






What do you know about hypnotism? For example, which, if any, of the following scenarios do you consider plausible?
• You see someone at a cocktail party whom you knew many years ago. You remember
her as a serious, no-
You will find the answers to all these questions further along in this chapter.
The first demonstration of hypnosis I ever saw was at a high school party, long before I became a doctor. The subject, a friend of mine, was a quiet, intelligent, serious young man; the hypnotist was an extroverted accountant. After my friend entered the hypnotic trance, he lost many of his social inhibitions. For example, although he was normally painfully shy, he now sang lustily, danced with abandon, and recited poetry with gusto, all on command by the hypnotist. When he was told that the room was very hot (it was not), he began to perspire; when informed, moments later, that the temperature had dropped suddenly (it had not), he shivered. I was impressed and amused by this display, but it never occurred to me then that hypnotism was anything more than a highly entertaining theatrical stunt.
My second encounter with hypnotism took place at a vaudeville theater a few months
later. A frail, elderly woman, randomly selected from the audience, was given two
thirty-
When I entered medical school several years later, the only reference to hypnosis
I ever came across throughout the four-
Hypnotism was formally introduced in the late 1700’s by a German doctor, Franz Mesmer (that's where the word "mesmerize" comes from), who claimed that he could cure several kinds of nervous disorders with it. He believed that he could transfer magnetism from his own body to his patients by using iron rods and magnets to enhance the flow. This resulted in a redistribution of the body fluids, accompanied by a "hypnotic trance."
This all sounded a bit weird to Mesmer's contemporaries, who, for the most part, considered him either a charlatan or just plain crazy. Although it did capture the imagination of many novelists who had a field day describing how evil Svengalis would hypnotize an innocent virgin in order to "have their way" with her (an inaccurate connotation that persists to this day), hypnosis was not used medically for years. Then, just before the advent of anesthesia, some observant doctors noted that they could control their patients' pain during surgery by means of hypnosis, instead of restraining them or making them drunk. Hypnosis was used for this purpose for several years until the introduction of ether anesthesia. After that, hypnosis was for the most part abandoned, except by a smattering of psychiatrists, psychologists and extroverted accountants.
But hypnotism has now come into its own, despite persistent stigmatization because of its identification with Svengali, black magic, and theatrical entertainment. Trained health care professionals, both "conventional" and "unconventional," are using hypnotherapy to treat a variety of physical and emotional disorders. Although the subject is still not formally taught in most medical schools (neither was nutrition, until quite recently), a section on hypnosis has been established at the College of Physicians and Surgeons of Columbia University. It is directed, not by a psychologist or psychiatrist, but by a surgeon who teaches doctors how to hypnotize patients who cannot safely tolerate general anesthesia because of severe lung disease or other conditions.
No one knows for sure how hypnosis works. Many scientists believe that,
like the placebo response or acupuncture, hypnosis activates nerve pathways in the
brain that cause the release of natural morphine-
Although hypnotized subjects appear to be asleep or unconscious, they're really not. On an electroencephalogram (a recording of brain activity), their brain waves reveal a pattern of profound relaxation completely different from those seen during sleep. Even in this relaxed state, subjects are intensely focused and able to concentrate on what they are told to do. Although hypnosis renders subjects highly suggestible, they are by no means "at the mercy" of the hypnotist. Believe it or not, in a legitimate treatment setting, they are actually very much in charge and are using the therapist to help themselves control their pain, stress, phobias, troublesome habits, headaches, allergies, asthma, skin disorders, and other ailments.
Ninety percent of us can be hypnotized if we want to be and if we trust and have
confidence in the therapist. Being intelligent and imaginative helps too. The idea
that only the weak-
Herbert Spiegel, a doctor in New York City who is a well-
Hypnosis was approved by the AMA as a therapeutic tool more than thirty years ago, but its use isn't restricted to doctors, psychiatrists, or psychologists. Anyone who has a mind to do so is legally permitted to hypnotize a willing subject; neither special training nor a license is required. So don't worry if you're caught putting someone into a trance. You will not be charged with practicing medicine unlawfully.
