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Improved recovery and reduced postoperative stay after therapeutic suggestions during general anaesthesia.

The clinical value of therapeutic suggestions during general anaesthesia was assessed in a double-blind randomised placebo-controlled study. 39 unselected patients were allocated to suggestion (n = 19) or control (n = 20) groups who were played either recorded therapeutic suggestions or a blank tape, respectively, during hysterectomy. The patients in the suggestion group spent significantly less time in hospital after surgery, suffered from a significantly shorter period of pyrexia, and were generally rated by nurses as having made a better than expected recovery. Patients in the suggestion group, unlike those in the control group, guessed accurately that they had been played an instruction tape.

Adult↗

The relationship between suggestibility and anxiety among suspects detained at police stations.

The present study investigated the relationship between anxiety, as measured by the State-Trait Inventory (Spielberger, 1983) and interrogative suggestibility, as measured by the Gudjonsson Suggestibility Scale (GSS 2, Gudjonsson, 1987). One hundred and sixty-one suspects detained at two English police stations for questioning were assessed prior to being interviewed by the police. Unexpectedly, trait anxiety correlated more consistently with suggestibility than did state anxiety. The correlations were consistently higher among the Caucasian than the Afro-Caribbean subjects and the Afro-Caribbean subjects were significantly more suggestible than the Caucasian subjects even after their GSS 2 memory and IQ scores had been controlled for. The main practical implications of the findings are that interrogative suggestibility cannot be easily evaluated from the person's self-reported anxiety and the situation in which people are assessed may influence the relationship between these psychological variables.

Adult↗

Improved recovery after music and therapeutic suggestions during general anaesthesia: a double-blind randomised controlled trial.

PURPOSE: This study was designed to determine whether music or music in combination with therapeutic suggestions in the intra-operative period under general anaesthesia could improve the recovery of hysterectomy patients. METHODS: In a double-blind randomised clinical investigation, 90 patients who underwent hysterectomy under general anaesthesia were intra-operatively exposed to music, music in combination with therapeutic suggestion or operation room sounds. The anaesthesia was standardised. Postoperative analgesia was provided by a patient-controlled analgesia (PCA). The pain scores were recorded by means of a visual analogue scale. Nausea, emesis, bowel function, fatigue, well-being and duration of hospital stay were studied as outcome variables. RESULTS: On the day of surgery, patients exposed to music in combination with therapeutic suggestions required less rescue analgesic compared with the controls. Patients in the music group experienced more effective analgesia the first day after surgery and could be mobilised earlier after the operation. At discharge from the hospital patients in the music and music combined with therapeutic suggestion group were less fatigued compared to the controls. No differences were noted in nausea, emesis, bowel function, well-being or length of hospital stay between the groups. CONCLUSION: This double-blind study has demonstrated that intra-operative music and music in combination with therapeutic suggestions may have some beneficial effects on postoperative recovery after hysterectomy. Further controlled studies are necessary to confirm our results.

Analgesics, Opioid↗

See clearly: suggestion, hypnosis, attention, and visual acuity.

Some reports claim that positive suggestion (e.g., using hypnosis) can significantly improve visual acuity (e.g., in myopes). Based on behavioral, neurocognitive, and ophthalmological findings, the authors provide a critical account to review and challenge some of these data. While acknowledging the relative merits of hypnosis for investigating visual phenomena, an array of arguments converges to propose caveats to the apparent influence suggestion can exert on visual acuity. The authors argue that neither suggestion nor hypnotic phenomena are likely to significantly improve myopic vision and contend that a responsible scientific attitude should carefully outline what hypnosis and suggestion cannot do in addition to what they can. It seems likely that the small apparent influence of suggestion on visual acuity is mediated by changes in attention. The authors outline how attention can affect visual acuity.

Attention↗

Defining hypnosis as a trance vs. cooperation: hypnotic inductions, suggestibility, and performance standards.

