· Web viewBehavior Modification. The process of changing behavior by using techniques based on learning theory. The techniques include systematic desensitization, aversion therapy,

AGL Autonomous Group Learning

BASED UPON CONTACTS AND THE TEXTBOOK: MEDICAL HYPNOSIS PRIMER - Clinical and Research Evidence

developed by : SCEH - Society of Clinical and Experimental Hypnosis and ISH - International Society of Hypnosis,

DRAFT TO MOTIVATE TESTING

MEDICAL HYPNOSIS PRIMER – ACUTE AND CHRONIC PAIN

A new way to learn and practice basic medical hypnosis for acute and chronic care, on-line or in a 1 day course for doctors, nurses and

primary health care workers, or in 4 regular syllabus two hour sessions for medical and nursing students, with support.

DIARY(see also GUIDE and WORKPACK)

ALL IDEAS WELCOME Version 1 – September 13, 2016

Copyright: RGAB 2016 ([email protected])

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mailto:[email protected]

BASIC MEDICAL HYPNOSIS - ACUTE AND CHRONIC PAIN

INDEX

Unit Page No.

1. Brochure 3

2. Registration Sheet 4

3. First Feedback Summary 6

4. Final Feedback Summary 8

5. Quiz Answer Sheets 11

6. Summary Lecture - Part 1 13

7. Mini-case - Questions 16

8. Mini-case - Answers 18

9. Post- course Support 18

10. Glossary (quiz )

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1. BROCHURE1. SPECIFIC OBJECTIVES

This brief cost effective program provides course members with the opportunity to both understand and practice modern medical hypnosis for acute and chronic pain. It is training support for the key 2009 textbook::

Medical Hypnosis Primer - Clinical and Research Evidence (Dr Arreed Barabasz, Dr Karen Olness, Dr Stephen Kahn, Dr Bob Boland published by Routledge Company)

and supporting DVD’s published with SCEH (Society of Clinical and Experimental Hypnosis) and ISH (International Society of Hypnosis)

Training for medical and nursing students can be covered on line or in four two hour regular course sessions. The program can also be a one day full time training course for doctors, nurses and primary health care workers.

The specific learning objectives are to:

1. Briefly present the basic concepts of modern medical hypnosis.

2. Encourage health practitioners to use hypnosis as an adjunct and reinforcement to medical care for acute and chronic pain.

3. Encourage the teaching and practice of hypnosis as a part of the requires syllabus of medical schools, nursing schools and primary health care training units.

4. Develop confidence in using basic cost effective brief hypnosis techniques with patients.

5. Motivate further study in the future with the courses run by the professionally recognized national and international hypnosis societies.

The key Primer book was assembled by top hypnosis authorities, to present the basic concepts of modern medical hypnosis and to encourage all healthcare practitioners to learn how to use hypnosis as a cost effective reinforcement for standard proven medical care. It advances the medical and factual aspects of this still greatly misunderstood field. It is ideal for any hospital or clinic to teach its staff how hypnosis can be cost effective and efficient support for a wide range of disorders.

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The course is also inspired by the book “Trancework - An Introduction to the Practice of Clinical Hypnosis” developed by the internationally recognized hypnosis authority Dr. Michael D. Yapko.

2. SYLLABUS

The syllabus of this limited program with 5 units to include: basic hypnosis concepts, hypnosis testing, acute pain, chronic pain, with self hypnosis as a key element.

Study of part of the Primer (131 pp) and DVD, is useful pre-course requirement for the learning efficiency and effectiveness of the program.

Each unit is highly interactive with: objectives discussion, Primer review, brief lecture, video, demo and practical exercise.

3. AUTONOMOUS GROUP LEARNING (AGL)

Eithe on line or theAGL method is used to achieve rapid individual learning using special materials and the stimulus of on line, partner or group interaction. Interaction with a professional hypnosis trainer for demonstrations and organization reinforces the learning. Study in groups, uses the materials to find the answers to all the problems and questions.

4. COURSE MEMBERS

Course members may be medical or nursing students, doctors, nurses or primary health care workers etc. Each course can be modified in cultural content and time for specific learners.

5. COURSE DURATION This highly interactive program can planned as on line or 4 2 hour sessions over regular term time or as a one day full time program. The 5th session is homework. An easy arrangement to test the program is with one instructor and 24 course members divided into 6 small groups

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6. AGL GROUP ARRANGEMENTS

The work can be done on line or in groups:

a. IND - Individually, or b. SG - Small Group (in partners or small groups of four members which change)c. CSG - Combined Small Group (two small groups together), ord. MG - Main Group (short lectures, videos demos and questions).

