Professional Documents
Culture Documents
EXPERIENCING HYPNOSIS:
68ERA+E96*C A++R:AC8E2 6: AL6ERE7 26A6E2
;e dedi!ate this vol me to Eli<abeth Eri!kson and =argaret Ryan# "hose tho ghtf l editorial "ork has made it possible.
CON$EN$S
*ntrod !tion I. The Indirect Approaches to Hypnosis a. 8ypnosis in +sy!hiatry) 6he :!ean =onar!h Le!t re b. 9tili<ation Approa!hes to *ndire!t Comm ni!ation 1. Lang age and the Art of 2 ggestion 4. = ltiple Levels of Comm ni!ation in 8ypnosis 1. *nternal Responses as the Essen!e of 2 ggestion -. *ndire!t Comm ni!ation in the :!ean =onar!h Le!t re II. Catalepsy in Hypnotic Induction and Therapy a. Catalepsy in 8istori!al +erspe!tive b. Re!ogni<ing 2pontaneo s Catalepsy !. (a!ilitating Catalepsy d. 9tili<ing Catalepsy e. 2 mmary f. E%er!ises "ith Catalepsy 7emonstration in the 9se of Catalepsy in 8ypnoti! *nd !tion) 8and Levitation in a /lind 2 b>e!t III. Ideomotor Signaling in Hypnotic Induction and Therapy a. *deomotor =ovements and 2ignaling in 8istori!al +erspe!tive b. Re!ogni<ing 2pontaneo s *deomotor 2ignaling !. (a!ilitating *deomotor 2ignaling d. (a!ilitating *deosensory 2ignaling e. 9tili<ing *deomotor 2ignaling f. 2 mmary g. E%er!ises in *deomotor 2ignaling An A dio3?is al 7emonstration of *deomotor =ovements and Catalepsy) 6he Reverse 2et to (a!ilitate 8ypnoti! *nd !tion I. The Experiential Learning of Trance by the Skeptical ind 2ession :ne) 6he E%periential Learning of =inimal =anifestations of 6ran!e 2ession 6"o) 6he E%periential Learning of 8ypnoti! +henomena 1. 7isso!iation and the =odern E%periential Approa!h to Altered 2tates 4. Learning *ndire!t Comm ni!ation) (rames of Referen!e# =etalevels# and +sy!hotherapy
IN$ROD%C$ION
6his book is a !ontin ation of o r earlier "ork in Hypnotic !ealities $Eri!kson# Rossi# @ Rossi# 19,5' and Hypnotherapy" An Exploratory Casebook $Eri!kson @ Rossi# 19,9'# "hereby the senior a thor# =ilton 8. Eri!kson# trains the > nior a thor# Ernest L. Rossi# in !lini!al hypnosis. 6aken together# these three vol mes present a deepening vie" of "hat hypnosis is and the "ays in "hi!h a !reative pro!ess of hypnotherapy !an be a!hieved. 6he material in these vol mes to !hes ltimately on the nat re of h man !ons!io sness and s ggests a variety of open3ended approa!hes to fa!ilitate its e%ploration in hypnotherapy as "ell as in more formal resear!h sit ations. *ndire!t !omm ni!ation is the overall !on!ept "e se to !over "hat "e have vario sly des!ribed as t"o3level !omm ni!ation# the nat ralisti! approa!h# and the tili<ation approa!h. 6he !ommon denominator of all these approa!hes is that hypnotherapy involves something more than simple talk on a single# ob>e!tive level. 6he readily apparent# overt !ontent of a message is like the tip of an i!eberg. 6he re!ipient of indire!t !omm ni!ation is s ally not a"are of the e%tent to "hi!h his or her asso!iative pro!esses have been set in motion a tomati!ally in many dire!tions. 8ypnoti! s ggestion re!eived in this manner res lts in the a tomati! evo!ation and tili<ation of the patientAs o"n ni& e repertory of response potentials to a!hieve therape ti! goals that might have been other"ise beyond rea!h. *n o r previo s vol mes "e o tlined the operation of this pro!ess as the microdynamics of trance induction and suggestion. Altho gh this is the essen!e of the senior a thorAs original !ontrib tion to modern s ggestion theory# "e "ill revie" in this vol me some of the many means and meanings that other a thors have sed as they str ggled to rea!h an nderstanding of indire!t !omm ni!ation in the long history of hypnosis. 6he first se!tion of this vol me presents an histori!ally important le!t re on !lini!al hypnosis by the senior a thor "herein "e "itness his transition from the older a thoritarian approa!h to hypnosis to the ne" permissive approa!hes# "hi!h he pioneered. 7 e to the ni& e nat re of this presentation# an a dio !assette of it a!!ompanies this vol me. ;e strongly re!ommend that o r professional readers listen to this !assette and savor it a bit before dealing "ith the le!t re as presented in the te%t. 6he se!ond and third se!tions of this vol me fo! s on the phenomena of !atalepsy and ideomotor signaling# t"o of the senior a thorAs basi! approa!hes to tran!e ind !tion and hypnotherapy. 6he primary !on!ern is the pra!ti!al & estion of ho" to ind !e therape ti! tran!e and ho" to evoke the patientAs repertory of life e%perien!es and invol ntary response systems that are tili<ed in hypnotherapy. As is !hara!teristi! of o r previo s "ork# the gro"ing edge of o r ! rrent nderstanding of the s b>e!tive e%perien!e of !lini!al tran!e and altered states is dis! ssed thro gho t. A film of Eri!kson made by Ernest 8ilgard and Bay 8aley at 2tanford 9niversity is available from *rvington + blishers for st dy by serio s st dents "ho "ish to observe the nonverbal aspe!ts of Eri!ksonAs * innovative "ork tili<ing the reverse set in hypnoti! ind !tion presented in 2e!tion ***. ;e believe that f rther resear!h on and development of this reverse3set approa!h "ill greatly e%pand o r nderstanding of the dynami!s of tran!e and serve as the fo ndation for a ne" generation of more effe!tive approa!hes in hypnotherapy. 6he fo rth se!tion# dealing "ith the e%periential learning of hypnosis# ill strates one of the senior a thorAs favorite o!! pations in re!ent years) the training of professionals in the se of !lini!al hypnosis by allo"ing them to e%perien!e the pro!ess themselves. 6he t"o sessions presented in this se!tion are ill strative of the problem fa!ed by a modern# rational# s!ientifi!ally trained mind in learning to e%perien!e hypnoti! phenomena. 8erein are ill strated many of the phenomena and parado%es of modern !ons!io sness as it seeks to nderstand more abo t itself by making an effort to trans!end its ! rrent limitations.
Ernest Rossi alibu# California
SEC$ION I
Pati nt+s -r
* have fo nd that patients often have the notion that hypnosis is a po"erf l tool that !an !ompel them to a!t a!!ording to my "ishes. * like to approach my psy!hiatri! patientsD "hether they are ne roti!# emotionally dist rbed# prepsy!hoti!# or even psy!hoti!Din a fashion that lets them feel free to respond to 'hate&er degree they 'ish. * never tell a patient
that he has to go into a deep tran!e# or into a medi m tran!e# or for that matter into a light tran!e. * s ggest also that he never tell me anything more than he really "ants to tell me. * s ally tell my patient that he !an 'ithhold 'hate&er he 'ishes# and to be s re to "ithhold "hatever he "ishes. * am emphasi<ing this point be!a se * "ant yo to have some nderstanding of positive and negative s ggestions. 6o tell a patient# ENo"# tell me all#( is a rather threatening# even dangero s re& est to make. Rather# yo "ant the patient to be "illing to tell yo this# "illing to tell yo that# so that as they begin telling yo this and that# they also begin to de&elop a certain sense of confidence.
& estion before the right time !omes. * make this !lear to patients in the "aking state as "ell as in the tran!e state# be!a se yo are dealing "ith a person that has a !ons!io s mind and an n!ons!io s mind.
Dissociatin* Int ll ct and E/otion in D alin* &it" 'n3i ty, P"o1ia, and $ra)/a
8ypnosis !an also allo" yo to divide p yo r patientAs problems. (or e%ample# a patient !omes to yo "ith some tra mati! e%perien!e in the past "hi!h has res lted in a phobi! rea!tion or an an%iety state. :ne !an p t him in a deep tran!e and s ggest that he re!over only the emotional aspe!ts of that e%perien!e. * have demonstrated this phenomenon in the past by having one of my demonstration s b>e!ts re!over all the merriment of a >oke "itho t kno"ing "hat the >oke "as. And yet that s b>e!t la ghed and la ghed in the merriest fashion over the >oke# "ondering at the time "hat the >oke "asK Later# * let my s b>e!t remember the a!t al >oke. *n other "ords# one !an split off the intelle!t al aspe!ts of a problem for a patient and leave only the emotional aspe!ts to be dealt "ith. :ne !an have a patient !ry o t very thoro ghly over the emotional aspe!ts of a tra mati! e%perien!e and then later let him re!over the a!t al intelle!t al !ontent of the tra mati! e%perien!e. :r# one !an do it in a >igsa" fashionDthat is# let him re!over a little bit of the intelle!t al !ontent of the tra mati! e%perien!e of the past# then a little bit of the emotional !ontentDand these different aspe!ts need not ne!essarily be !onne!ted. 6h s# yo let the yo ng medi!al st dent see the pit!hfork# then yo let him feel the pain he e%perien!ed in the gl teal regions# then yo let him see the !olor green# then yo let him feel himself stiff and rigid# and then yo let him feel the f ll horror of his stiffness and rigidity. ?ario s bits of the in!ident re!overed in this >igsa" fashion allo" yo to event ally re!over an entire# forgotten tra mati! e%perien!e of !hildhood Ga gangreno s "o nd from an a!!idental stabbing by a pit!hforkH that had been governing this personAs behavior in medi!al s!hool and handi!apping his life very serio sly. G2ee Eri!kson @ Rossi# 19,9# for detailed e%amples of these approa!hes.H
really doingJ 8e is agreeing "ith me "itho t kno"ing it that he "o ld find it easier to speak more freely if he "ere sitting in a different position in the offi!e. 6hen * s ggested that it "as impossible# really# to talk in this !hairDthe one that he "as a!t ally sitting inDb t all that "o ld be ne!essary for him to do "o ld be to take the !hair# p t it over there# sit do"n# and begin talking. *Ave had a patient more than on!e pi!k p his !hair# move it to another side of the room# and immediately begin dis! ssing his problems and giving me the information he needed to give. *n effe!t# he has left all of his resistan!es in the room orientation that he had "hen sitting in this !hair. / t by sitting in that !hair# "hi!h had > st been moved over there# he sa" the room in a different "ay entirely. * have fo nd that "hatever yo !an do to alter the orientation of yo r patients in the offi!e aids them tremendo sly in !omm ni!ating "ith yo and e%amining their problems. GReorienting a patient physi!ally and spatially often helps to reorient him psy!hologi!ally. 6he !hair in its old position represents the patientAs old patterns of thinking and behaving. =oving the !hair to a ne" position represents the patientAs "illingness to look at himself in a different "ay and gives him# literally and psy!hologi!ally# a different perspe!tive.H 8ypnoti!ally# of !o rse# it is very easy to ind !e a deep tran!e and reorient patients !ompletely# even to depersonali<e them. 6hat is "hy * emphasi<e the importan!e to all of yo # no matter "hat field of medi!ine yo are in# to "ork "ith normal s b>e!ts. 2pending a little time "ith normal s b>e!ts "ill enable yo to dis!over all the vario s hypnoti! phenomena.
Har. y, t" Sad Sack: D ( rsonali0ation and Pro4 ction to -r Int ll ct ,or $" ra( )tic C"an*
t"
7epersonali<ation and the pro>e!tion of the self are other very helpf l hypnoti! phenomena. 0o !an tea!h a s b>e!t to hall !inate a movie s!reen and to see his EselfE p there on the s!reen. 0o !an then have him forget his name# his identity# to forget everything abo t himselfDthe "ay all of s do normally in the theater "hen observing a s spense movie or anything that !ompletely absorbs o r attention. 6hen have yo r patient look at the s!reen and tell him that he is going to see a !ontin o s series of eventsDyo !an have them in the form of moving pi!t res# or yo !an have them in the form of stills. * !an think of one person# a sad sa!k# "ho !ame to me# and the & estion "as# !o ld one ever make a man o t of that sad sa!kJ * "as !hallenged to do that# and * had to !ond !t psy!hotherapy on that man sing hypnosis and having an a dien!e of antagonisti! psy!hoanalysts and residents in psy!hiatryDsome of "hom "ere ndergoing psy!hoanalysis. 6he simple pro!ed re * sed "ith the sad sa!k "as this) 8arvey had every kno"n a!he and pain# every kno"n sense of inferiority. / t he "as intelligent# even tho gh he didnAt manifest m !h intelligen!e. 8e "as fearf l# and that "as all * really needed to kno" abo t the man# be!a se kno"ing that he "as intelligent# * also kne" that he !o ld have a rather ri!h fantasy life. And so * s ggested to him that he see a series of movie s!reens or !rystal balls in "hi!h he "o ld see still3life pi!t res of tremendo s importan!e. * had 8arvey forget his name# his identity# his age# the fa!t that 8arvey as a person really e%isted. All he "as "as an intelligen!e that "as looking at all those things that * had s!attered aro nd the room for him to look at. 8e sa" the little boy on his "ay to s!hool as a moving pi!t reDmost of them "ere moving pi!t res. 8e follo"ed the little boy to s!hool. 8e sa" the little boy getting his hands ra!ked by the s!hool tea!her. 8e sa" the s!hooltea!her for!ing the little boy to !hange from the left hand to the right hand in "riting. 8e sa" the little boy getting p nished rather br tally by the tea!her. :ne parti! lar day# he sa" that boy "alking home very sadly. And 8arvey looked and !ommented on the paltriness of the s!ene. 8e sa" that little boy "alking home# rea!hing home# and looking into the yard over the gate. And there he sa" the sheriffs dep ty "ith a g n in his hand. 6he dep ty had > st finished shooting the little boyAs dog. And then he sa" the little boy !rying. And then * told him to start there and see another pi!t re several years later "hen that same emotion "o ld !ome forth. And he sa" that same boy at the age of 1. o t in the "oods h nting "ith his brother and feeling terrible abo t killing a rabbit. 6hen he sa" the boy abo t the age of 1I lying on the top of a r ined dam and thinking abo t all the dreadf l things
that !an happen to h man beings. And then seeing a yo ng man of abo t 44 "ho had > st been t rned do"n by a girl and felt very "ret!hed and very inferior. And then he sa" that same yo ng man in the same emotional state of depression "ho "as "alking o t of a !o rtho se. 8eAd > st been divor!ed and felt rather s i!idal and tremendo sly inferior. And then he sa" the yo ng man at the age of 48 getting dis!harged from the >ob he liked. And then he sa" the yo ng man at the age of 1. feeling horribly "ret!hed. And * asked 8arvey the intelle!t to revie" all of those pi!t res and "hat they probably meant# and 8arvey revie"ed and analy<ed them for me. And "e spoke abo t the thread of !ontin ity and the repetition of tra mati! e%perien!es that goes thro gh life. / t 8arvey didnAt kno" that he "as talking abo t himself# and 8arvey didnAt kno" that he "as seeing himself. And * !o ld ask him to spe! late on "hat "o ld happen to that yo ng man. And his statement "as that if anything more like that happened to him# he "o ld ndo btedly try to !ommit s i!ideDal"ays on the losing end# sin!e he had lost o t on everything thro gho t life# and maybe tried to !ommit s i!ide on the losing end. / t the losing end meant "hatJ GEri!kson then helped 8arvey resolve one of his problems in tran!e) 8e "as to pra!ti!e "riting !learly instead of the self3h miliating s!ra"l he s ally presented. (inally# 8arvey "as able to follo" a posthypnoti! s ggestion to "rite !learly "hen he "as a"ake.H E6his is a bea tif l day in =ar!h.E 8e "rote that# looked at it# and > mped to his feet and said# E* !an "rite !learlyK * !an "rite legiblyKE And he "ent aro nd and aro nd that gro p of do!tors and demanded that everyone praise his "riting. 8e "as literally a > bilant little boy. And he "as tterly embarrassing to the a dien!e be!a se of his > bilan!e ntil they re!ogni<ed the tremendo s for!e of that. No" 8arveyAs >ob "as a fifth3rate >ob "here his boss ki!ked him aro nd. 8arvey did this "riting# and d ring the rest of the evening he bragged and bragged abo t his e%!ellent hand"riting. And * s ggested that he "o ld keep that sense of a!!omplishment# that sense of personal pride# "ith him# and that he "o ld se it in every essential "ay. 6he ne%t day "hen 8arvey "ent to "ork# he talked ba!k to his boss for the first time and he demanded an in!rease in payment in his salary. And he got it. 6hen he demanded a better desk. 8arvey drove a !ar to "ork. 8e al"ays parked it in a parti! lar pla!e in the parking lot. And there "as one other employee there "ho al"ays bo%ed him in "ith his !ar. And that employee "orked half an ho r longer than 8arvey. 8arvey "o ld sit and f me helplessly# Casper =il& etoast fashion# in his !ar "aiting for the other man to !ome to move his !ar. 6hat night 8arvey "ent o t and told the g y# EListen yo big l g# * possibly !o ld pi!k a fight "ith yo for parking yo r !ar in that nasty fashion. 0o Ave done it for a long time and *Ave taken it. ;e !o ld have a fight abo t it# b t *Ad rather invite yo in for a glass of beer# so letAs go talk it over.E 6hat "as the last time that g y ever parked his !ar in s !h a manner as to bo% in 8arveyAs !ar. 8arvey repainted his !ar be!a se he felt a >oy of possession in it. 8e got ne" slip!overs. 8e !hanged his resta rant for a better one. 8e !hanged his rooming ho se for a better rooming ho se. 6hat s rge of >oy over the simple matter of "riting his name legibly and then "riting a simple senten!e# E6his is a bea tif l day in =ar!h#E and giving him permission to feel that tremendo s# boyish s rge of > bilant >oy "as eno gh to !arry him along. * think it "o ld have been an error for me to tell him to go do"n and demand better pay or to tell off that g y "ho parked that !ar in the "rong fashionDbe!a se he didnAt need a dire!tion abo t "hat to do. / t he did need motivation. And that is one of the things in psy!hotherapy and the se of hypnosisDthe motivation of a patient to do things. Not the things that yo ne!essarily think they o ght to do# b t the things that they as personalities have the feeling that they really o ght to do. And one s ally starts "ith rather simple things. /e!a se h man beings are essentially# f ndamentally# rather simple !reat res. And therefore# yo o ght to start simply and let the patients elaborate in a!!ord "ith their o"n personality needsDnot in a!!ord "ith yo r !on!epts of "hat is sef l to them. 0o only interfere "hen they try to destroy themselves.
= !h of hypnoti! psy!hotherapy !an be a!!omplished indire!tly# like * had done "ith 8arvey# "ith the se of posthypnoti! s ggestion. :ften * "ill s ggest to a patient# ECo home today and let yo r n!ons!io s mind think over all the things that have been said# all the things that have been tho ght.E * !an think of one patient in parti! lar "ho "as making a psy!hone roti! o t of herself by going o t into the s nlight and developing an e%tremely severe rash on her arms# ne!k# fa!e. 6hen she "o ld !la" at the rash all night long ntil her arms and fa!e and ne!k "ere horrible sights to look pon. 2he !ame to me be!a se every dermatologist and do!tor she had !ons lted had said that it "as > t p re ! ssedness on her part. 2he stated very definitely that she also e%pe!ted me to tell her that it "as p re ! ssedness on her part. 2o * told her it "asnAt ne!essary for me to tell her that be!a se she had already told me# and * "o ld take her "ord for itDb t * "as still entitled to believe my o"n tho ghts on the matter. 6h s# * a!!epted "hat she said to me# b t at the same time * gave tremendo s reservations. * "as still entitled to believe my o"n tho ghts# and she !o ld believe her o"n tho ghts. =y s ggestion to her "as rather simpleDnamely# that she o ght to en>oy as m !h of the s nlight as she "ished# that she really o ght to en>oy the s nlight as m !h as she "anted to. * told her to go home $the patient "as in a medi m tran!e' and lie do"n for an ho r or t"o and let her n!ons!io s mind think over "hat that meant. 2he said that she didnAt need to# that she !ons!io sly remembered "hat * had said. After she had gone home# after she had pro!eeded to sit do"n and rest for an ho r# her rea!tion "as to get p and go o t into the garden. / t she "as also motivated to p t on a very "ide3brimmed hat and long sleeves. No" she fo nd it very en>oyable o t in her yard# and she "orked in her flo"er garden. *n the past she had been told# sensibly eno gh# to avoid the s nlight# to keep o t of the s nlight# to shade herself# to prote!t herself from the s nlight. *# on the other hand# told her to en>oy it. No"# "hat does en>oyment of the s nlight meanJ *t means p tting yo rself in a sit ation "here yo do not have to fight against it# do not have to prote!t yo rself# b t !an really en>oy it. 2he did like her flo"ers very m !h# and they "ere o t in the s n# and therefore she "as able to en>oy the s nlight. 7o yo see the impli!ations of my s ggestion to herJ * did not tell her to avoid the s nlight# * did not tell her to prote!t herself# * told her to en>oy it. And her en>oyment of the s nlight "o ld in!l de en>oying herself post3s nlight# en>oying herself d ring her sleep# en>oying herself the ne%t day. All * needed to do "as to give her the motivation to en>oy the s nlight. 2in!e she "as a rather hostile and antagonisti! person# my s ggestion did not leave her "ith anything to fight against. 8er rash !leared p very promptly# at "hi!h point she protested that * !harged too high a fee. And * told her# E0es# my fee "as high# b t yo r en>oyment "as m !h higher# and "hy not pay me my fee for the little that * have done.E 2he sent me a total of 1. other patients# even tho gh she protested my high fee. * had a!!epted her protests# and a!!epted them on the gro nds that "ere a!!eptable to her. *n other "ords# yo try to a!!ept the patientAs ideas no matter "hat they are# and then yo !an try to dire!t )sicD"e no" prefer utili*e, them.
%s o, R *r ssion and '/n sia: Gainin* Control o. r $ra)/atic E3( ri nc s, M /ory, and R (r ssion
Regarding this matter of regression# * like to initially regress my psy!hiatri! patients to something pleasant# something agreeable. * admit that "e are "asting time be!a se "e are there to !orre!t the npleasant things# not the pleasant things. / t in the tran!e state * impress pon them that it is tremendo sly important to reali<e that there are some good things in their past# and those good things form the ba!kgro nd by "hi!h to > dge the severity of the present. And so * se the happy memories of their past to train them to re!over f lly and !ompletely the vario s tra mati! e%perien!es. * have them re!over the tra mati! e%perien!es !ompletely# then * repress them# then have them re!over the memories again# and repress them again for the patient. G6he dynami!s nderlying this te!hni& e are the follo"ing.H A patient !omes to yo "ith forgotten# repressed memories. :n!e yo get a hold of the memories and relate them to the patient# on!e yo have the patient remember them# he !an again se his repressive po"ers
and forget those things. / t if yo yo rself repress or !reate an amnesia for those memories# the patient is n"ittingly t rning over the !ontrol of those tra mati! e%perien!es to yo . 6his means that yo are at liberty to reprod !e the memory# to !over it p again# to bring it forth again# to !over it p again# ntil yo r patient b ilds p eno gh strength to fa!e any parti! lar iss e. 2in!e hypnosis provides yo easy a!!ess to# and !ontrol over# both the re!overy and repression of material# the repressions of the patient are not likely to take over and !ontrol the sit ation.
sit ation for both of them. 6hat is one te!hni& e )sicD"e no" prefer approach, that * think all of yo sho ld try o t sometime be!a se it "ill tea!h yo a great deal abo t establishing rapport. Neither of those do!tors reali<ed that my instr !tions "o ld res lt in his being in rapport "ith me after he had p t the other do!tor in a tran!e. * & ite often have my patients p t into a deep tran!e by someone else# espe!ially those patients "ho are tterly resistant and "ill not let the do!tor do it. * s ally try to get them to be as resistant to"ard me as possible# so that * !an gather p all their resistan!es# leaving none for the person "ho is going to p t them in a tran!e.
$" %tili0ation '((roac" to Hy(notic Ind)ction: 'da(tin* Hy(notic Ind)ction to t" Pati nt+s B "a.ior
*n other "ords# one of the things *Ave mentioned is this matter of s rprise te!hni& e. :ne al"ays tries to se "hatever the patient brings into the offi!e. *f they bring in resistan!e# be gratef l for that resistan!e. 8eap it p in "hatever fashion they "ant yo toDreally pile it p. / t never get disg sted "ith the amo nt of resistan!e. 6hat do!tor !ertainly had plenty of resistan!e n!ons!io sly "hen for t"o ho rs * did everything * !o ld to p t him into a tran!e. And then "hen * took him o t into the other room to introd !e him to =rs. Eri!kson# his resistan!es had been piled p and left in the offi!e. :ne really o ght to re!ogni<e that. No" this may seem as if *Am sing anthropomorphi! thinking# b t itAs an easy "ay of !on!ept ali<ing these matters. %hate&er the patient presents to you in the office# you really ought to use. *f they prevent yo from hypnoti<ing them by sighing or giggling or by shifting aro nd in the !hair or by doing any n mber of things# 'hy not utili*e it+ :ne of my patients demanded that he be hypnoti<ed by me# and * agreed to do so. 8e
insisted on beating time "ith his footDfirst his right foot# then his left foot# then his right hand# then his left hand. Ne%t he "o ld get p to stret!h and then settle ba!k do"n in the !hair more !omfortably. ;hat * did in the matter of hypnoti<ing him "as to note "hen he "as abo t to shift from the right foot to the left footF "hen it "as too late for him to !hange# * "o ld give him the s ggestion that he shift from the right foot to the left foot. And then "hen he "as shifting from the left hand to the right hand# * "o ld note > st "hen he "as abo t to do that and then s ggest that he se his right hand no"# and then his left hand. ;hen * sa" he "as abo t to stret!h# * "o ld s ggest it "as time to get p and stret!h. ;hat differen!e did it make to me "hether * "as ind !ing hand levitation# moving laterally# p or do"nD "hether he "anted to beat time "ith his hands and feet and get p and stret!hJ *f he "anted that type of behavior# let him have it. -ut I really ought to be 'illing to use it. *f he "ants to la gh at my te!hni& e# my s ggestions# * en!o rage him to la gh# and gently s ggest Ethat no" here is another s ggestion yo "ill probably find very# very# f nny. / t then again * may be mistaken# and yo may not find it f nny at all. * really !anAt tell.E And so *Ave !overed all possibilities. 8e may find it f nny# or he may not find it f nny at all# b t then * really donAt kno"DheAll have to demonstrate to me "hether it is f nny or nf nny# b t in doing so# he doesnAt reali<e that he is obeying my s ggestion that he demonstrate it is f nny or nf nny.
%tili0in* Sil nc : -acilitatin* %nconscio)s Proc ss #ia t" Conscio)s6%nconscio)s Do)1l Bind
6hen there are the patients "ho make rgent appointments "ith yo over the phone and them !ome into the offi!e and sit there very silently. 0o might be in!lined to e%press yo r la!k of nderstanding of this behavior. / t * tell them that no matter ho" silent they are# their n!ons!io s mind is beginning to think# beginning to nderstand# that they themselves do not need to kno" !ons!io sly "hat is going on in their n!ons!io s mind. ;hat are yo a!t ally saying to themJ .ou are saying that their unconscious mind can no' 'ork# and 'ork secretly# 'ithout the a'areness of the conscious mind. *n this "ay yo are making se of their !ons!io s silen!e and letting them nderstand that they do not have to verbali<e !ons!io sly at all. Their mere presence 'ithin hearing distance of you allo's their unconscious mind to 'ork satisfactorily. * see no reason "hy one sho ld resent the patient sitting & ietly for a "hole ho r. / t it is a "aste of time on yo r part if yo donAt se it for the patient. 0o donAt need to say very m !hDsimply tell the patient# ELet yo r n!ons!io s mind "ork "hile yo r eyes roam aro nd the offi!e# "hile yo note this book title and that book title# "hile yo look at the !arpet# "hile yo ignore looking at me# "hile yo attend to e%ternal noises.E ;hat happensJ 6he patientAs o"n n!ons!io s mind begins to respond to yo r s ggestions# and yo dis!over that the ho r of !ons!io s silen!e has been sed to prepare the patient for e%perien!ing an hypnoti! tran!e in the f t reDperhaps even in the
=eyer said that they "ere getting heavier and heavier# "o ld they be getting heavierJ And of !o rse they began getting heavier. And all * did "as to re!ogni<e that there m st have been a previo s hypnoti! sit ation operating "ithin her. * spe! lated as to "ho "as g ilty and then tried to identify myself "ith them in her mind. *n this !ase# it had been =eyer and /ill "ho had given her the previo s s ggestions. :n another o!!asion a s b>e!t vol ntarily stated# E*Ave been hypnoti<ed before# and itAs been tried by many do!tors sin!e# b t *Ave al"ays failed to go into hypnosis.E * asked "ho the hypnoti<ers "ere# and ho" long ago did the hypnosis o!! r. E*t "as a stage hypnotist# and he told me never again to be hypnoti<ed# and so "hile *Ave "anted hypnosis# *Ave al"ays failed to go into a tran!e.E *t happened five to seven years ago# in Chi!ago. 6hen * asked her a barrage of & estions) E7o yo remember the name of the theaterJ 8o" many people "ere p on the stage "ith yo J 2ee ho" many of them yo !an remember. ;hat are the other !ir! mstan!es yo !an rememberJ 7id yo go there "ith friendsJ 7id yo leave "ith friendsJ 7id yo dine after"ardJ 7id yo have a drinkJ ;hat happened "hen the stage hypnotist approa!hed yo J 7id he tell yo to !lose yo r eyes and get sleepyJ 7id he tell yo to feel very sleepyJ 7id he have a voi!e like mine# or "as he more !ommanding and domineeringJ 7id he tell yo to go to sleep no"J 7id he tell yo to get yo r arms rigidJE *n this "ay * am trying to evoke in her memory all the forgotten details s rro nding the hypnoti! e%perien!e and to identify myself "ith the stage hypnotist at the time. :!!asionally yo "ill en!o nter patients "ho have been hypnoti<ed by one of yo r !olleag es "ho has told these patients not to let any other do!tor hypnoti<e them. ?ery sympatheti!ally and interestedly# in& ire into the details of that sit ation. As they begin re!alling the details# they begin to develop the tran!e behavior of that sit ation. And as they develop the tran!e behavior# they "ill then go into a tran!e# and at that point yo p t in the s ggestions) E0es# yo "ere told not to go into a tran!e then# > st as * am telling yo no" not to go into a tran!e again in the f t re. B st as * am telling yo no" not to go into a tran!e again in the f t re.E / t before they !an a!!ept that s ggestion of not going into a tran!e again in the f t re# they have to go into a tran!e right there in order to a!!ept the s ggestion. 6heir past training has been to a!!ept it. 6hey have been abiding by that sort of s ggestion for perhaps five years. 6hey "ill grad ally go into a tran!e to a!!ept a reinfor!ement of that s ggestion# b t after yo Ave gotten them in a tran!e state# right then and there yo !an & alify that original instr !tion) ENever again "ill yo go into a tran!e for silly p rposes. Never again in the f t re "ill yo go into a tran!e for a seless# "orthless# ninformative p rpose.E G/y evoking memories of the previo s hypnoti! e%perien!e# yo evoke the !onditions of another hypnoti! e%perien!e. /y a!!epting and tili<ing the admonition not to let any other do!tor hypnoti<e them# yo in fa!t re3!reate the original e%perien!e# th s making it possible for hypnosis to o!! r again.H 6his is something all of yo o ght to pra!ti!e in !ooperation "ith one another. Cet a good# intelligent# normal s b>e!t. :ne of yo p t that s b>e!t in a deep tran!e and tell that s b>e!t not to let so3and3so p t him in a tran!e. 6hen let so3and3so "ork o t in his o"n mind the verbali<ation to !orre!t that s ggestion. 0o se the same te!hni& e in the matter of psy!hotherapy. A patient tells yo # E(or the last ten years * havenAt been able to sit do"n at the table "itho t first getting p and "ashing the silver"are and the plates at least seven times.E :ne of the first things * "ant to kno" abo t that is ho' did that person sit do"n at the table previo s to the time of the problem# more than seven years ago. And if * !an get him to demonstrate# * do so. 6he patient never re!ogni<es that * am p tting him in a tran!e and regressing him to a period of seven years ago. *Ave had s b>e!ts tell me that they didnAt think they !o ld go into a tran!e for me. 2o * try to p t them in a tran!e and let them demonstrate that they !anAt go into a tran!e. *n that "ay# *Ave met their needs. 6hen * begin reminis!ing "ith them abo t the time they sed to go into a tran!e# and they promptly go into a tran!e Gevoking past memories of tran!e tends to reind !e another tran!eH. 6hen * point o t to them in the tran!e state ho" * have tri!ked them# ho" * have manip lated them# and * offer to give them a posthypnoti! s ggestion
never to go into a tran!e for me again. :r# * s ggest that they might "ant to nderstand "hy they had a tran!e e%perien!e despite their e%pe!tation not to have one. *n that "ay# yo !an meet their resistan!e to yo and at the same time ndermine that resistan!e "hile a!hieving a great deal in the "ay of psy!hotherapy. 6he one thing in the se of hypnosis is this) 0o really o ght to kno" more abo t it than yo r patients do. 0o o ght to kno" it so thoro ghly that no matter "hat develops in the sit ation# yo !an think of something# yo !an devise something# that "ill meet yo r patientAs needs.
%tili0in* Sl
G2omeone from the a dien!e noti!es that a "oman named =ary is asleep. 8e sho ts this o t to Eri!kson# "ho then addresses =ary.H 7id yo "ant to speak to me# =aryJ Are yo asleep or a"ake# =aryJ ;hi!hever "ay yo are# =ary# listen to me. * "ant yo to !ontin e sleeping if that is yo r "ish. * "ant yo to "ake p if that is yo r "ish. * "ant yo to en>oy listening to me. * "ant yo to en>oy hearing "hat * have to say. * "ant yo to remember and give Clen "hatever advi!e and !o nsel he needs. And * "ant yo to remember things that he is likely to forget. And donAt let anybody annoy yo . Cive them a merry p sh3aside "henever they try to intr de on yo .
had her a"aken# at "hi!h point she tho ght * had > st !ompleted the introd !tion to /ateson. 2he didnAt kno" that she had been in a tran!e. Clearly# the posthypnoti! s ggestion had end red for 1I yearsK And * am !ertain that if * meet her again after not seeing her for & ite some time# and the sit ation is s itable# she "ill go into a tran!e. *Ave done this "ith & ite a n mber of my patients that * havenAt seen for years. 9pon meeting them# they "ill readily go into a tran!e again# "ill readily !arry o t some posthypnoti! s ggestion. 9s ally * give to my patients some little thing to !arry along in life# a good feeling# to"ard me and to"ard themselves. * !an think of one patient * had in /altimore as an e%ample. * !ertainly "o ld not think of seeing that patient "itho t a very bright p rple tie at least. 6hat patient first !ame to me be!a se of morbid fear of the !olor red. : r "ork together helped to give her a very !omfortable feeling abo t !olor# so that "henever there is a !han!e * might meet that patient# *All p t on one of my brightest p rple ties. =y a!tion sho"s that * have a good feeling to"ard !olor# and my patient has a good feeling to"ard !olor. 6hat is a posthypnoti! s ggestion that * hope stays "ith her for life.
can be accomplished. .our unconscious mind can really 'ork on those matters. )0ause, !eally 'ork on them. There are a number of them# )0ause, and you can really 'ork on them# and that applies to e&erybody in the audience. There are a lot of things that you can do# there are a lot of things that your unconscious minds are interested in. And you can really 'ork on them in the next fe' months# the next six months# the next nine months# the next t'el&e months# a tremendous amount can be accomplished. And I hope all of you take a tremendous unconscious pleasure in letting your unconscious mind 'ork for you. And I think I/ll call it an afternoon# so rouse up e&erybody# 'ider and 'ider a'ake.
ob>e!tive information on one level. Every "ord# phrase# pa se# senten!e# voi!e infle!tion# and gest re "e se !an have m ltiple meanings and ne ropsy!hologi!al effe!ts. 6he st dy of indire!t !omm ni!ation involves the investigation of all these m ltiple meanings and ne ropsy!hologi!al pro!esses that take pla!e a tomati!ally# in an invol ntary manner# belo" o r s al level of a"areness. (rom his earliest !hildhood# Eri!kson developed an n s ally high degree of a"areness of ho" everyday !onversation !an pro!eed on many levels of meaning $Eri!kson @ Rossi# 19,,'. 6hat is# he developed a sensitivity to impli!ation and the n!ons!io s aspe!ts of !omm ni!ation. *n "hat follo"s "e "ill first present a fe" re!ent !onversations "herein he indi!ates ho" he developed this sensitivity# then o tline ho" it "as sed in the foregoing :!ean =onar!h Le!t re.
E) *All sometimes begin a hypnoti! ind !tion by saying# I don+t kno& 6his is a negation "hereby * pi!k p their resistan!e and tili<e it for !onstr !tive p rposes. >Pa)s ? 6he pa se implies# E;hat have yo not told me thatAs important for the problem at handJE &" n %hen then means by impli!ation that an event $tran!e' "ill take pla!e. yo)+ll *o into a d ( tranc . 6his is a dire!t s ggestion that does not seem like one# sin!e it is b ried in a broader !onte%t of E* donAt kno".E R) 0o make a lot of statements to patients that evoke !ertain natural associati&e responses "ithin them. *t is these responses 'ithin them that are the essen!e of hypnoti! s ggestion. E) 6hat is the hypnoti! st ff# yesK R) 2o this is an indire!t or tili<ation approa!h to effe!ting hypnosis) 0o provide verbal stim li that "ill by asso!iation evoke the hypnoti! responses "ithin the patients. 0o fa!ilitate the patientsA saying the s ggestion to themselves. E) .es# cause them to say it to themsel&es+ R) Co ld "e develop a hypnoti! di!tionaryD"ords and phrases that yo kno" "ill evoke !ertain predi!table responses $the a!t al hypnoti! s ggestion' in the s b>e!tJ ;e need not even talk abo t hypnosis at allF "e > st give !ertain verbal stim li and gest res that "ill evoke in the patient !ertain responses that are of a hypnoti! nat re. E) 2 !h an hypnoti! di!tionary "o ld probably have only limited appli!ation be!a se yo m st att ne yo r vo!ab lary to the individ ality of ea!h listener. GEri!kson tells an ane!dote of ho" his "ife had to hide the Easter eggs for one of their !hildren be!a se this !hild did not readily nderstand her reasoning. *f Eri!kson hid the eggs# the !hild fo nd them & i!kly be!a se he nderstood the "ay his fatherAs mind "orked. 6he !hild "o ld ask at the beginning of the h nt# EAre they hidden the "ay 7addy does or the "ay =ommy doesJE 6his ane!dote reveals ho" even a !hild !an be!ome intimately att ned to the behaviors and by impli!ation the internal asso!iations of the different people abo t him. *t is > st this sensitivity that hypnotherapists need in their "ork.H
npop lar meas res or their o"n !andida!y to the p bli! by first pro!laiming that they "o ld never s pport s !h3and3s !h a meas re# or they are definitely not a !andidate at this time. 6he listenerAs !ons!io s mind may a!!ept these denials at fa!e val e. 2im ltaneo sly "ith this s rfa!e a!!eptan!e# ho"ever# most listeners "ill also e%plore and pro!ess on an n!ons!io s or metalevel the opposite of any denial and the impli!ations of even the most trivial remarks. ;hen these a tomati! inner e%plorations are at great varian!e "ith the s rfa!e message# the listener "ill be flooded "ith !onfli!t that m st be resolved via his or her o"n parti! lar patterns of psy!hodynami!s. 6he history of the investigation of psy!hopathology from (re d $/re er @ (re d# 189IN19I,' to /ateson $19,4# 19,9' is the re!ord of o r efforts to nderstand these psy!ho3dynami!s.
SEC$ION II
perfe!t s !!ess "ill often follo" fre& ent fail res# b t insensibility is sometimes ind !ed in a fe" min tes. 7esire the patient to lie do"n# and !ompose himself to sleep# taking !are# if yo "ish to operate# that he does not kno" yo r intention) this ob>e!t may be gained by saying it is only a trialF for fear and e%pe!tation are destr !tive to the physi!al impression re& ired. /ring the !ro"n of the patientAs head to the end of the bed# and seat yo rself so as to be able to bring yo r fa!e into !onta!t "ith his# and e%tend yo r hands to the pit of the stoma!h# "hen it is "ishedF make the room dark# en>oin & iet# and then sh tting yo r patientAs eyes# begin to pass both yo r hands# in the shape of !la"s# slo"ly# "ithin an in!h of the s rfa!e# from the ba!k of the head to the pit of the stoma!hF d"elling for several min tes over the eyes# nose# and mo th# and then passing do"n ea!h side of the ne!k# go do"n"ards to the pit of the stoma!h# keeping yo r hands s spended there for some time. Repeat this pro!ess steadily for a & arter of an ho r# breathing gently on the head and eyes all the time. 6he longit dinal passes may then be advantageo sly terminated# by pla!ing both hands gently# b t firmly# on the pit of the stoma!h and sidesFDthe perspiration and saliva seem also to aid the effe!t on the system. *t is better not to test the patientAs !ondition by speaking to him# b t by gently trying if the !atalepti! tenden!y e%ists in the arms. *f the arms remain fi%ed in any position they are left in# and re& ire some for!e to move them o t of every ne" position# the pro!ess has been s !!essf lF the patient may soon after be !alled pon by name# and pri!ked# and if he does not a"ake# the operation may be pro!eeded "ith. *t is impossible to say to "hat pre!ise e%tent the insensibility "ill befriend s) the tran!e is sometimes !ompletely broken by the knife# b t it !an o!!asionally be reprod !ed by !ontin ing the pro!ess# and then the sleeper remembers nothingF he has only been dist rbed by a night3mare# of "hi!h on "aking he retains no re!olle!tion. $19I,# pp. 1--31-I'
6here are a n mber of observations in this passage that are note"orthy for o r ! rrent nderstanding of tran!e and !atalepsy. 6he first is that time itself is a very important !onsideration. 6ran!e s ffi!ient for s rgi!al anesthesia re& ired one or t"o ho rs of ind !tion. 6hen as no"# ho"ever# there "as e%treme variation in s s!eptibility to hypnoti! e%perien!eF some patients re& ired only a fe" min tes. Another interesting observation is the importan!e of the element of s rpriseF fear and a kno"ledge of the do!torAs intention Eare destr !tive to the physi!al impression re& ired.E 6his sort of Es rprise s rgeryE is !ertainly not in keeping "ith modern tastes# tho gh "e !an nderstand ho" it may have been needed in EsdaileAs day. *t does indi!ate the importan!e of distra!tion and s rprise as an important fa!ilitator of hypnosis. ;hat is an appropriate distra!tion and s rprise !an vary from one s b>e!t to another# ho"ever. *t is a part of the art of the hypnotherapist to tili<e appropriately !onstr !ted s rprises s itable for the individ ality of ea!h s b>e!t. 6he se of !atalepsy as a test of the ade& a!y of the tran!e state "as also !hara!teristi! of the Esdaile period. 6he operatorAs n!ertainty abo t the patientAs !ondition has al"ays been a basi! problem in st dying hypnosis and in its pra!ti!al tili<ation. 6he nat ral and spontaneo s variations in tran!e EdepthE made early hypnoti! anesthesia an apparently nreliable phenomenon# so that Etran!e is sometimes !ompletely broken by the knife.E (ort nately# tran!e !o ld be reind !ed and the patient fre& ently had an amnesia for the entire pro!ess. (rom this early des!ription "e gather that Esdaile believed there a!t ally "as some sort of a physi!al Emesmeri! infl en!eE transmitted to the patient from all the organs of the operator. *n other passages Esdaile !onfirms this vie" by maintaining Ethat the imagination has nothing to do "ith the first physi!al impression made on the system by =esmerism as pra!ti!ed by meE $19I,# p. 4-5'. 8e believed Ethat "ater !an be !harged "ith the mesmeri! fl idE and that the mesmeri! infl en!e !o ld be transmitted thro gh the air for !onsiderable distan!es and even thro gh dense metals $19I,# p. 4-5'. 2 bse& ent e%perimentation by other pioneers in hypnosis s !h as /raid $18II' established that tran!e re& ired no fl ids or magnets b t "as simply Ea state of abstra!tion or !on!entration of attention.E 6he itali!s in the follo"ing passage & oted from /raid $!ited in 6intero"# 19,.' are o rs to emphasi<e /raidAs !lear arti! lation of this modern vie" of hypnosis.
*t "as in 18-1 that * first ndertook an e%perimental investigation for the p rpose of determining the nat re and !a se of mesmeri! phenomena. 8itherto it had been alleged that the mesmeri!