We compared participants' responsiveness to a standard administration of a hypnotic suggestibility scale (CURSS; Spanos, Radtke, Hodgins, Bertrand, Stam, & Moretti, 1983) that defined the ability to experience hypnosis in terms of cooperation (SI; standard induction, N = 27) with a version of the same scale administered with all references to cooperation removed (CR; cooperation removed, N = 34) and with a version of the scale with the "induction" removed (NI; no induction, N = 35). In a fourth condition, participants were informed that the ability to experience hypnosis depended on their ability to achieve an altered state of consciousness or "trance" (AS; altered state, N = 33). Removing instructions for cooperation had an effect on objective (CR < SI) but not on subjective hypnotic responding. Removing the hypnotic induction had no appreciable effect on any dimension of hypnotic responsivity. Consistent with predictions derived from performance standards theory (Lynn & Rhue, 1991), participants who received the altered state set responded to fewer suggestions than did participants who received the standard induction (SI). Estimates of suggestions passed that were assessed before and after test suggestions were administered were, respectively, weakly to moderately correlated with objective and subjective measures of hypnotic suggestibility.

Adult↗

Surreptitious observation of responses to hypnotically suggested hallucinations: a test of the compliance hypothesis.

Suggestions for arm levitation and for visual, auditory, tactile, and taste hallucinations were administered twice via audiotape to a group of high suggestible students and low suggestible simulators. During one of the administrations, participants were led to believe they were alone, but their behavior was surreptitiously recorded on videotape and observed on a video monitor. During the other administration, they were observed openly by an experimenter who had not been informed about group assignment. When unaware that they were being observed, simulators were significantly less responsive to suggestion and engaged in substantially more role-inappropriate behavior. In contrast, the responsiveness of nonsimulating students was not affected by the presence of an experimenter, and they exhibited little role-inappropriate behavior even when alone. These data indicate that the responses of suggestible individuals reflect internally generated changes in experience and are not due to simple intentional compliance (i.e., faking).

Adult↗

Failing to resist hypnotic test suggestions: a strategy for self-presenting as deeply hypnotized.

Traditionally, hypnosis has been associated with the idea that highly hypnotizable subjects lose voluntary control over their responses and become incapable of resisting suggestions. We contend instead that even excellent hypnotic subjects retain control over their responses. These subjects are invested in presenting themselves as "deeply hypnotized," and to this end employ relevant contextual information to guide their hypnotic enactments. Contextual demands in the hypnotic test situation usually reinforce the idea that hypnotic behavior is involuntary. Therefore, the enactments of highly hypnotizable subjects are typically designed to convey the impression that responses to suggestions are involuntary happenings that cannot be successfully resisted. This formulation implies that highly hypnotizable subjects will present themselves as unable to resist suggestions or, alternatively, as able to easily resist suggestions, depending upon which of these self-presentations they associate with "deep hypnosis." We tested this and related hypotheses by varying the demands associated with "deep hypnosis" and noting the effects on the tendencies of highly hypnotizable subjects to resist suggestions and to describe their responses as involuntary happenings over which they had lost control.

Adolescent↗

The influence of two different sets of information and suggestions on the subjective effects of relaxation.

The study compared the subjective effects of different relaxation techniques and their susceptibility to influence by information and suggestions provided by the trainers. Two groups of twelve subjects each were trained in autogenic training and in progressive relaxation successively. On three occasions during their training, each group was given one of two contrasting sets of information and suggestions concerning the subjective effects to be expected. At the end of training, differences in the subjective effects accompanying the two relaxation techniques were found but no significant effect of the contrasting sets of information and suggestions emerged. These results suggest that the subjective effects of relaxation were resistant to simple suggestions and, being more robust and real than often thought, could constitute a basis for differential indications of various relaxation methods.

Adult↗

Efficacy of therapeutic suggestions for improved postoperative recovery presented during general anesthesia.

