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

The suggestible brain: posthypnotic effects on value-based decision-making.



Hypnosis can affect perception, motor function and memory. However, so far no study using neuroimaging has investigated whether hypnosis can influence reward processing and decision-making. Here, we assessed whether posthypnotic suggestions can diminish the attractiveness of unhealthy food and whether this is more effective than diminishing attractiveness by one's own effort via autosuggestion. In total, 16 participants were hypnotized and 16 others were instructed to associate a color cue (blue or green) with disgust regarding specific snacks (sweet or salty). Afterwards, participants bid for snack items shown on an either blue or green background during functional magnetic resonance imaging measurement. Both hypnosis and autosuggestion successfully devalued snacks. This was indicated by participants' decision-making, their self-report and by decreased blood oxygen level-dependent signal in the ventromedial prefrontal cortex (vmPFC), a region known to represent value. Different vmPFC subregions coded for cue and snack type. The cue had significantly stronger effects on vmPFC after hypnosis than after autosuggestion, indicating that hypnosis was more effective in genuinely reducing value. Supporting previous findings, the precuneus was involved in the hypnotic effects by encoding whether a snack was sweet or salty during hypnotic cue presentation. Our results demonstrate that posthypnotic suggestions can influence valuation and decision-making.

Soc Cogn Affect Neurosci. 2013 Aug 21. Ludwig VU, Stelzel C, Krutiak H, Magrabi A, Steimke R, Paschke LM, Kathmann N, Walter H. Department of Psychiatry and Psychotherapy, Division of Mind and Brain Research, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany. Vera.Ludwig@hu-berlin.de.

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Posthypnotic suggestion alters conscious color perception in an automatic manner.



The authors studied whether a posthypnotic suggestion to see a brief, masked target as gray can change the color experience of a hypnotic virtuoso. The visibility of the target was manipulated by varying the delay between the target and the mask that followed it. The virtuoso's subjective reports indicated that her conscious color experience was altered already at short delays between the target and the subsequent mask. The virtuoso's objectively measured pattern of responding under posthypnotic suggestion could not be mimicked either by control participants nor the virtuoso herself. Due to posthypnotic amnesia, the virtuoso was unaware of suggestions given during hypnosis. Importantly, the virtuoso could not alter her color perception without a hypnotic suggestion. These results suggest that hypnosis can affect even a highly automatic process such as color perception.

Int J Clin Exp Hypn. 2013;61(4):371-87. doi: 10.1080/00207144.2013.810446. Kallio S, Koivisto M. a University of Skövde, Sweden; and University of Turku , Finland.

The effective use of hypnosis in schizophrenia: structure and strategy.



Many schizophrenia patients seek hypnosis when they have not improved with psychopharmacological therapy. However, there has been controversy regarding the use and effectiveness of hypnosis in schizophrenia. Hypnotherapeutic methods such as direct and indirect suggestions, psycho-strengthening suggestions and imagery, hypnoprojective restructuring, guidance, and neutralization of affect associated with delusions have been effective in selected highly hypnotizable patients. Details of the hypnotherapeutic structure and strategy used for managing delusions in schizophrenia are presented with representative cases.

Int J Clin Exp Hypn. 2013;61(4):388-400. doi: 10.1080/00207144.2013.815059. Pyun YD. a Pyun Neuropsychiatric Clinic , Seoul , South Korea.

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Phenomenological aspects of hypnotic interactions: the effect of kinship.



This study analyzes the relationship of various measures of hypnosis as a function of kinship. Subjects with varying degrees of kinship (mono- and dizygotic twins, siblings, and parent-child pairs) participated. The Stanford Hypnotic Susceptibility Scale, Form A (SHSS:A), as well as other measures-including the Dyadic Interactional Harmony (DIH) and the Phenomenology of Consciousness Inventory (PCI)-were used with both subjects and hypnosis practitioners. Findings indicated that the phenomenological experience of hypnosis is not determined genetically. The subjects apparently evaluated the session as related to the degree of kinship. MZ twins-on the basis of reactive interactional pattern-evaluate the hypnotic interaction similarly. This was not true for SHSS:A scores or the phenomenological aspects of the state (PCI). These findings were interpreted within the sociopsychobiological model of hypnosis.

