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PubMed1998

EEG activity and heart rate during recall of emotional events in hypnosis: relationships with hypnotizability and suggestibility.

The purpose of the present research was to find physiological and cognitive correlates of hypnosis, imaginative suggestibility and emotional experiences. After the administration of a standard hypnotic induction, the EEG and heart rate (HR) were recorded during self-generated happy and sad emotions using a relaxation condition as a control. Physiological recordings were also obtained during three eyes-open and eyes-closed baseline periods: (1) waking rest; (2) early-rest in hypnosis (just after the hypnotic induction); (3) late-rest hypnosis (at the end of hypnotic condition). EEG was recorded at frontal (F3, F4), central (C3, C4), and posterior sites (middle of O1-P3-T5 and O2-P4-T6 triangles). Using log transform of mean spectral amplitude, eight EEG frequency bands (4-44 Hz) were evaluated. High hypnotizable subjects, as compared to the lows, produced a higher theta1 amplitude (4-6 Hz) across both left- and right-frontal and right-posterior areas. These subjects also produced smaller alpha1 amplitude (8.25-10 Hz) over both left and right frontal recording sites. High suggestible subjects, during resting conditions, disclosed higher theta2 (6.25-8 Hz) and alpha1 amplitudes in eyes-closed as compared to an eyes-open condition than did low suggestible subjects. High suggestible subjects also showed, in hypnosis-rest condition, higher 40-Hz amplitudes (36-44 Hz) and HR activity than did low suggestible subjects. Hypnotizability and not suggestibility was found to moderate emotional processing: high hypnotizable individuals self-reported greater levels of emotional experiences than did low hypnotizables especially in terms of negative emotion. High hypnotizables, during processing of emotional material, also disclosed opposite 40-Hz hemispheric asymmetries over anterior and posterior regions of the scalp. These subjects during happiness showed an increased production of 40-Hz activity in the left frontal and central regions of the scalp, while during sadness they showed an increased activity in the right central and posterior regions. The hemispheric asymmetries for relaxation condition were similar, but less marked, to those obtained for happiness. No significant interactions involving both hypnotizability and imaginative suggestibility were found for physiological variables considered in this study. This demonstrates that hypnotizability and suggestibility reflect different underlying psychophysiological activities.

Adult↗
PubMed1983

Effects of suggestibility and hypnosis on accurate and distorted retrieval from memory.

Research investigated the hypothesis inferred from the theorizing of Loftus that suggestibility is related to the tendency to incorporate incorrect information into memory when this information has been subtly introduced after the to-be-remembered events have occurred. Specifically, it was predicted that if level of suggestibility is theoretically relevant to subjects' acceptance of misleading information, then more subjects who are highly hypnotically suggestible than those with a low level of hypnotic suggestibility will incorporate the incorrect information into memory. Hypnotic as compared with waking instruction should enhance this distortion effect by providing a context of testing in which subjects are readily prone to respond positively to suggestions. Eight independent groups of 12 subjects were tested. Separate groups of subjects of high and low suggestibility were presented with misleading or neutral information about a wallet-snatching incident and tested for memory under either waking or hypnotic instruction. Analysis of subjects' memory distortions indicated that suggestibility plays a somewhat different role than has been argued previously. The magnitude of distortion that was observed varied according to the stimulus features that were studied, but hypnotic suggestibility was not associated with the distortion effect. Despite the fact that hypnosis did not enhance recall in any way, subjects were frequently confident that distorted memories recovered under hypnosis were accurate.

Female↗
PubMed1998

Therapeutic suggestions given during neurolept-anaesthesia decrease post-operative nausea and vomiting.

A double-blind randomized study was performed in 100 patients undergoing thyroidectomy to evaluate the effect of positive therapeutic suggestions made during neurolept-anaesthesia. The classic droperidol-fentanyl-N2O technique was used as these drugs preserve the neurophysiological functions required to process the information in the therapeutic suggestions given during general anaesthesia. Patients in the suggestion group heard positive non-affirmative suggestions during the whole operation. An autoreverse tape player was used. The control group listened to an empty tape. Both groups were comparable with respect to demographic variables, anaesthetic technique, drug dosage, duration of anaesthesia and surgery. Patients in the suggestion group suffered significantly less from post-operative nausea or vomiting (suggestion: 47.2% vs. control: 85.7%) and required less anti-emetic treatment (suggestion: 30.6% vs. control: 68.6%). We conclude that therapeutic suggestions heard during neurolept-anaesthesia are processed and decrease post-operative nausea and vomiting in patients after thyroidectomy.

