Marques of Puységur Although Armand-Marie-Jacques de Chastenet, Marquis de Puységur , was a French aristocrat from one of the most illustrious families of the French nobility, he is now remembered as one of the pre-scientific founders of hypnotism (then known as animal magnetism, or Mesmerism) James Esdaile Dr James Esdaile , the eldest son of the Rev. James Esdaile and Margaret Blair, was born on 6 February 1808 in Montrose, Angus, Scotland, is a notable figure in the history of mesmerism. Esdaile married three times John Elliotson John Elliotson was an English physician, born in Southwark, London Jean-Martin Charcot Jean-Martin Charcot was a French neurologist and professor of anatomical pathology. He is known as "the founder of modern neurology" and is "associated with at least 15 medical eponyms", including Charcot-Marie-Tooth disease and amyotrophic lateral sclerosis (Lou Gehrig's disease) Ambroise-Auguste Liébeault Ambroise-Auguste Liébeault is universally acknowledged as the founder of the famous school that became known as the "Nancy School", or the "Suggestion School", (in order to distinguish it from the Charcot and Salpêtrière Hospital-centred "Paris School", or "Hysteria School") and he is considered by many Hippolyte Bernheim Hippolyte Bernheim was a French physician and neurologist, born at Mülhausen, Alsace. He received his education in his native town and at the University of Strasbourg, where he was graduated as doctor of medicine in 1867. The same year he became a lecturer at the university and established himself as a physician in the city Pierre Janet Pierre Marie Félix Janet was a pioneering French psychologist, philosopher and psychotherapist in the field of dissociation and traumatic memory Sigmund Freud Sigmund Freud , born Sigismund Schlomo Freud (6 May 1856 – 23 September 1939), was an Austrian neurologist who founded the psychoanalytic method of psychiatry. Freud is best known for his theories of the unconscious mind and the defense mechanism of repression, and for creating the clinical practice of psychoanalysis for treating psychopathology Émile Coué Morton Prince Morton Henry Prince was an American physician who specialized in neurology and abnormal psychology, and was a leading force in establishing psychology as a clinical and academic discipline. He was part of a handful of men who disseminated European ideas about psychopathology, especially in understanding dissociative phenomenon. He was one of the Clark L. Hull Clark Leonard Hull was an influential American psychologist who sought to explain learning and motivation by scientific laws of behavior. Born in Akron, New York, Hull obtained bachelor's and master's degrees from the University of Michigan, and in 1918 a PhD from the University of Wisconsin–Madison, where he also taught from 1916 to 1929. His Andrew Salter Andrew Salter was the founder of Conditioned Reflex Therapy, an early form of behaviour therapy which emphasized assertive and expressive behaviour as the way to combat the inhibitory personality traits which Salter believed were the underlying cause of most neuroses. In the 1940s, Salter introduced to American psychotherapy a Pavlovian model of Theodore R. Sarbin Theodore Roy Sarbin , known as "Ted Sarbin", was an American psychologist and professor emeritus of psychology and criminology at the University of California, Santa Cruz. He was known as "Mr. Role Theory" because of his contributions to the social psychology of role-taking Milton H. Erickson Milton Hyland Erickson, was an American psychiatrist specializing in medical hypnosis and family therapy. He was founding president of the American Society for Clinical Hypnosis and a fellow of the American Psychiatric Association, the American Psychological Association, and the American Psychopathological Association. He is noted for his approach Ernest Hilgard Martin Theodore Orne Martin Theodore Orne, M.D., Ph.D., emeritus professor of psychiatry and psychology at the University of Pennsylvania, died February 11, 2000 at the age of 72. He was a professor in the School of Medicine for 32 years before becoming emeritus professor in 1996. Born in Vienna, Austria in 1927, Dr. Orne received his M.D. degree from Tufts University André Muller Weitzenhoffer André Muller Weitzenhoffer was one of the most prolific researchers in the field of hypnosis in the latter half of the 20th century, having authored over 100 publications between 1949 and 2004. He was the recipient of several professional and academic awards, including the Distinguished Contributions to Scientific Hypnosis Award of the American Nicholas Spanos Nicholas P. Spanos , PhD, was Professor of Psychology and Director of the Laboratory for Experimental Hypnosis at Carleton University from 1975 to his death in a single engine plane crash in 1994

