What Is Hypnosis?
There are three sections here. The first is right below here: a quick definition of hypnosis. Below that is a brief summary of hypnosis, relating to helping people lose weight. Finally there is a longer essay on what hypnosis is, as it relates to the conscious, the sub-conscious, and how they communicate and work together.
My Standard Definition of Hypnosis:
"Hypnosis is a state of mind that allows a more direct communication between the conscious mind and the sub-conscious mind."
What more? Not sure just what a sub-conscious mind is? Just below is a longer explanation of what hypnosis is and how it can be combined with behavioral therapy for helping people lose weight.
There’s also a longer explanation available further down on this page, describing how hypnosis can help with issues such as anxiety through its integration with cognitive therapy. You can also explore the free hypnosis demonstration audio program to see how hypnosis can work for you first hand.
Hypnosis and Behavioral Therapy for Weight Loss
A Lemon Example
To show you how hypnosis works, have your two hands free. In one hand, imagine you’re holding a lemon. What does it look like? How does it feel in your hands? Do you see the dimples? The shades of yellow? The feel of the lemon skin?
In your other hand, imagine you’re holding a knife. Plastic or metal? Start cutting the lemon. It’s okay if you need to swap hands depending on if you’re right or left handed. Cut the lemon in two, be careful not to cut your hand!
Good. Now you have two halves of the lemon. Put one on an imagineary table in front of you along with the knife. Have one half of the lemon in your hand. Look inside. Do you see seeds? Can you smell the lemon juice? Is it running down into your hand? The word LEMON has how many letters? L-E-M-O-N, so five right? Now all at once, take the lemon to your mouth and take a big bite!
Chances are, if you followed along with the exercise, your mouth started to salivate, or at least you felt sour in your mouth. That’s an example of how hypnosis works!
When you imagine something well enough, your sub-conscious mind, the part of your mind that controls all the automatic things in your body, acts as if it’s true and focuses your attention on responding to it. The more you use your senses (seeing the lemon, feeling it in your hand, thinking about it on different levels), the more your body and mind accept that it’s true, that it’s real.
When I do this exercise in front of a group or one-on-one, I’ve noticed that the people who are sensitive about cutting their hand by accident when they cut the lemon always respond better when they put the lemon in their mouth. In other words, when you really play along and act as though it’s an actual lemon, your sub-conscious responds.
Notice I didn’t tell you you had to be relaxed, or that you have to be suggestible. I just wanted you to play along, to follow along with the activity. Many people think they can’t be hypnotized. Either they can’t relax or they aren’t suggestible. During one-on-one sessions, the vast majority of people can be hypnotized. What’s more important than being relaxed or suggestible is that a) you want to experience the suggestions and that b) you’re willing to follow along with the suggestions (the two go hand-in-hand).
The lemon example isn’t hypnosis per se but an example of how hypnosis works. When you’re in hypnosis, the example is magnified. It’s easier to visualize and easier to focus. The effect is more pronounced. But you still need to follow along.
The Induction
Most people think that to be hypnotized you need to lose focus, lose attention, to pretty much fall asleep and be lost. In reality it’s the opposite, the better your focus, the better your attention, the better you can see and feel the lemon, the better you’ll respond to it.
Now, often when I’m doing a hypnosis demonstration, I’ll only have certain people on stage or maybe just focus on certain people. That doesn’t mean that those are the only people who can be hypnotized. It’s just that some people can go very deep, very quickly and have very focused attention. It only takes a few minutes to get their imagination very revved up. And that’s how long most people will stay patient while I do an induction, so those are the people I focus on.
What’s an induction? Well, when a person is very relaxed and focused, certain things like imagining a lemon become a whole lot easier. So I do a series of exercises that help people relax and focus, what’s known as an induction. It only takes about five minutes but it’s what puts people “under.”
Once people are in hypnosis, it’s easier to direct and focus their attention. But I still need their consent. If a person in hypnosis really hates lemons, it’s quite easy for them to ignore my suggestions and feel nothing when I have them put half the lemon in their mouth.
Often when I mention I’m a hypnotist, I get asked, “OMG, so, can you hypnotize me to do whatever I want???!!” If I could, I would NOT have a website. I would be the King of California. I’d have all these hypnotized servants! I’d have all of Catalina as my own private island and have Napa Valley as my own private wine cellar. Alas, I can only get you to do in hypnosis what you’d normally or naturally want to do anyway, or at least not have a problem with.
This means that hypnosis is a collaborative relationship. We have to go over what the goals are with hypnosis before it occurs so that you can feel safe and secure.
As an example, sometimes I’ll hypnotize a person on stage to forget the number 6. It’s a fun and educational way of showing people how the mind works. I’ll have the person count their fingers and end up with 11. But I can only do this because, in the person’s mind, they know the suggestion won’t last forever and it is safe to follow along. Make no mistake, the person literally forgets the number 6. But it’s only temporary. If I were to pass out on stage I guarantee the number 6 would come flooding back into the person’s psyche.
Now, forgetting the number 6 may seem really odd and foreign. Almost supernatural. But it’s really just an extension of natural abilities. I’m really just focusing and directing the mind to do something it does all the time anyway. Hypnosis just magnifies the effects. Think about it, how many times have you learned someone’s name, only to forget it moments later? Or a telephone number? Most people will salivate when they think about a meal or think about starting to eat something, especially something sour. The sub-conscious plays along because a) it’s safe and b) it’s temporary.
That is why when we use hypnosis as therapy, I use applications that:
1) Direct your natural focus and abilities
2) Are considered safe by your sub-conscious
3) Something you can understand and consent to.
To help someone with weight loss, we emphasize two major programs: Dissociation and Visualization.
Dissociation
“Dissociating” in hypnosis means the complete opposite of focusing. Think for a minute about how your shirt feels. Once I direct your attention to your shirt, you’re focusing on it. But before I mentioned it, you were dissociated from your shirt. You knew consciously that you had a shirt and sub-consciously you were feeling the shirt, but you were dissociated from it. A part of your brain was ignoring the sensations of the shirt, so you could pay attention to other things (hopefully, the text on this webpage). Only when I drew you attention to the shirt did you start to focus on it.
Your brain dissociates all the time. Otherwise you’d spend all day thinking about every sensation in your body. So your brain dissociates from certain sensations and you get used to it. This explains why kids can get used to braces, why you can get used to the temperature of a swimming pool, or how when you’re really excited you can forget about even very significant pains. It’s a pretty powerful process. Say you’re being chased by a bear. You fall and hurt your arm. You get up and run. While you’re running, you’ll completely dissociate from the arm pain. This is to help you survive. Afterwards, when you’re in the clear, you’ll focus once again on the arm pain.
In hypnosis, we can use this natural process of dissociation to manage pain. That’s why hypnosis is often used as an alternative to anesthesia. You can actually use hypnosis to have a drug free childbirth or drug free dentistry.
How do we use dissociation with weight loss? Weight loss, in any form, always involve some sort of emotion in one form or another. In the program there is exercise and there is a diet change. It’s designed to be easy to follow and easy to get used to. Still, there are some emotions involved. It can be stressful to start any new routine and stress can often really impede progress.
In hypnosis, we can suggest a sense of dissociation from stress and emotions. Here’s a common passage I like to use:
As you’re walking along in this place of relaxation you are feeling especially relaxed and especially comfortable. So relaxed and comfortable that I’m going to count from one to five. And at the count of five, you’ll be able to float up in the air in this place of relaxation. Still feeling comfortable, still feeling relaxed at all times.
