PROBLEM: When coupled with the often debilitating side-effects of pharmacological interventions, chronic cancer pain may elicit feelings of anxiety and depression and therefore adversely affect patient well-being and quality of life. PURPOSE: This review article is a systematic assessment of the published literature related to music and cancer pain management. METHOD: A comprehensive systematic evaluation of the data based literature was undertaken and analyzed using matrix analysis. RESULTS: As an adjunctive form of pain management, music therapy has been shown to address some of these hardships by providing patients with an alternative effective means by which to reduce their subjective experiences of pain. Studies investigating the efficacy of music therapy during invasive cancer procedures and chemotherapy demonstrated the role that attention states play in distracting patients from, and therefore minimizing their experience of, the pain associated with such treatments. Other studies examining diverse outpatient populations revealed similar findings, illustrating well the cognitive-affective dimensions of pain perception. Although these findings fail to adequately address the ambiguity surrounding music therapy's role in cancer pain management, music therapy has nonetheless been shown to significantly reduce anxiety and, in so doing, indirectly lessen the intensity of pain while improving patient quality of life.

Hawaii Med J. 2007 Nov;66(11):292-5. Igawa-Silva W, Wu S, Harrigan R. Stanford University, USA.

This case report evaluates virtual reality hypnosis (VRH) in treating chronic neuropathic pain in a patient with a 5-year history of failed treatments. The patient participated in a 6-month trial of VRH, and her pain ratings of intensity and unpleasantness dropped on average 36% and 33%, respectively, over the course of 33 sessions. In addition, she reported both no pain and a reduction of pain for an average of 3.86 and 12.21 hours, respectively, after treatment sessions throughout the course of the VRH treatment. These reductions and the duration of treatment effects following VRH treatment were superior to those following a trial of standard hypnosis (non-VR) treatment. However, the pain reductions with VRH did not persist over long periods of time. The findings support the potential of VRH treatment for helping individuals with refractory chronic pain conditions.

Int J Clin Exp Hypn. 2008 Oct;56(4):451-62. Oneal BJ, Patterson DR, Soltani M, Teeley A, Jensen MP. University of Washington School of Medicine, Seattle, Washington, USA. davepatt@u.washington.edu

Two studies investigated the relationship between mental imagery and hypnotizability, with the imagery measures administered in a hypnotic context. The correlation of hypnotizability with vividness of imagery was significant in one study, but not in the other; both correlations were significantly lower than that obtained between hypnotizability and absorption, assessed in the same samples. The correlations with control of visual imagery, and with various measures of the vividness of motor imagery, were even lower and rarely significant. Except for an aggregate index of motor imagery, a search for significant nonlinear relationships with hypnotizability yielded nothing that was consistent across studies. Future studies of imagery and hypnotizability should make use of better measures of vividness of mental imagery and consider the relevance of aspects of imagery other than vividness.

Int J Clin Exp Hypn. 1995 Jan;43(1):34-54. Glisky ML, Tataryn DJ, Kihlstrom JF. University of Arizona, Tucson.

Little data is available on complementary and alternative medicine (CAM) use in children attending otolaryngology services. We investigated the prevalence and pattern of CAM use among children attending the pediatric otolaryngology department in a tertiary pediatric teaching hospital in Scotland. DESIGN: A cross-sectional survey conducted by administering an anonymous questionnaire to the parents accompanying patients attending the pediatric otolaryngology department. Elective admissions and clinic attendees were included over a 3-month period in 2005/2006. SETTING: Academic tertiary care referral centre in North-East Scotland. PATIENTS: Five hundred and fifty-four consecutive patients aged less than 16 years were eligible. The response rate was 59% (n=327). MAIN OUTCOME MEASURES: Prevalence of CAM use in children. Secondary measures include types of CAM used, indications for use and communication with family physicians. RESULTS: Based on 327 responses, 93 patients (29%) had ever used CAM, 20% within the last year. Commonly used CAM preparations were cod-liver oil, echinacea, aloe vera, cranberry, primrose oil and herbal vitamin supplements. The popular non-herbal CAM included homeopathy, massage, aromatherapy, chiropractic, yoga and reiki. Nineteen percent used CAM for their admission illness. Sixty-one percent of parents thought that CAM was effective and 65% would recommend it to others. Fifty-one percent of parents stated that the family physician was unaware of CAM use by the child. CONCLUSIONS: Despite concerns regarding the efficacy, safety and cost effectiveness of complementary and alternative medicine, its use among the pediatric otolaryngology population is more common than many providers may realize. This has implications for all healthcare workers involved in their care.

Int J Pediatr Otorhinolaryngol. 2007 Nov;71(11):1725-30. Shakeel M, Little SA, Bruce J, Ah-See KW. Department of Otolaryngology, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, Scotland, UK. drshakeel@doctors.org.uk

by Wil Horton, Psy.D.

In keeping up with the research on neuroscience and how the brain works both physically and psychologically, I came across information that is not only fascinating but could be potentially useful to us in the mind/body field. I feel it is important for Hypnotists/NLPers, if we want to be considered scientists of the mind, to not only have a working knowledge of the brain/mind but to stay up on some of the "hard research" that is being done in medicine (neuroscience) and psychology (psychobiology). Let me share with you two recent findings; and then I will share with you how we can use this information.

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Music therapy is an effective complementary approach that can achieve specific therapeutic outcomes in the clinical management of pediatric patients. Growing research on music interventions has generated scientific knowledge about how this modality benefits patients and has formed the basis for effective protocols that can be used in practice. Although it can be challenging to translate research-based protocols into routine clinical care at the bedside, it is essential that music therapy interventions be aligned with evidence-based information and that accepted standards be established by the music therapy discipline to achieve the greatest benefit. The importance of partnerships between nurses and music therapists is emphasized to enhance the success of music-based treatments. This discussion synthesizes research findings that can be used to design pediatric practice guidelines in the application of music therapy.