Anesthesia, General↗
PubMed2005

Hypnotic suggestion reduces conflict in the human brain.

Many studies have suggested that conflict monitoring involves the anterior cingulate cortex (ACC). We previously showed that a specific hypnotic suggestion reduces involuntary conflict and alters information processing in highly hypnotizable individuals. Hypothesizing that such conflict reduction would be associated with decreased ACC activation, we combined neuroimaging methods to provide high temporal and spatial resolution and studied highly and less-hypnotizable participants both with and without a suggestion to interpret visual words as nonsense strings. Functional MRI data revealed that under posthypnotic suggestion, both ACC and visual areas presented reduced activity in highly hypnotizable persons compared with either no-suggestion or less-hypnotizable controls. Scalp electrode recordings in highly hypnotizable subjects also showed reductions in posterior activation under suggestion, indicating visual system alterations. Our findings illuminate how suggestion affects cognitive control by modulating activity in specific brain areas, including early visual modules, and provide a more scientific account relating the neural effects of suggestion to placebo.

Adult↗
PubMed2001

Intended and unintended effects of explicit warnings on eyewitness suggestibility: evidence from source identification tests.

Previous studies have shown that source identification (ID) tests reduce, and in some cases eliminate, eyewitness suggestibility errors. The present study showed that the suggestibility errors participants committed on a source ID test were further reduced when they were given the explicit postwarning that the experimenter was trying to trick them. These postwarnings reduced suggestibility to the same extent as prewarnings, and they did so for both once and repeatedly suggested items. In addition, the benefits of the pre- and postwarnings persisted when participants were retested 1 week later, but only if the suggestions had been repeated. For once-suggested items, the warning had the unintended effect of improving old/new recognition of the suggested information at retest, an effect that offset the improvements in source discrimination accuracy conferred by the warning. The advantages of using source ID tests for investigating group differences in eyewitness suggestibility are discussed.

Cognition↗
PubMed2003

Posthypnotic suggestion and the modulation of Stroop interference under cycloplegia.

Recent data indicate that under a specific posthypnotic suggestion to circumvent reading, highly suggestible subjects successfully eliminated the Stroop interference effect. The present study examined whether an optical explanation (e.g., visual blurring or looking away) could account for this finding. Using cyclopentolate hydrochloride eye drops to pharmacologically prevent visual accommodation in all subjects, behavioral Stroop data were collected from six highly hypnotizables and six less suggestibles using an optical setup that guaranteed either sharply focused or blurred vision. The highly suggestibles performed the Stroop task when naturally vigilant, under posthypnotic suggestion not to read, and while visually blurred; the less suggestibles ran naturally vigilant, while looking away, and while visually blurred. Although visual accommodation was precluded for all subjects, posthypnotic suggestion effectively eliminated Stroop interference and was comparable to looking away in controls. These data strengthen the view that Stroop interference is neither robust nor inevitable and support the hypothesis that posthypnotic suggestion may exert a top-down influence on neural processing.

Adult↗
PubMed2005

Provider response to computer-based care suggestions for chronic heart failure.

OBJECTIVES: We sought to assess the responses of providers to recommendations generated by a computer-management system for chronic heart failure (CHF). METHODS: This study is an analysis of primary care providers' responses to evidence-based computer-generated suggestions regarding patients with CHF at one center of a randomized trial. The trial randomized primary care providers from 2 VA Medical Centers to receive care suggestions regarding patients with CHF, with or without inclusion of patient symptom data obtained from pre-visit questionnaires. At one center, providers were asked to respond to the suggestions with hand-written comments and a numerical agreement scale. RESULTS: Providers responded to 774 care suggestions (62% of the 1246 delivered). They agreed with 41%, had major disagreements with 12%, and had minor disagreements with 22%. For 7% of the care suggestions, providers asked to not see it again for that patient. The most common reasons for major or minor disagreements were a belief that the suggestion was wrong or unnecessary (45%) or would not be tolerated by the patient (32%). External barriers to implementation of guidelines, lack of guideline awareness, or disagreement with guidelines were uncommon reasons cited by providers in this study. CONCLUSIONS: Providers agreed with less than half of computer-generated care suggestions from evidence-based CHF guidelines, most often because the suggestions were felt to be inapplicable to their patients or unlikely to be tolerated.

