Hypnotic Relaxation Therapy: Principles and Applications

Cover......Page 1
Title......Page 4
Copyright......Page 5
Contents......Page 8
Foreword......Page 10
Preface......Page 14
How to Use this Book......Page 15
Acknowledgments......Page 18
Mesmerism......Page 20
Early Historical Events in the Development of Hypnotic interventions......Page 21
Rise of the Scientific Study of Hypnosis......Page 22
Integration of Clinical Research and Hypnotherapy......Page 23
Chapter 2: Principles of Hypnotic Relaxation Therapy......Page 26
Principle #1: HRT is most effective within a positive therapeutic relationship......Page 27
Principle #3: HRT recognizes that there are individual differences in hypnotizability......Page 28
Principle #4: HRT assumes all communication is processed, to varying degrees, within both conscious and unconscious awareness......Page 29
Principle #5: HRT sessions are goal directed......Page 30
Principle #8: HRT uses a variety of methods for hypnotic induction, suggestion, and facilitating therapeutic experiences......Page 31
Principle #9: HRT is both structured and individualized......Page 32
Principle #10: HRT may be directed toward developing coping skills, relieving symptoms, facilitating insight, or preventing relapse......Page 33
Becoming A Clinician Skilled in Hrt......Page 34
The Conscious and Unconscious Minds......Page 36
Social–Psychological Components of Hrt......Page 39
Adaptive Dissociation......Page 40
Dissociative Theories of Hypnotic Response......Page 41
The Concept of Adaptive Dissociation......Page 42
Therapeutic Relaxation......Page 43
Summarizing Hrt......Page 44
The Hypnotherapeutic Relationship......Page 46
Law of Reversed Effect......Page 47
Hypnotic Suggestion as a Three-Step Process......Page 48
Pacing and Leading......Page 49
Reinforcement......Page 50
Utilization of Hypnotic Phenomena......Page 51
Indirect Suggestions......Page 53
Language of the Experiential System......Page 55
Step II: Initial suggestions for relaxation......Page 56
Step V: Deepening suggestions......Page 57
Step VI: Mental imagery and dissociation......Page 58
Step VIII: Reinforcement of response......Page 59
Step IX: Post-hypnotic suggestion......Page 60
Hypnotic Inductions......Page 61
Additional Hypnotic Inductions and Individualization......Page 65
Presenting Problems......Page 66
Psychological Factors......Page 68
Experiential Representations......Page 69
Summary Statement and Goals......Page 70
Discussion of Hrt......Page 71
Presenting Hrt to the Patient......Page 76
Dealing with Myths and Misconceptions......Page 77
Setting the Treatment Session Goal......Page 79
Preparatory Talk......Page 80
Eye focus induction......Page 81
Mental imagery for relaxation and deepening trance......Page 82
Reinforcment......Page 83
Post-Hypnotic inquiry......Page 84
Ending the Session—Provide Recording of Hypnotic Induction......Page 85
Structure of the Second Session......Page 86
Review of the Patient's Experiences and Progress......Page 87
Gather Information for Individualization......Page 88
Rating of Symptoms......Page 90
Encouraging fading of the generalized reality orientation......Page 91
Deeping suggestions......Page 92
Post-hypnotic suggestion......Page 93
Post-Hypnotic inquiry......Page 94
Ending the Session—Homework Assignment and Scheduling......Page 95
Chapter 8: The Third Hypnotic Relaxation Therapy Session......Page 96
Review Patient's Progress and Experiences with Hypnotic Relaxation......Page 97
Gather information for individualization and Set the Session Goal......Page 98
Self-Hypnosis Instructions......Page 99
Hypnotic induction Following the Self-Hypnosis Steps......Page 101
Patient Practice of Self-Hypnosis with Minimal Prompts......Page 102
Post-Hypnotic inquiry......Page 103
Homework Assignment and Scheduling......Page 104
Symptom Reduction......Page 106
Developing Coping Skills......Page 107
Developing Further insight......Page 108
Conscious and Unconscious information Processing......Page 110