One, feeling just now as light as a feather
Two, feeling as though somebody is turning the gravity knob down in this place of relaxation
Three feeling as though you could jump up in the air and just sort of stay there.
Four, a few inches and few centimeters between you and the ground and
Five, a few feet, a few meters, you’re floating up in the air.
You look down and see your physical body lying peacefully. Knowing that what’s up in the air is your soul, your spirit, your essence. This is the sense of detachment you can now feel, that you can feel towards the stress in your life that you know you don’t need to feel anymore. It’s as if you know now that there’s stress in your life. Stress you don’t need. But where before you would feel it, think about it, dwell on stress and problems. It’s as if you really feel detached from it. It’s as if all that unnecessary stress is down here and you’re far away. As if right before all those stressful thoughts and feelings reach your conscious awareness, they just seem to float away, as if they were never there. How surprised would you be that for the next 63.5 years, those stressful thoughts that interfere with your life, those thoughts you just don’t need, just seem to float away before they reach your conscious awareness? Knowing that this is the best for you because now you can truly focus on what really matters, what’s really important for you….
With this passage, a person won’t literally forget all stress. It can, however, promote a sense of detachment or dissociation from some of the more excessive stress.
The same process works for cravings or emotions that interfere with exercise. Again, it’s not a magic bullet. It needs to be combined with behavioral techniques. But in the right combination, it can have a powerful beneficial effect on the full weight loss program.
Visualization
The other main use of hypnosis, especially for weight loss, is visualization. Remember from the lemon example, the more you imagined what the lemon looked like, the more you used your senses, the more real your body and mind made it. As with the example, visualization isn’t all just about seeing the lemon but about feeling it, thinking about it, even smelling it!
For weight loss, we’ll be focusing on making certain behavioral changes a part of your life. The better that you can visualize yourself doing and living those behavioral changes, the easier it will be for you. Just like your body prepared for the lemon (by salivating), your body will literally prepare itself for the exercise and diet changes. The changes will seem more natural, less stressful, and more realistic for you. The more you see yourself living a certain way, the more likely you’ll be willing to follow through with that new lifestyle and the more resistant you will be to reverting back to the old lifestyle.
Hypnosis helps visualization by drawing attention away from the outside world and towards your internal mind. When you’re not focusing on the outside world, it’s a lot easier to focus on anything, be it a lemon or a thinner you sometime in the near future.
As an example, to help the walking process along, I often use the following passage: It’s as if you can imagine yourself in the future, a few months from now, walking every day. While you watch your favorite TV show you’re walking. When you’re typing, you can see yourself walking. I wonder how it would feel? How surprised would you be to feel that sense of walking, feeling very comfortable as if you’ve been doing it your whole life? It’s just like you can imagine yourself a few months, even a few years from now walking and looking back on today as the start of all of that? It’s as if you’re right there, right now, feeling those feelings. Walking at a pleasant pace. The magic is when you’re walking but you’re just really focused on that TV show. Next thing you know you’ve looked down and you’ve been walking two hours! But I bet the real magic is when you feel this as just routine, just something you do everyday, just a complete part of your life.
Notice the sensory words. And think of the goal, not just doing the walking, but having it as simply a part of who you are.
In essence, you can think of dissociating as a mental detachment from the bad things about exercise or weight loss and the visualization as emphasizing the positive. To use a technical, 4-dollar word, we use hypnosis to habituate yourself to the new lifestyle.
There you have it, a brief foray into just what hypnosis is (and isn’t). A longer essay is available below. You can also contact me with any questions you may have or visit my other website to explore my clinical focus on weight loss/management.
What Is Hypnosis (The Longer Version)
This started as a blog entry and morphed into an article. It represents my own model by which I relate hypnotherapy, psychotherapy, and the laundry list of issues that correspond to anxiety, addictions, and phobias. It may answer a few common questions I'm often asked about hypnosis and hypnotherapy, though it centers more on theory than applied practices. Enjoy! Let me know if you have any questions about this writing.
Chapter 1: What Hypnosis is (and is not).
Chapter 2: Evolution and Behavior
Chapter 3: Evolution of the Sub-Conscious: the Secret Service Agent
Chapter 4: Hypnotherapy: Negotiating with your Agent
Chapter 5: Conclusion
References: Research Links For More Information
Chapter 1: What Hypnosis is (and is not)
One of the perks of being a hypnotist is that it's always a good conversation starter. It's one of those occupations like a doctor, flight attendant, or car salesman that everyone seems to take an interest in. Invariably, the conversation either ventures towards "I can't be hypnotized" or "you're not going to hypnotize me, are you?" Maybe it's Hollywood, or all the stage hypnosis performances, or maybe it's just our human nature that we all have the concept of a mystic with special powers when we think of a hypnotist.
Sorry to disappoint, but the hypnotist or hypnotherapist has no special powers. Believe me, no one was more disappointed to learn this then I was! When you think about the position of a hypnotist in our society, it's pretty clear that there's nothing incredibly mystic or powerful about what we do. After all, if I could make a person do what I wanted exactly when I wanted it, against that person's will, would I be here typing this now? I'd probably be relaxing in a mansion on my own private island or working through the government bureaucracy to figure out if we really did make contact with aliens, or at least figure out just what the hell that black smoke is on "Lost." As it stands, I'm like every other red-blooded blue state American out there, who happens to help people quit smoking, resolve their panic attacks, and feel better about flying in an airplane. I could never get a person to reveal their innermost secrets or do anything else against their will, and this concept is of particular importance in hypnotherapy as we'll see in the next few chapters.
The only thing mystic about being a hypnotist is the ability to capture everyone's attention when you explain what you do.
What hypnosis is (at least, to me) is a way of communicating that will lead someone to do what is in their nature to do, or what they really want to do. Think of two people having a discussion. A big part of the conversation is the gesturing: placing a hand on the other person's arm, moving your hands to indicate size, raising your eyebrows to show interest. It doesn't really change the content of message but it helps the message go through. Hypnosis works the same way. The hypnotherapist has a message structured in a way that, by human nature, the person hearing it will more likely listen to and accept. In the same way that using a gesture helps communicate a given message, giving a particular message while the recipient is relaxed in a particular manner helps communicate that message, especially if that message is designed for the sub-conscious, a topic we'll explore a little later in the next few chapters.
Remember, though, that like a person gesturing, the hypnotist's message will be accepted based primarily on the content of the message. A car salesman who is able to gesture will sell more cars than a salesman who cannot, but neither will be able to sell a tricycle for a million dollars. If a person could, you'd probably know about it already. We would all have tricycles and there would be a few extremely wealthy car/tricycle salesmen.
If hypnotists could make people do things against their will, wars would be fought and won based upon who had the most powerful hypnotists.
Like gesturing, everyone can be affected by hypnosis, whether they believe it or not. In fact, to say that a person can't be hypnotized is as ridiculous as saying a person can't be affected by a person's gestures. As humans, we're simply geared to respond to a given stimulus in a given fashion. For example, try not to yawn. Scientists have been exploring why people yawn and they think that yawning may be due to the bodies need for oxygen. Others believe yawning is a social vehicle to communicate a sense of readiness. Did you know both humans and primates are more likely to yawn around others, especially familiar people?
Now, what happened there? If you were like virtually everyone else, you yawned. In essence, that's analogous to hypnosis. The message to yawn was not a direct, conscious message, yet it was accepted. It's similar to the statement "don't think about a purple elephant." What do you think a person would then think of when they close their eyes? Nothing eerie or mystical, just human nature.
