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Preparing the Patient and Professional Practice

Preparing the Patient and Professional Practice. Max P Shapiro, PhD NESCH Basic Workshop October 20, 2012 Newton, MA. Preparing the Patient. Usual work-up, esp., GOALS Assess prior experience & expectations Dispel Myths & Misconceptions Self-control ?

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Preparing the Patient and Professional Practice

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  1. Preparing the Patient and Professional Practice Max P Shapiro, PhD NESCH Basic Workshop October 20, 2012 Newton, MA

  2. Preparing the Patient • Usual work-up, esp., GOALS • Assess prior experience & expectations • Dispel Myths & Misconceptions • Self-control ? • ( NB: total contol---POW, cults, hostage situations, etc.) • Awareness & amnesia ? • Truth-serum ? • Memory as a recording ?

  3. Preparing the Patient II • Defining Hypnosis for the Patient: • “ a state of inner absorption, concentration and focused attention” • changing the field of attention • broad  narrow • flashlight  laser ( NB: bare bulb in meditation) • like using a telescope or microscope– doesn’t change reality, but rather what you see and what it means

  4. Preparing the Patient III • How hypnosis works: 1. Greater use of imagination 2. Suggestion of useful sensations, feelings, ideas, images, etc. 3. Exploration of inner life

  5. Preparing the Patient IV • Hypnosis is an individualized experience • Differing degrees of aptitude in different areas • Different responses in different contexts: i.e., relationship, problematic situation, expectation set • Possible frameworks: • Conscious vs. Unconscious activation • All hypnosis is based on your own inner abilities

  6. Preparing the Patient V • Hetero- hypnosis vs. self-hypnosis • Like learning to ride a bicycle • Suggestions only work if congruent for the patient • Go into trance ( “go inside”) only when in your own best interest

  7. Variables in Hypnotic Responsiveness • Setting & Meaning • Relationship with Clinician • Individual’s Aptitude • Quality of Teaching / Coaching • Practice Effects

  8. Domains of HYPNOSIS • Altered State of Consciousness • Hypnotic Relationship • Socio-cognitive Variables: Expectations, Suggestions, etc.

  9. The Different Dimensions of Hypnosis SENSORY◊ Alteration◊ Catalepsy ◊ Dissociation ◊ Analgesia ◊ Anesthesia ◊ Hyperesthesia ◊ ± Sensory Construction ◊ Ideosensory ◊ Ideomotor • COGNITIVE◊ Age Progression ◊ Age Regression ◊ Hypermnesia ◊ Amnesia ◊ Time Distortion ◊ Induced Dreams/Imagery • POST-HYPNOTIC EFFECTS • ALTERED MEANING

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