Int J Clin Exp Hypn. 2013;61(4):401-15. doi: 10.1080/00207144.2013.810476. Varga K, Bányai EI, G?si-Greguss AC, Tauszik K. a Eötvös Loránd University , Budapest , Hungary.

Hypnosis-There's an App for That: A Systematic Review of Hypnosis Apps.



This study systematically reviews the hypnosis apps available via iTunes that were compatible with iPhone or iPad. Of 1455 apps identified on iTunes, 407 met inclusion criteria and were further reviewed. Most common hypnosis app targets were weight loss (23%), boosting self-esteem (20%), and relaxation/stress reduction (19%); 83% of apps delivered hypnosis via audio track, and 37% allowed tailoring. Less than 14% of apps reported disclaimers. None of the apps reported having been tested for efficacy, and none reported being evidence based. Although apps have the potential to enhance hypnosis delivery, it seems as though technology has raced ahead of the supporting science. Recommendations from clinical researchers and policy makers are needed to inform responsible hypnosis app development and use.

Int J Clin Exp Hypn. 2013;61(4):463-74. doi: 10.1080/00207144.2013.810482. Sucala M, Schnur JB, Glazier K, Miller SJ, Green JP, Montgomery GH. a Icahn School of Medicine at Mount Sinai , New York , New York , USA.

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The effects of hypnosis on anxiety, depression, fatigue, and sleepiness...



Full Title: The effects of hypnosis on anxiety, depression, fatigue, and sleepiness in people undergoing hemodialysis: a clinical report.

This study investigated the effect of hypnosis on anxiety, depression, fatigue, and sleepiness in hemodialysis patients. Twenty-nine patients participated in the 15-day study. A single hypnosis session was performed on Day 8. Anxiety, depression, fatigue, and sleepiness were measured at baseline, on Day 8, and on Day 15 (HADS, MFI, ESS). Daily fatigue was also measured numerically. Anxiety, depression, and sleepiness significantly decreased after hypnosis. Weekly measures of fatigue remained stable; however, daily fatigue decreased.

Int J Clin Exp Hypn. 2013;61(4):475-83. doi: 10.1080/00207144.2013.810485. Untas A, Chauveau P, Dupré-Goudable C, Kolko A, Lakdja F, Cazenave N. a Paris Descartes University, Sorbonne Paris City , France.

Hypnosis as neurophenomenology.



Hypnosis research binds phenomenology and neuroscience. Here we show how recent evidence probing the impact of hypnosis and suggestion can inform and advance a neurophenomenological approach. In contrast to meditative practices that involve lengthy and intensive training, hypnosis induces profound alterations in subjective experience following just a few words of suggestion. Individuals highly responsive to hypnosis can quickly and effortlessly manifest atypical conscious experiences as well as override deeply entrenched processes. These capacities open new avenues for suspending habitual modes of attention and achieving refined states of meta-awareness. Furthermore, hypnosis research sheds light on the effects of suggestion, expectation, and interpersonal factors beyond the narrow context of hypnotic procedures. Such knowledge may help to further foster phenomenological interviewing methods, improve experiential reports, and elucidate the mechanisms of contemplative practices. Incorporating hypnosis and suggestion into the broader landscape of neurophenomenology, therefore, would likely help bridge subjective experience and third-person approaches to the mind.

Front Hum Neurosci. 2013 Aug 15;7:469. doi: 10.3389/fnhum.2013.00469. eCollection 2013. Lifshitz M, Cusumano EP, Raz A. Integrated Program in Neuroscience, McGill University Montreal, QC, Canada.

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Application of the ex-Gaussian function to the effect of the word blindness suggestion...



Full title: Application of the ex-Gaussian function to the effect of the word blindness suggestion on Stroop task performance suggests no word blindness.