NOTE:

CONTACT US FOR TRIALS TO TEST THE ONLINE OR AGL PROGRAM FOR EFFICIENCY AND EFFECTIVENESS

The program welcomes rigorous testing by different organizations, countries and languages.

Materials and guidance for testing freely available.

Dr Bob Boland 33 450 40 8982. [email protected], MPH (Johns Hopkins), DBA, ITP (Harvard) ex UN in Geneva

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2. REGISTRATION SHEET

PART I BASIC DATA :


Date and location:

Name of member:

Title:

Organisation:Address

Telephone/portable:Email

PART 2 PREVIOUS BACKGROUND

Please write 1-4 lines on your relevant training and experience in the subject area of the programme.

PART 3 OBJECTIVES

Please complete the attached sheet: "Learner Objective Setting".Then list below, three objectives in your taking the programme.1.

2.

3.

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LEARNER OBJECTIVE SETTING

1. Briefly, what is your idea of a working knowledge of the subject area?

2. Briefly describe a situation you faced in the last six months which involved the subject area. How did it arise? What did you do? What was the result? What did you feel?

3. Can you now list (below) 20 technical words, relevant to the subject area, that you need to use frequently?

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3. FIRST FEEDBACK SUMMARY1. Basic data:


1. Date and location: Name of member: LEARNING: online or AGL group Title:

Organisation: Address, telephone, email:

2. Previous background:

3. Quiz results:

1. Quiz___ 2. Quiz___ 40 40

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FIRST FEEDBACK SUMMARY1. To what extent did you achieve your personal objectives? Did

anything surprise you?

2. Do you have any suggestions for improving the program?

3. What other programs might be useful to your organization?

4. At this time , what is your overall evaluation of the program. in terms of content, presentation, administration and usefulness?

5. Score each item below, from 1 (poor) to 5 (excellent) :

Content

Presentation

Administration

Usefulness

6. Other comments:

Signature ...............………………....... date ................

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4. FINAL FEEDBACK SUMMARY (MONTH LATER)

1. Basic data:


Date and location:

Name of member:

Organisation:

2. Did you complete the LMP work exactly as scheduled? Could you please explain your reactions and difficulties?

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FINAL FEEDBACK SUMMARY3. For learning research, could you please indicate your reactions to the

total online or AGL experience (circle YES or NO):

A1 Was enough guidance, briefing and help provided? YES NO

A2 Did the program stimulate you? YES NO

A3 Did you know the learning objectives before you started? YES NO

A4 Do you think you achieved the learning objectives? YES NO

A5 Would you choose to learn this way again? YES NO

A6 Were the materials practical and relevant to you? YES NO

B1 Were the technical difficulties and shorthand useful in your learning? YES NO

B2 Would a more experienced teacher have improved the learning environment? YES NO

B3 Did you find the materials too confusing at times? YES NO

B4 Were you a little embarrassed during the learning experience? YES NO

B5 Did the constraints upset you? YES NO

B6 Did something disturb your learning? Whatwas it? YES NO

FINAL FEEDBACK SUMMARY11

4. Have you actually used what you taught yourself in the online or AGL? Do you now feel ready now for further training?

5. How "efficient" was the online or AGL learning (doing things right)? Please explain.

6. How "effective" was the online or AGL learning (doing the right things)? Please explain.

7. Thank you very much for giving us this second feedback data. Do you have any other helpful comments?

8. Would you kindly return this final feedback summary to the organiser on the 28th day after completion of the AGL program.

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5. QUIZ ANSWER SHEETSName: ...................................................

Mark each correct answer with a clear "X"

1 a b c d 26 a b c d 51 a b c d 76 a b c d 2 a b c d 27 a b c d 52 a b c d 77 a b c d 3 a b c d 28 a b c d 53 a b c d 78 a b c d 4 a b c d 29 a b c d 54 a b c d 79 a b c d 5 a b c d 30 a b c d 55 a b c d 80 a b c d




21 a b c d 46 a b c d 71 a b c d 96 a b c d 22 a b c d 47 a b c d 71 a b c d 97 a b c d 23 a b c d 48 a b c d 72 a b c d 98 a b c d 24 a b c d 49 a b c d 73 a b c d 99 a b c d 25 a b c d 50 a b c d 74 a b c d 100 a b c d Score: /40

Note of errors for correction later:

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QUIZ ANSWER SHEETSName: ...................................................