!ondition arose from the transmission of some magneti! fl id# or o!! lt infl en!e# fl id# or for!e# pro>e!ted from the body of the operator# impinging pon# and !harging the body of the patient. 8o"ever# * "as very soon able to demonstrate the falla!y of this ob>e!tive infl en!e theory# by prod !ing analogo s phenomena simply by !a sing s b>e!ts to ga<e "ith fi%ed attention for a fe" min tes at inanimate ob>e!ts. *t "as th s !learly proved that it "as a s b>e!tive infl en!e# res lting from some pe! liar !hange "hi!h the mind !o ld prod !e pon the mental and physi!al f n!tions# "hen !onstrained to e%er!ise a prolonged a!t of fi%ed attention. * therefore adopted the term hypnotism# or nervo s sleep# to !hara!teri<e the phenomena prod !ible by my pro!esses. * be!ame satisfied that the hypnotic state 'as essentially a state of mental concentration# during 'hich the faculties of the mind of the patient 'ere so engrossed 'ith a single idea or train of thought as# for the nonce# to render it dead or indifferent to all other considerations and influences. 6he !onse& en!e of this !on!entrated attention# again# to the s b>e!t in hand# intensified# in a !orrespondingly greater degree# "hatever infl en!e the mind of the individ al !o ld prod !e pon his physi!al f n!tions d ring the "aking !ondition# "hen his attention "as so m !h more diff sed and distra!ted by other impressions. =oreover# inasm !h as "ords spoken# or vario s sensible impressions made on the body of an individ al by a se!ond party# a!t as s ggestions of tho ght and a!tion to the person impressed# so as to dra" and fi% his attention to one part or f n!tion of his body# and "ithdra" it from others# "hatever infl en!e s !h s ggestions and impressions are !apable of prod !ing d ring the ordinary "aking !ondition# sho ld nat rally be e%pe!ted to a!t "ith !orrespondingly greater effe!t d ring the nervo s sleep. "hen the attention is so m !h more !on!entrated# and the imagination# and faith# and e%pe!tant ideas in the mind of the patient are so m !h more intense than in the ordinary "aking !ondition. No"# this is pre!isely "hat happensF and * am pers aded that this is the most philosophi!al mode of vie"ing this s b>e!tF and it renders the "hole !lear# simple# and intelligible to the apprehension of any npre> di!ed person# "ho may at on!e per!eive that the real ob1ect and tendency of the &arious processes for inducing the state of hypnotism or mesmerism is ob&iously to induce a state of abstraction or concentration of attention Dthat is# a state of monoideismD"hether that may be by re& esting the s b>e!t to look steadfastly at some ne%!iting# and empty inanimate thing# or ideal ob>e!t# or ind !ing him to "at!h the fi%ed ga<e of the operatorAs eyes# his pointed fingers# or the passes or other manoe vres of the mesmeri<er. $pp. 1,431,-'
;hile /raid had a !lear insight into the psy!hologi!al aspe!t of hypnosis# other investigators !ontin ed to sear!h for its physiologi!al basis. *n his early efforts to establish hypnosis as a somati! phenomenon Char!ot $1884' o tlined three progressive stagesDthe !atalepti! state# the lethargi! state# and the state of artifi!ial somnamb lism. 8e des!ribed the first as follo"s $!ited in ;eit<enhoffer# 19I,')
6he Catalepti! 2tateD6his may be prod !ed) $a' primarily# nder the infl en!e of an intense and ns spe!ted noise# of a bright light presented to the ga<e or# again# in some s b>e!ts# by the more or less prolonged fi%ing of the eyes on a given ob>e!tF $b' !onse! tive to the lethargi! state# "hen the eyes# "hi!h p to that moment had been !losed# are e%posed to the light by raising the eyelids. 6he s b>e!t th s rendered !atalepti! is motionless and# as it "ere# fascinated. 6he eyes are open# the ga<e is fi%ed# the eyelids do not & iver# the tears soon gather and flo" do"n the !heeks. :ften there is anesthesia of the !on> n!tiva# and even of the !ornea. 6he limbs and all parts of the body may retain the position in "hi!h they are pla!ed for a !onsiderable period# even "hen the attit de is one "hi!h is diffi! lt to maintain. 6he limbs appear to be e%tremely light "hen raised or displa!ed# and there is no flexibilitas cereas# nor yet "hat is termed the stiffness of a !lay fig re. 6he tendon refle% disappears. Ne rom s! lar hypere%!itability is absent. 6here is !omplete insensibility to pain# b t some senses retain their a!tivity at any rate in partDthe m s! lar sense# and those of sight and hearing. 6his !ontin an!e of sensorial a!tivity often enables the e%perimenter to infl en!e the !atalepti! s b>e!t in vario s "ays# and to develop in him by means of s ggestion a tomati! imp lses# and also to prod !e hall !inations. ;hen this is the !ase# the fi%ed attit des artifi!ally impressed on the limbs# or# in a more general "ay# on different parts of the body# give pla!e to more or less !omple% movements# perfe!tly !oordinated and in agreement "ith the nat re of the hall !inations and of the imp lses "hi!h have been prod !ed. *f left to himself# the s b>e!t soon falls ba!k into the state in "hi!h he "as pla!ed at the moment "hen he "as infl en!ed by the s ggestion# $p. 481'
Char!otAs se of the "ord fascinated to !hara!teri<e the early stage of !atalepsy is entirely in keeping "ith o r modern vie" of !atalepsy as a state of heightened sensitivity and re!eptivity. 6he problem "ith his overall des!ription is that it does not give s ffi!ient re!ognition to individ al differen!es. 7ifferent s b>e!ts e%perien!e to varying degrees the asso!iated phenomena of fi%ed ga<e# tearing# anesthesia# lightness or stiffness of limbs# and
alterations of a ditory and vis al sensation and per!eptions# et!. *t is an important aspe!t of the therapistAs skill to learn to re!ogni<e > st "hat spontaneo s alterations in f n!tioning the s b>e!t is e%perien!ing. =any of Char!otAs !ontemporaries "ere nable to reprod !e his res lts# and th s believed that they "ere a!t ally the res lt of s ggestion or preed !ation. /ernheim then gave a !lassi!al des!ription of Es ggestive !atalepsyE as an early stage of hypnosis in his Suggesti&e Therapeutics" A Treatise on the 2ature and 3ses of Hypnotism $1885N19I,' that !o ld hardly be improved pon today)
6his degree is !hara!teri<ed by s ggestive !atalepsy. /y this "ord the follo"ing phenomenon is meant. *f# as soon as the patient falls asleep# the limbs being rela%ed# * lift his arm# it stays pF if * lift his leg# it remains plifted. 6he limbs passively retain the positions in "hi!h they are pla!ed. ;e !all this s ggestive !atalepsy# be!a se it is easy to re!ogni<e that it is p rely psy!hi!al# bo nd p in the passive !ondition of the patient# "ho a tomati!ally keeps the attit de given > st as he keeps the idea re!eived. *n fa!t# in the same or in different patients# one sees the phenomenon more or less marked a!!ording to the depth of the hypnoti! infl en!e and the psy!hi!al re!eptivity. At first# this !ataleptiform !ondition is hardly apparent. 6he lifted limb remains p a fe" se!onds# b t falls do"n after"ard "ith a !ertain hesitan!yF or the fore3arm only remains lifted. *f one "ishes to lift p the "hole arm# it falls do"n again. 6he individ al fingers do not keep positions into "hi!h they are p t# b t the entire hand and the forearm remain fi%ed. ;ith some patients# for e%ample# if one arm be & i!kly raised and let alone# it falls ba!k again# b t if it is held p for a fe" se!onds to fi% the idea of the attit de in the brain# so to speak# then it remains p. (inally# "ith others# !atalepsy is only obtained thro gh a form lated verbal s ggestion. 6he person hypnoti<ed has to be told# E0o r arms remain p. 0o r legs are p.E 6hen only do they remain so. 2ome keep the ne" position passively# if nothing is said to them# b t if they are dared to !hange it they regain !ons!io sness# so to speak# !all pon their d ll "ill po"er# and drop the limb. 6hen they often "ake p. $19I,# pp. 53,'
A more modern vie" of !atalepsy "o ld emphasi<e that it is a f n!tion of an acti&ely accepting and recepti&e attitude rather than a Epassive !onditionE d e to a Ed ll "ill po"er.E 6he patient "ho & i!kly and easily responds to a g iding to !h is a!t ally in a !ooperative and responsive mood. +atients "ho maintain their limbs in a fi%ed position after being given a nonverbal s ggestion to do so $as "hen the therapist simply holds the limb in one position for a fe" se!onds' are a!t ally responding "ith e%& isite sensitivity to the therapistAs slightest dire!tive. ;e may# therefore# e%pe!t that patients "ho & i!kly learn to maintain a !atalepsy are e%perien!ing a favorable attit de and a!!eptan!e set for f rther tran!e "ork. 6his may be the reason "hy Eri!kson developed so many ingenio s approa!hes to !atalepsy# not only in the sele!tion of good s b>e!ts for demonstrations of hypnosis# b t for the ind !tion and deepening of tran!e as "ell.
are all related in this basi! rest3and3a!tivity !y!le thro gho t the day. *t may "ell be that "hat the senior a thor !alls the E!ommon everyday tran!e#E "herein !atalepsy tends to be manifest spontaneo sly# is a!t ally !oin!ident "ith the rest# high3alpha# and fantasy portion of the !ir!adian !y!le. *f this is so# "e may e%pe!t that f t re resear!h "ill establish that# in general# tran!e ind !tion and hypnoti! e%perien!e "ill be e%perien!ed more readily d ring this rest period of the 9.3min te 9ltradian Rhythm. *t is note"orthy that the senior a thor likes to spread important hypnotherape ti! sessions over a period of a fe" ho rs. *t may "ell be that at least a portion of his s !!ess in fa!ilitating deep tran!e "ork is that he int itively sele!ts that rest period of the !ir!adian !y!le# "hen the patient is spontaneo sly manifesting tenden!ies to !atalepsy# fantasy# and inner fo! s. ;e strongly re!ommend that e%perimental resear!h be !ond !ted to test the hypothesis that tran!e ind !tion !an pro!eed more easilyDand more hypnoti! phenomena be manifestDd ring this high3alpha and fantasy portion of the !ir!adian !y!le. 6here is a!t ally a vast array of diverse phenomena des!ribed as !atalepsy in the literat re of hypnosis $;eit<enhoffer# 19I1'. 6hese phenomena in!l de pra!ti!ally every form of h man and animal immobility# "hether bro ght on by fascination $an e%perien!e of the n s al or a"esome'# startle or fright $a s dden bright light or intense noise'# or fatigue or illness. =any a thors also des!ribe vario s forms of Eanimal hypnosisE $more properly !alled Etoni! immobilityE'# "hi!h appears to have s rvival val e in nat re. 6he oposs m# for e%ample# "ill Efree<eE "hen trapped by a predator# "ho then gives p his prey as dead $Cheek @ LeCron# 1958F 8allet @ +elle# 195,'. :ther investigators have demonstrated ho" to ind !e !atalepsy in an animal thro gh sho!k and fear by t rning it over & i!kly and holding it immobile for a fe" moments $?olgyesi# 1958F =oore @ Amstey# 1951'. 6he similarity bet"een animal and h man toni! immobility "hen h mans are e%posed to deep3threat !onditions has been des!ribed $=ile!hnin# 1954'. *t is the asso!iation bet"een !atalepsy and the deeper nonverbal levels of the personality that makes its se of s !h potential val e in hypnotherapy. (or the p rposes of modern hypnotherapy# Eri!ksonAs f n!tional definition of catalepsy as a form of 'ell4balanced muscle tonicity is probably broad eno gh to help s nderstand most of its appli!ations. 6he follo"ing e%amples taken from everyday life e%tend o r traditional nderstanding of "hat !atalepsy is and prepare s for a more in!isive nderstanding of its tili<ation in modern hypnotherapy. '. ;hen "riting a letter# one pa ses for a moment to think. 7 ring that moment one is oblivio s to the pen in oneAs hand# "hi!h is maintained !omfortably poised in an immobile# !atalepti! position. *n fa!t# the entire body is s ally immobile in a !atalepti! pose d ring that moment "hen !ons!io sness is fo! sed and re!eptive to oneAs inner tho ghts. B. ;hen !onsidering a & estion or problem# one "ill fre& ently glan!e to the left or right and s ally a bit p"ard "ith eyes fi%ed in "hat "e !an regard as a !omfortable !atalepti! position. Again# this is a moment of spe!ial sensitivity and re!eptivity to oneAs inner pro!esses. C. ;hen absorbed in a book# le!t re# or movie# oneAs entire body "ill remain immobile# !atalepti!# for long periods of time. :neAs arm may even be n dged to a ne" position by a seatmate "itho t o r reali<ing it. 6he arm may then remain !omfortably fi%ed in its ne" position. ;ith o r attention fo! sed on the interesting movie# "e pay no attention to the irrelevant stim li related to o r body position. *ntense interest and re!eptivity to !ertain stim li are apparently !ompensated by a !orresponding !atalepti! insensitivity to other stim li. D. At an athleti! event an entire !ro"d "ill fre& ently lean for"ard and remain momentarily s spended in a fairly a"k"ard !atalepti! position. 6his moment of !atalepti! s spension# of !o rse# is pre!isely the moment "hen a !riti!al event of absorbing interest is being played. E. Address an absorbing & estion to one engaged in a motor a!tivity like "riting# painting# tying a shoela!e# mi%ing a !ake# sa"ing a board# or "hatever# and the person fre& ently stops a!tivity in mid3stroke to remain !atalepti! in that fi%ed position for a moment "hile !onsidering an ans"er. 6he & estion a!t ally s spended e%ternal m s!le a!tivity so
that an ans"er !o ld be re!eived thro gh an inner fo! s of attention. -. Eri!kson likes to point o t ho" an Eskimo "ill sit immobile in a !omfortable !atalepti! pose for 4- ho rs or more beside a hole in the i!e "aiting for a seal to appear. Like h nters in many so!ieties# he !an instantly respond to the appropriate stim l s even tho gh he seems !ompletely oblivio s to all the irrelevant environmental stim li. G. *n most !riti!ally important or emergen!y sit ations of everyday life people tend to Efree<eE "ith fascination and remain !atalepti!ally immobile as they focus their entire attention to recei&e and nderstand the important event. 6h s someone m st finally sho t# E7onAt > st stand there# !all a do!torKE *n all these e%amples there tends to be a gap in the s b>e!tsA a"areness as they "ait e%pe!tantly for an appropriate response from "ithin themselves or from the o tside. At s !h moments# "hen they are !atalepti!ally posed in immobile s spension# they are open and re!eptive to appropriate stim li. At such moments an appropriate suggestion can be recei&ed and acted upon in a seemingly automatic manner. This momentary gap in a'areness is essentially a momentary trance. The heightened recepti&ity during that moment is essentially 'hat 'e mean by the term hypnoti!. An asso!iation bet"een !atalepsy# or body immobility# and heightened re!eptivity to important stim li "as !hara!teristi! of all o r e%amples. *t is also apparent in the tea!herAs perpet al in> n!tion for st dents to Esit still and pay attentionKE Re!ent resear!h $7ement# 19,8F Coleman @ 7avidson# 19,9' has established that this immobility of the body is like"ise asso!iated "ith the heightened periods of intense inner mental a!tivity d ring dreaming. 7 ring RE= $Rapid Eye =ovement# "hi!h o!! rs d ring those stages of sleep "hen dreaming takes pla!e' sleep most physiologi!al variables $e.g.# EEC# respiration# p lse# penile ere!tion# eye movements# et!.' indi!ate a state of heightened aro sal. :nly the !orrelates of m s!le tension are depressed# indi!ating an immobility of the m s!les. 6he fre& ent analogy dra"n bet"een tran!e and dreams# "herein mental a!tivity seems to pro!eed effortlessly and a tonomo sly "hile the body remains apparently inert $!atalepti!'# th s has some empiri!al !onfirmation. B st as dreaming may indi!ate a state of heightened vigilan!e d ring sleep# so is !atalepsy a state of heightened e%pe!tan!y "hile a"ake.
C. -'CI!I$'$ING C'$'!EPSY
Catalepsy is fa!ilitated by any pro!ed re that $1' arrests attention and $4' leads to progressive body immobility "ith $1' an inner attit de of in& iry# re!eptivity# and e%pe!tan!y of f rther dire!ting stim li from the therapist. 6he re!eptivity that allo"s a part of the body to be!ome immobili<ed refle!ts a !orresponding mental re!eptivity to the therapistAs f rther s ggestions. Catalepsy th s be!omes a ma>or means for fa!ilitating and ga ging a patientAs state of mental re!eptivity for appropriate stim li. 6his !an be ill strated even "ith a s b>e!t "ho !annot or "ill not e%perien!e !atalepsy by the typi!al approa!h of g iding an arm p"ard. Catalepsy !an s ally be a!hieved indire!tly by handing the s b>e!t an arti!le s !h as a book and then "ithdra"ing it "ith a distra!ting remark "hen the s b>e!t rea!hes to take it. 6he s b>e!tAs arm "ill remain momentarily s spended in a !atalepti! position# as if still a"aiting the book. 7 ring that pre!ise moment# "hen arm and hand are s spended# the patientAs mind is also s spended and openF this momentary gap in a"areness !an be filled by any appropriate s ggestion offered by the therapist at that pre!ise moment. 6his openness is "ell ill strated in Eri!ksonAs des!ription of a dental !olleag eAs !as al tili<ation of !atalepsy to fa!ilitate his patientAs re!eptivity to s ggestions for rela%ation. $dire!t
& otations of the senior a thor that are not other"ise !ited are from his "orkshops# seminars# and a dio re!ordings "ith the > nior a thorF the & otations span t"o de!ades of "ork from the 19I.s thro gh the 19,.s'
E8e doesnAt attempt to rela% them dire!tly. 8e doesnAt attempt a !oa!hing te!hni& e. 8e asks the patient to sit do"n in a !hair. 8e asks the patient if he# the dentist# !an take a hold of the patientAs "rist and very !aref lly lay it on the arm of the !hair. *n so doing he moves the patientAs hand p and do"n "hile addressing some simple# !as al remark to the patient.
;hat he is really doing is asking the patientAs permission to manip late the arm. 6hen he pro!eeds to manip late the arm p and do"n a bit. 6he patient !annot see any parti! lar p rpose in it. As the patient "onders and spe! lates abo t it# he is literally "ide open for the presentation of an idea. E*n hypnosis "hat yo "ant yo r patient to do is to respond to an idea. *t is yo r task# yo r responsibility# to learn ho" to address the patient# ho" to speak to the patient# ho" to se! re his attention# and ho" to leave him "ide open to the a!!eptan!e of an idea that fits into the sit ation. ;hen the dentist takes hold of the "rist and then starts moving the hand slo"ly p and do"n# the patient !an "onder# A*s he testing me for rela%ationJ *s he trying to fit my hand over the end of the arm of the !hairJ ;hat does he "ant my hand to doJA ;ith the patient fi%ated in that sort of re!eptive "ondering# the dentist !an effe!tively s ggest to the patient# Aand > st !ontin e rela%ing more and more.A 6hat te!hni& e lasts abo t 1. to 1. se!onds. 6he patient in that moment of in& iryD A;hat does he "ant my hand to doJADis !ompletely ready to a!!ept "hatever idea is presented to him. No" all of yo have seen me take hold of a vol nteerAs "rist# lift the arm# and s ggest that they go into deep tran!e. 6hat is e%a!tly the same sort of te!hni& e as the dentist ses. * do it in front of a gro p be!a se * "ant to demonstrate hypnosis as a deep phenomenon rather rapidly. * am "illing to attra!t attention and then allo" the patients to be in mental do bt as to "hat they sho ld think and do in that parti! lar sit ation. 6his makes the patients amenable to any s ggestion that fits that immediate sit ation. (Hypnosis doesn/t come from mere repetition. *t !omes from fa!ilitating yo r patientAs ability to a!!ept an idea and to respond to that idea. *t doesnAt have to be a "ealth of ideasD it !an be one single idea presented at the opport ne moment so that the patient !an give f ll attention to that parti! lar thing. *n dealing "ith patients# yo r entire p rpose is to se! re their attention# se! re their !ooperation# and to make !ertain that they respond as "ell as they !an.E Eri!ksonAs a!t al te!hni& e of g iding a patientAs arm and hand to a !atalepti! pose is an art in itself. *n his paper on pantomime te!hni& es in hypnosis $Eri!kson# 195-b' he des!ribes ho" he ind !ed tran!e nonverbally) E* sho"ed the girl my hands# "hi!h "ere empty# and then * rea!hed over "ith my right hand and gently en!ir!led her right "rist "ith my fingers# barely to !hing it e%!ept in an irreg lar# n!ertain# !hanging pattern of ta!tile stim lation "ith my fingertips. 6he res lt "as to attra!t her f ll attention# e%pe!tant# "ondering interest in "hat * "as doing. ;ith my right th mb# * made slight ta!tile press re on the latero3volar3 lnar aspe!t of her "rist# as if to t rn it p"ardF at the same moment# at the area of the radial prominen!e# * made a slightly do"n"ard ta!tile press re at the dorso3lateral aspe!t of her "rist "ith my third fingerF also at the same time# * made vario s gentle to !hes "ith my other fingers some"hat !omparable in intensity b t nons ggestive of dire!tion. 2he made an a tomati! response to the dire!tive to !hes "itho t differentiating them !ons!io sly from the other to !hes# evidently paying attention first to one to !h and then to another. As she began responding# * in!reased varyingly the dire!tive to !hes "itho t de!reasing the n mber and variation of the other distra!ting ta!tile stim li. 6h s# * s ggested lateral and p"ard movements of her arm and hand by varying ta!tile stim li intermingled "ith a de!reasing n mber of nondire!tive to !hes. 6hese responsive a tomati! movements# the origin of "hi!h she did not re!ogni<e# startled her# and as her p pils dilated# * so to !hed her "rist "ith a s ggestion of an p"ard movement. At that her arm began rising# and * gently dis!ontin ed the to !h so that she did not noti!e the ta!tile "ithdra"al# and the p"ard movement !ontin ed. M i!kly shifting my fingertips to hers# * varied the to !hes so as to dire!t in an nre!ogni<able fashion a f ll p"ard t rning of her palmF then other to !hes on her fingertips served to straighten some# to bend others# and a proper to !h on the straightened fingertips led to a !ontin ing bending of her elbo". 6his led to a slo" moving of her hand to"ard her eyes. As this began# * attra!ted her vis al attention "ith my fingers and dire!ted her attention to my eyes. * fo! sed my eyes for distant vie"ing as if looking thro gh and beyond her# moved my fingers !lose to my eyes# slo"ly !losed my eyes# took a deep
sighing breath# sagged my sho lders in a rela%ed fashion# and then pointed to her fingers# "hi!h "ere approa!hing her eyes. E2he follo"ed my pantomimed instr !tions and developed a tran!e that "ithstood the efforts of the staff to se! re her attention or to a"aken her in response to s ggestions given in English.E $p. 55' :n other o!!asions Eri!kson des!ribed his approa!h together "ith its rationale as follo"s. E0o take hold of the "rist very# very gently. ;hat is yo r p rposeJ 0o r p rpose is to let the patient feel yo r hand to !hing his "rist. 6hat is all. 6he patient has m s!les that "ill enable him to lift his arm# so "hy sho ld yo do it for himJ The body has learned ho' to follo' minimal cues. .ou utili*e that learning. .ou gi&e your patient minimal cues. %hen he starts responding to those minimal cues# he gi&es more and more attention to any further cues you offer him. As he gi&es more and more attention to the suggestions you offer# he goes deeper into trance. The art of deepening the trance is not necessarily yelling at him to go deeper and deeper5 it is gi&ing minimal suggestion gently# so the patient pays more and more attention to the processes 'ithin himself and thus goes deeper and deeper. E* think all of yo have seen me take hold of a patientAs arm and lift it p and move it abo t in vario s fashions. * ind !e a tran!e in that "ay. 1 have tried to tea!h a n mber of yo ho" to take hold of a "rist# ho" to take hold of a hand. 0o do not grip "ith all the strength in yo r hand and s& ee<e do"n on the patientAs "rist. ;hat yo do is take hold of it so as to very# very gently s ggest a grip on his "rist# b t yo donAt a!t ally grip itF yo > st en!ir!le the "rist "ith yo r th mb and inde% finger "ith light to !hes. 0o s ggest a movement of the "rist "ith only the slightest press re. 0o s ggest a movement of the hand p"ard. And ho" do yo s ggest it p"ardJ 0o press "ith yo r th mb > st lightly# "hile at the same time yo move yo r inde% finger this "ay to give a balan!e $(ig re 4'. 0o move yo r fingers laterally# and "hile the patient gives attention to that# yo have yo r th mb a!t ally lifting the hand. 6his is essentially a distra!tion te!hni& e) "hile the th mb very lightly and !onsistently dire!ts the hand p"ard# yo r other fingers make to !hes and distra!ting movements in a variety of other dire!tions that tend to !an!el o t ea!h other. EAnother approa!h to g iding the hand p"ard is to attra!t the patientAs !ons!io s attention "ith a firm press re by yo r fingers on top of his hand and only a gentle g iding press re by yo r th mb on the nderside of his hand. 6he only "ay the firm to !h !an remain firm is for the patient to keep moving his hand p against yo r fingers. At the same time the lo"er to !h of yo r th mb is kept gentle by the patient by !onstantly moving p"ard a"ay from it. 6he therapist needs to pra!ti!e these movements over and over be!a se they are one of the & i!kest and easiest "ays of distra!ting the !ons!io s mind and se! ring the fi%ation of the n!ons!io s mind. E0o lift the hand in that fashion# letting yo r fingers linger here and there so that the patient n!ons!io sly gets a sense of the lingering of yo r hand. 0o "ant the patient to have that ni!e !omfortable feeling of the lingering of yo r hand be!a se yo "ant his attention there in his hand and yo "ant the development of that state of balan!ed m s!le toni!ity "hi!h is !atalepsy. :n!e that state of balan!ed m s!le toni!ity is established to a!hieve !atalepsy# yo have enlisted the aid of the n!ons!io s mind thro gho t the patientAs body. /e!a se yo !an get !atalepsy in one hand# there is a good possibility there "ill be !atalepsy in the other hand. *f yo get !atalepsy in the other hand# then yo probably have !atalepsy in the right foot# in the left foot# and thro gho t the body# fa!e# and ne!k. As soon as yo get that balan!ed toni!ity of the m s!les# then yo have a physi!al state that allo"s the patient to be!ome na"are of fatig e# na"are of any dist rbing sensations. *t is normally hard to maintain that balan!ed m s!le toni!ity and pay attention to pain. .ou 'ant your patient gi&ing all of his attention to that balanced muscle tonicity because that distracts him from pain and other propriocepti&e cues so that numbness# analgesia# and anasthesia are fre$uently experienced in association 'ith catalepsy. If you ha&e balanced muscle tonicity throughout the body# catalepsy throughout the body# you ha&e reduced the sensations that exist 'ithin the body to those sensations that go into maintaining that catalepsy. A patient then becomes decidedly responsi&e to a 'ealth of other ideas.( 6he introspe!tive !omments of s b>e!ts "ho have e%perien!ed the ind !tion of !atalepsy
in this manner tend to s pport Eri!ksonAs vie" of the dynami!s of distra!tion in the pro!ess. =ost s b>e!ts report that their hand seemed to have a pe! liar tenden!y to move p"ard and abo t by itself be!a se they !o ld not disting ish the !onsistent press re p"ard by the therapistAs th mb from the distra!ting to !hes and movements by his other fingers. 6he therapistAs minimal ! es and the patientAs responses to them take pla!e at a faster rate than the patientAs !ognition !an follo". =ost of the ta!tile stim li and responses are mediated a tomati!ally by the proprio!eptive3!erebellar system so that the patientAs ego a"areness on !orti!al levels is bypassed.
!ertain material into !ons!io sness. Rather# resistan!e to hypnoti! "ork is s ally a f n!tion of a patientAs la!k of nderstanding of "hat responses are re& ired or of ho" to allo" the re& ired response to happen all by itself. =any highly intelligent patients# for e%ample# need some ba!kgro nd nderstanding before they "ill permit a !atalepsy to o!! r. Eri!kson provides this ba!kgro nd nderstanding in a preind !tion talk some"hat as follo"s) E: Yo) can ,or* t anyt"in*. Yo) ,or* t t"at yo) "ad to l arn to li,t yo)r "and as an in,ant. Yo) "ad to l arn "o& to /o. yo)r "and. 't on ti/ yo) didn+t . n kno& it &as yo)r "and. $" r &as a ti/ &" n yo) did not kno& "o& to li,t it. $" r &as a ti/ &" n yo) & r s)r(ris d to &atc" t"at int r stin* t"in* >t" in,ant+s o&n ar/? /o. . $" r &as a ti/ &" n yo) tri d to r ac" &it" yo)r ri*"t "and to to)c" yo)r ri*"t "and. Yo) didn+t . n kno& it &as attac" d to yo). R) *t is these early infantile memories that yo are rea!tivating so they !an be tili<ed to effe!t a !atalepsyJ E) 0es. :n!e yo !an get that thro gh to some of these highly intelle!t al# skepti!al s b>e!ts# then they !an re!ogni<e the tr th and possibility of s !h a !atalepti! e%perien!e.
D. %$I!I:ING C'$'!EPSY
*n a letter to Andre ;eit<enhoffer in 1951 Eri!kson o tlined a n mber of other approa!hes to fa!ilitating !atalepsy and tili<ing it to ind !e sleep or tran!e# to eval ate hypnoti! s s!eptibility# and as a springboard for fa!ilitating other hypnoti! phenomena. 8is edited notes are as follo"s)
Catalepsy is a general phenomenon that !an be sed as) 1. a testing pro!ed re for hypnoti! s s!eptibility 4. an ind !tion pro!ed re 1. a reind !tion pro!ed re -. a pro!ed re for deepening tran!e Absol tely re& isite for the s !!essf l fa!ilitation and tili<ation of !atalepsy are) 1. a "illingness on the part of the s b>e!t to be approa!hed 4. an appropriate sit ation 1. the s itableness of the sit ation for a !ontin ation of the e%perien!e
* avoid !hildren over si% and mothers nder 4IDso!iety rea!hes false !on!l sions too easilyDand * avoid the mother not a!!ompanied by her h sband. 8o"ever# on!e in a large airport abo t midnight * sa" a harried mother "hom * diagnosed $!orre!tly' as having the fl "ith fo r !hildren# ages fo r to nine# all tired# !ranky# and overa!tive. * sat do"n beside the mother and made all the appropriate !omments. 2he started to say something b t then !losed her mo th. 2he seemed attentive and interested# so * e%plained that the kids "ere tired# overa!tive# had to have their attention attra!ted# and "o ld fall asleep the se!ond they "ere still. 6here pon * ostentatio sly and laborio sly tore a !o ple of narro" strips from a ne"spaper# tied them a"k"ardly into a knot# laid them on the floor. 6he kids sat & ietly "at!hing that performan!e. * then did the hand lift !lose to their bodies so their eyelids "o ld lo"er as the hand lo"ered. All fo r "ent to sleep immediately# and * & i!kly t rned to the "oman to ease myself !onversationally o t of the sit ation# b t she said# E8ere !omes my h sband. 8e "as getting a ! p of !offee.E 6hen to her h sband she said# E8oney# 7r. Eri!kson has > st been demonstrating !hild hypnosis to me.E /oth h sband and "ife "ere =.7.s. 2he had re!ogni<ed me# b t * had not re!ogni<ed her. 6hey both had taken a seminar nder me a !o ple of years before. 6hatAs the only time * ever got !a ght.
them# looked them in the eyes# slo"ly yet rapidly immobili<ed my fa!ial e%pression# and then fo! sed my eyes on a spot far behind them. * then slo"ly and imper!eptibly removed my hand from theirs and slo"ly moved to one side o t of their dire!t line of vision. * have had it des!ribed vario sly# b t the follo"ing is one of the most graphi!. E* had heard abo t yo and * "anted to meet yo and yo looked so interested and yo shook hands so "armly. All of a s dden my arm "as gone and yo r fa!e !hanged and got so far a"ay. 6hen the left side of yo r head began to disappear# and * !o ld see only the right side of yo r fa!e ntil that slo"ly vanished also.E At that moment the s b>e!tAs eyes "ere fi%ed straight ahead# so that "hen * moved to the left o t of his line of vision# the left side of my fa!e EdisappearedE first and then the right side also. E0o r fa!e slo"ly !ame ba!k# yo !ame !lose and smiled and said yo "o ld like to se me 2at rday afternoon. 6hen * noti!ed my hand and asked yo abo t it be!a se * !o ldnAt feel my "hole arm. 0o > st said to keep it that "ay > st a little "hile for the e%perien!e.E 0o give that elevated right hand $no" !atalepti! in the handshake position' the s ggestion of a do"n"ard movement "ith a light to !h. At the same time# "ith yo r other hand# yo give a gentle to !h indi!ating an p"ard movement for the s b>e!tAs left hand. 6hen yo have his left hand lifting# right hand lo"ering. ;hen right hand rea!hes the lap# it "ill stop. 6he p"ard !o rse of the left hand may stop or it may !ontin e. * am likely to give it another to !h and dire!t it to"ard the fa!e so that some part "ill to !h one eye. 6hat effe!ts eye !los re and is very effe!tive in ind !ing a deep tran!e "itho t a single "ord having been spoken. 6here are other nonverbal s ggestions. (or e%ample# "hat if my s b>e!t makes no response to my efforts "ith his right hand and the sit ation looks hopelessJ *f he is not looking at my fa!e# my slo"# gentle o t3of3keeping3"ith3the3sit ation movements $remember) o t3of3keeping' !ompel him to look at my fa!e. * free<e my e%pression# refo! s my ga<e# and by slo" head movements dire!t his ga<e to his left hand to"ard "hi!h my right hand is slo"ly# apparently p rposelessly moving. As my right hand to !hes his left "ith a slight# gentle# p"ard movement# my left hand "ith very gentle firmness# > st barely eno gh# presses do"n on his right hand for a moment ntil it moves. 6h s# * !onfirm and reaffirm the do"n"ard movement of his right hand# a s ggestion he a!!epts along "ith the ta!tile s ggestion of left hand levitation. 6his p"ard movement is a gmented by the fa!ts that he has been breathing in time "ith me and that my right hand gives his left hand that p"ard to !h at the moment "hen he is beginning an inspiration. 6his is f rther reinfor!ed by "hatever peripheral vision he has that notes the p"ard movement of my body as * inhale and as * slo"ly lift my body and head p and ba!k"ard# "hen * give his left hand that p"ard to !h.E Eri!ksonAs des!ription of his handshake ind !tion is a bit breathtaking to the beginner. 8o" does one keep all of that in mindJ 8o" does one develop s !h a gentle to !h and s !h skillJ Above all# ho" does one learn to tili<e "hatever happens in the sit ation as a means of f rther fo! sing the s b>e!tAs attention and inner involvement so that tran!e developsJ :bvio sly a !ertain amo nt of dedi!ation and patien!e are re& ired to develop s !h skill. *t is m !h more than a matter of simply shaking hands in a !ertain "ay. 2haking hands is simply a !onte%t in "hi!h Eri!kson makes !onta!t "ith a person. 8e then tili<es this !onte%t to fi% attention in"ard and so set the sit ation for the possible development of tran!e. As he shakes hands# Eri!kson is himself f lly fo! sed on "here the s b>e!tAs attention is. *nitially the s b>e!tsA attention is on a !onventional so!ial en!o nter. 6hen# "ith the ne%pe!ted to !hes as their hand is released# there is a momentary !onf sion and their attention is rapidly fo! sed on his hand. At this point EresistantE s b>e!ts might rapidly "ithdra" their hand and end the sit ation. 2 b>e!ts "ho are ready to e%perien!e tran!e "ill be ! rio s abo t "hat is happening. 6heir attention is fi%ed and they remain open and ready for f rther dire!ting stim li. 6he dire!ting to !hes are so gentle and n s al that s b>e!tsA !ognition has no "ay of eval ating themF the s b>e!ts have been given a rapid series of nonverbal ! es to keep their hand fi%ed in one position $see last paragraph of the initiation'# b t they are not a"are of it. 6heir hand responds to the dire!ting to !hes for immobility# b t they do not kno" "hy. *t is simply a !ase of an a tomati! response on a kinestheti! level that initially defies !ons!io s analysis be!a se the s b>e!ts have had no previo s e%perien!e "ith it. 6he dire!ting to !hes for movement are responded to on the same level "ith a similar gap in a"areness and nderstanding. 6he s b>e!ts find themselves responding in an n s al "ay "itho t kno"ing "hy. 6heir attention is no" dire!ted in"ard in an intense sear!h for an ans"er or for some orientation. 6his inner dire!tion and sear!h is the basi! nat re of Etran!e.E 2 b>e!ts may be!ome so preo!! pied in their inner sear!h that the s al sensory3per!ept al pro!esses of o r normal reality orientation are momentarily s spended. 6he s b>e!ts may then e%perien!e an anesthesia# a la! na in vision or a dition# a time distortion# a de>a v # a sense of disorientation or vertigo# and so on. At this moment the s b>e!ts are open for f rther verbal or nonverbal s ggestions that !an intensify the inner sear!h $tran!e' in one dire!tion or another.
6he follo"ing demonstration in front of an a dien!e ill strates ho" !atalepsy may be initiated and tili<ed to fa!ilitate tran!e e%perien!e and the learning of other hypnoti! phenomena.
Esta1lis"in* Ra((ort
E: 'nd yo)+r 8 A: Aan t. E: Yo) c rtainly /ad an i/(r ssion on t"at ta( r cord r. It *a. t" 1 st &"istl it co)ld. Ho& do yo) , l a1o)t 1 in* in ,ront o, an i/(r ssi. a)di nc lik t"is8 A: I+/ scared to death. E: 'ct)ally, yo) kno&, I t"ink t"at t" y+r t" on s t"at ar lik ly to 1 ()t in a tranc . Can yo) t ll / "o& yo) , l8 AB B tt r. E: 'r yo) 5)it as ,ri*"t n d as yo) & r 8 A: No. R) 6he first movement is to establish rapportDa h moro s remark abo t the "histle in the tape re!order and a & estion abo t her feelings in front of the a dien!e to eval ate her here3and3no" emotional stat s. 2he responds that she is Es!ared to death.E 2in!e it is said in a semih moro s vein $in response to Eri!ksonAs initially h moro s remark abo t the tape re!orderAs inadvertent "histle'# she is already follo"ing Eri!ksonAs lead. 8e responds by making an effort to reass re her. *t is important that this reass ran!e and rapport be established as the first stage of an ind !tion. 8er immediately positive responses of EbetterE and not being frightened no" indi!ate that a favorable !limate for a formal ind !tion is established.
#is)al Hall)cination
E: No& look at t"is "and. 'nd &atc" it. 'nd yo) see it right there. R) E2ee it right thereE is a t"o3level s ggestion) :n one level it means simply to see the hand. :n another level it is a s ggestion for a possible vis al hall !ination to !ontin e seeing the hand EthereE even "hen it is no longer there.E
Dissociation
E: . . . yo)r "ands &ill o( n. $"at+s ri*"t. 'nd I &o)ld lik to ... R) :pening a hand Eslo"lyE "hile "at!hing it !aref lly is a fairly n s al task that tends to promote a disso!iated attit de and a tomati! response.
Indir ct Ey Clos)r
E: 'nd yo) can contin) &atc"in* yo)r "and, i, yo) &is", &it" yo)r y s clos d. 'nd yo)r "ands ar o( nin* /or and /or . R) 6his indire!t s ggestion for eye !los re is made !ontingent on $1' her !ontin ing to "at!h the hand $that is# a vis al image or hall !ination is to be maintained "ithin her mind'# and $4' her o"n 'ishes. 6he first is another step to"ard learning vis al hall !ination# "hile the se!ond tends to mobili<e her positive motivation. *f she no" !loses her eyes to relieve them of the strain of this pe! liar sit ation# then by impli!ation it means she is follo"ing her o"n 'ish. Eri!ksonAs s ggestion for eye !los re has be!ome the s b>e!tAs o"n "ishF the s ggestion is !ompletely internali<ed as an ego3syntoni! response.
H ad Si*nalin*
E: 'nd so t"at yo) &ill * t a littl (ractic , I &o)ld 4)st lik to "a. yo) nod yo)r " ad . ry slo&ly. 'nd no& t)rn yo)r " ad ,ro/ sid to sid . ry car ,)lly. R) 6his is a pe! liar s ggestion "ith many impli!ations) $1' 2he is to begin learning ideomotor signaling "ith her head. $4' 2he is to !omm ni!ate only in this restri!ted "ay# so most of her fa! lties !an remain Easleep.E $1' *f she "ants Eri!kson to nderstand something and simply lets him kno" by head nodding or shaking# that may imply a great deal of imagined or hall !inated !onversation and !omm ni!ation bet"een them. Rehearsing the Eslo"E head movement allo"s that a tomati! aspe!t of hypnoti! behavior to develop.
( n In.ol. / nt
E: 'nd no&, is t" r anyt"in* in (artic)lar yo) &o)ld lik to l arn or t"at yo) &o)ld lik to "a. / do8 >S" s"ak s " r " ad No.? R) 2 !h & estions allo" s b>e!ts a respe!tf l degree of !ontrol in the sit ation. ;hy sho ldnAt their ego be allo"ed to make re& ests for tran!e behaviorJ 6his heightens motivation and !an deepen involvement in tran!e pro!esses.
%tili0in* Co/,ort
E: 'll ri*"t, ar yo) pleased &it" t" , lin*8 >H ad nods Y s.? 'r yo) enjoying , lin* /or co/,orta1l 8 >H ad nods Y s.? R) M estions abo t being Epleased#E Een>oying#E and feeling !omfortable are a!t ally po"erf l s ggestions that enable the s b>e!t to evoke her o"n kinestheti! memories of !omfort and tili<e them to fa!ilitate the ! rrent tran!e. Comfort is a natural characteristic of trance.
E. S%MM'RY
Altho gh !atalepsy "as histori!ally one of the earliest defining !hara!teristi!s of tran!e# o r nderstanding of its signifi!an!e and tili<ation has shifted in re!ent de!ades. ;hereas !atalepsy "as regarded by early investigators as a EpassiveE state of Ed ll "illE !hara!teristi! of !ertain stages of tran!e# "e no" regard the ease "ith "hi!h individ als !an learn to maintain a limb !omfortably in a state of "ell3balan!ed m s!le toni!ity as a meas re of their sensitivity and re!eptivity to s ggestion. Eri!ksonAs approa!hes to !atalepsy are designed to se! re a patientAs attention# to fo! s that attention in"ard# and to aro se an attit de of "ondering or e%pe!tan!y for f rther s ggestion. Catalepsy is th s an ideal approa!h for ind !ing tran!e and assessing a patientAs re!eptivity. *t !an be tili<ed as a basi! fo ndation on "hi!h other hypnoti! phenomena may be str !t red. Catalepsy has a spe!ial relation to amnesia and analgesia3anesthesia. ;e hypothesi<e that the spe!ial fo! s of attention to minimal stim li re& ired d ring the ind !tion and maintenan!e of !atalepsy distra!ts and o!! pies an individ alAs attention so he or she tends to ignore other stim li. :n o!!asion this gives rise to an amnesia for other events o!! rring sim ltaneo sly "ith the !atalepsy. ;hen the patientAs f ll attention is !entered on the minimal proprio!eptive stim li of a "ell3balan!ed m s!le toni!ity !hara!teristi! of !atalepsy#
the patient tends to e%perien!e an analgesia or anesthesia for other sensations or pain in the body. As is the !ase "ith all hypnoti! phenomena# there are e%tremely "ide individ al differen!es in response to !atalepsy. Asso!iated phenomenaD s !h as) fi%ed ga<eF lightness# heaviness# or stiffness of the limbF a sense of a tomati! movement and disso!iation# "herein the limb does not seem to be part of the bodyF vis al and a ditory per!ept al alterationsF spontaneo s age regression# et!.Dall tend to a!!ompany !atalepsy to different degrees in different individ als. =any of these asso!iated phenomena o!! r spontaneo sly# seemingly as a res lt of the partial loss of the generali<ed reality orientation that o!! rs as the s b>e!t e%perien!es the novel# ne%pe!ted# and s rprising stim li of a !atalepti! ind !tion. 6he "ell3trained hypnotherapist learns to re!ogni<e the spontaneo s# in!ipient development of these asso!iated phenomena# "hi!h !an be f rther enhan!ed and tili<ed to a!hieve therape ti! goals.
d. As the s b>e!ts "at!h the progress of their hands# to "hat degree do they begin to manifest the eye and fa!ial !hara!teristi!s of tran!eJ . . . 6he blank look# blinking# a possible dilation of the p pils# tearing# a softer or more fla!!id fa!ial e%pression# and so on. e. 6he therapist learns to ga ge the s b>e!tAs level of e%pe!tan!y and need for f rther s ggestions. Every parent# tea!her# and therapist learns to re!ogni<e "hen someone "ants to ask a & estion) there may be a fro"n# a !ertain p !ker or ta tness of the mo th# a thr st of tong e# a fi%ed e%pression in the eyes# a slight holding of the breath# et!. 6he therapist then s pplies s !h dire!tives in the form of s ggestions that "ill enhan!e tran!e or "hatever hypnoti! phenomenon or therape ti! goal is appropriate at that moment. 6herapists learn initially by observing only one or t"o of these stages. As they be!ome familiar "ith the overall pro!ess and gain a!& aintan!e "ith the range of possible responses given by a variety of s b>e!ts# therapists are better able to assess more observations and dire!t ea!h s b>e!t in an individ al and optimal manner. 8o" do therapists form late their verbal s ggestions to fa!ilitate this tran!e ind !tion by g iding the arm p and do"nJ :bvio sly# a therapist "ill spend some time learning ho" to tili<e the vario s hypnoti! forms o tlined earlier. 6herapists !an begin by tili<ing ea!h of those forms $tr isms# !ompo nd and !ontingent statements# & estions# et!.' to give s ggestions for !omfort# rela%ation# or "hatever d ring the arm lift and lo"ering. A fe" are as follo"s) 'nd "o& co/,orta1l can t"at ar/ 1 A $uestion abo t !omfort tends to fa!ilitate !omfort r stin* ri*"t t" r 8 "hile implying the arm "ill remain stationary in a !atalepti! position. Yo) ar lookin* at t"at "and A tr ism fa!ilitating a yes set. and A !ompo nd introd !ing the follo"ing s ggestion yo) don+t n d to s anyt"in* ls . of a negative vis al hall !ination for everything b t the hand is phrased as a form of not doing. *f tran!e and a literalness of per!eption e%ist# the s b>e!t "ill see nothing b t the hand. :ther"ise# nothing is lost# sin!e most s b>e!ts "ill not even re!ogni<e that a s ggestion for a negative vis al hall !ination has been given. 's yo)r ar/ contin) s lo& rin* to a r stin* (osition, yo) can , co/,orta1l . l /or and /or
A contingent s ggestion "hereby !omfort is made !ontingent on the ongoing and inevitable behavior of arm lo"ering. 6his is also a truism" ;e s ally are more !omfortable "hen "e bring a limb to a resting position. 6he "ord resting keys all feelings of !omfort by association.
e%perimented "ith. (or e%ample# instead of the therapistAs th mb a!t ally lifting the hand# it !an simply br sh p"ard on the lateral radial prominen!e $side of the th mb'. 6his very light p"ard br sh may not be re!ogni<ed by the s b>e!t# b t it !an serve as a ! e for lifting the hand and arm. ;ith s b>e!ts "hose arm remains heavy and limp# ready to fall ba!k in their lap "hen released# it is important to se verbali<ations to help se! re the stationary !atalepsy. Ho& co/,orta1ly can it r /ain t" r 8 'nd I+/ not t llin* yo) to ()t it do&n. It stays t" r all 1y its l,. Do s t" ar/ 1 co/ ,i3 d ri*"t t" r 8 'nd yo) don+t "a. to /o. it. *n "orking "ith vol nteers "hen learning to ind !e !atalepsy# it is important for therapists to get feedba!k from their s b>e!ts. 6o "hat degree "as a therapist able to make distra!ting to !hes so that the s b>e!t did not reali<e that the therapist "as a!t ally g iding arm movement "ith his or her th mbJ 6o "hat degree did the s b>e!t get a disso!iated feeling in the arm so that it seemed to move by itselfJ 6o "hat degree did it not seem to belong to the s b>e!tAs bodyJ ;hat other hypnoti! phenomena tended to a!!ompany the !atalepsy spontaneo slyJ 8o" !an the therapist learn to re!ogni<e themJ 8o" !an the therapist fa!ilitate and heighten the f rther e%perien!e of these asso!iated hypnoti! phenomena in ea!h s b>e!tJ An interesting test of the therapistAs s !!ess in the se of distra!ting to !hes in g iding the hand to a stationary !atalepsy is to "ork "ith the s b>e!tAs eyes !losed. ;hen s b>e!ts eviden!e a spontaneo s sense of s rprise at the pe! liar position their arms are in "hen they open their eyes# the therapist has been s !!essf l in !onf sing their sense of kinestheti! lo!ali<ation. As one !onf ses more and more s !h senses# the s b>e!ts grad ally lose more and more of their generali<ed reality orientation and be!ome amenable to e%perien!ing tran!e.
therapist may even tili<e a modified Epass#E by lightly br shing the palm of his hand or fingertips from the s b>e!tAs elbo"# nder the forearm# and p aro nd to the ba!k of the hand. 6his indi!ates a gently p"ard motion to the s b>e!t# "hose arm "ill lift as if st !k to the therapistAs hand. 8aving had this e%perien!e# most s b>e!ts "ill !ontin e to respond to lighter and lighter Epasses#E ntil the therapist does not have to to !h at all b t simply makes a EpassE an in!h or t"o above patientAs arm for it to lift. 6he patientAs arm and hand "ill then simply follo" along "herever the therapistAs hand moves. ;ith a sensitive and agreeable s b>e!t# the therapistAs motions !an be abbreviated even f rther# so that finally only a Esignifi!ant lookE or slight gest re "ith a hand or finger "ill be eno gh to set the s b>e!tAs arm afloat. *t is interesting to obtain the s b>e!tive reports of naive s b>e!ts abo t "hy their hand and arm is follo"ing the therapistAs. 2ome s b>e!ts "ill say they feel a E!onne!tion#E Ea magneti! for!e#E Ea "armth#E or Ea mysterio s po"erE that seems to be dra"ing their hand. *ndeed# some s b>e!ts !an !lose their eyes and be effe!tively blindfolded $so effecti&ely that they !annot peek thro gh or nder the blindfold' and their limbs "ill still follo" the therapistAs# even tho gh there is no a!t al ta!tile !onta!t bet"een them. *t really does seem as if there is some sort of mysterio s magneti! for!eK ;e !an easily nderstand ho" early investigators "ere led to this belief. 8o" are "e to a!!o nt for s !h sensitive follo"ing behaviorJ 6he & estion is still an open one. *s the s b>e!t responding to the "armth or so nd of the therapistAs handJ Can the s b>e!t sense movement from air ! rrents set in motion by the therapistAs handJ *s there a !ombination of these and other fa!torsJ ;ith s !h heightened sensitivity it "ill be easy for the therapist to e%periment f rther by adding asso!iated phenomena to the moving limbs. 6o "hat degree !an tingling# "armth# !oolness# press re# n mbness# and other sensations be e%perien!edJ ?is al and a ditory alterationsJ
D. El ctronic Monitorin* o, Catal (sy: ' $&o6-actor $" ory o, Hy(notic E3( ri nc
;hile the pend l m of ! rrent s!ientifi! tho ght has s" ng to the opinion that no ob>e!tive meas re of hypnoti! tran!e e%ists# there is a long s!ientifi! tradition of meas ring !atalepsy. As early as 1898 2idis p blished remarkably !lear and !onvin!ing sphygmographi! re!ords disting ishing normal a"akeness from !atalepsy e%perien!ed d ring hypnosis. =ore re!ently Ravit< $1954# 19,1' p blished tra!ings of the bodyAs 7.C. ele!tri!al a!tivity $meas red on high3impedan!e re!orders' that nder"ent !hara!teristi! !hanges d ring the ind !tion of !atalepsy. 6he > nior a thor has tili<ed a high3impedan!e
re!order $inp t impedan!es ranging from 1. to 1... megaohms "ith nonpolari<ing ele!trodes pla!ed on the forehead and the palm of one hand' for a n mber of years in his !lini!al pra!ti!e as a !onvenient and !onvin!ing indi!ator of an ob>e!tive alteration that takes pla!e d ring tran!e. 6he re!ord of a highly intelligent# normal# 4-3year3old female s b>e!t d ring her first hypnoti! ind !tion is presented in (ig re 1. 6he errati!# fast a!tivity at the beginning of the re!ord $A' is !hara!teristi! of normal "aking a"areness. Every imp lse to a!tivity seems related to an ps"ing# "hi!h then drops as soon as the imp lse is !arried thro gh. 7 ring simple rela%ation# meditation# and hypnosis the re!ord smoothes o t and s ally drops dramati!ally as the s b>e!t gives p any a!tive effort to dire!t mind or body $/'. *n (ig re 1 a fe" slo" ps"ings are noted d ring the beginning of the hypnoti! ind !tion# as the s b>e!t makes an effort to attend to the therapistAs remarks $C'. 6hese drop o t as tran!e deepens# and the re!ord sho"s a !hara!teristi!ally flat# lo" platea "ith only lo"3amplit de slo" "aves $7'. ;ith more tran!e e%perien!e even this lo"3amplit de a!tivity drops o t# and a smooth line re!ord is obtained. As long as the s b>e!t remains mentally & ies!ent "ith an immobile $!atalepti!' body# there are no peaks or valleys in the re!ord. ;hen the s b>e!t initiates mental a!tivity or moves# peaks and valleys are s ally re!orded. 6he a"akening period is also follo"ed by a typi!al pattern $E'. 6he "aking3fast a!tivity s ally appears at a higher level than the initial basal "aking level. 6his higher level is maintained for a fe" min tes ntil the re!ord !omes ba!k to normal. 6he diffi! lty "ith a!!epting s !h re!ords as valid meas res of tran!e is that they appear "henever the s b>e!t & iets do"n d ring rela%ation# meditation# or sleep# "hether or not hypnosis has been formally ind !ed. ;e "o ld therefore offer a t"o3fa!tor theory of hypnoti! e%perien!e. (irst# there m st be a state of openness and re!eptivity "herein s b>e!ts are not making any self3dire!ted efforts to interfere "ith their o"n a tonomo s mental a!tivity or the s ggestions of the therapist. Ravit<As meas rements# like those in (ig re 1# are probably an effe!tive indi!ation of this state of & iet re!eptivity. 6he se!ond fa!tor might be !alled Easso!iative involvement.E 6his is the pro!ess "hereby the hypnotherapist engages and tili<es a s b>e!tAs asso!iations# mental me!hanisms# and skills to fa!ilitate a hypnoti! e%perien!e. ;e regard this pro!ess of tili<ing a patientAs o"n mental asso!iations as the essen!e of Es ggestion.E 8ypnoti! s ggestion is not a pro!ess of insin ating or pla!ing something into the s b>e!tAs mind. 8ypnoti! s ggestion is a pro!ess of helping s b>e!ts tili<e their o"n mental asso!iations and !apa!ities in "ays that "ere formerly o tside the s b>e!tsA o"n ego !ontrols. 2t dents and laboratory "orkers "ho have a!!ess to the proper ele!troni! e& ipment $the 8eath32!hl mberger =odel 2R34II/ 2trip Chart Re!order is s itable' !an e%plore a n mber of interesting relations bet"een hypnoti! e%perien!e and the ele!troni! monitoring of the bodyAs 7C potential. *s the depth of the ! rve $Area 7 in (ig re 1' related to Etran!e depthEJ *t "ill be fo nd that some s b>e!ts are able to speak d ring this lo" portion of the ! rve "itho t any raise in 7C potential. Are these people better hypnoti! s b>e!tsJ 7o any hypnoti! phenomena other than !atalepsy have a !hara!teristi! ! rveJ Are the !lassi!al hypnoti! phenomenon more readily evoked d ring the lo" platea $7' of the ! rveJ
DEMONS$R'$ION IN $HE %SE O- C'$'!EPSY IN HYPNO$IC IND%C$ION: Hand ! .itation in a Blind S)14 ct
7r. P "as a blind s b>e!t "ith professional training in psy!hiatry. 2he "as in her fifties and had been blind sin!e the age of t"o. 2he !ame to Eri!kson to determine if she !o ld re!all thro gh hypnosis some of her early vis al images. Co ld she learn to re!all# in parti! lar# the image of her motherAs fa!eJ 6his "as her first visit "ith Eri!kson. After being introd !ed to the > nior a thor# she gave permission for him to re!ord this session. 6he session began "ith a !as al !onversation abo t some differen!es bet"een the f n!tioning of sighted and blind people# d ring "hi!h Eri!kson re!o nted a fe" ane!dotes from his e%tensive pra!ti!e "ith the handi!apped. Eri!kson then !as ally began the ind !tion almost as if it "ere a nat ral part of the !onversation.
