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Hypnosis and Pain Management

March 14, 2009 Written by JP       [Font too small?]

I would venture a guess that most of us haven’t had the experience of being in a hypnotic state. We’ve seen people being hypnotized on TV or perhaps even in magic performances. But the difference between artistic representations of hypnosis and the reality of clinical/medical hypnotherapy is quite dramatic.

One of the primary functions of clinical hypnotherapy is to help achieve a calm state of focused attention in which you’re receptive to positive suggestions and less resistant to change. The ultimate goal is to help you develop more control over your physical sensations and your psychological state of mind. At no point during this treatment are you ever out of control or at the mercy of the treating hypnotist. That is a common misconception that needs to be dispelled.

Several studies have recently been published that attest to the mind/body benefits of this gentle, healing art. I’m a very ardent supporter of mind/body medicine. Anytime we can safely use the mind to facilitate healing the body, I’m all for it. It’s empowering, it’s non-toxic and, more often than not, it’s low in cost or free.

“You Are Getting Very, Very Healthy”

In April of 2009, a study will be published in the International Journal of Clinical and Experimental Hypnosis. In it, 22 volunteers with Multiple Sclerosis (MS) and chronic pain were enrolled in a trial to examine the effects of “self-hypnosis training” on the perception of pain.

In order to offer a basis for comparison, about half of the participants were asked to engage in daily “progressive muscle relaxation”. This is a very basic form of meditation. The remainder of the MS volunteers were provided with self-hypnosis training.

Those who employed the self-hypnosis reported significantly greater reductions in overall pain scores. An interesting observation is that these benefits were maintained during a 3 month follow-up assessment. Perhaps this was because most of the participants voluntarily decided to continue with the hypnosis on their own.

Hypnotherapy appears to modify other forms of pain as well. Recent research from Norway provides a compelling follow-up to the first study. 16 patients (12 women and 4 men) with Chronic Widespread Pain (CWP) were divided into two groups for this trial. CWP is a disorder that is defined by four or more days of pain (per week) lasting for at least 3 months. It is often associated with fibromyalgia.

In this experiment, one group received conventional treatment and hypnotherapy. The other volunteers began the trial receiving only conventional care. In this case, conventional treatment consisted of: antidepressants, pain medications, physical therapy and chiropractic. The design of study was as follows:

  • Those receiving hypnosis attended a half-hour hypnotherapy session once a week for a total of 10 weeks. The hypnotic agenda was to promote “ego-strengthening”, the reduction of muscle tension and to promote relaxation.
  • A symptom questionnaire measured pain scores before the experiment and afterward.

The results of the study were quite dramatic. Those receiving hypnotherapy experienced a 20% reduction in pain. The benefits remained present when a re-examination was conducted one year later.

Perhaps that most shocking finding was that the group that received only conventional care experienced a 21% increase in pain levels!

Hypnosis for Pain Relief

Hypnosis may also be a safer tool to use in acute situations such as during childbirth. A study by Middlesex University in London found that self-hypnosis helped a small group of pregnant mothers during labor. Pain is both a physical and emotional process. The pregnant women in this experiment reported that self-hypnosis brought about important soothing effects. Here’s what they noted:

  • a decrease in the sensation of anxiety and fear, accompanied by “positive thoughts”
  • a feeling of pressure, rather than sharp pain
  • a lack of fatigue both during and after the birthing process
  • a sensation of consolation, relief and self-confidence
  • more awareness about the stages of labor
  • a lack of suffering during labor pain

The authors of the study mentioned that the pregnant women perceived the hypnosis-guided birth “as being very satisfactory compared to their previous experiences.”

All of these reported effects are clearly positive. But we can look beyond that. For instance, what are the benefits of being able to avoid unnecessary medications? How much money could be saved? What kind of an impact would such a self-reliant therapy have on our feelings of self-worth? Would finding success with hypnosis open the door to using it in other areas relating to the health of the mind and body? The possibilities are vast and very hopeful indeed.

Be well!

JP

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One Comment to “Hypnosis and Pain Management”

  1. JP Says:

    Update: Hypnosis improves cognition and sleep in seniors …

    http://www.sciencedirect.com/science/article/pii/S0028393215000627

    Neuropsychologia Volume 69, March 2015

    Improving sleep and cognition by hypnotic suggestion in the elderly

    Highlights

    • Hypnotic suggestions increase the amount of deep sleep by 57% in the elderly.
    • Deeper sleep by hypnosis improves prefrontal cognitive functioning.
    • Well-controlled study using high density EEG recordings in the sleep laboratory.
    • Hypnosis might have the potential to benefit sleep and cognition in healthy aging.

    Abstract

    Sleep quality markedly declines across the human lifespan. Particularly the amount of slow-wave sleep (SWS) decreases with age and this decrease is paralleled by a loss of cognitive functioning in the elderly. Here we show in healthy elderly females that the amount of SWS can be extended by a hypnotic suggestion “to sleep deeper” before sleep. In a placebo-controlled cross-over design, participants listened to hypnotic suggestions or a control tape before a midday nap while high density electroencephalography was recorded. After the hypnotic suggestion, we observed a 57% increase in SWS in females suggestible to hypnosis as compared to the control condition. Furthermore, left frontal slow-wave activity (SWA), characteristic for SWS, was significantly increased, followed by a significant improvement in prefrontal cognitive functioning after sleep. Our results suggest that hypnotic suggestions might be a successful alternative for widely-used sleep-enhancing medication to extend SWS and improve cognition in the elderly.

    Be well!

    JP

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