J Pediatr Nurs. 2007 Dec;22(6):448-56. Stouffer JW, Shirk BJ, Polomano RC. Department of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA 19104, USA.

This study examined correlates of hypnotizability in children that had previously been reported for adults. Forty-two children (ages 7-14) completed the Fantasy Questionnaire (FQ), the Children's Social Desirability Questionnaire (CSDQ), the Zelter and LeBaron (1984) revision of the Stanford Hypnotic Clinical Scale for Children (SHCS:C-R), and the Children's Fantasy Inventory: Absorption and Vividness Scales (CFI: A & V). The nine-item SHCS:C-R yields separate scores for Observed Behavior (OB), and Realness (R), as well as a Total Score (TS). Results indicated significant correlations between SHCS:C-R scores and those for CFI: A & V, and the FQ (r = .42-.53) but not for the CSDQ. On the SHCS:C-R, correlations between R (involuntariness) scores and the above measures were not appreciably different from those found for OB scores. Observations suggested that attitudes towards hypnosis may influence children's hypnotic responsiveness.

Am J Clin Hypn. 1991 Jul;34(1):51-8. Plotnick AB, Payne PA, O'Grady DJ. University of Cincinnati, OH 45221.

Deciding how to choose from opposing options often seriously impacts people's final selections. Such constraining options are frequently associated with feelings of hopelessness, depression, or chronic pain. As an example of such situations, a model is presented with material from a single case that utilized previous contradictory experiences in the treatment of a woman patient who suffers from chronic pelvic pain. The case summarizes how previous experiences, which have been paradoxical, can serve as substrates of behavioral change, which in turn can emerge in a way that allows the patient to integrate these experiences, personally and slowly, without conscious effort.

Int J Clin Exp Hypn. 2008 Oct;56(4):373-83. Tschugguel W, Hunter ME. Department of Obstetrics and Gynecology, Medical University of Vienna, Austria. walter.tschugguel@meduniwien.ac.at

Complementary and alternative medicine (CAM) use by Australians is substantial and increasing, but little is known about its use by the elderly. We here present the findings for the elderly cohort in our recently conducted national survey on CAM use by adult Australians. In May and June 2005, computer-assisted telephone interviews, using random-digit telephone dialing, were employed to gather data on CAM use in the last 12 months. Of 1067 adult participants interviewed, 178 were 65 or older. More than half of these (57.8%; 95% CI, 50.7%-64.9%) had used at least one of 17 common forms of CAM and 60.4% of the CAM users had consulted CAM practitioners. Clinical nutrition, chiropractic, massage therapy, meditation, and herbal medicine were the most common forms of CAM used by the elderly. A higher proportion of the elderly had always used both CAM and conventional medical treatments (37.9%) than had those aged 18-34 (15.7%) and 35-64 (26.9%). Elderly CAM users (60.2%) were more likely than younger users to discuss their use with their doctors. Of those who did not do so, 24.1% were not asked by their doctors and 16.0% considered that their doctor would disapprove. In conclusion, we found that a substantial proportion of older Australians use CAM. The elderly are also more likely than younger adults to discuss their use of CAM with their doctors, but doctors need to play a more active role in initiating such communication.

Ann N Y Acad Sci. 2007 Oct;1114:204-15. Zhang AL, Xue CC, Lin V, Story DF. Division of Chinese Medicine, School of Health Sciences, RMIT University, P.O. Box 71, Bundoora, VIC 3083, Australia. tony.zhang@rmit.edu.au

This randomized controlled trial investigated effects of Transcendental Meditation (TM) practice on Brain Integration Scale scores (broadband frontal coherence, power ratios, and preparatory brain responses), electrodermal habituation to 85-dB tones, sleepiness, heart rate, respiratory sinus arrhythmia, and P300 latencies in 50 college students. After pretest, students were randomly assigned to learn TM immediately or learn after the 10-week posttest. There were no significant pretest group differences. A MANOVA of students with complete data (N=38) yielded significant group vs treatment interactions for Brain Integration Scale scores, sleepiness, and habituation rates (all p<.007). Post hoc analyses revealed significant increases in Brain Integration Scale scores for Immediate-start students but decreases in Delayed-start students; significant reductions in sleepiness in Immediate-start students with no change in Delayed-start students; and no changes in habituation rates in Immediate-start students, but significant increases in Delayed-start students. These data support the value of TM practice for college students.

Int J Psychophysiol. 2008 Sep 30. Travis F, Haaga DA, Hagelin J, Tanner M, Nidich S, Gaylord-King C, Grosswald S, Rainforth M, Schneider RH. Center for the Brain, Consciousness and Cognition, Maharishi University of Management, 1000 North 4th Street, Fairfield, IA 52557, United States.

The present study evaluated the so-called fantasy prone personality by selecting subjects who ranged along the continuum of fantasy proneness and then administering measures designed to assess hypnotic susceptibility (Harvard Group Scale, HGSHS:A; Shor & Orne, 1962), absorption (Tellegen Absorption Scale; Tellegen, 1976), vividness of mental imagery (QMI; Sheehan, 1967), response to waking suggestion (Creative Imagination Scale; Wilson & Barber, 1978), creativity (Barron Welsh Art Scale; Barron & Welsh, 1952), and social desirability (Crowne & Marlowe, 1960). Fantasy-prone (N = 23; upper 4% of college population), medium range (N = 22), and nonfantasy-prone persons (N = 17; lower 4% of population), were selected using the Inventory of Childhood Memories and Imaginings (Wilson & Barber, 1981). Strong support was secured for J. R. Hilgard's construct of imaginative involvement and Wilson and Barber's contention that fantasy prone persons can be distinguished from others in terms of fantasy and related cognitive processes. Fantasizers were found to outscore subjects in both comparison groups on all of the measures of fantasy, imagination, and creativity, with social desirability used as a covariate. Low fantasy-prone subjects were no less creative or less responsive to hypnosis than their medium fantasy-prone counterparts.