6he reader sho ld be fore"arned that this "as a first ind !tion and that there "as only a minimal response. 2o nresponsive "as 7r. P# in fa!t# that Eri!kson "as !hallenged to se a very "ide range of his verbal repertory for ind !tion by the hand3levitation te!hni& e. 6hese verbali<ations "arrant !aref l st dy by the beginner in hypnosis# sin!e $1' they provide an e%!ellent demonstration of the "ide range of verbal approa!hes a professional m st be able to marshal "hen the o!!asion demands it and $4' they !learly reveal Eri!ksonAs a!tive tho ght pro!esses d ring an ind !tion as he gropes for the appropriate !on!epts that "ill help 7r. PAs ni& e individ ality learn to e%perien!e hand levitation. Eri!ksonAs verbali<ations are not a ro tine and !li!hQ3ridden EpatterE b t the e%pression of intense observation and inferential thinking abo t the dynami!s of the EliveE s b>e!t he is "orking "ith right here and no".
(ig re 1) Ele!troni! monitoring of 7C body potential d ring !atalepsyD millivolts on verti!al a%is# 6ime s!ale of ..I in!h per min te on hori<ontal a%is) $A' normal a"akenessF $/' drop in 7C potential d ring rela%ationF $C' momentary response to therapist remarksF $7' !hara!teristi!ally lo" a!tivity d ring !atalepsyF $E' typi!al a"akening pattern at higher level than $A'.
E: No&, can yo) sit strai*"t &it" 1ot" , t to* t" r in ,ront o, yo)8 P)t yo)r "ands on yo)r t"i*"s. El1o&s co/,orta1l a*ainst t" sid s o, yo)r 1ody. 'nd l arnin* so/ t"in* a1o)t a tranc is ss ntially l arnin* a1o)t t" &ay yo) 3( ri nc . 'o! don(t "no 4)st "o& c"an* s tak (lac in yo)r , lin* ,ro/ t" conscio)s stat to t" )nconscio)s stat . R) 0o introd !e hypnosis to a fello" professional by emphasi<ing that she "ill learn abo t the "ay she e%perien!es. 0o thereby establish a learning and e%ploratory set that "ill probably be highly a!!eptable to her. / t yo immediately point o t that E0o donAt kno"E ho" !hanges take pla!e. 6he impli!ation is that her e%periential learning "ill not be the s al !ons!io s# intelle!t al learning so typi!al of professional training.
'n Indir ct '((roac" to Con,)sion, E.okin* E3( ctancy, R c (ti.ity, and a N d ,or Clos)r
E: No& t" )nconscio)s stat o, /in , t" ,act t"at t" /ind666666 Yo) kno& "o& to ti s"o strin*s, 1)t i, yo) ar ask d to s( ci,y t" /o. / nts in ord r, yo) don+t kno& t" /. >Pa)s ? R) 0o begin this se!tion "ith t"o dangling phrases $ENo" the n!ons!io s state of mind# the fa!t that the mind33333E' that seem preparatory to "hat follo"s# b t * "ondered if they "ere errors in yo r senten!e str !t reJ E) 6hat is a te!hni& e. Nobody likes hesitation. GEri!kson no" gives a nonverbal demonstration "herein his hand rea!hes and then hovers hesitantly over a fe" kni!kna!ks on his desk. 2in!e that arm is in part paraly<ed# Rossi felt an obvio s relief "hen Eri!kson finally managed to pi!k p one kni!kkna!k and present it to him.H 6here# * kne" yo Ad be glad to a!!ept it# sin!e yo formed an a!!eptan!e attit de and a desiring attit de as yo "at!hed me str ggle to pi!k it p. R) 6he dangling phrase develops an e%pe!tan!y and an a!!eptan!e attit de in the patients be!a se they "ant to grasp something# they "ant a !los re to happen. E) 0esK 6hey "ant a !los re to happen. 6hey think# E;hy the hell donAt yo finish yo r senten!eJE 6hatAs the "hole basis of the !onf sion te!hni& e# also. R) :n the !ons!io s level the patients are only a"are of their dis!on!erting n!ertainty and !onf sion. 6hey are not a"are of the fa!t that this is yo r indire!t approa!h to evoking the !onf sion that "ill a tomati!ally give rise to attit des of e%pe!tan!y# re!eptivity# and a need for !los re. 6hey "ill then be ready to a!!ept "hatever s ggestions yo !an give them that "ill resolve this need for !los re.
!oss o, Body Ori ntation as an Initial Indicator o, $ranc : Do)1t and not Eno&in* ,or E3(loratory S ts
E: 'o! do not "no &"at t" 1ody ori ntation is in t" /att r o, d . lo(in* a tranc . >Dr. : is *rad)ally slidin* a&k&ardly to t" sid o, " r c"air &it"o)t /akin* any ,,ort to corr ct " r (osition.? I "a. to &atc" ,or di,, r nt ori ntations in yo)r 1ody r s(ons s. No& t" r is no ")rry on yo)r (art. $" r is no r)s". R) 6hat she is beginning to lose body orientation indi!ates sheAs already in an altered state. 6his is the third time "ithin the first fe" senten!es of this ind !tion that yo tell her something she does not kno"# and yo !ontin e this emphasis thro gho t this entire session. E) 0o donAt kno" all these things# b t yo "o ld like to kno" something# "o ldnAt yo J
R) 6his again sets p an e%pe!tant and desiring attit de in the patient. E) *t also implies that there is something to be learned here# even tho gh * donAt kno" "hat it is yet. R) /y introd !ing do bt and not kno"ing# yo develop an e%ploratory set "herein the patient no" "ants to learn more abo t the things yo are all ding to.
tin* t" Pati nt+s Indi.id)ality: 'n Indir ct '((roac" to E.okin* ')tono/o)s %nconscio)s Proc ss s
E: No& I+/ *oin* to call yo)r att ntion to yo)r "ands. $" r ar / /ori s associat d &it" yo)r "ands, &it" yo)r ar/s, &it" yo)r l1o&s. A)st &"at all t"os / /ori s ar &o)ld 1 i/(ossi1l to stat . No& I+/ *oin* to /ak a stat / nt to yo) a1o)t yo)r 1 "a.ior. E) ;hat are the memories yo have of > st ho" yo sit do"n in a !hairJ
R) *tAs impossible to state verbally ea!h individ al m s! lar movement. / t "hy do yo bring this p hereJ E) /e!a se sin!e she is blind# she has to depend pon the feel of the !hair on her !alf# et!. R) 2o yo Are a!t ally ad> sting yo r ind !tion verbali<ations here to s it her parti! lar individ ality. E) 0es. 2he has to kno" if she is right in front of the !hair or to the side. /e!a se of past memories she "ill kno" abo t her elbo" in relation to the arm of the !hair# et!.# b t be!a se she has been blind sin!e the age of t"o# these memories are by no" all a tomati! on an n!ons!io s level. R) ;ith a sighted person yo "o ld not se these parti! lar phrasesJ E) No# noK *Ad take something they !an "at!h but not see# like tying a shoestring# b ttoning a !oat. 8o" does a "oman p t on her braDright side firstJ Left side firstJ :r sim ltaneo slyJ R) ;hy do yo "ant to point o t something the patient !an do b t !annot spe!ify !ons!io sly in verbal terms ho" it is doneJ E) 6he kno"ledge is there in the n!ons!io s. 6he n!ons!io s !an nderstand# b t the !ons!io s mind does not kno". R) 6his is yo r indire!t approa!h to a!tivating and fa!ilitating her relian!e on n!ons!io s pro!esses) 0o emphasi<e things her n!ons!io s kno"s b t her !ons!io s mind does not. 8er n!ons!io s has relevant responses to yo r & estions even if her !ons!io s mind
does not. /e!a se of this yo r & estions and !omments on her behavior evoke a set of a tomati!# n!ons!io s behavior patterns "hi!h# of !o rse# are the ra" material o t of "hi!h hypnoti! responses "ill be fa!ilitated.
Ill)sory C"oic : ' Do)1l Bind Co. rin* 'll Possi1iliti s o, R s(ons
E: $" r &ill 1 a c"oic . E) 6his is an ill sory !hoi!e. 6here a!t ally is no !hoi!e# be!a se in the ne%t three senten!es *Am taking a"ay E!hoi!e.E *t may be the right hand or it may be the left# b t either "ay a hand "ill liftK R) *tAs an ill sory !hoi!e for her ego !ons!io sness in the sense that yo are determining there "ill be a response. ;hen yo offer s !h !hoi!esDas yo do in the ne%t se!tionDthat !over all possibilities of response# yo are str !t ring a do ble bind that leaves it to her n!ons!io s to !hoose a response.
E) No" here her !ons!io s mind m st > mp ba!k and forthD right# left# right# left. R) ;hat does that doJ 0o Ave got her follo"ing yo J E) 0es# she keeps > mping. 0o Are keeping her in a state of shifting tho ght# so her n!ons!io s "ill take over be!a se her !ons!io s mind is bo n!ing ba!k and forth. R) 0o play ping3pong "ith !ons!io snessF yo bo n!e !ons!io sness ba!k and forth in s !h a manner that it is depotentiated# th s allo"ing the n!ons!io s to take over and a!t ally levitate one hand. E) 6hatAs right.
R) E%pe!tant "aiting tends to fa!ilitate n!ons!io s responsiveness) A tonomo s response tenden!ies tend to be!ome manifest "henever "e depotentiate some of o r habit al !ons!io s sets.
M)lti(l ! . ls o, M anin*: $" Parado3 o, -acilitatin* %nconscio)s Proc ss s as t" Ess nc o, Erickson+s '((roac"
E: B)t t" i/(ortant t"in* is ,or yo) to disco. r t"at hand li$ting slo&ly )(&ard. $" r is no)*" do)inance in on "and ,or yo) to 1 co/ a&ar o, it. 'o! ill *e patient 1 ca)s t" )nconscio)s is l arnin* ,or t" ,irst ti/ "o& to tak o. r, intentionally r s(onsi. to anot" r ( rson. H H H 'o!r *ody has *een responding in )any ays on an !nconscio!s le#el itho!t yo!r "no ledge. 7" n yo) / t a ( rson ,or t" ,irst ti/ , t" r ar c rtain /)scl s t"at contract, t" r ar c rtain /)scl s t"at r la3. 'nd yo) r s(ond di,, r ntly to di,, r nt ( o(l . >Hand s"o&s so/ li,tin*, a1o)t "al, an inc".? No& yo)r "and is li,tin* a&ay ,ro/ yo)r t"i*". Li$ting !p. 'nd it &ill 1 co/ "i*" r and "i*" r. R) 0o are a!t ally speaking of t"o different things in !lose pro%imity hereDhand levitation and hand dominan!e. 6he "ord dominate in this !onte%t !o ld refer to hand dominan!e or the fa!t that one hand is gaining dominan!e in levitating. B st "hi!h meaning she takes it to be doesnAt matter. E) *t doesnAt matter "hi!h "ay she takes itF heads * "in# tails yo lose. ;hen * say Eyo "ill be patient#E *Am tili<ing the fa!t that a blind person has learned to be Epatient.E R) 0o fa!ilitate rapport by !as ally mentioning things she kno"s to be tr eF she has to agree "ith yo . 0o are sing a tr ism that is valid for any blind person in order to set p a yes set. E) ;itho t her a"areness of it. R) All she kno"s is that she feels at one "ith yo # b t she does not kno" the ho" or "hy of yo r metapsy!hologi!al se of tr isms. E) 6ake the "ord intentionally. 6hat is a brand3ne" idea to her be!a se she previo sly tho ght that yo !o ld take over intentionally only "ith yo r !ons!io s mind. R) 6here is an interesting parado% in that) 6he n!ons!io s that f n!tions autonomously is to take over intentionally. 2 !h parado% tends momentarily to depotentiate the patientAs !ons!io s sets. 6hat is a very !riti!al and important learning
for a person "ho "ants to e%perien!e hypnoti! tran!e) Allo" the n!ons!io s to take over) let the n!ons!io s be dominant to permit latent and therape ti! response potentials to be!ome manifest. 6hat is the essen!e of yo r approa!h# isnAt itJ E) 0es. R) E0o r body has been responding in many "ays on an n!ons!io s level "itho t yo r kno"ledgeE is a very safe statement to make. *t so nds profo nd and pregnant "ith meaning "hen yo say it. And that# of !o rse# tends to f rther fa!ilitate n!ons!io s pro!esses.
E: 'nd no& yo) ar /akin* still )ore progress. >Pa)s ? S"o&in* yo)r o&n (artic)lar (att rn o, "and l .itation. 'nd yo) ar s"o&in* yo)r l1o& /o. / nts ar not t"os o, a si*"t d ( rson. $" y ar yo)r (att rns o, l1o& /o. / nt. $"at+s ,in 1 ca)s yo)r ar/ "as ris n. 'nd yo) 1 *in to &ond r &" n yo)r "and &ill * t all t" &ay o,, yo)r dr ss. Or yo) can &ond r &"ic" &ill 1 t" ,irst to los contact &it" yo)r dr ss. It is losin* contact " r , t" r . I don(t e#en "no i$ yo! "no hich hand it is/ 1)t t"at is not i/(ortant. >Pa)s .? R) 0o r s ggestion is apparently "orking be!a se these p"ard >erks# the strongest th s far# seem to !ome in dire!t response to "hat yo are saying. 0o & i!kly reinfor!e it# of !o rse# by remarking on her Eprogress.E E) 6hatAs right. *Am emphasi<ing that her elbo" movements are not those of a sighted person. *Am again emphasi<ing her individ ality and spontaneity. ;hen * admit that * donAt kno" "hi!h hand is levitating# it implies that itAs "hat she is e%perien!ing and learning that is important.
Pa)s s E.okin* Int rnal 2) stions $"at May D (ot ntiat Conscio)s S ts 1y I/(lication
E: Yo)r (att rn o, l arnin* /ay 1 to occl)d t" 3cl)sion o, yo)r o&n a&ar n ss. >Pa)s ? $" 3cl)sion o, yo)r a&ar n ss is not &ron*, it+s not n c ssary. Yo)+. 1 n train d 1y 3( ri nc to 1 #ery a are/ as i, a&ar n ss in t"is sit)ation & r i/(ortant. B)t yo)+r act)ally acco/(lis"in* so/ t"in*. It+s *oin* )( /or and /or . Yo)+. alr ady acco/(lis" d no)*" to ac"i . a&ar n ss i, it+s a n c ssary (art o, yo)r l arnin*. >Pa)s ? $o / it is i/(ortant yo) l arn in any &ay t"at yo) can. 'nd I+/ ,)lly a&ar t"at yo)r (art is to l arn a (att rn o, r s(ons s not co//on to / . >So/ )(&ard /o. / nts ar a((ar nt.? It+s li,tin* "i*" r and higher. Yo)r )nconscio)s /ind "as /o. d t" "and. It+s alr ady /ad t" l1o& /o. , >Pa)s ? and it is alt rin* contact &it" yo)r dr ss. R) 8ere yo are dire!tly s ggesting the possible e%!l sion or o!!l sion of a"areness. E) 0es. R) 0o Are !ontin ing to depotentiate her a"areness by lo!ating the so r!e of her training to be Every a"areE and telling her this is a different sit ation. 8ypnosis is a different sit ation in "hi!h yo r !aref l training in a"areness need not apply. E) 7 ring the pa ses of this se!tion *Am giving her time to ask herself# E;hy sho ld * be a"areJE *Am telling her it isnAt ne!essary. * pa se here $the se!ond pa se' "hile she thinks it o t. 0o see movements "itho t !omplete !ons!io s a"areness in kids all the time. At the dinner table a !hild "ill ask# ECan * go to the moviesJE And as he "aits for an ans"er to this very absorbing & estion# yo noti!e heAs pi!ked p a glass of milk and brings it to his lips# and only "hen it a!t ally to !hes his lips does he make a slight startle of re!ognition that the milk is there ready to drink. 0o see that type of thing over and over again in "ork "ith !hildren. R) Children tend to do things a tomati!ally "itho t !ons!io s a"areness. E) 0es# on an a tomati! level. R) *tAs that a tomati! level of f n!tioning that yo !apitali<e on in tran!e.
In a &ay yo) "ad a do)1l ()r(os , &"ic" is . ry nic . Yo) "a. a t nd ncy o, l arnin* /or t"an yo) ar a&ar o,. Yo) can 1 a&ar o, so/ and 1 )na&ar o, so/ . R) /y in!l ding both Ep ll or p shE yo are !overing more than one possible responseF yo are permitting her to tili<e "hi!hever mode of response she has more strongly b ilt into her from previo s life e%perien!e. E) 8er do ble p rpose is) $1' to learn to be responsible at a motor level# and $4' "itho t a !ons!io s a"areness. (or a blind person it is so ne!essary to have a !ons!io s a"areness of any motor movement. A blind person has to be a"are that s !h and s !h is > st so far from my sho lder# my ba!k# my thighs# et!. GEri!kson demonstrates nonverbally "ith his body.H / t sighted people have peripheral vision and are na"are even that they have it to handle s !h problems. /lind people have to goal3orient their movements as a !ons!io sly done thingF it is an entirely different type of movement than that of a sighted person. No" in hand levitation *Am asking her to learn to make movements that have no goal. ;hen yo & estion s b>e!ts abo t hand levitation# some e%perien!e it as a for!e p shing their hand# "hile others e%perien!e it as a p ll. No" blind people kno" "hat a p ll is and "hat a p sh is. 6hey relate that to goal3oriented p rposes. 2o yo isolate that p ll or p sh kno"ledge into a nongoal3dire!ted area. R) A nongoal orientation is "hat "e "ant in tran!e.
E) 6his n!ertain bobbing p and do"n# trial and error# is typi!al of all learning. 0o try to do something ne"# b t there are many partial and abortive effortsD R) Dbefore yo !an get a smooth lifting of the hand a tonomo sly. E) ;ith the emphasis on Emore rapidly#E *Am taking her attention a"ay from the lifting to the & estion of speed. R) *mplying# therefore# that it "ill lift# itAs no" only a & estion of ho" rapidly.
there is a parting of the lips. / t he is not asking verbally. R) Nor does the g est al"ays kno" "hat he is doing. 6hose head# eye# and lip movements sometimes o!! r invol ntarily. E) 0es. R) 2o these head movements in tran!e are invol ntary. 6hat is "hy yo prefer to se head movements for signaling 0es or No rather than finger signalsF head movements are m !h more b ilt into the person# and so !an f n!tion more easily on an invol ntary level. E) 6hatAs right.
$" R"yt"/ Ind)ction: Yo6yoin* Conscio)sn ss to G t into t" $" ra(ist+s R"yt"/
E: Bo&in* do&n slo&ly, do&n, do&n, )(, do&n, )(, do&n, do&n, )(, do&n, )(. >Pa)s ? Yo)r " ad is * ttin* lo& r. Yo)r ,in* rs ar a1o)t r ady to los contact. Mor o, t"at sli*"t 4 rk, and so/ o, t" ,in* rs &ill 1 o,,. !i,tin*. !i,tin*. >Pa)s ? E) ;hat *Am doing "ith this do"n# p# do"n# p# et!.# is asso!iating the head and arm movement. 6his is also a yo3yo on the patientsA thinkingF they !anAt solidify their thinking. 6hey !anAt think# ENo" itAs do"n# no" itAs pE be!a se *Ave taken over that do"n and p# and itAs no" in my rhythm. :nly they donAt kno" it is my rhythm. 6hey get into the therapistAs rhythm. R) *t is important for the patient to get into the therapistAs rhythm be!a se it "ill enable her to follo" a s ggestion that "ill !ome event ally. E) 6hatAs right. * am getting her a"ay from her o"n habit al !ons!io s patterns. R) ;hi!h is the essen!e of yo r "hole pro!ed re. E) / t * "o ld not say# E* "ill tell yo "hen to breathe in and o t#E be!a se then yo "o ld be making her !ons!io sly a"are of her rhythmK A !hild "ith "hom * "orked had a father "ho sed medi!al hypnosis. ;hen her father asked her abo t the differen!es in o r approa!hes to hypnosis# she replied) E7addy# yo tell me to sleep# b t 7r. Eri!kson breathes me to sleep.E 0o adopt the !hildAs rhythm of breathing# and then yo start altering yo r rhythm and let the !hild no" follo" yo . ;e all have a lot of rhythms# and rhythm is a very po"erf l for!e. G2ee ?ol. * of The Collected 0apers of ilton H. Erickson on Hypnosis for a detailed a!!o nt of the Rhythm /reathing *nd !tion.H R) ;e !an th s tili<e rhythm as a method of ind !ing tran!e or of deepening tran!e. *t is parti! larly potent be!a se $1' it is indire!t# in that the s b>e!t does not kno" it is being tili<ed# and $4' rhythms all have a nat ral biologi!al gro nding "ithin s. ;hen "e get in syn!hrony "ith a s b>e!tAs rhythm $"hether it is breathing# movement# a verbal pattern# et!.'# and then by degrees s !!eed in altering it# "e are !hanging a very deep f n!tion and may be thereby !apable of effe!ting deep therape ti! !hange.
her "ith the statement# Eyo "ill have learned a great deal.E 6h s emphasi<ed and re"arded# the little bit she has learned "ill serve as a fo ndation for later learning
@ =ikoshiba# 19,8F Creeno gh @ B raska# 19,9'. 6hat is "hy s !h skills s ally re& ire years to develop. *n !lini!al retraining "e m st therefore emphasi<e that a normally slo" and patient period of learning "ill enable a gen ine organi! gro"th and reorgani<ation to take pla!e. 6his patien!e is sometimes re& ired for hypnoti! training as "ell. * remember the first time yo sed a hand3levitation ind !tion on meDit a!t ally took an ho r before my arm got all the "ay p. / t a lot of gen ine learning abo t tran!e e%perien!e took pla!e in that ho r that served as a fo ndation for o r f rther "ork.
D (ot ntiatin* Conscio)s S ts &it" S)** stions Only t" %nconscio)s Can Carry O)t: Occ)(yin* t" Conscio)s and %nconscio)s on $" ir R s( cti. $asks
E: No& it isn+t n c ssary ,or / to s( ak to yo). Yo)+. " ard &"at I "ad to say. >Pa)s ? Yo)r 3( ri nc o, l arnin* to r tain t" s(ok n &ord, and yo) can r ( at t"is on and on t"ro)*" yo)r /ind. >Pa)s ? 'nd /ak yo)r r s(ons ,it yo)r )e)ories as /y &ords ,lo& t"ro)*" yo)r / /ory. >Pa)s ? R) *n this se!tion yo Are instr !ting her to internali<e yo r s ggestions and asso!iate yo r "ords "ith her o"n EmemoriesE of ho" responses are made. A!t ally# of !o rse# she probably does not kno" !ons!io sly ho" to fit her responses to her memories. 0o are giving her a s ggestion that only her n!ons!io s !an !arry o t. *n this "ay yo again indire!tly depotentiate her habit al !ons!io s mental sets in favor of n!ons!io s or a tonomo s pro!esses. 6his is to take pla!e "hile her !ons!io s mind !ontin es to reverberate yo r "ords in her memory. 6h s# yo have given a task to both her !ons!io s and n!ons!io s mind.
Co(in* &it" Conscio)sn ss and D (ot ntiatin* Ha1it)al Conscio)s S ts: $" Ins rt d Co//and to En"anc ! arnin*
E: In t"at &ay yo) ar *oin* to enhance yo!r learning. >Pa)s as a littl "and 4 rk is notic a1l .? $"at+s ri*"t. >Pa)s as anot" r . ry littl "and 4 rk is notic d.? $"at+s ri*"t. >Pa)s ? E) 6his is an e%ample of an inserted command. *Ave made a general statement there abo t learning# b t *Ave sed the "ord enhance# "hi!h makes it into a !ommand. R) *t is a!t ally yo r vo!al emphasis on the "ord enhance together "ith a slight pa se before it makes the !ommand Eenhan!e yo r learning.E *t is really in!redible ho" s !h slight vo!al !hanges !an lead to s !h great shifts of meaning. 6hese shifts of meaning are so s"ift and ne%pe!ted that !ons!io sness s ally !annot follo" themF it s ally !annot grasp their impli!ations and then debate or negate them. 6his is the essen!e of yo r art of !oping "ith !ons!io sness) 2 ggestions are presented in s !h a "ay that
they & i!kly slip thro gh !ons!io s defenses "itho t ever being pi!ked p. 6he s ggestions finally !ome to rest "ithin the s b>e!tAs pre!ons!io s# n!ons!io s# or memory banks# "here they !an no" intera!t "ith other asso!iations to effe!t their therape ti! "ork. 6he !ons!io s mind is then presented "ith a fait a!!ompli from "ithin D"itho t ever kno"ing & ite ho" it happened.
Co. rin* and R in,orcin* 'll Possi1iliti s o, an Hy(notic R s(ons : %nconscio)s 'ssociation and $" ra( )tic S)** stion
E: 0o soon yo) &ill ti t" /o. / nt o, yo)r "and to t" r co*ni0a1l /o. / nt o, yo)r " ad. >!on* (a)s ? $"at+s ri*"t. Yo) ar tryin* to ori nt yo)r ntir ,or ar/, l1o&, and "and. >Pa)s ? 'nd I can s t" action, and I can , l it. >Pa)s ? R) 6his is a fas!inating > %taposition) ENo" soonE means a response !o ld take pla!e no' or soon# depending on the readiness of the s b>e!t. *n t"o "ords yo Ave again managed to !over all possibilities and reinfor!e behavior "henever it happens. E) ENo" soon or later# or sooner than yo think#E "o ld be another one. ;ith that yo Ave really !overed all possibilities. 0o Ave also given them f ll permission to Ethink#E tho gh they donAt noti!e that yo Ave given them that permission to think. 6hey are paying attention to the Eno"E or EsoonE or Elater.E 6hey ignore the Ethink.E R) 6his s btle inserting of EthinkE "o ld be another e%ample of yo r te!hni& e of asso!iating yo r s ggestions "ith "hat they are nat rally doing in s !h a "ay that their !ons!io sness does not re!ogni<e it. 6his nnoti!ed asso!iation# ho"ever# b ilds a strong !onne!tion bet"een yo r "ords and their n!ons!io s# so event ally yo r "ords "ill trip off pro!esses "ithin them on an n!ons!io s level. At a later time yo might be able to se this asso!iation to have them EthinkE abo t something for therape ti! p rposes that they might not ordinarily think abo t.
Erickson "as to r (osition t" /.? R) ;hy do yo ask her to be E n!on!erned and ninterestedE at this pointJ E) ;hen yo to !h a blind person# it isnAt the same as "hen yo to !h a sighted person. 6he blind are obligated to try to pla!e a meaning on that to !h. 0o donAt look an Arab in the eye "hen yo talk to him be!a se he !onsiders that an ins lt. *n !ertain parts of 2o th Ameri!a people stand so !lose to yo that yo Are belly to belly# b t yo donAt move a"ay or they take it as an ins lt. /lind people also have their o"n ! lt reF the sighted person has no a"areness of "hat to !h means to the blind. A to !h to the blind means# Edo something.E And "hat is that something yo are to do "ith yo r handJ 0o r hand has been to !hed for a p rpose. / t "hat is that p rpose hereJ 2he !anAt find any p rpose. *Ave learned from "orking "ith a lot of blind s b>e!ts that !atalepsy is an a"f lly hard thing to a!hieve. Catalepsy in a sighted person "ho does not nderstand a "ord yo say is easily a!hieved. R) 0o feel this is be!a se in the blind person# hand positions and movements al"ays have an ob>e!t orientationDa p rpose orientation. And yet yo are trying it G!atalepsyH here even tho gh yo kno" it probably "onAt "ork. E) 0es# this session is for dida!ti! p rposes. Anybody doing therapy o ght to get to kno" the range of h man behavior. R) ;hen yo say firmly# E*Am not p tting it in any other pla!e# > st here#E it seems to be as dire!t a s ggestion as yo !o ld make "itho t saying# E+lease hold yo r hand in this position.E / t tr e to form# yo make yo r s ggestions as indire!t as possible so that the !ons!io s mind "ill have as fe" ! es as possible to do things in its o"n !hara!teristi! "ay. E) 2he really doesnAt kno" "hat * mean by saying Ealtering it.E
R) 6his is highly !hara!teristi! of yo r approa!h for bypassing the do bting attit des of !ons!io sness. Cons!io sly# the patient may not reali<e that something has been learned. Cons!io sness is typi!ally na"are of latent learning# the formation of n!ons!io s asso!iations# et!. 0o se this basi! fa!t abo t h man learning# this basi! tr ism# as the fo ndation to fa!ilitate an a!!eptan!e attit de to"ard her training for invol ntary signaling that o!! rs in the ne%t se!tion. 0o take advantage of nat ral limitations of !ons!io sness to introd !e a set for invol ntary or hypnoti! responses. * believe this is the f ndamental basis of the effe!tiveness of yo r "ork) .ou utili*e natural mental mechanisms and limitations to channel responsi&eness in 'ays that the conscious control system cannot yet do.
$" Do)1l Bind in Hy(notic Ind)ction: Crit ria ,or #alid Id o/otor H ad Si*nalin*
E: So I+/ *oin* to (os a sit)ation, and in t" sit)ation & &ill 1ot" &ait ,or t" ans& r. I, yo)r )nconscio)s /ind kno&s t"at yo) "a. l arn d so/ t"in*, yo)r " ad &ill slo&ly nod Y s. I, yo)r )nconscio)s /ind t"inks No, it &ill slo&ly s"ak No. No& & &ill &ait ,or t" ans& r. Has yo)r )nconscio)s l arn d so/ t"in* a1o)t "y(notic r s(ons 8 >!on* (a)s ? No& a (ositi. ans& r is a nod o, t" " ad. ' n *ati. ans& r is a s"ak o, t" " ad. So ,ar &"at yo) "a. attain d "as 1 n a sli*"t noddin* and a sli*"t s"akin*, / anin*: I don+t kno&. No& t" )nconscio)s /ind do s "a. a lot o, r (r ss d kno&in*. $"at+s &"y & call it t" )nconscio)s. No& slo&ly /o. yo)r " ad do&n, do&n )ntil yo)r c"in to)c" s yo)r dr ss. Not ra(idly, 4)st slo&ly. >Pa)s ? No& I &ant to (oint o)t to Dr. Rossi t"in*s " s"o)ld notic . B)t yo) n d not (ay att ntion to &"at I say to Dr. Rossi. It &ill 1 &it"o)t / anin* to yo). R) 0o se a do ble bind to introd !e invol ntary head signaling "ith yo r s ggestion# E*f yo r n!ons!io s mind ... it "ill shake No.E 6his is that neat sit ation that a!t ally ind !es a hypnoti! state or deepens it. 0o r do ble bind tends to evoke an a tonomo s or disso!iated $invol ntary' response from the n!ons!io s. ;hen the ans"er !omes# it really doesnAt matter "hether it is 0es or No. 6he mere fa!t that an invol ntary response o!! rs means that the s b>e!t has entered tran!eDeven if only momentarily to make the invol ntary response. E) 0es. A head !an nod for 0es# shake for No# and make all sorts of movement in bet"een for E* donAt kno".E 0o a!!ept s !h movements as valid only "hen they are $1' slo'ly and $4' repetiti&ely done. ;hen they are done & i!kly and not repetitively# that means they are from the !ons!io s mind. 6he 0es of tran!e is a repetitive movement that may last for a min te. 6here is no need to terminate it be!a se there is nothing else going on in the tran!e state. *n the "aking state there is something else going on that stops and repla!es the 0es response. 6he blind have no possibility of relating a vis al val e to a nodding of the headF only the sighted person !an have that nderstanding. 6herefore# the blind person "ho kno"s "hat a nod and shake means !an do it# b t does it "itho t any !ons!io s nderstanding of "hat is taking pla!e be!a se of never having a!& ired the vis al asso!iations. *n this patient a nod of the head !ame slo"ly and imper!eptibly be!a se it "as not
ne!essary to be!ome !ons!io sly a"are of it. :nly the vie"er needed to see the slight# slo" movement be!a se only the vie"er !o ld pla!e a meaning on it. 6he fa!t that it took pla!e meant that the n!ons!io s did nderstand b t did not kno" ho" to nod the head to meet vis al re& irements. A sighted person !an lo"er her !hin to to !h her dress. 6hat !an be seen as a meaningf l thing. A polite bo" !an be seen and nderstood# b t it !anAt be nderstood at all by a blind person. *t is totally "itho t meaning. Asking her to to !h her dress "ith her !hin is asking for a performan!e that has no vis al meaning of any sort. 6he only !ons!io s meaning is to feel the dress "ith the !hin. R) 6hat is the only ! e she has# to !h# b t no vis al meaning. E) No"# "hen the only ! e for nderstanding is a to !h of !hin against !loth# ho" far do"n do yo bend the head to to !hJ 2he has no ! es ntil she gets to the goal. *t is going to seem long.
E: 'nd slo&ly no& t" " ad 1 *ins to li,t )( itho!t re1!iring any per)ission ,ro/ / , a littl 1it to t" l ,t, and li,tin* a 1it asi r and co/,orta1l , /)c" asi r, /)c"
/or co/,orta1l . H H H R) 6he head movement spontaneo sly !hanges dire!tion in a manner yo had not anti!ipated. 0et yo immediately approve of it "ith yo r mentioning that it moves E"itho t re& iring any permissionE from yo . E) 0o "ait for that movement# and then yo mention it so the blind person kno"s yo are attending to them. 6hat is the only "ay they have of kno"ing. =entioning it also gives EpermissionE for it. R) /y giving EpermissionE yo also gain !ontrol over it. 0o gain !ontrol over symptoms by the parado%i!al pro!ed re of giving the patient permission for them $;at<la"i!k# /eavin# @ Ba!kson# 195,'.
Indir ct G n rali0ation o, Hy(notic E,, cts 1y I/(lication: S"i,tin* ,ro/ t" Eno&n to t" %nkno&n: -acilitatin* Cr ati.ity
E: By s nsin* yo)r "and or yo)r ,or ar/s or yo)r n ck or yo)r t"i*"s or yo)r cal. s, 1y (ayin* att ntion to ,irst on (art and t" n anot" r (art o, yo)r 1ody. 'nd last o, all, >Pa)s ? , l t" co/,ort in yo)r " ad. >Pa)s ? 'nd , l t" s ns o, 1 in* r st d. 0o in learning hypnosis it is not i)portant to "no hat yo! ha#e learned. >Pa)s ? 7"at is i/(ortant is t" ac5)isition o, t" kno&l d* , and "a.in* it r ady to )tili0 &" n t" (ro( r sti/)l)s coni s. E) * previo sly emphasi<ed hand levitation and head nodding# and no" *Am mentioning all the other parts of her bodyD apparently to generali<e# b t spe!ifi!ally *Am relating them to my hypnoti! s ggestions abo t hands# arms# elbo"s# head. And yet *Am not telling the s b>e!t# E6here "ill be an asso!iation.E ;hen * say# E* see yo Ave lost t"o fingers of yo r right hand#E *Am also saying $implying'# Eb t yo havenAt lost yo r fingers of yo r left hand.E R) 2o here yo are a!t ally generali<ing yo r hypnoti! "ork "ith her head and hands to other parts of her body "itho t giving her any !ons!io s ! es to that effe!t. 6he generali<ation of the hypnoti! effe!ts takes pla!e on an n!ons!io s level be!a se !ons!io sness does not grasp the impli!ations of yo r asso!iations. Ne%t yo r tr ism# ENo" in learning hypnosis it is not important to kno" "hat yo have learned#E tends to depotentiate her habit al !ons!io s sets by implying that itAs more important to be able to respond appropriately to a proper stim l s than simply to kno". 6his tends to shift f n!tioning from the kno"ing !ons!io s system to the nkno"n pro!esses by "hi!h the n!ons!io s mediates responses. 6his !ontin ed shifting of emphasis from "hat is kno"n to the nkno"n is highly !hara!teristi! of yo r approa!h. 0o do not pres me to kno" yo rself. /y !ontin ally evoking the nkno"n# ho"ever# yo are !onstantly breaking thro gh the limitations of a patientAs !ons!io s sets and setting the stage for n!ons!io s !reativity.
pelvi! press re is !oming from. *t takes some time and life e%perien!e for the !hild to lo!ate its o"n bodily sensationsDthe lo!ation of internal f n!tions tends to !ome later.EH 8ypnoti! s b>e!ts like tran!e p to a !ertain point the first time# and then by their movements and alterations of fa!ial e%pression# alterations in so nd of voi!e# altered tension of the body# altered breathing rate# they let yo kno" in some "ay they "ant o t. 0o see t"o people talking# s ddenly yo noti!e one losing interest# yo !an see their interest evaporating.
r ally. I start d it do&n .ol)ntarily, I s)((os , 1 ca)s yo) told / to. B)t I don(t "no hy it ent s)oothly. E3 It &as so . ry )ni/(ortant ,or yo) to kno& hy it & nt s/oot"ly. It &as . ry nic t"at yo) "ad t" id a t"at yo) ti/ d yo)r " ad /o. / nt to yo)r 1r at"in*. :: 'nd t" 1r at"in* I did notic Gat t" 1 *innin* yo) said it "ad c"an* d, 1)t I did not notice it "ad. B)t I did notic lat r, &" n t" " ad &as *oin* do&n, t"at the *reathing as sort o$ )ore li"e sleep *reathing. I / an, it &as a /or r la3 d kind o, 1r at"in*. E) 6his se!tion !ontains many bea tif l statements from a blind person. 2he is trying to tell yo "hat movements mean to her and ho" she senses reality. R) 0o did not kno" that yo r re& est for !omfort "o ld have the effe!t of fla!!id rela%ation# b t that "as her o"n ni& e and individ al response. +erhaps that is "hy her hand "o ldnAt levitate or maintain a !atalepsyDshe "as too rela%ed. / t "as that an important learningJ E) EAll of a s ddenE means that she s ddenly noti!ed the violent !ontrast of sensations in her hand bet"een a tran!e !ondition and being more a"ake. R) * see# it is a ratifi!ation that a tran!e effe!t "as e%perien!ed3it is a self3ratifi!ation of tran!eK E) A ratifi!ation independent of my "ordsK 0o donAt normally asso!iate the t rning of yo r head "ith yo r breathing# b t blind people do. 0o look aro nd to see if someone else is in a roomF the blind listen for breathing. ;hen she says# E* donAt kno" "hy it "ent smoothly#E she is again verifying the tran!e !ondition. 2he did not nderstand an altered movement. 2he kno"s her movements# b t here is a brand3ne" movement. R) 8er not nderstanding an altered movement# movement that is alien to her habit al pattern# is des!ribed by yo as a tran!e !ondition. 6his s pports o r analysis of tran!e as a !ondition "herein the patientAs habit al and familiar mental setsDthe str !t ring f n!tion of their left3hemispheri! !ons!io snessDis minimal. E) 8er re!ognition that Ethe breathing "as sort of more like sleep breathingE is another ratifi!ation of tran!e.
$" Pro1l / o, Rati,yin* $ranc ,or Mod rn Conscio)sn ss: 'lt r d E3( ri nc and $i/ Distortion
E: $"at+s ri*"t. 'nd yo)+r s)r yo) ar &id a&ak no&8 :: Y s. E: No do)1ts9 :: Do yo)8 Yo) did not kno& &" t" r ti/ &as contract d or 3t nd d, 1)t I don(t "no i, it &as it" r on , 1)t o, co)rs I don+t r ally kno&. E: 7"at ti/ do yo) t"ink it is ri*"t no&8 :: 7"at ti/ did I * t " r , do yo) kno&8 E: Y s. :: 7 ll, I &o)ld say it+s 1 n "al, an "o)r. E: Ho& ar yo) in notin* t" (assa* o, ti/ ordinarily8 :: So/ ti/ s . ry *ood, and so/ ti/ s I can 1 t&o "o)rs o,,. I t"ink it )s)ally d ( nds on &" t" r I a/ doin* ,a/iliar t"in*s. 7" n I+/ doin* ,a/iliar t"in*s, (artic)larly i, t" r "as 1 n so/ t"in* lik an int r stin* disc)ssion or (layin* &it"
t" kids and t" r ar n+t any ti/ )nitsGt" n I can 1 &ay o,,. R) *n this se!tion and the previo s one yo are both involved in the interpretation of e%perien!e that is so !hara!teristi! of the initial session of many highly intelle!t ali<ed patients. 8er left hemisphere# "ith its !hara!teristi! limitations# tried to point o t ho" it "as a"ake in its normal state at all times. 0o try to !ast do bt on that appraisal by sear!hing for eviden!e of time distortion. * believe yo both may be right# ea!h in yo r o"n "ay. 8er left hemisphere is !orre!t in the sense that it "as present and Enormal#E at least o!!asionally# in its observer f n!tion. 8er left hemisphere does not reali<e# ho"ever# that in s spending some of its ordinary dire!ting and !ontrolling f n!tions d ring Etran!e#E other modes of f n!tioning $all the !lassi!al phenomena of hypnosis' may have be!ome manifest in "ays that its observer f n!tion !o ld not re!ogni<e. 0o r task as the hypnotherapist is to someho" ratify that altered e%perien!es have taken pla!e "itho t so alerting her left hemisphere that it prevents these altered e%perien!es from happening again. 0o make a move to this end by attempting to ratify tran!e via an altered time sense in tran!e. E) 0es. A blind person !annot tell time vis ally. 6hey do it by the amo nt of movement# e%ertion# the amo nt of tiredness or the la!k of it. 6his !an also be e& ated "ith interest and pleas re. 0o !an e%pand time by being bored and !ontra!t time by being interested. A blind person !an never se vis al ! es for time e%perien!e# so it is a totally different thing. 6ime is meas red by breathing# > st as yo meas re a drink on a hot s mmer day a tomati!ally by the n mber of s"allo"s. :nly yo donAt kno" it.
n yo)r l ,t and ri*"t "and. Ho& lon* "as t"at )n)s)al s nsation 1
:: I don(t "no . I didn+t (ay att ntion. 7" n on "and &as s)((os d to 1 *oin* )(, it &as not t" r . B)t t" r is no 5) stion t"at t" "and d cid d to ris )(, 3c (t it r ally co)ldn+t /ak it.
E) 6hatAs a blind personAs des!ription. 2he first mentions a position of the hands in terms of geographi!al lo!ation before she !an attend to feeling in the hand. A sighted person !an see "here his hands are. 8e doesnAt have to lo!ate his handsF he sees them. And that vis al orientation is so rapid he doesnAt kno" he has made it. A blind person has to lo!ate the hands physiologi!ally. EA !ertain odd feeling in the left fingerED"hat is she saying thereJ 8o" does a blind person feel thingsJ * have to note the feeling in this finger. 6his finger# and this finger# and this finger. A sighted person doesnAt pay any attention to the sensation bet"een one finger and the ne%tF he doesnAt need to. A blind person has to. 8o" does yo r hand feel if yo are blindJ 6he hand is a feeling# sensory organ re!eiving things. 8o" "o ld yo feel if yo r hand "as E"rappedE pJ R) 6hat then is another tran!e effe!t. *f it feels Eas if there is something "rapped
aro ndE yo r hand# yo are not feeling or re!eiving normally. 2o her very important organ of to !h "as sealed off as a res lt of tran!e. E) :nly ro ghly sealed off be!a se she !an feel the "rapping# b t there "as an altered sensation d e to tran!e. R) / t even "ith a sighted person all these alterations in feeling# sensation# and per!eption are verifi!ations of the tran!e !ondition for yo . 6hat is "hy yo donAt have to give !hallenges or other kinds of tests# be!a se yo have learned thro gh e%perien!e that these altered sensations are all indi!ations of tran!e.
!an*)a* as a Cl) to t" S nsory6P rc (t)al Di,, r nc s B t& t" Blind and Si*"t d: H alin* and !o.
:: $" t nsion &as t" r and t" l1o&, and t" cooln ss &as t" r in t" Pal/, and t"at told / t"at t"at (art o, t" ar/ "ad *on )(. B)t t" ar/ &o)ldn+t *o )(. E: 'H ri*"t. No&, &"at do yo) t"ink is odd a1o)t t"at li,tin*8 :: Not"in*. I / an, a((ar ntly it didn+t "a(( n, 1)t t"at+s "o& I , lt it "a(( n. E: Ordinarily, &" n yo) , l yo)r ar/ li,tin*, it is li,tin*.
:: Not al&ays. I+. occasionally had to iggle a $inger to $ind o!t here )y hand as $or s!re/ 1 ca)s I "a. (lay d aro)nd to s i, I co)ld "y(noti0 /ys l,. 'nd i, I ()t t"at "and o)t t" r and conc ntrat on it or so/ t"in*, I cannot "no $or s!re &" t" r it is or not >l .itatin*?, E: 'll ri*"t, no&. ! t / stat on (ro1l / t"at yo) ar *oin* to ,ac . Yo) "a. l arn d to r ly on yo)r ars to d t ct t" dir ction o,, l t+s say, a /o.in* car, t" (r s nc o, a ( rson, t" dir ction in &"ic" a .oic co/ s. $"at * o*ra("ical ori ntation is *oin* to control yo) to a lar* d *r i, yo) don+t kno& "o& to /ak s(ontan o)s /o. / nts s)c" as t" si*"t d ( rson /ak s. B)t yo) can /ak t" /. Yo) 4)st did. :: Yo) / an I 4)st nodd d /y " ad8 E: Y s. :: I don(t "no t"at yo) &o)ld call t"at spontaneo!s/ act)ally. E: It &as not call d ,or. :: No, it &asn+t call d ,or. E: $"at+s s(ontan o)s. 'nd yo) ar 3tr / ly a&ar o, 1odily /o. / nts. E) 6his is the lang age of a blind person. 6ension in elbo" and !oolness in palmF no sighted person is ordinarily that sensitive to sensations. Noti!e that she Eo!!asionally had to "iggle a finger to find o t "here my hand "as for s reEK 6hatAs a !lear e%ample of movement in the blind to determine position. 6hatAs "hy * tell yo lang age means a lotK R) 6his "hole session is an e%ample of the different meanings "ords !an have for different people. 8o" sensitive and skilled the hypnotherapist m st be!ome to deal "ith these different meanings for people "ith handi!aps# spe!ial talents# so!ial and ! lt ral differen!esK ;e all seem to have o r o"n spe!ial lang age) 6he 6o"er of /abel is here and no". *Am !oming to believe that the ordinary everyday !onversation "herein "e do not pay attention to these differen!es may be a !omedy of errors in "hi!h "e !ontin ally bo n!e off of ea!h otherAs pro>e!tions and idiosyn!rati! meanings. A real relationship is hard to find. ;hen it does develop# ho"ever# "e do have those spe!ial moments of !omm nion that permit s rprisingly effe!tive responses to take
D . lo(in* N & Ind)ction $ c"ni5) s: Hy(nosis D ,in d as a $ c"ni5) o, Co//)nication %tili0in* ')to/atic R s(ons s
E: B)t t"at r ally isn+t i/(ortant 1 ca)s it is a ne "ind o$ learning going into a trance. 'nd yo) don+t "a. to kno& any o, t" l arnin*s t"at yo) n d. Yo) can * t kno&l d* &it"o)t d ( ndin* on a conscio)s )nd rstandin* o, &"at it is. H H H ' c"ild+s 1ody t lls "i/ "o& /any s&allo&s ,or a *ood drink 1 ,or " "as a c"anc to a1sor1 /)c" o, t"at &at r. Do yo) )nd rstand8 So yo) don+t n d to 1 any /or a&ar o, yo)r l arnin* t"an a c"ild is o, t" n)/1 r o, s&allo&s o, &at r. H H H R) *tAs the hypera"areness and e%tra training in body movements that make hand levitation a rather inappropriate te!hni& e to se "ith blind s b>e!ts. 6his thro"s an added light on the development of ne" ind !tion te!hni& es. *nd !tion te!hni& es s ally !enter aro nd the operator making !onta!t "ith a response system "ithin the s b>e!t that s ally takes pla!e in a more or less invol ntary or spontaneo s manner. 6he s b>e!t does not have too many asso!iative !onne!tions bet"een his !ons!io s mind and the n!ons!io s that s ally !ontrols the more or less invol ntary system. 0et there are some !onne!tions that the operator !an pi!k p and tili<e m !h to the s b>e!tAs s rprise. E) 0es# * think thatAs right. 6he blind person is oriented to movement and to !h and no vis al ! es. 6he sighted person relies on vis al ! es and disregards movement and to !h. R) 2o movement and to !h are more a tonomo s in the sighted# and the hypnotherapist !an gain !ontrol over them more easily. 6hatAs "hy yo find that hand levitation and the approa!hes to !atalepsy are so effe!tive in ind !ing tran!e in normally sighted individ als. E) 0o sear!h o t for those things that are pe! liar to the person. (or e%ample# "ith a st tterer "ho is not interested in spee!h therapy $he has a!!epted his st tter'# yo "ill have a m !h more diffi! lt time sing free spee!h to p t him in a tran!e than if yo st tter yo rself. R) *f the therapist st tters# he gains better entry into the st ttererAs o"n asso!iative patterns. E) 6hatAs rightK 6ho gh yo have to be s re yo make the st tter not too apparent. 0o make it look as if yo are not & ite s re of "hat yo are going to say or ho" to say it. / t yo are not trying to st tter. R) Like"ise "ith the obsessive3!omp lsive personJ E) 0o phrase things obsessively and !omp lsively# and that "ill fa!ilitate ind !tion. *n other "ords# yo adopt the individ al style and ! lt re that yo re!ogni<e in the patient. (or a farmer yo thro" in a fe" !o ntry "ordsF for a la"yer a fe" legal terms. / t never obtr sively. R) 0o adapt yo rself to the patientAs mental milie . E) Hypnosis is a techni$ue of communication 'hereby you make a&ailable the &ast store of learnings that ha&e been ac$uired# the usefulness of 'hich lies primarily in the 'ay of automatic responses. *n hypnosis "e make a dire!t !all on these learnings that have been dropped into the area of a tomati!ally available learnings. R) Therefore you could de&elop any number of ne' techni$ues of hypnotic induction by learning ho' to recogni*e and utili*e in a sub1ect past learnings that no' function in an automatic or semiautonomous manner.