Attitude of Health Personnel↗
PubMed1994

Effect of hypnotic suggestion on the delayed-type hypersensitivity response.

OBJECTIVE: To determine whether individuals selected for good general health, high hypnotizability, and the ability to alter skin temperature under hypnotic suggestion can influence the delayed-type hypersensitivity (DTH) response to varicella-zoster (VZ) antigen under hypnotic suggestion. DESIGN: A blinded clinical trial using a repeated measures design with subjects serving as their own controls. Subjects were randomly assigned to undergo a predetermined sequence of four different experimental conditions, occurring at weekly intervals, with each condition including VZ skin testing: (1) hypnosis with suggestions to enhance the DTH response to VZ antigen; (2) hypnosis with suggestions to suppress the DTH response; (3) hypnosis with suggestions for relaxation only; and (4) skin testing without hypnosis. SETTING: A National Institutes of Health-supported clinical research center in a teaching hospital. SUBJECTS: A stratified sample of 24 ambulatory, healthy, highly hypnotizable, volunteer college students selected for their above-average ability to alter skin temperature after hypnotic suggestions and their positive baseline responses to VZ antigen. There were 11 males and 13 females with a mean +/- SD age of 22 +/- 6 years. The mean +/- SD hypnotizability score (Harvard Group Scale of Hypnotic Susceptibility) was 11 +/- 1. INTERVENTIONS: Intradermal skin testing with VZ antigen (Mantoux method) and hypnotic suggestion. MAIN OUTCOME MEASURES: Areas of induration of the DTH response measured at 24 and 48 hours after injection of antigen. RESULTS: The area of the DTH response was not affected by the experimental interventions. The area of erythema was likewise unaffected. CONCLUSIONS: Our subjects were unable to alter their DTH responses using hypnotic suggestion.

Adult↗
PubMed1995

Developmental differences in eyewitness suggestibility and memory for source.

To what extent do children who report suggested information believe they actually remember seeing the suggested details they report? Asking whether children misremember seeing suggested items is in essence a question about children's ability to monitor the source of their memories. The current study reports the results of two experiments designed to assess potential age-related changes in subjects' ability to accurately monitor the source of suggested information either immediately or following a 1-week delay. The results of both experiments revealed that although all subjects claimed to remember seeing suggested items, the magnitude of this effect varied with age such that first-graders made more source confusions than third- and fifth-graders, who in turn made more confusions than college subjects. Our findings suggest that these age differences are not simply a function of more general age-related memory or performance deficits, but instead reflect developmental differences in the tendency to confuse suggested information for actually witnessed events.

Adolescent↗
PubMed1994

The influence of nicotine on performance, mood, and physiological parameters as related to smoking habit, gender, and suggestibility.

Based on previous observations that sensory suggestibility might be related to cholinergic drug effects, and that individual susceptibility to nicotine as defined by response differences to various doses is lower in males, nonsmokers, and highly suggestible subjects, the present study investigated whether nicotine serum blood levels, cardiovascular responses, and sensory suggestibility show differences according to gender and smoking habit, and whether differences in nicotine susceptibility measured by a discrimination task by subjective ratings on activation can be reproduced in the direction predicted by the previous data. In a double-blind threefold cross-over design 48 subjects divided according to smoking habit, gender, and sensory suggestibility were tested in balanced order under the influence of an oral dose of 0, 0.014, or 0.028 mg/kg body weight of nicotine. Results revealed higher serum levels of nicotine in males and smokers, a dose-dependent increase in heart rate and systolic and diastolic blood pressure, partly interacting with gender or smoking habit (females and nonsmokers showing larger increase with the low doses), and a change in suggestibility in the expected direction (decrease with the low dose, increase with the large one only in female nonsmokers). A fourfold interaction among dose, smoking habit, gender, and suggestibility for the discrimination task partly reproduced the observations of higher nicotine susceptibility in females and non-smokers, whereas suggestibility did not seem to reveal the expected changes. Also, on a subjective level larger doses were necessary to make male smokers feel activated, while the other groups showed the biphasic response pattern to the two nicotine doses. In conclusion, the data justify further research on the concept of nicotine susceptibility defined by biphasic effects of nicotine on vigilance.

