Tim Brunson DCH

Welcome to The International Hypnosis Research Institute Web site. Our intention is to support and promote the further worldwide integration of comprehensive evidence-based research and clinical hypnotherapy with mainstream mental health, medicine, and coaching. We do so by disseminating, supporting, and conducting research, providing professional level education, advocating increased level of practitioner competency, and supporting the viability and success of clinical practitioners. Although currently over 80% of our membership is comprised of mental health practitioners, we fully recognize the role, support, involvement, and needs of those in the medical and coaching fields. This site is not intended as a source of medical or psychological advice. Tim Brunson, PhD

In Defense of the Subconscious Mind



by David Kohlhagen LPC, NBCCH

Since Freud there has been a tradition in the field of Psychology to think of the human mind (not the brain) as having two parts, the conscious part and the subconscious part. That way, functions of mind can be accounted for without regard to whether or not they are done intentionally, reflexively, or habitually. Within sub-traditions, such as that developed by Carl Jung, the subconscious became the unconscious, and even the collective unconscious. Many people seem to use the words subconscious and unconscious interchangeably.

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"In at the deep end": an intensive foundation training in homeopathy for medical students



UK medical students spend 25% of their curricular time on elective "Student Selected Components" (SSCs). We report one in homeopathic medicine run jointly by the University of Bristol and the Bristol Homeopathic Hospital. The SSC was an intensive four week course using a variety of learning methods, grounded in the Faculty of Homeopathy's Primary Health Care Examination (PHCE) Certificate syllabus. Students were exposed to specialist clinics and the prescribing methods used in them. They received tuition from a veterinarian, a psychiatrist, a medical historian, a professional homeopath and an expert in the evidence base of complementary medicine. Educational methods included interactive lectures, out-patient clinics, recorded video cases, live cases via video link, a "dream proving" and a reflective diary. At the end of the course students sat and passed the Faculty's PHC examination. Assessment also included an in-depth case report in which most students revealed understanding of the course. Though students were uncertain about the nature of the healing stimulus, many were affected by the healing responses they witnessed and the intellectual challenge of remedy selection. Some professed interest in further training and all wished to see the Bristol Homeopathic Hospital (BHH) develop as a centre for holistic care. For some the experience was "transformative learning". We conclude that this approach to a foundation training in homeopathy is feasible and effective.

Homeopathy. 2009 Apr;98(2):107-13. Thompson TD, Thompson EA. Academic Unit of Primary Health Care, University of Bristol, Cotham House, Cotham Hill, Bristol BS66JL, UK. trevor.thompson@bris.ac.uk

Could acupuncture needle sensation be a predictor of analgesic response?



During acupuncture some patients experience distinct sensations which are often referred to as needle sensation. Needle sensation may be related to treatment outcome, although what constitutes adequate acupuncture needle sensation is not known. In this paper, we debate the possibility of using the self-report of the overall intensity of needle sensation as a predictor of analgesic outcome to acupuncture. We describe how our approach to establish criteria to determine adequacy of transcutaneous electrical nerve stimulation interventions in clinical trials has been used to inform our search for markers of adequacy of procedural technique for acupuncture. We describe previous research which has focused on developing tools to capture the nature of the descriptors used by patients when they self-report needle sensation and reveal that little attention has been given to its role in outcome. We demonstrate that needle sensation is a complex phenomenon with subjects using multiple descriptors to report their experience. We argue that the intensity of the overall experience of needle sensation may prove useful as a gross marker of the adequacy of acupuncture. We briefly describe our research which isolates individual components of needling technique, such as depth of needle penetration and bidirectional needle rotation, in order to assess their contribution to overall needle sensation intensity.

Acupunct Med. 2009 Jun;27(2):65-7. Benham A, Johnson MI. Faculty of Health, Leeds Metropolitan University, Civic Quarter, Leeds LS1 3HE, UK; A.Benham@Leedsmet.ac.uk.