R) Again yo donAt ans"er her abo t E"hi!h !hinJE E) 2he is self3!ons!io s there. 2he doesnAt kno" really "hat she looks like# "hat her "eight is# she doesnAt really kno". 2he is telling yo in that & estion# E* donAt kno" "hat my !hin looks like. * have heard of do ble !hins# triple !hins. / t * donAt kno".E *t is an n!ons!io s & estion# a betrayal of a la!k of physi!al kno"ledge of herself. 6hen * go ba!k to the s b>e!t of amnesia. All along * "ant her to develop as many amnesias as possible. R) ;hyJ E) /e!a se the more of my !omm ni!ations that are in her n!ons!io s# the better she "ill be as a hypnoti! s b>e!t. R) 6he more amnesia yo are able to obtain# the better the s b>e!t. 2o amnesia is not only a !riterion of tran!e# b t it fa!ilitates f t re tran!e "ork. /e!a se it is a f n!tion of a tonomo s or invol ntary behaviorJ E) 0es# and it is being eli!ited by yo and named by yo # and it is be!oming a part of their personal e%perien!e. A patient no longer has any do bts abo t the tran!e.
$" FI Don+t Eno&F S t -acilitatin* '/n sia: #oic !oc)s to t" Conscio)s and %nconscio)s: Indir ct $ranc Ind)ction
E: No& yo) "ad lost yo)r 1ody s nsation, and yo) .acillat d ,ro/ ri*"t to l ,t in t" do&n&ard /o. / nt o, yo)r c"in. :: Did I8 $"is I did not "no . E: 'nd yo) s"i,t d yo)r &ay o, 1r at"in*Gso/ ti/ s /or on t" ri*"t sid , and t" n /or on t" l ,t. So I kn & t"at yo) did not kno& yo)r 3act ("ysical ori ntation. Ri*"t no&, /o. yo)r c"in do&n and to)c" yo)r dr ss. R) 2in!e the termination of tran!e she has been saying E* donAt kno"E more and more. * "onder if yo "ere a"are of having this effe!t on her. G6he E*3donAt3kno"sE are pla!ed in itali!s for the !onvenien!e of the reader.H E) 0es# yo get them to say E* donAt kno"E by telling them they donAt kno" and asking & estions they !annot ans"er. 6hey get a set for E* donAt kno".E R) ;hy is that of val eJ E) ;e develop an E* donAt kno"E set to fa!ilitate hypnoti! amnesia. *t is a re& est for the s b>e!t not to kno"# b t she does not !ons!io sly hear the re& est as s !h. *t is not desirable to say# E0o "ill forget that.E 6hey "o ld !ome ba!k "ith# E;hy sho ld * forget itJE / t yo !an say# E0o may not remember it# yo may not kno" it.E 6hat gives permission# b t it is not a !ommandDnor is it a demand. *t is a mere observation# b t the fo! s "ords are spoken. R) 0o !an fa!ilitate tran!e as "ell as amnesia by breaking p the kno"ing and orienting aspe!ts of !ons!io sness. E) 0es# * seem to bif r!ate the individ al into the !ons!io s and n!ons!io s. ;hen * say something# * may say it to the !ons!io s or * may say it to the n!ons!io s. * !hange the lo! s of my voi!eF * tilt my head to one side to speak to the !ons!io s and another side to speak to the n!ons!io s. R) ;hen the s b>e!t is in tran!eJ E) ;hen ind !ing tran!e as "ell as "hile the s b>e!t is in tran!e. R) 0o se a different head lo!ation in speaking to the !ons!io s and n!ons!io s#
and people grad ally be!ome !onditioned to that. E) 0es# "itho t kno"ing itDbe!a se it is so s btle they donAt noti!e it. At most it might be taken to be a mannerism of the therapist. A s b>e!t !o ld "at!h yo hypnoti<e someone else and > st think yo Ave got a !ertain mannerism of t rning yo r head from side to side. 6his observing s b>e!t then does not kno" "hy he is s ddenly be!oming sleepy# b t he begins to sense hypnoti! effe!ts. *t is the things * said to the other personAs n!ons!io s that makes the observing s b>e!t sleepy# be!a se it gets right to his n!ons!io s# too. 0o see# !omm ni!ation is not > st "ords# it isnAt > st ideas. *t is vo!al stim lation# a ditory stim lation# and it is apparently leading some"here $e.g.# dangling phrases# repetition# and then a !omplete senten!e'# !a sing the patient to rea!h o t. R) 6hose dangling phrases# for e%ample# "o ld lodge in the patientAs n!ons!io s# "o ld they notJ E) 0es# be!a se there is no meaning that can be gi&en to them by the conscious mind to close the door# to close the chapter on them. 0o !an se shaggy dog storiesF they are a marvelo s te!hni& e. 6he person does kno" that yo "ill !ome to an end of that damn story. R) 8e "ants that damn endingK E) 0es# he "ants itK Even if the ending is in him going to sleep. 6here is a desperate desire for an end# a !los re. And maybe the !los re is EClose yo r eyes.E * have sed shaggy dog stories as a tran!e3ind !tion te!hni& e.
and * did# b t she did not. R) 0o are not bothered by distra!ting stim liJ E) No. 6he important thing is the tran!e. *f the patients "ant to listen to traffi! on the high"ay# fine. 6hey are still "ithin hearing distan!e of me. 2o * donAt have to !ompete "ith my voi!e against those barking dogs# the so nd of the traffi!# the sirens that go byDthey do not eli!it a !hange in my voi!e level. 0o remember a siren better "hen the professor had to raise his voi!e than "hen he did not. 6here may be a !ommotion o t in the hall# b t yo do not raise yo r voi!e or give any eviden!e of noti!ing the !ommotion. At the end of the le!t re ho r yo ask the st dents individ ally# E7o yo kno" "hat that !ommotion "as o tside the le!t re roomJE 6hey respond# E;hat !ommotionJE R) 6hey have an amnesia for it be!a se they had to attend all the more !losely to yo . E) 6hatAs right. 0o did not give them a !han!e to see or respond or think abo t it# sin!e they had to attend to yo . 6he !ommotion only made it more imperative that they pay attention to yo . 6hat means they have to go thro gh a pro!ess of sh tting o t that !ommotion. 2o yo have prod !ed an amnesia "itho t ever having verbally s ggesting it in any "ay. 0o r behavior to the !ommotion is a negative behavior. R) *t is an absen!e of behavior that leaves an amnesia. 0o did not let the o tside !ommotion have any energy of attention# so it !o ld not be impressed pon memory. E) 0es# yo have many opport nities to test that o t "hen yo are a"are of it.
D (ot ntiatin* Conscio)s S ts &it" t" $")/16Do/inanc 2) stion: Di,,ic)lti s in ! arnin* t" Indir ct '((roac"
E: 'r yo) ri*"t6t")/1 d or l ,t6t")/1 d8 :: I+/ ri*"t6"and d so/ &"at, 1)t I don(t "no a1o)t t")/1s. E: P)t yo)r "ands a1o. yo)r " ad, and ()t t" / (al/ to (al/, and t" n int rlac yo)r ,in* rs. Brin* yo)r "ands do&n. No&, yo) notic t"at yo)r l ,t t")/1 is on to(. Yo) ar l ,t6t")/1 d. :: Okay8 E: B)t I kn & t"at 1 ca)s yo) & r sittin* in t"at (osition &it" yo)r t")/1s t"at &ay. :: It is t" nor/al &ay I do it, 1)t I did not "no E: $"at+s ri*"t. I kno& Dr. Rossi look d ,or it. R: Y s, I did. E: I+/ trainin* "i/ in o1s r.ation. R: Y s, Dr. Erickson is car ,)lly trainin* / to &atc". >So/ ,ri ndly con. rsation tak s (lac 1 t& n Dr. : and Dr. R as t" y 1 co/ ac5)aint d &it" on anot" r, and so t" s ssion nds. D)rin* t" closin* r /arks Erickson /ana* s to / ntion cas)ally t"at Dr. : &as a1o)t a "al,6"o)r o,, in " r ti/ sti/ations.? E) *Ave shifted her here to an entirely different frame of referen!e far removed from tran!e# from amnesia# and it is interesting# too. 2he a!!epted orders previo sly# and no" she is still in high gear for a!!epting orders. 2he is still re!eiving orders# and she is interestedK R) 6his & estion abo t "hether one is right3 or left3th mbed is the !losest yo get to a standard operating pro!ed re. 6he patientsA !ons!io s minds s ally do not kno" the ans"er# b t their n!ons!io s minds kno"Das eviden!ed by the interlo!king of their hands and fingers "itho t looking. 0o r silent impli!ation is that their n!ons!io s does kno" more than their !ons!io sness# and their o"n behavior proves it. 0o donAt &"at d ,in d ri*"t6 and l ,t6t")/1 d.
bother to belabor this impli!ation by a dis! ssion of it. 6he n!ons!io s impli!ation is more effe!tive as a means of dethroning the h bris of !ons!io sness. E) 0es. * hope yo are starting to get an idea of "hat hypnoti! !omm ni!ation is. R) ;ell# if *Am not getting it# it is be!a se of my o"n limitations# and not d e to any la!k of effort on yo r part. *t is a strain for me to shift gears from my psy!hoanalyti! training# "here * only learned to re!eive messages# to yo r approa!h of a!tively !omm ni!ating "ith others on an indire!t level. *t is hard "ork learning to fa!ilitate !hanges in patientsA frames of referen!e# rather than simply dealing "ith the !ontents of their !ons!io sness. 0o are !onstantly operating on an indire!t level# "here yo help patients reframe the !ontents of their !ons!io sness. Conventional therapists s ally only deal "ith the !ontents of !ons!io sness rather than the pro!ed res for reframing those !ontents. 6hey ask and ans"er & estions in a perfe!tly straightfor"ard manner on the ob>e!t level# rather than engaging the patients on a metalevel in order to make more of their potentials available to them. 6he effe!tiveness of this approa!h is very m !h dependent on yo r s btlety. *t "o ld not "ork if the patient kne" "hat yo "ere doing. *n my initial efforts to se this approa!h *Ave !ome off rather badly be!a se * "as not nat ral "ith it. +atients immediately sensed that * "as not ans"ering their & estions. * "as# for some reason or other# proposing riddles# talking in metaphors# et!. Rather than reframing the !ontents of their !ons!io sness# * only a!!omplished the reverse) 6hey be!ame alerted $and some alarmed'# "ondering "hat "as p.
SEC$ION III
Id o/otor Si*nalin* in Hy(notic Ind)ction and $" ra(y '. IDEOMO$OR MO#EMEN$S 'ND SIGN'!ING IN HIS$ORIC'! PERSPEC$I#E
6he mystery of ideomotor movements and signaling has been dis!overed# forgotten# and redis!overed in many forms thro gho t h man history. 6hat the mind !o ld signal ans"ers or responses that "ere apparently o tside the !ontrol of !ons!io sness has al"ays been a mystery. /eing a mystery# it has s ally been asso!iated "ith the o!! lt# magi!# or those "ith Espe!ial po"ersE in relation to the gods. ;e !annot "rite a !omplete history of ideomotor movements and signaling be!a se the ne!essary s!holarship has not yet been done in this field. 8o"ever# "e !an o tline three salient periods of this history.
+8A2E :NE) 6he An!ient +8A2E 6;:) Chevre l
and =edieval +eriod of +rophe!y 7ivination and# magi! and the *deomotor =ovement) 6heories of 8ypnosis in the
18..s
+8A2E 68REE)
PH'SE ONE: $" 'nci nt and M di .al P riod o, Pro(" cy, Di.ination, and Ma*ic
*f "e !onsider all the histori!al forms in "hi!h apparently p rposef l movement and behavior "ere !arried o t "itho t normal a"areness# "e "o ld find o rselves "ith an inventory of most of the !lassi!al forms of hypnoti! behavior. 6hese are the so3!alled a tomatismsDapparently p rposef l behavior that is !arried o t "itho t normal a"areness. 2in!e an!ient times phenomena s !h as somnamb lism $sleep"alking'# visions $vis al and a ditory hall !inations'# prophe!y and Espeaking in tong esE $a tomati! spee!h'# spirit "riting $a tomati! "riting'# possession $m ltiple personality'# mysti!al rit als# and dan!e $a tomati! body movements' have been regarded "ith fas!ination. (re& ently they have been asso!iated "ith healing on the physi!al as "ell as the spirit al plane. 2ome for!e# agen!y# or kno"ledge o tside of manAs s al range of a"areness "as fo nd to have therape ti! val e "hen all the reg lar !hannels of !ons!io s behavior "ere fo nd "anting. 6hese approa!hes to healing "ere "ell developed in an!ient times before the birth of Christ. 6he +apyr s Ebers# "ritten 1I.. /.C.# des!ribe magi!al in!antations and rit als that pla!ed patients in altered states for healing. 6he Egyptian sleep temples of *sis and 2erapis as "ell as the sleep temples dedi!ated to As!lepi s and Apollo in Cree!e abo t -.. /.C. tili<ed somnamb listi! states to reali<e healing. *n the =iddle Ages the Ehealing to !hE "as sed as a method of faith healing "hen the physi!al medi!ine !o ld offer no help. Albert s =agn s $14.5,3148.'# +ara!els s $1-91,3 1I-1'# and Robert (l dd $1I,-3151,' tili<ed in!antations# faith# and magnetism to effe!t ! res. 6he !ommon denominator of all these approa!hes# ho"ever# "as re!ogni<ed by n mero s a thors thro gho t the =iddle Ages to be the imagination $L d"ig# 195-'. 6oday "e !an re!ogni<e ideomotor and ideosensory responses as being the basis of these effe!ts of imagination) An idea !an give rise to motor $behavioral' and sensory responses to "hi!h it is asso!iated. 6he idea of moving a part of the body a!t ally gives rise to nre!ogni<ed b t meas rable motor responses in that part of the bodyF the idea of falling !an a!tivate an%iety responses of the a tonomi! nervo s systemF the "ord lemon easily !on> res p an image and sensory responses in most people. +hysi!ians# priests# and prophets "ho possessed the ne!essary self3!onvi!tion regarding their ability to a!t as !hannels for divine or metaphysi!al for!es "ere able to a!tivate this !onvi!tion "ithin their patients. *n t rn# the patientsA n!ons!io s pro!esses
"ere fre& ently able to find and fa!ilitate the ne!essary internal symboli! and ideodynami! pro!esses to effe!t a ! re. 6he rational left3hemispheri! mind did not nderstand ho" s !h ! res !ame abo t. ;e "o ld say today that the ! res "ere mediated by n!ons!io s pro!esses of the right hemisphere that have a !lose relation to bodily and psy!hosomati! pro!esses. 6he imagisti!# mythopoeti!al# symboli!# astrologi!al# nonrational# and seemingly fantasti!al belief systems that be!ome asso!iated "ith these n!ons!io s ! res appear totally erroneo s to o r modern s!ientifi! mentality. *t is > st possible# ho"ever# that these early symboli! systems are refle!tions or pro>e!tions of nonrational forms of right3 hemispheri! mentation that effe!t psy!hodynami! transformations that !an res lt in gen ine ! res. B ngAs st dies of al!hemy and the early gnosti! and mysti!al systems seem to be the only modern# systemati! investigations that take this possibility serio sly $see B ng# Collected %orks# ?ols. 8# 9# 14# 11# 1-# 18'.
PH'SE $7O: C" .r )l and t" Id o/otor Mo. / nt $" ori s o, Hy(nosis in t" ;KLLs
6he first phase# "herein ideomotor and ideosensory responses "ere taken as a manifestation of Espe!ial po"ers#E began in an!ient times and ended only tentatively in 18I-# "hen Chevre l p blished his e%perimental !riti& e of the e%ploratory pend l m and divination devi!es. *n this !riti& e he provided a !orre!t interpretation of ideomotor movements as min te m s!le responses set in motion by the nre!ogni<ed tho ghts of the s b>e!t. ;e say that this first phase Eended only tentativelyE be!a se even today# of !o rse# many people still hold an essentially magi!al vie" of these movements "hether their so r!e be from a spe!ial spirit al inspiration or an all3kno"ing and infallible E n!ons!io s.E (rom the time of Chevre l on# ho"ever# ed !ated "orkers have nderstood that the me!hanisms of ideomotor and ideosensory responses reside "ithin the s b>e!t# tho gh nre!ogni<ed be!a se the responses are a tonomo s in their f n!tioning. 6his se!ond period of o r history of ideomotor movements is the !lassi!al period of mesmerism and early hypnosis in the 18..s. 6he "ork of Chevre l prepared the Peitgeist for !lini!al investigators like /raid and /ernheim# "ho re!ogni<ed that the essential nat re of tran!e and s ggestion !o ld be e%plained as ideomotor and ideosensory a!tion. /ernheimAs form lation $1885N19I,' is as follo"s $itali!s are o rs'.
6he one thing !ertain is# that a pe! liar aptitude for transforming the idea recei&ed into an act e%ists in hypnoti<ed s b>e!ts "ho are s s!eptible to s ggestion. *n the normal !ondition# every form lated idea is & estioned by the mind. After being per!eived by the !orti!al !entres# the impression e%tends to the !ells of the ad>a!ent !onvol tionsF their pe! liar a!tivity is e%!itedF the diverse fa! lties generated by the gray s bstan!e of the brain !ome into playF the impression is elaborated# registered# and analy<ed# by means of a !omple% mental pro!ess# "hi!h ends in its a!!eptation or ne trali<ationF if there is !a se# the mind vetoes it. *n the hypnoti<ed s b>e!t# on the !ontrary# the transformation of tho ght into a!tion# sensation# movement# or vision is so & i!kly and so a!tively a!!omplished# that the intelle!t al inhibition has not time to a!t. ;hen the mind interposes# it is already an a!!omplished fa!t# "hi!h is often registered 'ith surprise# and "hi!h is !onfirmed by the fa!t that it proves to be real# and no intervention !an hamper it f rther. *f * say to the hypnoti<ed s b>e!t# E0o r hand remains !losed#E the brain !arries o t the idea as soon as it is form lated. A refle% is immediately transmitted from the !orti!al !entre# "here this idea ind !ed by the a ditory nerve is per!eived# to the motor !entre# !orresponding to the !entral origin of the fle%ion. 6here is# then# exaltation of the ideomotor reflex excitability# 'hich effects the unconscious transformation of the thought into mo&ement# unkno'n to the 'ill. 6he same thing o!! rs "hen * say to the hypnoti<ed s b>e!t# E0o have a ti!kling sensation in yo r nose.E 6he tho ght ind !ed thro gh hearing is refle!ted pon the !entre of olfa!tory sensibility# 'here it a'akens the sensiti&e memory4image of the nasal itching# as former impressions ha&e created it and left it imprinted and latent. This memory sensation thus resuscitated# may be intense enough to cause the reflex act of snee*ing.66his passage !ontains the essen!e of the senior a thorAs tili<ation theory of hypnoti! s ggestion7 6here is also# then# exaltation of the ideo4sensorial reflex excitability# 'hich effects the unconscious transformation of the thought into sensation# or into a sensory image.
*n the same "ay the vis al# a!o sti!# and g statory images s !!eed the s ggested idea. . . . 6he me!hanism of s ggestion in general# may then be s mmed p in the follo"ing form la) increase of the reflex ideo4motor# ideo4sensiti&e# and ideo4sensorial excitability. . . . 6he ideo3refle% e%!itability is in!reased in the brain# so that any idea re!eived is immediately transformed into an a!t# "itho t the !ontrolling portion of the brain# the higher !entres# being able to prevent the transformation $19I,# pp. 11,3119'.
*n his 8e la -a$uette 8i&inatorie $18I-' Chevre l do! mented many forms of ideomotor phenomena# b t it is diffi! lt to say "here they all originated. *t is said# for instan!e# that in the /la!k (orest of Cermany# d ring the =iddle Ages# it "as traditional to dete!t the se% of a !hild in tero by having the e%pe!tant mother hold her "edding ring s spended on a string over her abdomen. An apparently spontaneo s movement in one dire!tion indi!ated one se%# "hile a movement in another dire!tion indi!ated the opposite se%. 6his# of !o rse# "as a pre! rsor of "hat "e today kno" as the Chevre l pend l m. Ale%ander 7o"ie "as an itinerant prea!her in the !olonial days of Ameri!a "ho "o ld enter the ma>or saloon of a to"n and offer to dete!t thieves and m rders. 8e "o ld have all present pla!e their hands palm do"n on the bar. 8e "o ld mention a re!ent lo!al !rime and then e%hort them to the effe!t that the g ilty one "o ld not be able to keep his inde% finger flat on the bar. :r perhaps it "o ld be the th mb or the little finger that "o ld give a"ay the g ilty person. 6his pro!ed re easily & alifies as the neatest early lo"3!ost lie3dete!tion devi!e on re!ord and# of !o rse# is a pre! rsor of the finger3signaling approa!hes "e se today. 6he Etho ght3readingE games of ?i!torian England# "hi!h are even today a part of the sto!k and trade of magi!ians and Epsy!hi!s#E also fit o r !ategory of ideomotor signaling. 6he Epsy!hi!sE !laim that they !an read minds. :ne might ask all those present in a room to de!ide on an ob>e!t to be !on!entrated pon. 8e then enters the room and sele!ts one of those present to a!t as his g ide. 6he Epsy!hi!E gently grasps the g ideAs "rist and lets himself be led abo t the room. /y being sensitive to the invol ntary ideomotor movement of the g ideAs "rist# hand# and arm# the Epsy!hi!E soon is able to establish the area of the ob>e!t of his sear!h. /y "eaving ba!k and forth "ith the g ideAs invol ntary mi!romovements $ nre!ogni<able to the g ide or any others present' as his dete!tor# the Epsy!hi!E is soon able to make an a!! rate g ess abo t the ob>e!t. 8e !laims to have read the tho ghts of the gro pF a!t ally# he read the ideomotor movements of his g ide. *deomotor movements# of !o rse# are responsible for s !h phenomena as the : i>a board. 6he operatorAs n!ons!io s or partially !ons!io s "ishes are transmitted by nre!ogni<able ideomotor movements from the fingertips that are gently pla!ed on the boardAs s rfa!e to the movable pointer that spells o t a message by pointing to different letters or "ords "ritten on the board. *n a more ar!ane "ay the fall of yarro" sti!ks or the flip of !oins are also ideomotor !omponentsF together "ith the pro!ess of psy!hologi!al pro>e!tion# they fa!ilitate the se of an!ient ora!les s !h as the * Ching. 2 !h pro!ed res have s rvived for h ndreds and even tho sands of years pre!isely be!a se they !an# nder proper !ir! mstan!es# fa!ilitate the evo!ation of interesting and val able ideasD*deas that are n!ons!io s or only partially nderstood# b t "hi!h !an be pro>e!ted by s !h pro!ed res into f ll !ons!io s nderstanding. 6he problem "ith s !h pro!ed res is that the responses obtained are sometimes a!!epted n!riti!ally as some sort of ltimate Etr thED"hether from Cod# the o!! lt po"ers# or the modern notion of the !reative n!ons!io s. *deomotor responses are in fa!t simply another response system of the individ al. 6here is no a priori reason for regarding ideomotor responses as more valid than any other response system $s !h as logi!al thinking# int ition# feelings# dreaming# et!.'. *n many individ als# ho"ever# ideomotor responses !an provide information that is Es rprisingE to that individ alAs !ons!io sness. 6his simply means that the Es rprising informationE "as "ithin the individ alAs system b t not f lly re!ogni<ed or !onsidered by !ons!io sness. 6he s rprising ideomotor responses# therefore# provide individ als "ith a!!ess to so r!es of information "ithin themselves that they "ere na"are of or blo!king o t for one reason or another. 6he ideomotor responses are not ne!essarily more valid than other response systems# b t they represent another so r!e of information that !an lead
some individ als to make a more ed !ated !hoi!e on some important matter be!a se they no" have a more !omplete inventory of information from their systems. *deomotor signaling# then# !annot be sed as the only so r!e of information for important de!isions. *t is simply one of many so r!es of information that !an !ontrib te to a de!ision. ;hen the individ al does not kno'# ho"ever# or "hen the individ alAs consciousness is confused# ideomotor responses !an make a more important !ontrib tion. ;hen rational thinking# int ition# feelings# et!. all fail an individ al# then ideomotor signaling may be the only !lear and in!isive so r!e of information for de!ision3making. / t even nder these !ir! mstan!es information from ideomotor responses sho ld be !he!ked and balan!ed by the !ommon sense and overall nderstanding that a therapist has of the individ al being & estioned. B st as rational thinking# int ition# feeling# dreaming# et!.# may ea!h have ni& e so r!es of information for response# so ideomotor signaling may !ome from so r!es "ithin the individ al that are not tapped by any other response system. ;e do not at present kno" e%a!tly "hat these so r!es are# > st as "e obvio sly do not kno" all the so r!es !ontrib ting to other response systems $rational thinking# et!.'. /e!a se of the high probability that ideomotor responses have ni& e so r!es of information "ithin the individ al# ho"ever# it is important that "e !ontin e to e%plore them and develop ne" pro!ed res for re!eiving them more sensitively and a!! rately and "ith ade& ate means of validating them.
PH'SE $HREE: E3( ri/ ntal and Clinical In. sti*ations o, Id o/otor Mo. / nts and Si*nalin* in t" ;MLLs
6he ideomotor and ideosensory form lations of tran!e and s ggestion of the 18..s !arried over into the 19..s and provided the basis for m !h modern e%perimental "ork. 6he senior a thor began his st dies of hypnoti! phenomena as an ndergrad ate in 1941# "orking in 8 llAs laboratory at the 9niversity of ;is!onsin $Eri!kson# $195-b'. 6hese st dies helped initiate a program of resear!h that event ated in the p bli!ation of 8 llAs important book# Hypnosis and Suggestibility9An Experimental Approach $1911'. 6hat effort "as to investigate hypnoti! phenomena e%perimentally "ith the developing methods of e%perimental psy!hology and to integrate the !on!epts of hypnosis "ith those of basi! learning theory and behaviorism. (or e%ample# ideomotor movements a!t ally provided m !h of the fo ndation of behaviorism "hen it "as post lated that s bvo!al or Eimpli!ate spee!hE "as a!t ally the motor basis of tho ght $;atson# 1919'. ;eit<enhoffer $19I1' has revie"ed the e%perimental "ork on ideomotor movements and hypnosis of this period. A portion of his s mmary is as follo"s)
6he psy!hophysiologi!al basis of s ggestibility is ideomotor action# itself a form of !onditioning. 6he physiologi!al bases of hypers ggestibility are 6a7 neuromotor enhancement $homoa!tion'# and 6b7 abstract conditioning $generali<ation or heteroa!tion'. 6he psy!hophysiologi!al basis of the hypnoti! alteration of a"areness is a !ombined sele!tive inhibition and e%!itation of vario s !erebral regions leading to a disso!iation of a"areness from all stim li e%!ept the voi!e of the hypnotist# nless other"ise spe!ified by s ggestions. 6hro gh hypers ggestibility and disso!iation of a"areness# the "ords of the hypnotist a!& ire the val e of a!t al stim l s ob>e!ts. 8is voi!e be!omes an e%tension# so to speak# of the s b>e!tAs psy!hi! pro!esses. 6his opens the "ay to a large variety of per!ept al alterations $p. 4I9'.
*t "ill be re!ogni<ed that these vie"s are remarkably similar to those e%pressed by /ernheim almost 1.. years ago. 6he terminology has !hanged slightly# b t the essential nderstanding of ideomotor movements as the basis of hypnoti! phenomena is the same. *deomotor mo&ements "ere intensively investigated be!a se of their importan!e to the basi! theories of behavior and hypnosis. / t ideomotor signaling# "hi!h is of s !h great signifi!an!e for modern !lini!al "ork# "as not investigated by# or apparently even kno"n to# the a!ademi! and laboratory "orkers of the early 19..s. 6he senior a thor reports that his earliest a"areness of ideomotor signaling developed
"hen he "as a boy on the farm. A !atAs tail "o ld s"ish ba!k and forth slo"ly and broadly "hen the !at "as playing b t "o ld then make a series of & i!k# short >erks "hen the animal be!ame serio s. A moment before the !at po n!ed on an nfort nate mo se# it "o ld stop movement altogether# !atalepti!ally poised in totally fi%ed !on!entration. Eri!kson also noti!ed that the same sort of thing happened "ith fish s !h as pike) the normal# rhythmi!al beat of their gill fins "o ld s ddenly !ease a moment before pl !king a morsel. 6he ideomotor signals of the animal "orld seem almost too !ommon and n mero s to mentionD the point of a good h nting dog# the gest re of a primate# et!. 6hese ideomotor signals range from the p rely refle%ive and n!ons!io sDas is ndo btedly the !ase "ith those of fish and !ats mentionedD to those "ith E!ons!io s intent#E s !h as the gest res of primates# "ho !an even learn the val e of tokens# gest re3 spee!h# and perhaps more "hen trained in the laboratory. 6he evol tion of the senior a thorAs development of ideomotor signaling from a tomati! "riting to hand levitation and then ideomotor signaling proper !an be tra!ed in his paper# E8istori!al Note on the 8and Levitation and :ther *deomotor 6e!hni& esE $Eri!kson# 1951'. Relevant portions of this paper "ill be & oted in o r later se!tion on fa!ilitating ideomotor signaling# "hi!h !an serve as an introd !tion to ! rrent "ork. 6his paper indi!ates that by 1918 the senior a thor had a firm grasp of the dynami!s of head and hand signaling and sed them both e%perimentally and !lini!ally. 6he earliest "ritten re!ord of s !h ideomotor signaling in o r possession !onsists of trans!ripts made in 19-I of Eri!ksonAs E*nformal =eetings "ith =edi!al 2t dents#E "hi!h took pla!e at the ;ayne Co nty 8ospital in Eloise# =i!higan. +ortions of these trans!ripts "ill be presented in o r later se!tion on the tili<ation of ideomotor signaling. 6he earliest "ritten re!ord of the se of ideomotor finger signaling in o r possession is the trans!ripts of the 19I4 and 19I1 seminars in hypnosis held in Los Angeles# "here Eri!kson# LeCron# and /ordea %# among others# "ere instr !tors. :n these o!!asions LeCron introd !ed his se of finger signaling to determine "hen anesthesia had taken effe!t $19I4 seminar' and to dete!t psy!hologi!al tra mas $19I1 seminar'. 8e then p blished his vie"s as EA 8ypnoti! 6e!hni& e for 9n!overing 9n!ons!io s =aterialE $LeCron# 19I-'.
of body lang age !an be nderstood as systems of ideomotor signaling. 6hese signaling systems !ome from so r!es other than those involved in traditional verbal !omm ni!ation and th s provide ne" so r!es of information abo t the total system of the patient. *n everyday life behavior is ri!h in many forms of ideomotor signaling. 2ome of the more obvio s forms of ideomotor signaling that !an be re!ogni<ed and tili<ed in the !lini!al sit ation are as follo"s. A. *n everyday life head3nodding and 3shaking fre& ently pro!eeds in an a tomati! and entirely n!ons!io s manner. A ne"ly"ed is s rprised to dis!over that her h sband# still only half a"ake# is agreeably nodding and shaking his head in an imaginary !onversation as he shaves in the morning. A salesman "at!hes his ! stomer !aref lly) "hen the ! stomer n!ons!io sly nods his head 0es# ho"ever slight it may be# the salesman !ontin es "ith his lineF "hen the ! stomer shakes his head No# the salesman & i!kly !hanges his spiel. Every speaker looks to those in his a dien!e "ho nod in agreement. 6he "ise politi!ian a!!epts & estions only from those seen nodding in agreement. /. (rom the early days of grammar s!hool on"ard# the lifting of a hand and its asso!iated movements of the fa!e and body have been ingrained as a signal of 0es or of "anting to respond or ask a & estion. As "e get older# these movements be!ome more abbreviated and a tomati! in their f n!tioning. ;hen getting ready to speak# people lift their heads# "et their lips# in!line the body for"ard# fo! s their ga<e# et!. 6he parent# tea!her# or leader of panel dis! ssions readily re!ogni<es these signals and a!kno"ledges the "o ld3be speaker. =ost lovers !an re!ogni<e at a glan!e "hether the ob>e!t of their desire is abo t to say 0es# No# or =aybe. C. *deomotor signaling plays an important role in sports. *t is to great advantage if a batter !an spot ahead of time some ideomotor signal from the pit!her indi!ating "hat kind of a pit!h he "ill make. = !h advantage in any !ompetitive sport !an be gained by learning to EreadE the body movements of the opposing team as a signal of their f t re play. 7. *n everyday life "e a tomati!ally move o r bodies the "ay "e "ant things to go# even if there is no hope that o r movements !an a!t ally help. 6h s a passenger in a !ar "ill p t his foot on an imaginary brake# bo"lers "ill tilt their body the "ay the ball sho ld go# and spe!tators at a bo%ing event "ill make in!ipient p n!hes "ith their o"n !len!hed hands. E. 6he senior a thor believes that# on a n mber of o!!asions "hen "at!hing the preliminaries of sporting events# he "as able to predi!t "ho "o ld "in and lose by observing the n!ons!io s ideomotor signaling behavior of the athletes as they entered the field and prepared for the !ontest. 6he potential "inners "ere those "ho appeared to have their o"n inner fo! s and sense of self3dire!tionF the potential losers "ere those "ho appeared to fall in step behind the "inner$s' or in some "ay to follo" the lead of others d ring the preliminary "arm3 p e%er!ises.
devised ntil it be!ame apparent that the effe!tiveness of many s pposedly different te!hni& es of tran!e ind !tion derived only from a basi! se of ideomotor a!tivity# rather than from variations of pro!ed re# as is sometimes naively believed and reported. +erhaps of all the many variations of ideomotor te!hni& es of ind !tion that may be devised# the more generally sef l are $1' simple# dire!t hand3levitation# be!a se of the possibility of vis al parti!ipation# and $4' the slightly more !omple% rhythmi!al hand levitation# in "hi!h vis al and memory parti!ipation fre& ently lead to the ideosensory response of a ditory hall !inations of m si! and the development of a somnamb listi! tran!e. . . . EAt the time of this "ork# there "as no re!ognition by the "riter of kinestheti! memories and images as a tran!e3ind !tion te!hni& e# b t it led to a systemati! and profitable investigation of the possibility of sing any sensory modality as a basi! pro!ess in ind !ing hypnoti! tran!es. . . . EAppro%imately 1I years after these earlier st dies on ideomotor te!hni& es had been reported to the seminar gro p at the 9niversity of ;is!onsin# another st dy "as beg n. 6his "as initiated by the observation that# espe!ially at le!t res on !ontroversial topi!s# there are those in the a dien!e "ho "ill n!ons!io sly slo"ly nod or shake their heads in agreement or disagreement "ith the le!t rer. 6his observation "as f rther enhan!ed by noting that !ertain patients# "hile e%plaining their problems# "ill n"ittingly nod or shake their heads !ontradi!torily to their a!t al verbali<ations. 6hese informative manifestations s ggested the possibility of tili<ing this type of ideomotor a!tivity as an hypnoti! te!hni& e# parti! larly for resistant or diffi! lt s b>e!ts# altho gh it !an also be sed readily on naive s b>e!ts. E6he a!t al te!hni& e is relatively simple. 6he e%planation is offered to the s b>e!t that an affirmative or a negative ans"er !an be given by a simple nod or shake of the head. Also# it is e%plained that thinking !an be done separately and independently by both the !ons!io s and n!ons!io s mind# b t that s !h thinking need not ne!essarily be in agreement. 6his is follo"ed by asking some & estion phrased to re& ire an ans"er independent of "hat the s b>e!t may be thinking !ons!io sly. 2 !h a & estion is# A7oes yo r n!ons!io s mind think yo "ill learn to go into a tran!eJA After being asked this type of & estion# the s b>e!t is told to a"ait patiently and passively the ans"ering head movement "hi!h "ill !onstit te the ans"er of the A n!ons!io s mind.A A rapid or for!ef l response signifies a A!ons!io s mindA reply. A slo"# gentle head movement# sometimes not per!eived by the s b>e!t# !onstit tes a dire!t !omm ni!ation from the A n!ons!io s mind.A ;ith the response !atalepsy develops and a tran!e state ens es rapidly. E:r# as a simple variation# one !an s ggest that the levitation of one hand signifies the ans"er Ayes#A the levitation of the other# Ano#A the levitation of both# A* donAt kno"A and then ask the above or a !omparable & estion. 6he development of a tran!e state is !on! rrent "ith the development of levitation# regardless of the signifi!an!e of the reply. E6hese te!hni& es are of parti! lar val e "ith patients "ho "ant hypnosis# "ho !o ld benefit from it# b t "ho resist any formal or overt effort at tran!e ind !tion and "ho need to have their obstr !tive resistan!es bypassed. 6he essential !onsideration in the se of ideomotor te!hni& es lies not in their elaborateness or novelty b t simply in the initiation of motor a!tivity# either real or hall !inated# as a means of fi%ating and fo! sing the s b>e!tAs attention pon inner e%periential learnings and !apabilities.E $pp. 1953199' 6he senior a thor believes that for s !h ideomotor signaling to be tr ly a tonomo s and n!ons!io s# patients sho ld be in tran!e or distra!ted in one "ay or another so they "ill not have an opport nity to observe their o"n movements. /e!a se of this he fre& ently prefers to look for a tomati! head3nodding or 3shaking "here patients are least likely to observe themselves. *t is s rprising ho" often patients "ill nod or shake their heads to !ontradi!t their o"n verbal statements even "itho t any formal instr !tion abo t ideomotor signaling. (re& ently it is a &ery slo' and slight but persistent head4nodding or 4shaking that disting ishes the movements as !oming from an n!ons!io s level. 6hese slo"# abbreviated movements are to be disting ished from larger and more rapid head movements# "hi!h are more !ons!io sly sed as a "ay of emphasi<ing "hat is being said verbally. 6he senior a thor prefers to tili<e a patientAs o"n nat ral means of ideomotor signaling "henever possible. ;hatever nat ral and a tomati! movements a patient makes in ordinary
!onversation !an be st died for their meta!omm ni!ative val e. /esides the more obvio s head and hand movements# eye3blinking $slo" or rapid'# body3shifting# leg movements# arm position $e.g.# !rossed over one another as a EdefenseE'# lip3"etting# s"allo"ing# and fa!ial ! es# s !h as fro"ning and tensions aro nd the mo th and >a"# !an be st died for their !ommentary on "hat is being said verbally. LeCronAs !orresponding se of finger signaling and the Chevre l pend l m is des!ribed by him as follo"s $LeCron# 19I-')
6he hypnoti<ed patient !an be told that & estions are to be asked and that the n!ons!io s !an reply to them by lifting or "iggling the right forefinger to indi!ate a EyesE ans"er# the left forefinger for a EnoE ans"er. $*f the patient is left3handed# this sho ld preferably be reversed.' *f a & estion is asked to "hi!h the ans"er is not kno"n by the n!ons!io s mind# the right th mb is to be lifted. *f the & estion is one "hi!h the n!ons!io s does not "ish to ans"er# the left th mb is to be moved. 6his last is very important as it "ill s ally eliminate resistan!es "hi!h might prevent any response other"ise. . . . *n addition to the s ggested finger responses# !ons!io s finger movements made to falsify and !on!eal !an be made kno"n to the therapist by means of some n!ons!io s movement. 6his !an be a!!omplished by s ggesting that one hand# perhaps the right# "ill lift if at any time a false ans"er is given by the fingers $or verbally'. *t sho ld be stated that s !h a hand movement "ill o!! r "itho t the patient being a"are of its being made. An interesting variation of this & estioning te!hni& e is the se of Chevre lAs pend l m# sing a light ring or other ob>e!t tied to an eight3 to ten3in!h thread. 6he thread is to be held bet"een the th mb and forefinger "ith the pend l m dangling# the arm either f lly e%tended or "ith the elbo" resting on the knee or arm of the !hair. Replies by movements of the pend l m !an even be obtained in the "aking state# tho gh it is better if a tran!e is employed. 6"o o t of three people# or even more# "ill respond in the "aking state. 6he variation is advantageo s be!a se hypnosis is nne!essary. 6herapists not familiar "ith hypnosis "ill find they !an employ it very s !!essf lly. 6here are fo r possible movements of the pend l m. 6hese are a !ir!le !lo!k"ise or !o nter!lo!k"ise# a s"ing ba!k and forth a!ross the body# and a s"ing at right angles a"ay from the body. *t is best to permit the n!ons!io s mind of the patient to sele!t the movements it "ill se in ans"ering a!!ording to its o"n !hoi!e. 6his is done merely by asking the n!ons!io s to !hoose one of the fo r movements for Eyes#E then another for Eno#E a third for E* donAt kno"#E and the remaining one !an then signify E* donAt "ant to ans"er.E $pp. ,53,9'
:ther details of the se of the Chevre l pend l m !an be fo nd in ;eit<enhoffer $19I,'. *t is rare to find anyone "ho !annot se the Chevre l pend l m s !!essf lly. ;hen there is diffi! lty# it is s ally be!a se the pend l mAs movements are not entirely !lear in any one response pattern. Resear!h indi!ates that it is important for the s b>e!t to see the s"ing of the pend l m to get a !learly defined response pattern. 6his s ggests that the Chevre l pend l m finds its so r!es of response !loser to !ons!io sness than head# hand# or finger signaling# "here a"areness is not important for a !lear definition of response. 6he Chevre l pend l m and finger signaling do not re& ire any formal ind !tion of tran!e. *n fa!t# the fo! sed attention they re& ire is itself a means of ind !ing tran!e. Even "ith ne" s b>e!ts# finger signaling s ally pro!eeds easily after a fe" moments of !on!entration. 8o"ever# a !ertain degree of learning and rehearsal is s ally ne!essary. 6he movements that appear are s ally slo" and hesitant initially. (re& ently the finger trembles slightly# and sometimes it moves ! rio sly to one side# to"ard the middle finger. 6hese movements !an be taken as a !riterion of the gen ine a tonomy of the response. (ingers that move p & i!kly "ith seeming !ons!io s p rpose sho ld be & estioned by the therapist. 2 b>e!ts are en>oined to take their time and allo" the fingers to move p by themselves. :!!asionally# ho"ever# a s b>e!t "ill be fo nd "ho is so highly responsive that the fingers do in fa!t pop p & i!kly in startlingly large movements. ;hen movements do not appear after a fe" moments# the therapist may noti!e that there is nonetheless some trembling or t"it!hing on the ba!k of the hand. 6his sho ld be pointed o t to the s b>e!t# "ho is en>oined to rela% and learn to let the finger go. 2ometimes the s b>e!t may have to EhelpE the finger lift by moving it vol ntarily the first fe" times# "hen it feels as if it "ants to move p by itself. *n their learning of finger signaling# s b>e!ts often first feel an ideosensory response in the finger that E"ants toE lift. 6hese ideosensory responses !an be en!o raged as an initial stage of learning finger movements. A ! rio s b t by no means n!ommon o!! rren!e in finger signaling is "hen the other
fingers that have not been given a response signifi!an!e $yes# no# et!.' move in response to a & estion. ;hat !an s !h responses meanJ :bvio sly a response other than the designated possibilities $yes# no# et!.' is being e%pressed. Cheek and LeCron $1958' have reported that s !h responses may mean perhaps or maybe# or that the & estion is not nderstood# or that it !annot be ans"ered positively or negatively. (re& ently it means the & estion is ambig o s and m st be rephrased in s !h a manner that do ble meanings or literalisms are avoided. 2ometimes the s b>e!t "ill have a h n!h abo t "hat this e%tra# idiosyn!rati! response means. 2 b>e!ts have reported that s !h responses sometimes !oin!ide "ith an important shift in their feelings or tho ghts. *t is therefore val able for the therapist to seek o t the meaning of s !h responses. *f the s b>e!t has no ideas# f rther ideomotor & estioning may help n!over their meaning. (re& ently s !h e%tra responses "ill have a persistent and !onsistent meaning for !ertain individ alsF they may f n!tion as a signal for deepening tran!e# the onset of a dream# an important memory# a related tho ght or insight not being n!overed by the therapist# et!. 6he spontaneo s appearan!e of s !h individ al response systemsDas s rprising to the s b>e!t as to the therapistDare another indi!ation of the gen inely a tonomo s aspe!t of ideomotor signaling. :n!e a form of ideomotor signaling has been established# the observant therapist "ill noti!e that ideomotor responses sometimes begin to f n!tion spontaneo sly on other o!!asions# even "hen they have not been asked for. Later in the intervie" or in later intervie"s patients may not even reali<e that they are giving the therapist ideomotor responses along "ith verbal intera!tion. 6here is th s a generali*ation of ideomotor signaling that takes pla!e > st as nat rally as any other form of learning. +atients "ill sometimes report "ith some am sement that they fo nd ideomotor signaling taking pla!e ne%pe!tedly "hen they "ere daydreaming# reading# listening to a le!t re or m si!# driving their !ar# falling asleep# et!. 6hat is# spontaneo s ideomotor signaling tends to take pla!e on those o!!asions "hen people e%perien!e thro gho t the day those short periods of self3absorption that "e have !alled the E!ommon everyday tran!e.E
has ever been developed. *t is very easy to establish in pra!ti!ally everyone# and it !an be applied to e%ploring pra!ti!ally any !ir! mstan!e of interest to patient and therapist. 8ere "e "ill simply o tline the range of its appli!ations.
;. Ind)cin* $ranc
2imply re& esting ideomotor signaling of any sort re& ires the s b>e!t to fi%ate and fo! s attention in a manner that is tran!e3ind !ing. 6he beginning therapist !an find no better "ay of learning to re!ogni<e the s btle indi!ations of tran!e developmentDbody immobilityF the rela%ation of fa!ial m s!les# giving an Eironed3o tE or fla!!id look to the fa!eF a fi%ed ga<eF retardation of respiration# p lse# and !ertain refle%es like blinking and s"allo"ingF literalismF !omfortF et!.Dthan by !almly st dying s b>e!ts re& ested to allo" ideomotor or ideosensory signaling of one sort or another to take pla!e. *f no other form of formal tran!e ind !tion has been sed# the therapist "ill note that many of the signs of a"akening from tran!e tend to o!! r as soon as the period of ideomotor signaling has ended. 6h s# most s b>e!ts "ill tend to reestablish their generali*ed reality orientation by body movements that provide the kinestheti! feedba!k asso!iated "ith the a"ake state. 6hey "ill tend to read> st their post re# fle% and !lin!h their fingers# stret!h# refo! s their ga<e# look abo t# ad> st their legs# and so on. 2 b>e!ts may then report having spontaneo sly e%perien!ed any one of a n mber of the !lassi!al hypnoti! phenomena $amnesia# regression# analgesia# time distortion# dream states# sensory per!ept al !hanges# et!.' in a more3or3less atten ated form.
<. $ranc D
( nin*
;ith s b>e!ts "ho are re!eptive and properly prepared for e%ploring tran!e or inner e%perien!e# it is b t a short step from ideomotor signaling to a state of deeper tran!e. 6he therapist !an simply ask if the s b>e!t "o ld like to go more deeply into a !omfortable state of rela%ation or inner absorption. *f a positive signal is re!eived# the therapist tells the s b>e!t to !ontin e going more deeply ntil the n!ons!io s is satisfied "ith the state of !omfort and to give a positive signal "hen that state is rea!hed. 6he therapist !an then tili<e any of the other !lassi!al approa!hes to deepening tran!e $hand levitation# eye !los re# a ride do"n an es!alator# heaviness or "armth of limbs# et!.' and se ideomotor signaling to monitor the effe!tiveness of ea!h pro!ed re for deepening. *n the past fe" years the > nior a thor has adapted a form of hand signaling for tran!e ind !tion and deepening that is "ell s ited for therapists learning to se the hypnoti! modality and indire!t s ggestion as "ell as for their patients "ho are e%perien!ing hypnosis for the first time. 6he spe!ial val e of this Emoving handsE approa!h is that it allo"s the patientAs o"n n!ons!io s to play an important part in determining tran!e depth as "ell as signaling "hat is being e%perien!ed. 2in!e this approa!h lends itself so easily to pra!ti!ally any !ontingen!y the beginning hypnotherapist may en!o nter# "e "ill detail some of the "ays it !an be sed in the follo"ing se!tion.