J Pers Soc Psychol. 1986 Aug;51(2):404-8. Lynn SJ, Rhue JW.

by Dr. William Horton

Perspective is everything!

Our brain is a vast informational system that has a series of maps. These maps grow as new information and experiences are input into our system. There is much territory around these "maps" in our brains and sometimes our perspective limits the incoming information, therefore constraining our "map". How we feel and think about things happening is a good way to explain what perspective is. Sometimes our perspective on new experiences, tasks or information can guide us in the wrong direction and it is important to make sure that we learn to control our thinking. That way we can handle change in smaller steps, making it more manageable. Smaller and manageable steps make the change seem easier therefore allowing for more confidence and being able to better handle the situation. Go to www.nfnlp.com for more.

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Schizophrenia is one of the most serious mental disorders. Music therapy has only recently been introduced as a form of treatment. The aim of this study was to examine the effect of music therapy for schizophrenic in-patients needing acute care. METHOD: Thirty-seven patients with psychotic disorders were randomly assigned to an experimental group and a control group. Both groups received medication and treatment indicated for their disorder. Additionally, the experimental group (n = 21) underwent group music therapy. RESULTS: Significant effects of music therapy are found in patients' self-evaluation of their psychosocial orientation and for negative symptoms. No differences were found in the quality of life. CONCLUSION: Musical activity diminishes negative symptoms and improves interpersonal contact. These positive effects of music therapy could increase the patient's abilities to adapt to the social environment in the community after discharge from the hospital.

Acta Psychiatr Scand. 2007 Nov;116(5):362-70. lrich G, Houtmans T, Gold C. Rhenish Clinic Bedburg-Hau, Bedburg-Hau, Germany. gunnarulrich@tiscali.nl

The author argues for a common denominator between Bion's view and the Buddhist view of mental development. In both thought systems, mental growth is synonymous to learning from experience. The author closely examines Bion's concept of attention and compares it to mindfulness, a major factor in Buddhist meditation. In both doctrines, attention must be isolated from other mental processes in order to attain learning from experience. The author compares reverie to the state of mind of equanimity. She argues that enhancement of the ability of reverie, or improving the inner container such that it can hold any content while unmoved by desire, is the purpose of Buddhist practice. Both view the mind as capable of transcending its own restrictions and 'the capacity to know anything' as attainable through disciplined practice.

Int J Psychoanal. 2007 Dec;88(Pt 6):1507-26. Pelled E. University of Tel-Aviv, Mane 19B, Tel-Aviv 64364, Israel.

This report is an examination of the perceived need for business skills among chiropractors. METHODS: An online survey was completed by 64 chiropractors. They assessed the need for business skills and current levels of business skills. Using this information, gaps in business skills are identified.

RESULTS: The need for business skills is broad, encompassing all major business functions. Existing business skills are well below needed levels.

CONCLUSION: The chiropractic profession needs significantly greater business and practice management skills. The existing gap between needed business skills and existing skills suggests that current training and education programs are not providing adequate business skills training.

J Chiropr Educ. 2008 Fall;22(2):145-51. Henson SW, Pressley M, Korfmann S. Western Carolina University.

The revised form of the Absorption Scale extracted from Tellegen's Multidimensional Personality Questionnaire (Tellegen, 1981; Tellegen & Atkinson, 1974) and the Short Imaginal Processes Inventory (Huba, Aneshensel, & Singer, 1981), a self-report questionnaire concerned with daydreaming activity, were administered to 2 samples of Ss (N = 479, N = 476), who also received the Harvard Group Scale of Hypnotic Susceptibility, Form A (Shor & E. Orne, 1962). In both samples, hypnotizability was significantly correlated with absorption (average r = .24) and with a subscale measuring positive-constructive daydreaming (average r = .13). Absorption and positive-constructive daydreaming were also highly correlated (average r = .57). Of the subscales of the positive-constructive daydreaming scale, only those relating to positive reactions to daydreaming, and problem solving in daydreaming, consistently correlated with hypnotizability. Daydreaming and absorption each share some features in common with hypnosis, but they appear to have more in common with each other.

Int J Clin Exp Hypn. 1989 Oct;37(4):332-42. Hoyt IP, Nadon R, Register PA, Chorny J, Fleeson W, Grigorian EM, Otto L, Kihlstrom JF.

Since a therapy's full positive effect and possible adverse effects are individual and not predictable for every single patient, scientists have been searching for methods to predict optimal effects of a therapy. This pilot study investigated the applicability of the "kinesiology muscle test" as a prognostic tool regarding effectiveness in a defined therapeutic procedure. Each of 11 test persons with elevated total cholesterol values received a naturopathic drug supposed to lower cholesterol level on a daily basis for eight consecutive weeks. Prior to treatment the "kinesiology muscle test" was performed, where the patients' ability to maintain a flexed position in a selected joint was evaluated. The resistance created by the patient against the tester's pressure was monitored. Being in touch with healthful or unhealthful chemical substances may, according to the kinesiology literature, increase or decrease this resistance. For testing purposes, the drug was placed onto the patients' skin. The ability of the brachioradial muscle to resist the tester's pressure was determined on a subjective scale (0-100%). The Pearson product-moment correlation coefficient between four variables (total cholesterol value before therapy, total cholesterol value after therapy, difference of total cholesterol values before and after therapy, prior to treatment kinesiology testing) was chosen. A significant correlation between the difference of total cholesterol values before-after and the prior to treatment test was found, as well as a significant correlation between the total cholesterol values after therapy and the prior to treatment kinesiology test.