Theta phase synchrony and conscious target perception: impact of intensive mental training



The information processing capacity of the human mind is limited, as is evidenced by the attentional blink-a deficit in identifying the second of two targets (T1 and T2) presented in close succession. This deficit is thought to result from an overinvestment of limited resources in T1 processing. We previously reported that intensive mental training in a style of meditation aimed at reducing elaborate object processing, reduced brain resource allocation to T1, and improved T2 accuracy [Slagter, H. A., Lutz, A., Greischar, L. L., Francis, A. D., Nieuwenhuis, S., Davis, J., et al. Mental training affects distribution of limited brain resources. PloS Biology, 5, e138, 2007]. Here we report EEG spectral analyses to examine the possibility that this reduction in elaborate T1 processing rendered the system more available to process new target information, as indexed by T2-locked phase variability. Intensive mental training was associated with decreased cross-trial variability in the phase of oscillatory theta activity after successfully detected T2s, in particular, for those individuals who showed the greatest reduction in brain resource allocation to T1. These data implicate theta phase locking in conscious target perception, and suggest that after mental training the cognitive system is more rapidly available to process new target information. Mental training was not associated with changes in the amplitude of T2-induced responses or oscillatory activity before task onset. In combination, these findings illustrate the usefulness of systematic mental training in the study of the human mind by revealing the neural mechanisms that enable the brain to successfully represent target information.

J Cogn Neurosci. 2009 Aug;21(8):1536-49. Slagter HA, Lutz A, Greischar LL, Nieuwenhuis S, Davidson RJ. University of Wisconsin, Madison, wi 53705, USA. slagter@wisc.edu

The Courage To Go For It



by Coach Cary Bayer

"Success is not in never falling but in rising every time you fall."--Vince Lombardi

Vince Lombardi, who coached the Green Bay Packers to victories in the first two Super Bowls, was not just a taskmaster obsessed with winning; he was also a coach committed to having players give their all, and not give up. It's fundamental to the yang world of football as much as to the yin world of hypnotherapy, psychotherapy, chiropractic, energy medicine, and every other form of healing modality. Mary Pickford, the movie star who co-founded United Artists with Charlie Chaplin and Douglas Fairbanks, wrote: "If you have made mistakes...there is always another chance for you...you may have a fresh start any moment you choose, for this thing we call 'failure' is not the falling down, but the staying down."

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Charles Skillas, PhD, DD, BCH, FNGH, CI



Dr. Skillas is a National Guild of Hypnotists (NGH) Board Certified Advanced Clinical Hypnotherapist practicing in Atlanta GA. He is an NGH Certified Instructor in Hypnotherapy, a Fellow of the NGH (FNGH) and he earned a Doctorate of Divinity (DD) in Spiritual Healing Arts. He has practiced Energy Medicine and Hypnotherapy since 1981, is a member of the Business and Metaphysical Teaching Faculty of St. Johns University and is a Faculty Member of The National Board of Hypnotherapy and Hypnotic Anesthesiology.

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Dorsolateral Prefrontal Cortex Activity Predicts Responsiveness to Cognitive-Behavioral Therapy



Full Title: Dorsolateral Prefrontal Cortex Activity Predicts Responsiveness to Cognitive-Behavioral Therapy in Schizophrenia