. . .
Hypnosis can be performed in several different ways, all of which are quite simple. In the most widely used method, the subject is asked to track a moving object (such as the famed pocket watch) back and forth, back and forth, while the therapist monotonously but authoritatively drones on that the eyes are getting heavier and heavier, and that soon they will be unable to remain open. Despite your closed eyes, and all the trappings of sleep, you will actually be focusing very intently on the therapist's instructions. Instead of having you stare at a moving object, some therapists ask you to concentrate on their voice; others may tell you to count backward slowly from twenty or thirty to zero. Whatever the technique, most subjects "go under" within fifteen minutes. After several sessions with the same hypnotist, you can often by hypnotized almost instantly by a key word or a snap of the fingers.
There are various stages or depths of hypnosis. When you are under "lightly," you won't feel any discomfort when pinched or pricked with a needle. But it takes a "deeper" hypnotic state to control severe pain, such as that due to cancer, surgery, and some dental procedures.
Whatever its depth, hypnosis does affect your judgment and perception; for example,
you can be more easily con-
If you're wondering how long you'd remain in a trance if anything happened to your hypnotist, I can assure you that in such an unlikely circumstance, left to your own devices, you'd simply lapse into a deep sleep, awaken refreshed, and probably not even remember that you'd been hypnotized.
Though seemingly in a "trance," a hypnotized subject walks and talks normally and
can recall long-
The most important aspect of hypnosis, as far as I am concerned, is that it permits you to manipulate body functions over which you normally have no control. For example, on command, you can increase or slow your heart rate, raise your temperature, alter your blood pressure, perspire, or develop gooseflesh. These responses are all regulated by the autonomic (involuntary) nervous system. The potential for treating high blood pressure, cardiac rhythm disorders, and stress by means of hypnosis is obvious. Under hypnosis, you can also be made to hallucinate see and hear things that aren't there. You can also relive past, painful experiences buried deep in the subconscious and perhaps now view them from a different perspective one you can live with more easily.
To end a session, the hypnotist orders you to awaken and tells you how well you will feel. Most subjects feel alert right away, but some are a little drowsy for a few hours.
Then there is the phenomenon of posthypnotic suggestion, in which you are told what
to remember, what to forget, and what specific acts to perform on a given signal
after you "awaken." Such instructions, if repeated and reinforced often enough, can
lead to long-
The results of posthypnotic suggestion can be quite dramatic. Some thirty years
ago, I referred a patient, then in her fifties, for hypnosis because she had been
smoking two packs of cigarettes a day since her teens. She quit after just one session
and never smoked again and she is now eighty-
When it is done for the right reasons by a trained therapist, hypnotism can be effective,
doesn't hurt, isn't invasive, and doesn't require expensive equipment or drugs. Perhaps
most important, you can do it yourself. Although there are books, videos, and audiotapes
that teach self-
If you decide that you'd like to try self-
To end a self-
Here are some problems that hypnosis has been documented to help:
Asthma
Hypnosis can either prevent asthmatic attacks or reduce their severity, especially in people who are anxious and can be easily hypnotized. Objective tests of the flow of air in and out of the lungs in such cases reveal as much as 75 percent reduction in the irritability and spasm of the air passages.
Pain
Deep hypnosis is more effective against pain than placebos, simple relaxation, or distraction, and it is used by some cancer doctors and physical rehabilitation specialists (physiatrists) for that purpose. It can also reduce anxiety, fear, and muscle spasm, and result in increased mobility of injured limbs and joints. In Parkinson's disease, it can lessen tremor and rigidity. Symptoms of multiple sclerosis, cerebral palsy, rheumatoid arthritis, and paralysis due to strokes or injury to the brain and head can also respond to hypnosis.
Irritable bowel syndrome
About 15 percent of the population, and about half of the patients who consult gastroenterologists, suffer from irritable bowel syndrome (IBS). They have abdominal pain, cramps, diarrhea, or constipation, regardless of what they eat or drink. IBS is notoriously difficult to treat, and people with IBS are often labeled neurotic. Several studies have reported successful treatment of IBS with hypnosis after all other intervention failed. That's not surprising, because the motility of the gut is under the control of the autonomic nervous system, which can be influenced by hypnosis.