ScientificWorldJournal. 2007 Oct 22;7:1703-7. Waxenegger I, Endler PC, Wulkersdorfer B, Spranger H. ScientificWorldJournal. 2007 Oct 22;7:1703-7. Waxenegger I, Endler PC, Wulkersdorfer B, Spranger H. Interuniversity College for Health and Development Graz, Castle of Seggau, Austria.

Although there is evidence that cognitive behavioral therapy (CBT) is effective in the treatment for fear of flying (FOF), there are no studies that specifically examine which skills taught in treatment are being used by clients after treatment is completed. This study examines whether participants report using skills taught in treatment for FOF after treatment is completed and whether the reported use of these skills is associated with reduced flying anxiety in the face of fear-relevant event, the September 11th terrorist attacks, and over the long-term. One hundred fifteen participants were randomly assigned to and completed eight sessions of individual CBT treatment for FOF. Fifty-five participants were reassessed in June 2002, an average of 2.3 years after treatment. Surveys were also collected from 33 individuals who did not receive treatment for FOF. Results indicated that treatment completers were more likely to report using skills taught in treatment than individuals who had not received treatment. In addition, self-reported use of skills among previously treated individuals was associated with lower levels of flying anxiety. These findings suggest that use of skills taught in CBT treatment is associated with reduced flying anxiety in the face of a fear-relevant event and over the long term.

J Anxiety Disord. 2008;22(2):301-9. Kim S, Palin F, Anderson P, Edwards S, Lindner G, Rothbaum BO. Georgia State University, Atlanta, GA, USA.

This study examined the relationship of 15 trait (e.g., absorption, ego-permissiveness) and 21 phenomenological variables (assessed by the Phenomenology of Consciousness Inventory) with performance on the Harvard Group Scale of Hypnotic Susceptibility, Form A. Factor analyses suggested three trait factors (absorption-permissiveness, general sensation seeking, and social desirability) and five state factors (dissociated control state, positive affect, negative affect, attention to internal processes, and visual imagery). The factors correlated to hypnotizability were absorption-permissiveness, dissociated control, positive affect, and attention to internal processes. In predicting hypnotizability, the amount of variance accounted for by the trait factors was approximately 9%; an additional 22% was accounted for by state factors. The interactions did not account for any additional variance in predicting hypnotizability.

Int J Clin Exp Hypn. 1996 Jul;44(3):232-49. Kumar VK, Pekala RJ, Cummings J. Department of Psychology, West Chester University, PA 19383, USA.

The aim of the study was to determine the clinical and perceived effectiveness of the Sunflower therapy in the treatment of childhood dyslexia. The Sunflower therapy includes applied kinesiology, physical manipulation, massage, homeopathy, herbal remedies and neuro-linguistic programming. A multi-centred, randomised controlled trial was undertaken with 70 dyslexic children aged 6-13 years. The research study aimed to test the research hypothesis that dyslexic children 'feel better' and 'perform better' as a result of treatment by the Sunflower therapy. Children in the treatment group and the control group were assessed using a battery of standardised cognitive, Literacy and self-esteem tests before and after the intervention. Parents of children in the treatment group gave feedback on their experience of the Sunflower therapy. Test scores were compared using the Mann Whitney, and Wilcoxon statistical tests. While both groups of children improved in some of their test scores over time, there were no statistically significant improvements in cognitive or Literacy test performance associated with the treatment. However, there were statistically significant improvements in academic self-esteem, and reading self-esteem, for the treatment group. The majority of parents (57.13%) felt that the Sunflower therapy was effective in the treatment of learning difficulties. Further research is required to verify these findings, and should include a control group receiving a dummy treatment to exclude placebo effects.

Complement Ther Clin Pract. 2007 Feb;13(1):15-24. Epub 2006 Dec 15. Bull L. Department of Education, Brunel University, Twickenham, TW1 1PT, UK. leona@mail.com

The nursing profession is experiencing a crisis in both manpower and the ability to fend off the deleterious effects of burnout. Nursing professionals face extraordinary stress in our present medical environment, and studies have frequently found moderate-to-high levels of burnout among nurses. Nurses experience burnout for a variety of reasons, some inherent to the profession and others related to our 21st-century values that have necessitated multiple breadwinners within the household. Mindful meditation represents a complementary therapy that has shown promise in the reduction of negative stress and those extraneous factors that lead to burnout. A mindful, meditative practice can be another tool with which critical care nurses can regain the control of their careers and personal lives. The purpose of this article is to describe nurse burnout, identify those factors that contribute to burnout, and offer a solution to a continuing problem for nurses.

Holist Nurs Pract. 2008 Jan-Feb;22(1):32-6. Davies WR. University of Phoenix Online Masters in Nursing Education Program, Deborah Clark, Instructor.