BACKGROUND: Given the variable response to cognitive-behavioral therapy (CBT) when added to antipsychotic medication in psychosis and the evidence for a role of pretherapy level of frontal lobe-based cognitive function in responsiveness to CBT in other disorders, this study examined whether pretherapy brain activity associated with working memory neural network predicts clinical responsiveness to CBT in schizophrenia. METHODS: Fifty-two outpatients stable on medication with at least one distressing symptom of schizophrenia and willing to receive CBT in addition to their usual treatment and 20 healthy participants underwent functional magnetic resonance imaging during a parametric n-back task. Subsequently, 26 patients received CBT for psychosis (CBT+treatment-as-usual [TAU], 19 completers) for 6-8 months, and 26 continued with TAU alone (17 completers). Symptoms in both patient groups were assessed (blindly) at entry and follow-up. RESULTS: The CBT+TAU and TAU-alone groups did not differ clinically or in performance at baseline. The CBT+TAU group showed significant improvement in relation to the TAU-alone group, which showed no change, at follow-up. Stronger dorsolateral prefrontal cortex (DLPFC) activity (within the normal range) and DLPFC-cerebellum connectivity during the highest memory load condition (2-back > 0-back) were associated with post-CBT clinical improvement. CONCLUSIONS: DLPFC activity and its connectivity with the cerebellum predict responsiveness to CBT for psychosis in schizophrenia. These effects may be mediated by PFC-cerebellum contributions to executive processing.

Biol Psychiatry. 2009 Jun 25. Kumari V, Peters ER, Fannon D, Antonova E, Premkumar P, Anilkumar AP, Williams SC, Kuipers E. Department of Psychology, Institute of Psychiatry, King's College London, United Kingdom; National Institute for Health Research (NIHR) Biomedical Research Centre for Mental Health, South London and Maudsley National Health Service Foundation Trust, London, United Kingdom.

Randomized crossover trial studying the effect of music on examination anxiety



The purpose of this study was to assess the effect of lento music on examination anxiety among nursing students. A randomized crossover classroom-based trial was conducted. Thirty-eight students with a mean age of 19.4 years (SD = .54) were randomly assigned to either a music/silence or a silence/music group sequence. The students in the music group were given a 40-min group-based music intervention in a classroom, whereas the students in the silence group received the regular test without music. Using paired t-tests, there were no significant different in pretest scores for state anxiety, examination anxiety, finger temperature and pulse rate between the two conditions. Nonetheless, the findings indicated that music intervention did effectively decrease examination anxiety and state anxiety as well as reducing pulse rate and increasing higher finger temperature (p = 0.05 to 0.001). In addition, significant differences were detected between the pretest and posttest measures for silence (p = 0.001). The results suggest that lento music is effective at anxiety reduction. This study provides evidence for nursing faculty and clinical educators to foster nursing students' mastering over the anxiety of examination by using lento music.

Nurse Educ Today. 2008 Nov;28(8):909-16. Epub 2008 Jul 1. Lai HL, Chen PW, Chen CJ, Chang HK, Peng TC, Chang FM. Department of Nursing, Tzu Chi University, Taiwan, ROC. snowjade@mail.tcu.edu.tw

Neural mechanisms of antinociceptive effects of hypnosis



BACKGROUND: The neural mechanisms underlying the modulation of pain perception by hypnosis remain obscure. In this study, we used positron emission tomography in 11 healthy volunteers to identify the brain areas in which hypnosis modulates cerebral responses to a noxious stimulus. METHODS: The protocol used a factorial design with two factors: state (hypnotic state, resting state, mental imagery) and stimulation (warm non-noxious vs. hot noxious stimuli applied to right thenar eminence). Two cerebral blood flow scans were obtained with the 15O-water technique during each condition. After each scan, the subject was asked to rate pain sensation and unpleasantness. Statistical parametric mapping was used to determine the main effects of noxious stimulation and hypnotic state as well as state-by-stimulation interactions (i.e., brain areas that would be more or less activated in hypnosis than in control conditions, under noxious stimulation). RESULTS: Hypnosis decreased both pain sensation and the unpleasantness of noxious stimuli. Noxious stimulation caused an increase in regional cerebral blood flow in the thalamic nuclei and anterior cingulate and insular cortices. The hypnotic state induced a significant activation of a right-sided extrastriate area and the anterior cingulate cortex. The interaction analysis showed that the activity in the anterior (mid-)cingulate cortex was related to pain perception and unpleasantness differently in the hypnotic state than in control situations. CONCLUSIONS: Both intensity and unpleasantness of the noxious stimuli are reduced during the hypnotic state. In addition, hypnotic modulation of pain is mediated by the anterior cingulate cortex.