Mark each correct answer with a clear "X"





21 a b c d 46 a b c d 71 a b c d 96 a b c d 22 a b c d 47 a b c d 71 a b c d 97 a b c d 23 a b c d 48 a b c d 72 a b c d 98 a b c d 24 a b c d 49 a b c d 73 a b c d 99 a b c d 25 a b c d 50 a b c d 74 a b c d 100 a b c d Score: /40

Note of errors for correction later:

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6. SUMMARY LECTURE

(Homework - write your own summary for units 1-5 to reinforce the learning)

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7. MINICASE – QUESTIONS

(Hypnosis practice with a partner to reinforce the learning)

1.Patient female 10 years old with leg pain After minor accident.

2.Patient male 55 years old with phobia of going into lifts.

3.Patient female 34 years old first time pregnant.

4.Patient male 27 years old with anxiety of public speaking.

5.Patient 83 years old with chronic back pain and seven daily medications.

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6.Patient 10 years old with asthma.

7.Patient 8 years old afraid of injections.

8.Patient female 28 years old with neck pain.

9.Patient male 64 years old with back pain.

10. Patient female 68 years old depressed.

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8. MINICASE – ANSWERS

(Write what you learned from the practice with each minicase)

1.

2.

3.

4.

5.

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6.

7.

8.

9.

10.

Note: Contact us if needed for our solutions

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9. POST-COURSE SUPPORT

a. A web site is available to give help, advice and response to questions.

b. International and national societies of hypnosis are available (see web) with current published journals and more advanced training courses.

c. Vlaamse Wetenschappelijke Hypnose Vereniging 517 3070 Kortenberg Belgium E-mail: [email protected] Web site: http://www.vhyp.be

d. Video and DVD are available. Barabasz A., & Christensen, C. (2009). Hypnosis induction demonstrations: Techniques, metaphors, and scripts. DVD. So many books are available.

e. Barabasz A., & Watkins, J. G. (2005). Hypnotherapeutic techniques. New York: Brunner-Routledge.

f. Michael D. Yapko Trancework – An Introduction to the Practice of Clinical Hypnosis (Taylor & Francis)

g. Jensen, M. P., & Patterson, D. R. (2006). Hypnotic treatment of chronic pain, journal of Behavioral Medicine, 29, 95-124.

h. McCarthy, P. (2001). Hypnosis in obstetrics and gynecology. In L. E. Fredericks (Ed.), The use of hypnosis in surgery and anesthesiology (pp. 163-211). Springfield, IL: Charles C. Thomas.

i. Olness, K., & Kohn, D. (1996). Hypnosis and hypnotherapy with children (3rd ed.). New York: Guilford.

j. Paterson, D. R. Clinical hypnosis in pain control and management (unpublished manuscript). Washington, DC: American Psychological Association.

k. Spiegel, H., & Spiegel, D. (2004). Trance and treatment: Clinical uses of hypnosis. Washington, DC: American Psychiatric Association Publishing.

l. Thomson, L. (2005). Hypnotic intervention therapy with surgical patients. Hypnos, 32(2), 88-96.

m. Watkins, J. G., & Barabasz, A. F. (2008). Advanced hynotherapy: Hypno-dynamic techniques. New York: Routledge.

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11. HYPNOSIS GLOSSARY

AbreactionA physical movement or an emotional outburst as a reaction to a suggestion, while in the state of hypnosis. Some hypnotic abreactions are spontaneous and others are created by the hypnotist. Hypnotic abreaction can be used to acquire greater depth, cause revivification, or remove repressed emotions.

AFFIRMATIONS Positive suggestions given though hypnosis and in mental bank ideomotor exercises in order to reprogram one's life script. The act of affirming; something affirmed; a positive assertion. Affirmations are a useful method of "programming" your mind to act in a particular way.

Age RegressionThe state in which the subject relives past events of his life, while in the hypnotic state. If the subject reacts as he did when he was at that younger age, but views the subject matter with his present maturity, it is called behavioral regression; if he feels that he is actually at the younger age, it is called revivification regression.

AlphaSlow brainwave activity state of hypnosis (resting but awake). Also known as hypnoidal. Alpha is slower (deeper) than Beta, the awake state, and faster than Theta, a deep hypnotic state.

AmnesiaLoss of memory. The amnesia, which frequently occurs in hypnosis, may be either spontaneous or induced by suggestion.

ANCHOR A specific stimulus such as a word, image or touch that through the rule of association evokes a particular mental, emotional, and/or physiological state.

Arm Raising/Primary InductionThe Arm Raising Induction is known as the primary induction because it is used only in the first session to create the association of hypnotic depth and establish the expectation of a successful therapy. The therapist is able to use misdirection, as well as

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inferred and literal suggestions in order to affect either the Emotionally or Physically Suggestible client.

