Barber et al. noted that similar factors appeared to mediate the response both to hypnotism and to cognitive behavioural therapy, in particular systematic desensitization. Hence, research and clinical practice inspired by their interpretation has led to growing interest in the relationship between hypnotherapy and cognitive behavioural therapy.:105
Adverse events resulting from relaxation techniques are uncommon. Rare reports describe basilar or vertebral artery occlusion after yoga postures that put particular strain on the neck. People with poorly controlled cardiovascular disease should avoid progressive muscle relaxation because abdominal tensing can cause the Valsalva response. Patients with a history of psychosis or epilepsy have reportedly had further acute episodes after deep and prolonged meditation.
Throughout Dr. Sapien’s medical career he always had a sense that mind was the original foundation of healing. After he trained at the Academy and began regularly using our methods in his medical practice, his premise was confirmed by how well his patients responded. He has stayed on as a practical skills coach to help new students in learning hypnotherapy and medical support hypnosis.
“That study changed the whole landscape,” said Dave Patterson, a psychologist at the University of Washington in Seattle, who has been using hypnosis since the 1980s to help burn victims withstand the intense pain that comes with the necessary but excruciating bandage removal and wound cleaning. Since the ’90s, other well-designed, controlled studies have been published showing similar changes in brain activity. In another slightly trippy example, researchers suggested to people in a hypnotic state that the vibrant primary colors found in paintings by Piet Mondrian were actually shades of gray. “Brain-scan results of these participants showed altered activity in fusiform regions involved in color processing,” notes psychologist Christian Jarrett.
Placing persons in a drowsy, sleeplike state in which they allegedly become vulnerable to the suggestions made by the hypnotist. Hypnosis may also be used to tap into the unconscious and is often characterized by vivid recall of memories and fantasies. These properties make hypnosis a useful tool in psychotherapy. Hypnosis also has sinister implications, for subjects may be manipulated to perform embarrassing actions or be susceptible to carrying out the hypnotist's commands after the hypnosis session (posthypnotic suggestion).
Following the French committee's findings, Dugald Stewart, an influential academic philosopher of the "Scottish School of Common Sense", encouraged physicians in his Elements of the Philosophy of the Human Mind (1818) to salvage elements of Mesmerism by replacing the supernatural theory of "animal magnetism" with a new interpretation based upon "common sense" laws of physiology and psychology. Braid quotes the following passage from Stewart:
So far, so good. For people in the PHA group, brain activation measured by fMRI correlated with the failure to remember. But what if reduced activation is always found in such people regardless of whether they are remembering or forgetting? We can rule this possibility out because people in the PHA group showed reduced activation only when they (unsuccessfully) answered questions about the content of the movie, not when they (successfully) answered questions about the context of the movie. Indeed, for the context questions, they showed the same activation as people in the non-PHA group. Perhaps then, the reduced activation reflects complete forgetting of the information, not just temporary suppression? We can rule this possibility out also because, in a neat reversal, people in the PHA group showed normal activation—just as those in the non-PHA group did—as soon as the suggestion was cancelled.
Hypnotherapy has been studied for the treatment of irritable bowel syndrome. Hypnosis for IBS has received moderate support in the National Institute for Health and Clinical Excellence guidance published for UK health services. It has been used as an aid or alternative to chemical anesthesia, and it has been studied as a way to soothe skin ailments.
Although most practitioners receive their training in hypnotherapy or relaxation as a part of their academic training, the American Society of Clinical Hypnosis and the Society for Clinical and Experimental Hypnosis maintain training programs as well as a registry of practitioners (see previous box). Training in teaching relaxation techniques is provided through various routes from self-teaching and apprenticeships to a number of short courses. Many yoga centers also teach relaxation and offer courses to train yoga teachers.teachers.
The Federal Dictionary of Occupational Titles describes the job of the hypnotherapist: "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. GOE: 10.02.02 STRENGTH: S GED: R4 M3 L4 SVP: 7 DLU: 77"