There have been claims that the postoperative course of patients may be improved by presentation during general anesthesia of therapeutic suggestions which predict a rapid and comfortable postoperative recovery. This study evaluated the effectiveness of such therapeutic suggestions under double-blind and randomized conditions. A tape recording predicting a smooth recovery during a short postoperative stay without pain, nausea, or vomiting was played during anesthesia to about half the patients (N = 109), while the remaining, control patients were played a blank tape instead (N = 100). The patients were primarily undergoing operations on the fallopian tubes, total abdominal hysterectomy, vertical banding gastroplasty, cholecystectomy, and ovarian cystectomy or myomectomy. The anesthesia methods consisted of either isoflurane with 70% nitrous oxide in oxygen to produce end-tidal concentrations of 1.0, 1.3, or 1.5 MAC; or 70% nitrous oxide in oxygen combined with high or low doses of opioids. Assessments of the efficacy of the therapeutic suggestions in the recovery room and throughout the postoperative hospital stay included: the frequency of administration of analgesic and antiemetic drugs; opioid doses; the incidence of fever; nausea, retching, and vomiting; other gastrointestinal and urinary symptoms; ratings of pain; ratings of anxiety; global ratings of the patients' physical and psychological recoveries by the patients and their nurses; and length of postoperative hospital stay. There were no meaningful, significant differences in postoperative recovery of patients receiving therapeutic suggestions and controls. These negative results were not likely to be due to insensitivity of the assessments of recovery, as they showed meaningful interrelations among themselves and numerous differences in recovery following different types of surgery. Widespread utilization of therapeutic suggestions as a routine operating room procedure seems premature in the absence of adequate replication of previously published positive studies.

Adult↗

How suggestible are preschool children? Cognitive and social factors.

OBJECTIVES: In this series of studies, the authors sought to determine some of the cognitive and social boundary conditions that can undermine the accuracy of young children's reporting. Care was taken to include events and interviewing variables that more accurately reflect the experiences of children in real-world investigations of alleged sexual abuse. Videotaped interviews with preschool children were presented to experts to determine how adept they are at distinguishing between true and false accounts. METHOD: All the studies were designed to investigate the susceptibility to suggestion in young preschool children. The difference between studies was the form of that suggestion and the nature of the event to which the children were exposed. All studies measured recall accuracy, false assent rate, and the change in these outcomes over time and/or successive interviews. RESULTS: Very young preschool children (aged 3 and 4 years) were significantly more vulnerable to suggestions than were older preschool children (aged 5 and 6 years). The number of interviews and the length of the interval over which they were presented resulted in the greatest level of suggestibility. CONCLUSIONS: While some types of events (negative, genital, salient) were more difficult to implant in children's statements, some children appeared to internalize the false suggestions and resisted debriefing. These children's false statements were quite convincing to professionals, who were unable to distinguish between true and false accounts.

Child Abuse, Sexual↗

The role of brief instructions and suggestibility in the elicitation of auditory and visual hallucinations in normal and psychiatric subjects.

The present study is an investigation of the elicitation of auditory and visual hallucinations by brief instructions and the relationship of the report of hallucinatory-type experiences to standard measures of suggestibility. Two experiments were carried out. The first used normal subjects predisposed or not predisposed to hallucinate, as assessed by the Launay-Slade Hallucination Scale (LSHS-A). The second used hallucinating and nonhallucinating psychiatric patients. The high LSHS-A scorers and the hallucinating psychiatric patients were significantly more likely to hear suggested sounds than were their respective controls. High LSHS-A scorers were also significantly more likely to see suggested objects than were their respective controls, although this finding was not replicated in the psychiatric subjects. No significant differences on measures of suggestibility were found between the groups, although in the psychiatric group Barber Test Suggestion and Subjective Involvement scores correlated positively with LSHS-A scores.

Adult↗

Source monitoring reduces the suggestibility of preschool children.

The relation between source monitoring and suggestibility was examined among preschool children. Thirty-two 3- to 5-year-olds were simultaneously presented with a brief story in two different modalities, as a silent video vignette and a spoken narrative. Each modality presented unique information about the story, but the information in the two versions was mutually compatible. The children were then asked a series of questions, including questions about the source (modality) of story details, and leading questions about story details (to assess suggestibility). Performance on the source-monitoring questions was highly correlated with the ability to resist suggestion. In addition, children who were asked source-monitoring questions prior to leading questioning were less susceptible to suggestion than were those who were asked the leading questions first. This study provides evidence that source monitoring can play a causal role in reducing the suggestibility of preschool children.

Child, Preschool↗

Interrogative suggestibility: its relationship with assertiveness, social-evaluative anxiety, state anxiety and method of coping.