Through these suggestions, the therapist influences the client's subconscious, causing their arm, from the fingertips to the elbow, to lift up off the table, with the hand eventually making contact with the face. At this point it is stated that they have reached the peak of their suggestibility and a challenge can be given with respect to the client's hand sticking to their face. Deepening techniques would follow.

AssociatedA sub-modality of NLP; a picture or visual image where you see the world out of your own eyes. Contrast with the disassociated state where you visually observe your body from outside the view of your eyes.

AWAKENING - The act of bringing a person up out of trance and into full conscious awareness

Behavior ModificationThe process of changing behavior by using techniques based on learning theory. The techniques include systematic desensitization, aversion therapy, and assertion training.

BeliefsKnowns in the subconscious.

BetaThe brainwave activity state of the normal wake state. Higher than Alpha and Theta.

Body SyndromesA body syndrome is a physical manifestation of an emotional trauma. When an emotion is held in or repressed instead of being processed and released, the emotion will express itself as a physical discomfort.

BunchingWhen an individual fails to separate one problem from another or one area of his life from another. In order to help this individual, the operator must help him to separate his problems and handle them individually.

CatalepsyA medium depth of hypnosis, between hypnoidal and somnambulism.

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ChallengeEssentially can I dare you, in which the hypnotist challenges the client to perform some act that is impossible for the client to do at his depth in the hypnotic state. Examples are the eye challenge and the arm-rigidity challenge.

CONGRUENCE - When goals, thought and behaviors are in agreement.

CONSCIOUS MIND The 12% of our mind of which we are most aware. The part responsible for logic, reasoning, decision-making, and will power.

Corrective TherapyThe client states their problem in a sentence. Then the client is to list five synonyms to each word in the sentence. Physical Suggestibles keep referring back to the original words in the sentence while Emotional Suggestibles refer to each previous word they've come up with. The last line is the subconscious problem.

Critical MindAn area of mind that is part conscious and part subconscious. Any time a suggestion is given to a subject that is detrimental to his well-being or in total opposition to his way of thinking, it will affect critical area of mind, and he will critically reject it by abreacting.

DEEPENING TECHNIQUES

Fractionation Repeatedly awakening the client and re-hypnotizing him/her with a post-suggestion to re-hypnosis.

Arm Rigidity The Hypnotherapist holds the client's outstretched arm from beneath the elbow. He/She paternally instructs the client to draw all the tensions of their body into their arm, from the count of five to zero. At zero the arm will be as tight as a steel bar. The client is told the tensions will release and they'll go deeper when the therapist touches their pulse.

Heavy Light A client's arms are both outstretched, right hand palm up and the left hand at a right angle with thumb up. He/She is told a weight is placed in their right hand pressing down (literal suggestion) and a powerful helium balloon is tied to their left thumb (inferred suggestion). When right hand touches leg they'll go deeper. A deepening technique and suggestibility test.

Staircase Having the client visualize or imagine they are standing at the top of a staircase of twenty steps. The staircase is well lit and has a sturdy handrail. Each step

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the client imagines himself/herself taking down the staircase will take them deeper into the hypnotic state.

Eye Fixation Client is told to open eyes and look at the tip of a pen held above client's eye level. They are instructed to follow the pen only with their eyes. As the client's eyes track downward, the lids will close. When they close, the therapist touches client's forehead and says "Deep Sleep."

Progressive Relaxation A deepening technique but also an important secondary induction. The aim of this maternal technique is to relax the various areas of the client's body starting from the feet if they are in the reclined position (from the head down is they are sitting). Once the relaxation is complete toe to head, a five to zero count is given, at which time the Hypnotherapist snaps his/her fingers and says "Deep Sleep."

Defense MechanismsAll defense mechanisms stem from the basic instinct of survival. They operate on an unconscious level and they serve to deny or distort reality, thoughts, and action. Some Defense Mechanisms are: Repression, Denial, Rationalization, Projection, Displacement, Turning against self, Reaction Formation, Overcompensation, Intellectualization, Withdrawal, Regression, Sublimation, and Disassociation.

DehypnotizationThe process of removing a person from a hypersuggestible state.

DeltaSlowest brainwave activity pattern of sleep, and the deepest, somnambulistic state of hypnosis. Also see Alpha, Beta and Theta.

Depth

HypnoidalA light stage of hypnosis, usually associated with emotional suggestibility; also used to refer to the state of consciousness which is passed through in the transition from sleep to waking, and vice versa. It is characterized by rapid eye movement (REM), with an up/down motion of the eyes.