The aim of the present paper was to apply the ex-Gaussian function to data reported by Parris et al. (2012) given its utility in studies involving the Stroop task. Parris et al. showed an effect of the word blindness suggestion when Response-Stimulus Interval (RSI) was 500 ms but not when it was 3500 ms. Analysis revealed that: (1) The effect of the suggestion on interference is observed in ?, supporting converging evidence indicating the suggestion operates over response competition mechanisms; and, (2) Contrary to Parris et al. an effect of the suggestion was observed in ? when RSI was 3500 ms. The reanalysis of the data from Parris et al. (2012) supports the utility of ex-Gaussian analysis in revealing effects that might otherwise be thought of as absent. We suggest that word reading itself is not suppressed by the suggestion but instead that response conflict is dealt with more effectively.

Front Psychol. 2013 Sep 20;4:647. doi: 10.3389/fpsyg.2013.00647. Parris BA, Dienes Z, Hodgson TL. Psychology Research Centre, School of Design, Engineering and Computing, University of Bournemouth Poole, UK.

The effects of a medical hypnotherapy on clothing industry employees suffering from chronic pain.



Problems associated with pain in several body regions due to work-related musculoskeletal disorders (WRMDs), repetitive movement and negative stress at work are quite common in many manufacturing industries of Latvia, int.al. clothing industry. The aim of this study was to evaluate efficiency of the psychotherapeutic intervention using medical hypnotherapy (MH) program for mind-body relaxation with pain-blocking imagery, cognitive restructuring of unpleasant physical and emotional experience.

METHODS:

300 sewers and 50 cutters with chronic pain were involved in the study. Self-rated WRMDs symptoms, pain intensity and interference were assessed using the extended version of Nordic Musculoskeletal Questionnaire and Brief Pain Inventory Scale. Assessment of the functional state of muscles was carried out using myotonometric (MYO) measurements. Work heaviness degree was estimated via heart rate monitoring (HRM). The MH program was composed of cognitive hypnotherapy and self-hypnosis training. Sunnen Trance Scale was used to determine person's hypnotic susceptibility. Life quality assessment before and after MH program was carried out using Quality of Life Scale.

RESULTS:

At the beginning of MH program sessions both sewers and cutters reported on pain interference with general activities, mood, sleep, normal work, etc., but after MH the interference of pain significantly decreased. HRM data confirmed that work heaviness degree of sewers and cutters can be referred to as light and moderate work (energy expenditure for their tasks varies from 3.4 till 4.7 kcal/min). Using MYO measurements it was stated that before MH 22% of workers involved in the study fell under III MYO category indices, consequently, their muscle tone was increased, which is associated with muscular fatigue. After MH muscle tone remained within the normal range meaning that they were able to adapt to the existing workload (II MYO category) or fully relax (I MYO category).

CONCLUSIONS:

MH program including exercises-workouts, cognitive hypnotherapy and self-hypnosis training sessions is an effective method to decrease composite chronic pain intensity for sewers and cutters, as well as to decrease psychogenic tension and muscle fatigue (proved by objective measurements of muscles tone) and to increase the life quality.

J Occup Med Toxicol. 2013 Sep 25;8(1):25. Roja Z, Kalkis V, Roja I, Kalkis H.

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Hypnosis integrated in burn care: impact on the healthcare team's stress.



Hypnosis for burn care was introduced in 2004 in the CHUV burn center showing great benefit for burned patients. Whereas advantages of hypnosis for the patient are well established, the impact on the medical staff remains poorly assessed. This manuscrit reviews current attested benefits of hypnosis for patients, specially for burned patients. The results of a recent study assessing the impact of hypnosis on the staffs level of stress caused by burn treatment, will also be introduced.

Rev Med Suisse. 2013 Sep 11;9(397):1646-9. Bertholet O, Davadant M, Cromec I, Berger MM. Faculté de biologie et de médecine UNIL, Lausanne. olivier.bertholet@gmail.com

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