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Since the death of Milton Erickson, many myths have been perpetuaied aboui his
style of therapy. These myths include I he belief t hat hypnotic suggestions should
always be permissive and direct, that metaphor was the primar y Eric k son tech-
nique, that the therapist should simply iru si the spontaneit y of his/her uncon-
scious. that therapy must be conducted differently with every patient, and t hat
magic al hypnotic formulas may be followed for instant success. In evaluating
these myths, reference is made to the writings of Erickson and the consultative
opinions of the four individuals who studied most intensively with Erickson over a
period of many years: Jay Haley. Kay Thompson, Robert Pearson, and Ernest
Rossi. The author calls for an end to cultism, encourages the e xpression of per-
sonal preferences rather than making authoritative interpretations about the cor-
rect “Ericksonian Therapy,” and calls for an eclectic hypnotic approach char-
acterized by openness to learning from all sources.
with Erickson and his actual therapeutic why did you Iell the story” queried the
work: Jay Haley, Kay Thompson, Robert baffled student. Erickson smiled. “I just
Pearson and Ernest Rossi. thought it was an interesting story about
good therapy!”
The Evolution of M ytholog y There were many times when Erickson
meant to communicate on multiple levels.
Milton Erickson was a brilliant t herapist However, because of his reputation for the
who dared to be innovative and different. use of subt le, indirect techniques,
His powers of observation and his reputa- students came to his teaching seminars
tion for creativel y by passing resistance expecting this mode of operation. The y
through utilization and indirection became recorded the seminars, afterwards
legendary. Fol k tales spread about his ther- analyzing and reading in a great deal.
apeutic feat s, and many of the unique and Unfortunatel y, what stu- dents witnessed
interesting cases of his career were pub- was a retired, seriously ill, old man. Toda y
lished (Haley, 1973). By his retiremenl, he many regard it as a badge of honor to say
was so famou s t hat numerou s st udent s that one “ studied ” with Erickson. Even h
fiocked to Phoenix to study his methods. ypnosis centers aligned with people w ho
Con sequent 1 y, des pi te serio u s1 y fa il st rongl y clashed wit h Erickson are now
ing health, in the last years of his life he gave being named after him, thereby
teaching seminars in his home. Like many capitalizing on his reputalion. In the vast
older men, Erickson enjoyed reminiscing majorit y of cases, having “slud- ied” or
with siories about his unique experiences. been “trained” by Milton Eric k son merel
At one such teaching seminar, eager stu- y means that the person list ened to him
dents assembled and I istened with greal for several afternoons as part of a lar- ger
anticipat ion. Alt hough ham pered b y group. This does not, however, keep many
numerous ail ments and partial paral ysis, he of these people from authoring books and
interspersed hypnotic inductions with his sponsoring training and supervision on
“teaching tales.” At one point, Eric kson “Ericksonian H ypnotherapy.”
told a story about a former patient. Aíread y Thompson, an associate and friend of
entranced by his legendar y re put at ion, Erickson for over 27 years, feels
some student s went into trance, others who particular- ly strongl y about this. “I firml
were unable lo hear well dozed off (and la- y believe that lhe people who are most
ter called it trance), and still ot hers endea- profiting from his death are Ihose who
vored consciousl y to analyze the story for never would have done so from his life.
multiple, hidden messages. At the conclu- Many people feel free to interpret him
sion of the story, one brave student ques- now t hai they can do so with- out fear of
tioned him. “Were you directing the story refutation. lt appears to be mosl- ly lhose
to someone in the grou p for whom you individuals who only had exposure to
sensed it was relevanl?” “No,” he replied. Erickson in the later years of his life who
“Were there several of us t hat you fel t feel t he need to e x p1 ain him and h
needed to examine something illustrated in is theories, and lo make a livÍng from i he
the story?” “No.” “Were you hoping to ex- planations. Those individuals who
fíxate our attention as an indirect hypnotic knew him when he was vibrant and
ind uc li on ?’ N o.’ Wel 1, was it a powerful would not presume to do that”
metaphor meant to convey something at (Thompson, Note I ).
