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UNDERSTANDING HYPNOSIS:
THEORY, SCOPE AND POTENTIAL
ALFRED A. BARRIOS
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sought. FROM A DECLARATION OF PARTICIPANTS JOINTLY ADOPTED BY A
COMMITTEE OF THE AMERICAN BAR ASSOCIATION AND A COMMITTEE OF
PUBLISHERS.
I would like to dedicate this book to the members of my immediate family all
of whom are no longer with me but who each in their own way played a part in
my life. This includes my father Arturo, my mother Carmen and my brothers Alex
and Artie. I wish they could all still be with me to share in the achievement of one
of my longtime goals. I would also like to include the most recent member of my
family to leave me who was like a son to me – my beloved little teacup Yorkie,
Mishka whose unconditional love sustained me all eight years of his too short life.
CONTENTS
Foreword ix
Preface xi
Acknowledgements xiii
Part I. 1
Chapter 1 Introduction 3
Chapter 2 Hypnotherapy: A Reappraisal 7
Chapter 3 Overview of My Theory of Hypnosis 17
Chapter 4 Comparison with Other Theories 19
Chapter 5 Support for the Theory 35
Chapter 6 Methodological Shortcomings of Many Hypnosis
Experiments and How to Prevent Them 39
Part II. Benefits of the Theory 43
Chapter 7 How the Theory Leads to Further Understanding of a
Number of Areas: The Hallucinogens, Schizophrenia,
Bi-Polar Disorder, Biofeedback, Learning Theory, and
the Placebo 45
Chapter 8 How the Theory Also Leads to Natural Explanations for
Religious Phenomena 53
Chapter 9 Developing More Effective Methods of Hypnotic
Induction and Post-Hypnotic Suggestion 61
viii Contents
Most important, Barrios spells out the major benefits of hypnosis – the ability
to facilitate re-programming or change. The EPK journey that Dr. Barrios has
taken in the past 3 decades has happily culminated in this exceptional vindication
of his frequently ignored, or attacked, pioneering efforts. This book is also a
positive affirmation of the faith that we had in him at the dawning of the cancer
federation in his revolutionary concepts has not been misplaced.
PREFACE
Hypnosis, free will, the placebo, faith, and yes God have all been concepts of
great mystery, misunderstanding and disbelief to many throughout the years.
These are powerful concepts that can play a major part in man achieving optimum
fulfillment, happiness and health. But because these concepts have remained so
misunderstood their full potential has been denied to many in helping them
achieve these lofty goals. My objective was to provide a theory of hypnosis that
would present logical, rational explanations not only for hypnosis but all these
concepts so as to allow greater access to the power behind them and thus help
people achieve their full potential in all areas of life. One of the key things that
will be pointed out is that all these concepts are tied in with that of belief, with
hypnosis defined as a state of heightened belief, and belief defined as
concentration on a thought to the exclusion of anything that would contradict that
thought.
A major theme of the book is that one of people’s greatest problems is that it
is very hard for them to change, that they do not have as much free will as they
would like to think, that in reality most people are automatons governed by and
slaves to the automatic (subconscious) behavior that has been programmed into
them over the years. Yes, there are a small number of people who have
experienced only positive programming. And there are a small percentage of
people who have truly developed free will, who have the ability to reprogram
when necessary to achieve their highest goals. But why leave things to chance as
to who are the lucky few. Why not show people how they can systematically tap
into the power of belief to facilitate this ability to program in for themselves the
positive behaviors that will lead to optimum fulfillment. This then is the major
benefit of hypnosis – the ability to facilitate re-programming or change.
xii Alfred A. Barrios
To give you some idea of the power of hypnosis, the book starts by pointing
out the phenomenal success rate of hypnotherapy: 93% after an average of 6
sessions. This compared to 38% after an average of 600 sessions for
psychoanalysis.
Another major goal of the book was to suggest the best or optimum ways of
presenting or getting hypnosis to the general public so as to reach and benefit the
most people. This included not only eliminating the many fears associated with
hypnosis and providing techniques to make it most effective for producing change
but also pointing out the best direction or changes to program in. Towards this end
in 1970 I developed Self-Programmed Control (SPC). SPC embodies all the
positive ways suggested by the theory of hypnosis for making hypnosis more
acceptable as well as most effective for producing positive change. (It is
interesting to note the similarity of the terms SPC and Self-Programmed Control
to the terms NLP and Neuro-Linguistic Programming which were introduced by
Bandler and Grinder almost ten years after SPC’s arrival. NLP was based in large
part on Milton Erickson’s strategic approach to hypnotherapy which as I point out
in the book has many parallels to the SPC program, even though the latter was
developed completely independent of Erickson’s work.)
To reach the most people SPC has been introduced as a powerful aid in such
areas as education, industry and medicine. It was also pointed out that one need
not be a Ph.D. or M.D. in order to teach SPC to others; that those people
benefiting from it could themselves pass it on to others since it was so easy to
teach. This all is felt to be needed because at the exponentially fast rate at which
technology has been advancing, man now has the potential to totally destroy
himself and will unless we can get to him first.
Such innovators as Maslow (self-actualization), Bandura (self-efficacy),
Goleman (emotional intelligence), and Seligman (positive psychology) have
pointed the way. However, although pointing the way is important, it is not
enough. It is felt that SPC can be the catalyst that provides the all important
missing link – a means to facilitating change and thus helping to achieve these oh
so important goals.
ACKNOWLEDGEMENTS
INTRODUCTION
For too a long time now hypnosis has remained a mystery to most people,
especially most professionals in the field of psychology and medicine, and
consequently it has been virtually ignored by them in spite of the long–standing
strong evidence of its therapeutic value (see below). The present book will help
place hypnosis in such a clear light as to finally open up the field to both
professionals and the general public so that its vast potential benefits can finally
be more fully realized.
The book starts with the startling results of a clinical review done almost 40
years ago comparing the effectiveness of hypnotherapy to psychoanalysis and
behavior therapy (Barrios, 1970). This review indicated that the average number
of sessions needed for psychoanalysis was 600 with a success rate of only 38%;
for behavior therapy the average number of sessions needed was 22 with a success
rate of 72%; while for hypnotherapy the average number of sessions needed was 6
with a success rate of 93%. This is followed with an overview of a comprehensive
theory of hypnosis based on principles of conditioning and inhibition explaining
all aspects of hypnotic phenomena and from this we can see why hypnotherapy is
so much more effective. The theory is then compared (pointing out the similarities
and differences) to three other current hypnosis theories: the Sociocognitive, the
Dissociation/Neo-Dissociation, and the Response-Expectancy perspectives (as
well as with Erickson’s strategic approach to therapy). In so doing at least one
major incorrect implication of the Sociocognitive and Response – Expectancy
theories is pointed out. These theories incorrectly lead one to believe that there are
no major differences between the hypnotic and the waking state, that hypnotic
induction leads only to a minor increase in suggestibility.
Research in support of the theory is next presented, including an experiment
done by the author proving the effectiveness of post-hypnotic suggestion and
4 Alfred A. Barrios
pointed out to him how I felt hypnosis would definitely be more effective in
helping people to achieve such positive changes than most other approaches
currently being used by psychotherapists. I think it is just a matter of time before
he also starts to think like Bandura recently did and starts looking towards
hypnosis as a possible valuable tool.
Because of the novel ideas I propose in the areas of biofeedback,
schizophrenia, bi-polar disorder, drug rehabilitation, the placebo, learning theory,
alternative medicine, education and religion, the book would be of interest to
professionals in these areas as well.
And then of course there is the general public. People have always been
fascinated by the subject of hypnosis but I would say a large proportion of them
have most likely remained somewhat incredulous as to all the miraculous claims
made regarding its benefits and consequently have hesitated to explore its
possibilities. However, thanks to its clear and rational presentation herein, this no
longer need be the case.
There is one particularly large segment of the general public that would
especially find this book of great interest. These are the people who have been
caught up in the current excitement over the book The Secret. The basic theme of
the approach presented in The Secret, as pointed out on the Larry King show
August 2nd 2008, is “Change your mind – Change your life”. However, what these
people seem to be overlooking is the fact that it is not that easy to change. What
the current book can provide them then is the “missing link”, “the secret”, to
insure The Secret’s success – a systematic means of facilitating change.
Chapter 2
HYPNOTHERAPY: A REAPPRAISAL ∗
INTRODUCTION
Throughout the years there have been periodic surges of great interest in
hypnosis. Many extraordinary phenomena have been attributed to its effects and
great claims made as to its effectiveness in therapy. Yet, in spite of such claims,
there still appear to be relatively few therapists using hypnosis as a major tool.
