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Dietrich Lehmann - One of the best experts on this subject based on the ideXlab platform.
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Classes of Multichannel EEG Microstates in Light and Deep Hypnotic Conditions
Brain Topography, 2007Co-Authors: Hitoshi Katayama, Lorena R. R. Gianotti, Toshiaki Isotani, Pascal L. Faber, Kyohei Sasada, Toshihiko Kinoshita, Dietrich LehmannAbstract:The study assessed the brain electric mechanisms of light and deep hypnotic conditions in the framework of EEG temporal microstates. Multichannel EEG of healthy volunteers during initial resting, light Hypnosis, deep Hypnosis, and eventual recovery was analyzed into temporal EEG microstates of four classes. Microstates are defined by the spatial configuration of their potential distribution maps (‹potential landscapes’) on the head surface. Because different potential landscapes must have been generated by different active neural assemblies, it is reasonable to assume that they also incorporate different brain functions. The observed four microstate classes were very similar to the four standard microstate classes A, B, C, D [Koenig, T. et al. Neuroimage, 2002;16: 41–8] and were labeled correspondingly. We expected a progression of microstate characteristics from initial resting to light to deep Hypnosis. But, all three microstate parameters (duration, occurrence/second and %time coverage) yielded values for initial resting and final recovery that were between those of the two hypnotic conditions of light and deep Hypnosis. Microstates of the classes B and D showed decreased duration, occurrence/second and %time coverage in deep Hypnosis compared to light Hypnosis; this was contrary to microstates of classes A and C which showed increased values of all three parameters. Reviewing the available information about microstates in other conditions, the changes from resting to light Hypnosis in certain respects are reminiscent of changes to meditation states, and changes to deep Hypnosis of those in schizophrenic states.
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Classes of multichannel EEG microstates in light and deep hypnotic conditions.
Brain topography, 2007Co-Authors: Hitoshi Katayama, Lorena R. R. Gianotti, Toshiaki Isotani, Pascal L. Faber, Kyohei Sasada, Toshihiko Kinoshita, Dietrich LehmannAbstract:The study assessed the brain electric mechanisms of light and deep hypnotic conditions in the framework of EEG temporal microstates. Multichannel EEG of healthy volunteers during initial resting, light Hypnosis, deep Hypnosis, and eventual recovery was analyzed into temporal EEG microstates of four classes. Microstates are defined by the spatial configuration of their potential distribution maps ([Symbol: see text]potential landscapes') on the head surface. Because different potential landscapes must have been generated by different active neural assemblies, it is reasonable to assume that they also incorporate different brain functions. The observed four microstate classes were very similar to the four standard microstate classes A, B, C, D [Koenig, T. et al. Neuroimage, 2002;16: 41-8] and were labeled correspondingly. We expected a progression of microstate characteristics from initial resting to light to deep Hypnosis. But, all three microstate parameters (duration, occurrence/second and %time coverage) yielded values for initial resting and final recovery that were between those of the two hypnotic conditions of light and deep Hypnosis. Microstates of the classes B and D showed decreased duration, occurrence/second and %time coverage in deep Hypnosis compared to light Hypnosis; this was contrary to microstates of classes A and C which showed increased values of all three parameters. Reviewing the available information about microstates in other conditions, the changes from resting to light Hypnosis in certain respects are reminiscent of changes to meditation states, and changes to deep Hypnosis of those in schizophrenic states.
Ran D. Anbar - One of the best experts on this subject based on the ideXlab platform.
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Hypnosis for the Treatment of Functional Respiratory Disorders
Functional Respiratory Disorders, 2012Co-Authors: Ran D. AnbarAbstract:Clinical Hypnosis is an efficient and effective tool for addressing the mind/body connection for many patients with functional respiratory disorders. Such patients can benefit from learning self-Hypnosis techniques in as little as 10 min, which can help them rapidly improve or resolve their symptoms altogether, as demonstrated in several published case series. Asthma sometimes has been shown to improve with the use of Hypnosis perhaps because of the large number of patients who have a functional component as part of their presentation. Keys to successful Hypnosis include establishment of rapport with patients and their families, facilitating patients’ self-mastery, and following patients’ expectations, motivation, lead, and interests. Clinicians who have completed 3- to 4-day Hypnosis training workshops learn to appreciate better the power of communication and usually find that their language and nonverbal interactions with patients improve, even when they are not employing formal Hypnosis. Practical considerations regarding provision of clinical Hypnosis in a primary care setting are discussed in this chapter; a sample text of an hypnotic encounter intended to achieve relaxation is provided; and case studies are presented that include links to videos demonstrating instruction in Hypnosis to children and adults, with accompanying quiz questions and explanatory material regarding patients with chest pain, dyspnea, habit cough, vocal cord dysfunction, and insomnia.
