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There are competing theories explaining hypnosis and related phenomena. Altered state theories see hypnosis as an altered state of mind or trance, marked by a level of awareness different from the ordinary state of consciousness.[4][5] In contrast, non-state theories see hypnosis as, variously, a type of placebo effect,[6][7] a redefinition of an interaction with a therapist[8] or a form of imaginative role enactment.[9][10][11]

During hypnosis, a person is said to have heightened focus and concentration[12] and an increased response to suggestions.[13]Hypnosis usually begins with a hypnotic induction involving a series of preliminary instructions and suggestions. The use of hypnosis for therapeutic purposes is referred to as "hypnotherapy", while its use as a form of entertainment for an audience is known as "stage hypnosis," a form of mentalism.

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Hypnosis-based therapies for the management of irritable bowel syndrome and menopause are supported by evidence.[14][15][16][17] Use of hypnosis for treatment of other problems has produced mixed results, such as with smoking cessation.[18][19][20] The use of hypnosis as a form of therapy to retrieve and integrate early trauma is controversial within the scientific mainstream. Research indicates that hypnotising an individual may aid the formation of false memories,[21][22] and that hypnosis "does not help people recall events more accurately".[23]

People have been entering into hypnotic-type trances for thousands of years. In many cultures and religions, it was regarded as a form of meditation. The earliest record of a description of a hypnotic state can be found in the writings of Avicenna, a Persian physician who wrote about "trance" in 1027.[2] Modern-day hypnosis started in the late 18th century and was made popular by Franz Mesmer, a German physician who became known as the father of 'modern hypnotism'. Hypnosis was known at the time as 'Mesmerism' being named after Mesmer.

Mesmer held the opinion that hypnosis was a sort of mystical force that flows from the hypnotist to the person being hypnotised, but his theory was dismissed by critics who asserted that there is no magical element to hypnotism.

Abb Faria, a Luso-Goan Catholic monk, was one of the pioneers of the scientific study of hypnotism, following on from the work of Franz Mesmer. Unlike Mesmer, who claimed that hypnosis was mediated by "animal magnetism", Faria believed that it worked purely by the power of suggestion.[26][27]

Only a handful of Freud's followers, however, were sufficiently qualified in hypnosis to attempt the synthesis. Their work had a limited influence on the hypno-therapeutic approaches now known variously as "hypnotic regression", "hypnotic progression", and "hypnoanalysis".

Erickson had no hesitation in presenting any suggested effect as being "hypnosis", whether or not the subject was in a hypnotic state. In fact, he was not hesitant in passing off behaviour that was dubiously hypnotic as being hypnotic.[46]

But during numerous witnessed and recorded encounters in clinical, experimental, and academic settings Erickson was able to evoke examples of classic hypnotic phenomena such as positive and negative hallucinations, anesthesia, analgesia (in childbirth and even terminal cancer patients), catalepsy, regression to provable events in subjects' early lives and even into infantile reflexology. Erickson stated in his own writings that there was no correlation between hypnotic depth and therapeutic success and that the quality of the applied psychotherapy outweighed the need for deep hypnosis in many cases. Hypnotic depth was to be pursued for research purposes.[47]

Although cognitive-behavioural theories of hypnosis must be distinguished from cognitive-behavioural approaches to hypnotherapy, they share similar concepts, terminology, and assumptions and have been integrated by influential researchers and clinicians such as Irving Kirsch, Steven Jay Lynn, and others.[52]

At the outset of cognitive behavioural therapy during the 1950s, hypnosis was used by early behaviour therapists such as Joseph Wolpe[53] and also by early cognitive therapists such as Albert Ellis.[54] Barber, Spanos, and Chaves introduced the term "cognitive-behavioural" to describe their "nonstate" theory of hypnosis in Hypnosis, imagination, and human potentialities.[49] However, Clark L. Hull had introduced a behavioural psychology as far back as 1933, which in turn was preceded by Ivan Pavlov.[55] Indeed, the earliest theories and practices of hypnotism, even those of Braid, resemble the cognitive-behavioural orientation in some respects.[51][56]