=. ' Do)1l Bind Ind)ction &it" t" FMo.in* HandsF '((roac" to Id o/otor Si*nalin*
6he > nior a thor originally adapted the hypnoti! e%perien!e of Emoving handsE $;eit<enhoffer# 19I,' for !reating a do ble bind approa!h to hypnoti! ind !tion be!a se a great deal of resear!h had already established that this phenomenon "as very easy to e%perien!e. ;hen it is evoked by dire!t s ggestion as one of the items of the Stanford Hypnotic Susceptibility Scale# for e%ample# it is EpassedE by ,.R of the s b>e!ts. =oreover# the observable aspe!ts of ho" it is a!!omplished have diagnosti! val e regarding the & ality of the tran!e that is being established. 8ilgard $195I' has des!ribed some of his observations as follo"s) E*t is !hara!teristi! of the more s s!eptible s b>e!t to move his hands "ith a slo" and some"hat >erky movement. 6he response may be rapid or e%tremeF for e%ample# the hands may move apart ntil the arms are stret!hed o t on either side of the
body. 6he less s s!eptible s b>e!t often sho"s !onsiderable delay before the arms start to move# or a movement is arrested after a very short distan!e. 6hese & antitative aspe!ts are of !o rse s b>e!t to st dyF even "itho t st dy the e%perien!ed hypnotist soon dete!ts aspe!ts of the movement related to an established tran!e state.E $p. 1.-' *n the follo"ing "e "ill present a generali<ed paradigm of the > nior a thorAs approa!h to fa!ilitating the e%perien!e of many !lassi!al hypnoti! phenomena via the se of indire!t s ggestion !aref lly monitored by ideomotor signaling to enable the therapist to t ne into the patientAs e%perien!e at all times.
$r)is/s ! adin* to Hy(notic Ind)ction #ia an Id o/otor -or/ o, t" Do)1l Bind
R: Plac yo)r "ands lik so &it" t" (al/s ,acin* ac" ot" r a1o)t i*"t inc" s a(art. >$" t" ra(ist d /onstrat s &it" "is "ands " ld a1o)t a ,oot or so in ,ront o, "is ,ac . 'r/s and l1o&s s"o)ld not 1 to)c"in* anyt"in* so t" "ands and ar/s can 1 ,r ly /o1il .? No& & kno& t" ")/an 1ody "as a /a*n tic ,i ld. I don+t kno& i, yo) r ally &ill 1 3( ri ncin* t"at /a*n tic ,i ld 1 t& n yo)r "ands, or &" t" r yo)r , lin* &ill co/ ,ro/ yo)r i/a*inationG1)t l t yo)rs l, 1 s nsiti. to t"at /a*n tic ,orc yo) &ill 1 *in to s ns 1 t& n t" (al/s o, yo)r "andsGas i, yo) "a. /a*n tic "ands. R) Everyone has e%perien!ed the ! rio s phenomenon of magnetism. /eing a E! rio sE and invisible for!e that "orks mysterio sly by itself# the metaphor of magnetism is asso!iated "ith all sorts of ideodynami! pro!esses that may evoke a tonomo s n!ons!io s for!es "ithin the s b>e!t. 6his is a se of indirect ideodynamic focusing" an indire!t form of s ggestion that tili<es not the semanti! or !ognitive meaning of "ords# b t rather their asso!iated# !on!rete# ideodynami! val es. ;hile the s b>e!tAs !ons!io s mind $left3hemispheri! rational pro!esses' is a bit !onf sed# fi%ated# and fo! sed on the ! rio s !ognitive !on!ept of Emagneti! hands#E the s b>e!tAs n!ons!io s $right3hemispheri! ideodynami! pro!esses' is a tomati!ally evoking all sorts of !on!retisti! body experiences asso!iated "ith the "ords Emagneti!E and Ehands.E *n general# many of the s b>e!tAs life e%perien!es "ith a tonomo s n!ons!io s for!es tend to be a!tivated and pla!ed on stand3by# ready for e%pressionF in parti! lar# many life e%perien!es "ith a tomati! n!ons!io s movement of the hands are primed for e%pression. 6he s b>e!t is na"are of all the n!ons!io s# ideodynami! for!es that have been set in motion be!a se the !ons!io s mind is still p <<ling over "hat !o ld be meant by Emagneti! hands. Everything the therapist said is tr e# b t "hat does it all meanJ 6his obvio s inner & estion is itself another indire!t hypnoti! form that binds the s b>e!tAs !ons!io sness to the ind !tion pro!ess and aro ses expectation.
R) 6he n!ons!io s re& ires time for the f ll e%perien!e of many ideomotor and ideosensory phenomena. *n asking the s b>e!t to delay any a!t al hand movement and then pa sing# the therapist is allo"ing time for these ideodynami! pro!esses to ma%imi<e themselves. / t noti!e that "e have s btly introd !ed another indire!t hypnoti! form) implication. /y saying# E/ t donAt let those hands move yet+( "e are implying that they "ill move. 6he senior a thor has emphasi<ed that impli!ation is something the listener m st !onstr !t "ithin himself. 6he therapist does not dire!tly tell
the s b>e!t to move his hands# b t the impli!ation indire!tly evokes the ne!essary ideodynami! pro!esses "ithin the s b>e!t that "ill move the hands in an a tonomo s manner. 6he hands are no" primed to move# if only the s b>e!t "ill let them move. *n saying EdonAt let those hands moveE "e have interspersed a negative that may indire!tly dis!harge any resistan!e the s b>e!t has abo t follo"ing the therapistAs s ggestion. Ambivalen!e is !hara!teristi! of all hypnoti! "orkF the s b>e!t "ants help and "ants to follo" s ggestions# b t of !o rse there are do bts and fears abo t follo"ing any fool do!tor. (or many reasons the s b>e!t both "ants and does not "ant the hypnoti! phenomena to "ork. *f the therapist !ontin ally insists that the phenomena "ill take pla!e# nat rally the s b>e!t is polari<ed and b rdened into !arrying o t the opposite possibility that the hypnosis "ill not "ork. /y e%pressing the negative EdonAt let those hands move#E the therapist takes over this negative possibility so that it need no longer reside "ithin the s b>e!t# and he need no longer a!t it o t. 6he s b>e!t is th s left "ith nothing else b t his ! rio s positive expectation abo t "hen the movement "ill be permitted. *t is no longer a & estion of "ill there be movement. 6he only & estion is# if not yet# then "henJ
Non. r1al E3( ctation and Pr li/inary Oscillations: Dis(lacin* and Disc"ar*in* R sistanc
R) *n this pregnant pa se the therapist simply "at!hes the s b>e!tAs hands "ith avid interest and e%pe!tation. 6his non&erbal expectation is another indire!t hypnoti! form that tends to evoke responses a tomati!ally "ithin the s b>e!t. / t the therapist !annot fake this avid interest and e%pe!tation be!a se the s b>e!tAs n!ons!io s "ill sense it and be p t off by it. 6he therapist is able to manifest gen ine e%pe!tation be!a se he kno"s that in fa!t n!ons!io s ideodynami! pro!esses have been set in motion# and he is indeed ! rio s abo t ho" they "ill be!ome manifest. 8e kno"s that a! te and !aref l observation is ne!essary for the s !!essf l art of hypnosis so he eagerly "at!hes the s b>e!tAs hands for the first manifestations of movement. ;hen the patient sees the therapistAs gen ine interest# he too s ally focuses and fixates his ga<e on his hands. *f not# the therapist makes a slight nonverbal head movement in the dire!tion of the s b>e!tAs hands to dire!t his ga<e there. *f the s b>e!t still does not fo! s his ga<e on his hands# the therapist points at the hands to dire!t the s b>e!tAs ga<e nonverbally. 6he nonverbal dire!tion tends to potentiate right3 hemispheri! pro!essing "hile allo"ing left3hemispheri! "ords to remain in relative & ies!en!e. ;ith the s b>e!tAs ga<e no" fo! sed on his o"n hands# both he and the therapist !an en>oy a fe" moments of e%pe!tation and !aref l observation. 8o" "ill the s b>e!tAs individ ality pro!ess and manifest the a tonomo s for!es that have been set in motionJ No t"o s b>e!ts or sessions are alike. Ea!h s b>e!t e%perien!es it a bit differently ea!h time. ;hen the therapist noti!es the first slight mi!romovements# he sighs !ontentedly and !omments on the movements ho"ever they begin to take pla!e.
most other !onte%ts might seem strange and frightening. *n being able to e%perien!e s !h an n s al and potentially frightening phenomenon "ith !ontentment# "itho t & ite being a"are of it the s b>e!t is being !onditioned to e%perien!e and e%press other repressed and potentially frightening material that may be of therape ti! val e later on "hen it !an be easily and safely eli!ited. 6he therapist is th s !reating a safe milie for f t re therape ti! e%perien!e. 6he senten!e# EB st e%perien!ing# letting it happen by itself#E is a s btle indirect compound suggestion. 6he first part# EB st e%perien!ing#E is# of !o rse# a tr ism. 8o" !o ld the s b>e!t deny he is e%perien!ingJ 2in!e he m st agree that he is e%perien!ing# the first phrase of the !ompo nd s ggestion establishes a Eyes setE for the a!!eptan!e of "hat follo"s# Eletting it happen by itself.E 6here are at least t"o levels of meaning !onf sed in this phrase that f nnel into fa!ilitating a tonomo s ideomotor movement of the hands. :n one level# the e%perien!e is going on by itselfF all e%perien!ing has an a tonomo s & ality. :n another level# the therapist is also dire!tly# b t s btly and permissively# telling the s b>e!t to let the hands move by themselves. Even if the s b>e!t is !ons!io sly a"are of only one level of meaning# the ideodynami! prin!iple of mental f n!tioning indi!ates that all levels and possible asso!iations "ill be a!tivated even if they are not overtly manifest. ;hen many levels of meaning and asso!iation are fo! sed in one dire!tion# ho"ever# an a tonomo s movement does tend to take pla!e.
Dis(lacin* and Disc"ar*in* R sistanc : Many Contin* nci s, Many O((ort)niti s ,or Hy(notic R s(ons
R: $"at+s ri*"t, t"os "ands ar act)ally /o.in* a(art, / anin* t" )nconscio)s &o)ld rat" r not *o into a t" ra( )tic tranc 4)st y t. 'nd t"at+s 1 ca)s conscio)sly or )nconscio)sly t" r is so/ di,,ic)lty &it" it. So t"os "ands can contin) to 3(r ss t"at di,,ic)lty 1y . ry slo&ly /o.in* a(art. 'nd as t" y contin) /o.in* a(art, do s t" r ason ,or t"at di,,ic)lty co/ into yo)r conscio)s /ind8 Do s t" )nconscio)s r 5)ir so/ ti/ to &ork t"in*s o)t 1 ,or tranc can tak (lac 8 >Pa)s ? ! t+s 4)st &atc" t"os "ands. Can t" )nconscio)s d al ad 5)at ly &it" t"at (ro1l / ri*"t no& &it"o)t . n t llin* / a1o)t it8 'nd start /o.in* t"os "ands to* t" r &" n it "as d alt &it" t" (ro1l /8 >Pa)s ? Can t" )nconscio)s sto( t"at /o. / nt ,or a /o/ nt as it d als &it" t"at iss) 8 7ill it k ( yo)r y s o( n, or &ill it allo& yo)r y s to clos in ord r to ,oc)s /or int ns ly and ad 5)at ly on r sol.in* t"at (ro1l /8 >Pa)s ? Do s t" )nconscio)s &ant yo) to s( ak a1o)t &"at yo) ar 3( ri ncin* . n as yo) contin) to 3( ri nc it8 Ho& asily can yo) l t yo)rs l, talk &"il t"at contin) s8 R) 6he above are only a fe" of the possible "ays of e%ploring and resolving "hatever is behind the negative ideomotor signal of the hands moving apart. 6he therapist deals "ith the so3!alled resistan!e by $1' !ontin ally !ommenting on ho" it is being manifested and by $4' asso!iating the resistant behavior "ith another hypnoti! s ggestion designed to deal "ith and possibly resolve the resistan!e via a series of & estions that are ans"ered by $1' yet another ideomotor response. As long as some movement is taking pla!e the hypnoti! modality is being manifest and the therapist !an en>oy the pro!ess of e%ploring the patientAs patterns of responsiveness. *n the very rare !ase of no hand movement at all the therapist !an pro!eed some"hat as follo"s.
can not to l t t" / /o. at all. $" 1ody is )s)ally al&ays in a stat o, constant /o. / nt . n i, & don+t notic it, 1)t in t" "y(notic stat & can * t (arado3ical r s(ons sGt" o((osit o, &"at & ask ,orGand t" 1ody can 1 co/ co/(l t ly i//o1il and still so/ ti/ s ,or 5)it so/ ti/ . Or on (art o, t" 1ody can 1 co/ 5)i t &"il anot" r (art o, t" 1ody 3( ri nc s t" /o. / nt. 7"at &ill "a(( n in yo)r cas 8 R) 6h s no movement !an be !onverted into a passive form of !atalepsy "ith the s b>e!t staring "ide3eyed at his hands and not moving at all. ;hile so transfi%ed# the therapist !an go on "ith f rther indire!t s ggestions abo t ho" the n!ons!io s !an !ontin e to "ork on its problems very intensely "ithin as the body remains !ompletely & iet and immobileD> st as in a dream or in a deep state of !on!entration.
$i/ Distortion and '&ak nin*: ' S)1tl Post"y(notic S)** stion
R: 'nd t" )nconscio)s can contin) &orkin* on t"at (ro1l / in t"at s( cial tranc ti/ &" n . ry /o/ nt in tranc can 1 5)i.al nt to "o)rs, days, or . n y ars o, ordinary clock ti/ . >Pa)s ? 'nd t" int r stin* t"in* is t"at t" conscio)s /ind /ay or /ay not r ally )nd rstand 4)st &"at is "a(( nin* i, t" )nconscio)s n ds to k ( it (ri.at . Yo) can r /ain 4)st as yo) ar )ntil t" )nconscio)s co/(l t s t"at )nit o, &ork and yo)+ll kno& it+s ,inis" d &" n yo) "a. t"at )r* to /o. and str tc" and co/ ,)lly a&ak a*ain. R) ;hat has happened hereJ 6he original la!k of ideomotor movement has been !onverted into a tran!e e%perien!e "herein the s b>e!t deals effe!tively "ith "hatever resistan!e there "as to oppose the ideomotor movement. *t !o ld even be that there "as no a!tive resistan!e at all. 6he s b>e!t may simply have no talent for ideomotor movement. *n this !ase the passive !atalepsy is the more ideal "ay of permitting tran!e e%perien!e to take pla!e. 8o" do "e kno" that tran!e has in fa!t taken pla!eJ 6he very & ietness and immobility of the body fre& ently "ith a flattened fa!ial e%pression are the basi! signs of tran!e. +erhaps the eyes blink and event ally !lose as permission is granted to remain immobile. At !ertain moments the observant hypnotherapist may noti!e that the p pils of the eyes dilate "ith interest and re!ognition that something is happening. Another obvio s indi!ator of tran!e is that the s b>e!t "ill s ally follo" the s btle posthypnoti! s ggestion to Emove and stret!hE as he !omes a"ake. 2ometimes the therapist !an reinfor!e this posthypnoti! s ggestion by stret!hing and moving abo t himself. :n a"akening the s b>e!t may be rather blank and essentially amnesi! abo t "hat "as e%perien!ed. 6his of !o rse is yet another indi!ation of a gen ine tran!e e%perien!e and the therapist sho ld not press the s b>e!t to talk abo t it. 6he sit ation is that an interesting hypnoti! e%perien!e has > st taken pla!e "hi!h lays the fo ndation for f t re tran!es. 6he ne%t time the therapist and s b>e!t meet the e%perien!e of this first tran!e !an be bro ght p again as an ideodynami! approa!h to initiating the ne%t tran!e. *f on a"akening the s b>e!t does "ant to talk abo t the e%perien!e# the therapist !an !aref lly !olle!t the phenomenonologi!al data regarding the s b>e!tAs e%perien!e# and then tili<e it to fa!ilitate the ne%t tran!e e%perien!e "hi!h !an take pla!e immediately or later. / t let s ret rn no" to the more typi!al sit ation "here the s b>e!t responds positively to the original do ble bind & estion by allo"ing the hands to move together indi!ating that a !omfortable therape ti! tran!e is being e%perien!ed. 6here are inn merable dire!tions that s ggestion !an take on!e the hands are moving slo"ly together. 8ere are a fe" that are typi!ally e%plored by the > nior a thor be!a se of the val able information they provide abo t the s b>e!tAs response abilities.
R co*ni0in* 'lt r d Stat s: Post"y(notic S)** stion -acilitatin* $" ra( )tic Mod s o, B in*
R: $"at+s ri*"t, it is a 1it disa((ointin* to ,orc yo)rs l, o)t o, t"at co/,orta1l stat &" r t"in*s "a(( n 1y t" /s l. s. It+s rat" r disconc rtin* 1 ca)s it al&ays do s , l 1 tt r to l t t" )nconscio)s do t" t"in*s it kno&s "o& to do 1 st, 1y l ttin* it &ork &it"o)t int r, r nc ,ro/ t" conscio)s /ind. Yo)+r no& 3( ri ncin* t"at di,, r nc and l arnin* "o& to allo& t" )nconscio)s to do t"in*s. ! ttin* t" )nconscio)s /o. t"os "ands a*ain it" r to* t" r or a(art. It r ally do sn+t /att r, t" only i/(ortant t"in* is t"at & allo& t"at cr ati. (art o, t" )nconscio)s to d t r/in 4)st &"at it &ill 1 . 'nd it+s nic to kno& t"at 4)st as yo) allo& t"os "ands to /o. a*ain yo) can )s t"is n & s nsiti.ity t"ro)*"o)t t" day to occasionally t)n into yo)rs l, &" n t" )nconscio)s &ants yo) to tak a , & /in)t s o)t, to r st, and l t it do t" i/(ortant t"in*s t"at &ill " l( yo) in /or &ays t"an yo) can conscio)sly r ali0 . $)nin* into t" 1ody car ,)lly t"ro)*"o)t t" day and l ttin* t" )nconscio)s "a. t" ti/ and n r*y it n ds to d al &it" t"os (ro1l /s t"at ar so i/(ortant to yo). R) ;e kno" that in fa!t the body is on a ninety3min te !y!le thro gho t the day and night $8iatt @ Oripke# 19,I'. Every ninety min tes "hile asleep "e go thro gh a dream !y!le. And every ninety min tes "hile a"ake "e go thro gh a period of parasympatheti! dominan!e "hen "e a!t ally do need to take a break from "ork and left3hemispheri! thinking. Every ninety min tes thro gho t o r "aking ho rs "e do get a bit h ngry and are prone to fantasy. 6his# of !o rse# is the ideal time to go into self3 hypnosis# giving o r n!ons!io s the permission to do everything ne!essary to fa!ilitate o r lives "hile "e give o r !ons!io s intentionality a rest for a "hile. 6he > nior a thor is ! rrently e%ploring the !lini!al hypothesis that many states of unease and psy!hosomati! disease are the res lt of the stress that arises "hen !ons!io sness does not allo" this nat ral ninety min te !y!le to operate. An%iety# mental blo!king# errors and fatig e tend to o!! r "hen the !ons!io s dire!ted thinking of the dominant hemisphere attempts to s rp the balan!ing and !ompensating f n!tions of the minor hemisphere as they nat rally take pla!e thro gho t this !y!le. 6o asso!iate a posthypnoti! s ggestion of sensitivity to this !y!le# then# is to tie a posthypnotic suggestion to a beha&ioral ine&itability. 6hat tends to reinfor!e the s ggestion "hile tili<ing and fa!ilitating a nat ral life pro!ess.
E3(lorin* Hy(notic Pot ntials: Body I//o1ility and 'n st" sia
R: 'nd as t"os "ands contin) co/in* to* t" r yo) can t)n into &"at ls is "a(( nin*. 'r t"os "ands * ttin* a 1it sti,, and &ood n8 Is t" r a (air o, t"ick, so,t /a*n tic *lo. s on t"os "ands so t"at t" y don+t , l anyt"in*8 So t"ick t"at t" (addin* o, t"os *lo. s sto(s t" "ands so t" y can+t * t clos r t"an an inc" or t&o to* t" r8 >Pa)s ? R) *f the s b>e!t responds and the hands do in fa!t stop an in!h or t"o apart $ass ming the s b>e!tAs eyes are open at this pointF or# if the eyes are !losed phrasing the s ggestion so that it be!omes !ontingent on the eyes opening to "itness this blo!king# stiffness# and n mbness of the hands'# the therapist has an e%!ellent basis for no" "ondering alo d > st ho" stiff and n mb those hands have be!ome so that the s b>e!t !an e%perien!e a glove anesthesia. 6he anesthesia !an be tested later "hen the hands are allo"ed to drift to the lap and not feel anything. (or many s b>e!ts# of !o rse# it "ill be impossible to feel anything be!a se by remaining !onsistent to the glove s ggestion their hands "ill not & ite to !h their lap be!a se the thi!k magneti! gloves "ill interfere. Along "ith anesthesia# or in pla!e of it# one !o ld also e%plore ideosensory responses.
Id os nsory R s(ons s
R: 'nd as t"at contin) s yo) can t)n into t" s nsations on yo)r ,ac . 7 all kno& t" &ar/t" & so/ ti/ s , l on t" ,ac and (arts o, t" 1ody &" n ,l)s" &it" /otion. 'nd yo) /ay not kno& 3actly &"y 1)t yo)r )nconscio)s kno&s "o& to , l t"at &ar/t". Can yo) , l t"at &ar/t" no&8 >Pa)s ? 'nd as yo) , l t"at &ar/t", &ill t"os "ands dri,t a(art to l t / kno&, or &ill yo)r " ad slo&ly 1 *in to nod y s8 >Pa)s ? Or &ill yo)r " ad s"ak no all 1y its l,8 R) 6here are inn merable "ays of evoking ideosensory responses b t !ertain prin!iples al"ays help) $1' mentioning a life history of sit ations "hen the body !o ld have e%perien!ed the sensation $the fl sh of emotion# the !oolness of the "ind' tends to initiate an inner sear!h on an n!ons!io s level that primes the sensations to be e%perien!edF $4' sing the pa se to allo" ade& ate time for the responseF $1' setting p a behavioral ideomotor signal to let the therapist kno" "hen the response has been e%perien!ed. 6hese prin!iples are# in fa!t# basi! for fa!ilitating any hypnoti! phenomenon in the permissive manner. At this point the therapist !an introd !e and e%plore "hatever range of hypnoti! responses he feels is ne!essary to fa!ilitate f t re "ork.
$ranc D
R: $"at+s ri*"t. 'nd i, t" )nconscio)s is no& r ady to allo& t"at tranc to d ( n, ,or t" co/,ort to d ( n 4)st as in *oin* to sl (, yo) &ill , l t"os "ands and ar/s * ttin* a littl 1it " a.yGand t" n a 1it " a.i r. >Pa)s as t" ra(ist looks ,or t" sli*"t 1o11in* /otions t"at si*nal t" *r at r & i*"t t"at is 1 in* 3( ri nc d.? 'nd as t"os "ands contin) dri,tin* lo& r t"at co/,ort d ( ns /or . B)t t"os "ands &on+t co/ to r st on yo)r la( )ntil t" )nconscio)s is r ally r ady to r st and t" n l arn ot" r "y(notic skills t"at can 1 )s ,)l ,or yo)r ()r(os s. R) At this point the s b>e!t is s ally ready for f rther "ork. 6he > nior a thor no" typi!ally introd !es ideomotor finger signaling that !an be sed to monitor the !o rse of "hatever pro!ed res there are to follo".
than "ith other finger movements. 8e ses the impersonal term digits be!a se it has less !ons!io s asso!iative strength than terms like forefinger# index finger# ring finger# and little finger. 6he same digit on either hand !an designate tran!e depth. 6his tends to bypass learned asso!iative patterns spe!ifi! to one hand or the other# b t there are great individ al differen!es in this matter. 2ome patients "ill se the hands inter!hangeablyF others are very !onsistent in sing either the left or right hand. *n "orking o t an inde% of tran!e depth# the first digit $ho"ever the patient interprets Efirst digitE' !an be sed to indi!ate the lightest stage of tran!e# "hile the other digits !an indi!ate depth on a s!ale some"hat as follo"s) :irst digit $.34IR') Light tran!e "herein rela%ation# !omfort# ideosensory# and ideomotor signaling is possible. Second digit $4I3I.R') A !omfortable state of re!eptivity to inner e%perien!e "herein feelings# tho ghts# daydreams# !olors# et!.# flo" a tonomo sly. An agreeable re!eptivity to the therapistAs s ggestions so that familiar tran!e phenomena !an be e%perien!ed easily# "ith the s b>e!tive e%perien!e of their taking pla!e a tomati!ally "hen the therapist s ggests them $e.g.# hand levitation# heaviness# "armth# sensory3per!ept al alterations# et!.'. Third digit $I.3,IR') A state of established re!eptivity "here the s b>e!t has EpassedE all familiar indi!ators of tran!e e%perien!e and feels !apable of e%ploring ne" tran!e phenomena or nfamiliar areas of personal dynami!s $ n!overing memories# partial age regression# et!.'. 6ran!e events take pla!e a tonomo sly# tho gh the ego may observe them and may or may not re!all them pon a"akening. 2 b>e!ts are fre& ently enth siasti! pon a"akening be!a se they feel their tran!e "as deeper or more therape ti! than s al# and they spontaneo sly e%perien!ed other hypnoti! phenomena not even s ggested by the therapist. 6hey have a deep sense of the a tonomo s or disso!iated nat re of their e%perien!e. :ourth digit $,I31..R') 2 b>e!ts report that they lost !ons!io sness at times. 6hey "ere either asleep# dreaming# far a"ay# or Eo tE someho". 6hey !annot re!all hearing the therapistAs voi!e# even tho gh they responded appropriately# tho gh slo"ly# to it. 6hey !annot e%plain or re!all m !h of their e%perien!e. 2ome people may e%perien!e the plenary tran!e# "hi!h is relatively rare and s ally re& ires several ho rs for ind !tion. *t is a state akin to s spended animation# "ith greatly retarded respiration and p lse# re& iring an e%tended period of time $1. min tes or more' to re!over the generali<ed reality orientation.
D. R (lacin* C"all n* s
+erhaps the greatest val e of ideomotor signaling for modern hypnosis is that it permits the therapist to do a"ay "ith the a thoritarian E!hallengesE of yesteryear $Eyo !annot open yo r eyes# n!lasp yo r hands#E et!.'# "hi!h "ere a some"hat tra mati! method of ga ging tran!e depth and a most disheartening "ay of relating to patients. *deomotor signaling permits the patientAs o"n system to indi!ate "hen it is ready to respond and "hat help it re& ires to make an ade& ate response. 6his permits a !loser rapport and more enlightening !ooperation to develop bet"een patient and therapist. *deomotor signaling opens p the s b>e!tAs tran!e e%perien!e so that the !lini!ian and the resear!her have an ade& ate tool for e%ploring the nat re of any altered state of !ons!io sness.
an individ al to make !ertain responses. An e%ample of the senior a thorAs re!ognition of a spontaneo s and a tomati! head3nod at the appropriate moment made by a person attending his 19-I E*nformal =eetings "ith =edi!al 2t dentsE ill strates ho" he tili<es n!ons!io s ideomotor signaling as an indi!ator of a personAs readiness to e%perien!e tran!e.$6aken from np blished stenographi! re!ords of Eri!ksonAs E*nformal =eetings "ith =edi!al 2t dents#E 19-I' E: 'ct)ally, t" r isn+t a .ol)nt r " r toni*"t. I "a. 1 n lookin* t" *ro)( o. r . ry car ,)lly and t" r isn+t a .ol)nt r. ... By t" &ay, do s anyon kno& &"o nodd d "is " ad 4)st t" n8 ! A: It s /s I did. I "ad alr ady said I &o)ld try to *o into a tranc , and t" n t" ,act t"at yo) said yo) didn+t s a .ol)nt r in t" *ro)( s / d si*ni,icant and it s / d it /)st "a. 1 n / . ... I didn+t kno& it. It /i*"t "a. 1 n 1 ca)s I &as rockin* t" c"air. LeBAs head3nod !ame in response to the senior a thorAs verbal remarks abo t sear!hing for a vol nteer. Eri!kson might have $1' arbitrarily pi!ked o t a vol nteer or $4' asked for a vol nteer. / t he might have pi!ked a person "ho "as not ready# and even if a s b>e!t vol nteered# it may have been only a response from the !ons!io s level. /y spotting an ideomotor signal# the senior a thor "as fairly !ertain of finding a s b>e!t "ho "as ready on a deeper level. LeBAs introspe!tive remarks are instr !tive. 8e had previo sly said $o tside the immediate gro p sit ation' that he "o ld try to go into a tran!e. 6hat is# he "as ready to make a response to tran!e ind !tion. 8e needed Eri!ksonAs verbal remarks abo t the need for a vol nteer as a stim l s to trip off the a tomati! head3nod# ho"ever. 8aving made the head3nod# LeB admits that he did not kno" he "as making it $he had no foretho ght of nodding his head'# and he even tries to rationali<e his "ay o t of it by s ggesting his head nodded be!a se he "as ro!king his !hair. :n a !ons!io s level LeB "as th s ambivalentF he said he "o ld like to try tran!e# yet he tries to rationali<e his "ay o t of it. 6his ambivalen!e is highly !hara!teristi! of patients# "ho have problems pre!isely be!a se they are poised bet"een !onfli!ting for!es "ithin themselves. Eri!ksonAs verbal remarks and & estions allo"ed an ideomotor response to take pla!e as a "ay of tipping the ambivalen!e into a !onstr !tive dire!tion. :ther investigators s !h as Le Cron began to se ideomotor signaling in a more !ons!io sly dire!ted form. *n the 19I4 Los Angeles 2eminar on 8ypnosis# ta ght in asso!iation "ith Eri!kson# Le Cron des!ribed his beginning se of ideomotor signaling as follo"s $taken from L. LeCronAs np blished tape trans!riptions of the 19I4 Los Angeles 2eminar on 8ypnosis.' )
*n ind !ing anesthesia# yo do not kno" "hen yo r s ggestions are taking effe!t ntil yo test the anesthesia and the s b>e!t says he feels nothing. * avoid the se of the "ord Epain#E saying Edis!omfortE instead. 6he "ord EpainE is a negative s ggestionDthe "ord itself. * make a s ggestion that "hen anesthesia has be!ome !omplete or almost !omplete that a designated finger "ill t"it!h. ;hen it does# yo !an take it that yo have at least a good partial anesthesia. 6hat finger t"it!h is an indi!ation of a!!eptan!e by the s b>e!t. ;hen he feels the finger t"it!h# his tho ght is E"ell# the hand m st be anestheti<ed.E
6his approa!h is !ertainly appli!able in eval ating the patientAs readiness to e%perien!e other phenomena as "ell as anesthesia. ;hat if the patientAs ideomotor responses indi!ate that he is not ready to e%perien!e the desired responseJ 6his is an indi!ation that the patientAs nderstanding# motivation# or internal readiness is not yet s ffi!iently developed to s stain the re& ired response. 6he patient !an then be & estioned abo t the so r!e of the diffi! lty. 6he therapist then helps the patient resolve these problems "ith nderstanding and motivation# then provides the appropriate asso!iations that "ill enable the patient to approa!h the re& ired response "ith more se! rity and internal preparedness. 6he therapist mentions all the past and partial e%perien!es the patient has had in making the response a tomati!ally# as a part of everyday life e%perien!e. 6hese asso!iations en!o rage the
patient on a !ons!io s level "hile $1' providing the n!ons!io s "ith appropriate ! es abo t ho" the response may be made and $4' a!t ally a!tivating the relevant response sets that !an fa!ilitate the appropriate behavioral response. E%amples of this pro!ed re "ill be provided thro gho t the follo"ing !hapters.
Mrs. 7: Go 1ack to sl
( a*ain8
E: No, no. S)((os yo) (ick )( t" ( ncil, and yo)r "and is *oin* to &rit so/ 1ody+s na/ . *n the pro!ess of doing a tomati! "riting the name of the person she "ants to say something npleasant to finally pops into =rs. ;As mind. 6his is highly !hara!teristi! of the ideomotor3response approa!h to n!overing n!ons!io s material. 6here is an interplay bet"een entirely autonomous ideomotor responses# "hi!h !ome from so r!es o tside the patientAs a"areness# and conscious recognitions $tho ghts# feelings# et!.'# "hi!h be!ome available s ddenly. *t is as if the therapistAs persistent & estions a!tivate many patterns of asso!iation and so r!es of response "ithin the patient. 6he patientAs responses may then !ome by "ay of ideomotor signaling alone# thro gh a !ombination of ideomotor signaling "ith !ons!io s re!ognition $"hi!h may !ome > st before# during# or after the ideomotor response is made'# or by !ons!io s re!ognition and verbal report alone. A & estion nat rally arises regarding the validity and reliability of ideomotor signaling in these appli!ations. All of these appli!ations of ideomotor signaling to date have been developed in !lini!al "ork and have depended pon the !lini!ianAs skill in dete!ting valid from invalid res lts. No systemati! st dies of the validity and reliability of ideomotor signaling have ever been done nder standardi<ed laboratory !onditions "ith proper !ontrols and statisti!al analyses. Eri!kson admits that the res lts are only as valid as is the !lini!ianAs !apa!ity to nderstand the total sit ation. 8e dis! sses this as follo"s $edited from a dio re!ordings made "ith the > nior a thor d ring the 19,.s') E;hat is the validity of ideomotor signalingJ A great deal has been said abo t asking the n!ons!io s to lift the right hand if the ans"er is 0es and to lift the left hand if the ans"er is No# to seek f rther information from the patientAs n!ons!io s as an entity that !an give reliable information. 6he & estion is asked# ho" valid is thatJ *t is only as valid as is yo r !apa!ity to nderstand the sit ation that yo are dealing "ith. EA patient !ame into my offi!e and said that she had a tremendo s !omple% over the fa!t that she had had seven affairs over a period of several years. 2he very "illingly gave me the names# dates and pla!es# and sit ations of ea!h of those seven affairs. 6he patient "as so !omm ni!ative and so free# so dire!t in des!ribing all of those things# des!ribing her feelings. / t having some psy!hiatri! e%perien!e# * "ondered "hat she "o ld tell me in the tran!e state. E*n the tran!e state she gave me literally the same a!!o nt of the same seven affairs "ith minor !orre!tions. * mentioned the possibility of her n!ons!io s giving ans"ers) 0es "ith the right hand or "ith the right inde% finger and No "ith the left hand or "ith the left inde% finger > st as one "o ld nod the head 0es or shake the head No. * gave this as a simple in!idental e%planation# not telling her to do that b t > st to mention that it "as one of the things that !o ld be done pres mably by some other patient. *n the tran!e state# "hen she finished relating the first affair# she said# A=y first affair "as in 19%y#A b t her left hand said No. * made a mental note of that. 6hen * think it "as the fo rth affair she introd !ed by saying# A=y ne%t affair#A and her hand again said No. E*deomotor movements !ontradi!ted her "ords three times) :n!e her hand said No# on!e it "as her finger that said No# and on!e it "as her head saying No. / t she didnAt noti!e any one of those movements. 2he "as as na"are as !o ld be. Later * fo nd o t that her first affair didnAt o!! r at age 1,# as she said. *t o!! rred at the time of p berty# "hen she be!ame very aggressive and ndertook to sed !e an older man# b t had tremendo s g ilt rea!tions and a !omplete repression of it. 6hat "as her first affair "hi!h she had forgotten. 2he had forgotten "ho the si%th one "as also. Another repression. 2he gave that information only thro gh ideomotor signaling. And yet * !o ld ask her# A7id yo give me an a!!o nt of all yo r affairsJA and she "o ld ans"er verbally# A0es.A ;ell# she had given me an a!!o nt of all her affairs# b t only those that she "as a"are of !ons!io sly. 2he did not at all mind kno"ing that it "as an in!omplete a!!o nt "hen * later s ggested that to her. 2he "as "illing to learn abo t the affairs first dis!losed via ideomotor signaling that "ere repressed from !ons!io sness.
E2o "hen yo deal "ith patients# yo o ght to bear that in mind. 0o !annot for!e them# b t yo !an get them to dis!lose more !ompletely "hen yo provide an ideomotor o tlet for responses that are not available to !ons!io sness. * !ertainly didnAt try to for!e that "oman to tell me abo t the missing a!!o nts ntil she got ready to. 2he "as tremendo sly s rprised "hen she fo nd o t abo t those repressed affairs later in therapy.E LeCron $19I-# 195I' has tili<ed ideomotor signaling to n!over early memories of light tran!e states. 8e o tlines his approa!h to & estions in his early 19I- paper as follo"s)
M estioning sho ld s ally be !arried o t on a permissive rather than a !ommanding basis. Cooperation at n!ons!io s levels "ill probably ens e if this is adhered to# for resistan!e may be provoked if there is an attempt to for!e information. ;ith pra!ti!e and ingen ity in asking & estions a great amo nt of val able material may & i!kly be obtained. (or instan!e# if a tra ma is involved# the e%a!t day "hen it o!! rred !an be as!ertained by a bra!keting method of & estioning. A & ery may be made as to "hether the event happened before the patient "as 1I years old. *f the reply is Eyes#E the ne%t & estion !o ld be E"as it before yo "ere 1. years oldJE *f the ans"er is Eno#E the date "as then bet"een 1. and 1I years of age. 6he year !an then be as!ertained and f rther & estioning !an even lo!ate the e%a!t day# tho gh it is seldom ne!essary to establish the time so !losely. 8aving learned the age or date# the patient !an be instr !ted to regress to the time of the e%perien!e. 6he regression need not be of the revivifi!ation type# the s b>e!t merely relating the e%perien!e as tho gh reliving it b t re!ogni<ing also that he is in the present. 2 !h a regression !an be "ith all five senses f n!tioning as the in!ident is relivedDseeing# hearing# et!.Dand "ith abrea!tion and dis!harge of emotion. *n this "ay information !an be obtained as to almost anything involved in the patientAs diffi! lty or ne rosis. *t is# of !o rse# infinitely more rapid than the s al method of free asso!iation. M estions !an even be diagnosti!DEAre there psy!hologi!al or emotional !a ses for this symptomJE And sometimes it "ill be fo nd val able also to ask & estions as to prognosis. 6o the patient it is most impressive to have this information !ome from "ithin himself. 6he nonvolitional movement of the fingers demonstrates to him most effe!tively a dire!t a!tion of the n!ons!io s mind. Not infre& ently a patient "ill remark that a EnoE ans"er "as e%pe!ted "hen the fingers a!t ally responded "ith Eyes.E 6his serves as an e%!ellent indi!ation both to the patient and therapist as to the validity of the replies. 2ometimes a s b>e!t may try e%perimentally to prevent the fingers from moving. +erhaps he !an do so# b t fre& ently they "ill move in spite of s !h an effort. :f !o rse the "ise therapist "ill take all replies "ith a grain of salt and "ill sho"# ho"ever# that it is e%!eptional for a false reply to be given# tho gh of !o rse it is possible. Even "ith deeply repressed material the ans"ers s ally are a!! rate and perhaps easily obtained. 6his is not al"ays tr e if the repression is great or if the material is too emotionally !harged# b t the method seems to break do"n repressions. Avoidan!e of ans"ering a & estion by the signal "ith the left th mb G* donAt "ant to ans"erH is an indi!ation of danger. Caref lly handled# ob>e!tions may be over!ome "ith reass ran!e and dis! ssion# or a s ggestion may be given that the s b>e!t "ill be able to s mmon ego strength eno gh to bring o t the material at a later session. M estions may here bring o t the reasons for the avoidan!e of an ans"er and also if there is danger to the patient as to being over"helmed. Care sho ld be taken in the "ording of & estions so that they do not s ggest either an affirmative or negative ans"er. 6he operator !an mention at the beginning of the & estioning that he does not kno" the !orre!t ans"ers and that the patient probably does not !ons!io sly kno" them# b t that his n!ons!io s mind does kno" and is able to reply "ith the !orre!t ans"ers# $pp. ,53,8'
Cheek and LeCron $1958' have systemati<ed many paradigms for & estioning patients to obtain ideomotor signaling to n!over so r!es of psy!hologi!al tra ma and psy!hosomati! illness. Cheek# in parti! lar# has developed a n mber of ingenio s ideomotor pro!ed res for n!overing n!ons!io s material. 6hese in!l de the removal of s b!ons!io s resistan!e to hypnosis $Cheek# 195.'# the n!ons!io s per!eption of meaningf l so nds d ring s rgi!al anesthesia $Cheek# 19I9# 1955'# the signifi!an!e of dreams initiating premat re labor $Cheek# 1959b'# and !omm ni!ation "ith the !riti!ally ill $Cheek# 1959a'. *n an important paper# E2e& ential 8ead and 2ho lder =ovements Appearing "ith Age Regression in 8ypnosis to /irthE $19,-'# he has made interesting observations on ideomotor responses that take pla!e on n!ons!io s levels. 8is papers represent tr ly pioneering efforts on the part of a !lini!ian and therapist. 8is "ork points the "ay to"ard m !h systemati! resear!h that needs to take pla!e nder !ontrolled laboratory !onditions in order to establish the validity
-. S%MM'RY
6he sef l !lini!al art of ideomotor signaling has evolved o t of an e%tensive and an!ient history of a tomatism. ;hile a tomatisms "ere regarded as mysterio s# Cod3inspired# or magi!al in an!ient and medieval times# "e nderstand them today as an interesting manifestation of response systems o tside the s al range of a"areness. 6hese ideomotor and ideosensory responses are no" nderstood to be the f ndamental b ilding blo!ks of the a tomatisms that gave rise to the !lassi!al tran!e phenomena and the establishment of hypnosis in the 19th !ent ry. Ne" forms of ideomotor signaling have been e%plored d ring the past fe" de!ades# primarily by !lini!ians interested in n!overing n!ons!io s material and fa!ilitating hypnoti! responsiveness. 6hese modern forms of ideomotor signaling# developed by Eri!kson# LeCron# and Cheek# are providing permissi&e !lini!al approa!hes to nderstanding and fa!ilitating hypnoti! and therape ti! responses that are repla!ing the older authoritarian forms of !ommand and E!hallenges.E 2ystemati! and !ontrolled laboratory investigation is still re& ired to establish the validity and reliability of ideomotor responsiveness and signaling.
6he reader !an no" e%plore ho" ea!h of the indire!t hypnoti! forms !an be sed "ith ideomotor signaling to effe!t signifi!ant therape ti! responses.
6he first test & estion regarding a psy!hologi!al or emotional reason for the patientAs problem initiates the operation of an inner revie" on an ideomotor level. 2 !h inner revie"s al"ays tend to deepen tran!eF !ons!io sness is fi%ated and fo! sed "ithin# "hile an a tonomo s or semia tonomo s pro!ess is allo"ed to make an ideomotor movement. *f a 0es signal !omes forth# the therapist !an go on to the se!ond test & estion. *f a No response is obtained# then f rther in& iries are indi!ated. *t may "ell be that the problem does not have a psy!hologi!al or emotional basis. *t may be that the patient does not a!!ept the "ords
psychological or emotional and that the & estion needs to be rephrased in terms a!!eptable to the patientAs nderstanding. A No response at this initial level !o ld also indi!ate transferen!e problems. 6he therapist may need to & estion patients abo t their "illingness to let the therapist help them# and so on. At this level E* donAt kno"E may mean that the patient needs more ed !ation regarding the nat re of psy!hologi!al or psy!hosomati! problems. ENot "illing to ans"erE may mean that there are important se!ondary gains asso!iated "ith the problem that need to be investigated. +eople se their signaling system in their o"n ni& e "ays# ho"ever# so the therapist m st !losely st dy ea!h personAs style and personal system of meanings. *n any !ase this first & estion initiates a pro!ess of inner revie" regarding the nat re of the problem. 6his a!tivates many asso!iative pro!esses that may be tili<ed to identify so r!es and potential sol tions to the problem. 6he se!ond test & estion is a!t ally a series of bra!keting & eries to lo!ali<e the so r!e of the problem in time. Eri!kson has al"ays emphasi<ed that hypnoti! responses take time. 6his series of bra!keting & eries provides time for a series of inner revie"s. *n addition tran!e is s ally deepened "henever "e have a serial task $Eri!kson# 195-b'. (re& ently the so r!es of the problem "ill pop into the patientAs mind as soon as the bra!keting & eries are initiated. *t is "ell to !ontin e an entire series of & estions# ho"ever# to provide the patientAs asso!iative pro!ess "ith an opport nity for a more thoro gh revie" than the patient probably has ever done before. :ther so r!es of the problem may be n!overed and val able !onne!tions made bet"een different age levels. 8aving lo!ated the time "hen the problem began# the therapist then asks if it is okay for the !ons!io sness to kno" it. *n tr th the therapist does not al"ays kno" "here the patientAs !ons!io sness is. *t may be present# & ietly "at!hing the ideomotor responses# or it may be far on# relating to other matters and entirely na"are of "hat ideomotor responses are being made. 6here may be a total# partial# or !omplete la!k of disso!iation bet"een the ideomotor level of responding and the !ognitive system of a"areness. ;hen there is no disso!iation# the patientAs !ons!io sness is theoreti!ally a"are of the signifi!an!e of a parti! lar ideomotor response. Even "hen this is the !ase# ho"ever# there is every likelihood that there are asso!iations available at the ideomotor level that are not shared "ith !ons!io sness. /e!a se of this "e ask "hether these asso!iations !an be shared "ith the patientAs !ons!io sness. A 0es response s ally means that the in& iry !an pro!eed# b t there is still no ass ran!e that all the relevant asso!iations "ill be shared "ith !ons!io sness at this time. =any revie"s $sometimes do<ens' of the same ideomotor pro!ess relating to a problem may be re& ired before !ertain asso!iations rea!h !ons!io sness. An E* donAt kno"E or E n"illing to ans"erE response at this level re& ires f rther in& iries regarding "hy a disso!iation $or n!ons!io sness' needs to be maintained. 6he !onventional vie" of most forms of therapy re& ires that the n!ons!io s be made !ons!io s. Eri!kson# ho"ever# has pioneered the vie" that many if not most ne roti! problems !an be handled more ade& ately at an n!ons!io s rather than a !ons!io s level. A No response at this level !o ld mean that !ons!io sness is not ne!essary to resolve a problem. A line of in& iry !an be sed to test this possibility $!an the n!ons!io s solve this problem "itho t yo r !ons!io s mind kno"ing anything more abo t itJ'. 6his possibility gives rise to the fas!inating prospe!t of problems being resolved at an ideomotor or n!ons!io s level "itho t either patient or therapist kno"ing the "hat# ho"# or "hy of it. = !h resear!h is needed to e%plore this possibility. *t may be that !ertain patients and !ertain problems are more effe!tively resolved "itho t the intervention of !ons!io sness. *n the typi!al !o rse of in& iry test & estion S- invites the patient to talk abo t the material stirred p by the & estions th s far. ;hat is or is not a satisfa!tory dis! ssion of the problem depends on something more than the therapistAs pre!on!eptions and theoreti!al vie"s. 9ltimately the only !riterion of a satisfa!tory dis! ssion of a problem is the pragmati! one of "hether or not it leads to a 0es response to test & estion SI# regarding the patientAs "illingness and a!t al ability to give p the problem. 6here is a "ide range of possible responses "hen patients are invited to talk abo t their problems at this level. 6here is the s al n!ertainty abo t the degree of disso!iation that may be present. +atients may talk
"ith seeming normality# yet be in a somnamb listi! state so that an amnesia "o ld be present for everything said "hen they a"aken later. 9s ally# ho"ever# the disso!iation is only light or partialF the patients speak and may ndergo a !atharsis more freely than "hen a"ake# b t they retain a fairly !omplete memory of the dis! ssion "hen a"akened later. 6his memory has a!t ally been fa!ilitated by any efforts to se! re a 0es response to test & estion S1# regarding the appropriateness of !ons!io sness kno"ing. 6est & estion SI# regarding the patientAs "illingness and ability to give p the problem# is the main ob>e!tive of the entire pro!eeding. Again it is "ell to re!ogni<e that psy!hologi!al pro!esses !ontin e to develop over time. 2ometimes a patient "ill gain a !lear insight abo t a problem and definite prospe!ts for its immediate# !onfident resol tion. =any EemotionalE and EidentityE iss es !an be resolved in this manner. 8abit problems "ith ingrained patterns $smoking# nail3biting# overeating# et!.'# ho"ever# may re& ire more time. *t is al"ays val able to have the patients EseeE a date "hen the problem "ill be finally resolved. *t is then val able to have the patients pse do3orient themselves in time f t re to that date. ;hen the ideomotor responses indi!ate the patients are there# the therapist !an have them revie" all the things they had to do to finally resolve the problem $Eri!kson# 19I-'. 6his provides patients "ith a series of tasks or steps their o"n system needs for problem resol tion. *n this manner# a patientAs individ ality has an opport nity to !reate its o"n patterns of problem solving. +atients are s ally impressed "hen they reali<e that modern hypnotherapy th s fa!ilitates their o"n !reative abilities rather than attempting to impose some arbitrary sol tion from the o tside. 6he final stage is to EL*6 from the therape ti! en!o nter "ith a fe" indire!t posthypnoti! s ggestions to fa!ilitate the sol tions > st fo nd $and !reatedK'. 6he patient s ally a"akens spontaneo sly "hen the ideomotor sit ation is ended by the therapist simply adopting a !onversational manner that re& ires responses of normal attention and behavior. 6he therapist !an re!ogni<e the spontaneo s a"akening by the patientAs reorientation to his body# et!. *f the a"akening is not obvio s and spontaneo s# then the therapist !an re& est that the patient !lose his eyes# rest !omfortably for a fe" moments# and then a"aken !ompletely# feeling refreshed.