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Hypnosis is a mental state (state theory) or imaginative role-enactment (non-state theory) usually induced by a procedure known as a hypnotic induction, which is commonly composed of a long series of preliminary instructions and suggestions.[1] Hypnotic suggestions may be delivered by a hypnotist in the presence of the subject, or may be self-administered ("self-suggestion" or "autosuggestion"). The use of hypnotism for therapeutic purposes is referred to as "hypnotherapy The word "hypnosis" is an abbreviation of James Braid's (1841) term "neuro-hypnotism", meaning "sleep of the nervous system"".

The words 'hypnosis' and 'hypnotism' both derive from the term "neuro-hypnotism" (nervous sleep) coined by the Scottish surgeon James Braid around 1841. Braid based his practice on that developed by Franz Mesmer Franz Anton Mesmer , born Friedrich Anton Mesmer, was a German physician and astrologist, who invented what he called magnétisme animal (animal magnetism) and other spiritual forces often grouped together as mesmerism. The evolution of Mesmer's ideas and practices led Scottish surgeon James Braid to develop hypnosis in 1842. Mesmer's name is the and his followers ("Mesmerism Animal magnetism , in its most common usage today, refers to a person's sexual attractiveness or raw charisma. But the term originally uniquely signified an entirely different referent: a supposed magnetic fluid or ethereal medium that resided in the bodies of animate beings (i.e., those who breathe), as postulated by Franz Mesmer. The term" or "animal magnetism Animal magnetism , in its most common usage today, refers to a person's sexual attractiveness or raw charisma. But the term originally uniquely signified an entirely different referent: a supposed magnetic fluid or ethereal medium that resided in the bodies of animate beings (i.e., those who breathe), as postulated by Franz Mesmer. The term"), but differed in his theory as to how the procedure worked.

Contrary to a popular misconception - that hypnosis is a form of unconsciousness Unconsciousness, more appropriately referred to as loss of consciousness or lack of consciousness, is a dramatic alteration of mental state that involves complete or near-complete lack of responsiveness to people and other environmental stimuli. Being in a comatose state or coma is an illustration of unconsciousness. Fainting due to a drop in resembling sleep - contemporary research suggests that it is actually a wakeful state of focused attention[2] and heightened suggestibility,[3] with diminished peripheral awareness.[4] In the first book on the subject, Neurypnology (1843), Braid described "hypnotism" as a state of physical relaxation accompanied and induced by mental concentration ("abstraction").[5]

Contents

Characteristics

Skeptics point out the difficulty of distinguishing between hypnosis and the placebo effect A placebo is a sham medical intervention that produces a placebo effect. In medical research, placebos depend on the use of controlled and measured deception. Common placebos are inert tablets, sham surgery, and other procedures based on false information. In one common placebo procedure, a patient is given an inert pill, told that it may improve, proposing that hypnosis is so heavily reliant upon the effects of suggestion and belief that it would be hard to imagine how a credible placebo control could ever be devised for a hypnotism study.[6]

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

Definitions

The earliest definition of hypnosis was given by Braid, who coined the term "hypnotism" as an abbreviation for "neuro-hypnotism", or nervous sleep, which he opposed to normal sleep, and defined as:

a peculiar condition of the nervous system, induced by a fixed and abstracted attention of the mental and visual eye, on one object, not of an exciting nature.[8]

Braid elaborated upon this brief definition in a later work:

[...] the real origin and essence of the hypnotic condition, is the induction of a habit of abstraction or mental concentration, in which, as in reverie or spontaneous abstraction, the powers of the mind are so much engrossed with a single idea or train of thought, as, for the nonce, to render the individual unconscious of, or indifferently conscious to, all other ideas, impressions, or trains of thought. The hypnotic sleep, therefore, is the very antithesis or opposite mental and physical condition to that which precedes and accompanies common sleep [...][9]

Braid therefore defined hypnotism as a state of mental concentration which often led to a form of progressive relaxation termed "nervous sleep". Later, in his The Physiology of Fascination (1855), Braid conceded that his original terminology was misleading, and argued that the term "hypnotism" or "nervous sleep" should be reserved for the minority (10%) of subjects who exhibited amnesia Amnesia is a condition in which memory is disturbed or lost. Memory in this context refers either to stored memories or to the process of committing something to memory. The causes of amnesia have traditionally been divided into the "organic" or the "functional". Organic causes include damage to the brain, through physical, substituting the term "monoideism", meaning concentration upon a single idea, as a description for the more alert state experienced by the others.