Pain may cause physical and emotional distress in children experiencing medical procedures. Complementary and alternative medical (CAM) therapies have become increasingly important in treating children's painful conditions, yet it is still unclear whether CAM has a place in acute pediatric pain analgesia. This review aims to present an overview of the available published evidence. Most research has examined the efficacy of hypnosis, which has emerged as useful in alleviating acute pain associated with a number of medical procedures. Music therapy also has gained some attention and for the most part shows promise in the pediatric acute pain setting. Acupuncture, laughter therapy, and massage also may prove beneficial. Despite the promise of many of these modalities, we conclude that further empirical research into safety and efficacy using well-designed studies and large samples is required before guidelines can be established. In addition, further work is needed in standardizing interventions, creating treatment manuals, and determining treatment efficacy as a function of the child's development, his or her individual characteristics, and the type of procedure the child is undergoing.

Altern Ther Health Med. 2008 Sep-Oct;14(5):52-6. Evans S, Tsao JC, Zeltzer LK. Pediatric Pain Program, Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, USA.

Absorption, a correlate of hypnotizability, is related to a broader dimension of openness to experience, one construal of the "Big Five" structure of personality. But openness itself is very heterogeneous, and some of its facets may be unrelated to hypnotizability. A total of 651 subjects completed a questionnaire measuring three different aspects of openness--absorption, intellectance, and liberalism--before receiving the Harvard Group Scale of Hypnotic Susceptibility, Form A. The three dimensions were only modestly related to each other, and only absorption was significantly related to hypnotizability. Adding intellectance and liberalism to absorption did not enhance the prediction of hypnotizability. The results indicate that the various facets of openness are rather different from each other and that the "Big Five" structure may need to be expanded. Absorption and hypnosis share a kind of imaginative involvement that is not necessarily part of other kinds of openness, such as intellectance and liberalism.

Int J Clin Exp Hypn. 1993 Apr;41(2):112-23., Glisky ML, Kihlstrom JF. Int J Clin Exp Hypn. 1993 Apr;41(2):112-23. Glisky ML, Kihlstrom JF. Department of Psychology, University of Arizona, Tucson 85721.

Edna Clay, cofounder and president of the Mid-South Institute of Neuro Linguistic Programming was born and raised in California. She attended the University of the Pacific where she received her Bachelors Degree in Elementary Education, and then taught second grade in Bakersfield.

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We determined the prevalence and correlates of complementary and alternative medicine (CAM) use among patients with bipolar disorder. Methods: Patients with bipolar disorder recruited from a large urban mental health facility from 2004 to 2006 completed a baseline questionnaire on CAM use, demographics, treatment perspectives, and behaviors. Additional data on current medications and clinical features were ascertained via chart review. Multivariable logistic regression was used to determine the patient sociodemographic, clinical, and treatment factors associated with use of different CAM practices. Results: Of 435 patients, the mean age was 49 years; 77% were white, 13% were black, and 10% other race/ethnicity. Patients reported a wide range of CAM use, including prayer/spiritual healing (54%), meditation (53%), vitamins or herbs (50%), and weight loss supplements (22%). Multivariable analyses controlling for sociodemographic, clinical, and treatment factors revealed that patients of other racial/ethnic groups (other than whites or Blacks), those diagnosed with bipolar spectrum disorders (other than bipolar I disorder), and those prescribed anticonvulsants (eg, valproic acid, carbamazepine), or atypical antipsychotics were most likely to use CAM. Conclusions: A substantial number of patients diagnosed with bipolar disorder is using CAM. CAM use may be popular among patients with this illness because conventional pharmacotherapy for managing bipolar symptoms can also disrupt quality of life. Mental health providers should be aware of CAM use among patients with bipolar disorder and assess the potential impact of CAM use on treatment course.

Psychopharmacol Bull. 2007;40(3):104-15. Kilbourne AM, Copeland LA, Zeber JE, Bauer MS, Lasky E, Good CB. VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center and University of Michigan Medical School; Ann Arbor, MI.

Examination of the absorption (Tellegen Absorption Scale [TAS] of Tellegen & Atkinson, 1974), openness to experience (OTE Inventory of Costa & McCrae, 1978), and anhedonia (ANH Scales of L. J. Chapman, J.P. Chapman, & Raulin, 1976) scales suggested that they might be conceptually related. Given the reliable relationship between TAS and hypnotic susceptibility, the authors were interested in studying OTE and ANH as possible personality correlates of hypnotic susceptibility. 2 studies, 1 involving a community sample and the other a sample of university students, were conducted to assess the relationships between the TAS, OTE, and ANH scales and hypnotic susceptibility. As predicted, in Study 1 (community sample) the TAS and OTE inventories were positively correlated with one another and both were negatively correlated with the ANH scale. This pattern of correlations was replicated in Study 2 (university sample), but only TAS correlated significantly with hypnotic susceptibility. Factor analyses further confirmed these findings. It was concluded that the conceptual relationship among the TAS and the OTE and ANH scales resides in some dimension other than hypnotic susceptibility.

Int J Clin Exp Hypn. 1991 Jan;39(1):39-56., Radtke HL, Stam HJ., Department of Psychology, University of Calgary, Alberta, Canada.

Rogers's Science of Unitary Human Beings framed this study of pandimensional pattern changes in healers and healees paired for an 8-week series of Therapeutic Touch (TT) sessions. Comparison of healee patterns before and after 141 TT sessions supported the hypotheses that healees would manifest decreased pulse and blood pressure, and reduced pain and stress (p < .05). Duration of TT sessions was not preset but determined by healers according to energy cues. TT time was not related to pattern changes, consistent with the clinical practice of TT and the atemporal nature of Rogers's conceptual framework. Healers and healees showed parallel changes after the TT series. Participants manifested greater spirituality (p <.05). Although increases in three of the four dimensions of power were significant (p <.05), changes in power measured as a whole were not. Contrary to expectations, manifestations of diversity were decreased in healers and healees.