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Adding Hypnosis to the Therapeutic Toolbox of Pediatric Respiratory Care
Pediatric Asthma Allergy & Immunology, 2009Co-Authors: Ran D. AnbarAbstract:Utilization of Hypnosis as part of the care of children with respiratory disorders helps them achieve symptomatic relief, improves the clinician’s ability to diagnose and treat patients with complicated clinical presentations, and saves some patients from undergoing costly investigations or receiving nonessential treatments. Hypnosis can be defined as a state of inward attention during which the mind is focused on ideas of therapeutic value that can potentiate physiologic change. There are few published randomized trials demonstrating the effectiveness of Hypnosis in the management of asthma. Published case series suggest that Hypnosis is of benefit for children with cystic fibrosis, dyspnea, habit cough, insomnia, or vocal cord dysfunction. Hypnosis helps patients control their response to discomfort, which may allow reduction in the amount of pharmacologic analgesia during medical procedures such as phlebotomy or bronchoscopy. Once children decide to learn Hypnosis, initial instruction time can require ...
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User friendly Hypnosis as an adjunct for treatment of habit cough: a case report.
The American journal of clinical hypnosis, 2007Co-Authors: Ran D. AnbarAbstract:The more user friendly medical Hypnosis can be, the more readily it will be accepted by patients and the medical community. Hypnosis is user friendly when it is simple to employ, and yields rapid, effective, and clinically significant results. Thus, we should define reasons for the effectiveness of such successful Hypnosis methods, and provide this information to students of Hypnosis. Some of the elements that may permit Hypnosis to be user friendly are establishment of rapport, a belief that a symptom often has a functional role, and a flexible approach to the Hypnosis encounter. This case report of a child with habit cough, illustrates the importance of these elements.
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Hypnosis for treatment of insomnia in school-age children: a retrospective chart review
BMC Pediatrics, 2006Co-Authors: Ran D. Anbar, Molly P SlothowerAbstract:Background The purposes of this study are to document psychosocial stressors and medical conditions associated with development of insomnia in school-age children and to report use of Hypnosis for this condition. Methods A retrospective chart review was performed for 84 children and adolescents with insomnia, excluding those with central or obstructive sleep apnea. All patients were offered and accepted instruction in self-Hypnosis for treatment of insomnia, and for other symptoms if it was felt that these were amenable to therapy with Hypnosis. Seventy-five patients returned for follow-up after the first Hypnosis session. Their mean age was 12 years (range, 7–17). When insomnia did not resolve after the first instruction session, patients were offered the opportunity to use Hypnosis to gain insight into the cause. Results Younger children were more likely to report that the insomnia was related to fears. Two or fewer Hypnosis sessions were provided to 68% of the patients. Of the 70 patients reporting a delay in sleep onset of more than 30 minutes, 90% reported a reduction in sleep onset time following Hypnosis. Of the 21 patients reporting nighttime awakenings more than once a week, 52% reported resolution of the awakenings and 38% reported improvement. Somatic complaints amenable to Hypnosis were reported by 41%, including chest pain, dyspnea, functional abdominal pain, habit cough, headaches, and vocal cord dysfunction. Among these patients, 87% reported improvement or resolution of the somatic complaints following Hypnosis. Conclusion Use of Hypnosis appears to facilitate efficient therapy for insomnia in school-age children.
