DEFINITION OF “CLINICAL HYPNOSIS”
Clinical hypnosis is a procedure during which a qualified health professional or therapist (the “hypnotist”) gives a patient carefully worded instructions to follow with the goal of helping the patient enter a state of deep relaxation. In this hypnotic state, the “hypnotized” patient is aware of everything that is going on, but at the same time, becomes increasingly absorbed in using his or her imagination as directed by the hypnotist.
The hypnosis practitioner uses carefully worded language to help the patient enter into a state of highly focused, suggestible attentiveness in which the patient is able to clear away mental "clutter" and focus on his or her problem and solutions to the problem. Hypnosis practitioners employ a body of techniques to help their patients acquire the self-control, self-mastery, willpower and confidence to visualize, realize and achieve their goals. Frequently, hypnosis practitioners teach their patients self-hypnosis methods that they can employ on their own to reinforce and continue the process of positive change.
The hypnotist gives the patient suggestions to experience changes in behaviors, feelings, sensations, images, perceptions, thoughts, beliefs, and/or physical functions or symptoms. Suggestions are typically included for relaxation, calmness, confidence, increased self-control and well-being. Instructions typically include imagining or thinking about pleasant experiences.
Hypnosis is a relationship-based process of communication through which the clinician induces in the patient an alteration in consciousness and internal perception characterized by increased suggestibility. However, in the clinical setting, during the intake and evaluation process, an informal Waking Hypnosis State may develop before the formal induction of a Hypnosis Trance State. This Waking Hypnosis State has trance-like qualities that arise from the early experience of relaxation, which naturally develops during the patient’s comfortable interaction with the clinician. This comfort, the patient’s growing sense of trust in the clinician, and the patient’s expectation of eventually entering a formal trance, all help create the experience of relaxation which leads into the informal Waking Hypnosis State. The communication process that takes place during this Waking State is designed to start the process of change that is later further fixed in place during the Hypnosis Trance State.
People respond to hypnosis in different ways. Most people report that they were NOT asleep, but instead, felt very relaxed and could hear everything the hypnotist said. Some people describe hypnosis as a state of focused attention, in which they feel very calm and relaxed. Others describe the experience as being one in which they feel detached and deeply inwardly focused. Still others describe the experience as one in which their sensations and perceptions feel heightened and more vivid.
In the hypnotic state, which is an altered state of consciousness, awareness, and perception, suggestibility is heightened. Both parts of the mind (conscious and subconscious) are more receptive to acceptable, therapeutic suggestions than they are in an ordinary waking state. Even in a light hypnotic “trance”, with the patient’s permission, the “doorway” to his or her subconscious mind opens. This makes it possible for the hypnotist to provide information to the patient’s subconscious in a form that the subconscious can accept.
Hypnosis is a safe procedure when it is employed by a qualified, licensed, responsible and experienced health professional. It is NOT about “Zap, you are under my spell!” as in some sort of a master/slave relationship. It is also NOT magic! Nobody can be hypnotized unless they want to be and unless they are willing to be a cooperative subject. No one can be hypnotized against their will.
In reality, all hypnosis is self-hypnosis. This is because in order for a person to enter the hypnotic state, he or she must follow the hypnotist’s instructions, and his or her conscious and subconscious minds must accept the hypnotist’s suggestions and make them his or her own.
Anyone who can follow instructions and who wants to be hypnotized can be hypnotized. The subject/patient is simply asked to suspend his or her disbelief and critical, analytical mind, and to allow whatever happens to happen without trying to make anything happen. The patient is thus asked to imagine and visualize the things the hypnotist says. Hypnosis occurs without effort on the patient’s part. It is the therapist/hypnotist’s job to analyze what is happening—not the patient’s!
If the patient’s mind wanders, that is perfectly all right. Hypnosis is among other things a state of controlled daydream-type thinking—a state of believed-in imagination. Mind wandering is what happens when a person daydreams. The patient is told that even when his or her conscious mind wanders, his or her subconscious mind will hear everything that the hypnotist is saying.
Practitioners use clinical hypnosis in three main ways as outlined by the American Society of Clinical Hypnosis.
Encouraging the use of the imagination.
Giving direct suggestions for therapeutic change.
3. Conducting subconscious exploration (or a Hypnoanalysis) to promote understanding and insight about the roots of the patient’s problem using a technique called ideomotor analysis.
A therapist trained in this method of hypnosis can help a patient uncover, reframe and resolve (a) underlying motivations for self-defeating behavior, (b) subconscious inner conflicts, (c) key past experiences, and (d) subconsciously imprinted fixed ideas maintaining the patient’s problem and symptoms.
When will hypnosis be beneficial?
While individual responses vary, and no guarantees of a “cure” can be ethically made, clinical hypnosis is beneficial when a patient is motivated to change and overcome a problem.
As stated by the American Society of Clinical Hypnosis, “It is important to keep in mind that hypnosis is like any other therapeutic modality: it is of major benefit to some patients with some problems, and it is helpful with many other patients, but it can fail, just like any other clinical method. For this reason, we emphasize that we are not ‘hypnotists’, but health care professionals who use hypnosis along with other tools of our professions.”
Clinical Hypnosis is employed for treating problems of:
Length of Hypnosis Treatment:
As with most treatment procedures, length of hypnotic treatment will vary depending on the nature and severity of the problem. For some problems, such as smoking cessation or nail-biting, treatment can be as short as one visit. However, with other problems, such as weight loss, treatment requires several sessions.
For some problems (such as some types of anxiety and depression), hypnosis is employed as a tool in conjunction with some form of psychotherapy. By itself, hypnosis treatment is short-term, generally requiring anywhere from one to five visits.
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