Using the same type of strategy, a hypnotist can bring people to relax and experience the sense of hypnosis. A meta-analysis of hypnotic suggestibility (a fancy way of saying a study that looks at a bunch of studies for general conclusions) shows that there are only three groups that generally cannot be hypnotized: those that are psychotic, inebriated, or have an IQ below 70. Apart from that group, virtually everyone responds to the visual or yawning cue and virtually everyone can experience hypnosis in some form or another. It may take a longer for some people, but it can happen.
Like yawning, hypnosis is a process that people naturally experience from time to time. Everyone can do it, it feels good, and at the end it's both relaxing and energizing!
A few people don't think they can be hypnotized because they have difficulty relaxing. I hear this all the time, especially when my clinical focus is with anxious, high functioning people! Rest assured, if you're able to relax enough to fall asleep, you can relax enough to experience hypnosis. And as we'll see later, it's not terribly important to have a deep level of relaxation to experience (and derive benefit from) hypnosis.
Even though nearly everyone can be hypnotized, by and large a message given to the sub-conscious during hypnosis will only be accepted by the sub-conscious if both the conscious and sub-conscious agree to it. In other words, a message will only be accepted by the sub-conscious (the part in charge) if and only if the sub-conscious wants to accept that message. We will get to the distinctions between the conscious and the sub-conscious in short order. For now, let's look briefly at what I do during a stage hypnosis show to better understand just what I'm talking about here.
In short, during my stage hypnosis show, I introduce myself, explain how stage hypnosis works, ask for volunteers, hypnotize them, dismiss the people who aren't hypnotized, and then do fun things with those who are hypnotized, such as make them forget the number 6 or pretend to be school children cheating on a test.
Stage hypnosis shows are a great way to educate the public about hypnosis, to undo the damage cause by movies about hypnosis!
I first started doing stage hypnosis shows as a favor for a friend who wanted some entertainment at his party. Then I did a few shows at various toastmaster events, then corporate shows, and now, a hodgepodge of various shows and events.
I was hesitant at first to do the shows: I knew they would be entertaining but would they add to the public's misconceptions about hypnosis?
After a bit of soul searching, I came to realize that most people already have misconceptions about hypnosis, mostly from watching movies and TV shows. My show could be a way to both entertain people and explain to them the reality of hypnosis. Today, I find that most people leave my show with a better understanding of hypnosis and people who have been thinking about hypnotherapy or psychotherapy find me more approachable and more relatable than if I were to just give a straight lecture on hypnosis or psychotherapy (which most wouldn't attend, anyway).
Every psychologist should work to educate the public about psychology. Stage hypnosis shows allow me to explain and demonstrate an aspect of human nature and entertain people at the same time.
Of my whole show, people are most fascinated by me leading people to forget the number 6. When I do this skit (typically early in the show), people really start to think "holy crap, he's really got them hypnotized." After all, anyone can pretend to feel hot/cold and most people can imagine petting an imaginary pet on their lap and will go along with it. But the look on a person's face when he or she can't say the number 6 or counts 11 fingers on his or her hands is hard to fake.
Seeing this skit, people tend to think one of three thoughts:
1 "If he can make a person forget the number 6, he could turn me into his slave! OMG!"
I'm able to make a person forget the number 6 because their sub-conscious doesn't have a problem with forgetting that number. The mind knows it's a show and that it won't last forever. The moment I would instruct someone to do something they don't want to do, they'd simply ignore me and/or come out of hypnosis. Again, if I could turn people into my personal servants, I'd drive a much fancier car.
2 "If he can make a person forget the number 6, maybe he can make me forget about my ex-boy/girlfriend"
The effects of any skit end either when I instruct them to forget the suggestions or they cease to be relaxed. I can (and often do) give positive affirmations (e.g. notice how you can use the feelings of relaxation you're feeling right now to help you fall asleep at night...) but they are only accepted if they do not interfere with the agenda of the sub-conscious or do not threaten the sub-conscious. Completely forgetting about a bad relationship typically does both. Sorry. The best I can do is bring a person to feel better about the relationship and help them build relationship skills so that the past mistakes are repeated in the future.
It's much easier to have a person genuinely forget the number 6 for an evening than to create long term change.
3 "If he can make a person forget the number 6, and then dies (a la office space), they'll never be able to count to ten again."
In reality, Mr. Carmichael III would have snapped out of it and would have been instantly functional.
Whenever I start a show, I always explain that the show is safe and that the show is an opportunity for volunteers to experience hypnosis, have fun, and learn about themselves. Those who volunteer s have the mind set that this is all about having fun and experiencing something new. So their sub-conscious will give them carte blanche, so long as it's just for the show.
Now that we've cleared some of the misconceptions about hypnosis, we have one last important topic to explore briefly before we can get to what the sub-conscious is and how it can be affected through hypnosis. Actually, due to our rather limited understanding about the human brain and the human mind, no one really knows for sure what the sub-conscious is or how it interacts with our conscious awareness, or even if the two are completely distinct. All we have now are models that seems to match the data and the observations. The particular model I use that works well for my clients and myself (individual results may vary) can best be explained in the next chapter through a concept known as evolutionary psychology. Bear with me: I promise to keep the jargon and psycho-babble to a minimum!
Chapter 2: Evolution and Behavior
In biological evolution, the eye develops first as a bunch of cells that can detect light. A few organisms develop this ability, they can then detect a predator better than the organisms who lack these light-detecting cells, and they are eaten less than those who don't have the light-detecting cells.
They go on to have more offspring, some of whom have even better light-detecting cells who then are even better at survival and having offspring. As this phenomenon progresses through the years (millions and millions of them), the light-detecting cells become more and more advanced through incremental, accumulative steps until they become the eyes and vision system we have today.
Just as evolution has become the backbone of modern biology, evolutionary psychology will eventually become the backbone of modern psychology.
Likewise, in evolutionary psychology, there are behaviors that evolve that still exist today. Eons ago the ancestors to today's modern dog/wolf learned that by working as a team, they could catch much larger prey, and everyone wins. The wolves that worked together the best were the most likely to survive and the most likely to have wolf cubs, who then inherited their parent's ability to work together. The wolf cubs in turn grew up to have cubs of their own, some of whom were even more able to work together. This process repeats itself until you have complicated and hierarchical wolf packs.
The same goes for humans. Our ancestors learned that by working together, they can have a group protection. When one caveman runs out of food, the others will take care of him. You scratch my back, and I'll scratch yours. Those that help each other out are more likely to survive the winter and have more kids, displacing those that don't work together. Millions of years later, we're now all the product of a pack mentality with a social order not very different from wolf packs and monkey tribes (which explains our current state of world politics). So this is how we humans developed a sense of society and social instincts.
Why the history lesson? Well, consider this: cigarettes, red meat, cars, and guns all combined kill millions of people every year. Yet what are people most afraid of? From what I've seen, snakes, spiders, fear of flying, heights, and performance. Very, very few people die of spiders bites, there are very few plane crashes, and no one is going to die from a botched graduation speech. Shouldn't a person fear lighting a cigarette or eating a hamburger much more than handling a harmless spider or addressing a large audience?
The phobic responses we experience today are a reflection not of our modern life but our ancient, ancestral past.
As we see, our phobia profile doesn't make sense except in light of evolutionary psychology. Humans have been around for between 100 to 200 hundred thousand years. For most of this time, it made perfect sense to fear tall cliffs, wild animals, and being kicked out of a tribe (where you'd have to hunt on your own and would probably die). But there is something else. It would be very important to listen to your parents and develop any phobias that your tribe might have. It would also make sense to be more fearful than necessary.