unconscious levels?” “No. ” “Well, then, Even individual s who diligentl y spent
longer periods of time with Erickson. typi-
call y observed him lhe last several years of
238 HA M MON D
life when he was in seriously direct methods seem too simple and be-
deteriorating health and essentially no cause we lack confidence in ourselves.
longer seeing pa- tients. This seems to be a Thompson aíso witnessed Erickson, even
major source of mythology about in his later years, being very direct. “Many
Erickson. U nfortunately , many of the patients who came to Erickson did
individuals generalized what the y obser not have a need for indirection. They were
ved Erickson do at the end of his life in read y and able to util ize trance and to
teaching seminars as representative of his accept the strength in the help they knew
approach to doing actual psychother- apy. was appropriate. Sometimes people need
Some even seem to t hink there is some the excuse of being ordered lo do what the
mystical magic in imitating the voice and y wanted to do, and Erickson complied
posture of an aged Erickson. It seems with that need in a totally intimidating
ques- tionable if Erickson wanted to be and au- thoritarian fashion. I would
imitaled, especially with the severely venlure to say that his indirect therapy
restricted abili- ties at the end of his life. was successful principally because of his
extensive work with direct therapy.”
The T yrann y of Indit ec’tion After giving a lecture on the value of
per- missive and indirect Eric k sonian tec
One myth about Erickson is that he was h- niques, the aul hor often enjoys
always permissive and indirect. Literature presenting some of the following
has often emphasized his indirect tech- suggestions. It is the rare student who
niques, because they were some of his believes that the y were made by
most innovative and impressive Erickson. In treating an impotent patient,
contributions. But a unique feature of Erickson told him:
Erickson was his ability to adapt flexibl y
to the individual. Erickson was certainly I shall tell you ihings you are to do, and do them
indirect and often communicated on you will, doing t hem just as certainly as you are
multiple levels, especial- ly with hearing me and being bound lo do them as much
“resistant” patient s ; however, those as you are bound to hear t hem, and hear t hem you
will, and do them you will ... And as you wait,
acquainted with his actual therapy style tumescence will develop full y, and you will know,
with patients attest that he was fre- know Iboroughl y and well that you can do not hi
quently just as direct and authoritative as ng at all about it, that you will not even try to even
he was indirect. Hale y (1973) explained hope to do anyt hing about it. A11 you can do is lie
that, “Erickson used an intricate combina- tfiere wit h full tumescence, waiting to fa11 asleep
at the stroke of midnight . . ’Then, when sourtd
tion of authoritarianism with the patient asleep, and only t hen, can det umescence occur.
at some points, while allowing him al most (Erickson, 1980, Vol. 4, pp. 376—377).
to- tal autonomy at others’ (p. 135). Rossi
(Note 3) told the author, “He was direct. When discussing the use of a confusion
He could be e ver y t hi ng , when ii was technique with age regression, Eric kson
appropriate. 'Fhis was his genius, of know- ex- plained: “These suggestions are not
ing when to use what. And like all given initiall y in the form of commands or
geniuses, when they add something new in- structions but as thought-provoking
we all jump on what the y added and think com- ments. Then, as the subjects begin to
that is the essence of their genius, like wit re- spond, a slow, progressive shift is
h indirect s ugge s t ion. E xt reme fie x made to direct suggestions.... Next
ibilit y is t he keynote of Eric kson.” suggestions are offered emphaticall y,
Thompson (Note I) believes many of us with increasing intensity . ” (1980, Vol. 1,
emp has ize ind i rect tec h nique becau se p. 160). What
MYTHS ABOUT ERICKSON
239
and tess forceful in our suggestions. flexibility of style. As Haley (1973) found,
Furth- ermore. Thompson points out that “A part of his success is determined by his
as he be- came very ill and weak, “He tenacit y when working with a patient. If
could not rely on the drama, the one procedure doesn’t work, he tries
intimidation, the power which had others until one does” (pp. 202—203).