Why? Is it because the criticisms usually leveled at hypnosis are true? That it is
overrated, actually limited to a small range of problems, unable to produce lasting
changes? Will removal of symptoms by hypnosis lead to new symptoms? Is it
dangerous? No, there is far too much clinical evidence contradicting these
statements. Such evidence can no longer be ignored. It is felt that the major reason
behind the rejection of hypnosis has been that for most people it is still virtually
an unknown. It seems to be human nature to stay clear of or reject anything that
doesn’t seem to fit in or be explained rationally, especially when it seems to be
something potentially powerful. It is mainly its unknown nature that has led to the
many misconceptions surrounding hypnosis and has kept us from making the best
use of it.
The purpose of the present paper is to present some of the recent clinical
evidence contradicting the common criticisms and misconceptions surrounding
hypnotherapy, to provide a good indication of how to make the best use of this
∗
This chapter is a verbatim copy of the Barrios, 1970 article in Psychotherapy: Theory, Research and
Practice. Copyright © 1970 by the Division of Psychotherapy (29), American Psychological
Association. Reproduced with permission. The official citation that should be used in
referencing this material is: Barrios AA (1970) Hypnotherapy: A Reappraisal. Psychotherapy:
Theory, Research and Practice 7:2-7.
8 Alfred A. Barrios
impotence. The percentage of patients reported improved was 90%. The average
number of sessions was five. The criteria for judging improvement were removal
or improvement of symptoms. The average follow-up period was nine months.
Chong Tong Mun’s method of treatment was a three-fold approach. With some
patients he would work on reeducating the patient with regard to the behavior
patterns immediately underlying the symptoms. With others he would first regress
the patient back to the original onset of the symptom. Once regressed, he would
reeducate the patient to the fact that the original cause was no longer operative. In
addition, he usually used supplementary suggestions of direct symptom removal.
Hussain’s (1964) study reports on 105 patients suffering from alcoholism,
sexual promiscuity, impotence and frigidity, sociopathic personality disturbance,
hysterical reactions, behavior disorders of school children, speech disorders, and a
number of different psychosomatic illnesses. The percentage of patients reported
improved was 95.2%. The number of sessions needed ranged from four to sixteen.
The criteria for judging improvement were complete or almost complete removal
of symptoms. In follow-ups ranging from six months to two years no instance of
relapse or symptom substitution was noted.
Hussain’s approach is illustrated by the case of a 35 year old woman
exhibiting the following symptoms: anxiety, alcoholism, depression with suicidal
tendencies, sexual promiscuity, insomnia, and inability to make decisions and
future plans.
Prior to treatment, Hussain pinpointed the various fears and negative attitudes
which he felt were underlying the symptoms – e.g., the patient feeling unloved
and unwanted in regards to her marriage, feelings of inadequacy at being a
mother, fear of her own mother, fear of responsibility and making decisions, and
guilt over her sexual promiscuity.
Hussain then used a therapeutic technique somewhat similar to Wolpe’s
(1958) desensitization technique to eliminate these fears and negative attitudes.
For example, he would have the patient think of a particular fear-producing
situation and recondition her by suggesting she would find herself calm and
relaxed in the situation. This particular approach is very often used now in one
form or another. Abrams (1963) refers to it as an “artificial situation” technique.
Through hypnosis the patient is able to experience his new attitudes in an
“artificial situation,” an imagined situation. [This artificial situation technique was
incorporated into the SPC program discussed below in Chapter 9 and is referred to
as the “Projection Method” for self-programming of positive suggestions (Barrios,
1985, pp. 43-51).] It differs from Wolpe’s approach in two respects. First of all,
Wolpe does not often use hypnosis. Secondly, Wolpe has the patient go through a
hierarchy of “imagined situations,” going from easiest to deal with to most
10 Alfred A. Barrios
In the past, so much emphasis was directed towards symptoms and disease
processes that some of us were guilty of forgetting the person in the body. It is
incumbent upon us [hypnotherapists] to concentrate on treating the particular
patient who presents the symptom rather than the symptom presented by the
patient (Mann, 1963).
The objection that the results of symptom removal will seldom be permanent
is certainly not valid. This may have been so in the past, when direct symptom
removal alone was practiced and nothing was done to strengthen the patients’
ability to cope with his difficulty or to encourage him to stand on his own two
feet (Hartland, 1965).
This change is being stressed in the present paper because it is part of its
purpose to fit hypnotherapy into “the scheme of things.” Many therapists have
Hypnotherapy: A Reappraisal 11
rejected hypnosis because its direct symptom approach of the past clashed
violently with their dynamic approach. Now we see that such a clash need no
longer exist.
HYPNOTIZABILITY OF PATIENTS
Freud abandoned hypnosis because of “the small number of people who could
be put into a deep state of hypnosis” at that time and because in the cathartic
approach, symptoms would disappear at first, but reappear later if the patient-
12 Alfred A. Barrios
therapist relationship were disturbed (Freud, 1955, p. 237). In the above studies
the only hypnotic induction failures were reported by Chong Tong Mun (eight
failures out of 108 patients.) This can mean one of two things: the hypnotic
induction procedures have improved since Freud’s day, or that the reconditioning
approach used in these studies (as opposed to Freud’s cathartic approach) does not
require very deep levels of hypnosis. There is evidence that both factors may be
involved.
Although many have thought that hypnotic susceptibility was a set character
trait, there are a number of studies which now seem to indicate that this is not the
case, and that responsiveness can be increased by certain changes in the hypnotic
induction procedure (Pascal and Salzberg, 1959; Sachs and Anderson, 1967;
Baykushev, 1969), as well as by means of a pre-induction talk aimed at insuring a
positive attitude, an appropriate expectancy and a high motivation toward
hypnosis (Dorcus, 1963; Barber, 1969a; Barrios, 1969).
With regard to the depth of hypnosis required for the reconditioning approach
to work, there are a number of therapists who feel that only a light state of
hypnosis is necessary (Van Pelt, 1958; Kline, 1958; Kroger, 1963) A study by
Barrios (1969) gives this contention some support; it was found that an increase in
the conditioning of the salivary response could be produced almost as effectively
by lighter levels of hypnosis as by deeper levels.
The latter point brings us to the question of whether hypnotic induction is
necessary at all for the re-conditioning approach to work. Judging from the work
of Wolpe (1958) it would appear that hypnosis is not an absolutely necessary
requirement. This would also be supported by the work of Barber (1961, 1965)
who found that hypnotic phenomena could be produced without a prior hypnotic
induction. However, the real question to be answered is not whether hypnotic
induction is absolutely necessary, but whether it can further facilitate the
conditioning process. Wolpe, himself, concedes the hypnosis apparently does
facilitate the conditioning:
“Patients who cannot relax will not make progress with this method. Those
who cannot or will not be hypnotized but who can relax will make progress,
although apparently more slowly than when hypnosis is used.” (Wolpe, 1958, p.
141; italics added).
As pointed out in the theory (Barrios, 1969), hypnotic and waking suggestion
are on the same continuum and hypnotic induction should be looked upon as a
procedure whereby we can increase the probability of getting a more positive
response to suggestion. The next question to be decided now is not so much
whether hypnotic induction procedures increase responsiveness (this is fairly well
accepted – e.g., Barber, 1969a) but what variables in the hypnotic induction are
playing the key roles and what can be done to strengthen the effectiveness of these
factors.
Obviously for man speech provides conditioned stimuli which are just as
real as any other stimuli… Speech, on account of the whole preceding life of the
adult, is connected up with all the internal and external stimuli which can reach
the cortex, signaling all of them and replacing all of them, and therefore it can
call forth all those reactions of the organism which are normally determined by
the actual stimuli themselves (Pavlov, 1960, p. 407).
to word A and consequently anything that would evoke word A. Thus, for
example, if we wanted to condition a person to be more relaxed in the presence of
people, we would pair the words “people” (A) and “relaxed” (B), using a sentence
or suggestion such as, “From now on you will find yourself more relaxed in the
presence of people.” Mower’s theoretical formulations on the sentence as a
conditioning device (Mowrer, 1960) tend to support this contention.
Of course, we know that under ordinary circumstances suggestions are not
always accepted (and thus conditioning doesn’t always result when an appropriate
suggestion is given). Why is this? Osgood (1963) holds that a suggestion will tend
to be rejected if it is incongruent with the subject’s previously held beliefs and
attitudes or his present perceptions. It would seem that if there were some means
of eliminating the latter we should be able to have a suggestion more readily
accepted and thus facilitate the higher-order conditioning. Hypnosis is such a
means.
Thus we come to the reason hypnosis is so effective in facilitating therapy:
the incongruent perceptions, beliefs, and attitudes are kept from interfering with
the suggestion (and thus with the conditioning). As put by Pavlov:
∗
See appendix for the entire theory as presented in Contemporary Hypnosis (Barrios, 2001).
18 Alfred A. Barrios
inhibitory drugs; and the subtle introduction of stimuli that would naturally evoke
the suggested response.
Since the theory defines hypnosis as a state of heightened belief, one can see
that hypnosis can be a natural everyday occurrence. Salesmen, lawyers and
politicians are constantly benefiting from a variation of hypnosis (the powers of
persuasion). So too are doctors (the power of the placebo) and ministers (the
power of faith).