J Holist Nurs. 2007 Dec;25(4):217-25; discussion 226-7. Smith DW, Broida JP. University of Southern Maine College of Nursing and Health Professions, USA.

Clinton Clay, LCSW, is a licensed social worker having received his MSW from Florida State School of Social Work in 1956. He began his career as a social case worker with the Marshall County Department of Public Welfare in 1949, and has had more than fifty years experience, including public agencies, private not for profit agency, the US Army, a private practice in a psychiatric group, and finally, the past seven years in private independent practice. Always interested in new, innovative, and effective treatment approaches, he moved from the psychoanalytic approach to Rogerian client centered therapy, Behavior Modification, Rational Emotive Therapy, Transactional Analysis-Gestalt, and since 1980, has been extensively involved in Neuro Linguistic Programming, Hypnosis, EMDR and Energy Therapies.

He completed several levels of NLP training, becoming a Practitioner, Master Practitioner, Associate Trainer and Trainer. He also completed a special NLP program in Health and Wellness, and served as coach one year in that program. Having received his advancing certifications through the Southern Institute and NLP International with Ed and Maryann Reese, he was deeply interesting in a diversity of training programs and had significant periods of training with Steven and Connie Rae Andreas, Todd Epstein and Robert Dilts, Tad James, and others. Hypnosis has been a profound part of his life and practice for twenty years. He has studied hypnosis with some of the world's most highly recognized authorities, among whom were: Ed Reese, MSW, author lecturer and trainer; May Ann Reese, MS, therapist and international trainer; Robert Dilts, internationally known as an author, teacher, and developer of NLP therapy techniques; Stephen Lankton, MSW, international trainer, author and member of the ASCH (American Society of Clinical Hypnosis) Board; Ernest Rossi, PhD, author and internationally famous teacher; Carol Erickson, MA, daughter of Milton Erickson, teacher and therapist; Richard Bandler, co-founder of NLP, international trainer and developer of new therapies. Others include Michael Yapko PhD; Carl Hammerschlog, M.D.; William O'Hanlon, PhD; Jeffrey Zeig, PhD; Stephen Gilligan, PhD: Betty Alice Erickson, MS, LPS, LMFT.

For more information visit: NLPHhypnosis-MidSouthInst.com.

ADHD is a childhood-onset psychiatric condition that often continues into adulthood. Stimulant medications are the mainstay of treatment; however, additional approaches are frequently desired. In recent years, mindfulness meditation has been proposed to improve attention, reduce stress, and improve mood. This study tests the feasibility of an 8-week mindfulness training program for adults and adolescents with ADHD. Method: Twenty-four adults and eight adolescents with ADHD enrolled in a feasibility study of an 8-week mindfulness training program. Results: The majority of participants completed the training and reported high satisfaction with the training. Pre-post improvements in self-reported ADHD symptoms and test performance on tasks measuring attention and cognitive inhibition were noted. Improvements in anxiety and depressive symptoms were also observed. Conclusion: Mindfulness training is a feasible intervention in a subset of ADHD adults and adolescents and may improve behavioral and neurocognitive impairments. A controlled clinical study is warranted.

J Atten Disord. 2007 Nov 19 Zylowska L, Ackerman DL, Yang MH, Futrell JL, Horton NI, Hale S, Pataki C, Smalley SL. University of California–Los Angeles.

In 25 male and 31 female university student and staff volunteers, the interrelationships between the following measures were studied: hypnotic susceptibility (Stanford Hypnotic Susceptibility Scale, Forms A and C), imagery vividness (Vividness of Visual Imagery Questionnaire; VVIQ), involvement in everyday activities (Tellegen Absorption Scale; TAS), and daydreaming styles (28 scales of Singer & Antrobus's Imaginal Processes Inventory). Factor analysis produced a factor characterized as a positively vivid and absorptive imagination style. Hypnotic susceptibility, VVIQ, TAS, and positive-affect daydreaming styles all loaded on this factor. Two other factors were a dysphoric daydreaming style and a lack-of-attentional-control style. Stepwise multiple regressions suggested that males and females, at least within this sample, exhibit different relationships between hypnotic susceptibility and predictor variables. Similar differences were found for the VVIQ and the TAS and their daydreaming-scale predictor variables.

J Pers Soc Psychol. 1982 May;42(5):915-26., Crawford HJ.

This paper analyses the demarcation problem from the perspective of four philosophers: Popper, Kuhn, Lakatos and Feyerabend. To Popper, pseudoscience uses induction to generate theories, and only performs experiments to seek to verify them. To Popper, falsifiability is what determines the scientific status of a theory. Taking a historical approach, Kuhn observed that scientists did not follow Popper's rule, and might ignore falsifying data, unless overwhelming. To Kuhn, puzzle-solving within a paradigm is science. Lakatos attempted to resolve this debate, by suggesting history shows that science occurs in research programmes, competing according to how progressive they are. The leading idea of a programme could evolve, driven by its heuristic to make predictions that can be supported by evidence. Feyerabend claimed that Lakatos was selective in his examples, and the whole history of science shows there is no universal rule of scientific method, and imposing one on the scientific community impedes progress. These positions are used in turn, to examine the scientific status of therapeutic touch theory. The paper concludes that imposing a single rule of method can impede progress, in the face of multiple epistemologies, and the choice of scientific approach should be a pragmatic one based on the aims of the programme.