To better illustrate this, let's say there are two caveman tribes. In the Eastern tribe, children develop all the phobias their parents have. If the adults fear a particular snake, the children fear a particular snake. If adults are concerned about being accepted by everyone in the tribe, so are the children. In the Western tribe, the children don't have such concerns at all. They happily touch any snake they find. They do whatever they want, even if it means being kicked out of the tribe. Eventually, the Eastern tribe thrives and the Western tribe flounders. Why? Kids in the Western tribe would be bitten by venomous snakes, eaten by bears, and run out of town. The Western tribe would slowly lose its population and become extinct. The Eastern tribe, meanwhile, has kids who are safe and conservative. They will grow up to have children of their own, who inherit their safe and conservative nature.
We are all the result of the Eastern tribe. The humans in the past who were the most fearful, anxious, and conservative were often the ones who didn't touch the rattlesnake, run after a bear, or make a fool out of themselves in public. Consequently, they weren't bitten, eaten, or run out of town. They were able to have children, who carried on their genes and behaviors. Behaviors that, ultimately, are geared towards survival[1].
Many mental illness, like physical illness, may have developed in mankind due to a survival benefit in certain conditions. In some environments, it's better to be extra anxious, extra depressed, or even paranoid.
Researchers have conducted studies on young monkeys to see which ones develop a fear of snakes. They took a number of monkeys cubs and showed them adult monkeys terrified by the sight of a snake. All of the young monkeys watching the adults became very fearful of snakes themselves. The researchers then took another group of monkeys and showed them an adult monkey acting very conformably and casually around a snake, maybe even ignoring it. All of the young monkeys in the second group grew up to be very comfortable themselves around snakes[2]. Interestingly enough, they took a third group of young monkeys and showed them a doctored presentation so that it appeared the older monkeys were afraid of a bouquet of roses, yet none of the young monkeys developed a fear of flowers. It would appear as though monkeys were hard wired to easily develop a fear of snakes. A fear of roses, not so much.
From an evolutionary perspective, this makes a lot of sense. Things in the outside world could be 1) completely non-threatening 2) completely threatening and 3) possibly threatening. With the first two categories, generations and generations of evolution has hard-wired certain things and events as either threatening or non-threatening. That's why each and every one of us becomes scared if, while hiking, we run into a mountain lion. It's also why, try as they might, researchers couldn't bring monkeys to be afraid of roses. In the third category, objects that could be threatening, it makes the most sense from a biological or evolutionary standpoint to judge the danger of an object based upon either a) what happens to your parents and society and also b) events in your past. That is why most people who come to me with a fear of snakes or spiders either had a) a parent who was afraid of snakes or b) had a bad childhood experience with snakes.
People who have a fear of flying don't fear the actual airplane or the concept of flying itself. Rather it's the fear of dying, being confined, and about feeling & hearing strange things, all of which are ancestral fears.
Now, compared to heights, wild animals, and social situations, humans have only been around cigarettes, processed foods, and cars for a very short amount of time. Deep down inside, they generally see these things as completely non-threatening. I've never seen a person start to sweat and panic whenever he or she handled a cigarette or a donut. Ah, but what about the fear of flying and the less common fear of driving? Those fears are generally a mix of fears over losing control (an ancient, passed-down concern) and exposure to adults who show a fear of flying. As an aside, as we've spent most of our history living in small huts or villages, we've learned to associate fear with any terrifying accident, no matter how remote. When we lived in villages of no more than 100, seeing a person attacked by a bear means there's a good chance that might happen to you. We developed a rule that if-it-happens-to-one-it-can-happen-to-me. Now, when we live in a global community, one airplane crash is constantly in the news. Our ancient psyche believes: If a few people died in an airplane crash, it can happen to me! Even though the chances of actually dying in an airplane crash are very very slim.
So, to reiterate, much of human behavior can be explained as evolved behavior that originates from our ancient history as caveman. John Gray's "Men are from Mars, Women are from Venus"[3] explores this concept as it relates to relationships between the sexes. As it turns out, evolutionary psychology can also help explain the concept of the conscious and sub-conscious mind.
Chapter 3: Evolution of the Sub-Conscious: the Secret Service Agent
The human body operates in such a way that a vast majority of our bodily functions happen in an involuntary manner. In other words, we don't know most of what is going on in our body. We don't think about digesting breakfast, or making hormones, or figuring out when we need to use the restroom. There's a part of our brain that controls all these functions for us and just lets us know when to do what by sending us feelings, urges, and memories. In other words, there's a program that tells us when to eat, breath quickly, blink, yawn, and feel excited.
The sub-conscious is the part that does all the automatic things we do. The sub-conscious's main goal is survival. It communicates with us by producing impulses & feelings.
One of these programs exists to let us know when we need to be concerned, be anxious, or be scared. That's why when you see a cougar while hiking, you don't have to decide to be scared witless; it happens automatically.
This part of our mind that has all these programs is commonly referred to as the 'sub-conscious' by the psychological community. Here, in my model, I like to refer to it as your secret service agent.
Let's pretend that each one of us has a part of our mind that works like a Secret Service Agent. Suppose I'm hiking, and I'm thinking about my hometown, or what's for dinner, or maybe I'm talking with a friend. As soon as I see that mountain lion, my Secret Service Agent takes over. That part of my consciousness alerts me, and I feel anxiety. I either freeze, grab a rock, run, or yell. Once I'm safe, the Secret Service Agent goes back into the depths of my psyche, and I'm free to enjoy the rest of my day, (assuming of course I don't require a change of underwear).
The part of the sub-conscious that is involved with self-protection is referred to as the secret service agent. Like it's counterpart in the real world, it doesn't bother us unless it feels threatened.
There are three rules that the secret service agent lives by. Understanding these rules is an essential step in using hypnotherapy to achieve lasting change.
Rule Number 1: The Secret Service Agent Always Wins.
Remember how the Eastern tribe always listened to their parents? The Eastern tribe also always listened to their Secret Service Agent. They survived. We're all a product of that tribe. That is why when you see a mountain lion, you will become scared, unless your Secret Service Agent knows in advance it's okay (e.g. you're at a zoo, you have a gun, the mountain lion is running away from you, the mountain lion is stuffed on display at a museum). If you ever saw a mountain lion ready to attack you and you decided that you were going to remain calm as it mauled you, you would fail. In a battle between your will ("I think I'll stay calm") and your sub-conscious/Secret Service Agent ("we have to run or we'll die"), the desires of the secret service agent always trump the will. Otherwise the human species would have gone extinct long ago.
Now, of course, it's is a bit more complicated than that because we are social creatures. Suppose there were two other tribes: Northern and Southern tribes. The members of the Northern tribe only cared about their own existence. The members of the Southern tribe cared about their own existence and the existence of others. The Northern tribe would soon die out because their kids would not be taken care of. Meanwhile, if something bad happens to one member in the Southern tribe, the other members of that tribe will provide assistance, knowing that their efforts will be reciprocated. Again, you scratch my back, I'll scratch yours. The Southern tribe does well, grows bigger, and we are all now products of the Southern tribe. That's why people will risk their lives to help others and have very strong attachments to children. The groups that do so outlive and displace those that do not.
The goals of the secret service agent include both staying alive and remaining a member of society.
