Information on hypnotherapy and clinical reports

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functioning of hypnotherapy

The ap­pear­ance of clin­ical hyp­nosis in the pub­lic is mainly de­term­ined by the meth­ods of clas­sical hyp­nosis. Clas­sical hyp­nosis un­der­stands the hyp­notic state as a altered state of con­scious­ness (trance) which leads to heightened sug­gest­ib­il­ity of the pa­tient. Dir­ect sug­ges­tions given in this state should- other than in the wak­ing state- have a spe­cial ef­fect on the pa­tient and should in­flu­ence the every day life of the pa­tient also out­side the thera­peutic con­text. Usu­ally, the meth­ods of clas­sical hyp­nosis are mainly ori­ented to­ward chan­ging symp­toms (like pain, in­som­nia etc.) by sug­ges­tions without tak­ing into ac­count the psy­cho­dy­namic con­text. However, clas­sical hyp­nosis nowadays is more and more com­pleted with a mod­ern form of hyp­no­ther­apy. Whereas for clas­sical hyp­nosis the hyp­notic state is of im­port­ance be­cause of the ac­com­pa­ny­ing heightened sug­gest­ib­il­ity, it is im­port­ant for mod­ern hyp­no­ther­apy be­cause it al­lows bet­ter ac­cess to emo­tions. In­stead of using dir­ect sug­ges­tions as in clas­sical hyp­nosis, mod­ern hyp­no­ther­apy deals with the neg­at­ive or en­cum­ber­ing emo­tions of the pa­tient that are re­lated to his in­ad­equate be­ha­viours and cog­ni­tions (e.g., patho­genic self-im­age, neg­at­ive routine thought­s).

While doing so, also the life story of the pa­tient is taken into con­sid­er­a­tion and, of­ten, ‘old’ emo­tions and con­flicts are worked through in hyp­notic age-re­gres­sion. “To work through” here means to ex­per­i­ence or to re-­ex­per­i­ence crit­ical situ­ations in the con­text of hyp­not­ic­ally in­duced pos­it­ive emo­tions (often taken from the pa­tients per­sonal life ex­per­i­ences) that con­vey to the pa­tient the ex­per­i­ence to be able to cope with those crit­ical situ­ation­s.

Us­ing pos­it­ive life ex­per­i­ences of the pa­tient for thera­peutic pur­poses is called - with ref­er­ence to the well-­known Amer­ican hyp­no­ther­ap­ist Milton Er­ick­son - the “util­iz­a­tion of re­sources” (Er­ick­son a. Rossi, 1979).

In a sim­pli­fied way, clas­sical hyp­no­ther­apy may be de­scribed as a symp­tom-ori­ented sug­gest­ive ther­apy in trance and mod­ern hyp­no­ther­apy as an emo­tional ther­apy in trance tak­ing into con­sid­er­a­tion the mean­ing of the symp­tom and its roots in former life epis­odes of the pa­tient.

­Mod­ern hyp­no­ther­apy tries to sub­sti­tute the des­pair, anxi­ety, in­feri­or­ity, de­pres­sion etc. of the pa­tient by the im­me­di­ate ex­per­i­ence of con­fid­ence, self-­con­fid­ence etc. or love of life “right here” in the thera­peutic set­ting. These ex­per­i­ences are no cog­nit­ive con­struc­tions but im­me­di­ate emo­tional real­it­ies. With the hyp­no­ther­ap­ists help, this new ex­per­i­ence then needs to be in­teg­rated into every­day life. 

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