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The first report of hypnotic treatment of traumatic grief: a brief communication.

In 1813 the Dutch physicians Wolthers, Hendriksz, De Waal, and Bakker reported the hypnotic treatment of a woman suffering from traumatic grief, in which the therapist had to deal directly with the patient's spontaneous reenactments of the circumstances surrounding the death. This report, summarized in the present article, has historical value, as it is probably the first known precursor of the uncovering hypnotic approach. The original authors' views on the case are discussed, and a modern view for understanding the patient's traumatic grief and its treatment is presented.

Female↗

Finding the hypnotic virtuoso--another look: a brief communication.

Student volunteers who scored 9 (N = 20), 10 (N = 19), 11 (N = 26), and 12 (N = 15) on a live-administered Harvard Group Scale of Hypnotic Susceptibility (HGSHS:A) of Shor and E. Orne (1962) were retested with the individually administered Stanford Hypnotic Susceptibility Scale (SHSS:C) of Weitzenhoffer and Hilgard (1962). There appeared to be a break in HGSHS:A's predictive ability at 11 suggestions passed. Whereas a majority of Ss who passed at least 11 HGSHS:A suggestions retested in SHSS:C "virtuoso" range (i.e., passed at least 11 suggestions), a relatively small percentage of Ss who passed fewer than 11 HGSHS:A suggestions retested as SHSS:C virtuosos. These results are generally consistent with previous research (Register & Kihlstrom, 1986) using a standard taped-recorded HGSHS:A induction.

Amnesia↗

Experience of peripheral temperature change during hypnotic analgesia.

Many Ss who experience hypnotic analgesia in a portion of their body often report that it is accompanied by sensations of coldness in the affected area. Experiments were conducted to determine if such reports are the result of a physical change in peripheral temperature or are due to psychological factors. When analgesia was induced in a limb or in the back of the neck, a concomitant physical change in temperature was not observed. Ss did report experiencing coldness, however, in the affected body part. Such experiences were attributed to associations that Ss developed between numbness or analgesia and a drop in peripheral temperature. As a result, coldness as an associate of hypnotic analgesia is suggested as a manipulation check for the presence of such sensation reduction.

Female↗

The Carleton Skills Training Package for modifying hypnotic susceptibility--a replication and extension: a brief communication.

This study employed the Carleton Skills Training Package (CSTP) to attempt to enhance both objective and subjective components of hypnotic susceptibility. In addition, changes in susceptibility were compared for subjects administered a standard hypnotic induction procedure and for subjects given brief "place yourself in hypnosis" instructions. Results indicated that subjects who were administered the CSTP exhibited significant gains in both objective and subjective susceptibility scores that were maintained at two separate posttests with different scales. No differences were observed between the groups administered the standard induction and those administered the self-induction instructions.

Adult↗

Hypnotic assessment and treatment of trauma-induced psychoses: the early psychotherapy of H. Breukink and modern views.

The role of hypnotizability assessment in the differential diagnosis of psychotic patients is still unresolved. In this article, the pioneering work of Dutch psychiatrist H. Breukink (1860-1928) during the 1920s is used as early evidence that hypnotic capacity is clinically helpful in differentiating highly hypnotizable psychotic patients with dissociative symptomatology from schizophrenics. Furthermore, there is a long tradition of employing hypnotic capacity in the treatment of these dissociative psychoses. The ways in which Breukink used hypnosis for diagnostic, prognostic, and treatment purposes are summarized and discussed in light of both old and current views. He felt that hysterical psychosis was trauma-induced, certainly curable, and that psychotherapy using hypnosis was the treatment of choice. Hypnosis was used for symptom-oriented therapy, as a comfortable and supportive mental state, and for the uncovering and integrating of traumatic memories. For the latter purpose, Breukink emphasized a calm mental state, both in hypnosis and in the waking state, thereby discouraging emotional expression, which he considered dangerous in psychotic patients. In the discussion, special attention is paid to the role and dangers of the expression of trauma-related emotions.

Adult↗

Laser-induced pain-related brain potentials and sensory pain ratings in high and low hypnotizable subjects during hypnotic suggestions of relaxation, dissociated imagery, focused analgesia, and placebo.