CatalepticA medium depth of hypnosis. Characterized by a side to side movement of the eyes.

Somnambulism

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The deepest state of hypnosis, where the client responds with amnesia, anesthesia, negative and positive hallucinations, and complete control of the senses. This type of person usually has 50% emotional suggestibility and 50% physical suggestibility. It is characterized by the eyes rolling up underneath the eyelids.

Direct SuggestionHypnotic suggestions in the form of a command, or instruction. Contrast to Inferential Suggestion.

DissociationThe loss of feeling in different areas of the body (usually the arms and legs), while in the state of hypnosis; being more aware of mind than of body.

DISSOCIATED A sub-modality of NLP; a picture or visual image where you visually observe your body from outside the view of your eyes. Such as seeing your life from the perspective of a camera, or floating above yourself.

ECOLOGY - From the biological sciences. Concern for the whole person/organization as a balanced, interacting system. When a change is ecological, the whole person and organization (or family) benefits.

Ego SensationChange of feeling in the physical body or part of the body.

EGO STATE- is one of a group of similar states, each distinguished by a particular role, mood and mental function, which when conscious assumes first person identity. Ego states are a normal part of a healthy psyche, and should not be confused with alters which are multiple personalities in a person with dissociative identity disorder. .

Emotional SexualsFeel their sexual responses inwardly. The use their emotions to draw attention away from their bodies. Their priorities in life are career, hobbies, relationships and family, then a mistress and friendships.

Physical SexualsProject their sexual responses outwardly. They use their bodies to draw attention away from their emotions, which they feel are vulnerable. Their priorities in life are their relationship, children, friends and hobbies, then career.

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Environmental HypnosisA state of hypersuggestibility, triggered when an individual is in the presence of an overabundance of message units coming from their environment. This causes the person to try to escape the intense input. A kind of "walking hypnosis."

ExpectationThe state of mind in which the individual expects something to happen. Expectation triggers imagination and greatly facilitates the hypnotic induction, especially with Emotionally suggestible subjects.

Extraverbal CommunicationCommunication by physical gestures or movements that infer a suggestion to an individual, according to his interpretation. Body language is an example.

Eye Accessing CuesAn NLP technique of observing the unconscious eye movement to determine if a subject is mentally seeing images, hearing sounds, engaging in self-dialogue or experiencing kenisethic feelings.

Eye Fascination InductionThis is used when a Hypnotherapist notices during the interview that a client's eyes tend to fade or blink repeatedly. The client is asked to stare at an object above eye level. The therapist speaks rapidly and paternally, telling the client their eyelids are getting heavier and beginning to close. When they close, the therapist touches the client on the forehead, says Deep Sleep, then pushes the client's hands off his lap to create a loose, limp feeling in his body.

Fight or Flight ReactionA primitive and involuntary reaction that is triggered during danger or anxiety, in order to protect oneself or to escape from danger.

FrameNLP construct implying a way of perceiving something or to set a context (As if Frame, Context Frame, Outcome Frame, Rapport Frame, Backtrack Frame).

GLOVE ANESTHESIA A type of hypno-anesthesia where the client's hand is made to feel numb, and they are told that that numbness can be transferred to any part of their body

GUIDED IMAGERY - The focused use of imagination (not fantasy) It sets up an energy pattern in your mind and body that can have a profound effect on your state of well being.

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HallucinationA sensory experience arising apart from any corresponding external stimulation; a mental image taken for a reality.

Hetero-HypnosisA hypnotic state that is created by another person, including the listening to of tapes or CDs.

HomeostasisA state of equilibrium. What the body returns to when the parasympathetic nervous system is activated to respond to the fight/flight mechanism of the sympathetic nervous system.

HypnodramaThe process of acting out a role in the hypnotic state, which can be used for increasing talents or reducing the effects of earlier traumas in the client’s life.

HypnosisAn altered state of consciousness which results in an increased receptiveness and response to suggestion. While associated with relaxation, hypnosis is actually an escape from an overload of message units, resulting in relaxation. Hypnosis can be triggered naturally from environmental stimuli as well as purposefully from an operator, often referred to as a hypnotist.

HypnotherapistA therapist who utilizes hypnosis as a primary tool for assisting clients to achieve their goals. A Hypnotherapist often differs from others therapists by focusing on the role of subconscious behaviors and influences on the client's life.

Hypnotherapist - 079.157-010In 1973, Dr. John Kappas, Founder of HMI, wrote and defined the profession of a Hypnotherapist in the Federal Dictionary of Occupational Titles...

