Occurrence of Trauma in Fibromyalgia
To determine whether hypnosis is more effective than conventional interviewing to find traumatic life events in patients with fibromyalgia, we carried out a within-subject experimental design with complete intragroup counterbalancing. Thirty-two women under care in a public primary care center gave 2 identical interviews, with an interval of 3 months, in which the occurrence of traumatic life events was explored, once in a state of wakefulness and once in a state of hypnosis. The state of consciousness was evaluated using 3 measures: bispectral index, skin conductance level, and pain intensity. In the hypnotic state, the patients expressed 9.8 times more traumatic life events than in the waking state, a statistically significant difference with a large effect size.
Research literature about hypnosis highlights the importance of clients’ attitudes and beliefs toward hypnosis because they promote hypnotic responses and may predict the effectiveness of hypnotic interventions as well as minimize iatrogenic effects for clients. This study analyzes the factorial structure and psychometric properties with confirmatory methodology of the Valencia Scale of Attitudes and Beliefs Toward Hypnosis–Client Version, using a Portuguese sample. We expected to replicate the results obtained in previous research conducted with samples from various countries. The Portuguese sample comprised 1,977 participants. We found a structure of 8 factors, with an adequate internal consistency and test–retest reliability. Results are similar to those found in exploratory and confirmatory factor analyses with samples from other countries.
This article examines research on hypnosis and suggestion, starting with the nineteenth-century model proposed by Enrico Morselli (1852–1929), an illustrious Italian psychiatrist and psychologist. The authors conducted an original psychophysiological analysis of hypnosis, distancing the work from the neuropathological concept of the time and proposing a model based on a naturalistic approach to investigating mental processes. The issues investigated by Morselli, including the definition of hypnosis and analysis of specific mental processes such as attention and memory, are reviewed in light of modern research. From the view of modern neuroscientific concepts, some problems that originated in the nineteenth century still appear to be present and pose still-open questions.
A new control condition called Wiki is introduced. Key themes of each test suggestion of the Stanford Hypnotic Susceptibility Scale, Form C, were matched by a corresponding extract from Wikipedia.org. The authors compared phenomenological reports of participants across 4 conditions: hypnosis split into high and low hypnotizable subgroups, music, and Wiki condition, using the Phenomenology of Consciousness Inventory. High hypnotizables undergoing hypnosis reported higher altered experience and altered states of awareness than individuals in the Wiki condition, supporting the authors’ hypothesis that the Wiki condition does not evoke an altered state of consciousness (internal dialogue, volitional control, and self-awareness did not differ). Wiki might be a viable control condition in hypnosis research given further examination.
This work was supported by the Hungarian Scientific Research Funds (OTKA 109187 and K100845).
Despite the continued debate and lack of a clear consensus about the true nature of the hypnotic phenomenon, hypnosis is increasingly being utilized successfully in many medical, health, and psychological spheres as a research method, motivational tool, and therapeutic modality. Significantly, however, although hypnotherapy is widely advertised, advocated, and employed in the private medical arena for the management and treatment of many physical and emotional disorders, too little appears to be being done to integrate hypnosis into primary care and national health medical services. This article discusses some of the reasons for the apparent reluctance of medical and scientific health professionals to consider incorporating hypnosis into their medical practice, including the practical problems inherent in using hypnosis in a medical context and some possible solutions.
Hypnosis has been shown to alleviate symptoms and side effects of cancer and its treatment. However, less is known about the use of hypnosis at the end of life in individuals with cancer. Our goal was to systematically review the literature on the use of hypnosis to manage the most common symptoms of end-of-life cancer patients: fatigue, sleep disturbances, pain, appetite loss, and dyspnea. EMBASE, MEDLINE, COCHRANE, PsychINFO, and SCOPUS databases were searched from inception through November 7, 2016. No studies met the inclusion criteria. It appears that hypnosis has never been rigorously tested as a means to ameliorate the most common symptoms in individuals with cancer at the end of their lives. This finding is troubling, as it strongly implies that a population most in need has been largely neglected. However, a clear future research direction is revealed that may have significant clinical impact.
The author explores the nature of hypnosis, which he characterizes as a motivated mode of information processing that enables most humans to alter, to varying degrees, their experience of body, self, actions, and world. The essence of hypnosis is not to be found in heterohypnosis; instead, it lies in the spontaneous self-activation of that mode of information processing. The hypnosis field has substantially lost sight of spontaneous self-activation, because the word hypnosis is usually used to mean heterohypnosis. Self-activation of the hypnotic mode of information processing is the necessary sine qua non of hypnotic psychopathology. Moreover, self-activation of trance is the characteristic hypnotic behavior of a distinct subset of highly hypnotizable individuals.
Hypnosis and meditation, as a whole, form a heterogeneous complex of psychosomatic techniques able to control mind and body regulation. Hypnosis has been pragmatically used for limited therapeutic targets, while eastern meditation has much wider philosophical and existential implications, aiming for a radical liberation from all illusions, attachments, suffering and pain. The available data on the history, phenomenology, and neuropsychology of hypnosis and meditation show several common features, such as: (a) induction based on focused attention; (b) capability to reach an intentional control of both vegetative-somatic activities and conscious-unconscious processes; (c) activation/deactivation of several brain areas and circuits (e.g., the default modality network and pain neuromatrix) with a relevant overlapping between the two.
In my opinion, the previously unpublished papers of Jay Haley presented in this special issue of the International Journal of Clinical and Experimental Hypnosis are nothing less than a treasure. I have greatly appreciated the opportunity to work on this project, not only because of the content of these wonderful historical gems but also because it has given me the chance to collaborate with a long-time friend, Peter B. Bloom, MD, and to meet for the first time Jay’s wife, Madeleine Richeport-Haley, PhD. The three of us were able to meet and begin discussion of this project while attending the European Hypnosis Society’s International Congress in Sorrento, Italy, an excellent location to begin any endeavor!
In this special issue of the International Journal of Clinical and Experimental Hypnosis, Jay Douglas Haley is being celebrated worldwide by his friends and family. He shared his ideas and experiences over many years in his writings, his teaching, and most importantly in his relationships with all of us. Jay was a unique, vibrant, and benevolent iconoclast. He challenged us to see things differently and to enjoy a creative freedom in our caring of patients and clients. Recently, Jay’s wife, Madeleine Richeport-Haley, PhD, found a treasure from his past—seven unpublished papers about applying and teaching hypnosis from his early and later years. They form the basis of this special issue.