Int J Nurs Pract. 2007 Dec;13(6):324-30. Newbold D, Roberts J. Florence Nightingale School of Nursing and Midwifery at King's College London, London, UK. david.newbold@kcl.ac.uk

BACKGROUND: Hypnosis treatment in general practice is a rather new concept. This pilot study was performed to evaluate the effect of a standardized hypnosis treatment used in general practice for patients with chronic widespread pain (CWP). METHODS: The study was designed as a randomized control group-controlled study. Sixteen patients were randomized into a treatment group or a control group, each constituting eight patients. Seven patients in the treatment group completed the schedule. After the control period, five of the patients in the control group also received treatment, making a total of 12 patients having completed the treatment sessions. The intervention group went through a standardized hypnosis treatment with ten consecutive therapeutic sessions once a week, each lasting for about 30 minutes, focusing on ego-strengthening, relaxation, releasing muscular tension and increasing self-efficacy. A questionnaire was developed in order to calibrate the symptoms before and after the 10 weeks period, and the results were interpolated into a scale from 0 to 100, increasing numbers representing increasing suffering. Data were analyzed by means of T-tests. RESULTS: The treatment group improved from their symptoms, (change from 62.5 to 55.4), while the control group deteriorated, (change from 37.2 to 45.1), (p = 0,045). The 12 patients who completed the treatment showed a mean improvement from 51.5 to 41.6. (p = 0,046). One year later the corresponding result was 41.3, indicating a persisting improvement. CONCLUSION: The study indicates that hypnosis treatment may have a positive effect on pain and quality of life for patients with chronic muscular pain. Considering the limited number of patients, more studies should be conducted to confirm the results. TRIAL REGISTRATION: The study was registered in ClinicalTrials.gov and released 27.08.07 Reg nr NCT00521807 Approval Number: 05032001.

BMC Musculoskelet Disord. 2008 Sep 18;9:124. Grøndahl JR, Rosvold EO. Institute of General Practice and Community Medicine, Faculty of Medicine, University of Oslo, Norway. janrob@c2i.net

BACKGROUND: Approximately 10% of opiate drug addicts on methadone maintenance treatment (MMT) continue using heroin and additional street drugs simultaneously. They constitute the most difficult to treat population in MMT centers as they present extremely difficult and negative behaviors as well as medical problems. Medical hypnosis is a proven effective medical intervention to alleviate pain, lessen anxieties, as well as being partially effective in treating nicotine addiction. One of its advantages is the ability to bypass the critical conscious drug addict's reluctance to the treatment process. AIMS: This article aims to describe a group hypnosis treatment of drug addicts and to present a clinical description of its outcomes and effectiveness in lessening simultaneous use of heroin and other street drugs among addicts on an MMT program. METHODS: The article describes the group hypnosis therapy for 10 methadone patients who continued street drug use, in two 5 patient groups consisting of 10 weekly sessions. Urine drug tests were checked at 3 points of time, before intervention, half a year after termination of hypnosis, and two years after. Follow-up also consisted of a semi-structured interview immediately after treatment termination to evaluate changes in emotional and functional status. RESULTS: One patient did not complete treatment due to a major operation, the remaining 9 (90%) completed treatment. All patients (100%) completely stopped use of any street drugs and results remained stable for 6 months after end of treatment. Two years after end of intervention, 7 out of the 9 (78%) remained clean of use of heroin, but 2 (22%) returned to partial use; 6 (67%) of the patients returned to partial use of benzodiazepines, none (0%) showed permanent use of marijuana or cocaine. CONCLUSIONS: As this article is a clinical description of an intervention on a small selected group of patients, the initial and partial results point to the possible potential of group hypnosis in the reduction of street drug use. Additional controlled research is needed in order to check the effectiveness of such an intervention on this specific group of patients.

Harefuah. 2008 Aug-Sep;147(8-9):679-83, 751. Kaminsky D, Rosca P, Budowski D, Korin Y, Yakhnich L. Department for the Treatment of Substance Abuse, Israel Ministry of Health.

To describe a formal process designed to determine the nature and extent of change that may enhance the depth of student learning in the pre-professional, clinical chiropractic environment. METHODS: Project teams in the Royal Melbourne Institute of Technology (RMIT) School of Health Sciences and the Division of Chiropractic explored questions of clinical assessment in several health care disciplines of the School and the issue of implementing change in a manner that would be embraced by the clinicians who supervise student-learning in the clinical environment. The teams applied to RMIT for grant funding within the Learning and Teaching Investment Fund to support two proposed studies. RESULTS: Both research proposals were fully funded and are in process. DISCUSSION: The genesis of this work is the discovery that the predominant management plan in the chiropractic teaching clinics is based on diagnostic reductionism. It is felt this is counter-productive to the holistic dimensions of chiropractic practice taught in the classroom and non-supportive of chiropractic's paradigm shift towards wellness. A need is seen to improve processes around student assessment in the contemporary work-integrated learning that is a prime element of learning within the clinical disciplines of the School of Health Sciences, including chiropractic. CONCLUSION: Any improvements in the manner of clinical assessment within the chiropractic discipline will need to be accompanied by improvement in the training and development of the clinicians responsible for managing the provision of quality patient care by Registered Chiropractic Students.

J Chiropr Educ. 2008 Fall;22(2):152-60. Ebrall P, Draper B, Repka A. Division of Chiropractic RMIT University.

Theodore A. Benton, a liberal arts graduate from St. Edward's University and Boston University, is the founder of the original Benton's Hypnosis Clinic in Winchester, Massachusetts. He originally trained as a clinical hypnotherapist with the American Board of Hypnotherapy (ABH), the International Association of Counselors and Therapists (IACT), and is a Certified Instructor for basic hypnotherapy certification programs with the American Board of Hypnotherapy. Benton also regularly undertakes APA-approved clinical hypnotherapy CEU's with Daniel Brown Ph.D., following his appointment at Winchester Hospital as staff clinical hypnotherapist. He also serves as a therapist-provider at the Department of Adolescent Medicine at Children's Hospital in Boston.