"Induces hypnotic state in client to increase motivation or alter behavior patterns: Consults with client to determine nature of problem. Prepares client to enter hypnotic state by explaining how hypnosis works and what client will experience. Tests subject to determine degree of physical and emotional suggestibility. Induces hypnotic state in client, using individualized methods and techniques of hypnosis based on interpretation of test results and analysis of client's problem. May train client in self-hypnosis conditioning."

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HypnotistA person skilled in the technique of inducing the hypnotic state in others. Hypnotists are often associated with the use of hypnosis for entertainment.

Ideomotor ResponseA response emanating from an individual's subconscious mind via the central nervous system. Such a response is a way of avoiding judgments of the conscious mind. Examples: handwriting, index finger raise while in hypnosis.

IDEOMOTOR RESPONSE A response emanating from an individual's subconscious mind via the central nervous system. Such a response is a way of avoiding judgments of the conscious mind. Examples: handwriting, index finger raise while in hypnosis.

IDEOMOTOR RESPONDING - Having client answer questions via finger movement.

InductionThe technique of hypnotizing a person. The patter used can be either maternal or paternal; either one sends message units to the brain, preparing the subject to enter the hypnotic state.

Inhibitory ProcessesThe processes that allow a person to deal with himself and with his external environment in a rational and civilized way. When inhibitory processes are disorganized, heterohypnosis results; when they are organized, self-hypnosis takes place.

INITIAL SENSITIZING EVENT - An emotional event that is the ORIGIN of a certain problem, creating a sensitivity to feelings; such as claustrophobia traced back to being locked in a closet in early childhood.

Knowns (Pain/Pleasure Principle)Knowns represent pleasure, in that they are things we have associated or identified before. A Known may be either positive or negative but is accepted by the Subconscious because it has been experienced before. Conversely, Unknowns represent pain, or physical or psychological threats that have not been associated or identified before.

Laws of Suggestibility

Reverse ActionThe most common law, it's sometimes referred to as Reverse Psychology. A person will respond to the stronger part of a suggestion if the alternative presented is considerably weaker.

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RepetitionIt is represented by the fact that the more we do something, the better we become at it. By repeating suggestions in hypnosis, the stronger the suggestive idea becomes.

DominanceThe use of authority or that of being an authority figure to "command" the client to accept a suggestion. Capitalizing on one's position as "therapist" or by using an authoritative tone are two approaches to apply the Law of Dominance.

Delayed ActionWhen a suggestion is inferred, the individual will react to it whenever a jogging condition or situation that has been used in the original suggestive idea presents itself.

AssociationWhenever we repeatedly respond to a particular stimulus in the presence of another, we will soon begin to associate one with the other. Whenever either stimulus is present, the other is recalled. The post suggestion to re-hypnosis works under this law.

Life ScriptFormed from the positive and negative associations we've made throughout our life and stored in our subconscious mind. This is reflected in a person's present life situation.

Literal/Inferred Suggestions

Literal Suggestions A direct suggestion with no underling meaning; used primarily with Physically suggestible subjects.

Inferred Suggestions A suggestion given that contains a message other than the immediately obvious one. Usually the underlying meaning is not immediately understood by the client consciously, but he/she will have a delayed reaction to it. It is especially effective with emotionally suggestible clients.

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Magic 30 MinutesThe last half-hour before sleep, when a person's mind is overloaded and is in a natural state of hypnosis. Something taken into the mind at this time goes into the precognitive stage of dreaming, instead of the venting stage.

MESMERISM - An early term for hypnosis and hypnotic and named after Franz Anton Mesmer

MIRRORING - Putting oneself in the same posture as another person, in order to gain rapport.

ModalitiesA hypnotic modality is anything that attempts to control or modify human behavior through the influence or creation of belief systems.

Neuro PathwaysEvery time we think a thought, make a movement, experience something, this is transformed into electro-chemical energy which is then stored in the brain. We create pathways that allow the energy to travel in a similar fashion each time it is triggered. The more it is triggered, the easier it is for the energy to go that route. This is how habits and behavior, both good and bad, are created.

Neutralizing SuggestionA suggestion that is made to counter the effect of previous suggestions that have been given to a subject. Neutralization is especially important in stage work.

OLD TAPES - A term frequently used to describe memories that are replayed in the imagination in a manner that influences behavior and/or attitudes.

ORIGINAL SENSITIZING EVENT - Alternate name for initial sensitizing event

PACING - Matching another's behavior, posture, language / predictates in order to build rapport.