Nausea and vomiting
Hypnosis can reduce nausea and vomiting, especially when caused by anticancer drugs. Patients who require chemotherapy over a period of weeks or months may become "conditioned" to feeling sick and nauseated by it. They often awaken nauseated on the day they are due for the therapy, or they become nauseated even before leaving home for the clinic. Such "anticipatory" illness can often be prevented by hypnosis.
Morning sickness
Morning sickness does not generally require treatment. However, there is an uncommon condition called hyperemesis gravidarum (it occurs in fewer than 1 percent of pregnancies), in which severe nausea and vomiting occurs as often as fifteen times a day. The resulting dehydration and malnutrition can lead to hospitalization and threaten the pregnancy. Hypnosis can be extremely helpful in such cases. Ask your doctor about it.
Labor
Pregnant women who are hypnotized or hypnotize themselves have a shorter labor, less pain, and easier deliveries. Some cesarean sections are being performed under hypnosis without anesthesia.
Phobias and compulsions
Hypnosis can help you deal with your phobias and bad habits-
Conversion hysteria
Hypnosis is especially effective in a psychiatric disorder called "conversion hysteria" not as therapy but as a diagnostic tool. Patients with conversion hysteria believe, for instance, that they are unable to move an arm or a leg, and this "paralysis" is sometimes difficult to distinguish from that caused by a stroke or a physical injury. The difference between the two is that "hysterical" paralysis disappears during the hypnotic trance; true paralysis remains.
Overweight
Permanent weight loss is one of the most difficult objectives for countless people,
however well motivated. I have several patients who have been able to take the pounds
off and keep them off. But this demands a lifelong commitment to diet and exercise,
which not everyone can maintain. That's why weight control is such a frustrating
experience for the great majority of us. Statistically, hypnosis is as effective
in weight reduction as most other forms of treatment-
Stress
Most doctors believe that "stress," depression, and chronic anxiety lower resistance to disease whether it's infection, cancer, hardening of the arteries, or high blood pressure. Reducing stress by any technique, including hypnosis, should theoretically have a favorable effect on the course of these conditions. However, I have never been convinced of this. Most of the examples of success are anecdotal. There is, however, one study now being conducted in which weekly hypnosis sessions do appear to prolong survival in women with breast cancer. Further studies are warranted.
Bed-
Bed-
Allergic reactions
Allergic symptoms are caused by the over stimulation of the immune system when you touch, eat, or inhale something to which you are allergic. Exposure to this foreign material (allergy) results in the increased production of antibodies that, in turn, causes your body to turn out large numbers of "mast" cells. These release a chemical called histamine, which is responsible for the itching, sneezing, wheezing, and tearing eyes typical of an allergic attack. (That's why antihistamines are so effective in treating allergic symptoms.) When exposure to an allergen is overwhelming, the resulting symptoms can cause shock (anaphylaxis) and sometimes even death. Since the severity of an allergic response can be modified by mental processes, hypnosis can often reduce these symptoms. This has repeatedly been shown in controlled scientific experiments. I was especially fascinated by one study in which after subjects were injected in both arms with an allergenic substance, the reaction could be aborted in one arm by hypnotic command, leaving the other one red and swollen.
Warts
Warts can become smaller and even disappear in as many as 55 percent of hypnotized children. (Adults, in whom warts are much less common, do not respond as well.) In these cases, hypnotism is assumed to act on the immune system, which contains various blood cells that go by such names as "helper" cells, "killer" cells, "suppresser" cells, and several others. In a series of experiments at the Minneapolis Children's Medical Center, subjects shown a video of these different cells and how they work were able to shrink their warts by increasing the number of some of the cells, and reducing the concentration of others, under hypnosis.
Text provided by Guided Excellence Hypnotherapy with thanks to Random House Publishing and Doctor Isadore Rosenfeld for their allowing this excerpt from Dr Rosenfeld’s book Alternative Medicine. © 1996
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