Reviewing the Patient's Experience and Progress......Page 111
Setting the Session Goal in Context with the Overall Goal......Page 112
Communicate Session Goals and Approach to the Patient:......Page 113
Hypnotic Relaxation Induction......Page 114
Homework Assignment and Scheduling Toward Endpoint Goals......Page 116
Why Assess a Patient's Hypnotic Ability?......Page 118
Diagnosis......Page 119
Research......Page 120
Overview of Hypnotizabilty Scales......Page 121
Development of the EHS......Page 123
Arm heaviness/arm immobility......Page 124
Positive hallucination......Page 126
Psychometric Properties of the EHS......Page 127
Introductory Remarks......Page 130
Induction......Page 131
Arm heaviness/immobilization......Page 132
Arm Levitation......Page 133
Imagery Involvement/Dissociation......Page 134
Positive Hallucination......Page 135
Alerting......Page 137
Post-Hypnotic Inquiry and Scoring Form......Page 138
Post-Hypnotic Amnesia Scoring inquiry......Page 139
Arm Heaviness/Immobilization Scoring inquiry......Page 140
Arm Levitation Scoring Inquiry......Page 141
Imagery Involvement/Dissociation Scoring Inquiry......Page 142
Positive Hallucination Scoring inquiry......Page 143
Chapter 11: Dealing with Resistance......Page 144
Sources of Resistance......Page 145
Inadequate Preparation for Hypnotic induction......Page 146
Primary and Secondary Gain......Page 147
Avoidance of Confrontation......Page 148
Managing Resistance......Page 149
Permissive and Indirect Suggestions......Page 150
A Sample Induction for Dealing with Resistance......Page 152
Variation in Voice Quality and Intensity......Page 156
Use of Hypnotic Phenomena......Page 157
Trance Management......Page 158
Use of Ideomotor Responses......Page 159
Use of Therapeutic Metaphors......Page 160
Formal Metaphor to Overcome Codependency......Page 161
Ego-Strengthening Suggestions......Page 162
Chapter 13: Pain Management......Page 166
Biopsychosocial Factors......Page 167
Emotional Distress......Page 168
Hypnotic Techniques for Treating Pain......Page 169
Dissociation from Pain Experience......Page 170
Alteration in Pain Sensation......Page 171
Decrease Suffering......Page 172
Hypnoanalgesia for Pain Management......Page 173
Case Example: Transcript of Hrt with a Chronic Pain Patient......Page 174
Chapter 14: Smoking Cessation......Page 180
Assessment for Smoking Cessation......Page 181
General Guidelines for Hrt for Smoking Cessation......Page 182
Commitment for smoking cessation......Page 184
Self-hypnosis......Page 185
Case Example......Page 186
Evidence for Hrt for Hot Flashes......Page 188
General Treatment Guidelines......Page 189
individualization of Hypnotic Suggestions for Hot Flashes......Page 190
Recording Hot Flashes......Page 191
Mental imagery and suggestions for coolness......Page 192
Post-hypnotic suggestions......Page 193
Case Example......Page 194
Chapter 16: Anxiety Management......Page 202
Hypnotizability and Anxiety......Page 203
Hypnotic Suggestions for Anxiety Management......Page 204
Visualization and exposure therapy......Page 205
Post-hypnotic suggestion......Page 206
Case Example: Dental Anxiety......Page 207
Definition of Insomnia......Page 214
Sleep Stages and Age......Page 215
Medications for Insomnia......Page 216
Stimulus Control Instructions......Page 217
Sleep Restriction Therapy......Page 218
Hypnotic Relaxation Induction for Improving Sleep......Page 219
Case Example......Page 222
The Experiential System and Insight:......Page 224
Trance Management and Abreactions......Page 225
Ideomotor Responses to Facilitate Insight......Page 226
Hypnoprojective Methods......Page 227
Affect Bridge......Page 228
Case Example: Transcript of Hrt to Facilitate Insight......Page 229
Competence......Page 240
Informed Consent......Page 241
Beneficence......Page 242
Recordings......Page 243
A word of caution:......Page 246
How Will I Benefit from Hypnotic Relaxation Therapy?......Page 247
Will I Learn Self-Hypnosis?......Page 249
References......Page 250
Index......Page 264