Pain reports and amplitudes of painful argon laser-induced brain potentials were obtained for 10 high and 10 low hypnotizable volunteers following placebo and a randomized sequence of four hypnotically induced conditions of (a) neutral hypnosis, (b) deep relaxation, (c) pleasant dissociated "out of body" imagery, and (d) focused analgesia of the hand. Both high and low hypnotizable subjects exhibited significant reductions of reported pain during conditions of neutral hypnosis, relaxation, dissociated imagery, and focused analgesia. High hypnotizable subjects displayed significantly greater reductions than low hypnotizables in all conditions except placebo. Both high and low hypnotizables exhibited significant reductions of reported pain in all five conditions as well as in the posthypnotic condition, when amplitudes of evoked potentials were compared to the prehypnotic baseline. Only the high hypnotizable group showed significant reductions in amplitudes when the data were recalculated to reflect relative changes compared to the average amplitude of the pre- and postconditions to compensate for a possible habituation effect indicated by the significantly lowered amplitudes in the posthypnotic condition. The results are discussed in light of a number of hypotheses concerning mechanisms of hypnotic analgesia.

Adult↗

The illusion of familiarity: an alternative to the report-criterion account of hypnotic recall.

Hypnosis increases the likelihood that participants will report incorrect material at higher levels of confidence. One interpretation of such data is that hypnosis induces individuals to lower the criterion they use to make memory reports. A lowered report criterion could account for the increase in items that participants are willing to report as memories but not for the increase in confidence that typically accompanies hypnotic retrieval. Although some participants may indeed lower their report criterion, this alone should not result in the highly confident confabulation so often observed. An alternative perspective is that for some participants, hypnosis alters the experience of retrieval such that items generated during retrieval attempts are more likely to have the qualities (e.g., perceptual fluency, vividness) usually associated with remembering. This illusion of familiarity would account for the higher levels of confidence that are so frequently observed in hypnotic recall, and adopting this perspective should lead to even greater caution in the use of hypnosis as an aid to retrieval.

Attention↗

Making hypnosis happen: the involuntariness of the hypnotic experience.

The authors tested the hypothesis that hypnotized individuals do not truly experience their responses to suggestions as occurring involuntarily, but instead absorb themselves in imagery that is congruent with the suggestions while avoiding critical thoughts, or even simply comply with suggestions without genuinely experiencing their responses as nonvolitional. Participants were instructed to engage in thoughts and imagery that conflicted with the suggestions given, were urged to pay attention to their behavior, and were questioned regarding the perceived involuntariness of their responses. Simultaneously, electrodermal skin conductance responses provided a measure of the truthfulness of their reports. It was found that responses to all hypnotic suggestions were reported as being involuntary, in spite of the conflicting imagery and increased saliency, and that these reports were truthful. These findings provide disconfirming evidence for the sociocognitive theories of hypnosis.

Adult↗

A multivariate approach to the prediction of hypnotic susceptibility.

The present study examined the relation between various self-report measures and two measures of hypnotizability within a multivariate framework. A group of 748 participants was tested on the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS:A), the Tellegen Absorption Scale (TAS), as well as the Preference for an Imagic Cognitive Style (PICS) questionnaire. One hundred ninety of these participants also completed the Paranormal Experiences Questionnaire (PEQ). Data were analyzed using hierarchical multiple regression equations, and the results of the analyses indicated that both the TAS and PICS accounted for significant amounts of unique variance in each of two 373-member samples of HGSHS:A scores. A further sub-sample of participants (n = 161) was tested on the Stanford Hypnotic Susceptibility Scale, Form C (SHSS:C) to see if these results would generalize to another measure of hypnotizability. Hierarchical multiple regression analyses revealed that although the PEQ predicted significant amounts of unique SHSS:C variance over and above that predicted by the TAS, the PICS failed to do so. This inconsistency in results may be due in part to the generally low intercorrelation between the different hypnotizability scales and points to the need to develop new predictor variables that are orthogonal to each other.

Adolescent↗

Have the hypnotic susceptibility scales outlived their usefulness?

Hypnosis experiments often involve preselecting high- and low-scoring participants on the basis of one or more hypnotic suggestibility scales, and then studying the differences between these two groups. A number of possible critiques of this method are entertained in this article. For example, sociocognitive theorists would seem better advised to directly manipulate the variable or variables they believe underlie the differences in hypnotic susceptibility, and neodissociative theorists would seem well advised to question whether the scales muddle important distinctions in underlying mechanisms. In addition, parallels are drawn with developments in other areas of research, such as intelligence.

Humans↗

Factors predicting hypnotic analgesia in clinical burn pain.

The use of hypnosis for treating pain from severe burn injuries has received strong anecdotal support from case reports. Controlled studies provide less dramatic but empirically sound support for the use of hypnosis with this problem. The mechanisms behind hypnotic analgesia for burn pain are poorly understood with this patient population, as they are with pain in general. It is likely that, whatever the mechanisms are behind hypnotic pain analgesia, patients with burn injuries are more receptive to hypnosis than the general population. This article postulates some variables that may account for this enhanced receptivity, including motivation, hypnotizability, dissociation, and regression.

