Contemporary Approaches Flashcards
What happens in hypnosis session
Induction; 10 minutes
Suggestions; motor, challenge, cognitive
Measuring suggestibility
Old standards
- hypnotic suggestibility stable over time but does not correlate with major personality dimensions
- Stanford hypnotic susceptibility scale
- Waterloo Stanford group scale of hypnotic susceptibility
- Sussex Waterloo scale of hypnotisability
Methodology in hypnosis research
Orne 1959
Real simulator design
Simulators are low susceptibility subjects asked to fool hypnotist into believing they are highs
Simulator behaviour = demand characteristics
Are hypnotised subjects just lying?
Kinnunen 1994
- people give higher skin conductance responses when lying than telling truth
- experiememt: subject pick up object when asked if it was an apple they lie or tell truth, SCRs increased for both hypnotic and waking subjects when in critical condition
Real simulator design
genuineness of experience
Subjects asked about genuine of experience
89% responses for real
36% responses for simulators
-doesn’t mean all 89% telling truth
Are hypnotised subjects faking?
PET scan
Scanned brains of subjects hypnotically induced paralysis or faked paralysis
When asked to attempt to move PET scan show brain activity
-more activation in right orbitofrontal cortex
-less activation in left ventrolateral prefrontal cortex
Are hypnotised subjects zombies
Crawford 1992
22 people interviewed after stage hypnosis show, 86% reported positive experiences and 36% reported being confused
23z believed hypnotists had full control
Will hypnotised subjects perform dangerous or anti social acts?
Orne and Evans 1965
-asked put hand in box of snakes or throw nitric acid in face of assistant, 5/6 did it
Coe 1973
-26 high subjects selected, told in future they’d be hypnotised, asked to sell heroin, drive to flat, say code word, deliver bags, collect $100
-given instructions under hypnosis or when awake, 9 subjects did the crime, 3/12 from hypnosis and 6/14 from non hypnosis group
-whether go through with crime or not depends on how act conflicts with moral values
Being active in successful hypnotic response
Experimental analysis technique (EAT)
After hypnosis watch the sessions back and provide commentary on what they experienced or thought
Subjects can be constructive
Hypnotised subjects not passive
Highly hypnotisable subjects can choose:
-how to respond to suggestions
-whether to change suggestions to suit them
-whether respond at all
-not all subjects realise they have this control
Common belief about hypnosis
hypnotised subject is in trance
-hypnotic induction produces an altered state of consciousness in which subjects are especially suggestible
hypnotic induction : meanings
- around for 200 ish years
- hypnosis is greek word for sleep
- conventional, traditional induction includes repeated suggestions about relax and sleep
responsiveness to suggestion
Braffman and Kirsch 1999
- without induction 2/7 suggestions passed
- with induction 3-7 suggestions passed
- induction doesn’t achieve much
stroop interference and hypnotic suggestion
Raz 2002
Raz 2006
-incongruent and neutral words
-hypnotic suggestion “foreign language that is meaningless”
-participants in control 110ms
-participants in suggestion 30ms, reduced stroop effect
2006:
-suggestion reduced stroop effect regardless if hypnotic or non-hypnotic
-hypnotic induction adds nothing to power of suggestion
traditional relaxation induction and effects
braffman and kirsch 1999
- increases suggestibility by small amount
- increase in response accompanied by greater expectation of responding
- IF its only expectation and belief thats responsible fro increase in suggestibility, anything can be induction if subject believes it
Banyai and Hilgard 1976
awake hypnosis
- “active alert induction”
- cycle on stationary bicycle, induction uses words like alert instead of sleepy
- no significant difference between traditional and active alert induction
- both scored 5/8
neurolinguistic programming - double induction
bandler and grindler
- claim double induction was “powerful and deepening technique”
- hand levitation induction in ear on contralateral side to dominant cerebral hemisphere, simultaneously hear grammatically childlike messages in other ear
- enables “direct communication to unconscious”
neurolinguistic programming
kirsch, mosher, matthews - double induction
lynn 1987 - indirect suggestions
- number of suggestions passed out of 12
- double induction not more significant than standard induction
-indirect inductions ad suggestions not more effective than traditional induction
effective inductions
glass and barber 1961
william james 1890
- sugar pill which subjects are told “induce hypnotic state” is as effective as standard hypnotic induction
- bright button, stroking the head, staring into eyes, drinking magnetised water
- induction is anything subject believes is an induction
markers of hypnotic state
- none yet detected
- brain isn’t in state like sleep
- no brainwaves special to hypnotic responding
- no patterns of activation revealed by brain imaging that is a marker of “hypnosis”
altered state
-states where people become more suggestible
-taking LSD, cannabis, alcohol
-subjects can and do feel they are in trance and report inward absorbed attention/relaxation
henry 1985
-subjective experience in hypnosis
-time going faster or slower
-external sounds clearer or muffled
matched subject preconceptions
kirsch 1992
was it relaxation or hypnotic induction?