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Hypnosis for treatment of insomnia in school-age children: a retrospective chart review
BMC pediatrics, 2006Co-Authors: Ran D. Anbar, Molly P SlothowerAbstract:The purposes of this study are to document psychosocial stressors and medical conditions associated with development of insomnia in school-age children and to report use of Hypnosis for this condition. A retrospective chart review was performed for 84 children and adolescents with insomnia, excluding those with central or obstructive sleep apnea. All patients were offered and accepted instruction in self-Hypnosis for treatment of insomnia, and for other symptoms if it was felt that these were amenable to therapy with Hypnosis. Seventy-five patients returned for follow-up after the first Hypnosis session. Their mean age was 12 years (range, 7–17). When insomnia did not resolve after the first instruction session, patients were offered the opportunity to use Hypnosis to gain insight into the cause. Younger children were more likely to report that the insomnia was related to fears. Two or fewer Hypnosis sessions were provided to 68% of the patients. Of the 70 patients reporting a delay in sleep onset of more than 30 minutes, 90% reported a reduction in sleep onset time following Hypnosis. Of the 21 patients reporting nighttime awakenings more than once a week, 52% reported resolution of the awakenings and 38% reported improvement. Somatic complaints amenable to Hypnosis were reported by 41%, including chest pain, dyspnea, functional abdominal pain, habit cough, headaches, and vocal cord dysfunction. Among these patients, 87% reported improvement or resolution of the somatic complaints following Hypnosis. Use of Hypnosis appears to facilitate efficient therapy for insomnia in school-age children.
Molly P Slothower - One of the best experts on this subject based on the ideXlab platform.
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Hypnosis for treatment of insomnia in school-age children: a retrospective chart review
BMC Pediatrics, 2006Co-Authors: Ran D. Anbar, Molly P SlothowerAbstract:Background The purposes of this study are to document psychosocial stressors and medical conditions associated with development of insomnia in school-age children and to report use of Hypnosis for this condition. Methods A retrospective chart review was performed for 84 children and adolescents with insomnia, excluding those with central or obstructive sleep apnea. All patients were offered and accepted instruction in self-Hypnosis for treatment of insomnia, and for other symptoms if it was felt that these were amenable to therapy with Hypnosis. Seventy-five patients returned for follow-up after the first Hypnosis session. Their mean age was 12 years (range, 7–17). When insomnia did not resolve after the first instruction session, patients were offered the opportunity to use Hypnosis to gain insight into the cause. Results Younger children were more likely to report that the insomnia was related to fears. Two or fewer Hypnosis sessions were provided to 68% of the patients. Of the 70 patients reporting a delay in sleep onset of more than 30 minutes, 90% reported a reduction in sleep onset time following Hypnosis. Of the 21 patients reporting nighttime awakenings more than once a week, 52% reported resolution of the awakenings and 38% reported improvement. Somatic complaints amenable to Hypnosis were reported by 41%, including chest pain, dyspnea, functional abdominal pain, habit cough, headaches, and vocal cord dysfunction. Among these patients, 87% reported improvement or resolution of the somatic complaints following Hypnosis. Conclusion Use of Hypnosis appears to facilitate efficient therapy for insomnia in school-age children.
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Hypnosis for treatment of insomnia in school-age children: a retrospective chart review
BMC pediatrics, 2006Co-Authors: Ran D. Anbar, Molly P SlothowerAbstract:The purposes of this study are to document psychosocial stressors and medical conditions associated with development of insomnia in school-age children and to report use of Hypnosis for this condition. A retrospective chart review was performed for 84 children and adolescents with insomnia, excluding those with central or obstructive sleep apnea. All patients were offered and accepted instruction in self-Hypnosis for treatment of insomnia, and for other symptoms if it was felt that these were amenable to therapy with Hypnosis. Seventy-five patients returned for follow-up after the first Hypnosis session. Their mean age was 12 years (range, 7–17). When insomnia did not resolve after the first instruction session, patients were offered the opportunity to use Hypnosis to gain insight into the cause. Younger children were more likely to report that the insomnia was related to fears. Two or fewer Hypnosis sessions were provided to 68% of the patients. Of the 70 patients reporting a delay in sleep onset of more than 30 minutes, 90% reported a reduction in sleep onset time following Hypnosis. Of the 21 patients reporting nighttime awakenings more than once a week, 52% reported resolution of the awakenings and 38% reported improvement. Somatic complaints amenable to Hypnosis were reported by 41%, including chest pain, dyspnea, functional abdominal pain, habit cough, headaches, and vocal cord dysfunction. Among these patients, 87% reported improvement or resolution of the somatic complaints following Hypnosis. Use of Hypnosis appears to facilitate efficient therapy for insomnia in school-age children.
