotic responding. Following the hypnotic procedure, participants indicated whether or not they remembered each item and provided self-reports of their hypnotic response. The study assesses the accuracy of participant self-report for hypnosis items when individuals are unaware of being observed. Thirty-two percent of participants failed to recognize at least one item from the hypnosis session, suggesting that the inability to remember items is a common phenomenon. When participants reported not remembering an item, the accuracy of their self-reported response was no better than chance.

Adolescent↗
PubMed2006

Hypnotic conflict: a brief report.

Two studies investigated management of conflict in hypnosis by subtly increasing the brightness of a visual stimulus during a suggestion for hypnotic blindness to the stimulus. In Study 1, 23 high hypnotizable participants were administered a hypnotic suggestion for blindness to a projected light. For half the participants, the brightness of the light was intensified during the suggestion. Behavioral ratings and online analog-dial measurement indicated that participants reported decreased hypnotic blindness during the increased conflict condition. In Study 2, 20 participants were administered the nonexperimental procedure to investigate the impact of demand characteristics in this paradigm. Parallel findings in Studies 1 and 2 indicated that demand characteristics may explain the response to hypnotic conflict. Limitations in applying the nonexperimental procedure to this paradigm and the need for further investigation are discussed.

Adult↗
PubMed2007

Hypnotic depth and response to suggestion under standardized conditions and during FMRI scanning.

Hypnosis is a potentially valuable cognitive tool for neuroimaging studies. However, understandable concern that Magnetic Resonance Imaging (MRI) in particular may adversely affect hypnotic procedures remains. Measurements of hypnotic depth and responsiveness to suggestions were taken using a standardized procedure that met all the requirements for functional MRI (fMRI). Testing outside the scanning environment showed reliable and stable changes in subjective hypnotic depth, with no carryover once the hypnosis had been terminated. Within-subject comparisons showed that the magnitude and pattern of these changes and the degree of responsiveness to hypnotic suggestion were not discernibly affected by the fMRI environment. It is concluded that hypnosis can be employed as a discrete and reliable cognitive tool within fMRI neuroimaging settings.

Adolescent↗
PubMed1993

The Waterloo-Stanford Group C (WSGC) scale of hypnotic susceptibility: normative and comparative data.

The Waterloo-Stanford Group C (WSGC) hypnotic susceptibility scale was developed as a substitute for the individually administered Stanford Hypnotic Susceptibility Scale, Form C (SHSS:C). A first investigation with WSGC reports normative data on 259 subjects, and the results indicate that it is comparable in most important respects to the norms of SHSS:C. A second investigation directly compared WSGC and SHSS:C in a counterbalanced design on 65 subjects, and the two scales correlated .85. It is argued that, when used as a follow-up to the Harvard Group Scale of Hypnotic Susceptibility, Form A, WSGC provides a valid criterion of hypnotic ability.

Adult↗
PubMed1994

Hypnotic susceptibility, imaging ability, and the detection of embedded words within letters.

Two experiments were conducted to determine the role of hypnotic susceptibility level (high or low) and imaging ability (vivid or poor) in the performance of a visual search for words embedded within matrices of letters. In Experiment 1, subjects searched for target words from a list; however, distractor words were also embedded in the matrices. Results indicated that subjects judged both high in hypnotic susceptibility and vivid in imaging ability demonstrated the fastest search speed with a greater percentage of target words found. These subjects also made fewer false alarm errors (locating distractor words not on the target list). The poorest performance was exhibited by subjects judged both low in hypnotic susceptibility and poor in imaging ability. The amount of variance accounted for by hypnotic susceptibility and imaging ability was approximately equal for each dependent measure. In Experiment 2, when subjects searched for target words from a list without distractor words embedded in matrices, similar results to those reported for Experiment 1 were produced, except that the percentage of words found was equivalent across groups. This was attributed to the elimination of potential false alarm errors. The results are explained in terms of the use of either a holistic or a detail strategy in the performance of a visual search.

Adult↗
PubMed1995

Fluctuations in hypnotic susceptibility and imaging ability over a 16-hour period.

Within-subject variability for hypnotic susceptibility as measured by the Harvard Group Scale of Hypnotic Susceptibility, Form A and for imaging ability as measured by the Vividness of Visual Imagery Questionnaire was determined over a 16-hour period. Half of the subjects were day persons, those most alert during daytime hours (as determined by the Alertness Questionnaire); the remaining subjects were night persons. For day persons, hypnotic susceptibility was greatest at 10:00 a.m. and 2:00 p.m.; for night persons, susceptibility was greatest at 1:00 p.m. and between 6:00 p.m. and 9:00 p.m. Imaging ability also varied as a function of time of administration. However, these peak periods occurred before and after hypnotic susceptibility peaks. Such a pattern was interpreted as indicating the possible existence of an ultradian cycle for imaging ability.