'N '%DIO6#IS%'! DEMONS$R'$ION O- IDEOMO$OR MO#EMEN$S 'ND C'$'!EPSY: $HE RE#ERSE SE$ $O -'CI!I$'$E HYPNO$IC IND%C$ION
*n 19I8 the senior a thor gave Ernest 8ilgard and Bay 8aley a demonstration in hypnoti! ind !tion at 2tanford 9niversity. A videotape or 15mm film of this demonstration is available from the p blisher $*rvington +ress# II1 (ifth Ave.# Ne" 0ork# Ne" 0ork# 1..1,'. Altho gh both the vis al and a ditory & alities of this old re!ord are poor# it is nonetheless the best vis al re!ord "e have of the senior a thorAs ses of a variety of nonverbal approa!hes to !atalepsy and an n s ally !omple% form of ideomotor signaling in tran!e ind !tion d ring an e%!iting period of his "ork as a tea!her. 6he analysis of this vis al re!ord in this se!tion !ontains his !ommentaries on the p <<ling se of a re&erse set to !onfo nd the learned limitations of everyday thinking to fa!ilitate the e%perien!e of mental fl %# !reativity# and therape ti! tran!e. After being introd !ed to the s b>e!t# R th# Eri!kson made a fe" !onversational remarks to initiate the idea of Ea tomati! movementE to her and then began a hand levitation approa!h. As her hand approa!hed her fa!e# Eri!kson introd !ed another task) to dis!over the differen!e bet"een her thinking and doing. *n "hat follo"s "e have a trans!ription of ho" Eri!kson pro!eeds to fa!ilitate a disso!iation bet"een her thinking and her doing as a means of deepening tran!e and establishing a reverse set. *n this ingenio s pro!ed re Eri!kson arranges matters so that her doing $an initially vol ntary head signaling that grad ally be!omes more and more invol ntary' !an be tr e or false. Cir! mstan!es are arranged# ho"ever# so that her thinking "ill al"ays be tr e. 8er thinking "ill be tr e even if she needs to go thro gh a private mental mane ver of believing the reverse of "hat she does "ith her head signaling. 6he o ter movement of head3nodding or 3shaking and the inner pro!ess of thinking are s ally asso!iated together in a body3mind pattern of agreement in everyday life. 8ere Eri!kson separates or disso!iates them# so they no" have a signifi!an!e that is the reverse of ea!h other. /y having her head signal the reverse of "hat she obvio sly kno"s to be tr e# Eri!kson establishes a reverse set "ithin her. 2he develops a set to think the reverse of "hat her head signals. 6he !riti!al point !omes "hen he has R th shake her head No to indi!ate she is not in tran!eF b t the reverse set that has been a!tivated "ithin her reverses this so she m st think# E* am in tran!e.E Eri!kson th s arranges "hat she a!t ally thinks by tili<ing a mental me!hanism $the reverse set' "ithin her o"n mind. 6his e%ample is the !learest# verbatim ill stration of the evo!ation and pre!ise tili<ation of a mental me!hanism for tran!e ind !tion that the > nior a thor is a"are of. *t has been
analy<ed in this se!tion in almost painf l detail be!a se it is so s btle a pro!ess that it !an easily be lost or mis nderstood. 7iffi! lt tho gh it may be to grasp initially# "e believe this process of acti&ating and utili*ing mental mechanisms is actually the essence of the hypnotherapeutic process. Eri!ksonAs 19-8 paper E8ypnoti! +sy!hotherapyE !ontains his original form lations of this approa!h of tili<ingDrather than simply analy<ingDmental me!hanisms.
t Dr. Erickson.
Do s t"at li*"t , 1
l all
ri*"t8
n "y(noti0 d8
7 ll, r ally, I o)*"t to 1 t" on &"o+s n r.o)s, 1 ca)s I+. *ot to do t" &ork, and all yo! ha#e to do is let things happen/ and they ill happen. R) 9pon being introd !ed# Eri!kson ses his first remark to gain a!!ess to personal !onta!t by re& esting permission from R th to se her first name. Re& esting her permission is not only polite# it immediately gives her an a!tive role in determining ho" the pro!eedings "ill go. Eri!ksonAs first soli!ito s remark abo t the light $for the movie that is being made' !ontin es this initial effort to enlist her approval and a!tive parti!ipation. 8e then asks a & estion to ens re her interest in hypnosis# and then another# E8o" m !h are yo "illing to learnJE 6h s the hypnoti! sit ation is immediately defined as a learning pro!ess. 6his is espe!ially appropriate in a niversity setting. *n the ne%t remarks abo t being nervo s Eri!kson does a n mber of things) $1' a!kno"ledges and refle!ts her feelingsF $4' identifies "ith her nervo sness and in a pe! liarly !on!rete "ay may be relieving her of it by taking it on himself $the original
meaning of transferen!e in the rit als of early forms of healing "as that the patientAs dist rban!e or disease "as transferred to the healer $shaman# "it!h do!tor# or g r '# "ho internali<ed the problem and dealt "ith it in his o"n system'F $1' tili<es it to define hypnosis f rther as a sit ation
"here Eall yo have to do is let things happen# and they "ill happen.E 6he ease and !as alness "ith "hi!h all this is done !ontrib tes to its effe!tiveness. Cas alness in a !onte%t of tr isms and good rapport may be regarded as a most effe!tive vehi!le for the a!!eptan!e of s ggestion.
R)t": No, I+/ notGa/ I s)((os d to look at it8 E: O", no. R)t": O". E: Yo) can ,or* t a1o)t it, yo) kno&. R) *n this inno!ent & estioning abo t the light# Eri!kson is boldly b t indire!tly assessing her response attentiveness and potential for hypnoti! responsiveness. *f she had given some indi!ation that she had already forgotten the light in the intensity of her !on!entration on him $e.g.# a slight startle as she reoriented to the light or a frank admission that she had indeed already forgotten it'# Eri!kson "o ld have had rapid eviden!e of her tenden!y to"ard somnamb lism. 2he indi!ates to the !ontrary# ho"ever# that she is in fa!t a"are of the light. 2he is a s b>e!t "ho likes to hang onto her generali<ed reality orientation. 2he does not like to admit altered states. *t "ill not be easy to ratify her tran!e e%perien!e. 6his t rns o t to be tr e# as "e shall see laterF even after e%perien!ing a n mber of !lassi!al hypnoti! phenomena d ring this session# she tends to & estion them at the end. Nonetheless# Eri!kson ends the inter!hange at this point "ith the dire!t s ggestion that she !an forget the light. 6he !as alness "ith "hi!h this s ggestion is made# ho"ever# tends to make it indire!t and a!!eptable "itho t !hallenge. 8e then rapidly goes on to initiate a formal hypnoti! ind !tion by hand levitation.
$actil C) s ,or Hand ! .itation and Catal (sy: '/n sia ,or $actil C) s: $" -irst '((ar nt '&ak nin*
E: And I() going to ta"e hold o$ this hand. ,E si*nals t" l .itation o, " r l ,t "and 1y li*"tly slidin* "is t")/1 on its )nd rsid .? 'nd it+s li,tin*J li,tin*, li,tin*, li,tin*, t"at+s ri*"t. 'nd t" ot" r "and is li,tin*, li,tin* )(. >E *)id s " r ri*"t "and )( &it" so/ lin* rin* to)c" s to si*nal t"at it is to r /ain )( in a catal (tic (osition.? $"at+s ri*"t. No&, I / ntion d 1 ,or t"at t" "and co)ld li,t, and it co)ld *o do&n. 'nd no& I &ond r i, yo) kno& &"ic" "and is *oin* to *o do&n ,irst8 On or t" ot" r is *oin* to *o do&n, and do&n it coni s. >H r ri*"t "and 1 *ins to co/ do&n slo&ly.? $"at+s ri*"t, t"at+s ri*"t, do&n it coni s, do&n it co/ s, and co/in* do&n still /or , still /or , do&n it co/ s, do&n it co/ s. >E lo& rs "is " ad as " says t"is.? 'nd as it coni s do&n, I &ant yo) to *o d ( r and d ( r into t" tranc . I+d lik to "a. yo) n4oy *oin* d ( r and d ( r, and &" n yo)r "and r ac" s yo)r la(, yo)+ll tak a d ( 1r at" and *o . n d ( r into t" tranc , 1 ca)s yo)+r 1 *innin* to l arn "o& no&. $"at+s ri*"t, co/in* to r st t" r . $"at+s ri*"t. No&, tak a d ( 1r at" and *o &ay d ( asl (. >E lo& rs "is " ad and d ( ns "is .oic .? 'nd no& l t it s / to yo) as i, /any /in)t s "ad (ass d. 'nd I+d lik yo) slo&ly to aro)s and look at / and talk to / . >E li*"tly to)c" s t" )nd rsid o, " r still l .itat d l ,t ar/.? 'nd slo&ly ro!se !p no&, slo&ly ro)s )(, ro)s )( no&. 'nd o( n yo)r y s. >S" o( ns " r y s and looks at E.? $"at+s ri*"t. 'nd yo)+r 1 *innin* to l arn to *o into a tranc . Do yo) r ali0 t"at8 R)t": I t"ink so. E) ;hen * tell her# E*Am going to take hold of this hand#E * a!t ally > st lightly to !h her right "rist "ith my hand# giving slightly more press re "ith my th mb on the nderside of it. =y to !h indi!ates that *Am going to lift her arm# b t * donAt lift itK * > st gently slide my th mb a bit p the nderside of her "rist to indi!ate lifting# b t she does most# if not all# the lifting. * try to give !ontin o s ! es for lifting ntil she takes over and does all the lifting. R) 6his is a "ay of initiating a kind of semia tomati! hand movement that seems to take pla!e "itho t the patient reali<ing it is a step to"ard f lly a tonomo s hand movements. As yo ask her to Ero se p#E yo gently to !h the nderside of her left
"rist as a nonverbal ! e that that arm is to remain levitated even after she a"akens. E) 0es# if yo do this at e%a!tly the right moment bet"een tran!e and a"akening# the patient "ill a"aken and stare "ith ! riosity at that arm in a !atalepti! position. R) 6he patient tends to be amnesi! for the ta!tile ! e that "as > st given in the tran!e stateJ E) Either the patient is amnesi! or she has lost the ta!tile ! e altogether# be!a se it "as given bet"een the tran!e and the a"ake state and a!t ally belongs to neither.
I/(li d Dir cti. s ,or ')to/atic Mo. / nts and $ranc D ( nin*: S nsiti0in* ,or Mini/al C) s
E: No& &atc" t"at "and as it * ts clos r and clos r to yo)r ,ac . $"at+s ri*"t. $"at+s ri*"t. 'nd I &o)ld lik to "a. yo) (ay ,)ll att ntion to t" s nsations o, t" /o. / nt o, yo)r ar/, t" 1 ndin* o, yo)r l1o&, and t" &ay t"at "and is * ttin* clos r and clos r to yo)r ,ac . 'nd . ry s"ortly it is *oin* to to)c" yo)r ,ac , 1)t it(s not going to to!ch yo!r $ace !ntil yo! are ready to ta"e a deep *reath and to close yo!r eyes and go ay deep/ so!nd asleep. $"at+s ri*"t, al/ost r ady, al/ost r ady. $"at+s ri*"t, t"at+s ri*"t, and it+s /o.in*, /o.in*. $"at+s ri*"t, and yo)+r &aitin* ,or it to to)c" yo)r ,ac and * ttin* r ady to tak t"at d ( 1r at". G ttin* r ady to *o &ay d (, so)nd asl ( in a d ( tranc . 'l/ost to)c"in* no&, t"at+s ri*"t, al/ost to)c"in* no&, and y t it isn(t going to to!ch !ntil yo! are ready to ta"e that deep *reath and yo!r eyes ill close. $"at+s ri*"t, * ttin* clos r and clos r and clos r. $"at+s it, l1o& 1 ndin* /or , ,in* rs /o. )( to to)c" yo)r c"in. $"at+s ri*"t, t"at+s it. 'l/ost t" r , al/ost t" r , and no& yo)r " ad starts 1 ndin* ,or&ard. $"at+s ri*"t, and yo)+ll tak a d ( 1r at" and *o &ay d ( asl (. $"at+s ri*"t. >E arran* s t" ,in* rs o, " r ri*"t "and into a catal (tic (osition.? Go &ay d (, and no& slo&ly >E *i. s " r l ,t ar/ a si*nal to)c" to *o do&n.? t"is ar/ &ill co/ do&n to r st on t" ar/ o, t" c"air. $"at+s ri*"t. Slo&ly and t" n 4)st a 1it /or ra(idly. 'nd no& yo)r ri*"t ar/ is *oin* to start li,tin* )(, and t" l1o& &ill start 1 ndin*. $"at+s it, and t" l ,t ar/ is co/in* do&n, >E &a. s "is "and to /otion " r ri*"t ar/ do&n.? /or and /or . $"at+s it. 'nd yo)r ri*"t l1o& is 1 ndin*, and yo)r &rist is li,tin* )(. $"at+s ri*"t, li,tin*, li,tin*, li,tin*, li,tin*, li,tin*. >E is *i.in* t" )nd rsid o, " r ri*"t "and li*"t to)c" s to si*nal li,tin*.? $"at+s it. !i,tin*, li,tin*, li,tin*, li,tin*, li,tin*, li,tin*, li,tin*. $"at+s it. El1o& 1 ndin*, and t"is ar/ is strai*"t nin* /or and /or . R) 0o Are reind !ing deeper tran!e by fo! sing and fi%ing her attention on the
sensations of movement in her arm# et!. 6his kind of n s al task tends to depotentiate her s al !ons!io s sets so that she more readily a!!epts yo r implied dire!tive not to let the hand to !h her fa!e ntil she is ready to !lose her eyes and# in effe!t# go into a deep tran!e. 0o gave her many dire!tive to !hes in this se!tion both to speed p the pro!ed re and to in!reasingly sensiti<e her to the minimal ! es yo Are giving her as "ell as the minimal ! es from her o"n inner pro!esses that are s ally ignored in the everyday a"ake state.
Parado3ical C"all n* s to -acilitat Hy(notic R s(onsi. n ss: I/(lication and Hand G st)r s as Non. r1al C) s ,or Ri*"t6 H /is(" ric In.ol. / nt
E: 'nd no&, R)t", I &o)ld lik to "a. yo) disco. r so/ t"in* /or . I+d lik to "a. yo) slo&ly, . ry . ry slo&ly o( n yo)r y s and look at yo)r ri*"t "and and t" n look at yo)r l ,t "and. $"at+s ri*"t. 'nd notic t" di,, r nc in t" /o. / nts. $"at+s ri*"t. 'nd no& I &ant yo) to try, 4)st try to sto( t" do&n&ard /o. / nt >E /ak s a 1road s& (in* * st)r do&n&ard, as i, dir ctin* t" l ,t "and do&n&ard.? o, t" l ,t "and. $"at+s ri*"t, t"at+s ri*"t, and do&n it co/ s. 'nd no& I &ant yo) to notic t"at yo) can+t sto( it ,ro/ li,tin* )(. >E no& /ak s a slo& )(&ard /o. / nt to dir ct " r l ,t "and )(&ard.? 7atc" it. No& &atc" t" ri*"t "and li,tin* )( to&ard yo)r ,ac , and try "ard to sto( it, 1)t )( it coni s, )( it co/ s, )( it coni s, and k ( &atc"in* t"at. %( it co/ s. R) Are yo sing !hallenges here to deepen tran!e "hen yo ask her to try to stop the do"n"ard and p"ard movementsJ E) 0o !anAt try to stop a do"n"ard movement nless there is a do"n"ard movement. 6he patient thinks *Am !hallenging her to stop something. 2he doesnAt see the impli!ation for do"n"ard movement to !ontin e. R) A patient !o ld be hesitating on a do"n"ard movementF yo apparently !hallenge her to stop it. 2he doesnAt reali<e that this !hallenge a!t ally implies there is movement and fa!ilitates that movement. E) 0es# be!a se yo have to have a thing in reality to be able to stop it. * reinfor!e the reality of the movement "ith my o"n hand movements that dire!t her nonverbally. /y this time she has been !onditioned to follo" my nonverbal ! es# so she finds that she !annot stop the lifting or lo"ering of her arms. R) 2o the parado%i!al !hallenge to stop a hypnoti! behavior that is on the brink of taking pla!e is a!t ally a "ay of fa!ilitating and strengthening it. 0o then reinfor!e the movements "ith yo r nonverbal hand gest res. 6he patientAs right hemisphere is probably pi!king p these ! es and pro!essing them a tomati!ally# so that she follo"s yo r hand gest res even tho gh her left hemisphere may be p <<led# sin!e it only hears yo r verbal !hallenge to do the opposite. 6his opposition may be reinfor!ing the more a tonomo s pro!esses of the right hemisphere# "hi!h "e asso!iate "ith hypnoti! behavior# and depotentiating the verbal !ontrols of the left hemisphere# "hi!h "e asso!iate "ith the normal generali<ed reality orientation. E) 0es# and yo !an tell the patient# E6ry hard to stay a"ake.E R) 0o thereby set in motion a pro!ess to go to sleep. E) 0es# and she kno"s sheAs been trying to stay a"akeK *tAs been a diffi! lt >ob to stay a"ake. 6herefore by impli!ation# itAs easy to lapse into sleep or tran!e.
E: 'nd I+d lik to "a. yo) &atc", look at /y ,in* r no&. >E (oints )(&ard &it" "is l ,t "and ,or R)t" to ,oc)s on. 7it" "is ri*"t "and " slo&ly /o. s " r l ,t "and to " r ,ac . 7"il doin* t"is, " (oints "is l ,t "and do&n, so t"at R)t"+s y s *rad)ally clos as " lo& rs "is "and to&ard t" ,loor.? And I ant yo! to notice so)ething that happens to yo!. $ak a d ( 1r at", clos yo)r y s. $"at+s ri*"t. 'nd all t" ti/ yo) ar 1 *innin* to , l t"at yo) ar l arnin* /or and /or . >E to)c" s t" )nd rsid o, t" ,in* rs o, " r ri*"t "and to si*nal an )(&ard /o. / nt.? 'nd it+s /o.in* )( to&ard yo)r ,ac , and as soon as yo)r ri*"t "and to)c" s yo)r ,ac , yo)+ll tak anot" r d ( 1r at" and *o d ( r asl (. $" clos r yo)r ri*"t "and * ts to yo)r ,ac , t" /or yo)r l ,t "and &ill /o. a&ay ,ro/ it. >E si*nals a do&n&ard /o. / nt &it" a li*"t to)c" on " r l ,t ar/.? 'nd )( *o s t" ri*"t "and. $"at+s ri*"t. %( it *o s, and t" l ,t "and is /o.in* a&ay. ' littl 1it ,ast r, and a littl 1it ,ast r, t"at+s it, and ,ast r y t, and still ,ast r, and still ,ast r, and ,ast r and ,ast r, t"at+s it. 'nd no&, &"il yo)r "ands ar 1)sy doin* t"at, R)t", I+d lik to "a. yo) o( n yo)r y s and look at / . 'nd no& I &ant to t ac" yo) so/ t"in* o, i/(ortanc , as soon as yo)r ri*"t "and to)c" s yo)r ,ac . 'nd it+ll start /o.in* a&ay, and so & +ll "a. t"at alt rnat /o. / nt. >E d /onstrat s 1y alt rnatin* "is "ands )( and do&n.? Do yo) )nd rstand8 'nd R)t", I &ant yo) to disco. r so/ t"in* ls . It is rat" r "ard ,or yo) to *)id yo)r "and. >E *)id s " r ri*"t "and to&ard " r ,ac .? $"at+s it. R) 0o !ontin e yo r learning frame of referen!e# !ontin ally en>oining her Eto noti!e something that happens to yo .E 0o are hereby reinfor!ing her hypnoti! attit de of passive e%pe!tationF her !ons!io s intentionality is to do nothing e%!ept "itness n s al sensations# per!eptions# movements# or "hatever manifestations there may be of a tonomo s or n!ons!io s pro!esses. 0o reinfor!e her movements "ith nonverbal to !h signals# and yo give her m ltiple tasks that so absorb the !ons!io s attention of her left hemisphere that the "ay is open for the more a tonomo s pro!esses of the right hemisphere to manifest themselves $;at<la"i!k# 19,8'.
R) 0o r initial statement abo t dis!overing Ethe differen!e bet"een yo r thinking and yo r doingE so nds matter3of3fa!t and rational# b t it is a task that is o tside her habit al ideational patterns. 6h s# it is a ne" and rather odd frame of referen!e that tends to depotentiate her s al !ons!io s sets so that n!ons!io s sear!hes and pro!esses are initiated. 6his reinfor!es and deepens the hypnoti! modality. 0o then state a series of tr isms that establish both a strong yes set and the first stage of a reverse set that yo are !aref lly developing.
from the ordinary frames of referen!e of everyday life that "hat is ostensibly !larifying is in reality pre!ipitating a parado%i!al !onf sion that f rther depotentiates her left hemisphereAs ability to maintain its o"n orientation. 6his is espe!ially tr e sin!e she is already in a fairly passive# re!eptive mode "here she is not parti! larly disposed to do m !h a!tive analysis of yo r abstra!tions. ( rther# even the highly abstra!t nat re of the disso!iation yo are establishing is hidden behind yo r !as al manner and the apparent obvio sness and !on!reteness of the phrases yo seDEyo are a "omanE and Eyo are sitting do"n.E Anyone !o ld hear and a!!ept the obvio sness of these !on!rete statements even if they "ere half n!ons!io s. 2o nat rally she a!!epts them "itho t reali<ing everything else she is a!!epting along "ith themDespe!ially the hidden impli!ations that !ome in the ne%t se!tion. E) GLa ghing heartilyH 0o fo nd me o tK G6he senior a thor and the > nior a thor have been "orking on the reverse set for abo t five years. :nly no"# and after a do<en revisions# does R !at!h on to this parti! lar bit of parado%. E "as > st "aiting and "ondering "hen it "o ld finally da"n on R.H R) 7id yo a!t ally plan this !onf sion "hile apparently !larifyingJ E) 0es# of !o rse# many timesK G/reaks p in rene"ed la ghterH
R) 6hese statements f rther ill strate and reinfor!e the differen!e bet"een doing $"hat "e say' and thinking $Eit doesnAt ne!essarily interfere "ith fa!tsE'. 6he apparently grat ito s se of necessarily# ho"ever# does set p the hidden impli!ation that "hat "e do may after all infl en!e "hat "e think. 6his# as "e shall see# is the !riti!al impli!ation that later allo"s the reverse set to operate effe!tively.
E3 rcisin* a Y s S t
E: No& I+/ *oin* to ask yo), 'r yo) a &o/an8 R)t": Y s. E: Yo) 4)st nod yo)r " ad or s"ak yo)r " ad in ans& r. nods Y s.? 'r yo) sittin* do&n8 >R)t" nods Y s.? 'r yo) a &o/an8 >R)t" is yo)r ,irst na/ R)t"8 >R)t" nods Y s.? $"at+s ri*"t.
R) 0o no" e%er!ise a yes set "herein R th establishes a habit of responding behaviorally $a head nod meaning yes' in a positive "ay to the & estions. ;hat she does and thinks are the sameF both are tr e.
R in,orcin* t" R . rs S t
E: $"at+s ri*"t. B ca)s yo)r t"inkin* can 1 di,, r nt t"an /o. / nt o, t" /)scl s in yo)r n ck. 'r yo) standin* )(8 >R)t" nods Y s.? R) 6his response reinfor!es the same disso!iation and reversal bet"een thinking and doing beg n in the above se!tion. 8er head nods 0es# "hile her !ons!io s thinking# if she is !ons!io sly thinking# m st obvio sly be the reverse. E: $"at+s ri*"t. 'nd ar yo) a 1oy8 >R)t" nods Y s? $"at+s ri*"t. R) Again the same disso!iation. /y this time a reverse set has been establishedF a set for a!ting o t a disso!iation bet"een doing and thinking. *t is a reverse set be!a se "hat she thinks is the reverse of "hat she doesF she no" tends to nod 0es "hen her thinking is No.
R) Another disso!iation is established similar to the above b t "ith a reversal of the reverse set in doing and thinking) 8er doing $shaking her head No' is no" false# "hile her thinking is tr e $her name really is R thK'. *f the reader is no" beginning to str ggle against be!oming !onf sed# imagine the diffi! lty R th is beginning to haveK E: 'nd yo! ar n+t a &o/an, ar yo)8 >R)t" s"ak s " ad No.? R) Again the same disso!iation bet"een the falseness of her doing and the tr th of her thinking. E: 'nd yo) ar n+t sittin* do&n, ar yo)8 >R)t" s"ak s " ad No.? R) 6he same disso!iation establishes another reverse set) doing "hat is false "hile thinking the reverse# "hi!h is tr e. *t is the !omplementary reverse set of the first that "as established. 2he is no" trained both in doing "hat is false "hile thinking "hat is tr e# and doing "hat is tr e "hile thinking falsely. 6he net res lts tend to be a "ell3 established reverse set bet"een thinking and doingF she "ill no" tend al"ays to think the opposite of "hat she does# and vi!e versa.
bypassed be!a se of her !onf sion and yo r !aref l engineering of the reverse setD "hi!h no" prompts the inner# !ons!io s a!kno"ledgment that she is in tran!e.
R) 0o s ddenly s"it!h from & estions to a definite statement abo t something she !an do. E: Yo) can clos yo)r y s, can yo) not8 R) 6his is another !hange. 0o ask a positive & estion abo t something she really !an !ontrol. 2he does not shake her head. 6he previo s reverse set is broken. E: 'nd yo)+r closin* t" /, ar yo) not8 >R)t" clos s " r y s.? $"at+s ri*"t. 'nd yo) can n4oy sl (in* /or and /or d (ly all t" ti/ . 'nd yo) r ally ar , ar n+t yo)8 >E nods "is " ad contin)o)sly.? $"at+s ri*"t. 'nd yo) r ally ar Gand 4)st k ( ri*"t on sl (in*, d ( r and d ( r in t" tranc . R) 0o no" positively reinfor!e eye !los re and deepening tran!e.
( n $ranc
E: 'nd to l t / kno& t"at yo) ar , yo)r ri*"t "and is *oin* to co/ to r st on yo)r la(. R) 6his implied dire!tive is sed to signal# motivate# and reinfor!e deepening tran!e. E: 'nd in so/ &ay yo)+r *eginning to kno& t"at yo)+r sl (in* in a d d ( r tranc . >R)t"+s ri*"t "and slo&ly /o. s do&n to " r la(.? ( r and
R) 0o emphasi<e beginning be!a se the s b>e!t !an hardly arg e "ith thatF it is e%perien!ed by the s b>e!t as tr e no matter ho" her !ons!io s attit des may be eval ating the sit ation. E: 'nd I+/ *oin* to talk, and yo) don+t . n n d to list n to / . R) A disso!iation is en!o raged bet"een the !ons!io s and n!ons!io s by not needing to listen. E: 'nd yo) r ally don+t, 1 ca)s yo) ar . ry, . ry 1)sy, *oin* d ( r and d ( r in
t" tranc as yo)r "and co/ s clos r to yo)r la(. 'nd as it co/ s to r st in yo)r la(, and as it contin!es to rest in yo!r lap/ yo!(re going to *e #ery/ #ery *!sy sleeping deeper and so!nder and )ore pro$o!ndly in the trance state/ as yo!r hand co)es to rest )ore and )ore co)pletely. R) 6his se!tion ends "ith the simple !ontingent s ggestion that as her hand !ontin es to rest in her lap# she "ill be going deeper into tran!e. 2in!e her hand is resting there# it "o ld be hard to resist the s ggestion that she is going deeper into tran!e. 2he "o ld have to move her hand to deny the s ggestion.
'ss ssin* and D ( nin* $ranc : $" S cond '((ar nt '&ak nin*: 'ss ssin* t" Possi1ility o, N *ati. Hall)cinations
E: 'll ri*"t, no& ro)s )(. $"at+s ri*"t. >R)t" o( ns " r y s.? $"at+s ri*"t. 'nd "o& /)c" did yo) ,or* t a1o)t t" ( o(l t"at & r " r 8 R)t": 7 ll, I didn+t t"ink o, t" /. E: Yo) didn+t t"ink o, t" /. 'nd can yo) ans& r /y n 3t 5) stion8 'nd I &ond r i, yo) can ans& r it8 I &ond r i, yo) can ans& r it8 R) 0o assess the depth of tran!e by & estioning her abo t amnesia and possible negative hall !inations abo t the other members of the gro p. 8er ans"er is of a ne tral sort !onsistent "ith tran!e e%perien!e# b t it does not give any admission of deep tran!e e%perien!e.
E: 7"at did yo) t"ink a1o)t t"at8 No&, I+ll ask yo) a*ain, ar yo) a&ak 8 >R)t" nods Y s, 1)t t" n clos s " r y s.? 4o!ld yo! li"e to a a"en% 4o!ld yo! li"e to a a"en% >R)t" o( ns " r y s.? R)t": 0o. R) Like the others# this third a"akening is only apparent# sin!e her hand remains !atalepti!ally s spended. 6he do ble bind & estion# E0o think yo Are a"ake# donAt yo JE provides eno gh !onf sion so that her left hemisphere ans"ers that she is not s re. ;hen yo repeatedly ask if she "ants to a"aken# she finally ans"ers# ENo#E meaning she is still in tran!e and does not "ant to a"akenDeven tho gh she does
-o)rt" '((ar nt '&ak nin* &it" a Do)1l Bind 2) stion and Id o/otor 2) stionin* to 'ss ss and Rati,y $ranc E3( ri nc
E: >!a)*"s? Yo) &o)ldn+t8 B)t yo) kno& all *ood t"in*s co/ to an nd so/ ti/ . So clos yo)r y s and tak a d ( 1r at" and &ak )( &id a&ak , &ak )(, &ak )(, &id a&ak . Hi9 Ho& ar yo)8 R)t": I+/ sl (y. E: >!a)*"s? Yo)+r sl (y8 Yo) / an I+. *ot to a&ak n yo) a*ain8 7 ll, I+ll t ll yo) t" &orld+s &orst 4ok i, I n d to in ord r to a&ak n yo), and i, t"at do sn+t, I+ll t ll yo) t" &orld+s s cond &orst 4ok . Is t"at s),,ici nt t"r at8 R)t": I , l all ri*"t no&. E: >!a)*"s? Yo) r st d8 R)t": %"6"//, . ry. E: Did yo! "no yo! ere a good hypnotic s!*ject% R)t": Not 3actlyG& llG)/Gy s. E: %/6"//. 7o)ld yo) lik to ask yo)r )nconscio)s t" 5) stion8 No&, i, t" ri*"t "and *o s )(, t"at / ans Y s. I, t" l ,t "and *o s )(, t"at / ans No. 'r yo) a *ood "y(notic s)14 ct8 >Pa)s as " r ri*"t "and *o s )(.? O, co)rs . I &ond r i, yo)+. notic d &"at+s "a(( n d to t"is "and. 'nd did yo) kno& yo)+r 1ack in a tranc 8 'nd did yo) s t" ( r, ctly 1 a)ti,)l ans& r t" r 8 R) 0o make a more serio s effort to a"aken her "ith the taking of a deep breath# yo r typi!al E8i#E and a & estion to evoke her !ons!io s eval ation of her feelings. 2in!e she is still tending to remain in tran!e# yo tili<e the sit ation to ratify her !ons!io s a!kno"ledgment of her tran!e e%perien!e. 0o do this in yo r typi!al fashion of asking a do ble bind & estion# E7id yo kno" yo "ere a good hypnoti! s b>e!tJE 2in!e she seems do btf l in her reply# yo ratify tran!e f rther "ith an ideomotor & estioning approa!h that tends to !onvin!e her# sin!e her right hand does go p in an apparently a tonomo s manner.
is also a "ay of depersonali<ing her and th s f rther reinfor!ing tran!e e%perien!e. 8er response of EsometimesE is typi!al of the light to medi m stages of tran!e# "here the s b>e!tAs !ons!io s a"areness or attending to the o tside sit ation tends to fade in and o t.
so/na/1)listic 1 "a.ior. Yo) "a. a t nd ncy toG&"at s"o)ld yo) call it8G)tili0 ti/ in t" &ay t"at I a/ (artic)larly int r st d in. Yo) s"o& t" (" no/ non o, ti/ distortion. Did it s / to yo) t"at yo) & r in a tranc as lon* as yo) "a. 1 n8 R)t": No, I don+t r allyG"o& lon* "a. I 1 E: 7 ll, "o& lon* do yo) t"ink8 R)t": 7 ll, it r ally s E: $"at+s ri*"t, it s lon* &as it, Aay8 A: '1o)t an "o)r. R)t": R ally8 A: '1o)t DL /in)t s, any"o&. E: '1o)t DL /in)t s. R)t": O", t"at+s a/a0in*. E: No& I 1rin* t"at o)t 1 ca)s all o, " r "and /o. / nts t ll yo) t"at s" Gt"at s" is distortin* ti/ in a rat" r si*ni,icant ,as"ion, and i, s" & r to &atc" so/ so/na/1)list do a n)/1 r o, t"in*s, in t" t /(o o, t" ordinary &akin* stat , t" n yo) co)ld "a. " r l arn t"at, and "a. " r in addition s"o& yo) " r o&n s(ontan o)s d . lo(/ nt o, distort d ti/ . A)st * ttin* t c"nical. No& I+/ s)((os d to *o so/ &" r ls in a , & /in)t s. 'nyt"in* yo)+d lik to ask / 8 R) 0o Are feeling itAs time for the session to end# so yo make a more determined effort to a"aken her. 0o even !hange yo r !hair in order to !hange the sit ation a bit and th s break asso!iative !onne!tions "ith tran!e e%perien!e. 0o ratify tran!e dire!tly by allo"ing her to assess the time distortion she e%perien!ed and indire!tly by talking to the observers abo t her hand movements that "ere different in tran!e. /s 4)st a , & /in)t s. /s lik a , & /in)t s. 'ct)ally it &as /)c" lon* r t"an t"at. Ho& n8
E: %"6"//. 'nd y t yo) kno& yo) & r , and y t yo) , lt yo) & r n+t, and &ant d to l an 1ack. Yo) kno& yo)r (ict)r &as 1 in* tak n. R)t": O", I ,or*ot a1o)t t"at. E: >G n ral la)*"t r? Do yo) / an to say t"at in yo)r /o.i G R)t": GI+d rat" r "a. sl (tG E: Gd 1)t, yo) ,or*ot all a1o)t t"at8 7"at ls did yo) ,or* t a1o)t8 R)t": O", I don+t kno&. E: Didn+t yo) ,or* t a1o)t t" (r s nc o, t" a)di nc 8 . . . R)t": Y s. E: G/or t"an onc 8 R)t": I / an I+dGI 4)st didn+t car &" t" r t" y & r t" r or not.
/ to yo) as i, ,or a&"il t" r yo) & r at "o/ 8 n. I / an, I &as co/,orta1l no)*" to "a. 1 n.
E: Y s, 1)t co)ld yo) "a. "ad a , lin* t" r ,or a littl &"il t"at yo) & r act)ally sittin* in a c"air or lyin* on a co)c" at "o/ 8 R)t": No, I don+t 1 li . so. , E: Yo) don+t 1 li . so. Do yo) /ind i, & ,ind o)t8 R)t": No. E: P)t yo)r "ands in yo)r la(. No&, ri*"t "and li,tin* / ans Y sB l ,t "and / ans No. Did yo) at so/ ti/ d)rin* t"is a,t rnoon+s tranc or tranc s , l yo)rs l,, s ns yo)rs l,, at "o/ in yo)r o&n "o/ 8 >Pa)s as ri*"t "and li,ts? !i,tin*, li,tin*, and /ay1 as yo)r "and li,ts, yo) &ill "a. a conscio)s a&ar n ss o, 4)st &" r yo) & r in t"at , lin*. 'nd so clos yo)r y s and tak a d ( 1r at" and lo& r yo)r "and to yo)r la(. 'not" r d ( 1r at" and &ak )(, &id a&ak and , lin* r st d. 7ak )(, &ak )(. Hi. >!a)*"t r?
R) 0o get into a bit of tro ble here as yo attempt to f rther ratify tran!e by having her a!kno"ledge amnesia for the movie3making and the presen!e of the a dien!e# along "ith a possible disso!iation of pla!e from the laboratory to her home. *t "o ld not be "ise to end her first hypnoti! e%perien!e "ith the do bt she e%presses abo t these hypnoti! e%perien!es. 0o th s feel impelled to f rther ratify her e%perien!e "ith yet another ideomotor signaling. (ort nately the right hand lifts# giving a positive ratifi!ation# and yo immediately a"aken her on that positive note.
professional reader grad ally develop some fa!ility in sing this approa!h. =any of Eri!ksonAs original papers in The Hypnotic In&estigation of 0sychodynamic 0rocesses $?ol. 1 of The Collected 0apers of ilton H. Erickson on Hypnosis# 198.' !ontain the basi! ba!kgro nd reading re& ired. 6his is parti! larly tr e of the se!tion# E=ental =e!hanisms#E "here# in a n mber of papers "ritten bet"een 1919 and 19--# Eri!kson ill strates ho" he makes the transition from the typi!al psy!hoanalyti! approa!h of analy<ing to tili<ing mental me!hanisms. Not till several years later# in his highly innovative paper# E8ypnoti! +sy!hotherapyE $19-8'# did he a!t ally demonstrate ho" the tili<ation of mental me!hanisms !an be employed in a radi!ally ne" kind of hypnotherapy. A patient and deep st dy of his paper "ill provide the reader "ith the essen!e of Eri!ksonAs tili<ation approa!h. 6he reader "ill find an ingenio s tili<ation of the psy!hodynami! me!hanisms of pro>e!tion# amnesia# repression# and resistan!e# among others. 6he greatest danger in reading some of these early papers by Eri!kson is that they make the "ork seem rather glib and easy# so that the reader feels foolish and fr strated if the te!hni& es !annot be immediately and s !!essf lly d pli!ated. / t these early papers do not spe!ify the many years of patient st dy and effort Eri!kson "ent thro gh in his late teens and early t"enties# learning to develop his o"n psy!hologi!al# sensory# and kinestheti! per!eptions. 8is efforts "ere motivated by highly personal reasons as he so ght in lonely desperation to tea!h himself to re!over from the !rippling effe!ts of polioDdespite the fa!t that his !ondition "as assessed as hopeless by his do!tors $see E6he A tohypnoti! E%perien!es of =ilton 8. Eri!kson#E Eri!kson @ Rossi# 19,,'. *n these early !ase presentations Eri!kson s ally did not spe!ify the many ho rs of diligent effort he spent st dying and eval ating a patientAs problem before pro!eeding "ith "hat then seemed like a & i!k and brilliant ! re. :ften Eri!kson "o ld see a patient for a session or t"o and then ask himNher to ret rn after a fe" "eeks. 8e "o ld then spend the time pondering "hat he kne" abo t the person and ho" he !o ld tili<e that kno"ledge effe!tively to fa!ilitate a ! re that then seemed dramati! and s rprising# b t "as a!t ally based on many ho rs of !aref l and often tedio s planning. 6he first ma>or re& irement in learning to se Eri!ksonAs approa!hes "o ld th s appear to be fa!ilitating the personal development and !lini!al sensitivity of the hypnotherapist. =any of the e%er!ises in o r former vol mes $Eri!kson# Rossi# @ Rossi# 19,5F Eri!kson @ Rossi# 19,9' "ere designed for this p rpose. 6he se!ond basi! re& irement is taking the time to ndertake !aref l !lini!al st dies of individ al patients to determine "hat their dominant or preferred mental me!hanisms are# and ho" these me!hanisms !an be engaged in the hypnoti! pro!ess. 6he hypnoti! "ork !o ld then be organi<ed in a systemati! manner as follo"s) 1. 8o" !an a parti! lar patientAs o"n mental me!hanisms and habit al asso!iative pro!esses be tili<ed to !reate a method of hypnoti! ind !tion that is ni& ely s itable for that patientJ 4. 8o" !an the patientAs o"n mental me!hanisms and asso!iative pro!esses be tili<ed to fa!ilitate an e%perien!e of all the !lassi!al hypnoti! phenomenaJ 1. No"# tili<e this ba!kgro nd of hypnoti! training to help the patient find a ni& ely s itable resol tion of the presenting problem. Altho gh this three3stage paradigm is highly !hara!teristi! of the senior a thorAs e%ploratory approa!h to !lini!al problems $Eri!kson @ Rossi# 19,9'# he has long maintained that ea!h !ase is ni& e# and he re!ogni<es the essentially e%perimental nat re of ea!h !lini!al endeavor. / t "hile ea!h !ase has this e%ploratory and e%perimental aspe!t# the three3stage paradigm does provide a methodologi!al o tline of a therape ti! approa!h that !o ld enable !lini!ians to des!ribe and p blish their "ork in this area on a !omparable basis.
SEC$ION I#:
SESSION ONE: $" E3( ri ntial ! arnin* o, Mini/al Mani, stations o, $ranc
R c (ti.ity and R in,orc / nt in Co/(o)nd S)** stions
E: !ook at t"at s(ot t" r . P)t yo)r "ands on yo)r t"i*"s. No& yo) do not n d to talk. Yo) do not n d to /ak a sin*l /o. / nt o, " ad and "ands. A)st look at on s(ot, and I+/ *oin* to talk to yo).
E) 7r. M e%pressed so m !h skepti!ism and disbelief abo t tran!e. 8e had made his o"n inability to nderstand. *nstead of s ggesting something to him# * gave him simple statements "ith "hi!h to deal that did not seem to have m !h real signifi!an!e. ELook at that spot there. + t yo r hands on yo r thighs. No" yo do not need to talk.E ;hat he is not reali<ing is that in that simple "ay * am taking over the !ontrol of the total sit ation. * havenAt offered anything "ith "hi!h he !an take iss e. R) ;ith these fe" simple dire!tions yo have indire!tly established an a!!eptan!e set for a & iet# re!eptive mode of being. 0o donAt tell him to be & iet and re!eptiveF rather# yo str !t re his behavior so he nat rally "ill be. E) 6hatAs right. EB st look at one spot# and *Am going to talk to yo .E 6here is no possible "ay of disp ting either one of those. *t is a !ompo nd statement) 0o do that and * do this. *f he a!!epts my statement of "hat *Am going to do# he has to a!!ept my statement to him of "hat he is to do. :nly he does not kno" that. R) 6his !ompo nd statement# EB st look at one spot# and *Am going to talk to yo E gives t"o s ggestions tied together "ith the !on> n!tion# Eand.E 6he se!ond s ggestion that yo have !ontrol over $talking' reinfor!es the first $he is to look at one spot'. E) 0es# it emphasi<es my !ontrol in a "ay not re!ogni<able in the ordinary !ons!io s state.
$" Indir ct %s o, !an*)a* : D (ot ntiatin* Conscio)s S ts and C"ann lin* R sistanc &it" a Cas)al N *ati.
E: B)t yo) don+t n d to list n. R) ;hy do yo begin here by telling him he doesnAt need to listenJ E) *t depotentiates !ons!io sness and thereby potentiates the n!ons!io s f n!tioning. *f there is any rebellion in his so l# it !an no" be !entered in doing e%a!tly "hat * told him) 8e doesn/t need to listen. *Am taking !ontrol of any rebellion by telling him ho" to rebel. R) *f he is e%perien!ing resistan!es# yo gather them p "ith yo r negative don/t and !hannel them into a resistive response 6not listening' that !an fa!ilitate the hypnoti! pro!ess $sin!e Enot doingE fa!ilitates the parasympatheti! mode of re!eptivity rather than self3dire!ted a!tivity'. 6his is an e%ample of yo r indire!t se of lang age. 0o do not tell him he sho ld not listenK 6hat "o ld re& ire an a!tive effort to !ooperate. 0o r !as al approa!h of merely mentioning that he doesnAt need to listen has an indire!t p rpose that is entirely different) in this !ase to depotentiate his !ons!io s sets and !hannel resistan!e into a !onstr !tive !hannel.
D (ot ntiatin* ! ,t6H /is(" ric Conscio)s S ts: Mind67and rin* and $r)is/s
E: Yo) can l t yo)r /ind &and r 1 ca)s I+/ *oin* to / ntion to yo) so/ t"in* t"at "a(( n d &" n yo) ,irst & nt to sc"ool. 7" n yo) & nt to sc"ool, yo) & r con,ront d &it" t" pro*le) o, l tt rs and n)/ rals. R) Letting the mind "ander also depotentiates the !ons!io s self3dire!tion of left3 hemispheri! f n!tioning in favor of right3hemispheri! a!!ess to the personal and e%periential. E) 7r. M and * are strangers# yo kno". 8o" !an * mention something that happened to him "hen he first "ent to s!hoolJ R) 6hat is a & estion in his mind immediately.
E) *mmediatelyK 8e is going to sear!h his mind# and that is "here * "ant him to be. / t even yo reading this !o ld not see "hat * "as doingK *t is so indire!t. No"# "hat EproblemE "as thereJ 8e has really got to sear!h. 8e has to determine that there "as a problem. 6here is no "ay for him to t rn a"ay from this problem be!a se it is tr eF itAs a tr ism. Everyone has had a problem in the initial stages of learning. R) 0o first l ll his self3dire!tion by permitting mind3"andering# and then indire!tly n dge it into !ertain dire!tionsDin this !ase an early learning setD"ith a series of tr isms that !ontin e into the ne%t se!tion.
Intri*)in* 2) stions to Yo6yo Conscio)sn ss to Initiat Inn r S arc" and $" ra( )tic $ranc
E: $o yo) at t"at ti/ l arnin* t" l tt r F'F s ho did yo! t ll a FBF ,ro/ a FPF8 / d to 1 an i/(ossi1l task. 'nd
E) *n response to my & estion heAs probably thinking# E;hyJE ;hat is hard abo t the letter E/EJ *t has vario s shapes# si<es# even !olors. 2!ript and blo!k printing. All kinds of forms. *Ave got another tr ism there that is "ithin his e%perien!e. 0o !an see ho" heAs being played ba!k and forth# p and do"n# being yo3yoAd# yo might say. E8o" did yo E is a & estion that gets him inside his o"n tho ghts. R) 0o r & estions are taking him a"ay from o ter reality and p tting him on an inner sear!h. E) ;itho t telling him thatK And he !anAt avoid "hat *Am saying be!a se it is an intrig ing thing. R) /y yo3yoing him ba!k and forth bet"een yo r intrig ing statements and & estions# yo lift him o t of his s al and habit al frames of referen!e and p t him on an inner sear!h that "e have des!ribed as an essential aspe!t of the mi!rodynami!s of tran!e $Eri!kson# Rossi# @ Rossi# 19,5F Eri!kson @ Rossi# 19,9'. *ntrig ing statements and the yo3yoing pro!ess# as yo !all it# are indire!t or metapsy!hologi!al ses of lang age to se! re attention and initiate that intense fo! s of inner sear!h and a tomati! n!ons!io s pro!esses that "e define as therape ti! tran!e.
E) E/ t event allyEDho" long is e&entually< R) Co ld be any length of time. *tAs fail3safe to say e&entually be!a se it is open3ended in time. :ther "ords like yet# until# 'hen# sometime# henceforth# et!.# all have a time aspe!t that !an !ontin e n!ons!io s a!tivity from the past to the present and f t re. ;e kno" that some posthypnoti! s ggestions# for e%ample# !an !ontin e over de!ades $Eri!kson @ Rossi# 19,9'. *t "o ld be a fas!inating resear!h pro>e!t to find some means of e%perimentally eval ating the e%tent to "hi!h different "ords and s ggestions are effe!tive in setting n!ons!io s pro!esses into a!tivity over time. E) 6hatAs right. *Am also preparing him for "hat takes pla!e after this. 6hat "ord e&entually stret!hes from kindergarten to old age. ;ith his training in psy!hology# he kno"s that very "ell. R) 6hat is the indire!t se of a tr ism again) a safe statement that tili<es his o"n kno"ledge to reinfor!e "hat yo are saying.
-oc)sin* t" 'tt ntion o, t" Mod rn, Rational Mind In&ard &it" Intri*)in* ! arnin* E3( ri nc s
E: Yo) "ad to l arn t" n)/ rals, and ho do yo! tell the di$$erence *et een an !pside5do n nine and a right5side5!p si6% It s / d i/(ossi1l at ,irst, and &"ic" &ay do yo) /ak t" n)/1 r t"r 8 E) E8o" do yo tell the differen!e bet"een an pside3do"n nine and a right3side3 p si%JE ;ell# that is intrig ing. 2o he is not going to be thinking abo t anything else. * am fo! sing his attention in"ard to his o"n e%perien!e. R) 6hatAs "hat yo are doing in presenting all these intrig ing learning problems. *t is not the parti! lar !ontent that yo are interested in. *t is the indire!t process of fo! sing in"ard that is the important matter. A modern# rational mind like 7r. MAs is intrig ed "ith learning# so yo tili<e this interest to fo! s him in"ard. E) Early learning is a long# hard task# and all kids go thro gh that. R) 2o this approa!h is a!t ally valid for most people "ho have gone thro gh the ed !ational pro!ess. 0o are fo! sing them on valid inner e%perien!es yo kno" they have had. 6hey !annot disp te it. 0o move them a"ay from e%ternal reality. E) ?ery far a"ay.