accomplished so much so rapid- ly for his Erickson re- sisted efforts to convince him
patients. He had to trust more to his to evolve his own theory and system of
reputation and his skill in presenting op- therapy. There- fore, it seems doubtful
tions” (Note 2, p. 2). In addition, in the that he would have wanted a cult to evol
teaching seminars, he was confronted ve which ritualized certain st y les of
with a group, where individualization was practice as the way lo do therapy. He knew
dif- ficult. we could not be him. The aut hor does not
bel ieve t hat E ric kson would necessarily
Teaching siudents, late in his life, was made
more dramatic and effective by the use of word
disapprove of a therapist choosing to do
pict ures. This smorgasbord of stories was to be therapy primarily through telling highl y
remembere d for it s fascination , as they wei‘e indirect metaphors. But it seems very
spoon fed much of the main course w it hom u questionable if he would choose to have
pset- ting their digestion. It would have been this labeled as his ’approach.
difficult for Erickson, wealí as he was, to select a
menu for each. It was simpler to offer many
choices and let t he guests dine on their own, Trusting the Unconscious and
impressed by t he varieiy and significance they Individua/izing Therap y
saw in each course. And so lhe praise lo Ihe cheí
came from cach diner’s inlerpretalion of the meal, and Another myth currentl y in vogue is the
was very satisfying (Thompson, Nole I , p. 2).
belief that t he t herapi st must always be
spontaneous and simply trust the uncon-
How many t herapists feel comfortable scious. Some persons even suggest that we
limiting themsel ves to Carl Rogers’ non- should not prepare suggestions ahead of
directive style of psychotherapy ? A vast time or use the same suggestions with dif-
majorit y of g rad uate student s feel im- ferent patients. We must simpl y be
me di ate1 y too con fi ne d b y a R oge ri creative enough to come up with
an approach , and instead choose to adopt something new for each patient. In reality,
ideas from many ot her schools of practice, however, for dec- ades Erickson
thereby becoming somewhat eclectic. laboriously wrote out sug- gestions for his
Most of us have been unwilling to pat ient s . He even role- played and
idealize one t herapeutic system, and even practiced them in front of a mir- ror
those prefer- ring one theory seldom (Thompson, Note 2). One of the ways that
study onl y the con- tributions of one Erickson learned to must his uncon-
individual. We may feel profound 1 y scious was through years of disciplined
infiuenced and indebted to one approach and careful preparation earlier in his
or system, but most of us are also open to career. ln fact, 1 he author believes that
learning from ot her sources. this compul- si ve, careful planning and lhe
Similarly, Eric kson did no1 feel waiting and rewriting of suggestions was a
comfort- able with an existing theoretical vital part of Erickson’s growl h process in
approach. Just as many modern lherapisls becoming a masler clinician. “I don ’t think
reject a single therapeutic orienlation, so, he ever got to the point where he didn’t
long be- fore it was fashionable , Eric kson prepare ahead of t ime. The comment
look an atheoretical stance. He stressed about learning to lrusi your unconscious is
the indi- vidualit y of the pat ient and the a good deal more complex t han that. It
need for isn’t a question of just
242 HAM MOND
believing your hunches. You have to train cept of trusting inspiration from the
your unconscious to be trustworthy , and uncon- scious and in the principle of
you do that by a greal deal of experience individualiz- ing therapy. However, it
and conscious planning” (Pearson, Note 5). seems unlikely that Erickson would have
Despite popu lar bel ief, t he aut ho r us translate these principle s into rigid
nonetheless believes that even Erickson injunctions against treatment planning and
had limits to his creativity. A careful read- the advanced prep- aration of suggestions.