Chapter 4
Similarities
very extensive article by Lynn and Sherman (2000). The following includes some
examples of how Erickson's ideas parallel those presented in the theory:
Scripts
In the section of Lynn and Sherman's article where they are discussing
Erickson's strategy of using scripts, they point out that Erickson found this
technique useful in engendering a 'yea saying' response pattern. He would start
with questions with an obvious 'yes' answer; to establish a pattern or response set,
he would keep asking such questions. Patients would [then] apparently agree to
things that they would not have agreed to in the absence of such a response set.
(Lynn and Sherman, 2000: 306)
This also explains the effectiveness of persuasive salesmen who 'prep' a
person to buy by getting the person to respond with 'yeses' to a series of questions.
If we can look upon these 'questions' as a variation of suggestions, then in both
cases the individual is being put through a form of hypnotic induction according
to the theory. As stated by Hypothesis III of the theory: 'a positive response to a
suggestion will induce within the responding person a more or less generalized
increase in the normally existent tendency to respond to succeeding suggestions'
(Barrios, 2001: 178).
Also related to this 'yea saying' technique of Erickson is another he often used
to get positive responses to his suggestions: 'He often tied suggestions to naturally
or frequently occurring responses, or more broadly to whatever response the
patient made (Erickson, Rossi and Rossi: 1976). Certain naturally occurring
responses, such as lowering of an outstretched arm, provide immediate positive
propioceptive feedback' (Lynn and Sherman, 2000: 307). To see the similarity of
this to what is said in the theory, see Corollary 6 following Hypothesis III of the
theory: 'The response could be "artificially" induced in a number of ways. For
instance, the suggestions that the eyes are going to get tired may be helped if a
slight eye strain is placed on them by having the subjects look at an object at a
difficult angle' (Barrios, 2001: 180).
Altering Accessibility
Altering accessibility of facts or events in memory was another of Erickson’s
therapeutic techniques. 'This can increase the salience of particular outcome
expectations and bring to mind concepts and ideas consistent with positive
outcomes and inconsistent with negative outcomes... For example, imagining
negative outcomes of smoking and overeating and positive outcomes of not doing
so can make it easier to resist these urges'. (Lynn & Sherman, 2000: 306) This
very same procedure is referred to as the 'Punishment-Reward' technique, one of
22 Alfred A. Barrios
Reframing
Reframing was a technique of Erickson's to make general positive
suggestions or treatment goals more attainable. For example one of his approaches
to break a patient out of depression over certain deficits was to 'turn the patient's
deficits into assets'. This is very similar to one of the positive attitudes, Positive
Attitude 4, 'Learn to look for the good in even the worst of situations,' in the
chapter on positive attitudes in the SPC program (see Chapter IV of Barrios,
1985). If the goal of therapy is to help the patient break free of a depression
caused by some negative life occurrence, for instance, instead of the
hypnotherapist giving only the general suggestion that the patient will no longer
be depressed, it would be more effective if the patient is also given the suggestion
that he will learn to look for the good (look for the “silver lining”) in even the
worst of situations, in this way turning the patient's deficits into assets.
In essence, this is saying that general suggestions alone (regarding treatment
goals) without guidance to substantiate the suggestions are not as effective as the
combination of the general suggestion plus guidance. This basic premise will be
explored again later in chapter 8 in the section on faith healing when pointing out
that belief alone (e.g. a placebo) is not as effective as belief plus guidance. In so
many words, this is similar to what Lynn and Sherman (2000: 307) mean when
they state that 'As implied by these examples, Erickson's approach involves
considerable reframing of behaviors [so] as [to be] consistent with treatment
objectives.'
Another area where Erickson's ideas fit in with the theory is where he talks
about how it is that hypnosis plays a part in facilitating change in behavior.
According to Lynn and Sherman (2000: 305):
This is very similar to what is said following Hypothesis VII of the theory (in
the section on posthypnotic suggestion) about how the inhibitory set aspect of
hypnosis facilitates cognitive-cognitive conditioning and thereby facilitates
positive behavioral change by eliminating any stimuli present that would interfere
with the conditioning: 'Hypnosis, it is felt, provides an especially effective means
(the inhibitory set) whereby interfering stimuli can be readily inhibited' (Barrios,
2001: 194-5).
What Erickson refers to as 'the limitations of one's usual conscious sets and
belief systems' the theory refers to as interfering stimuli, cognitive stimuli whose
presence would ordinarily preclude the establishment of the desired new cognitive
patterns and need to be 'temporarily altered' or as the theory puts it, 'inhibited,' in
order for the new patterns to be made; or as Erickson puts it, 'so that one can be
receptive to an experience of other patterns of association and modes of mental
functioning' (Erickson, Rossi and Rossi, 1976: 20).
Differences
even more (see: Wilson, 1967; Wickless and Kirsch, 1989; Kirsh, Wickless and
Moffit, 1999 and Wickramasekera, 1973).
the theory except, as per the theory, sensory stimuli are also included along with
cognitive stimuli in this stimulus dominance hierarchy.
Hilgard proposes two possible means for determining which subsystem will
be in the dominant position of the hierarchy determining which action will take
place. One, which he considers the old way, is where the subsystems would fight
for control of the final common path leading to action according to their relative
strengths. The other possible way of determining dominant position, and the way
he seems to have finally leaned towards, is by way of a central regulatory
mechanism. As he puts it, the subsystems
are actuated according to the demands and plans of the central system. This
central regulatory mechanism is responsible for the facilitations and inhibitions
that are required to actuate the subsystem selectively. A hierarchy of subsystems
is implied, although it is a shifting hierarchy under the management of the central
mechanism. Once a subsystem has been activated it continues with a measure of
autonomy. (Hilgard, 1977: 217-18)
He then states 'Suggestions from the hypnotist may influence the executive
functions themselves and change the hierarchical arrangement of the subsystem'
(p. 218).
According to the original version (Barrios, 1969), the theory leaned more to
the old way of looking at how the subsystems arranged themselves in the
hierarchy according to their individual strengths, and the inhibitory set part of the
hypnotic suggestion was seen as directly influencing the eventual positioning of
the dominant subsystem by inhibiting the competing subsystems. But now I see
the possibility of a central function also playing a part in certain situations. This
central control function I would describe as the will of the hypnotic subject, which
can be listed as another of the individual differences of hypnotic subjects which
can influence a hypnotic induction, i.e. everyone has a different level of willpower
or free will that they bring with them.
As presented in the paper 'Science in support of religion' (Barrios, 2002), free
will is defined as control over one's involuntary functions (one's subconscious) via
the power of belief, belief in one's ability to control one's destiny (control one's
involuntary functions). This free will factor can have developed over the years or
in a short period of time by means of a series of reinforced self-suggestions much
like a self-hypnotic induction where the subjects come to develop their power of
controlling their involuntary behavior through the power of belief.
In a hypnotic induction this free will factor could either add to the depth of
hypnosis achieved (the amount of heightened belief) or work against it. If the
Comparison with Other Theories 27
individuals see the suggestions given as working to their benefit, it would work in
favor of a deeper induction. If against their benefit, it would work against a deeper
induction. It would more likely work in favor of a deeper induction if in the pre-
induction talk the subject is assured that all suggestions given will be positive
ones or to the benefit of the subject; or if the induction is presented along the lines
of self-hypnosis, i.e. as a means of developing even greater self control over one's
involuntary behaviour. Now with regards to how according to Hilgard, does the
hypnotic induction rearrange the hierarchy of subsystems, Kirsch and Lynn (1998:
110) feel that Hilgard 'leaves many unanswered questions: How do the hypnotist's
words produce this rearrangement? ... and how does this contribute to the
production of suggested responses?'
In fairness to Hilgard, I feel he does present at least a partial explanation or
answer to these questions. He posits two ways that hypnosis facilitates this
rearrangement of the hierarchy (Hilgard, 1977):
(1) 'Looked at in other ways, we find that hypnotic procedures are designed
to produce a readiness for dissociative experiences by obstructing the ordinary
continuities of memories and by distorting or concealing reality orientations
through the power that words exert by direct suggestion, through selective
attention and inattention, and through stimulating the imagination appropriately'
(p. 226)
And
In somewhat different wording, Hilgard is saying the same thing that the
theory is saying as to how and why hypnotic phenomena occur. The theory states
that the suggested response occurs because the stimulus focused on by the
suggestion rises to the dominant position in the hierarchy because the inhibitory
set produced by the hypnotic induction inhibits the competing cognitive stimuli in
28 Alfred A. Barrios
the hierarchy (what Hilgard refers to as 'critical memories') as well as any present
'critical' sensory stimuli - something Hilgard does not include in his explanation.