Hy(nosis as !oss o, M)lti(l -oci o, 'tt ntion: Maintainin* t" '1sor(tion o, $ranc : $" Rol o, Po try and R"y/
E: B)t yo) ,or/ d / ntal i/a* s, and lat r yo) ,or/ d / ntal i/a* s o, &ords, o, $aces/ o, places/ o, o14 cts, o, a *r at /any / ntal i/a* s. R) 6h s far there is no & estion of an altered state of !ons!io sness or tran!eF it is > st a shift of his fo! s of a"areness. E) 6he shift of the fo! s of a"areness. R) ;here no" does the altered state of !ons!io sness !ome inJ 7o "e need the !on!ept of an altered state of !ons!io sness or is it > st a shift in the fo! s of a"areness that is involvedJ =aybe that is all hypnosis is) a shift in the fo! s of a"areness. E) All hypnosis is# is a loss of the multiplicity of the foci of attention. R) * see. A loss of the m ltipli!ity of the fo!i of attention. *s that the monoideism of
/raidJ 0o really agree "ith thatJ E) E%!ept it isnAt > st a monoidea# b t all the multiple fo!i of attentionF the desk# the birds# the b s have all been eliminated. R) :kay# no" "o ld yo define this loss of m ltiple fo!i of attention as an altered state of !ons!io sness# or is this > st a game of "ordsJ E) *tAs an altered state of !ons!io sness in the same sense as yo e%perien!e in everyday life "hen yo are reading a book and yo r "ife speaks to yo and yo make no immediate response. 0o are obvio sly e%perien!ing some sort of altered state involving time distortion "hen 1. min tes later yo ans"er# E7id yo speak to meJE R) 6hatAs the sense in "hi!h hypnosis is an altered state of !ons!io snessF the same as that e%perien!e of absorption in reading an interesting book. E) It is a lack of response to irrele&ant external stimuli. R) 6hatAs the altered state of !ons!io sness that !onstit tes tran!e) deep absorption on a fe" fo!i of inner e%perien!e to the e%!l sion of o ter stim li. E) And to se it for therape ti! p rposes# it m st be maintained. R) +art of the art of the hypnotherapist is in maintaining that tran!e state. E) 0es. 0o deal "ith that altered state in any "ay yo "ish# b t yo are keeping that altered state. R) 6hatAs the p rpose of many of yo r verbal s ggestions to the patientDtran!e maintenan!e. E) * never really made p my mind "hether the rhyme of Efa!esE and Epla!esE "as important in maintaining tran!e. / t all these "ords# fa!es# pla!es# and ob>e!tsDthere are so many in his past. *n anybodyAs past. And *Am really enlarging that altered state of !ons!io sness to permit the entry of "ords# fa!es# pla!es# and ob>e!ts. R) 6hat interesting little book# Hypnotic 0oetry $2nyder# 191.'# !ertainly s ggests the importan!e of rhyme and rhythm in tran!e. /y adding these other "ords yo are rea!hing into his memory banksF yo are bringing other memories and asso!iations into the realm of the tran!e fo! s# for "hatever val es they may have for maintaining the tran!e and laying do"n an asso!iative net"ork for therape ti! "ork. E) 0es# and making it possible to enlarge that altered state. / t it is all "ithin himF nothing from his o ter environmental sit ations is important "hile he is fo! sing "ithin d ring this tran!e "ork.
Indir ct S)** stion ,or #is)al Hall)cinations: Constr)ctin* I/(lications &it" $i/
E: 'nd t" old r yo) *r &, t" /or asily yo) ,or/ d / ntal i/a* s. E) 7r. M doesnAt kno" that is a s ggestion) 6he older he gro"s# the more easily he forms mental images. R) ;hatAs the s ggestion hereJ E) 8e "ill easily be able to do "hatever * tell him "ith regard to vis al images. 6hatAs the implied s ggestion. *t is a"f lly hard to see it. R) 6his is another s btle se of time to !onstr !t an impli!ation that !o ld be preparation for hall !inatory e%perien!e later. E) 0es# later.
Rati,yin* $ranc : Inn r -oc)s ,or t" E3( ri ntial ! arnin* o, $ranc
E: B)t yo)r )nconscio)s /ind &ill (ay att ntion, yo) &ill )nd rstand. 'nd yo! are dri$ting into a trance. 'o!(#e altered yo!r rhyth) o$ *reathing. 'o!r p!lse rate is changed. I kno& t"at ,ro/ (ast 3( ri nc . R) Are yo giving him a dire!t s ggestion by telling him he is drifting into tran!eJ E) No# that is a statement of fa!t based on the alterations in his breathing and p lse that * !an a!t ally observe. * did not say# E0o Ave drifted( $past tense') * > st observe# Eyo are drifting into a tran!eE $present tense'. R) 0o observe these !hanges that are a!t ally taking pla!e and !omment on them so that his o"n inner e%perien!e !an ratify that tran!e is really taking pla!e. 0o donAt s ggest tran!e is taking pla!e) 0o prove itK E) 0es. 8e has to e%amine his rhythm of breathing. 8e is still "ithin himselfK 8e has to e%amine that rhythm of breathing in terms of drifting into a tran!e. R) 0o Are keeping the fo! s inside of him# and yo are getting him to ratify his o"n tran!e thro gh these e%periential learnings.
$" Rol o, t" Conscio)s and %nconscio)sB ! ,t6 and Ri*"t6 H /is(" ric -oc)s in $" ra( )tic $ranc
E: 'nd yo)+r tryin* so "ard to )nd rstand inst ad o, 4)st 3( ri ncin*. E) 6his implies *Am going to say things to yo that yo "ill try hard to nderstand instead of > st e%perien!ing. *t implies yo Are going to do more than > st e%perien!e. R) 6his * find diffi! lt to nderstandK * tho ght yo "ere trying to t rn off the !ons!io s mind in order to fa!ilitate the n!ons!io s and the e%periential mind. ;hen yo ask him to E nderstand#E it so nds like an appeal to do left3hemispheri! !ons!io s "ork. E) 0o still donAt grasp itK *Ave already t rned off his !ons!io s mind e%!ept to a minor degree. And *Am trying to make his n!ons!io s mind nderstand) 0o Ave got a lot of "ork ahead of yo in addition to > st e%perien!ing.
R) ;e !o ld form late this as a t"o3stage pro!ess of tran!e ind !tion and tili<ation. *n the first stage# trance induction# yo depotentiate 7r. MAs ! rrently dominant left3 hemispheri! !ons!io s sets. 6his then fa!ilitates the release of right3hemispheri! n!ons!io s pro!esses# "hi!h !ontain the e%periential learnings and repertory of response possibilities that "ill be sed as the ra" material for the hypnotherape ti! !hanges yo "ill evoke. *n the se!ond stage# trance utili*ation# yo rea!tivate left3 hemispheri! pro!esses to no" a!t pon $Ereasso!iate# resynthesi<eEF see Eri!kson# 19-8' the released right3hemispheri! !ontents in order to reorgani<e them into hypnotherape ti! responses.
D (ot ntiatin* Conscio)s S ts 7"il En*a*in* %nconscio)s Proc ss s to do Constr)cti. 7ork: G ntl Dir ct S)** stion ,or %nconscio)s 7ork
E: 'o! don(t need to !nderstand. All yo! need to do to dri$t along and $eel rela6ed and co)$orta*le. 'nd I don+t . n n d to talk to yo) 1 ca)s t" r is not"in* t"at n ds to 1 don . B)t yo) can r st co/,orta1ly &"il I s( ak to yo), yo!r !nconscio!s )ind ill hear )e and do as I say/ as I indicate. >Pa)s ? R) 0o again depotentiate left3hemispheri! !ons!io s sets "ith not kno"ing $E0o donAt need to nderstandE' and drifting along# rela%ed and !omfortable. E) 6hat enhan!es the tran!e state and implies that he is going to maintain the tran!e. R) =aintaining the !omfort and rela%ation of tran!e means that nothing needs to be done by left3hemispheri! !ons!io sness. 6hen yo !learly indi!ate that the n!ons!io s "ill hear yo and do as yo say. E) E7o as * say# as * indi!ateEDthatAs !omplete obedien!e. R) ;hatJ 0o are giving a dire!t s ggestion for obedien!eK E) / t it is said so gently. *t is so !omprehensive. R) And yo Are not telling the !ons!io s ego to obey yo F rather# yo Are gently n dging the n!ons!io s to respond to verbal stim li yo Are providing.
Dissociatin* -ra/ s o, R , r nc to -acilitat Hy(notic P" no/ na: $" 'rt o, R in,orcin* S)** stions
E: And I can tal" to yo!/ to Dr. Rossi all I &is". B)t yo) don+t n d to (ay any att ntion to t"at. 'o! are *!sy ith yo!r !nconscio!s )ind/ lookin* at t"at / ntal i/a* . 'o! j!st rest. >Pa)s ? E) EAnd * !an talk to yo EDthatAs one frame of referen!eF E. . . to 7r. RossiE is another frame of referen!e. *Am separating# dividing the sit ation. R) 6hat separation and division is an essen!e of the approa!h by "hi!h yo effe!t disso!iation and set the stage for e%perien!ing most hypnoti! phenomena. 6his disso!iation is the important hypnoti! phenomena# the important n!ons!io s "ork yo have been leading p to in the past fe" se!tions. 0o tell him# E0o are b sy "ith yo r n!ons!io s mind.E Let yo r !ons!io s mind rest "hile yo r n!ons!io s does the "ork of engaging its disso!iative me!hanisms. E) 6hatAs right# there is nothing else. And it is said so gently and so a!!eptably. R) 0o donAt give him# a psy!hiatrist# a diffi! lt left3hemispheri! !ognitive task by telling him to Edisso!iateE the !onversation. Rather# yo give him a !on!rete task of separating the talk to him and to me# 7r. Rossi. 6he right hemisphere !an perform this !on!rete
sensory3per!ept al task and thereby engage its disso!iative me!hanisms. 0o evoke n!ons!io s pro!esses not by informing him of "hat me!hanisms to se b t rather by giving him a task that "ill a tomati!ally evoke these me!hanisms. 6his is one of yo r favorite indire!t approa!hes) 0o give a s ggestion or task# not be!a se of any inherent interest in it# b t rather to evoke those mental pro!esses that are re& ired to !arry it o t. 6he pla!ement of yo r final phrase# E0o > st rest#E reinfor!es the statement > st before it# E0o are b sy "ith yo r n!ons!io s mind.E 0o do that a lot# donAt yo J 0o se one phrase to reinfor!e another. 6hat is an important aspe!t of the art of s ggestion.
to r /ain catal (tically s)s( nd d &it" only t" li*"t st to)c" on "is t"i*".? E) ENo" *Am going to to !h yo r "rist.E 2o "hatAs the big dealJ 6here is no big deal there at all. *t is a safe pro!ed re. R) 0o are setting p a !atalepsy in a very inno!ent "ay. E) ?ery inno!entDthe odd angle is the important thing. R) ;hy is the angle in "hi!h yo pla!e the hand so importantJ E) *n lifting the s b>e!tAs arm# *Am not going to tell him *Am lifting it p rposef lly to a!hieve a !ertain goal. / t * am lifting it to a!hieve a !ertain goal. ;hen the goal is rea!hed# * !an see it# b t he doesnAt even kno" it. And so he is behaving in a!!ord "ith the ta!tile stim li *Ave given him. R) ;hat does that proveJ ;hy are yo engaged in thatJ E) ;hen yo lift p a personAs arm# they seldom leave it p in midair# do theyJ R) No# not normally. E) And "hen yo p t it in an odd angle# they are m !h more likely to !orre!t that odd angle# are they notJ R) ;hen yo do this in tran!e# the s b>e!t > st leaves it there. *s this then a test of the tran!e stateJ *s that "hy yo are doing thisJ E) * "as doing it more to prove it to yo so yo !o ld have vis al proof. R) 2o that !atalepsy "as to !onvin!e me. 8o" abo t to !onvin!e the patientJ E) 2ooner or later he "ill find o t his arm is still there. And that is !ontrary to all his past e%perien!e. 8e "ill have to investigate it# and it "ill be very !onvin!ing to him.
Not Doin*: Catal (sy is a -or/ o, M ntal Econo/y %tili0in* t" Parasy/(at" tic Mod : El ctrodyna/ic Pot ntial as a M as)r o, an 'lt r d R c (ti.ity E3(r ssion Ratio: ' Pro(os d D ,inition o, $" ra( )tic $ranc
E: 'nd I+/ not Instr)ctin* yo) to ()t it do&n. >Pa)s ? Dr. 2: %//, t"atG R) ;hy the Enot#E hereJ ;hy not simply say# Ehold yo r hand pJE E) ;hatever he does has to be on his o"n responsibility. R) 2o he "ill hold it p on his o"n responsibility be!a se the impli!ation of yo r remark is to hold it p. E) No# his hand "as already p. 6he only "ay he !an get that hand do"n is for he himself to ndertake that task as a separate# totally separate# totally individ al task. *t is m !h easier to allo" that state of balan!ed toni!ity to remain. 8e doesnAt have to do anythingK R) * see# it is simply an e!onomy of mental effort to leave the hand there rather than go thro gh the labored de!ision pro!ess of "hether or not he sho ld p t it do"n in this sit ation. E) 6hat is better than telling him# E7onAt p t it do"n.E R) :ther"ise# after yo lift his hand# he !o ld p t it do"n as part of the same a!tF the lifting and p tting do"n "o ld be one total a!t. / t "hen yo lift his hand and say# E*Am not instr !ting yo to p t it do"n#E that means one a!t $lifting' is !ompleted# and to p t
it do"n "o ld re& ire another a!t on his part demanding a separate de!ision and e%pendit re of energy. 2in!e he is in s !h a rela%ed state of tran!e# it "o ld simply be easier to let the hand remain there. 0o in!isively do something $like lifting an arm' and then ! t it off# limit it# so that he needs a lot of de!ision and energy to !hange it. *t is harder to p t it do"n than leave it. 2o there is an e!onomy of effort in tran!e. ;o ld yo say in tran!e the parasympatheti! system# the Erela%ationE system of the body# is more dominant than the sympatheti!J E) 0es# it is. R) 6hat is "hy yo pla!e so m !h emphasis on Enot doingE in tran!e) Not doing is nat ral "hen rela%ed in the parasympatheti! modeF doing things is more nat ral in the o tgoing# high3energy o tp t !hara!teristi! of the sympatheti! system. * believe that is "hat the / rr3Ravit< devi!e meas res# by the "ay. ;hen the Ravit< ! rve goes do"n# it means the patient is in a passive3re!eptive mode. *Ave !ond !ted ordinary therapy sessions "itho t the se of hypnosis "hile meas ring a patientAs ele!trodynami! potential $Ravit<# 1954'# and "hen the patient is really absorbed in a moment of introspe!tion or listening to me in a re!eptive manner# the potential goes do"n. ;hen they are p tting o t energy to e%press# the potential goes p. E) *t is an altered state. R) Altered in a dire!tion of re!eptivity. *n tran!e the normal alteration of re!eive and e%press is ! t off in favor of !ontin al re!eption. 6hat re!eption !an be from "ithinDas "hen one is re!eptive to their o"n imagery# tho ghts# feelings# sensations# and fantasy Dor it !an be re!eptive to something from the o tside# like the therapist. 6he ele!trodynami! potential seems to remain lo" as long as one is not making the normal effort to respond a!tively. E) And se the normal pattern of m ltipli!ity of fo!i of attention. R) 6hatAs right# the fo!i of attention have a restri!ted range in tran!eDthe range being defined fre& ently by "hat the therapist s ggests. 6his indi!ates that "e !o ld also define therape ti! tran!e as an alteration in the normal balan!e of re!eptivity and e%pression that is !hara!teristi! of an individ al. Anything that shifts the individ al to a higher re!eptivityNe%pression ratio "o ld be a shift to"ard therape ti! tran!e. Resear!h "o ld be needed to determine ho" o r proposed re!eptivityNe%pression ratio !o ld be meas red# and the degree to "hi!h it is similar to or different from some meas re of the relative dominan!e of the parasympatheti! system to the sympatheti!) the parasympatheti!Nsympatheti! ratio.
R) ;hat is he doing# moving his elbo" and sho lder abo t that "ayJ E) 8e kno"s there is something different in that arm# and he is trying to find o t "hat it is. 8e kno"s there has been a !hange. R) And that !hange is balan!ed toni!ityJ E) 0es. R) 6hat balan!ed toni!ity# yo believe# is a different physiologi!al stateJ E) 0es# thatAs right.
R) 6he balan!ed toni!ity means there is an e& al p ll on the agonist and antagonist m s!les# is that rightJ E) 6hatAs right. All day long yo keep yo r head in a state of balan!ed toni!ity. R) 6hat is "hy "e donAt get tired holding p o r headDit is balan!ed toni!ity. *f there "as a p ll on one side or the other# "e "o ld get tired. E) 6hatAs right. *n other parts of yo r body yo are not a!! stomed to balan!ed toni!ity. R) Catalepsy is introd !ing balan!ed toni!ity into another part of the bodyJ E) 0es# into another part of the body "here it is an nfamiliar thing. R) 6hat is "hat 7r. M is investigating. E) / t he !anAt nderstand it# nobody has ever e%plained to him "hat balan!ed toni!ity is. R) 8o" did yo introd !e that balan!ed toni!ityJ B st by those s btle ta!tile ! es to lift the handJ E) No. 8eAs in a tran!e state# "here there is balan!ed toni!ity. And then "hen 1 tell him Enobody kno"s "hat any one person learns first#E *Am telling him that he is learning# b t *Am telling it as a tr ism that he !annot disp te) ;e really donAt kno" "hat any one person learns first.
F7ait and S F as an Early ! arnin* S t: E.okin* and -acilitatin* R s(ons Pot ntials ,ro/ Idio/atic E3(r ssions &it" M)lti(l M anin*s: $" Ess nc o, Hy(not" ra( )tic 7ork
E: 7ait and s . >Pa)s ? $" only r ally i/(ortant t"in* o)t o, t"isG E) E;ait and seeED"hat on earth does that meanJ 6here is nothing to be seen. 6hat is an idiomati! instr !tion to keep on learning. R) ;itho t saying# EOeep on learning#E and possibly aro sing resistan!e. E) 6hatAs rightK B st E"ait and see.E 6hat is so enigmati! that it aro ses e%pe!tationK R) And "hen a person has "aited in the past# they fre& ently have learned something ne"# so yo are also setting into a!tion and tili<ing a learning set that has been relied on sin!e !hildhood. E) 0es# and it is also asking for passivity. R) 0es# the passive3re!eptive type of learning is another impli!ation. 0o do this repeatedly) 0o make a general statementF fre& ently it is a !li!hQ or an idiomati! e%pression that has many meanings# many impli!ations. 0o pres me yo are tili<ing many if not all the meanings. 6he patient is !ertainly not a"are of all of them at any given moment# b t these m ltiple meanings are evoked at some level and then fo! sed to fa!ilitate response potentials that might not other"ise be possible for the patient. 0o first evoke a plethora of asso!iative pro!esses and then someho" fo! s on one or t"o that "ill be reinfor!ed into overt behavior. 6his is the essen!e of yo r "ork as a hypnotherapist) to evoke and fa!ilitate response potentials that the patientAs o"n ego !annot & ite manage yet. 6he "ay yo first evoke m ltiple asso!iations and meanings is akin to (re dAs idea of the m ltiple determination of symptoms from many different life e%perien!es and lines of asso!iations. ;ith symptoms# ho"ever# "e are the vi!tim of these m ltiple paths of psy!hi! determination that "e !annot !ontrol. 0o pres me to se the same prin!iple to a!t ally fa!ilitate desirable behavioral responses.
E) 6he EthisE in E6he only really important thing o t of thisE is not defined# b t it refers to the learning. R) 0o donAt al"ays kno" "hat the hypnoti! learning is# b t yo reinfor!e "hatever it may be.
-oc)sin*
E: Gis &"at I say to yo)r )nconscio)s /ind, not"in* ls . /ind can t nd to or att nd to / /ori s o, anyt"in*. >Pa)s ? Yo)r conscio)s E) *t Eis "hat * say to yo r n!ons!io s mind# nothing else.E 6hat means# 7onAt pay attention to the room# nothing else is important. *Ave e%!l ded 7r. Rossi# the room# the floor# the sky. / t * havenAt told 7r. M to disregard those things. R) Right. *f yo a!t ally mentioned those e%traneo s things# then by the prin!iple of parado%i!al intention he "o ld be fo! sed on them even tho gh yo told him not to. E) EAttend to memoriesEDthat is# not e%ternal realities. R) 0o are fo! sing on inner "ork again.
R) *t seems to be an e%planation des!ribing ho" he !an go into tran!e. / t a!t ally it is a posthypnoti! s ggestionJ E) 0es.
speaking the tr thDhe really didnAt kno". R) 2o yo r & estion "as a do ble bind) Any ans"er he gives a tomati!ally ratifies tran!e. 6he do ble bind is effe!tive in this sit ation be!a se itAs being sed to depotentiate the limitations of his do bting and skepti!al mind that does not kno" ho" to re!ogni<e the reality of his tran!e e%perien!e. 2ome level of a"areness "ithin him that does re!ogni<e the reality of the tran!e e%perien!e is thereby potentiated into a"areness# so that it may be more possible for his !ons!io s belief system to over!ome its limiting bias and a!!ept the reality of the altered state. 6he do ble bind is effe!tive in altering oneAs belief system only "hen it is sed to !onfirm a tr th that is kno"n at some level b t denied be!a se of the biasing effe!t of the !ons!io s mindAs learned limitations. 6he do ble bind !an fa!ilitate the re!ognition of a tr th only "hen it is !onfirmed by something "ithin the s b>e!t. 0o probably !o ld not get a"ay "ith sing it to foist something on a person if this inner !onfirmation is absent.
E: Did it "a. any .al) ,or yo) at all8 Dr. 2: 7 ll, I &as r c i.in* so/ att ntion, so I t"ink I n4oy d t"at as( ct o, it. R) ;as it a partial response here "hen he says# E* did feel my m s!les try to !arry o t the s ggestionJE E) GEri!kson demonstrates by lo"ering RossiAs arm.H 7id yo feel yo r m s!lesJ 8o" do yo feel yo r m s!lesJ R) * did not have any parti! lar feeling in my m s!les "hen yo g ided my arm. 6he very fa!t that he is feeling his m s!les means that he is in an altered state. 8is fo!i of attention are !on!entrated on his m s!les. ;hen patients say something like that# yo kno" they have been e%perien!ing tran!eJ E) 6hey have been e%perien!ing an n s al feeling.
R) No"# someone like 6. L. /arber $1959' might say that yo have > st shifted their fo! s of attention# b t that does not mean there is a tran!e.
E) * havenAt shifted the fo! s of attentionDhe hasK 8e doesnAt do that !ons!io sly. ;hat did yo r "riting distra!tJ 8e is validating that something "as there that yo r "riting distra!ted him from. :nly he doesnAt kno" heAs saying that. R) (rom 7r. MAs point of vie" he "as not e%perien!ing eno gh of tran!e. 6his seems to be highly !hara!teristi! of many modern s b>e!ts in o r post3psy!hedeli! revol tion "ho deeply !ovet an altered state. / t from yo r point of vie" he is > st a beginner "hose first task is to learn to re!ogni<e and "el!ome any minimal alterations that take pla!e# ho"ever slight. Even mental health professionals today think of hypnosis as a fast key to mira!les. / t the reality is that learning to e%perien!e an altered state of !ons!io sness s ally re& ires time# parti! larly for professionals be!a se of their !riti!al and skepti!al attit des. 6hey first need to learn to re!ogni<e these very s btle ! es that imply an alteration has taken pla!e.
Post"y(notic S)** stion initiatin* t" Microdyna/ics o, $ranc Ind)ction: $" ra(ist+s B "a.ior in -oc)sin* 'tt ntion ,or $ranc Ind)ction: Int rs( rsal '((roac" and #oic Dyna/ics
Dr. 2: $" r is a lot *oin* on at all ti/ s. E: M)c" /or t"an yo) can s , and yo) "a. no ti/ ,or an3i ty. Dr. 2: I t"ink /y an3i ty is 1 ca)s I , l so 1lind in t" sit)ation &" r t" r is so /)c" data co/in* at / t"at I can+t )nd rstand it. E: 'nd . ry1ody l arns to co)nt. 7irst they co!nt !p to one. Then they co!nt !p to t o/ and $i#e/ and 89 and &9. Dr. 2: H)///. >Dr. 2 1links )nc rtainly and t" n clos s "is y s. H 1 *ins to rais a "and to&ard "is ,ac , as i, to scratc" "is nos , 1)t t" /otion slo&s do&n, and "is "and ,inally 1 co/ s /otionl ss a,t r it to)c" s "is nos and /ak s only a (r li/inary /o. / nt o, scratc"in*. His "and 1 co/ s catal (tically ,i3 d in /id6 scratc". His ,ac r la3 s, and " is o1.io)sly nt rin* tranc . Erickson (a)s s a /o/ nt or t&o, o1s r.in* "i/ int ntly, 1 ,or contin)in*.? E) 8e is follo"ing the posthypnoti! s ggestion given ba!k in the last session. R) Even tho gh it did not seem like a posthypnoti! s ggestion "hen yo told him he !o ld reenter tran!e on a !o nt of one to 4.. E) 6here "as no "ay for him to identify it as a posthypnoti! s ggestion. R) 0o said in the last session that he "o ld go into a tran!e "hen he !o nted from one to 4.# not "hen yo # 7r. Eri!kson# !o nted. 0et yo !o nt here# and he goes into a tran!e. ;hyJ E) All right# no"# see "hat yo do. GEri!kson no" begins to !o nt to 4. "hile staring "ith intense interest at R# "ho in t rn feels a strong hypnoti! effe!t and momentarily !loses his eyes# obvio sly responding to it.H 7o yo follo"J 0o have been !o nting "ith me. R) :h# * seeK ;hen yo !o nt# it a tomati!ally evokes a !o nting response in the patient# and that is his ! e for entering tran!e. E) 0es. 0o see# it doesnAt fit in "ith anything. *t "as an interspersal te!hni& e.
R) 6he !o nt from one to 4. "as interspersed in the normal flo" of !onversation. E) 0et it doesnAt belong there# so he has to think# E;hatJE / t he doesnAt kno". R) 6he !ons!io s mind is startled and doesnAt kno" "hy. 6hat startle leaves a gap in a"areness and allo"s the n!ons!io s to fill in. E) 0es# be!a se "henever yo r !ons!io s mind does not nderstand# it says# E;ait a min te# that "ill !ome to me.E ;hat are yo sayingJ *n effe!t yo are saying# E=y n!ons!io s "ill help me.E R) 6he typi!al mi!rodynami!s of tran!e ind !tion !ome into play here) $1' 0o r remarks abo t !o nting do not fit the !onte%t of the !onversation# so his attention is immediately fixated5 $4' the !ons!io s mindAs habitual sets are depotentiated by the startle effe!tF $1' not kno"ing "hat it means initiates an unconscious search that $-' lo!ates and processes the posthypnotic suggestion yo gave him previo sly so that $I' he e%perien!es the hypnotic response of reentering tran!e. * noti!e that yo stared very intently and e%pe!tantly at him "hen yo gave him the posthypnoti! ! e. *s that sear!hing look of yo rs importantJ E) * !o ldnAt let him triviali<e my !o nting as a meaningless tteran!e# so * looked at him as if * "as really saying something. R) 6hat is a problem *Ave had "ith posthypnoti! s ggestion. * mention the ! e# b t sin!e * did not have the patientAs f ll attention# they > st ignored it. E) ;hen yo speak to a person# yo let them kno"# E*Am speaking to you+( 0o !an speak dire!tly "ith yo r eyes or yo r voi!e or "ith a gest re. 0o have to have the personAs attention. *f yo have been speaking !as ally and then se a very soft voi!e# yo immediately get the personAs attention. R) 2o that is another b ilt3in habit al mode of responding that yo are tili<ing. 2imply by lo"ering yo r voi!e in initiating an ind !tion# yo fi%ate attention# and that already a!!omplishes the first step of tran!e. E) 0es# that narro"s the personAs attention. * se a soft voi!e be!a se that !ompels attention. R) 2o# "hen initiating a posthypnoti! ! e# yo first try to fi%ate attention so that it is not r nning on and on in its o"n asso!iation patterns. 0o fo! s attention so the rest of the system is momentarily open and re!eptive. 6he n!ons!io s !an then respond.
Dr. 2: Y a". It &as so o)t o, cont 3t, &"at yo) said, t"at it 4)st "ad to "a. a di,, r nt / anin*. E: 'nd yo) didn+t kno& &"at I &as sayin*, 1)t yo)r )nconscio)s /ind did.
Dr. 2: I "ad a conscio)s a&ar n ss, too. I t"ink I "ad 1ot". E: Yo) "ad so/ a&ar n ss conscio)sly a,t r yo)r y s clos d and yo)r /o1ility disa(( ar d. Dr. 2: I r / /1 rGI , l /1arrass d ar*)in* &it" yo). E: Yo) s , I &atc" d yo)r y lids, and i, Dr. Rossi &asn+t tak n 1y s)r(ris , " co)ld "a. not d t" *la0in* o, yo)r y s &" n I said F;L.F I act)ally 1 *an at ,i. . R) 0o r !o nting "as so Eo t of !onte%tE that it res lted in 7r. MAs attention being momentarily fi%atedF his !ons!io sness did not kno" "hat it "as# b t it had to have a meaning# so his n!ons!io s s pplied a meaning by having him enter tran!e. E) ;itho t his !ons!io sness kno"ingK After he goes into tran!e and !omes o t# he is saying# E0es# it "as o t of !onte%t# "hat yo said# b t it > st had to have a different meaning.E R) 6he !ons!io s a"areness of the signifi!an!e of yo r "ords as ! es for tran!e !omes after he has entered and !ome o t of tran!e. 2o the s b>e!t enters tran!e "itho t !ons!io s a"areness of "hat is happening.
distort patientsA "ords by reinterpreting them from the therapistAs o"n theoreti!al frames of referen!e $(re dian# B ngian# et!.'# rather than the patientAs.
Can yo give me f rther ill strations of Ean a!!eptable post3hypnoti! s ggestion . . . that !an fit into the nat ral !o rse of ordinary "aking eventsJE E) ;hen * sed to smoke# *Ad first p t a !igarette o t and then ind !e a tran!e. R) 2o p tting a !igarette o t be!ame a !onditioned ! e for entering tran!e. E) Later on in the intervie"# after they had been a"akened and engaged in dis! ssion# *Ad light p a !igarette and then &ery slo'ly rea!h over to p t it o t# talking slo'ly. R) *s that a "ay of fi%ing their attention "hen yo do it very slo"lyJ 6he very slo" gest re arrests attention# initiates an inner sear!h for its meaning# and allo"s the n!ons!io s to e%press itself. E) / t it fits in "ith ordinary behavior and is not recogni*ed as a posthypnoti! s ggestion to reenter tran!e. R) 0es# itAs only a slight modifi!ation of ordinary behavior. As they see that hand moving slo"ly# before they !an fig re o t "hy it is moving slo"lyD E) 6hey are in a tran!eK R) 2o "hen they !ome o t of tran!e# they have no real nderstanding of "hy they "ent into a tran!e. E) 6hey say# E* donAt kno" "hat happened. * a"akened from a tran!e and "e "ere talking# and yo lit a !igarette or * "as abo t to rea!h for one. / t * g ess * never did.E
R) ;hen their eyes !lose# do yo let them rest in tran!e for a "hile# or do yo start "orking "ith the tran!e immediatelyJ 7o yo "ait for signs that they have rea!hed a proper depth or "hateverJ E) * say# EAll right# * think yo Are really deep eno gh no". 6hat tells them# (-e deep enough+( 6hat does the rest of it.
E) *t is a &ery potent thingK R) 6hey feel it and are !a ght in the strength of yo r ass mption. E) 0o Ave had the e%perien!e inn merable times of kno"ing that somebody "as e%pe!ting something of yo . R) 6hatAs itK 6hatAs "hat yo !reateDthat expectancy+ E) / t * donAt define it verballyK R) A personAs life history of e%perien!e "ith e%pe!tation is a very po"erf l b ilt3in me!hanism that yo tili<e in yo r ind !tion. E) *t is very po"erf l. R) As !hildren "e have a lot of daily e%perien!e in str ggling to live p to e%pe!tations# and it is this life long e%perien!e that yo are tili<ing. E) 6hatAs right. *t belongs to them# "hy not se itJ
E) GEri!kson no" gives another ill stration of this se of se& ential str !t ring of behavior. *n order to !ond !t an oral e%amination on one of his da ghters at the age of threeD"hile she "as in a re!al!itrant moodD he pro!eeded as follo"s# "hile she "as sitting on the bed holding her favorite toy rabbit.H E: Ra11it can(t li do&n &it" its " ad on t" (illo&9 Da)*"t r: $an too9 >S" lays t" ra11it do&n to (ro. it.? E: Ra11it can+t lay do&n &it" its y s s")t the D: $an too9 >S" no& lays do&n &it" t" ra11it.? E: Can+t *o to sl D: $an too9 E) And then they both "ent to sleepK R) A series of s ggestions phrased in a negative "ay neatly tili<es her re!al!itrant mood. 0o progressively !hannel her behavior ntil it be!ame tran!e behavior. E: Can+t lay still &" n to)c" d. D: $an too >said notic a1ly so,t r?. E: Can+t "a. /o)t" o( n and t"roat look d at >s(ok n . ry so,tly?. D: $an too >&"is( r d?. E) At this point she opened her mo th and * looked. After the e%amination a physi!ian "ho "as in attendan!e said# ENo" that didnAt h rt# did it little girlJE ( lik yo) can. ay yo! can.
D: Yo)+r (oo(id >st)(id?9 It did too ")rt, 1)t I didn+t /ind it. R) 2o the importan!e of se& ential or serial behavior is to grad ally b ilt p a moment m# shaping behavior in the desired dire!tion.
E) 6o remain fro<en fi%ates attention. 0o !an enter hypnosis thro gh this door or that# "hi!hever yo "ish. EAs he !anE !overs all the possibilities) 8e !an do it a little# he !an do it 9. per!entF *Ave !overed all the possibilities from . to 1.. per!ent. R) 6he last t"o "ords# Ehe !an#E are also a strong indire!t s ggestion that he !an remain immobile. E) 0es# it is a strong s ggestion. R) 6he n!ons!io s !an pi!k p s ggestions o t of !onte%t and tili<e them in "ays nre!ogni<ed by !ons!io sness. E) *n my paper# E6he method employed to form late a !omple% story for the ind !tion of the e%perimental ne rosisE $Eri!kson# 19--'# * emphasi<e and !ontrast the meaning of this "ord "ith the follo"ing "ord. (or e%ample# the phrase ENo" as yo !ontin eE) 2o' is the present) as you continue brings in the f t reF continue is a !ommand. R) 6he same "ord !an have many meanings) only some of them are evident from the total !onte%t per!eived by !ons!io snessF most of them are b ried "ithin the !onte%t. ;e !o ld !all the b ried ones Intercontextual Cues and Suggestions.
cl nc"in* and )ncl nc"in* "is "ands, ad4)stin* "is , E: 4hat happened to yo!%
Dr. 2: 7 ll, I n4oy d t" ,irst tranc so /)c" I tho!ght I(d do another one. E: Yo) t"o)*"t yo)+d do anot" r. 7"y8 Dr. 2: I &atc" d yo) and I *ot t" si*nal ,ro/ yo) t"at it &as okay. E: $" si*nal8 Dr. 2: 'o! told )e not to )o#e. E: >$o Dr. R? S /s t" )nconscio)s r ally )nd rstood. B)t "is conscio)s /ind didn+t Git ,o)nd t"at o)t a,t r&ard. E) 8o" often do yo go aro nd !len!hing and n!len!hing yo r handsJ *t is his behavior# and it is ratifying the tran!e. 6he impli!ation of my & estion# E;hat happened to yo JE is that something did happenK *n his ans"er he is validating verbally that his first e%perien!e "as a tran!e. R) 2o he is no" p tting all his previo s do bts to rest. E) E* tho ght *Ad do another one.E 8e no" taking all the !redit. 6hat is "hat "e "ant him to do. Anything he "ants to !onsider a signal to a!hieve his "ishes is okay# espe!ially if it is going in my dire!tion. E0o told me not to moveEDthat is his interpretation. * only told him to try and yo !an. 8e is the one "ho !arried it o t.
E) * ask him this & estion to give him another opport nity to validate his tran!e# and he does so "hen he ans"ers# Efifteen or 4. min tes.E
6hen to obviate resistan!e# yo immediately distra!t his attention "ith the nne!essary stip lation. 0o have sim ltaneo sly displa!ed his attention and dis!harged his resistan!e. E) 0es# in a very safe "ay. * donAt kno" ho" m !h resistan!e anybody has# b t * !an talk as if he had a great deal of resistan!e. *t does not alter the meaning of "hat * say to mention a fe" nne!essary "ords. 6hey are too fe" to bother abo t. R) *s this another te!hni& e of displa!ing and dis!harging resistan!e) simply adding on nne!essary "ordsJ 0o ta!k an nne!essary tr ism onto a strong dire!t s ggestion# and that distra!ts attention and tends to dis!harge resistan!e. E) 0es# and it makes the s b>e!t agree "ith yo . 0o o ght to have yo r te!hni& es so "orded that there are es!ape ro tes for all resistan!esDintelle!t al# emotional# sit ational.
levels.
$" Ill)sion o, -r
Dr. 2: I ha#e a $eeling o$ choice in that. $"at I r ali0 d &"at &as "a(( nin* and I c"os to "a. it "a(( n. E: $"at /ak s yo) , c"oic .F l . ry co/,orta1l , do sn+t it8 E)1i s( aks a1o)t Fill)sory
Dr. 2: Ill)sory c"oic 8 E: The <od$ather choice3 yo)r si*nat)r or yo)r 1rains on t"is contract. 7"ic" is no c"oic at all. Dr. 2: It is not a c"oic i, yo) &ant to do so/ t"in*8 E: B)t I s t it )( t"at &ay. Only yo) didn+t " ar or s or kno& t"at I s t it )( t"at &ay. Dr. 2: I had a need to cooperate. So I can+t say "o& /)c" I &as s ttin* )( &it" yo) and "o& /)c" yo) & r s ttin* )(. I "ad t" , lin* o, c"oic . E) No" he is stepping over to my side. R) 8e believes he had free !hoi!e in "hat he did# b t a!t ally yo "ere !onditioning him. E) * gave him no !hoi!e. ;hile he is p <<ling abo t the ECodfather !hoi!e#E his n!ons!io s is nderstanding that * did tell him to do !ertain things. * merely reinfor!ed previo s s ggestions. 8e then makes an effort to defend his !ons!io s mind "ith# E*t is not a !hoi!e if yo "ant to do somethingJE And again "ith E* had a need to !ooperate.E 8is !ons!io sness is defending its rights. R) 6hat is a signifi!ant la! na of !ons!io sness) 8e has a !ons!io s feeling of !hoi!e even tho gh his behavior is determined by yo r relation to his n!ons!io s pro!esses. E) * give him a feeling of !hoi!e even tho gh *Am determining it.
R) Referring to his o"n hand as EitE s ggests he is disso!iating it. 7oes that mean his hand is o tside the s al range of ego !ontrolJ E) *t is !ompletely o t of it. R) (rom a (re dian frame"ork one "o ld say that some of the s al ego !athe%is has been "ithdra"n so the hand is !loser to a tonomo s n!ons!io s f n!tioningJ E) 0es. R) 0o a!t ally se more of an e%istential frame"ork "hen yo say# E*t is it) a state of being.E / t 7r. M is so fas!inated "ith it that *Am more reminded of B ngAs !on!eption of the n mino s as an e%perien!e of Ethe otherE or otherness "ithin o rselves. 6his e%perien!e of the a tonomo s & ality of his hand is ne!essary to help him break o t of the limiting !on!eptions of his rational mind. As is !hara!teristi! of so many professionals# it is obvio s that he very m !h "ants this e%perien!e. *t is very !lear that "e are here to !hing pon the f ndamental problem of modern !ons!io sness) 8o" !an !ons!io sness observe and maintain some !ontrol "hile yet giving more room for a tonomo s pro!esses of !reativityDthe n!ons!io sDto take over "hen !ons!io sness re!ogni<es that it has rea!hed its limitationsJ 8o" !an !ons!io sness
parti!ipate in and to some degree dire!t those !reative pro!esses that are s ally a tonomo s and n!ons!io sJ After !ent ries of str ggle to develop the rational f n!tions of the left hemisphere and re>e!ting the nonrational pro!esses of the right hemisphere# man finds himself impoverished. *n o r ! rrent & est for release from the rational $via psy!hedeli! dr gs# Eastern religions# yoga# the mysti!al# et!.'# "e are desperately sear!hing for means of rea!hing the inner potentials that are sometimes released thro gh rit al# ! lt# and the pra!ti!es of faith and mira!le healing. 6he holographi! approa!h of +ribram $19,1# 19,8' and /ohm $19,,# in ;eber# 19,8' is a ! rrently interesting effort to nderstand and integrate the rational and nonrational f n!tions. $2ee also B ng# Collected %orks# ?ols. 5 and 8 Gespe!ially E6he 6rans!endent ( n!tionEH.' (rom this ne" point of vie" modern hypnosis !an provide an e%periential a!!ess to the n!ons!io s and the nonrational# and the possibility of integrating it "ith !ons!io sness.
E: 'H ri*"t, &"at &as t" d cidin* ,actor in yo)r a&ak nin*8 Dr. 2: In /y a&ak nin*8 I don+t kno&, I 4)st , lt lik I &ant d to. R) 6his statement abo t not kno"ing ho" m !h is fake and ho" m !h is happening by itself is highly !hara!teristi! of most people "hen they first learn to e%perien!e invol ntary movements. E) 0es# and he is trying to !onvin!e himself there isnAt that disso!iation by asking if he is faking it. R) 6he modern s!ientifi! mind really does not believe in the n!ons!io s and the possibility of disso!iation# be!a se it is so !a ght p in its belief in its o"n nity and the dominan!e of its ego and !ons!io sness. 6he modern mind has a dangero s h brisF it does not believe it !an be split# disso!iated. 0et that is "hat happens in modern !ons!io sness "hen individ als are !a ght p in mass movements and belief systems that alienate them from their o"n basi! nat re and personal ba!kgro nd. B ng 6Collected %orks# ?ols. 8# 9#18' felt this "as the basis of psy!hopathology in the individ al as "ell as in mass movements and in all the isms that event ally lead to !onfli!t and "ar.
'&ak nin* &it" t" 'li n Intr)sions Endin* Dissociation: $i/ Distortion: Di,, r nt Na/ s in $ranc
E: I kno& &"at t" d cidin* ,actor &as. 7" n yo) to)c" d yo)r "and to yo)r kn , t"at &as t" cr)cial /o/ nt, t"at ti(( d t" 1alanc in ,a.or o, a&ak nin*. So)ething alien as introd!ced. The alienness as a reali:ation that *elonged to yo!r conscio!s )ind. Dr. 2: Y a". E: $ ll / , &"at ti/ do yo) t"ink it is8 Dr. 2: It is a1o)tG;<:<L. E: 7ant to look8 Ho& lon* & r yo) str)**lin* &it" yo)r "and8 Dr. 2: $"r or ,o)r /in)t s. R: I did not ti/ it, 1)t /y i/(r ssion is t"at it &as a littl 1it lon* r. E: O. r ;L /in)t s.
Dr. 2: $"at a/a0 s / . I did not t"ink I did t"at /any t"in*s t"at took ;L /in)t s to do. R) Can yo say more abo t ho" the alien reali<ation from the !ons!io s mind intr ding on the n!ons!io s led to a"akeningJ E) 8is hand is disso!iated from his body# and therefore his body is disso!iated from his hand. ;hen his hand to !hes his knee# they are bro ght together again. R) Conta!t of the disso!iated parts nat rally nites them and ends their disso!iation. 6hat is probably "hy yo donAt like people to have their hands in !onta!t "hen yo ind !e a tran!e in a formal "ayF it fa!ilitates disso!iation to keep hands apart. 6hat is "hy in ind !ing tran!e yo often try to separate things) 0o "ant to separate me from 7r. MF the !ons!io s from the n!ons!io sF the person from his s rro ndings# his time sense# his memories $as in amnesia'# his sensations# anesthesia# et!. 0o se division to divide !ons!io snessF it breaks p the nity of !ons!io sness. E) 0es# it breaks p the nity. R) 6hat is "hy yo "ill sometimes give the person in tran!e a different name# a different personality. 2o division is very importantF divide and !on& er. G2ee Chapter 1. on !reating identity in Eri!kson @ Rossi# 19,9.H E) Note his !omplete readiness to a!!ept my statement abo t 1. min tes here.
limitations in order to reali<e their o"n potentials. 6hat is the only legitimate basis of prestige. 2omething similar !an be said for the sense of the magi!al) =agi! is essentially nderstanding ho" the mind "orks# and fa!ilitating its potentials is E"hite magi!EF sing that nderstanding for harmf l intent# of !o rse# is Ebla!k magi!.E
'((ro(riat Mo/ nt ,or Ind)ction: indir ct S)** stion ,or a Eiss and t" Basic Paradi*/ o, Hy(nosis
E: I did not do anyt"in* yo) >R? co)ld not do. Only di,, r nc &as I kn & &" n to r ac" /y "and o)t. R: 'nd "o& did yo) >E? kno& &" n to r ac" yo)r "and o)t8 E: 7" n I t"o)*"t Dr. 2 co)ld do it, I kn & i, I r ac" d /y "and o)t, &"at " &o)ld do. 'nd I l t "i/ ,ind o)t and I l t yo) >R? ,ind o)t. 'nd yo) ,o)nd o)t "o& Dr. 2 str)**l s. Dr. 2: Ho& I co)ld str)**l a*ainst control8 E: 7" n yo) tri d to 3t nd yo)r ar/, it ()ll d 1ack. R) 6here is an appropriate moment to initiate ah ind !tion or hypnoti! phenomenonJ E) 0es. R) 8o" do yo kno" "henJ 7o yo noti!e spontaneo s shifts to"ard a tran!e !ondition that yo then merely fa!ilitateJ 7o yo see the eyes gla<ing# the fa!e free<ing# body motion being retardedJ 7o yo noti!e partial aspe!ts of tran!e and then reali<e that is the appropriate moment for ind !tionJ E) 6ake an e%ample from ordinary life. ;hen do yo kiss a pretty girlJ R) ;hen she seems to be ready for it. E) 6hatAs itK ;hen she is ready# not "hen yo are ready. 0o "ait for that ndefinable behavior that she manifests. 0o donAt ask a girl for a kiss# b t in her presen!e yo > st ga<e tho ghtf lly at the mistletoe. 0o are > st being tho ghtf l. 2he gets the idea# and she starts thinking abo t the kiss. R) 0o Ave indire!tly planted an idea in her head. E) 0es# she doesnAt kno" yo did. R) 6herefore it is all the more potent be!a se she is going to soon "onder# ECee# * "ant a kiss#E not# E8e "ants a kiss.E E) 6hatAs right# and there is the e%! se# mistletoe. R) 6hat is a paradigm of all hypnoti! "ork# isnAt itJ E) 0es# yo kno" "hat the frames of referen!e !an be and yo tili<e them. R) 6hat is the basi! kno"ledge of the hypnotherapist) kno"ing "hat the frames of referen!e !an be and ho" to fa!ilitate them.
$" E3( ri ntial ! arnin* o, $ranc : Rati,yin* t" P" no/ nolo*y o, Dissociation
Dr. 2: I "ad t" , lin*, t"o)*", o, initiatin* t" str)**l . I , l t"at is (art o, /y c)riosity. I &as a1l to 5) stion it and , lt a n d to t st it. I n d d not to 1 co/(l t ly (assi. in t" sit)ation. I needed to )a"e the sit!ation #alid *y testing it. 0ot !nderstanding/ not *elie#ing hat as happening !ntil it did. Up !ntil that ti)e I co!ld not *e s!re hether I as $a"ing it or hat as happening. E: Ho& did yo) kno& &"at to ,ak 8 Dr. 2: Yo) told / to r ac" /y ar/ o)t. Yo) & r sayin* 1y t"at, FYo)+r s)((os d to
no& act "y(noti0 d.F E: 7"at &as yo)r ar/ s)((os d to do a,t r I to)c" d it8 Dr. 2: It asn(t s!pposed to stay there. E) 8e really verbali<es bea tif lly# doesnAt heJ R) 0es. ;hat is the str ggle he is engaged in hereJ E) 8e kno"s "hat his s al behavior is# b t "hat is this behaviorJ No" he begins !on!ept ali<ing t"o separate types of behavior. R) Normal ego !ontrol vers s disso!iated behavior. 8ere is a modern rationalisti! mind learning that its o"n !ons!io s ego does not al"ays !ontrol everything. 6hat is the basi! e%perien!e for the modern mind to have if it is going to learn tran!e. 8is e%periential learning takes pla!e thro gh the typi!al pro!esses of hypothesis testing) Can * initiate !ontrol over my o"n hand movements in tran!eJ 8e does not believe in the sit ation ntil he !an make it valid by testing it. E) 0es# this is also indi!ated "hen he says# E*t "asnAt s pposed to stay there#E yet it didK 2o it "asnAt fakingK *t "asnAt s pposed to stay thereK
Dr. 2: I can+t i/a*in "o& yo) &ant d / to str)**l &it" /y ar/. . ry1ody ls do s it9 Dr. 2: I t"o)*"t I &as 1 in* a 1ad kid9
R) 6hat is yo r form of m mbo3> mbo that bypasses the habit al frames of referen!e. E) 9m3h m. R) *t bypasses the s al frames of referen!e# and the s b>e!t is thro"n ba!k on the & estions) ;hat is e%pe!ted of meJ ;hat am * to doJ 8e is desperately trying to do something. E) And he has to follo" his o"n patterns of behaviorK R) No" that is itK 6he s b>e!t has to follo" his o"n patterns of behavior. 8e is really not follo"ing yo e%!ept for the most general !onte%t. 0o are initiating something# b t yo do it so deli!ately that his o"n patterns of behavior !ome forth from his n!ons!io s# his behavioral matri%# to fill the gap. E) 6hatAs right. 6hen * !an sele!t any one of those patternsD R) Dfor a therape ti! goal. E) 9m3h m. R) And it is not the s b>e!tAs !ons!io s mind that is dire!ting# be!a se his !ons!io s mind does not kno" "hat to do in this n s al frame of referen!e# so he is thro"n ba!k on habit al patterns from the n!ons!io s. E) *t is all his o"n e%ploration. R) 0o Ave initiated this in him. E) *Ave set p a sit ation in "hi!h his patterns !an !ome forth. 8e doesnAt kno" they "ere !alled forth# b t there they are# so he starts e%amining them. ;e all !an disso!iate nat rally. R) 7isso!iation is a nat ral ability "e all have. Every time "e daydream# "e are disso!iating. E) / t "e donAt kno" ho" "ell "e !an do it. R) 6he modern mind has forgotten all abo t disso!iation and no longer believes it !an do it. 6he modern mind likes to believe in its f ndamental oneness# its f ndamental nity.