The hypnotized individual appears to heed only the communications of the hypnotist and typically responds in an uncritical, automatic fashion while ignoring all aspects of the environment other than those pointed out by the hypnotist. In a hypnotic state an individual tends to see, feel, smell, and otherwise perceive in accordance with the hypnotist's suggestions, even though these suggestions may be in apparent contradiction to the actual stimuli present in the environment. The effects of hypnosis are not limited to sensory change; even the subject's memory and awareness of self may be altered by suggestion, and the effects of the suggestions may be extended (post-hypnotically) into the subject's subsequent waking activity.[58]

It could be said that hypnotic suggestion is explicitly intended to make use of the placebo effect. For example, in 1994, Irving Kirsch characterized hypnosis as a "non-deceptive placebo", i.e., a method that openly makes use of suggestion and employs methods to amplify its effects.[6][7]

A definition of hypnosis, derived from academic psychology, was provided in 2005, when the Society for Psychological Hypnosis, Division 30 of the American Psychological Association (APA), published the following formal definition:

Hypnosis typically involves an introduction to the procedure during which the subject is told that suggestions for imaginative experiences will be presented. The hypnotic induction is an extended initial suggestion for using one's imagination, and may contain further elaborations of the introduction. A hypnotic procedure is used to encourage and evaluate responses to suggestions. When using hypnosis, one person (the subject) is guided by another (the hypnotist) to respond to suggestions for changes in subjective experience, alterations in perception,[59][60] sensation,[61] emotion, thought or behavior. Persons can also learn self-hypnosis, which is the act of administering hypnotic procedures on one's own. If the subject responds to hypnotic suggestions, it is generally inferred that hypnosis has been induced. Many believe that hypnotic responses and experiences are characteristic of a hypnotic state. While some think that it is not necessary to use the word "hypnosis" as part of the hypnotic induction, others view it as essential.[62]

Joe Griffin and Ivan Tyrrell (the originators of the human givens approach) define hypnosis as "any artificial way of accessing the REM state, the same brain state in which dreaming occurs" and suggest that this definition, when properly understood, resolves "many of the mysteries and controversies surrounding hypnosis".[64] They see the REM state as being vitally important for life itself, for programming in our instinctive knowledge initially (after Dement[65] and Jouvet[66]) and then for adding to this throughout life. They attempt to explain this by asserting that, in a sense, all learning is post-hypnotic, which they say explains why the number of ways people can be put into a hypnotic state are so varied: according to them, anything that focuses a person's attention, inward or outward, puts them into a trance.[67]

When James Braid first described hypnotism, he did not use the term "suggestion" but referred instead to the act of focusing the conscious mind of the subject upon a single dominant idea. Braid's main therapeutic strategy involved stimulating or reducing physiological functioning in different regions of the body. In his later works, however, Braid placed increasing emphasis upon the use of a variety of different verbal and non-verbal forms of suggestion, including the use of "waking suggestion" and self-hypnosis. Subsequently, Hippolyte Bernheim shifted the emphasis from the physical state of hypnosis on to the psychological process of verbal suggestion:

Whereas the older "depth scales" tried to infer the level of "hypnotic trance" from supposed observable signs such as spontaneous amnesia, most subsequent scales have measured the degree of observed or self-evaluated responsiveness to specific suggestion tests such as direct suggestions of arm rigidity (catalepsy). The Stanford, Harvard, HIP, and most other susceptibility scales convert numbers into an assessment of a person's susceptibility as "high", "medium", or "low". Approximately 80% of the population are medium, 10% are high, and 10% are low. There is some controversy as to whether this is distributed on a "normal" bell-shaped curve or whether it is bi-modal with a small "blip" of people at the high end.[80] Hypnotisability Scores are highly stable over a person's lifetime. Research by Deirdre Barrett has found that there are two distinct types of highly susceptible subjects, which she terms fantasisers and dissociaters. Fantasisers score high on absorption scales, find it easy to block out real-world stimuli without hypnosis, spend much time daydreaming, report imaginary companions as a child, and grew up with parents who encouraged imaginary play. Dissociaters often have a history of childhood abuse or other trauma, learned to escape into numbness, and to forget unpleasant events. Their association to "daydreaming" was often going blank rather than creating vividly recalled fantasies. Both score equally high on formal scales of hypnotic susceptibility.[81][82][83]

There are numerous applications for hypnosis across multiple fields of interest, including medical/psychotherapeutic uses, military uses, self-improvement, and entertainment. The American Medical Association currently has no official stance on the medical use of hypnosis. e24fc04721