The sub-conscious stores all of those ancient programs that helped us survive and pass on our genes: the program to help our children, the program to help others catch food, the program to feel thirsty when there's not enough water. The secret service agent is a part of the sub-conscious that deals with protecting you from threats of harm. It's M.O. is anxiety, and, by and large, it is this secret service agent that runs the show in our lives. If the Secret Service Agent feels that you should fear all snakes and you (the conscious you, the one reading this text) feel that you should not have a fear of snakes, well then, congratulations, you have a fear of snakes. The Secret Service Agent will provide all the anxiety and fear it takes to simply overpower the will.
Rule Number 2: The Secret Service Agent is Stuck in the Stone Age.
Let's suppose there is a couple: Laura and Jim and for whatever reason, Laura and Jim are not interested in having children, only enjoying each other's company. Perhaps they are even past the stage of being able to conceive. Why, then, are Laura and Jim still interested in having sex, still enjoy sex, and are still attracted to each other based on physical appearance? These all seem to be directly involved in having children, which neither apparently wants anyway. The answer is: we all have ancient programs designed to be attracted to that which enables us to bear young. That is why we feel attraction based mostly upon having healthy children and being able to provide for them, even if having children isn't involved in the conscious equation at all. This is also why a homosexual male will be attracted to another homosexual male based upon the ability of the target male to have children[4], which doesn't make any sense. This also explains why men, both straight and gay, will tend to pick the attractive-yet-shallow person and women tend to pick the strong jerk. The man may be an jerk, but he can do a good job protecting her and her kids. Even if that last statement is objectively untrue in today's world, there's still that ancient program that operates this way. In the ancient world, the strong jerk was better at protecting the girl from other people/predators than the 'nice guy,' and girls who were attracted to the strong jerk were more likely to survive and have children who survived than the girls attracted to the nice guy. It's unfortunate but we evolved that way.
Most of human behavior can be traced to that behavior being beneficial when we were cavemen.
As we can see, this program of mate selection has some real faults in modern times. But back in the stone age, it worked quite well. Likewise, our current list of common phobias--fear of snakes, spiders, loss of control, social situations, makes little sense nowadays, yet worked quite well in the past. What this boils down to is the sad, simple fact of life that a majority of our sub-conscious mind is stuck in the stone age.
The Secret Service Agent is designed to protect us. Unfortunately, it's not particularly proficient in the modern world. It doesn't understand that we have nothing to fear of snakes or flying. It doesn't understand that there is no risk of running out of food or that smoking is unhealthy. It only understands that Mom freaked out when she saw a snake years ago, or that a huge plane crash occurred three years ago. The Secret Service Agent doesn't really understand statistics--statistics have only been around a few hundred years. Statistics are the realm of the modern, conscious mind.
Consider smoking. If there exists inside of us a program designed to protect us from harm, shouldn't that program care most about cigarettes? Shouldn't we all have nicophobia, a fear of smoking? Ah, but the Secret Service Agent doesn't understand the concept of 'cancer' or the idea that each cigarette takes a few minutes off your life. Those concepts would be foreign to any cave man and his psyche. Our ancient psyche does, however, understand the need to relax. The need to be 'cool' and accepted around peers. Peers who, if they don't like you, might just reject you. And then, who's going to help you when you need to find food?
Our sub-conscious is here to help us out. Unfortunately it doesn't realize that what's helpful in caveman times can be counter-productive in modern times.
So we combine rule one with rule two. On a conscious level, you want to quit smoking. On a sub-conscious level, smoking means you have social support and a chance to relax. The modern concept of slight, statistical degradation of health vs. the ancient concept of social belonging and relaxation. The sub-conscious will generally win. The secret service agent, in doing what he thinks is best, will generate the anxiety so that the conscious mind eventually lights the next cigarette. But it's not all bad news...
Rule Three: The Secret Service Agent Wants to Help You and is Willing to Change.
Suppose you (your conscious self) wants to fly. Wants to be able to travel in an airplane. Your Secret Service Agents believes that if you fly you'll give up control and giving up control is bad. So it delivers anxiety whenever you think of flying.
Now, is this Secret Service Agent trying to hurt you? Nope. Quite the contrary: it's there to help you, to protect you. The problem is rule number 2--it doesn't realize you're living in the modern world.
Here's another analogy to illustrate this point. Let's pretend your job is to protect the Queen of England. You're paid thousands of dollars each week to protect her and nothing is more important than her survival. You are her Secret Service Agent. She wants to fly to some strange country in the middle of Africa. You really have no idea about the relative safety of counties in Africa. Is the country safe? Dangerous? Do they love her or want to kidnap her [5]? You don't know. What would you do? Probably keep her from flying. Hold her back. Are you doing this to hurt her? Harm her? No! You just want to protect her.
Our secret service agent will create anxiety to prevent us from doing something it thinks could cause us harm. Because we know that activity won't cause any harm, we assume that secret service agent is committing sabotage. But the truth is that the secret service agent means well, it simply doesn't understand that the activity in question is harmless or beneficial.
Now, let's pretend the Queen of England turns to you and says, "the place I want to go to is very secure, they all love me there, all the world leaders go there and are perfectly safe--I myself have been there not 5 years ago and they loved me and nothings changed." All of a sudden, you would might have no problem letting her go.
Our own Secret Service Agent works the same way. Let's say as a child, Ruth saw her mother run scared from a garden snake. The ancient program of 'be afraid of what scares your parents' kicks in and, thanks to rule number 2, Ruth has a fear of snakes. Maybe as an adult Ruth even tried to approach a snake aquarium one day in a pet store but, thanks to rule number 1, she lost her nerve. Ruth's secret service agent honestly believes that any snake --even a garden snake -- is a threat. However, if there was a way Ruth could communicate with her Secret Service Agent, that part of her mind would gladly oblige her request, and she would steadily feel better about snakes.
The only problem then, is how to communicate with that Secret Service Agent. Even when the pet shop employee tells Ruth the snake is safe, that it couldn't hurt her if it wanted to, Ruth's secret service agent doesn't listen, doesn't understand. Even when Ruth herself tells herself -- over and over again -- "don't worry, it's just a harmless snake," the Secret Service Agent doesn't seem to listen. There has to be a way, a means, to communicate between Ruth and her Secret Service Agent.
Hypnosis provides that communication.
Hypnosis creates an opportunity to correct the mistaken assumptions about what's safe and what's threatening. It allows you to communicate with your secret service agent
Chapter 4: Hypnotherapy: Negotiating with your Agent
To understand how hypnotherapy works and how this communication occurs, we must first understand a very popular type of therapy in clinical psychology known as 'cognitive-behavioral therapy' or CBT[6]. Cognitive Behavioral therapy is a therapy that helps through a combination of -- you guessed it -- cognitive and behavioral therapy.
An example of behavioral therapy is eliminating a phobia through systematic desensitization. It's a fancy way of saying, "experience a small part of your phobia until you're comfortable, then add more and more elements of the phobia until you're able to handle the snake, or fly in the airplane, or do whatever you couldn't do before." First, Ruth would see a picture of a snake. She might feel nervous at first, but if she looks at it enough, she'll begin to feel more and more relaxed. Then, she'll see a movie of a snake. Again, she'll feel nervous but then calm down progressively. Stage eight through ten might be handling a live, albeit harmless snake with a very happy and relieved Ruth.
How hypnotherapy work as well as how CBT works can all be understood through the secret service agent metaphor.
How does this work in terms of the Secret Service Agent? Let's say the Queen of England wants to travel to Chad, a nation in Africa, but the Secret Service Agent refuses. The Secret Service Agent may instead let her fly to the Canary Islands, right off the coast of Africa. They all go, and see that she's well received. Next, they fly to Madagascar. Again, at first the Secret Service Agent is concerned, but he sees everything goes well, so he relaxes. Next, a trip to South Africa and finally the trip to Chad[7].