Dr. 2: Ho& did yo) kno&8 >7 all nod in ackno&l d*/ nt t"at s)c" r co*nition o, *ood s)14 cts "as 1 co/ rat" r a)to/atic to Erickson.? E) * !an make this atta!k on him here be!a se * say# Eyesterday.E R) 0o are implying he "as ignorant yesterday b t smart today. 6hat indire!tly reinfor!es all the ne" learning he is going thro gh today and bypasses his skepti!ism of yesterday even more. E) 6hatAs right. A very !aref l se of Eyesterday.E 6hen his & estioning abo t ho" * kne" heAd be a good s b>e!t implies a !omplete a!!eptan!eK
E) 6hatAs right. R) *tAs not > st a passive splitting of !ons!io sness. E) 0o !all it E!reative#E * !all it Edis!overing.E 8e doesnAt "ant to do anything that "ill threaten that dis!overy.
Nor/ali0in* -orc s Int r, rin* &it" Cr ati. Dissociation: S l,6 Disco. ry as t" '((ro(riat -ra/ o, R , r nc ,or t" E3( ri ntial '((roac" to $ranc
Dr. 2: I &as a&ar t"at t" r & r ,orc s at &ork t"at &o)ld &ak / )(, t"at &o)ld ca)s / to 1 &"at I+/ )s d to 1 in*, E: B)t &"y is t"at a t"r at8 Dr. 2: 7 ll, it &as a*ainst &"at I &ant d. It &as a t"r at, too. E: $"at+s t" &ord yo) ar )sin*. 7"y do yo) say t"r at8 $" r &as an a&ar n ss. Dr. 2: I s . E: B)t t" &ord yo) )s d &as t"r at. It+s 4)st an a&ar n ss, not a t"r at. E) 8e is verbali<ing the for!es that interfere "ith his dis!overing more abo t tran!e. R) 8e kno"s he is o tside his s al frame of referen!e $E. . . "hat *Am sed to beingE'. No"# "hat "ere those Efor!es at "ork that "o ld make me "ake pJE E) 6here are so many for!es) fo!i of attention. R) 6he tenden!y to go into the m ltipli!ity of fo!i of attention !hara!teristi! of normal !ons!io sness is al"ays tending to intr de on the !reative disso!iation "here there are relatively fe"er fo!i. 6hen# "ith the distin!tion yo make bet"een threat and a'areness# yo are > st trying to ed !ate him abo t that a"arenessJ E) 0es. R) ;o ld yo say that modern hypnosis is the dis!overy of other states of a"areness that are there b t not al"ays e%plained in a !ons!io s "ayJ 6he old3time hypnotherapy "as a pro!ess of being dire!tly programmed by someone "ho did m mbo3> mbo on the patient# shook p his frames of referen!e# and then tried to sti!k in ne" st ff. / t in modern "ork "e donAt dare se m mb 3> mbo be!a se that is against the modern s!ientifi! "orld vie". / t dis!overy and self3dis!overy are a!!eptable "ith 7r. MAs frames of referen!eF therefore# "e !an se them to give him ne" states of a"areness. E) * agree.
R) 8e is developing a sensitivity to that. A similar sensation develops in me "hile lying in my hammo!k on a 2 nday afternoonDgetting dro"sy and sensing the n!ons!io s !ome in as daydreamy tho ghts# images# and that !omfortable# easy feeling of deepening rela%ation. 0o reali<e yo m st be going to sleep sin!e yo r body feels so light. E) 0es. GEri!kson no" gives an e%ample from his yo th of lying in the hay on a s nny day and thinking ho" ni!e it "o ld be to go to sleep. 8e heard a !hi!ken !a!kling and "ondered ho" soon the !a!kling "o ld fade a"ay# indi!ating that he "as asleep. 6he !a!kling seemed to get f rther and f rther a"ay as he "ent into sleep.H
$" S)14 cti. E3(loration o, Catal (sy: Distortions o, S)** stions as Indicators o, $ranc
E: I s)((os yo) >Dr. R? o)*"t to dictat into t" r cord &"at yo) "a. o1s r. d. Go a" ad. R: >Dictatin* a s)//ary o, o1s r.ations? $" (roc d)r &as initiat d &" n Dr. Erickson to)c" d Dr. 2+s "and. Dr. 2 &atc" d "is "and &"il Dr. Erickson car ,)lly &atc" d Dr. 2+s y s and ,ac . Dr. 2 s / d to 1 co/ r ally in.ol. d in &atc"in* "is "and. Dr. Erickson sat 1ack, r la3 d, and a,t r a /o/ nt or t&o Dr. 2 clos d "is y s. $" n t" r &as a ,i. 6/in)t ( riod &" r Dr. 2 s / d to 1 4)st si/(ly dri,tin* into tranc , l ttin* "is ri*"t "and "o. r in a catal (tic /ann r. On &o)ld ass)/ 1y Dr. 2+s 1o11in* " ad /o. / nts and alt r d 1r at"in* t"at " &as a((ar ntly do0in*. E: H ad /o. / nts, 1)t " &ant d to /o. "is "and. H "ad t" conc (t o, li,tin* and lo& rin*. B)t " li,t d "is " ad and lo& r d "is " ad 1 ca)s " co)ldn+t * t t" conc (t o, li,tin* ,ro/ "is " ad to "is "and. H &as tryin* to /o. "is "and9 It is lik a c"ild l arnin* to &rit . H tri s to /o. "is "and &it" "is " ad. H r is Dr. 2, an ad)lt, tryin* to /o. "is "and &it" "is " ad9 E) 8e had the !on!ept of lo"ering his hand# b t moved his head instead. R) Re!ently * had a patient "hose hand did not lift very m !h "ith s ggestions for hand levitation# b t her "hole body began to tilt to"ard the hand. * then tili<ed that body3 tilting to !ontin e the ind !tion. *tAs in > st s !h distortions of yo r s ggestions that the patientAs altered state be!ome more obvio sly manifest. 6hat pe! liarly lethargi! and seemingly obstinate !ontrariness of some people in the early stages of learning to e%perien!e tran!e is# in fa!t# a marvelo s indi!ator of a tonomo s pro!esses beginning to take over.
R) ;as he thereby prote!ting the disso!iation in his right handJ E) 8e did not kno" ho" to move his right hand. 8is right hand "as an ob>e!t he had to move "ith his left. B st as yo !an see a baby rea!h for its right hand $seen as an ob>e!t' "ith its left hand. *t takes & ite some time for the baby to see the hand as part of itself. R) 2o disso!iation is a ret rn to those early levels of f n!tioningJ E) 6hatAs right. R) 7oes the disso!iation phenomenon s pport the atavisti! theory of hypnosisJ E) ;o ld yo !all a babyAs !ooing atavisti!J R) No. *t is a matter of terms. 0o donAt like the term ata&istic even tho gh "e are going ba!k to modes of f n!tioning that "ere more prominent earlier in o r livesJ E) 0es# "e are going ba!k to an early learning period# b t not atavisti!. ;hen yo r hand be!omes an ob>e!t# ho" are yo going to handle an ob>e!tJ 0o se the nat ral "ay yo se as an ad lt to handle an alien thing. 6he disso!iation of yo r right hand makes it alien# and yo nat rally pi!k p that alien thing "ith yo r other hand# "hi!h is not alien. 6hat isnAt really primitive be!a se that is "hat yo do all the time. 0o pi!k p a pen!il be!a se it is alien to yo . This is the Experiential ode of Hypnotic Induction. 0o let the s b>e!t e%perien!e his o"n behavior and toy "ith it. *t is an e%periential phenomenon by "hi!h the self tea!hes the self by st dying disso!iated frames of referen!e# frames of referen!e that are nfamiliar. R) 6hese nfamiliar frames of referen!e are "hat many people no" !all altered states of !ons!io sness.
'nal* sia: $ stin* S nsations and Mo. / nts as an E3( ri ntial Rati,ication o, $ranc
Dr. 2: I )s d a1o)t <D (o)nds o, ,orc to /o. /y ri*"t ar/. R: ',t r a1o)t s . n or i*"t /in)t s o, t"at yo) 1 *an (inc"in* yo)r ri*"t "and, t stin* ,or anal* sia. Dr. 2: I , lt &"at it &as doin*, 1)t it &as not (ain,)l. It &as a di/inis" d s nsiti.ity. R: Yo) & r a&ar o, to)c" 1)t not (ain. Dr. 2: I still "a. a littl o, it >anal* sia? l ,t. R: I &as . ry int r st d in yo)r 5) stion a1o)t ,r c"oic . Yo) , lt yo) "ad ,r
c"oic in t" tranc . E: H &as dis()tin* &it" / a1o)t t"at. R: Y s, yo) , Dr. 2: I , l it is an ill)sory ,r c"oic . i, /y *lass s ar t" r 8 l I "a. n+t t st d d ,init ly. It &as a t st &it"in c rtain li/its.
Dr. 2: 7 ll, yo) "a. "ad a li, ti/ o, l a.in* an o14 ct t" r and kno&in* it &ill stay t" r . E: 'nd yo) "a. "ad a li, ti/ o, , t st. lin* at on to)c". B)t yo) k (t on r ( atin* yo)r
E) *t is ridi! lo s "hen he talks of sing 4I po nds of for!e be!a se yo donAt bend one arm "ith the other. 8e didnAt reali<e the abs rdity of it. And yo donAt have to EtestE yo r sensations in the normal state of !ons!io sness. R) *f yo have to test yo r sensations# yo are already in an altered state. E) 0es. R) 2o all these tests and e%plorations are a!t ally e%periential ratifi!ations of tran!e. E) 8e likes this altered state# he doesnAt "ant to do anything to destroy it. 6herefore he is going to p t limits on his tests. 0o see a bea tif l# fragile thing# and yo "ant to feel it# yo lift it# yo to !h it# yo "ant to be very !aref l be!a se yo donAt "ant to break it. R) 6his is the e%perien!e of someone "ho is beginning to learn ho" to e%perien!e tran!e. *t is a fragile state initially# and he is going to be very !aref l he doesnAt break it. :ther "ell3e%perien!ed s b>e!ts donAt have this !on!ern. E) 7r. M has his need to s pport his skepti!ism. R) 8e is still s pporting his skepti!ism "ith all this testing even tho gh it is also a "ay of very gingerly learning ho" to e%perien!e tran!e in a safe "ay. / t "hy does the hand tend to be!ome analgesi! "hen disso!iatedJ E) ;hen the hand be!omes alienD R) DAll the sensations of the hand be!ome alien be!a se they are in a ne" frame of referen!e# and "e donAt kno" ho" to e%perien!e that frame of referen!e yet. *s that rightJ E) 6hatAs right. ;ith a good s b>e!t any frame of referen!e is okay be!a se he or she tr sts s. R) 2o "hen "e bypass o r shift frames of referen!e# "e m st s pport the patient in a safe "ay# and that is s ally the transferen!e. E) :r tr st.
implies that a shift in frame of reference is part of hypnotic induction# doesnAt itJ A ne" sit ation# a ne" frame of referen!e# res lts in an altered state of a"areness. E) 0es. R) 6heoreti!ally yo !o ld ind !e a tran!e simply by asking a patient to sensitively e%plore one hand "ith the other. 6hat "o ld introd !e a fairly n s al frame of referen!eF it "o ld fo! s and fi%ate attention# and then yo are on yo r "ay. E) * have ind !ed tran!e in that "ay. *t "orks. *t is slo"# b t it is very impressive later to the s b>e!t.
F-ak F and t" Sk (tical #i & o, Hy(nosis as a Rationali0ation: Cr ati. Mo/ nts in E. ryday !i, as an 'lt r d Stat
Dr. 2: 'es/ and a part o$ )e anted to )a"e the concl!sion that it that o!ld e6plain it. I as $a"ing it. Dr. 2: I had to ha#e a ay o$ !nderstanding it. as a $a"e/ *eca!se
E: B)t "o& co)ld yo) ,ak it &" n yo) did not kno& &"at &as *oin* to "a(( n8 E: $" asi st &ay is to not )nd rstand and call it a ,ak . $"at+s an a.oidanc o, )nd rstandin*. Dr. 2: Y a", 1)t it satis,i s /y n dro( it. d ,or t" / anti/ . I, I )nd rstand it as a ,ak , I can
E: Yo) can dro( it and t" n not "a. to l arn. A)st as Dr. Har. y &as call d a ,ak r &" n " said t" 1lood circ)lat d. No doctors &ant d to )nd rstand. It &as so /)c" /or co/,orta1l t"inkin* t" 1lood did not circ)lat . Dr. 2: Y s, t" r is an )n&illin*n ss to c"an* a syst / o, kno&l d* . E: 'nd a &illin*n ss to acc (t /a*ic i, yo) don+t "a. to t"ink a1o)t it. Hy(nosis &as a ,or1idd n s)14 ct 1 ca)s it r 5)ir d )nd rstandin*. E) E+art of me "anted to make the !on!l sion that it "as fake.E R) 0es# that is his old skepti!al frame of referen!e. Labeling the e%perien!e as EfakeE "o ld be a safe "ay of rationali<ing it ba!k into his old familiar skepti!al point of vie". E) / t he !o ldnAt# and he kept testing and testing. R) 2o this is the problem of those "ho have the skepti!al vie" abo t hypnoti! phenomenon. 6hey are trying to fit their ne" hypnoti! e%perien!e into their old rationalisti! frame of referen!e. 6hey are denying the reality of their living e%perien!e in order to s pport their old vie"s. E) E* had to have a "ay of nderstanding it.E 6he only vie" that "as open to him "as Efake#E and so he had to test it ntil the fake e%planation didnAt fit. R) ;o ld yo say this "as the problem of many resear!hers of the past generation in hypnosis "ho "ere on the skepti!al end of the !ontin mJ 6hey "ere trying to fit phenomena they did not nderstand into the typi!al rationalisti! frames of referen!e of the 19th !ent ry that in essen!e believed hypnoti! phenomena "ere fake) Nothing b t Emotivated instr !tion#E role3playing# or "hat not. 6hey failed to nderstand the very real str ggle "e are all !onstantly engaged in to stabili<e o r "orld vie" "ith the familiar# "hi!h in t rn m st give "ay to the ne" that is !onstantly !reated "ithin s. ;hen the ne" !omes forth into o r !ons!io sness $Rossi# 19,4'# it is fre& ently e%perien!ed as a threat. *t is in fa!t a threat to o r older frames of referen!e# "hi!h m st no" give "ay to the ne". 6his is the essen!e of the !onstant str ggle of !ons!io sness to rene" itself. 6he a!t al transformation bet"een the old and the ne" s ally takes in an altered state) a dream# a tran!e# a meditative reverie# a moment of inspiration# the !reative moment in everyday life "hen o r s al point of vie" is momentarily s spended so that the ne" !an be!ome manifest "ithin o r !ons!io sness. E) *t r ins a magi!ianAs a!t if he e%plains to yo ho" he did it. 0o Ave taken it o t of the alien frame of referen!e and p t it into the ordinary frame of referen!e. R) *t is the very fa!t that hypnoti! phenomena are in an alien frame of referen!e that allo"s s to bypass the limitations of o r ordinary frames of referen!e d ring tran!e so that "e !an do things "e !o ld not ordinarily do "ith o r everyday ego !ons!io sness.
*f yo rationali<e a"ay the EalienE & ality# yo lose the poten!y of the altered state of tran!e. *s that rightJ E) 0es. 6he best "ay to Enot nderstandE is to !all it a Efake.E *t is an easy "ay o t and an avoidan!e of nderstanding. R) 2o yo Ad say a lot of resear!h p rporting to s pport the skepti!al vie" of hypnosis as an altered state is an avoidan!e of nderstanding. E) 9m3h m. *t is a Efake#E so * !an drop it. * "onAt have to e%er!ise any more intelligen!e. R) 6his reminds me of that diffi! lt sit ation in s!ien!e# parti! larly psy!hology# "here a f ndamentally ne" insight !an !rystalli<e only "hen "e are able to redefine or e%pand o r vie" of "hat something is. (re d gave s profo nd insights into the dynami!s of se% ality# b t he !o ld only do it by !hanging# broadening# o r definition of "hat "as se% al. *n a similar "ay yo !an maintain the vie" of tran!e as an altered state only by e%panding o r definition of an altered state to in!l de those familiar a!ts of daydreaming# reverie# meditation# moments of inspiration# et!.# as being varieties of altered states. Even the moment of radi!ally shifting oneAs point of vie" or frames of referen!e is no" defined as an altered state. 6here is a!t ally m !h > stifi!ation for this# sin!e people are momentarily fro<en in !atalepti! poses d ring s !h !reative moments# > st as they are immobili<ed "hile dreaming and hall !inating. 6here seems to be an inverse relationship bet"een body a!tivity and moments of intense inner "ork. 6hatAs "hy people are typi!ally & iet and immobile d ring the deeper states of tran!e.
then learn to really observe and think. EEri!kson is mysti!al#E they say. R) Rather than really trying to nderstand "hat Eri!kson is doing.
$" E3( ri ntial Rati,ication o, $ranc : 'ss ssin* S nsory6 P rc (t)al Di,, r nc s
Dr. 2: There ere a lot o$ di$$erences. E: 'nd i, yo) &ant d to id nti,y so/ o, t"os di,, r nc s, yo) & r n+t ,akin*. I did not s)** st catal (sy, I 4)st to)c" d yo)r "and in /idair. E) *f he "anted to identify some of those differen!es# he "asnAt faking. R) 6he very fa!t that he is trying to identify them means there is something there. E) And it "as his endeavor# not my instr !tions.
Conscio)s Con.iction and t" Rati,ication &it" 'lt r d S nsations and Mo. / nt
Dr. 2: It+s /)c" asi r ,or / to acc (t t" anal* sia. Ha.in* t st d it t"at &ay s . ry satis,yin*. I 1 li . only <L ( rc nt in t" catal (sy and MD ( rc nt on t" anal* sia. E: Yo) don+t dis()t &it" (ati nts &" n yo) s t" / r s(ondin*. R: Yo) don+t ar*) &it" t" sk (ticis/ o, t" ir conscio)s /ind r *ardin* t" * n)in n ss o, t" "y(notic (" no/ non t" y "a. 4)st 3( ri nc d. E: $oo /any ( o(l &"o )s "y(nosis try to ar*) &it" t"at sk (ticis/. I don+t 1ot" r. $"at is (art o, /y (r sti* GI 4)st don+t ar*) . R: Conscio)s con.iction is so/ t"in* t"at is *oin* to "a. to co/ o)t o, t" ir o&n 3( ri nc *rad)ally. E: $"at+s ri*"t. I can+t ()t it t" r . Dr. 2: I+/ /)c" /or con.inc d t"is s cond ti/ . $" ,irst ti/ I &as only =D ( rc nt s)r . R: I notic d t"at yo) 3( ri nc d t"r catal (si s in all, and t" t"ird &as t" /ost strikin* to s . $" ,irst r 5)ir d so/ s)((ort, &it" yo)r "and to)c"in* yo)r l *B t" s cond &as not as solid as t" t"ird, &" n yo)r ar/ r /ain d ri*id in /idair . n &" n yo) tri d to /o. it &it" yo)r ot" r "and. E: Yo) 1)ild yo)r con,id nc . R: >$o E? $" catal (sy s / d to 1 co/ /or * n)in as " 1 *an to t st it. It 1 ca/ /or solidly sta1lis" d as catal (sy as " tri d to /o. t"at ri*"t "and &it" "is l ,t. Is t"at tr) o, ot" rs8 E: $"at &as "is 3( ri nc . Ot" rs si/(ly acc (t it &it" no 5) stion. R: $" ir conscio)s /inds "a. a *ood r c (ti.ity to t" ir inn r 3( ri nc s. E) :nly 4. per!ent belief in !atalepsy# yet he has m s!les. 8e has had long e%perien!e in gro"ing and sing his m s!les# b t ho" m !h f ss do "e make abo t developing o r ability to test sensationsJ ;e a!!ept sensations# b t "e learn to develop o r !ontrol over o r m s!les. R) 6hat a!!o nts for the 4.39I per!ent dis!repan!y. 2ensation seems to !ome by itself# and "hen it disappears# it is more startling to sF therefore he has 9I per!ent /s
belief in hypnosis "ith analgesia. / t m s!le !ontrol is vol ntary# and th s he has only 4. per!ent belief in !atalepsy. 2ensations are !loser to a tonomo s levels of f n!tioning# so "hen "e see a !hange there# it is more !onvin!ing. E) 6hatAs right. * donAt arg e# * take their frame of referen!eDin the dire!tion * "ant it to go. 0o let yo r s b>e!ts see everything. R) And the more they see# the more they !an be!ome !onvin!ed.
Stat s
R) Can yo say anything abo t the ho" or "hy of disso!iation and ho" it "orks in yo r e%periential approa!h to altered statesJ E) 6he n!ons!io s has many fo!i of attention# and "hen yo "ithdra" that from any part of yo r body# yo donAt destroy yo r intelle!t al# !ons!io s !omprehension of that part# b t it be!omes an ob>e!t be!a se the n!ons!io s fo!i of attention are "ithdra"n. R) 6he psy!hoanalyst "o ld say that t" )s)al )nconscio)s body cat" 3is is "ithdra"n $(edern# 19I4'. :bserving yo r "ork# *Ave been str !k by the e%tremely attentive and e%pe!tant attit de yo sho"er on patients. 2ome of them have later !ommented to me abo t ho" moved they felt "ith yo r deeply sear!hing eyes and manner. * "onder if this e%pe!tant attit de !ontrib tes to the ease "ith "hi!h yo eli!it disso!iation in yo r hypnoti! "ork. 0o r e%pe!tant attit de immediately !hanges the atmosphere so that it is strikingly different from ordinary everyday life e%perien!eF it pla!es the patient in a ne" frame of referen!e !harged "ith an e%pe!tan!y that he is familiar "ith. 8is ego be!omes n!ertain and no" has to ree%amine even the most familiar a!ts from this ne" point of vie". 6his ne" point of vie" is# of !o rse# strange and alien at first# and it is pre!isely this strange and alien feeling !ombined "ith his n!ertainty and the apparent a tonomy of his ordinary a!ts that makes them seem different or Ehypnoti!.E 6he ego loses its s al sense of !ontrol "hen pla!ed in the n s al frame of referen!e of Ehypnotherapy#E and that permits the patientAs n!ons!io s or the therapist to fill in that gap. 6his !o ld also a!!o nt for the poten!y of EstrangeE gest res and atmospheres in religio s and magi!al !eremonies as "ell as the poten!y of any !harlatan "ho s !!eeds in mystifying an a dien!e "ith a bit of m mbo3> mbo. (or e%ample# * on!e "at!hed a stage hypnotist "ho divided his a!t into t"o parts. 7 ring the first half he simply performed a n mber of magi!al tri!ks) 8e began "ith the rabbit3o t3of3hat type tri!k# and then progressed to Eama<ingE feats of memory and mind reading. 8e "as really good# and *Ad be at a loss trying to fig re o t ho" he performed them. 6hen the or!hestra played a fe" t nes "hile his assistant removed the magi!al props# and finally# "ith a !res!endo of m si! and an atmosphere of high e%pe!tation# it "as anno n!ed that no" he "o ld do the hypnosis. :f !o rse the a dien!e "as by no" ready to believe anythingF all their s al frames of referen!e "ere temporarily s spended# and he "as highly s !!essf l in eli!iting many hypnoti! phenomena from vol nteers he first !aref lly sele!ted from the a dien!e "ith a fe" s ggestibility tests like the hand3lo!k and invol ntary hand movements. 8is m mbo3> mbo# his bag of magi!al st nts# a!t ally fi%ated and in part s spended the s al !ons!io s sets of the a dien!e. 6he ama<ing and n s al s spends and bypasses the frame of referen!e "hi!h gives s o r s al reality sense. ;hen this generali<ed reality orientation goes# normal ego !ontrol goes. ;hen normal ego !ontrol goes# the n!ons!io s !omes in a tonomo sly to fill the gap. 6he therapist !an also step in at this point and evoke pro!esses that "o ld not be possible for the patient in his s al frames of referen!e. A flo" diagram adapted from o r previo s form lation $Eri!kson @ Rossi# 19,9' "o ld go some"hat as follo"s)
1. (i%ation of Attention
via
9tili<ing the patientAs beliefs and behavior for fo! sing attention on inner realities. +resentation of the strange# n s al and Eama<ing.E
via
7istra!tion# sho!k# s rprise# Emagi!#E do bt# !onf sion# disso!iation# or any other pro!ess that interr pts the patientAs habit al frame"orks. :rdinary ENormalE a"areness is disr pted.
1. 9n!ons!io s sear!h
via
*mpli!ations# & estions# p ns# and other indire!t forms of hypnoti! s ggestion. 7ire!t s ggestions are more likely to be a!!epted be!a se of the disr ption and gap in ordinary a"areness.
-. 9n!ons!io s pro!ess
via
I. 8ypnoti! Repsonse
via
An e%pression of behavioral potentials that are e%perien!ed as taking pla!e a tonomo sly.
9s ally it is no longer appropriate for the modern hypnotherapist to se tri!ks or the vario s forms of m mbo3> mbo to fi%ate attention and s spend a patientAs s al frames of referen!e. (or a "ell3ed !ated s b>e!t like 7r. M# therefore# yo se yo r attit de of intense interest and e%pe!tan!y abo t his inner e%ploration to fi%ate his attention and s spend his s al frames of referen!e. (rom that point on the pro!ess is as diagrammed above. E%ploring self3e%perien!e in a ne" "ay# in an n s al !onte%t# repla!es the older forms of m mbo3> mbo to initiate hypnoti! phenomenon. 7oes that make sense to yo J
E) 0es. GEri!kson demonstrates a sleight3of3hand tri!k "here he apparently loses his th mb and then finds it in a dra"er and atta!hes it again to his hand.H 6he !hild "at!hes yo do that# and then he tries to do it by p lling at his th mb. 8e has seen yo do it. 6hat is a "orld of magi! for a !hild. ;hen yo have an intelle!t al s b>e!t# yo sti!k to the intelle!t al. 6hat is "hat he "ill nderstand and "ill a!!ept. 0o have to fit yo r te!hni& e to the patientAs frame of referen!e.
<. ! arnin* Indir ct Co//)nication: -ra/ s o, R , r nc , M tal . ls, and Psyc"ot" ra(y
E) ;hen * first began the st dy of hypnosis# * "ondered greatly abo t verbal te!hni& e. 0o take a s b>e!t in the present time# and yo Are offering him ideas that are to affe!t his f t re. 0o Are also to distra!t his mind from the present. And yo Are to take his mind a"ay from s rro nding reality and dire!t it to his inner "orld of e%perien!e. :ne of my first & estions "as# 8o" do yo move the patientAs attention a"ay from the immediate present and the immediate reality to the f t re and to f t re a!tivities not yet kno"n or not yet even tho ght abo tJ And so * began trying to "rite o t a verbal te!hni& e in "hi!h * !o ld mention the present and define very e%a!tly "hat * mean by the immediate reality sit ation. 6hen * make a referen!e to the f t re as if the f t re "ere in the remote f t re. And then * "orked o t phrases by "hi!h that remote f t re be!ame !loser and !loser and !loser to the immediate moment. /y doing that# the s b>e!t had no opport nity to resist the fa!t that there is a ne%t "eek and ne%t (riday# ne%t 6h rsday# ne%t ;ednesday# ne%t 6 esday# ne%t =onday# the ne%t afternoon# the ne%t forenoon. And * b ild p an a!!eptan!e
of all those statements of the f t re be!a se * deprive him of the privilege# of the right# of the possibility of disp ting that f t re. * bring the remote f t re !loser and !loser to the present. $2ee E6he =ethod Employed to (orm late a Comple% 2tory for the *nd !tion of an E%perimental Ne rosis in a 8ypnoti! 2 b>e!t#E Eri!kson# 19--.' * "orked o t a total of 1. pages single3spa!ed# type"ritten verbali<ation for the ind !tion of hand levitation# or the ind !tion of regression# or the ind !tion of hall !inations. 6hen * began refining that 1. pages do"n to 4I pages# 4. pages# 1I pages# 1. pages# five pages# sele!ting the phrasing that seemed to be the a!t ally effe!tive phrasing that enabled me to b ild p an a tomati! response of patient behavior. * tried that on a lot of fello" st dents# all 1. pages# 4I pages# and so on. *t is a marvelo s e%perien!e. Anybody "ho does that learns a great deal abo t the "ay they are thinking. As they nderstand the "ay they are thinking# they have to entertain the idea of ho" the other fello" thinks in relation to these "ords. *n that "ay yo learn to respe!t the frame of reference of the other person. ;hen yo are doing psy!hotherapy# yo listen to "hat the patients say# yo se their "ords# and yo !an nderstand those "ords. 0o !an pla!e yo r o"n meaning on those "ords# b t the real & estion is "hat is the meaning that a patient pla!es on those "ords. 0o !annot kno" be!a se yo do not kno" the patientAs frame of referen!e. A yo ng man says# E*tAs a ni!e day today.E 8is frame of referen!e is a pi!ni! "ith his s"eetheart. A farmer says# E*t is a ni!e day today.E 8is frame of referen!e is that it is a good day to mo" hay. 6he yo ng manAs frame of referen!e "as his o"n s b>e!tive pleas re# the farmerAs "as the "ork he did in relation to hard reality. R) 6hey sed identi!al "ords "ith entirely different meanings# entirely different frames of referen!e. E) 6otally different meanings# yet yo !o ld nderstand them "hen yo kne" their frame of referen!e. R) 2o the therapist is al"ays "orking "ith a frame of referen!e rather than the a!t al "ords. *n hypnotherapy# "hen yo are talking to a patient# yo are a!t ally addressing his frame of referen!e. E) 0o are dealing "ith his frame of referen!e. R) 0o r "ords are !hanging his frame of referen!eJ E) 0o are sing his o"n "ords to alter the patientAs a!!ess to his vario s frames of referen!e R) 6hatAs the therape ti! response) gaining a!!ess to a ne" frame of referen!e. E) 0es# getting a ne" frame of referen!e. R) A patient is a patient be!a se he does not kno" ho" to se his different frames of referen!e in a skillf l mannerF * believe these frames of referen!e are a!t ally metalevals of !omm ni!ation. /ateson $19,4' has des!ribed meta!omm ni!ation as !omm ni!ation $on a higher or se!ondary level' abo t !omm ni!ation $on a lo"er or primary level'. 2imilarly# "e may vie" a frame of referen!e as a metastr !t re that gives meaning to "ords on the primary level. 6he metalevels are s ally n!ons!io s. 0o are al"ays dealing "ith these n!ons!io s metalevels of !omm ni!ation# sin!e they are the determiners of meaning on the primary level in !ons!io sness. 6hese metalevels of !omm ni!ation "ere fo nd ne!essary by ;hitehead and R ssell in their mon mental "ork# athematica 0rincipea $191.'# to resolve many of the parado%es that arose in the fo ndations of logi! and mathemati!s "hen "e "ere limited to only one primary level of dis!o rse. Carnap developed a !al! l s of these m ltiple levels of !omm ni!ation "ithin logi! in his Logical Syntax of Language $19I9'. * have previo sly ill strated in some detail ho" dreams tili<e m ltiple levels of !omm ni!ation to !ope "ith psy!hologi!al problems $Rossi# 19,4# 19,1!'. +sy!hologi!al problems have their genesis in the limitations of a !ons!io sness that is restri!ted to one primary level of f n!tioning.
* no" s spe!t that yo are doing the same thing "ith hypnosis. Cons!io sness on a primary level is st !k "ithin the limitations of "hatever belief system $frame of referen!e# metalevel of !omm ni!ation' is giving meaning to its !ontents. Cons!io sness at any given moment is limited to "hatever is "ithin its fo! s of a"areness# and it !an manip late only these !ontents "ithin its fo! s on its o"n level. Cons!io sness !annot rea!h p and !hange the metastr !t res# giving meaning to its !ontentsF !ontents on the primary level !annot alter !ontents on a se!ondary level above itF it is the se!ondary or metalevel that str !t res and gives meaning to the primary. 6h s "e may say that a patient is one "ho e%perien!es the lo! s of his problem on the !ons!io s or primary level# sin!e he !annot make the !ontents of his !ons!io s everyday e%perien!e "hat he "ants them to be. 8e !omes to the therapist and is really saying# E8elp# help me "ith my metalevels# my frames of referen!e# so that * "ill e%perien!e more !omfort $adaptation# happiness# !reativity# or "hatever' on my primary level of !ons!io s e%perien!e. * !annot !hange my o"n !ons!io s e%perien!e be!a se it is being determined by metastr !t res o tside the range of my o"n !ons!io s !ontrol. 2o# 7o!tor# "ill yo please "ork "ith my metastr !t res p there so * !an e%perien!e some relief do"n hereJE ;ith yo r indire!t approa!hes yo are attempting to deal "ith str !t re on these metalevels rather than the primary level of !ons!io s e%perien!e. 6he patients s ally do not kno" "hat yo are doing be!a se they are limited by the fo!al nat re of !ons!io sness to the !ontents on their primary levels of a"areness. At present yo are doing this some"hat as an art form. 6o make left3hemispheri! s!ien!e of this in the f t re# * believe "e "o ld need psy!hologists trained in symboli! logi! to analy<e the paradigms "hereby yo deal dire!tly "ith a patientAs metastr !t res. 6hen "e "ill be able to analy<e and o tline those synta!ti!al# semanti!# and pragmati! paradigms of semioti! that are f ndamental in !oping "ith metalevels. 6hese paradigms !o ld then be tested empiri!ally in a !ont rolled and systemati! fashion. $2ee E6he *ndire!t (orms of 2 ggestionE in ?ol. * of The Collected 0apers of ilton H. Erickson on Hypnosis# 198.# for o r initial effort to tili<e symboli! logi! in the form lation of s ggestionsF see also ;hite# 19,9.' Alternatively# "e may find that these metalevels are a!t ally right3hemispheri! styles of !oping that have a pe! liar logi! of their o"n in the form of symbols# imagery# and all the nonrational forms of life e%perien!e that have been int itively re!ogni<ed as healing. *n this !ase "e need to develop a right3hemispheri! s!ien!e of "hat in the past has been the domain of mysti!ism# art# and the spirit al modes of healing.
RE-ERENCES
')t"ors+ Not : /elo" referen!es for Eri!kson and Eri!kson @ Rossi !an also be fo nd in the fo r vol mes of 6he Colle!ted +apers of =ilton 8. Eri!kson on 8ypnosis $Ne" 0ork) *rvington + blishers# 198.') ?ol me 1) :n the nat re of hypnosis and s ggestion ?ol me 4) 8ypnoti! alteration of sensory# per!ept al and psy!hophysi!al pro!esses ?ol me 1) 6he hypnoti! investigation of psy!ho dynami! pro!esses ?ol me -) 8ypnotherapy) *nnovative approa!hes (or a !omplete listing of the arti!les in ea!h vol me# see Contents and Appendi% 1 in ?ol me 1. /akan# +. 8ypnoti<ability# laterality of eye3movements# and f n!tional brain asymmetry. +er!ept al and =otor 2kills# 1959# 48# 94,3914. /andler# R.# @ Crinder# B. +atterns of the hypnoti! te!hni& es of =ilton 8. Eri!kson# =.7. $?ol. 1'. C pertino# Calif.) =eta + bli!ations# 19,I. /arber# 6. 8ypnosis) A s!ientifi! approa!h. Ne" 0ork) ?an Nostrand Reinhold# 1959. /ateson# C. 2teps to an e!ology of mind. Ne" 0ork) /allantine# 19,4. /ateson# C. =ind and nat re. Ne" 0ork) 7 tton# 19,9. /ernheim# 8. 2 ggestive therape ti!s) A treatise on the nat re and ses of hypnotism. ;estport# Conn.) Asso!iated /ooksellers# 19I,. $:riginally p blished# Ne" 0ork) + tnam# 1885# C. A. 8erter# =.7.# trans.' /ird"histell# R. *ntrod !tion to kinesi!s. Lo isville# Oy.) 9niversity of Lo isville +ress# 19I4. /ird"histell# R. Oinesi!s and !onte%t. +hiladelphia) 9niversity of +ennsylvania +ress# 19,1. /ohm# 7. *ntervie". /rainN=ind / lletin# 19,,# 4# 41. /raid# B. 6he po"er of the mind over the body. London) Ch r!hill +ress# 18-5. /raid# B. 6he physiology of fas!ination of the !riti!s !riti!ised. =an!hester# England) Crant @ Co.# 18II. /re er# B.# @ (re d# 2. 2t dies on hysteria $B. 2tra!hey# Ed. and trans.'. Ne" 0ork) /asi! /ooks# 19I,. $:riginally p blished# 189I.' Carnap# R. Logi!al synta% of lang age. +aterson# Ne" Bersey) Littlefield# Adams# 19I9. Changea %# B.# @ =ikoshiba# O. Ceneti! and Eepigeneti!E fa!tors reg lating synapse formation in vertebrate !erebell m and ne 3rom s! lar > n!tion. +rogress in /rain Resear!h# 19,8# -8# -1355. Char!ot# B. Note s r les divers etats nerve % determines par (hypnoti<ation s r les hystero3epilepti& es. C. R. de *AA!ad des 2!ien!es# +aris# 1884. Chevre l# =. 7e la bag ette divinatorie. +aris) =allet3Ri!helie # 18I-. Cheek# 7. 9n!ons!io s per!eptions of meaningf l so nds d ring s rgi!al anesthesia as revealed nder hypnosis. Ameri!an Bo rnal of Clini!al 8ypnosis# 19I9# 1# 1.13111. Cheek# 7. Removal of s b!ons!io s resistan!e to hypnosis sing ideomotor & estioning te!hni& es. Ameri!an Bo rnal of Clini!al 8ypnosis# 195.# 1# 1.131.,. Cheek# 7. 6he meaning of !ontin ed hearing sense nder general !hemo3 anesthesia) A progress report and a report of a !ase. Ameri!an Bo rnal of Clini!al 8ypnosis# 1955# -# 4,I348.. Cheek# 7. Comm ni!ation "ith the !riti!ally ill. Ameri!an Bo rnal of Clini!al 8ypnosis# 1959#14# ,I38I.$a' Cheek# 7. 2ignifi!an!e of dreams in initiating premat re labor. Ameri!an Bo rnal of Clini!al 8ypnosis# 1959#14# I31I.$b' Cheek# 7. 2e& ential head and sho lder movements appearing "ith age regression in hypnosis to birth. Ameri!an Bo rnal of Clini!al 8ypnosis# 19,-#15# 4513455. Cheek# 7.# @ LeCron# L. Clini!al hypnotherapy. Ne" 0ork) Cr ne @ 2tratton# 1958. 7ar"in# C. 6he e%pression of emotions in man and animals $"ith a +refa!e by =argaret =ead'. Ne" 0ork) +hilosophi!al Library# 19II. $A thori<ed ed.# originally p blished# 18,4.' 7ement# ;. 2ome m st "at!h "hile some m st sleep. Ne" 0ork) Norton# 19,8. Eri!kson# =. 6he method employed to form late a !omple% story for the ind !tion of an e%perimental ne rosis in a hypnoti! s b>e!t. Bo rnal of Ceneral +sy!hology# 19--# 11# 5,38-. Eri!kson# =. 8ypnoti! psy!hotherapy. 6he =edi!al Clini!s of North
Ameri!a# 19-8# I,13I81. Eri!kson# =. +se do3orientation in time as a hypnotherape ti! pro!ed re. Bo rnal of Clini!al and E%perimental 8ypnosis# 19I-# 4# 4513481. Eri!kson# =. Nat ralisti! te!hni& es of hypnosis. Ameri!an Bo rnal of Clini!al 8ypnosis# 19I8#1# 138. Eri!kson# =. 8istori!al note on the hand levitation and other ideomotor te!hni& es. Ameri!an Bo rnal of Clini!al 8ypnosis# 1951# 1# 1953199. Eri!kson# =. A hypnoti! te!hni& e for resistant patients. Ameri!an Bo rnal of Clini!al 8ypnosis# 195-#,# 8384.$a' Eri!kson# =. +antomime te!hni& es in hypnosis and the impli!ations. Ameri!an Bo rnal of Clini!al 8ypnosis# 195-# ,# 5I3,..$b' Eri!kson# =. 6he !olle!ted papers of =ilton 8. Eri!kson on hypnosis $- vols.'. Edited by Ernest L. Rossi. Ne" 0ork) *rvington + blishers# 198.. Eri!kson# =.# @ Eri!kson# E. Con!erning the !hara!ter of posthypnoti! behavior. Bo rnal of Ceneral +sy!hology# 19-1# 4# 9-3111. Eri!kson# =.# 8aley# B.# @ ;eakland# B. A trans!ript of a tran!e ind !tion "ith !ommentary. Ameri!an Bo rnal of Clini!al 8ypnosis# 19I9# 4# -938-. Eri!kson# =.# @ Rossi# E. ?arieties of hypnoti! amnesia. Ameri!an Bo rnal of Clini!al 8ypnosis# 19,-#15# 44I3419. Eri!kson# =.# @ Rossi# E. ?arieties of do ble bind. Ameri!an Bo rnal of Clini!al 8ypnosis# 19,I#1,# 1-131I,. Eri!kson# =.# @ Rossi# E. 6"o3level !omm ni!ation and the mi!ro3dynami!s of tran!e. Ameri!an Bo rnal of Clini!al 8ypnosis# 19,5# 18# 1I131,1. Eri!kson# =.# @ Rossi# E. A tohypnoti! e%perien!es of =ilton 8. Eri!kson. Ameri!an Bo rnal of Clini!al 8ypnosis# 19,,# 4.# 153I-. Eri!kson# =.# @ Rossi# E. 8ypnotherapy) An e%ploratory !asebook. Ne" 0ork) *rvington + blishers# 19,9. Eri!kson# =.# Rossi# E.# @ Rossi# 2. 8ypnoti! realities. Ne" 0ork) *rvington + blishers# 19,5. Esdaile# B. =esmerism in *ndia and its pra!ti!al appli!ation in s rgery and medi!ine. 8artford# Conn.) 2. Andr s @ 2on# 18I.. $Rep blished and retitled) 8ypnosis in medi!ine and s rgery. An introd !tion and s pplemental reports on hypnoanesthesia by ;. Oroger. Ne" 0ork) B lian +ress# 19I,.' (ast# B. /ody lang age. Ne" 0ork) =. Evans# 19,.. (edern# +. Ego psy!hology and the psy!hoses. Ne" 0ork) /asi! /ooks# 19I4. Coffman# E. Relations in p bli!) =i!rost dies of the p bli! order. Ne" 0ork) /asi! /ooks# 19,1. Coleman# 7.# @ 7avidson# R. Cons!io sness) /rain# states of a"areness and mysti!ism. Ne" 0ork) 8arper @ Ro"# 19,9. Creeno gh# ;.# @ B raska# B. 2ynapti! pr ning. +sy!hology 6oday# B ly 19,9# p. 14.. Crinder# R.# 7elo<ier# B.# @ /andler# R. +atterns of the hypnoti! te!hni& es of =ilton 8. Eri!kson# =.7. $?ol. 4'. C pertino# Calif.) =eta + bli!ations# 19,,. 8aley# B. Advan!ed te!hni& es of hypnosis and therapy) 2ele!ted papers of =ilton 8. Eri!kson# =.7. Ne" 0ork) Cr ne @ 2tratton# 195,. 8allet# B.# @ +elle# A. Animal kitab . Ne" 0ork) (a"!ett Crest# 195,. 8iatt# B.# @ Oripke# 7. 9ltradian rhythms in "aking gastri! a!tivity. +sy!hosomati! =edi!ine# 19,I# 1,# 14.314I. 8ilgard# E. 8ypnoti! 2 s!eptibility. Ne" 0ork) 8ar!o rt /r !e @ ;orld# 195I. 8 bel# 7.# ;iesel# 6.# @ Le?ay# 2. +lasti!ity of o! lar dominan!e !ol mns in monkey striate !orte%. +hilosophi!al 6ransa!tions of the Royal 2o!iety# 2er. /# 19,,# 4,8# 1,,3-.9. 8 ll# C. 8ypnosis and s ggestibility) An e%perimental approa!h. Ne" 0ork) Appleton3Cent ry# 1911. B ng# C. Colle!ted "orks. +rin!eton) +rin!eton 9niversity +ress# /ollingen 2eries LL. Edited by 2ir 8erbert Read# =i!hael (ordham# =.7.# and Cerhard Adler# +h.7. 6ranslated by R. (. C. 8 ll. ?ol. 5) +sy!hologi!al types# 19,1. ?ol. ,) 6"o essays on analyti!al psy!hology# 19I1. ?ol. 8) 6he str !t re and dynami!s of the psy!he# 195.. ?ol. 9) Ar!hetypes of the !olle!tive n!ons!io s $+art *'# 19I9. ?ol. 14) +sy!hology and al!hemy# 19I1. ?ol. 11) Al!hemi!al st dies# 195,. ?ol. l-)=ysteri m !oni n!tionis# 1951. ?ol. 18) 6he symboli! life# 19,5. $;illiam =!C ire# E%e! tive Editor' LeCron# L. A hypnoti! te!hni& e for n!overing n!ons!io s material. Bo rnal of Clini!al and E%perimental 8ypnosis# 19I-# 4# ,53,9. LeCron# L. A st dy of age regression
nder hypnosis. *n L. LeCron $Ed.'# E%perimental hypnosis# Ne" 0ork) Citadel# 195I. L d"ig# A. An histori!al s rvey of the early roots of mesmerism. *nternational Bo rnal of Clini!al and E%perimental 8ypnosis# 195-#14# 4.I341,. =ile!hnin# A. 6he +avlovian syndrome) A tran!e state developing in starvation vi!tims. Ameri!an Bo rnal of Clini!al 8ypnosis# 1954# -# 1543158. =iller# C.# Calanter# E.# @ +ribram# O. 6he plans and str !t re of behavior. Ne" 0ork) 8olt# Rinehart @ ;inston# 195.. =oore# A.# @ Amstey# =. 6oni! immobility) +art **. Effe!ts of mother3 neonate separation. Bo rnal of Ne ropsy!hiatry# 1951# -# 11831--. +ribram# O. Lang ages of the brain) E%perimental parado%es and prin!iples in ne ropsy!hology. =onterey# Calif.) /rooksNCole# 19,1. +ribram# O. ;hat the f ss is all abo t. Revision# 19,8#1# 1-318. Ravit<# L. 8istory# meas rement# and appli!ability of periodi! !hanges in the ele!tromagneti! field in health and disease. Ameri!an Ar!hives of Ne" 0ork 2!ien!e# 1954# 98# 11--314.1. Ravit<# L. Ele!tro dynami! man en!aps lated. +aper presented at the 15th ann al meeting# Ameri!an 2o!iety of Clini!al 8ypnosis# 6oronto# :ntario# 19,1. Rossi# E. 7reams and the gro"th of personality) E%panding a"areness in psy!hotherapy. Ne" 0ork) +ergamon# 19,4. Rossi# E. 6he dream3protein hypothesis. Ameri!an Bo rnal in +sy!hiatry# 19,1#11.# 1.9-31.9,.$a' Rossi# E. +sy!hologi!al sho!ks and !reative moments in psy!hotherapy. Ameri!an Bo rnal of Clini!al 8ypnosis# 19,1#15# 9344.$b' Rossi# E. +sy!hosynthesis and the ne" biology of dreams and psy!hotherapy. Ameri!an Bo rnal of +sy!hotherapy# 19,1# 4,# 1-3-1.$!' Rossi# E. 6he !erebral hemispheres in analyti!al psy!hology. Bo rnal of Analyti!al +sy!hology# 19,,# 44# 143I1. 2hor# R. 8ypnosis and the !on!ept of the generali<ed reality3orientation. Ameri!an Bo rnal of +sy!hotherapy# 19I9#11# I8435.4. 2h lik# A. Right3 vers s left3hemispheri! !omm ni!ation styles in hypnoti! ind !tions and the fa!ilitation of hypnoti! tran!e. 9np blished do!toral dissertation# California 2!hool of +rofessional +sy!hology# (resno# 19,9. 2idis# /. 6he psy!hology of s ggestion. Ne" 0ork) Appleton# 1898. 2nyder# E. 8ypnoti! poetry. +hiladelphia) 9niversity of +ennsylvania +ress# 191.. 6art# C. =eas ring the depth of an altered state of !ons!io sness# "ith parti! lar referen!e to self3 report s!ales of hypnoti! depth. *n E. (romm @ R. 2hor $Eds.'# 8ypnosis) Resear!h developments and perspe!tives. Chi!ago) Aldine + blishing# 19,4# --I3-,,. 6intero"# =. (o ndations of hypnosis. 2pringfield# 111.) Charles C. 6homas# 19,.. ?olgyesi# (. 8ypnosis in man and animals $4nd ed.'. Los Angeles) ;ilshire /ooks# 1958. $Revised in !ollaboration "ith C. Ol m3bies.' ;atson# B. +sy!hology from the standpoint of a behaviorist. +hiladelphia) Lippin!ott# 1919. ;at<la"i!k# +. 6he lang age of !hange. Ne" 0ork) /asi! /ooks# 19,8. ;ta<la"i!k# +.# /eavin# A.# @ Ba!kson# 7. +ragmati!s of h man !omm ni!ation. Ne" 0ork) Norton# 195,. ;at<la"i!k# +.# ;eakland# B.# @ (is!h# R. Change. Ne" 0ork) Norton# 19,-. ;eber# R. 6he enfolding3 nfolding niverse) A !onversation "ith 7avid /onm. Revision# 19,8# 1# 4-3 I1. ;eit<enhoffer# A. 8ypnotism) An ob>e!tive st dy in s ggestibility. Ne" 0ork) ;iley# 19I1. ;eit<enhoffer# A. Ceneral te!hni& es of hypnotism. Ne" 0ork) Cr ne @ 2tratton# 19I,. ;hite# 7. Eri!ksonian hypnotherape ti! approa!hes) A !ase st dy of the treatment of obesity sing indire!t forms of s ggestion. 9np blished do!toral dissertation# 9. 2. *nternational 9niversity# 2an 7iego# 19,9. ;hitehead# A.# @ R ssell# /. +rin!ipia mathemati!a. Cambridge) Cambridge 9niversity +ress# 191..