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Ayurveda is a natural health care system that originated in India more than 5000 years ago. Its main objective is to achieve optimal health and well-being through a comprehensive approach that addresses mind, body, behavior, and environment. Ayurveda emphasizes prevention and health promotion, and provides treatment for disease. It considers the development of consciousness to be essential for optimal health and meditation as the main technique for achieving this. Treatment of disease is highly individualized and depends on the psychophysiologic constitution of the patient. There are different dietary and lifestyle recommendations for each season of the year. Common spices are utilized in treatment, as well as herbs and herbal mixtures, and special preparations known as Rasayanas are used for rejuvenation, promotion of longevity, and slowing of the aging process. A group of purification procedures known as Panchakarma removes toxins from the physiology. Whereas Western allopathic medicine is excellent in handling acute medical crises, Ayurveda demonstrates an ability to manage chronic disorders that Western medicine has been unable to. It may be projected from Ayurveda's comprehensive approach, emphasis on prevention, and ability to manage chronic disorders that its widespread use would improve the health status of the world's population.

J Altern Complement Med. 2007 Nov;13(9):1011-20. Sharma H, Chandola HM, Singh G, Basisht G. The Ohio State University Center for Integrative Medicine, College of Medicine, The Ohio State University, Columbus, OH.

Electroencephalographic (EEG) biofeedback has been employed in substance use disorder (SUD) over the last three decades. The SUD is a complex series of disorders with frequent comorbidities and EEG abnormalities of several types. EEG biofeedback has been employed in conjunction with other therapies and may be useful in enhancing certain outcomes of therapy. Based on published clinical studies and employing efficacy criteria adapted by the Association for Applied Psychophysiology and Biofeedback and the International Society for Neurofeedback and Research, alpha theta training-either alone for alcoholism or in combination with beta training for stimulant and mixed substance abuse and combined with residential treatment programs, is probably efficacious. Considerations of further research design taking these factors into account are discussed and descriptions of contemporary research are given.

Appl Psychophysiol Biofeedback. 2008 Jan 24 Sokhadze TM, Cannon RL, Trudeau DL. Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY, USA, tato.sokhadze@louisville.edu.

30 volunteer Ss practiced self-hypnosis for approximately 4 weeks and wrote a record of their experiences in a diary following each session. Imagery produced during self-hypnosis was coded in 2 ways: the imagery was either reality oriented or it was fantastic and had primary process qualities. Levels of imagery production remained virtually the same over a 4-week period. Self-hypnotic imagery was significantly greater for the female Ss than for the male Ss, particularly primary process imagery. Verbal expressivity (measured as the average number of words per page of each S diary) was calculated to control for the effects of verbal production on Ss' imagery scores. When imagery scores were standardized based on verbal expressivity, female Ss still produced significantly more primary process imagery than male Ss. Personality characteristics (assessed by standardized personality inventories) were examined in relation to self-hypnotic imagery. "Impulse Expression" was positively related to primary process imagery for the female Ss. "Outgoingness" was positively related to primary process imagery for the entire sample, but especially for the female Ss.

Int J Clin Exp Hypn. 1990 Jan;38(1):25-38. Lombard LS, Kahn SP, Fromm E. Department of Psychology, University of Chicago, IL 60637.

OBJECTIVE: Our hypothesis was that hypnotic analgesia reduces pain and anxiety during electromyography (EMG). DESIGN: We performed a prospective randomized, controlled clinical trial at outpatient electrodiagnostic clinics in teaching hospitals. Just before EMG, 26 subjects were randomized to one of three 20-min audio programs: education about EMG (EDU) (n = 8); hypnotic induction without analgesic suggestion (n = 10); or hypnotic induction with analgesic suggestion (n = 8). The blinded electromyographer provided a posthypnotic suggestion at the start of EMG. After EMG, subjects rated worst and average pain and anxiety using visual analog scales. RESULTS: Mean values for the EDU, hypnotic induction without analgesic suggestion, and hypnotic induction with analgesic suggestion groups were not significantly different (mean +/- SD): worst pain 67 +/- 25, 42 +/- 18, and 49 +/- 30; average pain 35 +/- 26, 27 +/- 14, and 25 +/- 22; and anxiety 44 +/- 41, 42 +/- 23, and 22 +/- 24. When hypnosis groups were merged (n = 18) and compared with the EDU condition (n = 8), average and worst pain and anxiety were less for the hypnosis group than EDU, but this was statistically significant only for worst pain (hypnosis, 46 +/- 24 vs. EDU, 67 +/- 35; P = 0.049) with a 31% average reduction. CONCLUSIONS: A short hypnotic induction seems to reduce worst pain during electromyography.

Am J Phys Med Rehabil. 2009 Jan;88(1):21-9. Slack D, Nelson L, Patterson D, Burns S, Hakimi K, Robinson L. Rehabilitation Care Services Electrodiagnostic Clinic, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.

Mary Llewellyn is a Hypnotherapist / Psychotherapist. She also uses Energy Therapies and Art Therapy. She works full-time at the clinic. She is also a Energy Therapy Courses tutor. Mary teaches many skills and psychological techniques to enable clients to help themselves. She is a "Certified Educator" for the National Council of Hypnotherapists and a "Course Provider" for the National Council for Psychotherapy. Mary is a member of the British Psychological Society, and is a Fellow of the Hypnotherapy Research Society. She has been awarded "Master Practitioner" status by Gary Craig the originator of EFT

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