Amir Raz - One of the best experts on this subject based on the ideXlab platform.
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brain correlates of Hypnosis a systematic review and meta analytic exploration
Neuroscience & Biobehavioral Reviews, 2017Co-Authors: Michael Lifshitz, Mathieu Landry, Mathieu Landry, Michael Lifshitz, Amir RazAbstract:Imaging of the living human brain elucidates the neural dynamics of Hypnosis; however, few reliable brain patterns emerge across studies. Here, we methodically assess neuroimaging assays of Hypnosis to uncover common neural configurations using a twofold approach. First, we systematically review research on the neural correlates of hypnotic phenomena; then, we meta-analyze these collective data seeking specific activation and deactivation patterns that typify Hypnosis. Anchored around the role of top-down control processes, our comprehensive examination focuses on the involvement of intrinsic brain networks known to support cognitive control and self-referential cognition, including the executive, salience, and default networks. We discuss how these neural dynamics may relate to contemporary theories of Hypnosis and show that Hypnosis correlates with activation of the lingual gyrus-a brain region involved in higher-order visual processing and mental imagery. Our findings help to better understand the neurobiological substrates comprising the appellation Hypnosis.
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Hypnosis and top-down regulation of consciousness
Neuroscience and Biobehavioral Reviews, 2017Co-Authors: Devin Blair Terhune, Amir Raz, Axel Cleeremans, Steven Jay LynnAbstract:Hypnosis is a unique form of top-down regulation in which verbal suggestions are capable of eliciting pronounced changes in a multitude of psychological phenomena. Hypnotic suggestion has been widely used both as a technique for studying basic science questions regarding human consciousness but also as a method for targeting a range of symptoms within a therapeutic context. Here we provide a synthesis of current knowledge regarding the characteristics and neurocognitive mechanisms of Hypnosis. We review evidence from cognitive neuroscience, experimental psychopathology, and clinical psychology regarding the utility of Hypnosis as an experimental method for modulating consciousness, as a model for studying healthy and pathological cognition, and as a therapeutic vehicle. We also highlight the relations between Hypnosis and other psychological phenomena, including the broader domain of suggestion and suggestibility, and conclude by identifying the most salient challenges confronting the nascent cognitive neuroscience of Hypnosis and outlining future directions for research on Hypnosis and suggestion.
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Hypnosis as neurophenomenology.
Frontiers in human neuroscience, 2013Co-Authors: Amir Raz, Michael Lifshitz, Emma P. CusumanoAbstract:Hypnosis research binds phenomenology and neuroscience. Here we show how recent evidence probing the impact of Hypnosis and suggestion can inform and advance a neurophenomenological approach. In contrast to meditative practices that involve lengthy and intensive training, Hypnosis induces profound alterations in subjective experience following just a few words of suggestion. Individuals highly responsive to Hypnosis can quickly and effortlessly manifest atypical conscious experiences as well as override deeply entrenched processes. These capacities open new avenues for suspending habitual modes of attention and achieving refined states of meta-awareness. Furthermore, Hypnosis research sheds light on the effects of suggestion, expectation, and interpersonal factors beyond the narrow context of hypnotic procedures. Such knowledge may help to further foster phenomenological interviewing methods, improve experiential reports, and elucidate the mechanisms of contemplative practices. Incorporating Hypnosis and suggestion into the broader landscape of neurophenomenology, therefore, would likely help bridge subjective experience and third-person approaches to the mind.
Guy H Montgomery - One of the best experts on this subject based on the ideXlab platform.
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Hypnosis for cancer care over 200 years young
CA: A Cancer Journal for Clinicians, 2013Co-Authors: Guy H Montgomery, Julie B Schnur, Kate Kravits, Kate KravitsAbstract:Answer questions and earn CME/CNE Hypnosis has been used to provide psychological and physical comfort to individuals diagnosed with cancer for nearly 200 years. The goals of this review are: 1) to describe Hypnosis and its components and to dispel misconceptions; 2) to provide an overview of Hypnosis as a cancer prevention and control technique (covering its use in weight management, smoking cessation, as an adjunct to diagnostic and treatment procedures, survivorship, and metastatic disease); and 3) to discuss future research directions. Overall, the literature supports the benefits of Hypnosis for improving quality of life during the course of cancer and its treatment. However, a great deal more work needs to be done to explore the use of Hypnosis in survivorship, to understand the mediators and moderators of Hypnosis interventions, and to develop effective dissemination strategies.