Activity Cycles↗
PubMed1995

The admissibility of hypnotic evidence in U.S. Courts.

For the past two decades, the American judiciary has confronted the admissibility of hypnotic evidence in criminal prosecutions. These courts have uniformly rejected the admissibility of out-of-court statements made while an individual is in hypnosis. In contrast, the courts divided sharply over the admissibility of hypnotically refreshed testimony. Some courts adopted a per se rule of exclusion; these courts, however, also carved out exceptions for testimony based on prehypnotic memory and testimony of the accused. Courts admitting hypnotically refreshed testimony adopted three different positions: (a) a "credibility" approach, which left the reliability issue to the jury; (b) a "discretionary admission" approach, which left the reliability issue to the trial judge; and (c) a "procedural safeguards" approach. In addition, constitutional concerns played an influential role in some of these cases. This diversity in the case law often resulted from a judicial failure to understand the scientific research on hypnosis. Courts have also considered the use of hypnosis as a basis for expert testimony about an accused's mental state. Unless the advantages of hypnotically refreshed testimony are significant, why add more problems?

Criminal Law↗
PubMed1996

Self-hypnotic relaxation during interventional radiological procedures: effects on pain perception and intravenous drug use.

The authors evaluated whether self-hypnotic relaxation can reduce the need for intravenous conscious sedation during interventional radiological procedures. Sixteen patients were randomized to a test group, and 14 patients were randomized to a control group. All had patient-controlled analgesia. Test patients additionally had self-hypnotic relaxation and underwent a Hypnotic Induction Profile test. Compared to controls, test patients used less drugs (0.28 vs. 2.01 drug units; p < .01) and reported less pain (median pain rating 2 vs. 5 on a 0-10 scale; p < .01). Significantly more control patients exhibited oxygen desaturation and/or needed interruptions of their procedures for hemodynamic instability. Benefit did not correlate with hypnotizability. Self-hypnotic relaxation can reduce drug use and improve procedural safety.

Aged↗
PubMed1996

The Hypnotic Simulation Index: successful discrimination of real versus simulating participants.

Researchers have attempted to find a method that accurately and reliably discriminates hypnotized individuals from those who are simulating hypnosis. Although an extensive literature exists in this area, researchers have failed to identify a discriminator that is consistently successful with a majority of the individuals who are tested. In the current study, 43 hypnotized and 37 simulating participants were categorized on the basis of their scores on the newly created Hypnotic Simulation Index (HSI). Using all 31 items of the HSI as predictors, 94% of the participants were correctly classified. In addition, a reduced set of only 15 items correctly classified 96% of the participants. These results suggest that the HSI is effective in discriminating hypnotized and simulating participants.

Female↗
PubMed1998

Hypnotic susceptibility order effects in waking analgesia.

This study reexamined Spanos, Hodgins, Stam, and Gwynn's (1984) contention that susceptibility testing order effects generated a relationship between waking analgesia pain reduction and level of hypnotic responsiveness. Undergraduate volunteers with no previous hypnosis experience were randomly assigned to two groups. Group 1 (n = 69) first received a cold pressor pain protocol, and then was administered the Standford Hypnotic Susceptibility Scale, Form C (SHSS:C). Group 2 (n = 69) was administered the SHSS:C prior to the cold pressor pain protocol. Our findings do not support Spanos, Hodgins et al.'s contention that susceptibility testing order effects generate the often reported relationship between waking analgesia and level of hypnotic responsiveness. We found significant partial correlation coefficients between the SHSS:C and nonhypnotic pain reduction regardless of order of susceptibility testing. Implications regarding the adequacy of design-generated expectancies to explain hypnotic analgesia phenomena were examined.

Adult↗
PubMed1998

Responsiveness to direct versus indirect hypnotic procedures: the role of resistance as a predictor variable.

Empirical research attempting to demonstrate that indirectly phrased hypnotic suggestions result in greater responsiveness than do direct approaches generally has not shown any differences on formal hypnotizability scales. However, empirical research in related areas along with clinical observation suggests that client resistance might be a crucial moderating variable. Specifically, participants with greater resistance would be expected to be more responsive to indirect approaches, whereas those with low levels of resistance would be more responsive to direct hypnotic procedures. To test this hypothesis, participants were given either a standardized test of hypnotic responsiveness that used direct suggestions (Harvard Group Scale of Hypnotizability) or a comparable indirect scale (Alman Wexler Indirect Hypnotic Susceptibility Scale) followed by administration of a measure of resistance (Therapeutic Reactance Scale). The hypothesis was not confirmed, in that those with higher (or lower) reactance/resistance did not score differently than those on either the indirect or direct hypnotizability measures.

Adolescent↗