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
Hypnosis
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Presentation Transcript
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 • Logical-rational-critical thinking • THE RIGHT BRAIN • Creativity-imagination • Accumulated coping skills (the unconscious potential)
indications • ANYTHING
Suggestibility • Capacity of concentration and focused attention • Flexible thinking • Imagination • A tendency to remember dreams
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
Neuro-imaging and hypnosis • Variation in blood flow during hypnosis in the right anterior frontal region and the anterior cingulate cortex
analgesia • Glove anesthesia • Displacement • Replacement • Dissociation • Substitution • Reduce volume • Neurophysiology • Visible form • Time distortion • Age regression
Palliative care • 1)symptom reduction • 2)quality of life-empowerment
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
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
Lancet Oncology 2001VickersSloane-Kettering • Hypnosis reduces cancer pain and nausea • Music therapy, relaxation and massage reduce anxiety
European J Cancer CareSept. 2007 • Hypnosis for nausea and vomiting in cancer chemotherapy
J National Cancer Network 2007anticipatory nausea and vomitingRochester • Muscle relaxation and behavioral intervention reduces symptoms
Psycho-oncology may 2007Temple memorial hospital • Patients with hot flashes post breast ca • Effective non hormonal non pharmacological treatment of hot flashes
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
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…)
Palliative support Care 2007 June • An exploration of the utility of hypnosis in pain management among 300 rural pain patients
Am J Clin Hypnosis • Hypnosis as help for chronically and terminally ill adolescents
Influencial communication • IF you get better • WHEN you get better
M 58 years old • Cancer of ovaries with liver metastasis and ascites • 1)pain • 2)constipation • 3)nausea • 4)anxiety • 5)fear of dying