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Hypnosis: There’s an App for that. A systematic review of Hypnosis apps
The International journal of clinical and experimental hypnosis, 2013Co-Authors: Madalina Sucala, Julie B Schnur, Kimberly Glazier, Sarah J. Miller, Joseph P. Green, Guy H MontgomeryAbstract:This study systematically reviews the Hypnosis apps available via iTunes that were compatible with iPhone or iPad. Of 1455 apps identified on iTunes, 407 met inclusion criteria and were further reviewed. Most common Hypnosis app targets were weight loss (23%), boosting self-esteem (20%), and relaxation/stress reduction (19%); 83% of apps delivered Hypnosis via audio track, and 37% allowed tailoring. Less than 14% of apps reported disclaimers. None of the apps reported having been tested for efficacy, and none reported being evidence based. Although apps have the potential to enhance Hypnosis delivery, it seems as though technology has raced ahead of the supporting science. Recommendations from clinical researchers and policy makers are needed to inform responsible Hypnosis app development and use.
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Remembrance of Hypnosis Past
The American journal of clinical hypnosis, 2007Co-Authors: Irving Kirsch, Giuliana Mazzoni, Guy H MontgomeryAbstract:The history of the most enduring experimental design in Hypnosis research is reviewed. More than 75 years of research converge to indicate that: 1) all of the phenomena produced in Hypnosis by suggestion also can be produced by suggestion without the induction of Hypnosis, 2) the induction of Hypnosis produces a relatively small increase in responsiveness to suggestion, and 3) hypnotic and waking suggestion are highly correlated, in many cases rivalling the reliability of the suggestibility measure. The importance of these data to both clinical and experimental Hypnosis is emphasized.
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the effectiveness of adjunctive Hypnosis with surgical patients a meta analysis
Anesthesia & Analgesia, 2002Co-Authors: Guy H Montgomery, Daniel David, Gary Winkel, Jeffrey H Silverstein, Dana H BovbjergAbstract:Hypnosis is a nonpharmacologic means for managing adverse surgical side effects. Typically, reviews of the Hypnosis literature have been narrative in nature, focused on specific outcome domains (e.g., patients’ selfreported pain), and rarely address the impact of different modes of the Hypnosis administration. Therefore, it is important to take a quantitative approach to assessing the beneficial impact of adjunctive Hypnosis for surgical patients, as well as to examine whether the beneficial impact of Hypnosis goes beyond patients’ pain and method of the administration. We conducted metaanalyses of published controlled studies (n 20) that used Hypnosis with surgical patients to determine: 1) overall, whether Hypnosis has a significant beneficial impact, 2) whether there are outcomes for which Hypnosis is relatively more effective, and 3) whether the method of hypnotic induction (live versus audiotape) affects Hypnosis efficacy. Our results revealed a significant effect size (D 1.20), indicating that surgical patients in Hypnosis treatment groups had better outcomes than 89% of patients in control groups. No significant differences were found between clinical outcome categories or between methods of the induction of Hypnosis. These results support the position that Hypnosis is an effective adjunctive procedure for a wide variety of surgical patients. (Anesth Analg 2002;94:1639 –45)
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brief presurgery Hypnosis reduces distress and pain in excisional breast biopsy patients
International Journal of Clinical and Experimental Hypnosis, 2002Co-Authors: Guy H Montgomery, Christina Weltz, Megan Seltz, Dana H BovbjergAbstract:Abstract Each year, hundreds of thousands of women undergo excisional breast biopsies for definitive diagnosis. Not only do these patients experience pain associated with the procedure, but they also endure distress associated with the threat of cancer. Hypnosis has been demonstrated as effective for controlling patients' pain in other surgical settings, but breast surgery patients have received little attention. To determine the impact of brief presurgical Hypnosis on these patients' postsurgery pain and distress and to explore possible mediating mechanisms of these effects, 20 excisional breast biopsy patients were randomly assigned to a Hypnosis or control group (standard care). Hypnosis reduced postsurgery pain and distress. Initial evidence suggested that the effects of Hypnosis were mediated by presurgery expectations.