Anesthesiology. 2000 May;92(5):1257-67. Faymonville ME, Laureys S, Degueldre C, DelFiore G, Luxen A, Franck G, Lamy M, Maquet P. Departments of Anesthesiology and Intensive Care Medicine and Neurology, and the Cyclotron Research Centre, University Hospital of Liège, Liège, Belgium. anesrea@ulg.ac.be

An Expanded View of The Three Reflexes of Stress: Part 1



by Lawrence Gold

Part 1 of 2. Part 2 of An Expanded View of the Three Reflexes of Stress will be available on 11/11/09.

"We become how we live."

In his book, Somatics1 , Thomas Hanna described three neuromuscular reflexes of stress: the Landau Reaction2, the Startle Reflex3, and the Trauma Reflex4. He described his view of how, when repeatedly triggered, these reflexes lead to the formation of tension habits that create the pains and stiffness commonly attributed to aging.

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Neurolinguistic programming used to reduce the need for anaesthesia in claustrophobic patients



Full Title: Neurolinguistic programming used to reduce the need for anaesthesia in claustrophobic patients undergoing MRI

To purpose of this study was to assess the success of neurolinguistic programming in reducing the need for general anaesthesia in claustrophobic patients who require MRI and to consider the financial implications for health providers. This was a prospective study performed in 2006 and 2007at a teaching hospital in England and comprised 50 adults who had undergone unsuccessful MR examinations because of claustrophobia. The main outcome measures were the ability to tolerate a successful MR examination after neurolinguistic programming, the reduction of median anxiety scores produced by neurolinguistic programming, and models of costs for various imaging pathways. Neurolinguistic programming allowed 38/50 people (76%) to complete the MR examination successfully. Overall, the median anxiety score was significantly reduced following the session of neurolinguistic programming. In conclusion, neurolinguistic programming reduced anxiety and subsequently allowed MRI to be performed without resorting to general anaesthesia in a high proportion of claustrophobic adults. If these results are reproducible, there will be major advantages in terms of patient safety and costs.

Br J Radiol. 2009 Jun 8. Bigley J, Griffiths PD, Prydderch A, Romanowski CA, Miles L, Lidiard H, Hoggard N. Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JR, UK.

Savely Savva



Savely Savva founded the Monterey Institute for the Study of Alternative Healing Arts (MISAHA- nonprofit corporation) in 1990 and has been serving as Executive Director thereof. The objective of the Institute was scientific study of the phenomenon called 'energy healing'-- the ability of some talented individuals to interfere with the organism's control system by intent. From 1993 to 2005 Savva edited quarterly periodical "MISAHA Newsletter." A serious effort was made to organize an International Scientific Symposium on Paradoxical Effects in Biophysics and medicine in 2005 that failed due to lack of funding (41 abstracts by scientists from 13 countries were published in the Newsletter).

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Hypnosis reduces distress and duration of an invasive medical procedure for children



OBJECTIVE: Voiding cystourethrography (VCUG) is a commonly performed radiologic procedure in children that can be both painful and frightening. Given the distress that some children experience during the VCUG and the need for children to be alert and cooperative during the procedure, finding a psychological intervention that helps children to manage anxiety, distress, and pain is clearly desirable.

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Massage with kinesthetic stimulation improves weight gain in preterm infants



OBJECTIVE: The aim of this study was to evaluate the effects of massage with or without kinesthetic stimulation on weight gain and length of hospital stay in the preterm infant. STUDY DESIGN: A prospective randomized clinical trial was conducted evaluating the effects of massage with or without kinesthetic stimulation (KS) on weight gain and length of stay (LOS) in medically stable premature (<1500 g and/or and <1000 g) was also performed. RESULT: A total of 60 premature infants were recruited for this study; 20 infants in each group. Average daily weight gain and LOS were similar between the groups after controlling for covariates. For infants with BW>1000 g, average daily weight gain was increased in the intervention groups compared to control. This effect was mainly attributable to the M/KS group. CONCLUSION: Massage with KS is a relatively simple and inexpensive intervention that can improve weight gain in selected preterm infants. Length of hospital stay is not impacted by massage with or without KS. Further studies are needed to evaluate the effect of massage in the extremely low BW(<1000 g) infant.

