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Hypnosis

Hypnosis. State of intense concentration where the mind is more open to what it is being told. Common misconceptions. Losing control The power of the hypnotist Staying stuck. Contra-indications. Psychosis Borderline Depression. A simple model of hypnosis. THE LEFT BRAIN

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Hypnosis

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  1. Hypnosis • State of intense concentration where the mind is more open to what it is being told

  2. Common misconceptions • Losing control • The power of the hypnotist • Staying stuck

  3. Contra-indications • Psychosis • Borderline • Depression

  4. A simple model of hypnosis • THE LEFT BRAIN • Logical-rational-critical thinking • THE RIGHT BRAIN • Creativity-imagination • Accumulated coping skills (the unconscious potential)

  5. indications • ANYTHING

  6. Suggestibility • Capacity of concentration and focused attention • Flexible thinking • Imagination • A tendency to remember dreams

  7. Ideodynamic responses • Autonomic response generated at the unconscious level in response to a stimulus, either external or internal • Ex: ideomotor: physical manifestation of mental experience, or the body’s unconscious physical reaction to one’s thoughts

  8. Neuro-imaging and hypnosis • Variation in blood flow during hypnosis in the right anterior frontal region and the anterior cingulate cortex

  9. analgesia • Glove anesthesia • Displacement • Replacement • Dissociation • Substitution • Reduce volume • Neurophysiology • Visible form • Time distortion • Age regression

  10. Palliative care • 1)symptom reduction • 2)quality of life-empowerment

  11. Integrating medical and psychological treatments for cancer pain. Karen Syrjala • Spiegel and Bloom: breast cancer patients having support groups and hypnosis had less pain after one year • 1983 Psychosom Med • Syrjala and Cummings: hypnosis group had significantly less pain • 1992 Pain

  12. Reframing • 1) Focus on what patients have done and or can do instead of what they cannot do or have not done • 2) Find something positive that they will gain from the situation and focus on that • 3) look at the situation from the perspective on an uninvolved observer • 4) focus on the temporary nature of what is difficult

  13. Lancet Oncology 2001VickersSloane-Kettering • Hypnosis reduces cancer pain and nausea • Music therapy, relaxation and massage reduce anxiety

  14. European J Cancer CareSept. 2007 • Hypnosis for nausea and vomiting in cancer chemotherapy

  15. J National Cancer Network 2007anticipatory nausea and vomitingRochester • Muscle relaxation and behavioral intervention reduces symptoms

  16. Psycho-oncology may 2007Temple memorial hospital • Patients with hot flashes post breast ca • Effective non hormonal non pharmacological treatment of hot flashes

  17. J Cancer sept. 2006 complementary medicine in palliative care and cancer symptom treatmentMaryland Hypnosis and guided imagery reduce anticipatory nausea and vomiting Transcendental meditation and MBSR alleviate depressed mood and anxiety

  18. J National Cancer Inst, sept 2007Mont Sinai • Brief hypnotic intervention to control side effects in breast surgery patients (biopsy and lumpectomy), versus empathy • Reduced: pain nausea fatigue discomfort emotional upset at discharge and less institutional costs (propofol, lidocaine…)

  19. Palliative support Care 2007 June • An exploration of the utility of hypnosis in pain management among 300 rural pain patients

  20. Am J Clin Hypnosis • Hypnosis as help for chronically and terminally ill adolescents

  21. Influencial communication • IF you get better • WHEN you get better

  22. M 58 years old • Cancer of ovaries with liver metastasis and ascites • 1)pain • 2)constipation • 3)nausea • 4)anxiety • 5)fear of dying

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