A new definition of hypnosis, derived from academic psychology, was provided in 2005, when the Society for Psychological Hypnosis, Division 30 of the American Psychological Association The American Psychological Association is the largest scientific and professional organization of psychologists in the U.S. and is the world's largest association of psychologists with around 152,000 members including scientists, educators, clinicians, consultants and students and has an annual budget of around $115m. The American Psychological (APA), published the following formal definition:

New Definition: Hypnosis The Division 30 Definition and Description of Hypnosis 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, sensation, 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. Details of hypnotic procedures and suggestions will differ depending on the goals of the practitioner and the purposes of the clinical or research endeavor. Procedures traditionally involve suggestions to relax, though relaxation is not necessary for hypnosis and a wide variety of suggestions can be used including those to become more alert. Suggestions that permit the extent of hypnosis to be assessed by comparing responses to standardized scales can be used in both clinical and research settings. While the majority of individuals are responsive to at least some suggestions, scores on standardized scales range from high to negligible. Traditionally, scores are grouped into low, medium, and high categories. As is the case with other positively-scaled measures of psychological constructs such as attention and awareness, the salience of evidence for having achieved hypnosis increases with the individual's score.[10]

Induction

Hypnosis is normally preceded by a "hypnotic induction" technique. Traditionally this was interpreted as a method of putting the subject into a "hypnotic trance"; however subsequent "nonstate" theorists have viewed it differently, as a means of heightening client expectation, defining their role, focusing attention, etc. There are an enormous variety of different induction techniques used in hypnotism. However, by far the most influential method was the original "eye-fixation" technique of Braid, also known as "Braidism". Many variations of the eye-fixation approach exist, including the induction used in the Stanford Hypnotic Susceptibility Scale (SHSS), the most widely-used research tool in the field of hypnotism. Braid's original description of his induction is as follows:

James Braid's Original Eye-Fixation Hypnotic Induction Method Take any bright object (I generally use my lancet case) between the thumb and fore and middle fingers of the left hand; hold it from about eight to fifteen inches from the eyes, at such position above the forehead as may be necessary to produce the greatest possible strain upon the eyes and eyelids, and enable the patient to maintain a steady fixed stare at the object. The patient must be made to understand that he is to keep the eyes steadily fixed on the object, and the mind riveted on the idea of that one object. It will be observed, that owing to the consensual adjustment of the eyes, the pupils will be at first contracted: they will shortly begin to dilate, and after they have done so to a considerable extent, and have assumed a wavy motion, if the fore and middle fingers of the right hand, extended and a little separated, are carried from the object towards the eyes, most probably the eyelids will close involuntarily, with a vibratory motion. If this is not the case, or the patient allows the eyeballs to move, desire him to begin anew, giving him to understand that he is to allow the eyelids to close when the fingers are again carried towards the eyes, but that the eyeballs must be kept fixed, in the same position, and the mind riveted to the one idea of the object held above the eyes. It will generally be found, that the eyelids close with a vibratory motion, or become spasmodically closed.[11]

Braid himself later acknowledged that the hypnotic induction technique was not necessary in every case and subsequent researchers have generally found that on average it contributes less than previously expected to the effect of hypnotic suggestions (q.v., Barber, Spanos & Chaves, 1974). Many variations and alternatives to the original hypnotic induction techniques were subsequently developed. However, exactly 100 years after Braid introduced the method, another expert could still state: "It can be safely stated that nine out of ten hypnotic techniques call for reclining posture, muscular relaxation, and optical fixation followed by eye closure."[12]

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