ing of his works illustrates that he often
en- joyed using the “earl y learning set”
induc- tion. Many of the same stories were Magical Programming and Instant
told to Hale y , Ros si , Zeig, Rosen and ma Therap y
n y others. Like other therapists, Erickson Haley (Note 4) recently lamented that,
had preferred inductions, metaphors, and “It is unfortunate that what Erickson most
styles of phrasing suggestions that were disliked is being attributed to him. He ob-
used in similar ways with different jected to dileÍtante therapists, and to ther-
patients (e.g. , see Erickson, 1980, Vol. 1, apists who did not train properly, plan
pp. 310—31 1 ; and Vol. 4, p. 188. Also their work with care, or master the skills
compare Zeig, 1980, p. 40 and p. 181 with of inter- view technique. The one thing he
Rosen, 1982, p. 91 and Erickson, 1980, Vol. did not believe was that one could cure by
I , p. 129). He thoughtfull y individualized magic or by offhand wise pronouncemenls
therapy, but there are limits to the need to and sto- ries” (p. I ).
individualize therap y and to one s abil il y Al though some authors have credited
to do so Erickson as a source of inspiration, íhey
(Thompson, Note I ). advocate tenets that seem incompatible
Despite popularized beliefs to the con- with his encouragement to individualize.
trary, Erickson al so did not simpl y go
into a
trance with patients and let suggestions Propone nt s of N eu ro1 i ngui st i
m
fiow from his unconscious. Certainly Erick- Programming c , for example, impl y
that
son often used the spontaneous creativity con-
of his unconscious, particularl y after
years of disciplined practice at his trade.
Howev- er, he al so often pa instak ingl y
plan ned ahead. Hale y (Note 4)
elaborated: “He would have thought it sill
y to suggest that a practitioner simply
follow impuJses. The fact that he
suggested that therapists trust their
unconscious impulses did not mean they
should be limited to doing that. The most
essencial part of his teaching was that a
therapist plan a 8trategy. lf the strategy
needed changing in the process, the thera-
pist should be able to must the ideas lhat
came to him at t hat moment” (p. I ).
In actualit y, perhaps many of us lack his
creativity because we lack his dedication
to in vesting man y long hour s in t reat
menl planning. The author believes in the
there are magical, stepwise formulas that concepts. Eric k son fre- quentl y did brief
may be rout inel y followed , result ing therapy, but he also uti- lized trance
in al most i nsta n tane ou s c ures . E training and careful, time con- suming
ve n as ma st erfu 1 as E ric kson was , preparation.
he never cJaimed to know magic In an article where he described
formulas whic h mechanically followed ordinari- ly using a total of four to eight
would result in im- mediaie success. In hours of trance training, Erick son then
fact, the very stimulus- respo nse co described the rather length y procedure
nd it i on in g assu mpt ion of he often used in preparing women for
“programming” people seems child birt h. “A satisfactory anaesthesia or
seriously at odds with Erickson analgesia for
MYTHS ABOUT ERIC KSON on t he patient, rather than with an
“interesled” and “ear- nest” manner (Erick
son, 1950, Vol . 1, p. 259). We need to be
childbirth may take hours in divided train-
cautious about becom- ing so enamored
ing periods. In training subjects for ob-
with the esoterica of con- fusion techniques
stetrical purposes, they may be taught auto-
and paradox so that we do not neglect the
matic wriling and negative visual hallucina-
fundamentals of caring and establishing a
tions as a preliminary foundation
relationship. If we hope to emulate
................................................................................ Erickson’s success, we must mir- ror his
Su‹’h humaniíy and genuine caring for pa- tients.
training mighl seem irrele vant , but experi-
ence has disclosed that it can be highl y
effective in securing the full utilization of
the subjects’ capabilities” (1980, Vol. 1,
pp. 143—144) (emphasis added). Such care-
ful and time consuming preparation appears
to be very laborious magic! The reader is
encouraged to further consult Erickson and
Rossi (1981 , p. 179) and Erickson (1980,
Vol. 1, pp. 76—77).
There are situations where hy pnotherapy
can be rapidly effective. However, popular-
izing it as akin to magic seems counterpro-
ductive tor the field and an invitation for
future disillusionment when it does not li ve
up to its publicity.