Something else that Hilgard does not include, which the theory does, is how this
inhibitory set referred to is built up during the hypnotic induction through a
process of conditioning. Hilgard does talk about selective attention and inattention
(both of which have inhibitory components) and stimulating the imagination
appropriately (i.e. triggering a cognitive stimulus) as part of the power that words
exert through direct suggestion, but he does not explain why or how the
hypnotist's words have become even more powerful after a hypnotic induction -
which the theory explains as the build-up of, or conditioning in, of a strong
inhibitory set.
With regards to the part suggestions of relaxation play in producing the state
of hypnosis, it is pointed out in the theory that suggestions of relaxation or sleep
may help since the relaxed or sleep-like state 'may provide for even greater
inhibition of stimuli competing with the suggestion' (Barrios, 2001: 172).
However, the theory makes clear that a hypnotic state can also be produced
without any suggestions of relaxation or sleep.
It is the latter fact, i.e. that certain automatic behaviors are so hard to change,
that makes hypnosis such a valuable tool. Hypnosis provides us a systematic
means of controlling the subconscious, of being able to rearrange the hierarchies
of automatic behavior. And the more deeply imbedded this automatic behavior
that we wish to change is (i.e. the higher in the hierarchy it is), the more effective
a hypnotic induction is needed.
It is this ability of hypnosis to facilitate post-hypnotic behavior change that
plays the biggest part in making hypnotherapy so much more effective than any
other form of therapy. The biggest problem with most people is that it is very hard
for them to change. So anything that can facilitate change or re-programming will
play a major role in achieving therapeutic success.
In a way one can say that all humans are automotons because most of their
behavior is automatic. But one major difference between humans and robots is
that humans have the potential (through the free will factor) to reprogram
themselves when necessary. Keep in mind, however, I said humans have the
potential for re-programming but this potential has to be brought out and it is with
tools like hypnosis and self-hypnosis that this can be done.
It should be realized that when hypnosis is used in a therapeutic setting there
are two ways that a hypnotherapist can help: One is to help add to the
suggestibility (belief) factor sufficiently with an effective hypnotic induction in
order to transcend or overcome certain negative automatic habits or cognitions
that the patients with their own level of free will have been unable to accomplish.
The other way the therapist can help is by providing the patients with some good
guidance, a good idea of what habits and cognitions need to be changed. Now
sometimes the latter is all that is needed and together with a sufficient level of free
will to begin with the patients can then bring about the needed restructuring of the
hierarchy on their own even without a hypnotic induction. But if the negative
behavior is too high in the hierarchy for the patients’ own level of free will (own
willpower) to rearrange it, this is when an effective hypnotic induction can be
especially beneficial.
30 Alfred A. Barrios
Hypnosis is not at the moment very well understood, but it seems to exemplify a
heightened 'belief' in the present sense (Skinner, 1957, pp. 159-160). (See
Barrios, 2001: 171)
Now getting back to 'response expectancy' and why I prefer the term 'belief':
one problem with the former term is that it implies that there is a visible response
connected to the expectancy. Yes, you can get someone to produce the visible
response of 'arm rising' if he has a strong response expectancy of 'arm rising'. But
where is the visible response when the response expectancy is that the subject will
see the color red? Not all cognitions necessarily have a clearly visible response
attached to them.
Next comes the question of how response expectancy or belief produces
responses. Kirsch himself poses the question thusly: 'To accept a suggestion is to
believe or expect that these events will in fact happen. So the real problem is to
understand the effects of response expectancy on experience, behavior and
physiology. How does response expectancy produce these changes?' (Kirsch
2000: 279). (Note how Kirsch uses the terms 'believe' and 'expect' interchangeably
here which would lead one to believe that he might also be willing to use 'belief'
and 'expectancy' interchangeably.)
Kirsch's answer to this question is to posit some underlying substrate or
connection between actual responses and the expectancy of that response. As he
puts it, 'if we assume that there is a physiological substrate for any experiential
state, then a change in perception is always a change in physiology, as well. For
that reason, expectancy induced changes in experience will always be
accompanied by at least some physiological change' (Kirsch, 2000: 280). And,
'Just as the expectation of an experiential response tends to generate that response,
so too the expectation of an overt automatic response promotes its occurrence' (p.
280).
The main difference between mine and Kirsch's explanation for how
belief/response expectancy leads to responses is that first of all I explain how
there is a response connected to the suggestion (as a result of classical
conditioning - see the Pavlov quote on page 167 of the theory, Barrios 2001); and
second, I explain the heightened response to hypnotic suggestion as resulting
because of the greater inhibitory set produced by the hypnotic induction which
inhibits competing stimuli.
A third major difference between our perspectives is how we explain how
response expectancy/belief can be increased in hypnotic situations. According to
Kirsch:
32 Alfred A. Barrios
As for his first two ways (a and b) I agree. These are covered in the theory
under the heading of 'Subjects' expectation' in the section on 'Individual
differences factors influencing hypnotic induction' (see Barrios, 2001: 181-3). It is
pointed out that (a) as a result of the expectancy of being hypnotized, subjects are
more likely to ascribe correctly the occurrence of the 'strange phenomena to the
hypnotist than to some external cause' (p. 182); and (b) 'Subjects' expectations of
what hypnosis is like can influence hypnotic induction in other ways. For example
if the subjects are told that a catalepsy of the dominant hand occurs when they
experience hypnosis (Orne, 1959), then as subjects feel themselves responding,
they are also indirectly being given the suggestion of catalepsy of the dominant
hand. This response can, in turn influence the hypnotic induction, as can any
positive responses to previous suggestions' (p. 183).
With regards to how Kirsch describes methods of affecting response
expectancies by manipulating 'judgments of one's hypnotizability', I differ
significantly with Kirsch. What he describes as one way of manipulating
judgments of hypnotizability by surreptitiously provided experiential feedback
simply as 'an expectancy modification procedure' (Wickless and Kirsch, 1989:
762), I would directly refer to as an actual hypnotic induction according to
Corollary 6, following Hypothesis III of the theory, which states: ‘An hypnotic
state can be facilitated if, along with each of the first few suggestions given in a
hypnotic induction, the actual sensory stimuli which would ordinarily evoke these
suggested responses accompany the suggestion without the subject’s knowledge’
(p.180).
As indicated on page 171 of the theory, hypnotic induction is defined as the
giving of two or more suggestions in succession so that a positive response to one
increases the probability of responding to the next one. And Hypothesis III states
'A positive response to a suggestion will induce within the responding person a
more or less generalized increase in the normally existent tendency to respond to
succeeding suggestions.'
It is interesting that Kirsch states that: 'According to response expectancy
theory, people's beliefs about their hypnotic ability are one of the determinants of
the number of suggestions to which they are able to respond successfully'
(Wickless and Kirsch, 1989: 762). Now if he would also say that the number of
Comparison with Other Theories 33
Corollary 6 following Hypothesis III of the theory states: 'An hypnotic state
can be facilitated if, along with each of the first few suggestions given in a
hypnotic induction, the actual sensory stimuli which would ordinarily evoke these
suggested responses accompany the suggestions without the subject's knowledge.'
There are at least three studies whose results support this corollary. The first was
part of a Ph.D dissertation submitted in 1967 (Wilson, 1967), which I did not
become aware of until after I had submitted my dissertation. Wilson had subjects
experience surreptitiously provided reinforcement of suggestions. 'After
suggesting that subjects imagine the color red, for example, Wilson imparted a
faint red tinge to the room via a hidden light bulb. Subsequent testing of waking
suggestibility on the Barber Suggestibility Scale (Barber, 1969b) revealed
substantially higher scores among these subjects than among controls' (Wickless
and Kirsch, 1989: 762).
A subsequent study by Wickless and Kirsch (1989) essentially confirmed
Wilson's findings. They found that 53% of the group that had been given
surreptitiously provided experiential feedback scored as highly hypnotizable as
compared to only 6.7% of the control group.
In a follow-up study Kirsch et al. (1999) found that, once again,
surreptitiously provided experiential feedback significantly increased
responsiveness to suggestion. And this time an additional important fact was
determined - that for this to occur it was important that the subjects not be aware
of the artificial source of the reinforcement (as stated in Corollary 6). Those
subjects that were allowed to detect that the reinforcement was artificial showed
no increase in responsiveness.
Biofeedback Studies
As I see it, the reason biofeedback has proven to be so effective for gaining
control of involuntary physiological responses is that in actuality, subjects being
treated with biofeedback are being put through a form of hypnotic induction as
defined by the theory. Remember, a hypnotic induction 'is defined as the giving of
two or more suggestions in succession so that a positive response to one increases
the probability of responding to the next one' (Barrios, 2001: 171). Suggestions
(or goals) of relaxation, whether instigated by the biofeedback operator or by the
subjects themselves, produce initial minute relaxation responses which are
immediately amplified by the device and thus made more visible to the subject.