Analgesia↗

Hypnotic analgesia: a constructivist framework.

Hypnotic analgesia remains an enigma. Recent neuroscience studies demonstrate that widespread distributed processing occurs in the brains of individuals experiencing pain. Emerging research and theory on the mechanisms of consciousness, along with this evidence, suggest that a constructivist framework may facilitate both pain research and the study of hypnosis. The authors propose that the brain constructs elements of pain experience (pain schemata) and embeds them in ongoing consciousness. The contents of immediate consciousness feed back to nonconscious, parallel distributed processes to help shape the character of future moments of consciousness. Hypnotic suggestion may interact with such processing through feedback mechanisms that prime associations and memories and thus shape the formation of future experience.

Analgesia↗

Cortical event-related potentials show the structure of hypnotic suggestions is crucial.

Electroencephalographic cortical event-related potentials (ERPs) are affected by information processing strategies and are particularly appropriate for the examination of hypnotic alterations in perception. The effects of positive obstructive and negative obliterating instructions on visual and auditory P300 ERPs were tested. Twenty participants, stringently selected for hypnotizability, were requested to perform identical tasks during waking and alert hypnotic conditions. High hypnotizables showed greater ERP amplitudes while experiencing negative hallucinations and lower ERP amplitudes while experiencing positive obstructive hallucinations, in contrast to low hypnotizables and their own waking imagination-only conditions. The data show that when participants are carefully selected for hypnotizability and responses are time locked to events, rather robust physiological markers of hypnosis emerge. These reflect alterations in consciousness that correspond to participants' subjective experiences of perceptual alteration. Accounting for suggestion type reveals remarkable consistency of findings among dozens of researchers.

Cerebral Cortex↗

Brief modification of suggestibility and hypnotic analgesia: too good to be true?

A 10-minute training procedure, based on the Carleton Skill Training Program, has previously been reported to produce substantial increments in responsiveness to hypnotic suggestion. The authors attempted to replicate this effect and also assessed the impact of the training procedure on hypnotically suggested analgesia. Ninety-eight students who had been preselected for high, medium, and low levels of initial suggestibility were randomly assigned to experimental and control groups. Training failed to increase overall suggestibility scores or to enhance the effects of a suggestion for pain reduction. Suggested pain reduction was more highly correlated with posttreatment suggestibility scores than with pretreatment suggestibility and, in a regression analysis, only posttreatment suggestibility predicted pain reduction uniquely.

Female↗

Hypnotic and posthypnotic suggestion: finding meaning in the message of the hypnotist.

High hypnotizable subjects were asked a question before, during, and after hypnosis and were given a suggestion before, during, or after hypnosis to rub their earlobe when they were asked this question. In this way, the experiment placed a question that required a verbal response in contrast with a suggestion that only sometimes required a behavioral response. Subjects were more likely to respond behaviorally when the question was associated with the suggestion but more likely to respond verbally when the question was a social interaction; furthermore, the likelihood of subjects responding behaviorally and/or verbally shifted across the tests with the changing message of the hypnotist. The findings highlight hypnotized subjects' attempts to interpret the hypnotist's communications and their ability to resolve ambiguity in the nexus of those messages in a way that promotes their hypnotic behavior and experience.

Adult↗

Hypnotic susceptibility, interference, and alternation frequency to the Necker cube illusion.

Two experiments (N = 60) were conducted to determine the effects of hypnotic susceptibility and interference on frequency of Necker cube apparent reversals (ARs). Interference was induced in Experiment 1 by having subjects respond to orally administered double-digit arithmetic (addition) problems while observing the Necker cube. In Experiment 2, counting backward by 3s served as interference. In both experiments, interference reduced ARs. Hypnotic susceptibility level also influenced ARs, with those scoring high on this attribute reporting more ARs than those scoring low. Attentional factors may have played a major role in producing the reported results.

Attention↗

Latency and frequency reports to the Necker cube illusion: effects of hypnotic susceptibility and mental arithmetic.

An experiment (N = 32) was conducted to assess latency of first apparent reversal (AR) and AR frequency while observing the Necker cube illusion. Subjects who were either high in hypnotic susceptibility (susceptibles) or low in hypnotic susceptibility (resistant subjects) observed the cube either while performing or not performing mental addition problems. Susceptibles reported perceiving the first AR more quickly and a greater frequency of ARs than did resistant subjects. Also, latency of the first AR was negatively correlated with AR frequency. These results were interpreted in terms of the ability of susceptibles to allocate concentrative or selective attention in a manner that was conducive to faster performance, when faced with competing tasks.

Attention↗