Cognitive therapy relates to amending the Secret Service Agent program through conversation rather than action. There are some problems better addressed through behavioral therapy (e.g. specific phobias) and others better addressed through cognitive therapy (e.g. generalized anxiety). That's why psychologists use both.
If behavioral therapy is brining the Secret Service Agent along to progressively safer nations, cognitive therapy would be sitting him down for a little chat, and questioning his rational. As we can see from Rule number 2, the rational of the Secret Service Agent is quite bizarre in this day and age, but from rule number 3, he's open to reason. In addition to bringing the Secret Service Agent along as he and the Queen travel, the Queen also gives him lots of information about how safe the countries are. She makes him aware of the Queen of Scotland and the Prime Minister's recent visit to Chad and how well they were received. She challenges his perceptions of their safety, pointing out when they are contradictory and when evidence disproves them.
With Ruth, she wants to fly but is scared of turbulence. Her Secret Service Agent doesn't know what the hell turbulence is. As far as he's concerned, it means that Ruth is out of control. He hates it when Ruth is out of control because the last time she was out of control, she was hurt. And this time she might not make it out alive. He is also not very familiar with the feelings of turbulence and he knows that unfamiliar feelings are generally dangerous.
First, Ruth learns that turbulence is simply air-pockets in the sky. Most flights experience turbulence. It's the equivalent of pot-holes making a bumpy ride on the road. She is challenged to consider if every time turbulence occurred, an airplane would crash, so as to see how ridiculous that idea is. She gathers evidence of who in her life has experienced flights with turbulence and lived to tell the tale. Ruth then considers how, even with pretty strong turbulence, the stewardess still serves drinks and reads books and talks with other stewardesses. Finally, Ruth relates flying to gaining a level of control, through realizing how much effort the airlines, the pilots, and the mechanics put into protecting her and her flight. If all goes according to plan, she feels much better about flying.
So, where does hypnosis come into play?
Hypnotherapy seems to accelerate cognitive-behavioral therapy. In essence, it acts as a virtual reality environment for behavioral modification and serves as a gateway for cognitive restructuring[8]. Allow me to explain: As anyone familiar with pop-psychology knows, the human brain has a difficult time telling the difference between something imagined and something really happening. That's why the basketball team that imagines playing often performs as well as the basketball team that physically practices[9].
Hypnotherapy facilitates the body's ability to relax and the mind's ability to visualize, two key elements of behavioral therapy and cognitive therapy, respectively.
With hypnotherapy, pretending to be in a situation where a person is usually anxious and instead feeling relaxed will generally bring that person to feel more relaxed when that situation later occurs. This is known as imagined exposure. Essentially, you don't necessarily have to physically take small, incremental steps towards phobia desensitization, you can simply imagine them. If you were to imagine yourself experiencing turbulence and feeling relaxed in that process, that may just be enough for the Secret Service Agent to understand turbulence is nothing to get excited over.
Now, hypnosis facilitates this process in two ways. First, through guided imagery, a person is generally better able to imagine a particular environment. No one really knows why for certain, but feeling very relaxed, breathing deeply, and feeling connected tends to boost imagery and sensory abilities compared to when we're simply around walking and talking. Second, the transference of calmness and relaxation that is directed towards the phobic response (in this case, turbulence) is made easier the more relaxed and calm the person is. It also means that rather than starting each level of phobic response with heightened anxiety and working towards relaxation, the mind stays rather relaxed and tends to stay that way. This way, you don't have to 'face your fears' from the context of strong anxiety that gradually abates. Each new level of phobia elicits a very manageable feeling of anxiety.
In order to resolve a phobia you don't need to experience a tremendous amount of anxiety; the whole process involves small, manageable steps.
A person with a fear of snakes might start systematic desensitization with a picture of a snake. Seeing a picture in real life would elicit a sense of anxiety, which then slowly dissipates. This level of anxiety is generally manageable, but no one exactly looks forward to it. On the other hand, we can place that person into a deep level of relaxation and then have that person imagine seeing a picture of a snake. In this instance, the person tends to stay relaxed throughout the whole activity and the results are usually the same: a resolution of the phobia.
Before we go into cognitive therapy, let's recap using the model of the Secret Service Agent. In our example with the Queen of England, we're taking the Secret Service Agent to progressively more unfamiliar countries in Africa, showing him that it is indeed safe. Hypnosis in this model would be putting a sleep mask over his head and simply telling him that we're visiting all these countries and informing him that the Queen is in safe keeping. He assumes what you're saying is true. Plus, with the brown paper bag on, he's not as likely to become excited. Now of course, in real life, no security guard or Secret Service Agent worth his salt would go along with this nonsense, but apparently the pathways of sensory imagery (what you see with your eyes) and perception imagery (what you simply imagine) use the same neurons when interacting with the brain. So it is okay to imagine an airplane flight or a garden snake rather than actually having to sit in a plane or handle a snake. Call it a neurological loophole.
Hypnosis seems to enhance the ability to imagine events and visualize responses.
How does cognitive therapy fit into all of this? Again, it's reasoning with the Secret Service Agent. If we could only sit down and reason with this fellow, we could explain how smoking is bad, planes are good, and snakes are generally mellow. Cognitive therapy works by reasoning with the Secret Service Agent. Hypnotherapy seems to enhance this effect. To show why this is so, let's again look back upon the evolution of the agent.
In the anatomy of the brain, we have the basic, primitive functions located at the very bottom of the brain, and the more advanced parts of the brain building on top. If you make a first with your right hand, that is the reptilian part of the brain: it handles the very primitive functions such as breathing, hunger, and fight-or-flight[10]. If you take your left hand and put it over the right fist, that left hand represents the more advanced functions, which evolved in our far off ancestors, when we were all very small mammals. Lastly, as we evolved into smarter and more social primates until we became human, we added yet more layers. If you had a third hand, you'd place this over the fist and left hand. That is the hand where all the thinking, reasoning, and planning takes place.
Now, what does this all have to do with cognitive therapy and hypnosis? Well, a lot of the gut instincts that get us into trouble live in that left hand. The majority of the Secret Service Agent program developed sometime in between us being a mouse and a human, so the Secret Service Agent exists somewhere halfway in-between the second hand and the third hand. That's why it deals with primitive concerns (e.g. phobias, control, needing food). Meanwhile, we, the conscious half, are stuck in the third hand. Fortunately, both cognitive and behavioral therapy is able to reach this Secret Service Agent, since he's in both hand levels.
Hypnosis is a state of mind halfway between our conscious mind and our deeper sub-conscious. It can serve as a bridge to carry messages and ideas back and forth.
Therapists and researchers have found that when we're in hypnosis, we seem to be better able to reach the secret service agent compared to using cognitive-behavioral therapy alone. Why? When in hypnosis, we're not spending a lot of time in the third hand area. The third hand deals with thinking and planning. By relaxing and using imagery, we use more of the second hand. Imagery and visual sensing evolved before abstract thinking and long-term planning. Remember, we were picking the ripe berries from the rotten ones long before we were planning next year's crops. By relaxing and using imagery (i.e. hypnosis), we're able to leave the domain of the third hand, the conscious functions and drift down to the second hand (we also take this pathway whenever we fall asleep).