J Perinatol. 2009 May;29(5):352-7. Massaro AN, Hammad TA, Jazzo B, Aly H. Department of Neonatology, Children's National Medical Center, Washington, DC 20010, USA. anguyenm@cnmc.org

Follow Your Innermost Feelings



by Joyce-Anne Locking

Honor thyself first, especially when it comes to medicine and medical practices.

When I walked into a dentist's office a couple of years ago, lots of bells and whistles were going off in my head. A young lady took my blood pressure, told me it was high and I should see a doctor. Then she proceeded with the preliminary examination of measuring various other things needed for the chart. She was obviously a student and this was her summer job.

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Homeopathic medicines for adverse effects of cancer treatments



BACKGROUND: Homeopathic medicines are used by patients with cancer, often alongside conventional treatment. Cancer treatments can cause considerable morbidity and one of the reasons patients use homeopathic medicines is to help with adverse effects. OBJECTIVES: Evaluate effectiveness and safety of homeopathic medicines used to prevent or treat adverse effects of cancer treatments. SEARCH STRATEGY: The following were searched up to November 2008: Cochrane PaPaS Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; EMBASE; CINAHL; BNI; CancerLIT; AMED; CISCOM; Hom-Inform; SIGLE; National Research Register; Zetoc; www.controlled-trials.com; http://clinicaltrials.gov; Liga Medicorum Homeopathica Internationalis (LMHI, Liga) conference proceedings; reference lists of relevant studies were checked; and homeopathic manufacturers, leading researchers and practitioners were contacted. SELECTION CRITERIA: Randomised controlled trials (RCTs) of homeopathic medicines in participants with a clinical or histological diagnosis of cancer where the intervention was aimed at preventing or treating symptoms associated with cancer treatments. All age groups, and all stages of disease were included. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed studies for inclusion and two review authors extracted data. Three review authors independently assessed trial quality using the Delphi List and the Cochrane Collaboration's tool for assessing risk of bias. Disagreements were resolved by consensus. Where available, data were extracted for analysis. MAIN RESULTS: Eight controlled trials (seven placebo controlled and one trial against an active treatment) with a total of 664 participants met the inclusion criteria. Three studied adverse effects of radiotherapy, three studied adverse effects of chemotherapy and two studied menopausal symptoms associated with breast cancer treatment.Two studies with low risk of bias demonstrated benefit: one with 254 participants demonstrated superiority of topical calendula over trolamine (a topical agent not containing corticosteroids) for prevention of radiotherapy-induced dermatitis, and another with 32 participants demonstrated superiority of Traumeel S (a proprietary complex homeopathic medicine) over placebo as a mouthwash for chemotherapy-induced stomatitis. Two other studies reported positive results, although the risk of bias was unclear, and four further studies reported negative results.No serious adverse effects or interactions were reported attributable to the homeopathic medicines used. AUTHORS' CONCLUSIONS: This review found preliminary data in support of the efficacy of topical calendula for prophylaxis of acute dermatitis during radiotherapy and Traumeel S mouthwash in the treatment of chemotherapy-induced stomatitis. These trials need replicating. There is no convincing evidence for the efficacy of homeopathic medicines for other adverse effects of cancer treatments. Further research is required.

Cochrane Database Syst Rev. 2009 Apr 15;(2):CD004845. Kassab S, Cummings M, Berkovitz S, van Haselen R, Fisher P. Royal London Homoeopathic Hospital, 60 Great Ormond Street, London, UK, WC1N 3HR. sosie.kassab@uclh.nhs.uk

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