- 24 hypnotisable subjects given hypnotic induction or progressive relaxation
- open ended reports about subjective state before and afetr responding to suggestion
- 13 state theorists and 9 non state theorists, 48% accuracy in classifying reports as following hypnotic or relaxation induction
history of hypnosis
- main phenomenon: spirit possession
- hysteria
- demonic possession
- animal magnetism
- modern times: hypnosis
- all have in common; suggestion and power of belief, altered sense of volition and perception of reality
hysteria
- psychological disorder characterised by physical symptoms without an organic cause
- conversion disorder or ‘somatic symptom disorder’
- symptoms: paralyses, blindness, deafness, convulsions
wandering womb theory of hysteria
- when not had a baby, womb moves around body restlessly causing symptoms of hysteria
- prayers can ‘calm’ the womb
- hard to distinguish between demonic possession and hysteria
Franz Anton Mesmer
- use of magnets as treatments
- franscisca oesterline had convulsions, magnets produced convulsions in applied area and improvement after was felt
- patients convulsed as it was belief that is was a typical response to exorcisms etc
- when sat in tubs of magnetised water and iron filings, experienced ‘crisis’
french royal commission 1794
found effects of magnetism were due to imagination and belief
pusegur 1780
- disliekd idea of crisis
- mesmerised peasants who were unaware of ‘crisis’ and one feel asleep instead of convulsing
- as got fame, research spread and gradually more people began to feel sleepy rather than convulsing
James Braid 1843
mesmerism is ‘hypnosis’
sleep like state brought about by fixation of the eyes and concentrating on one idea
orne 1959
if tell people ‘good subjects will stick out right arm when hypnotised’ they will do this when hypnotised
1900s amnesia
most hypnotisable people had spontaneous amnesia but only if amnesia was suggested
hypnosis-contrast
oracle of tibet
- monk was consulted about difficult decisions
- taken over by the deity Pehar Gyalpo
- spontaneously dances in heavy dress and gives advice and deliberation
- monk denies being under conscious action
hypnotic pain relief
-proven clinical effectiveness in dealing with chronic or acute pain; labour, medical/dental procedure, pain associated with cancer, headache, fibromyalgia
Milling 2002
-pain applied to finger for open minute
-control experience higher levels of pain than hypnotic suggestion
-hypnotic and non hypnotic suggestion had equivalent degree of pain relief
-degree of pain relief corresponded with hypnotisability
hypnotherapy
-addition of hypnosis to existing effective therapy
Kirsch 1995
-review of 18 studies comparing CBT with or without hypnosis
-conditions treated in studies: obesity, anxiety, hypertension
-if received therapy with hypnosis they were better off than 75% of those without hypnosis
-hypnosis enhanced effectiveness even when only difference was calling the therapy hypnotic
-20lbs lost in hypnotic condition compared to 5lbs in non-hypnotic condition
hypnotherapy for smoking cessation
Holroyd 1980
- 0-50% abstinent at 6 months
- other reviews suggest 1/4-1/3 abstinent 6 months
- outcome is not correlated with hypnotisability
wart removal
- hypnotic suggestion causes wart remission but not attributable to spontaneous remission
- direct suggestions responsible not hypnosis
memory recovery techniques
age regression: suggestion person go “back in time” to event and relive it
:suggest to “see better”; using metaphor such as television, blank screen, chalk board, video recorder
does hypnosis help or hinder
Nogrady 1985
-learn 60 names on slides
-phase 1: 2 attempts to recall
-phase 2: 1/2 hypnotic induction, 1/2 control, 2 attempts to recall
-phase 3: after post hypnotic suggestion, brought out of hypnosis, final 2 attempts to recall
results:
-control: more chances to recall the more names recalled, rated low confidence
-hypnosis: same pattern but overall recalled fewer names, recalled more incorrect names, rated very confident
remembering more
- hypnotic hypermnesia is apparent increase in memory
- new material reported during hypnosis is often incorrect
- worryingly, hypnosis makes people inappropriately confident (confident witness is not always accurate)
- people strong beliefs and expectations that hypnosis improves memory may work against usefulness of hypnosis improving memory
misinformation in hypnosis
- legal case: elderly schoolteacher raped, tortured and murdered
- suspect hypnotised at police request
- convicted as post hypnosis recalled the use of rake (which was withheld from public info) to know about rake, jury concluded he must have been at scene
- hypnotist used “was it a rake? where’d you get rake from?”
- hypnotised individuals more likely to accept subtle changes in memory, develop inappropriate confidence in accuracy of remembering
can one construct completely false memory in hypnosis?
Laurence & Perry 1983; Labelle 1990
- subjects nominate night where they slept solidly
- age regressed back to that night
- “tell me whether you hear loud noises..door slamming”
- after hypnosis, 34% subjects claimed noises happened that night
- when told explicitly noises were suggested, 25% insistent pseudo-memory real
age regression
Nash 1987
- does not literally reinstate childhood functioning
- age regressed subjects behave how they believe children would behave
- experience still feels real
reports of recall
- being born, past reincarnations, alien abduction, satanic ritual abuse
- should reduce rather than gain credibility by use of hypnosis
measuring suggestibility
- old standards: HCSHS, SHSS
- more recent: WGSHS, CURSS
- hypnotisability stable over time, test re-test correlation over 25 years = .75
- normal distribution for hypnotisability, 80% medium
heritability of hypnotisability
Morgan 1973
correlation of hypnotisability between identical twins =.52 between non-identical = .18 heritability = .64 both genetic and environmental components
is hypnotisability social conformity
Moore 1964
- influenceability: make judgement on case studies, given false information on judgements of peer group; see if judgement changes
- autokinetic test: look at stationary light and estimate its movement; as group give large numbers; alone again see if judgement changes
- influencibility = .21
- autokinetic = -.08
- acquiscience = -.07
- social desirability =. 11
- no systematic relation between hypnotisability and social desirability