Administration, Oral↗
PubMed2006

Local and systemic vasodilation following hypnotic suggestion of warm tub bathing.

During hypnosis it is easy to induce hallucinations having, for the hypnotized subject, the characteristics and the concreteness of reality. This study was performed to put in evidence the physical effects of hypnotic suggestion of warm tub bathing. 18 volunteers screened for high hypnotizability were studied. They underwent suggestion of forearm in warm water (30 min), suggestion of body in warm water (30 min), and hypnosis without any thermal suggestion (30 min), while blood pressure, heart rate, body temperature, forearm flow and resistance, stroke volume, cardiac index and total peripheral resistance were monitored. During suggestion of forearm in warm water, local vasodilation was recorded, with decrease of forearm resistance (-18%, P<0.01) and increase of forearm blood flow (+43%, P<0.01) like in real local passive warming. During suggestion of whole-body in a warm water tub, there was a systemic vasodilation with decrease of total peripheral resistance (-29%, P<0.01) and increase of cardiac index (+54%, P<0.01), like in real total-body passive warming. Body temperature, arterial blood pressure and heart rate were unchanged. During simple hypnosis (sham procedure) no haemodynamic variations were observed. These results are in keeping with the possibility to induce through hypnotic suggestion of heat a physical pattern that is typical of hyperthermia, even without increase in body temperature.

Adult↗
PubMed2006

Role of relaxation and specific suggestions in hypnotic emotional numbing.

The cognitive characteristics of highly hypnotizable subjects (Highs) allow them to easily modify their cognitive and autonomic state. Under hypnosis, Highs receiving cognitive, fear-like stimulation exhibit the cardiovascular changes typical of fear/stress, but also show an EEG pattern indicating a balance between fear-induced arousal and hypnotic relaxation. Indeed, hypnosis is effective in the attenuation of both emotional experience and behaviour (emotional numbing). The aim of the present experiment was to investigate the possible different role of relaxation and suggestion in hypnotic emotional numbing. Tonic skin conductance, respirogram, heart rate, systolic and diastolic blood pressure were recorded in 3 groups of hypnotized subjects: Group 1 received a fearful guided imagery associated with threat suggestions (Threat) followed by the same fearful suggestion associated with numbing instructions (relaxation and "No-Threat"); Group 2 received the same instructions in the opposite order of presentation; Group 3 received the fearful suggestion with threat instructions twice. The numbing suggestion reduced fear-related emotional experience and autonomic responses; if No-Threat preceded Threat, the heart rate, heart rate variability and blood pressure were also reduced during Threat, in spite of self reports of high negative emotion. Thus, 1) the subjective experience and the autonomic response to fear can be dissociated; 2) the efficacy of numbing suggestion is extended to a subsequent Threat stimulation; 3) habituation does not contribute to the numbing effect. The results indicate that the specific numbing suggestion is the main factor in hypnotic modulation of the experience of fear.

Adult↗
PubMed1989

Reality versus suggestion: pseudomemory in hypnotizable and simulating subjects.

Assigned hypnotizable (N = 56) and simulating Ss (N = 44) to 1 of 4 conditions: heard a phone ring and conversation, received a suggestion to hear a phone ring and conversation, received a suggestion and heard a phone ring and conversation, or neither heard a phone nor received a suggestion. Hypnotizable Ss successfully discriminated objective events from suggested sources of input. When Ss received a suggestion to hear a phone ring, only 11.5% indicated it actually rang in their open-ended reports; in response to a forced-choice question, none did so. In spontaneous reports, none of the hypnotizable Ss who heard a phone ring indicated it was suggested; only one did so in response to a forced-choice item (vs. 2 simulators). In the no-phone/no-suggestion condition, more simulators than hypnotizable Ss indicated that a phone rang or was suggested.

Auditory Perception↗
PubMed1982

Suggestions for altered auditory sensitivity, the negative subject effect and hypnotic susceptibility: a signal detection analysis.