These act as an immediate reinforcement letting the subjects know that they have
responded positively to the suggestions of relaxation. The resultant heightened
belief should in turn allow the subjects to respond even more strongly to
succeeding suggestions of relaxation.
Although the widespread use of biofeedback devices has been around only
since about the 1970s, the basic principle behind biofeedback has been used to
facilitate hypnotic induction long before that if we can look upon the Chevreul
Pendulum as a hypnotic aid device; for if you stop to think about it, the Chevreul
Pendulum is in actuality a biofeedback device. What the pendulum does is
amplify minute ideomotor movements of the hand when the thought of a
particular movement is suggested. Many in the hypnosis field recommend use of
the Chevreul Pendulum as a 'warm up' procedure to get subjects in a more
receptive mood for hypnosis (e.g. see Lynn and Sherman, 2000: 202). In fact a
complete hypnotic induction procedure starting with suggestions of movements of
the pendulum has been devised (see pendulum technique in Barrios, 1985: 36-8).
There has been at least one study where the use of autonomic biofeedback did
lead to an increase in suggestibility. Wickramasekera (1973) using forms A and B
of the Stanford Hypnotic Susceptibility Scale found a significant increase (p =
0.001) in suggestibility upon using EMG biofeedback to reinforce suggestions of
relaxation. There is, however, one caveat to this study. One does not know
whether it was the deepened state of relaxation or the use of biofeedback, or a
combination of the two that increased suggestibility. One way to truly test the
hypothesis that the use of biofeedback devices, per se, sans relaxation suggestions,
can increase suggestibility is to not use relaxation suggestions. For instance, one
could use a temperature biofeedback device with suggestions of coldness in the
hands (e.g. 'as if you were placing your hand in cold or ice water') to cause the
device to indicate a drop in hand temperature. One could also use a heart rate
biofeedback device to feed back heart rate increase in response to suggestions of
heart rate increase ('as if you were in an athletic competition').
38 Alfred A. Barrios
METHODOLOGICAL SHORTCOMINGS OF
MANY HYPNOSIS EXPERIMENTS AND
HOW TO PREVENT THEM
The main problem in many hypnosis experiments prior to the publication of
the theory (Barrios, 1969) and very possibly afterwards as well lies in their
methodological shortcomings. This problem was specifically addressed in the
study on testing Hypothesis VII of the theory with regard to post-hypnotic
suggestion (PHS). The following is an excerpt from this study (Barrios, 1973a):
Several such shortcomings are reviewed below with reference to the way in
which the present study attempts to eliminate them. (Shortcomings 1-4 will be
familiar to most readers as those expounded upon recently by Barber [1969b] and
Barber and Calverley [1966].)
1. In many cases there was no comparison with a non-hypnotic control group.
In such studies one could not be sure that presenting the suggestion, without
inducing hypnosis might not have achieved the same results. (This is especially
true of the clinical studies.) In the present study not only was there a non-hypnosis
group, but, in addition, each S acted as his own control.
2. When control Ss were used, the experimental Ss were usually pre-selected
for their high hypnotic susceptibility, whereas controls were not, or, even worse,
the controls were sometimes selected for their poor hypnotic susceptibility. In
such cases one could not be sure that it was the actual hypnotic induction, and not
the high initial level of suggestibility of the experimental Ss, that produced the
difference in effect.
In the present study there was no pre-selection of Ss for hypnotic
susceptibility, directly or indirectly. The standard procedure for recruiting college
Ss was followed, and Ss were randomly assigned to one of the two groups. It
40 Alfred A. Barrios
(b) The trouble with the consequent type of indicant is that it is merely a
measure of responsiveness, not increase in responsiveness. A truer indicant of
how effective a hypnotic induction is (and the one used in the present study)
would be the difference in response to test suggestions given both after and before
S is hypnotized (T2 - Tl). Using T2 alone as the indicant can be misleading in a
number of ways. For example, a hypnotic induction could be ineffective and we
could still get a high T2 score if Ss were high responders to begin with.
Conversely, a hypnotic induction could be effective but not show up as such if Ss
were very low responders to begin with.
PART II. BENEFITS OF THE THEORY
Chapter 7
Maria, a woman in her late thirties, was brought to me by her sister out of
desperation. The woman had been suffering from paranoid schizophrenia for the
How the Theory Leads to Further Understanding of a Number of Areas 47
past three years and she was getting worse. Her primary symptom was the
delusion that people were ‘out to get her’. She had also recently shown signs of
being homicidal - having so scared her husband with very real threats on his life
that he moved out.
As with many psychotics, Maria had been put on a drug treatment program
and sent home, even though not cured. The drugs had only served to mask the
symptoms, and little had been done about getting rid of the root cause of her
problem. When I saw her, she had stopped taking the drugs, without approval.
One advantage I had was the fact that I had cured her 27-year-old nephew of
heroin addiction - in a total of only three sessions, incidentally. The all important
belief or prestige factor was thus quite high from the beginning.
The first half of the three-hour session was devoted to getting some idea of
the root causes of her problem. It wasn't too long before I saw that she had deep-
seated feelings of inferiority and as a result she felt that no one could possibly
love her.
Judging from her background, I could see why she might have thought this.
Coming from a minority background, she had been conditioned to think of
herself as inferior from an early age. Her subsequent life experience only served
to add to this low self-image. She had been a heroin addict for a good part of her
life and had resorted to prostitution as well as dealing in heroin to support her
habit. The latter had resulted in her spending five years in prison, so she was an
ex-con as well. The breakdown had been triggered by a younger sister who, in a
fit of temper, one day threw all this in her face.
How did I cure her in just one session? Using the Pendulum technique (p.
36) I put her into a state some people refer to as hypnosis, but which I prefer to
think of as a state of increased responsiveness to words. Once she was in this
state, I was able to convince her that she was indeed capable of being loved. I
pointed out all her good points and assured her that her family, and especially her
husband, did love her. Others before me had tried to convince her of this, but to
no avail; the words had gone in one ear and out the other. But in this state of
increased responsiveness to words [heightened belief], I was now more able to
get through.
Within a week every one of her symptoms – hallucinations, delusions, etc. -
were gone. She had gotten back with her husband and was happily looking
forward to a trip to San Francisco with him. Six months later when I called to see
how she was doing, her sister informed me that she continued to be fine and free
of symptoms.
The most amazing thing about this case was that I had been able to cure this
woman of paranoid schizophrenia in just one three hour session. Such a feat is
considered so extraordinary that I hesitated mentioning it lest I be labeled a
charlatan by my fellow professionals - for paranoid schizophrenia is a most
difficult mental illness to cure. It usually takes months, even years and many are
48 Alfred A. Barrios
never cured. So to say that I cured such a case in one session is almost like
someone claiming to have cured a case of cancer by "laying on of the hands".
I have included it because I want the reader to see the real potential of an
approach that allows the power of the word to really get through. This is not to
say, of course, that all such problems can be cleared up in just one SPC session.
But still, it should take a lot less time and be more effective than if a standard
approach were taken.
(Barrios, 1985, pp. 23 and 24)
We will find that the answer to this question will begin to throw some light
on the part played by hypnosis in facilitating C-C conditioning. Osgood perhaps
best answered this question in his presidential address to the American
Psychological Association when discussing Mowrer's concept of the sentence as
a conditioning device. According to Osgood (1963), if the assertion made by the
sentence (the suggestion) is incongruent with subject's previously held beliefs
and attitudes (the cognitive environment) or their present perceptions (the
sensory environment), it will tend to be suppressed ... Since incongruent or
incompatible beliefs, attitudes, perceptions, etc., tend to suppress the cognitive
stimuli to be paired, they thus interfere with the conditioning. Therefore, we
hypothesize that anything that would eliminate such interfering stimuli should
facilitate C-C conditioning ... This leads to the part played by hypnosis in the
facilitation of conditioning. Hypnosis, it is felt, provides an especially effective
means (the inhibitory set) whereby interfering stimuli can be readily inhibited.
And this inhibitory set can be so efficient as to have the conditioning take
place in only one trial.
Regarding the functionally autonomous nature of the posthypnotic response:
of extinction is assumed. This theory states that in order for a response to become
extinguished, another incompatible response must become conditioned to the CS.
An implication from this interference theory would be that if the CR is stronger
than a potentially interfering response, the latter will be the one inhibited. Thus,
as long as there is a strong enough CR to begin with, it can keep itself from being
extinguished. (Barrios, 2001: 195)
As implied above in pointing out how the strong inhibitory set aspect of
hypnosis can lead to strong one trial conditioning, we can see how this strong
inhibitory set can also lead to functionally autonomous posthypnotic responses.
The large part played by the inhibitory set in facilitating conditioning and
leading to strong conditioned responses is supported by the work of Harry Harlow
(1959) and his error-factor theory. He considered much of learning to involve the
inhibition of what he referred to as error-producing factors, referred to in the
theory as competing stimuli (Barrios, 2001: 196).
