At the outset of cognitive behavioural therapy during the 1950s, hypnosis was used by early behaviour therapists such as Joseph Wolpe and also by early cognitive therapists such as Albert Ellis. Barber, Spanos, and Chaves introduced the term "cognitive-behavioural" to describe their "nonstate" theory of hypnosis in Hypnosis, imagination, and human potentialities. However, Clark L. Hull had introduced a behavioural psychology as far back as 1933, which in turn was preceded by Ivan Pavlov. Indeed, the earliest theories and practices of hypnotism, even those of Braid, resemble the cognitive-behavioural orientation in some respects.
Hypnosis is normally preceded by a "hypnotic induction" technique. Traditionally, this was interpreted as a method of putting the subject into a "hypnotic trance"; however, subsequent "nonstate" theorists have viewed it differently, seeing it as a means of heightening client expectation, defining their role, focusing attention, etc. There are several different induction techniques. One of the most influential methods was Braid's "eye-fixation" technique, also known as "Braidism". Many variations of the eye-fixation approach exist, including the induction used in the Stanford Hypnotic Susceptibility Scale (SHSS), the most widely used research tool in the field of hypnotism. Braid's original description of his induction is as follows:
Look into the person's eyes you are placing into trance. Maintain your gaze into their eyes as you lower your face downward always keeping eye contact. Then place your palm on theirs telling them to push down on your upward facing palm. As they do withdraw your hand quickly away and order them to "SLEEP". As they fall into trance it is up to you to reassure them they are okay and to then place them into a seated position.
Hypnotherapy expert, Dr Peter Marshall, former Principal of the London School of Hypnotherapy and Psychotherapy Ltd. and author of A Handbook of Hypnotherapy, devised the Trance Theory of Mental Illness, which provides that people suffering from depression, or certain other kinds of neurosis, are already living in a trance and so the hypnotherapist does not need to induce them, but rather to make them understand this and help lead them out of it.
More than 200 years later, research in neuroscience is confirming at least parts of Mesmer’s outlandish theory. No, there is not magnetic fluid coursing through our bodies. But the power of mere suggestion — of imagination, as Franklin phrased it — is a more effective treatment than many modern skeptics might expect, causing real, measurable changes in the body and brain. Hypnotism has been shown to be an effective treatment for psychological problems, like phobias and eating disorders, but the practice also helps people with physical problems, including pain — both acute and chronic — and some gastrointestinal diseases. Physicians and psychologists have observed this with their own eyes for decades; now, many of them say that brain-imaging studies (not to mention the deep respect people tend to have for all things prefixed by “neuro”) are helping them finally prove their point.
Now say, "As you press down on my hand, you will begin to feel as though your eyelids are getting heavier and heavier. You feel yourself sitting in your living room late at night watching an old black and white movie on the television. You feel your eyes drooping as you struggle to stay awake." (Mentally count to three.) "Now close your eyes." (Mentally count to three.) "SLEEP!" Quickly swipe away your hand from them so they jerk forward in a falling motion. Remember to guide them to your shoulder, placing their head outward into the crook of your arm. Get some help and then put them in a chair seated upright comfortably. At this point, the person is in a trance and is highly suggestible.
Jump up ^ De Pascalis, V.; Magurano, M.R.; Bellusci, A. (1999). "Pain perception, somatosensory event-related potentials and skin conductance responses to painful stimuli in high, mid, and low hypnotizable subjects: Effects of differential pain reduction strategies". Pain. 83 (3): 499–508. doi:10.1016/S0304-3959(99)00157-8. PMID 10568858. INIST:1291393.
It is far easier to describe what hypnosis is not rather than to describe what it is. For example, it is not one person controlling the mind of another. The patient is not unconscious and does not lose control of his or her faculties. People will not do things under hypnosis that they would be unwilling to do otherwise. The person being hypnotized is always in control. The hypnotized person decides how deep the trance will be, what suggestions will be accepted, and when to awaken. Therefore, a hypnotyized person cannot be forever "lost" if the therapist should fall dead during an induction or while the patient is deep in trance.
Trance is commonplace. People fall into traces many times without even being aware that it happened. Examples of this are: reaching the destination of a morning commute, but not recalling the passing of familiar landmarks; daydreaming while sitting in a college classroom; or that anxiety-free state achieved just before going to sleep. The difference between these altered states and clinically used hypnotherapy is that a professionally trained person is involved in helping the patient achieve the trance, which can be done in many ways.
“I never expected how much transformation is possible with this work. This hypnotherapy training went far beyond my expectations. The incredible amount of wonderfully presented material and deep wisdom touched my heart on a very deep level. The combination of hypnosis and very profound and effective methods of processing is incredible. To see the profound changes in my classmates and myself is such a gift, I feel deep gratitude for that. To imagine how much positive change will occur in other people due to this work moves my heart.”
But psychiatrists do understand the general characteristics of hypnosis, and they have some model of how it works. It is a trance state characterized by extreme suggestibility, relaxation and heightened imagination. It's not really like sleep, because the subject is alert the whole time. It is most often compared to daydreaming, or the feeling of "losing yourself" in a book or movie. You are fully conscious, but you tune out most of the stimuli around you. You focus intently on the subject at hand, to the near exclusion of any other thought.
Jump up ^ The revised criteria, etc. are described in Yeates, Lindsay B., A Set of Competency and Proficiency Standards for Australian Professional Clinical Hypnotherapists: A Descriptive Guide to the Australian Hypnotherapists' Association Accreditation System (Second, Revised Edition), Australian Hypnotherapists' Association, (Sydney), 1999. ISBN 0-9577694-0-7.
In the 1950s, Milton H. Erickson developed a radically different approach to hypnotism, which has subsequently become known as "Ericksonian hypnotherapy" or "Neo-Ericksonian hypnotherapy." Erickson made use of an informal conversational approach with many clients and complex language patterns, and therapeutic strategies. This divergence from tradition led some of his colleagues, including Andre Weitzenhoffer, to dispute whether Erickson was right to label his approach "hypnosis" at all.