PAIN MANAGEMENT

A number of studies show that hypnosis can reduce the pain experienced during burn-wound debridement,[96] bone marrow aspirations, and childbirth.[97][98] The International Journal of Clinical and

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http://en.wikipedia.org/wiki/Hypnosis#cite_note-Ewin-98

http://en.wikipedia.org/wiki/Hypnosis#cite_note-97

http://en.wikipedia.org/wiki/Hypnosis#cite_note-Patterson-96

Experimental Hypnosis found that hypnosis relieved the pain of 75% of 933 subjects participating in 27 different experiments.[88]

Hypnosis is effective in reducing pain from[99] and coping with cancer[100] and other chronic conditions.[88] Nausea and other symptoms related to incurable diseases may also be managed with hypnosis. [101][102]

[103][104] Some practitioners have claimed hypnosis might help boost the immune system of people with cancer. However, according to the American Cancer Society, "available scientific evidence does not support the idea that hypnosis can influence the development or progression of cancer.". [105]

The American Psychological Association published a study comparing the effects of hypnosis, ordinary suggestion and placebo in reducing pain. The study found that highly suggestible individuals experienced a greater reduction in pain from hypnosis compared with placebo, whereas less suggestible subjects experienced no pain reduction from hypnosis when compared with placebo. Ordinary non-hypnotic suggestion also caused reduction in pain compared to placebo, but was able to reduce pain in a wider range of subjects (both high and low suggestible) than hypnosis. The results showed that it is primarily the subject's responsiveness to suggestion, whether within the context of hypnosis or not, that is the main determinant of causing reduction in pain. [106]

Paris WindowUsed to widen the perspective of the client, so that he or she can see their problem from more than their own viewpoint. The window is a four-paned one, where three panes contain a question for the client. The questions are, 1). How do you feel about the problem? 2). How do you think others feel about your problem? 3). How do you feel about how others feel about your problem? 4). This pane contains the answer to the client's particular problem based on their newfound perspective.

PARTS THERAPY: a complex hypnotic technique where the therapist talks with various parts of the mind, such as the inner child and inner adult it is viewed by some as part of ego state therapy

PaternalismThe authoritarian approach to inductions and therapy, using a rapid patter with commanding, or even demanding, words.

Persuasive SuggestionA suggestive idea that gives the subject a logical reason to respond. Persuasive suggestions are particularly effective with Intellectually suggestible subjects.

Physical Sexuality

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http://en.wikipedia.org/wiki/American_Cancer_Society





http://en.wikipedia.org/wiki/Hypnosis#cite_note-Nash-88


http://en.wikipedia.org/wiki/Hypnosis#cite_note-Butler-99

http://en.wikipedia.org/wiki/Hypnosis#cite_note-Nash-88

A type of sexual behavior, in which the individual reacts to physical stimulation as a defense to protect his/her emotional behavior, thereby exaggerating the need for physical acceptance and gratification.

Post Hypnotic SuggestionAn example would be the command of "Deep Sleep."

Pre-Induction SpeechAn introduction to hypnosis to prepare the client for the induction. It should include an explanation of hypnosis and an idea of what he/she can expect to experience in the state. It addresses any fears and misconceptions the client may have, all the while building up message units.

Primitive MindA human being's primitive brain, with which a person will react whenever threatened beyond the point where he/she can reason. This primitive brain produces the fight or flight response, the unthinking impulses of self defense, or any other rapid reactions without reason.

PROGRESSIVE RELAXATION: a type of induction involving the progressive relaxation of various parts of the body

RapportThe operator/client relationship, in which the client has faith and confidence in the operator, and the operator has concern for the client.

Secondary GainA reason, primarily subconscious, why a person continues to perform a certain behavior.

Self-Hypnosis - Hetero-Hypnosis

Self-Hypnosis THE KEY OBJECTIVE FOR SELF CONTROL!!!

Hypnotic state that is self-created. Self-hypnosis happens when a person hypnotizes himdself, commonly involving the use of autosuggestion. The technique is often used to increase motivation for a diet, quit smoking, or reduce stress. People who practice self-hypnosis sometimes require assistance; some people use devices known as mind machines to assist in the process, whereas others use hypnotic recordings. Self-hypnosis is claimed to help with stage

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http://en.wikipedia.org/wiki/Mind_machine

http://en.wikipedia.org/wiki/Cigarette

http://en.wikipedia.org/wiki/Dieting

http://en.wikipedia.org/wiki/Autosuggestion

fright, relaxation, and physical well-being.[119]

Hetero hypnosis – hypnosis with the aid of a therapist

Shock InductionA very rapid conversion into hypnosis. Shock inductions are primarily used only in emergencies or possibly to "jar" a client when in therapy.