The placebo when given by a doctor or person of authority works in the same
way as hypnotic suggestion, for the person is in a heightened state of belief. For
example, when the doctor gives a patient an injection 'to kill the pain', he is
essentially giving the suggestion 'this is going to ease your pain'. The actual pain
relief occurs even if the injection is an inert saline solution because of two factors
associated with suggestion. First, there is the cognitive stimulus 'pain relief' with
its associated endorphin (the body's natural pain killing substance) release into the
How the Theory Leads to Further Understanding of a Number of Areas 51
bloodstream. And second, the inhibitory set of the suggestion is evoked that
would inhibit anything that might interfere with the cognitive stimulus, such as
any doubts about the doctor's skills, or doubts about the painkiller's effectiveness,
or even the sensory pain stimulus itself.
As another example, when the doctor gives the patient any medicine or
treatment that he says will cure the patient, the cognitive stimulus 'healing' is
evoked with its attendant immune associated response (e.g. release of t-cells,
macrophages, etc.).*1
The next question that needs to be answered is from whence do the cognitive
stimuli 'pain relief' or 'healing' derive their meaning: i.e. how did the words or
thought 'pain relief' come to be associated with endorphin secretion or how did the
word or thought 'healing' come to be associated with the immune response? I
would say the answer is: through a process of higher-order classical conditioning.
As Pavlov (1960: 407) so aptly put it: 'Speech, on account of the whole preceding
life of the adult, is connected up with all the internal and external stimuli which
can reach the cortex, signaling all of them and replacing all of them, and therefore
can call forth all those reactions of the organism which are normally determined
by the actual stimuli themselves.'
In other words, at some point in a person's life, the words or thought 'pain
relief' were associated with the body's own natural pain relieving endorphin
secretion response; and the word or thought 'healing' was associated with the
body's own natural healing response while the person was experiencing the same.
There, of course, is still another way that a placebo response can occur. This
would be more from a form of first-order classical conditioning. For instance,
when a person or animal is injected a number of different times with a pain killing
medication, the stimuli associated with the injection (e.g. the syringe, the person
giving the injection, etc.) are the conditioned stimuli (the CS). The pain relief (the
UCR) produced by the actual painkiller, let's say morphine (the UCS), becomes
associated with the CS such that the CS can eventually produce a conditioned
response (CR) of pain relief. This CR can then also be looked upon as a placebo -
in this case produced via first order conditioning. I believe this is what is behind
the conditioning explanation of the placebo response of such researchers as
*One can also tie in this placebo healing effect with the idea of creating a state of hopefulness
through the power of belief. When a patient strongly believes he is being healed you can say a
state of hopefulness has been created. And studies have shown that a mental state of
hopelessness can suppress the immune system, and replacing the state of hopelessness with one
of hopefulness can help revive the immune system (see section on faith healing in the next
chapter).
52 Alfred A. Barrios
Gliedman, Gantt and Teitelbaum, 1957; Hernstein, 1962; Knowles, 1963; and
Wickramasekera, 1980.
I believe the above two-fold (first-order and higher-order conditioning)
explanation may help throw some light on the questions raised in the section on
placebos in Kirsch's 1985 paper on response expectancies. This should help
eliminate the apparent clash between the 'conditioning' and the 'response
expectancy' explanation of placebos if we can look upon the terms 'response
expectancy' and 'belief' as being similar as I have previously discussed, and see
that conditioning is also a factor in the 'expectancy' placebo, although higher-
order as opposed to first-order.
One other area that should also be cleared up by the above higher-order
conditioning explanation of placebos is the question raised by Kirsch: how can
one explain placebos in terms of conditioning when placebos often exhibit
functional autonomy? As put by Kirsch:
However, one can see from the previous section 'Helping towards a more
comprehensive theory of learning', how one can establish some fairly strong
functionally autonomous responses via the conditioning power of the belief or
response expectancy aspect of placebos.
The above section on how hypnosis can lead to one trial conditioning and
functionally autonomous responses as a result of the heightened state of belief
under hypnosis also helps to explain the overnight and long lasting changes that
can occur as a result of the heightened state of religious belief. And knowing of
the strong blocking action of the inhibitory set aspect of belief helps to explain
exorcism. As put in the article, 'Science in support of religion: from the
perspective of a behavioral scientist' (Barrios, 2002: 6):
Looking at belief in this new light can also help us better understand the
concept of exorcising (blocking out) of demons or the devil (negative
programming) within us and the role belief can play ... This also helps us to more
fully understand the far-reaching and in-depth changes that can often be produced
(almost instantaneously) by a 'religious experience'; how it can indeed be
possible to be reborn or born again as a result of such an intense heightened
belief experience.
So we see that the answer to the question 'does man have free will?' is that all
humans have the potential for free will because they have the potential to build up
belief in their ability to control their automatic behavior via a form of self-
hypnosis over time (as discussed in Chapter 4 in the section comparing the theory
to Hilgard's) and this is why we find that people differ from one another in their
level of free will or will power.
Many studies in recent years have shown that a person’s state of mind and
lifestyle can definitely play a key role in determining his or her state of health.
We know that excess stress (or more correctly, one’s inability to deal with excess
stress) can eventually lead to such diseases as stroke and heart disease by causing
high blood pressure and cholesterol buildup in the arteries. (See book Type A
Behavior and Your Heart by Meyer Friedman, 1974 pp 75-83 & 120-121.) And
as mentioned above, certain negative lifestyle habits such as excessive - drinking,
eating, smoking, etc. can eventually lead to disease and death. We also know
that certain negative mental factors (such as hopelessness and inability to express
one’s feelings and needs) can suppress the immune system sufficiently to make a
person more susceptible to such diseases as cancer. Evidence in support of this
can be found in the book The Type C Connection: The Mind Body Link to Cancer
and Your Health by Temoshok, 1993, pp. 136-138 and pp 202-209. See also the
studies of Glaser & Glaser, et al; Levy & Heberman; and Stein, Schleifer &
Keller regarding the direct suppressive effects on the immune system by mental
states of depression and hopelessness as reported in Norman Cousins’ book Head
First: the Biology of Hope, 1989, pp. 39 & 85. Two other studies by the Glasers,
also reported in Cousins’ book - pp. 39 & 40, indicated the enhancement of
positive emotions can have the effect of boosting immunity.
If we accept the fact that a person’s state of mind and lifestyle can play a
significant role in affecting the body, then it should be obvious that anything that
can play a major role in affecting the mind, such as belief and faith, could be a
major factor in affecting health and well being.
Evidence of the power of belief to affect the body health-wise can be found in
many studies on the power of the placebo (see for instance the book Timeless
56 Alfred A. Barrios
Healing: The Power and Biology of Belief, 1996 by Herbert Benson, and the
section on placebos in Cousins' book Head First, 1989) ...
However, there is something that needs to be made clear. Although strong
belief of being healed can be very effective in producing at least temporary
improvement in one's health (by allowing for a stronger immune response and
creating greater peace of mind at least for the moment), in order for this
temporary improvement to remain permanent, the belief factor must also be used
to help fully absorb the guidance factor [see section in chapter 9 on making
posthypnotic suggestion more effective by adding a guidance factor] so that the
immuno-suppressive psychological factors can be more likely to be permanently
removed (see Barrios, 1985, pp 124,125 and 154). Thus we can see that one way
of differentiating between the concept of belief and the concept of faith is to point
out that faith usually means 'guided' belief or belief in a certain way of life...
One way of determining how much more effective faith is than belief alone in
affecting permanent healing would be to do a thorough search of the placebo
literature or to do further studies on the placebo to determine whether the positive
effects of the placebo (or belief alone) are long lasting if there were no significant
lifestyle changes also taking place.
This basic idea that belief alone is not as effective for insuring permanent
healing to take place as when the belief is also used to bring about positive
lifestyle changes is illustrated when the case of Jolee Marshall is contrasted with
some of the other cancer patients I have worked with:
Jolee Marshall: After a very strong emotional upheaval Jolee had developed
an inoperable cancerous tumor of the intestines and had been given two weeks to
live. I worked with her for a period of four hours [with the hypnotic belief-
building and imaging techniques section of the self-programmed control-
psychoneuroimmunological (SPC-PN1) approach presented in the chapter on
cancer in Towards Greater Freedom and Happiness (Barrios, 1985)] and left her
with a very strong belief that her body's natural defenses would clear away the
tumor. The tumor did disappear (in fact overnight) much to the astonishment of
her doctor and Jolee did live cancer-free for one more year. However, upon
experiencing another similar emotional upheaval one year after my first and only
session with Jolee, the cancer returned and this time Jolee soon succumbed to it.
The strong belief that she would be cured was apparently sufficient to heal
her for one year. However, in the case of Jolee, the complete SPC-PNI approach
(which now also includes helping the patient make certain necessary lifestyle
changes) had not been followed. (Unfortunately, at this point in time I had not
fully realized that belief alone was not enough.) Because of this, there had been no
How the Theory Also Leads to Natural Explanations … 57
real follow-through for making the necessary changes in her way of life that could
have helped her more effectively prevent the second, and this time fatal,
emotional upheaval that occurred a year later.