As we venture into the more basic levels of our mind, we're better able to access all the programs that exist there. That's why, when you're taking a test and you just know the answer to a question but can't quite remember it, you'll end up thinking of the answer hours later sitting down in your house listening to music. Part of the creativity and memory programs that we have exist in that second hand level. As does much of the Secret Service Agent. Now, do you need to always be relaxed to remember something, be it your short term or long term memory? No, of course not. But it helps. Likewise, you certainly don't need to relax to resolve a phobia or an addiction, but it helps.
Beliefs that feel true yet are irrational tend to become more detached and less intense when they are disputed & challenged during hypnosis.
While you're in this place of relaxation, the reasoning ability of the self (or the hypnotherapist) can be applied to impress upon the Secret Service Agent some new ideas and some new concepts. "Turbulence is just pot holes in the sky." "There is no evidence that smoking is going to make me look cool, it just makes me smell." "It's not the end of the world that my ex cheated on me; I can trust other people." These messages just seem to "stick" better when a person is relaxed and in tune with that deeper level of processing.
Chapter 5: Conclusion
In essence, hypnosis serves as a bridge between our conscious self (the third hand) and the sub-conscious self (the second hand). In the sub-conscious we have the basic, day-to-day programs such as the program to regulate blood pressure, use the restroom, and remember that the adjective proceeds the noun. There are also a few programs for creativity and memory. Hypnotherapy relates to the special program named here, the Secret Service Agent, the one who protects us from harm by shooting up large amounts of stress and anxiety whenever it gets excited.
Usually, this Secret Service Agent does an excellent job keeping us safe. Unfortunately, since this sub-conscious program evolved when we were out hunting woolly mammoths and saber-toothed tigers, the Secret Service Agent program is rather ill prepared to deal with modern life. Our Secret Service Agent seems to think that it's more important to fear snakes than guns, that flying is dangerous but smoking is a-okay, and that if someone hurts us in our past, we better hold on to those feelings for the rest of our lives and never trust men/women ever again.
The sub-conscious will go along with your goals and dreams so long as it knows you'll remain safe.
But the good news is that there are ways to access this Secret Service Agent program. And once we reason with him, he's willing to change how he acts and what he protects us from. Hypnotherapy is, in my humble opinion, one of the best ways to go about this process. By keeping our body in the relaxed state of the sub-conscious while keeping our mind in the more conscious, reasoning state, we can access the sub-conscious and not fall asleep in the process.
Once there, we can either imagine the change that we'd like the Secret Service Agent to make, or point out his inconsistencies. Above all, he's interested in our survival, so making it known that eliminating a phobia, painful memory, or addiction will help keep us healthy and alive is exactly the type of message that should be sent. The job of the hypnotherapist is, then, to guide you in your communication with this agent. To help determine what exactly this agent is protecting you from. To show the agent what it needs to know in order to accept the goals you may have in your life. You may have all sorts of goals in life but your Secret Service Agent only has one: to ensure that you survive. The agent program doesn't want to hurt you and will comply with your ambitions but first it has to know that you won't be killed or hurt in the process of reaching your goals. Once there is that understanding, the anxieties, phobias, addictions, negative memories, and negative thoughts naturally dissipate.
Hypnosis serves as a communication pathway to the sub-conscious. Hypnotherapy is the process of using that pathway to communicate that a positive goal or dream is safe and manageable.
Hypnosis can be considered quite a powerful tool for personal change. Unfortunately, the public perception of hypnosis is of being in a state where you lose control. Quite the contrary, it is a remarkably easy method towards gaining control, control over the ancient programs that seem to run our lives.
When I work with clients or in a group, the first concept I make clear is that the cravings, fears, and anxieties we feel are not from some part of our mind bent on harming us or betraying our goals in life. Indeed, it is simply the product of a confused element in our psyche, stuck in the Stone Age. Knowing that it is there and can be reasoned with is the important first step in resolving these emotions, through the art and science of hypnotherapy.
The End, for now...
Hope you enjoyed this little article/essay here. For further reading about hypnosis, you may want to get this book. To learn more about socio-biology and evolution, consider this very readable classic. Feel free to by get in contact with me with any questions you may have.
References: Research Links For More Information
[1] To learn more about this topic, I highly recomend Richard Dawkins' The Selfish Gene
[2] Mineka S., Davidson M., Cook M. & Weir R. (1984) Observational conditioning of snake fear in rhesus monkeys. Journal of Abnormal Psychology, 93, p. 355-372.
[3] John Gray's book can be found here
[4] Buss, David M. The Evolution of Desire: Strategies of Human Mating. New York: Basic Books, 1994.
[5] This is all hypothetical; I have no idea about the relative safety of countries in Africa.
[6] In the interest of self-disclosure, I am a hypnotherapist now but am in training to become a psychologist (who will then use hypnotherapy) and my orientation in psychology will invariably be Cognitive-Behavioral therapy. To learn more about Cognitive-Behavioral therapy, considering this, this, or this book.
[7] I also use the Queen of England, because, in this day and age, some (most) of my clientele would not be fond of protecting the president; everyone seems to be fond of the Queen.
[8] This is my own take of cognitive-behavioral therapy, which I've developed through my own practice and my own understanding. Individual concepts of CBT may vary, depending upon ones experience with hypnosis.
[9] Von Bergen, C. W., Soper, B., Rosenthal, G. T. & Wilkinson, L. V. (1997). Selected alternative training techniques in HRD. Human Resource Development Quarterly, 8(4), p. 281-294.
[10] It also, apparently, handles car purchases.
Additional Hypnosis Research Sources
Anbar, R. D., & Slothower, M. P. (2006). Hypnosis for treatment of insomnia in school-age children: a retrospective chart review. BMC Pediatrics, 6(23), 1471-1477.
Anderson, J. A. D., Dalton, E. R., & Basker, M. A. (1979) Insomnia and hypnotherapy. Journal of the Royal Society of Medicine, 72, 734-739.
Bakke, A. C. (2002). The effect of hypnotic-guided imagery on psychological well-being and immune function in patients with prior breast cancer. Journal of Psychosomatic Research, 53(6), 1131-1137.
Barbasz, M., Spiegel, D., (1989). Hypnotizability and Weight Loss in Obese Subjects. International Journal of Eating Disorders, 8(3), 335-341.
Batty, M., Bonnington, S. Tang, B, Hawken, M., & Gruzelier, J. (2006). Relaxation strategies and enhancement of hypnotic susceptibility: EEG neurofeedback, progressive muscle relaxation and self-hypnosis. Brain Research Bulletin, 71(1-3), 83-90.
Becker, P. M. (1993). Chronic insomnia: outcome of hypnotherapeutic intervention in six cases. American Journal of Clinical Hypnotherapy, 36, 98-105.
Bolocofsky, D., Spinier, D., Coulthard-Morris, L. (1985). The effectiveness of hypnosis as an adjunct to behavioral weight management. Journal of Clinical Psychology, 41(1), 35-41.
Carmody, T. P., et al. (2008). Hypnosis for smoking cessation: a randomized trial. Nicotine Tobacco Research, 10(5), 811-819.
Carrese, M. A. (1998) Managing stress for college success through self-hypnosis. Journal of Humanistic Education & Development, 36(3), 134-143.
Crasilneck, H.B., & Hall, J.A. (1985). Clinical hypnosis: Principles and Applications (Second Edition). Orlando, Florida: Grune & Stratton.
De Vos, H.M., & Louw, D.A. (2008). Hypnosis-induced mental training programmes as a strategy to improve the self-concept of students. Higher Education, 57(2), 141-154.