A mid a1 I t he em phas is on magi c
, metaphors and indirect techniques, it also
seems Íhat Erick son ’s fundamenlal belief5
about the vital importance of establishing
rappo rt are often neglected . Framed in
terms of Roge riafl Const ruc t S (Rogers ,
1957; Truax & Carkhuff, 1967), Erickson
li st e ned very at len t iv el y , su m mar i
zed empat hicall y , and st ressed re spect
full y accepting the patient and his
perceptions. However, concentrating
primaril y on tech- nique, a naive therapist
might deliver con- fusion techniques with
more of an air of secret superiorit y and an
attitude of smugly put t ing somet hing over
243 approaches congruent with our own
personalities and which di- verge from com
A Call for Dialogue and Openness morí modes of practice, we may make our
There are likely very few of us so excep- own contributions to t he field. This is to be
tionally skilled that we can use the scope of encouraged.
direct and indirect techniques that Erickson However, t he author wants lo discourage
employed. Lacking the broad perspective and the presentalion of our individual sty les of
experience of Erickson, many profes- si on prefe re nc e as be ing t he Eric kso nian
al s h ave foc used on onl y l i mi t ed aspects approach” to lherapy, and to li kewise dis-
of his approach that are congruent with their courage t he elevation of only an indirect
personal style or type of clien- lele. Naturally, approach as ihe “one true light.” Haley
there is room for individual- ity of style and (Note 4) e xpressed the opinion that “it is
personal creativit y in one’s approach to ignorance that makes t herapist S Choose
hypnosis. Some t herapists will prefer to rely one or two of Erickson’s procedures and
mostly on metaphors and the assignment of make a school of them. wriling books about
s y mbolic tas ks. This is a t herapist’s them as if t hat is Eri‹’kson lherap y. E
prerogative and the effective- ness of such an rickson t herapy is, by defi nition, variet y in
approach will have to await research tech- nique” (p. 2). Erickson was afraid that
validation. We should not dampen each ot this
her’s contributions and the creativ- ity of -very thing would happen. In lhe week be-
those who study Erickson’s work. Each of us fore his death, he prophesied that self-
can allow the inspiration of Erickson’s ideas proclaimed expert s about his work “would
to take seed and grow in a form suited to our come out of the woodwork” after he died
individuality. Through pursuing therapeutic (Pearson. Note 5).
lt is vital for those of us who learned
244 ideas in the way that suiled his
individualit y.
from Erickson to avoid cultism and Pearson (Note 5) told lhe aulhor: “Erick-
eliiism. Instead of making authoritatíve son woul d have bee n e xt reme I y di s-
interpreta- tions of an “Ericksonian appointed if people stopped when he died.
Therapy” (which even Erickson sought to He thought Freud was a genius and that he
avoid), it is hoped that we will instead put a lot of things together that people had
emphasize our indi- vidual contributions not reall y talked much about previously.
that have been stimu- lated by his work. But he certainly did not want people to do
The contributions of the late M. Erik with his ideas what so many people have
Wright and Jay Haley seem to be excellent done with Freud’s. You know, there are
models for us to follow. They learned and still pe ople w ho are prac Iicing 19 1 6
were great I y infiuenced by Erickson, but psychoanal ysis!” Those of us who
unlike many current authors, they have not admired Erickson need to pay t ribute to
presenied t heir personal pref- erences and him by going on and building on his
styles for conducting therapy concept s, rather than just interpreting
as the correct “E rick sonian” way of doing
what he did.
things. Hale y studied inte ns ivel y wit h Erickson modeled, an openness in learn-
E ric kso n , ac k nowl edged very openl y ing from many sources, as well as in being
Erickson’s infiuence on his thinking, but an innovador. He was unwilling to be re-
then wenl on in his own way beyond Eric stricted by the limitations of one t
k- son to make his own contribution. He herapeu- tic system, and therefore, it
seems unlikel y that he would have us
did not just worshipfully cite Erickson as
create a restrictive model or school
the fount of all wisdom. He credited
stimulated by our inter- pretations of his
Erickson, and then built on Erickson’s
work. 11 is the author’s desire to
encourage an openness to learning HAMMOND
REFERENCES