Two experiments used signal detection procedures to assess the effects of hypnotic susceptibility, a hypnotic induction procedure, and suggestions for altering auditory acuity on measures of sensitivity and response bias. In Experiment 1, low susceptibles showed higher sensitivity than high susceptibles, and hypnotic induction failed to affect the sensitivity of either highs or lows. Among the high susceptibles, suggestions to either increase or decrease acuity produced increments in sensitivity and reduced individual differences. Thus, suggestions (regardless of the direction of change suggested) probably motivated highs who would have otherwise performed inefficiently to perform as efficiently as the low susceptibles. With respect to response bias, high-susceptible hypnotic subjects given a suggestion for increased acuity behaved in terms of suggested demands; they showed an increased tendency to response "signal." Low-susceptible hypnotic subjects given the same suggestion responded in a counterdemand or "negative subject" fashion; they developed a bias to say "noise." Experiment 2 used a more difficult discrimination task to replicate and extend this counterdemand effect in low susceptibles. Implications for hypnosis research and for research on the negative subject effect are discussed.

Auditory Perception↗
PubMed1998

The effects of current-concern- and nonconcern-related waking suggestions on nocturnal dream content.

In previous research, presleep suggestions influenced nocturnal dream content. It was hypothesized that suggesting topics associated with participants' current concerns would influence dream content more than suggesting other topics. Ten students spent 4 nights in a sleep laboratory: an adaptation night, a baseline night, and 2 nights under suggestions to dream about a concern-related or other topic. Concern-related suggestions influenced dream content--largely its central imagery--more than did other suggestions, which did not differ from nonsuggestion. Number of transformations within dreams was uncorrelated with dream vividness, contrary to extended activation-synthesis theory. Thus, the concern-related status of suggestions moderates their effectiveness and, inconsistent with extended activation-synthesis theory but consistent with current-concerns and distributed-activation theories, motivational and volitional processes actively influence dream content.

Adolescent↗
PubMed2002

Measurement of individual differences in children's suggestibility across situations.

The authors attempted to use scores on the Video Suggestibility Scale for Children (VSSC, M. H. Scullin & S. J. Ceci, 2001) to predict 50 preschool children's performance during a field study in which they were interviewed suggestively 4 times about both a true event and a suggested event. Among the 25 children over age 4 years 6 months, tendencies on the VSSC to respond affirmatively to suggestive questions ("yield"), change answers in response to negative feedback ("shift"), and the sum of these ("total suggestibility") were all related to lack of accuracy about the true event in the field study and to both accuracy and lack of accuracy about the suggested event. Results support a 2-factor model of suggestibility.

Child, Preschool↗
PubMed1989

The effects of hypnotic suggestion on pain report.

Forty-five highly susceptible volunteers rated a series of shocks using 32 pain descriptors. Descriptors were given numerical values using magnitude estimation procedures. We assigned the subjects to one of three conditions, analgesia suggestion, relaxation suggestion, or no suggestion. All subjects were administered the shocks and the suggestion appropriate to the group, in both the waking and hypnotic state. The results support the existence of two dimensions of pain which are differentially responsive to suggestion. Hypnotic-analgesia suggestion altered subjects' perceptions of the intensity without changing their perceptions of the unpleasantness of the shocks. Hypnotic-relaxation suggestion reduced the unpleasantness but not the perceived intensity of the stimuli. These findings imply that research into hypnotic pain relief is more easily interpreted if pain is viewed as multidimensional in nature.

Analgesia↗
PubMed1997

Hypnotic suggestion: a musical mathaphor.

Conceptually, hypnotizability has always been associated with the increase in suggestibility produced by hypnosis. In practice, hypnotizability is measured as suggestibility following a hypnotic induction. Our understanding of hypnosis and suggestion has been hampered by this discordance between the conceptual and operational definitions of hypnotizability. For example, despite hundreds of studies purporting to use standardized scales to assess hypnotizability, we know next to nothing about that construct, as it has been defined conceptually. Neither the hypothesis that it is a stable trait nor the hypothesis that it is modifiable have been tested in any study, and correlations between hypnotizability and other psychological or physiological variables have not yet been assessed. Conversely, we have learned much about hypnosis, suggestion, and suggestibility. Suggestibility has been measured on reliable and valid instruments, and we have abundant data on its stability, modifiability, and correlates. Hypnosis enhances suggestibility to a modest degree and increases the effectiveness of psychotherapy.

Aptitude↗