This paper attempts to investigate empirically in 30 subjects some of the theoretical components related to individual differences that are thought by Gudjonsson & Clark (1986) to mediate interrogative suggestibility as measured by the Gudjonsson Suggestibility Scale (GSS; Gudjonsson, 1984a). The variables studied were: assertiveness, social-evaluative anxiety, state anxiety and the coping methods subjects are able to generate and implement during interrogation. Low assertiveness and high evaluative anxiety were found to correlate moderately with suggestibility, but no significant correlations emerged for 'social avoidance and distress'. State anxiety correlated significantly with suggestibility, particularly after negative feedback had been administered. Coping methods (active-cognitive/behavioural vs. avoidance) significantly predicted suggestibility scores. The findings give strong support to the theoretical model of Gudjonsson & Clark.

Adaptation, Psychological↗

The suggestibility of children's memory.

In this review, we describe a shift that has taken place in the area of developmental suggestibility. Formerly, studies in this area indicated that there were pronounced age-related differences in suggestibility, with preschool children being particularly susceptible to misleading suggestions. The studies on which this conclusion was based were criticized on several grounds (e.g. unrealistic scenarios, truncated age range). Newer studies that have addressed these criticisms, however, have largely confirmed the earlier conclusions. These studies indicate that preschool children are disproportionately vulnerable to a variety of suggestive influences. There do not appear to any strict boundary conditions to this conclusion, and preschool children will sometimes succumb to suggestions about bodily touching, emotional events, and participatory events. The evidence for this assertion is presented in this review.

Age Factors↗

Suggestion and psychoanalytic technique.

The role of the analyst's suggestive influence on the course and outcome of psychoanalytic treatment is explored, and traditional and newer perspectives on analytic technique are contrasted. The intersubjective critique of the neutral, objective analyst in relation to suggestion is examined. The inevitable presence and need for suggestive factors in analysis, and the relationship of suggestion to transference susceptibility, are emphasized. The manner in which the analysis of suggestive factors is subsumed in transference analysis as part of traditional technique is highlighted.

Humans↗

'It's still bending': verbal suggestion and alleged psychokinetic ability.

Some alleged psychics appear to be able to deform metallic objects, such as keys and cutlery, by thought alone. This paper describes two studies that examined whether one aspect of these demonstrations could be created by verbal suggestion. In the first study, participants were shown a videotape in which a fake psychic placed a bent key on a table. Participants in one condition heard the fake psychic suggest that the key was continuing to bend, whilst those in the other condition did not. Participants in the suggestion condition were significantly more likely to report that the key continued to bend. These findings were replicated in the second study. In addition, participants who reported that the key continued to bend displayed a significantly higher level of confidence in their testimony than others, and were significantly less likely to recall that the fake psychic had suggested the continued bending of the key. Neither experiment revealed any differences between participants who expressed a prior belief in the paranormal compared with those who did not. The paper discusses the implications of these results for the psychology of suggestion and the assessment of eyewitness testimony for anomalous events.

Adult↗

Effects of post-hypnotic suggestions on muscular endurance.

This study examined the effects of post-hypnotic suggestions upon maximal endurance capacity, Borg ratings of perceived exertion, and heart rate. Experimental subjects were administered post-hypnotic suggestions to improve or decrease performance, and control subjects were given similar instructions during the awake state. Endurance time could be decreased significantly when the fatigue suggestion was given to experimental subjects, but performance could not be enhanced with the facilitating suggestion. Control subjects showed no significant changes across conditions. The Borg ratings indicated that experimental subjects experienced subjective changes as suggested by the hypnotist. In addition, analysis failed to find any significant differences for the heart-rate data.

Adult↗

Effects of subliminally presented auditory suggestions of itching on scratching behavior.

This study investigated effects of masked verbal suggestions of itching, utilizing a design closely analogous to commercially available subliminal audiotapes. Students participated in 1 of 3 groups (n = 21): an experimental group listened to an audiotape with music masking suggestions of itching, Control Group 1 listened to an audiotape with music only, and Control Group 2 listened to suggestions of itching presented supraliminally. Dependent variables included both behavioral and self-report measures of itching. There was no evidence of influence from subliminal suggestion; however, results assessing the influence of supraliminally presented suggestions were mixed for self-report and behavioral measures.

Acoustic Stimulation↗