Dr. Robert T. London (2003). Hypnosis: underused technique. Clinical Psychiatry News, Oct 2003 v31 i10 p8, citing study by Joseph Barber, International Journal of Clinical and Experimental Hypnosis, 49[3]:257-66, 2001.
Elkins, G. et al. (2006). Intensive Hypnotherapy for Smoking Cessation: A prospective Study. International Journal of Clinical and Experimental Hypnosis, 54(3), 303-315.
Erdelyi, M. H. (1988). Hypermnesia: Effect of hypnosis, fantasy, and concentration. In H. M. Pettinati (Ed.), Hypnosis and memory (pp. 64-94). New York: Guilford.
Ewer, T. C., & Steward, D. E. (1986). Improvement in bronchial hyper-responsiveness in patients with moderate asthma after treatment with a hypnotic technique: a randomized controlled trial, British Medical Journal, 293, 1129-1132.
Fiske, S. (2003). Butt out: Quit smoking. Psychology Today, electronic version. Mar/Apr, 1-2. Hammond, D.C. (1990). Handbook of hypnotic suggestions and metaphors. New York: W. W. Norton.
Gruzelier, J. (2002). A Review of the Impact of Hypnosis, Relaxation, Guided Imagery and Individual Differences on Aspects of Immunity and Health. Stress: The International Journal on the Biology of Stress, 5(2), 147-163.
Gruzelier, J., Levy, J., Williams, J., & Henderson, D. (2001). Self-hypnosis and exam stress: comparing immune and relaxation-related imagery for influences on immunity, health and mood. Contemporary Hypnosis, 18(2),73-87.
Harvey A. G., Tang, N. K.Y., Browling, L. (2005). Cognitive approaches to insomnia. Clinical Psychological Review, 25, 593-611.
Harvey, A. G. & Payne, S. (2002). The management of unwanted pre-sleep thoughts in insomnia: distraction with imagery versus general distraction. Behavioral Research & Therapy, 40, 267-277.
Hasan, Faysal, et. al. Hypnotherapy as an Aid to Smoking Cessation of Hospitalized patients: Preliminary Results. Presented October 22, 2007 at CHEST 2007, the annual meeting of the American College of Chest Physicians.
Hawkins, P., & Polemikos, N. (2002). Hypnosis treatment of sleeping problems in children experiencing loss. Contemporary Hypnosis, 19(1), 18-26.
Holt, J., Warren, L., & Wallace, R. (2006). What behavioral interventions are safe and effective for treating obesity? Journal of Family Practice, 55(6), 536-538.
Hutchinson-Phillips, S., & Gow, K. (2005). Hypnosis as an adjunct to cbt: treating self-defeating eaters. Journal of Cognitive & Behavioral Psychotherapies, 5(2), 113-138.
Hutchinson-Phillips, S., Jamieson, G. & Gow, K. (2005).Differing roles of imagination and hypnosis in self-regulation of eating behaviour. Contemporary Hypnosis 22(4), 171-183.
Iani, C., Ricci, F., Baroni, G., & Rubichi, S. (2009) Attention control and susceptibility to hypnosis. Conscious Cognition, 18(4), 856-863.
Iani, C., Ricci, F., Gherri, E., & Rubichi, S. (2006). Hypnotic suggestion modulates cognitive conflict: the case of the flanker compatibility effect. Psychological Science, 17(8), 721-727.
Iglesias, A. (2003). Hypnosis as a vehicle for choice and self-agency in the treatment of children with Trichotillomania. American Journal of Clinical Hypnotherapy, 46(2), 129-137.
Jaeggi, S. M., Buschkuehl, M., Jonides, J. & Perrig, W. J. (2008) Improving fluid intelligence with training on working memory. Proceedings of the National Academy of Sciences, 105(19), 6829-6833. http://www.iapsych.com/articles/jaeggi2008.pdf
Jensen, M. P., et al. (2006). Satisfaction with, and the beneficial side effects of, hypnotic analgesia. International Journal of Clinical and Experimental Hypnosis, 54(4), 432-447.
Johansson, B., Unestahl, L. (2006) Stress reducing regulative effects of integrated mental training with self-hypnosis on the secretion of dehydroepiandrosterone sulfate (DHEA-S) and cortisol in plasma: a pilot study. Contemporary Hypnosis, 23(3), 101-110.
Kirsch, I., Montgomery G, & Sapirstein G.(1995). Hypnosis as an adjunct to cognitive-behavioral psychotherapy: a meta-analysis., Journal of Counsulting and Clinical Psychology, 63(2), 214-220.
Lang, E. et al. (2006). Adjunctive self-hypnotic relaxation for outpatient medical procedures: A prospective randomized trial with women undergoing large core breast biopsy. Pain, 126(1-3), 155-164.
Levitan, A. A. (1992). The use of hypnosis with cancer patients. Psychiatric Medicine, 10(1), 119-131.
Liossi, C., & White, P. (2001). Efficacy of clinical hypnosis in the enhancement of quality of life of terminally ill cancer patients. Contemporary Hypnosis, 18(3), 145-160.
Madrigal, A. (2008). Forget Brain Age: Researchers Develop Software That Makes You Smarter. Retrieved from: http://www.wired.com/science/discoveries/news/2008/04/smart_software
Nolan, M. (2008). Hypnosis to enhance time limited cognitive-behaviour therapy for anxiety. Australian Journal of Clinical and Experimental Hypnosis, 36(1), 30-41.
Nuland, W. and Field, P.B. (1970). Smoking and hypnosis: A systematic clinical approach. International Journal of Clinical & Experimental Hypnosis, 18, 290-306.
Ost, L.-G, & Wesding, B. E. (1995). Applied relaxation vs cognitive behaviour therapy in the treatment of panic disorder. Behaviour Research and Therapy, 33, 145-158.
Otani, A. (1990). Characteristics of change in Ericksonian hypnotherapy: a cognitive-psychological perspective. American Journal of Clinical Hypnotherapy, 33(1), 29-39.
Pekala et al. (2004). Self-hypnosis relapse prevention training with chronic drug/alcohol users: effects on self-esteem, affect, and relapse. American Journal of Clinical Hypnotherapy, 46(4), 281-297.
Pettinati, Helen M. (Ed). (1988). Hypnosis and memory. The Guilford clinical and experimental hypnosis series. (pp. 64-94). New York, NY,: Guilford Press.
Raz, A., Shapiro, T., Fan, J., & Posner, M. I. Hypnotic suggestion and the modulation of Stroop interference., Achieves of General Psychiatry, 59(12), 1155-1161.
Stanton, H. E. (1989). Hypnotic relaxation and the reduction of sleep onset insomnia. International Journal of Psychosomatics, 36, 64-68.
Sugarman, L. I. (1996). Hypnosis: teaching children self-regulation. Pediatric Review, 17, 5-11.
Taylor, D. N. (1995). Effects of a behavioral stress-management program on anxiety, mood, self-esteem, and t-cell count in HIV-positive men. Psychological Reports, 76(2), 451-457.
Watkins, H.H. (1976). Hypnosis and smoking: A five-session approach. International Journal of Clinical and Experimental Hypnosis, 24 (4), 381-390.
Wickramsekera, I. (2005). The additive benefit of hypnosis and cognitive-behavioral therapy in treating acute stress disorder. American Journal of Clinical Hypnosis. 48(1), 66-67.
Wright, S., Courney, U, & Crowther, D. (2002). A quantitative and qualitative pilot study of the perceived benefits of autogenic training for a group of people with cancer. European Journal of Cancer Care, 11(2), 122-130