SomnambulismA situation where a person responds equally well to all suggestions, both direct and indirect, affecting both the body and emotions. This person would have a 50/50 Suggestibility (50% Physical Suggestible and 50% Emotional Suggestible).

STAGE HYPNOSIS - The public use of social influence and waking suggestion with our without actual hypnosis purely for entertainment purposes. Only works with volunteers!

Stages of AmnesiaThere are 3 stages of Amnesia (found at the Somnambulism Depth)

First StageThe individual will exhibit between 20% to 40% spontaneous amnesia.

Second StageThe individual will exhibit approximately 60% spontaneous amnesia.

Third StageThe individual will respond to all types of suggestions. This person will exhibit 80% or more spontaneous amnesia, remembering almost nothing that occurred while in hypnosis.

Stages of LossThere are five stages a person must go through to completely deal with a loss. Not every individual will display all the symptoms nor in the same time or manner. The stages are 1). Denial, 2). Anger, 3). Bargaining, 4). Grief, 5). Resolution.

SubconsciousThe 88% of our mind that is mostly below the level of our awareness. The part of our mind responsible for reflexive action, ideomotor responses, and contains the positive and negative associations we've made throughout our life.

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Suggestibility (Emotional/Physical/Intellectual)

Emotional SuggestibilityA suggestible behavior characterized by a high degree of responsiveness to inferred suggestions affecting emotions and restriction of physical body responses; usually associated with hypnoidal depth. Thus, the Emotional person learns more by inference than by direct, literal suggestions.

Physical SuggestibilityA suggestible behavior characterized by a high degree of responsiveness to literal suggestions affecting the body, and restriction of emotional responses; usually associated with cataleptic stages or deeper.

Intellectual SuggestibilityThe type of hypnotic suggestibility in which a subject fears being controlled by the operator and is constantly trying to analyze, reject, or rationalize everything the operator says. With this type of subject the operator must give logical explanations for every suggestion and must allow the subject to feel that he is doing the hypnotizing himself.

SURFACE STATES- are those that are most often executive for normal daily function. They have good communication between each other meaning that these states are cognitive and deliberative. Clinically, surface states may be accessed with or without hypnosis.

SWITCHING- When a normal ego state is in the executive and and a different ego state becomes the executive state switching has occurred.

Sympathetic - ParasympatheticThe two divisions of the Autonomic Nervous System.

Sympathetic When activated causes physiological changes to occur, preparing the body for

fight/flight.

Parasympathetic

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A self-regulating, stabilizing system that brings a person back to a state of balance,

or homeostasis.

Theory of MindThe mind is divided into four areas; all of which must be affected to enter the state of hypnosis. The four areas are;

The Primitive AreaPart of the subconscious and established from birth. It contains the fight/flight response and the fears of falling and loud noises.

The Modern Memory AreaAlso a part of the subconscious and contains all of a person's memories (Knowns).

The Conscious AreaFormed around the age of 8 or 9, and is the logical, reasoning, decision making part of the mind.

The Critical AreaAlso formed around the age of 8 or 9, filters message units and accepts or rejects them from entering into the Modern Memory. If the Critical Area is overwhelmed, it breaks down, activating fight/flight, causing a hypersuggestible state, that is, hypnosis.

TIME DISTORTION: the term for a unique phenomenon where we lose conscious awareness of how much time has passed (examples: 5 minutes can seem like 20 minutes, or vice versa).

Venting Dreams The third stage of dreaming (after Wishful Thinking and Precognitive Stages), characterized by the mind's attempt to vent, or release, the overload of message units accumulated during the day.

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CONCLUSIONS

1. FOR THE HEALTH WORKER, SUCCESS in CLINICAL

MEDICAL HYPNOSIS FOR ACUTE AND CHRONIC PAIN,

COMES WITH: CONFIDENCE AND PRACTICE.

2, FOR THE PATIENT, SUCCESS IN CLINICAL MEDICAL

HYPNOSIS FOR ACUTE AND CHRONIC PAIN, COMES

WITH: CONFIDENT AND SELF-HYPNOSIS TO MOBILIZE

ALL OF THE INNER RESOURCES FOR SELF HEALING.

3 GOOD LUCK FOR THE FUTURE …

4 ON WE GO TOGETHER … TIME TO DO DSECTION 5 AND

TO FULLY UNDERSTAND THE KEY TEXT BOOK

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· Web viewBehavior Modification. The process of changing behavior by using techniques based on learning theory. The techniques include systematic desensitization, aversion therapy,

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