This is in stark contrast to other cancer patients I have worked with where the
more complete SPC-PNI approach was followed. The following examples of the
approach taken and results achieved with a number of these patients will give you
some idea of the different outcomes that can be expected when a more complete
“faith healing” approach is taken towards eliminating the contributing
psychological factors (hopelessness, etc.):
Adele Bucanan: As opposed to just one session with Jolee, I saw Adele once
a week for eight weeks. At the time I first saw her, Adele, age 45, was suffering
from a fast moving cancer of the spine, lymph glands, the rib cage and the base
of the brain - a metastasis from an original cancer of the breast. (At this point in
time the only treatment she was undergoing was a very low dosage
chemotherapy, as she had had a strong negative reaction to the standard dosage.)
Because of the extended amount of time with Adele, I was not only able to
build up a strong belief in her body's ability to cure itself of the cancers but
through the heightened state of belief I was also able to bring about some major
changes in her way of life. In particular, she was able to develop a more assertive
personality. This allowed her to break out of the hopeless life situation that had
most likely played a key role in making her more susceptible to cancer in the first
place. She was now able to stand up to her very dominating and controlling
husband. Six months later the cancer had disappeared in all four areas and three
years after that, when last contacted, Adele was still very much alive.
John Roswick: John had been given radiation treatment for cancer of the
tongue. However, he refused the recommended follow up radical surgery. At this
point he discovered SPC. The following letter was written in August of 1985 upon
my request for him to summarize for me what had happened:
gave me your book 'Towards Greater Freedom and Happiness.' You said: you
now have two good books (meaning yours and the Bible) and told me to read
them both. I thank God for you and your book, you strengthened my belief in
what Jesus said in Mark ll:23 ['Believe and all things are possible']
Dr. Barrios, in my opinion your program is bridging the gap between the
mind, and the spirit then the body. Your program SPC was the beginning in my
healing, reinforcing my belief in Jesus teachings, ridding myself of all pent up
fear, especially fear, guilt, doubts, anger, unforgivness, and a bringing together of
the Mind, Spirit and Body.
My saliva returned to me during my sessions with you, my voice, and I
forgot to mention, MY TASTER. [After radiation] I couldn't taste anything. The
doctors said my saliva would never be the same, that my taster, taste buds, would
be about 50 to 75% returned. Well today I enjoy full saliva, and full tasting
abilities I had before radiation.
It is sad to note that medical doctors don’t, or won’t advise patients on
positive principles laid down in your book or the bible. I would urge anyone who
has an illness of any nature to seek out the SPC program. It works. It puts you in
tune with the real you, the spirit. It has for me and I know it will for others. I
firmly believe you are an instrument of God's. And I thank him for you. I am not
the same person you first met, frightened, confused, oh yes confused! My
condition is healed. Your holistic approach is a blessing."
Pam Roth: When I first started working on Pam’s case, she had just gone
through chemotherapy and radiation for metastasis breast cancer. She was also
having great difficulty breaking free of a 30 year two pack a day cigarette habit.
The following letter (which she wrote on my behalf when I was nominated in
1996 for the Norman Cousins Award in mind-body health) tells her story:
It should be pointed out that I am not the only one to report such long lasting
recoveries from cancer when a more complete “faith healing” approach is taken.
In her book, Temoshok cites numerous cases of successful cancer cures brought
about by her and other researchers in the field using the more complete healing
approach. Take for instance the story of Irwin:
Diagnosed initially with testicular cancer, the cancer had eventually spread to
his lymph nodes, chest and lungs. One tumor on his neck had grown so large he
was forced to keep his head at an odd tilt. His doctors told him that even with the
best treatment at the time (a combination of surgery, radiation, cobalt and nitrogen
60 Alfred A. Barrios
mustard, which he did undergo) he had only three to four months to live and that
he had zero chance of survival. At this point he sought the help of a
psychotherapist who used hypnosis along with traditional psychoanalysis. Under
hypnosis he was much more open to healing suggestions aimed at opening up
blocks in his capacity to love and be loved and to work on achieving his long term
life goals. Within six months, he had resolved his love problems and gotten
married and was ordained as an Episcopal priest - a lifelong goal. On the very day
he was ordained “he got the news that his follow-up x-rays showed no more
evidence of cancer. His lymph nodes and lungs were completely clear. This
seeming miracle occurred six months after his original diagnosis...Today, thirty
three years later, Irwin is alive, well and cancer-free.” (Temoshok, 1993, p. 320
italics added).
It should be pointed out that my presentation of the above anecdotal evidence
of cancer cures through a form of faith healing is done more as support for, rather
than definitive proof of the ability to cure cancer by using a mental/spiritual,
“faith healing”, approach. For this definitive proof we will need larger, controlled
studies. In such studies, among other things, all the important variables can be
studied systematically and under scientifically controlled conditions. For instance,
such studies would include accurate and more complete measurements of how
strong the belief factor was and how complete were the necessary lifestyle
changes for each individual case. The latter would I feel help throw light on the
question often posed: “How do you explain counter anecdotal cases whereby
terminally ill patients have tried to pray for their recovery substantially but to no
avail?” One answer to such a question might be that the degree and length of
healing would be directly correlated to strength of belief and depth of relevant life
changes that took place.
Chapter 9
of the power of words, the power of thoughts and the power of belief to control
automatic responses. The demonstration of salivating to the thought of biting into
a sour lemon based on principles of conditioning is one way to help get across this
point.
The negative effects of failure are minimized by telling subjects that 'because
of individual differences there may be some suggestions that work very well for
some people but not for others, and therefore it should not bother them if they do
not respond to a suggestion. In such a case they should just wait for the next one.'
In the SPC program discussed below, to minimize the negative effects of failure
subjects are told that they will be introduced to a number of different SPC
techniques and because every person is different they are to find the techniques
that they respond best to and work with these.
As for providing for more effective hypnotic induction techniques, as
suggested by the theory, anything that would ensure a positive response to
suggestion would help heighten the belief factor and thus increase the
effectiveness of the hypnotic induction. Several ways of doing this are
recommended by the theory: the use of easy to respond to suggestions to begin
with (see Corollary 5, following Hypothesis III); the use of naturally-occurring
responses; the use of subtle reinforcement of suggested stimuli or responses (see
Corollary 6); and the use of biofeedback devices.
The following are some of the SPC techniques I developed as a result (see
Barrios, 1985: 36-42 for a complete presentation of all the SPC techniques; they
are also available on an audio cassette – see www.stresscards.com.):
One of the techniques developed by following these guidelines was the
already mentioned pendulum technique. In this technique there is first the
biofeedback amplification provided by the length of the pendulum to amplify the
minute automatic movements of the hand. First, swinging from left to right is
suggested; then swinging in a circle. Then there are a series of other naturally
reinforced suggestions starting with the suggestion that the fingers will
automatically begin to creep open and as a result the pendulum will soon be
dropped. This response occurs naturally as the hand slowly begins to bend at the
wrist as suggestions are given that the hand will relax. This is followed by
suggestions that the hand and arm will be floating down as the state of relaxation
continues to deepen (another natural response).
The concentration spiral technique also takes advantage of naturally
occurring phenomena. This technique involves having the subjects looking at a
spinning spiral. I lead them through a series of suggestions of visual phenomena
which I devised by mirroring the subtle visual effects I experienced myself as I
visualized the spinning spiral. The following suggestions are given: as your mind
Developing More Effective Methods of Hypnotic Induction… 63
becomes more and more concentrated, you will begin to see a fuzziness or
waviness in the lines of the spiral; you will see a yellowish fluorescent-like fringe
to the black lines; dark rays will appear to spin off the edge of the disk; you will
feel as if you are riding backwards on a train in a spiral tunnel looking out the rear
window. Throughout, suggestions that the spiral is concentrating the power of the
mind continue to be given. Then, to emphasize this point, the suggestion is made
that upon looking away from the spiral at the clock on the wall (or some other
object like a plant in the room) the clock (or plant) will be magnified and appear
to grow larger. This very dramatic effect is a naturally-occurring effect as a result
of looking at the spiral spinning in a clockwise direction. Of course, as per the
theory, by having responded positively to the series of previous suggestions, the
effect is magnified that much more. (A DVD of the spiral technique is available –
see Barrios, 2006.)
To minimize any feelings of deception for the few that may think of the spiral
technique as pure illusion, prior to going through the technique I first point out
that everything the subjects are going to see is naturally there but as a result of the
concentrating effect of the procedure everything will be seen that much more
clearly and strongly (which is true). I even tell the subjects afterwards that some
people do not experience any of these effects (which is also true for those not
paying attention or those determined not to respond).
Other SPC techniques making use of naturally-occurring phenomena are the
light bulb, the rapid deep breathing, and the hand levitation techniques. In the
light bulb technique, use is made of the after-image produced after staring into a
40-watt light bulb for a short while. In the initial steps the subject is told they will
see a yellow colored balloon after they close their eyes and that it will be
changing in color from yellow to red to magenta to blue (which would be the
natural color changes the after image would go through). Suggestions are also
given that the balloon will begin to float up and the head will also begin to float
up. The subject is told that the latter will occur with each breath they take in.
Because there is a natural tendency of the head to rise with each breath taken in
this suggestion is automatically reinforced. (Conversely, there is a natural
tendency of the head to sink with each breath let out so one can reinforce
suggestions of head sinking in a similar way.) The rapid deep breathing technique
(an adaptation of the hyperventilation method discussed by Kroger, 1977: 77-8)
takes advantage of such naturally-occurring responses to hyperventilation as
tingling, light-headedness, greater awareness of heart beating, etc.
In my adaptation of the hand levitation hypnotic technique, I have the
subjects begin by first pressing the hand as flat as possible against the surface,
with the fingers spread as far apart as possible. I tell them to push down as hard as
64 Alfred A. Barrios
they can initially. Thus, when suggestions are given that the hand will start to rise
and the fingers will start to come together as the hand relaxes this is what would
naturally occur as they stop pushing down and relax, thus reinforcing the
suggestions.
These basic principles for increasing the effectiveness of hypnotic inductions
derived from the theory have been presented in such a way that one should be able
to extrapolate from them and develop other similar naturally reinforced
techniques.
EDUCATION
After my PhD dissertation (Barrios, 1969), I developed a program to help
college students (primarily Mexican American) on scholastic probation avoid
66 Alfred A. Barrios
dropping out. I used a three-pronged approach (see Barrios, 1973b). The first part
consisted of the set of self-hypnosis techniques I had developed from the theory
(see the techniques mentioned in the previous chapter). Soon after, the school
administration asked me if I could avoid using the term hypnosis because of all
the associated misconceptions. It was at this point that I came up with the term
“self-programmed control” (SPC) techniques in place of “self-hypnosis
techniques”. The SPC program eventually came to refer to the entire program of
SPC techniques plus guidance.
The main purpose of the SPC techniques was to help the students develop a
greater belief in the power of their minds. This combined with the other two parts
of the program leads to a greater belief in their capabilities. Eight years later,
Albert Bandura would coin the term 'self-efficacy' for such belief in one's
capabilities. As he at the time so correctly pointed out, without such a belief,
people would not even make the effort to help themselves. Or as he put it, 'It is
hypothesized that expectations [belief] of personal efficacy determine whether
coping behavior will be initiated, how much effort will be expended, and how
long it will be sustained in the face of obstacles and aversive experience'
(Bandura, 1977: 191). In a prior study by Losak (1972), the lack of belief in their
capabilities was felt to be the reason why remedial programs alone were found to
be of no help for students at risk of failing.
The second part of the three-pronged approach was aimed at helping
eliminate any school- or outside-of-school-related stress/anxiety problems that can
also often interfere with learning and test-taking capabilities. The SPC techniques
played a part here also by helping to program in an automatic relaxation response
in times of stress as well as program in stress-reducing positive attitudes. (The
book Psycho-Cybernetics [Maltz, 1960] was used initially to introduce the
students to these positive attitudes towards life.) In later years the term 'emotional
intelligence' was coined to describe the importance of learning to deal effectively
with anxiety and emotional problems in order to succeed in life (Goleman, 1995).
The third part of the program, the part especially geared for improving
students' scholastic abilities, was made up of study, problem solving, and test-
taking techniques many of which were taken from Studying Effectively (Wrenn
and Larsen, 1955).
Following from the theory, a basic theme underlying this three pronged
approach was to provide as much immediate positive feedback as possible to
increase the belief factor that much more. As previously indicated, the SPC
techniques had built-in immediate positive feedback as recommended from the
theory and this same immediate feedback approach was followed with the other
two components of the program thus further adding to the overall positive belief
The Development of Self-Programmed Control… 67
factor. For instance my invention, the stress control biofeedback card (originally
called the 'Colorimeter'), was used to immediately reinforce the relaxation
response. The card, the size of a credit card, is a simple thermal biofeedback
device. It has a liquid crystal rectangle in front that indicates fingertip temperature
in terms of color response and four relaxation techniques on the back. Seeing the
color changing as the fingertip temperature rises with increasing relaxation level
immediately reinforces these relaxation techniques. (For more on the Stress Card
go to www.stresscards.com.) And with regards to the learning skills section, I
started with two memory techniques that provided immediate feedback: (a) the
'numbers' technique where the students were amazed to see how quickly they
could memorize a 23 digit number using grouping and association techniques; and
(b) the 'names' technique where the students were equally amazed to find out how
easy it was to memorize the first names of all the students in the class using
association techniques. These techniques in turn whetted the students' appetites
for other even more practical techniques such as the 'SQ3R' study technique
which itself produced immediate positive results in the quizzes which quickly
followed.
Another source of immediate feedback was the progress reports, a form of
journal I asked the students to keep. On the first page of the progress report they
were to make a list of the goals they wanted to achieve and at the end of each
week they were to look back and note down any positive results they had already
achieved regarding these goals. At the beginning of each class meeting I would
ask for people to stand up and share any successes they had already achieved.
This was especially helpful in getting through to those in the group who for
whatever reason still found it hard to believe that SPC could produce results. (See
pages 200-7 in Barrios, 1985 for examples of these student progress reports; see
also testimonials section of www.stresscards.com.)
What amazes me is how many similarities there are between the SPC
approach to helping these students and Bandura's overall approach to building self
efficacy. Bandura (1977: 195-200) refers to four basic ways in which self-efficacy
can be built: performance accomplishments, vicarious experience, verbal
persuasion and dealing with emotional arousal. Let's look at each of these areas as
it relates to some of the methods used in building the belief factor in the SPC
program:
68 Alfred A. Barrios
There is one more important point that Bandura makes regarding the overall
effectiveness of verbal persuasion at building self-efficacy: 'However, to raise by
persuasion expectations of personal competence without arranging conditions to
facilitate effective performance will more likely lead to failures that discredit the
persuaders and further undermine the recipients' perceived self-efficacy' (1977:
198). This is of course why the SPC program for students also included giving
them effective study, problem solving and test-taking techniques (with lots of
immediate positive feedback) as well as a set of positive guidelines to life
(originally supplied via the book Psycho-Cybernetics, Maltz, 1960).
Emotional arousal: Bandura definitely agrees with the need of the students to
effectively deal with anxiety and emotional problems if they are to succeed in
school. The way he puts it is to say that self-efficacy level will definitely be
affected by emotional or anxiety problems. 'Because high arousal usually
debilitates performance, individuals are more likely to expect success when they
are not beset by aversive arousal than if they are tense and viscerally agitated'
(Bandura 1977: 198).
original 105 SPC students plus an additional 131 that took subsequent SPC
classes). In those students indicating excess in the following areas these
percentages cut down:
Many feel that people on welfare are just plain lazy malingerers and don't
real1y want to work. I don't believe this. It's my theory that these people
remain on welfare not because they want to but because their low self-image [low
self-efficacy] makes them feel incapable of anything else. (Barrios 1985: 208)
The Development of Self-Programmed Control… 71
The essence of what the program can do for these people was captured by the
comments of two CETA (Comprehensive Employment and Training Act)
instructors who saw the results of what SPC was able to do for their students. First
the comments of Maria-Luisa Lopez, CETA instructor in East Los Angeles. She
stated that after much searching, she had at last found (in SPC) a means of dealing
with the all important attitudes and fears of her students that had continued to
plague her ability to get through to them. In her own words:
In the past (prior to SPC exposure) many of our trainees who were sent out
on interviews by the staff Job Developer would not even show up, or if they did
they projected a negative or insecure attitude and were rejected in many
instances. Since SPC exposure, all have acquired a more positive, self-confident
attitude which has helped them during the interviews and subsequently while
learning their duties as new employees. Of the 18 trainees I had in my class when
I started using SPC, all have found jobs, ten of them completely on their own -
something unheard of before as in the past those who had found work found it as
a result of the Job Developer's efforts.
Needless to say, I am completely sold on the SPC concept. (Barrios, 1985:
32)
After seeing the response of the students and hearing examples of their
applications of Dr. Barrios' concepts and techniques, I feel strongly that this is an
important part of job training that has never been previously recognized. CETA
can train a person to obtain job skil1s but if he has no self-confidence, no sense
of control over his own destiny, no previous pattern of success, he has great
difficulty getting and holding down a job. It is this strategic area of Dr. Barrios'
course which applies so directly to our CETA trainees. (Barrios, 1985: 209)
INDUSTRY
One can also see that there could also be a positive use for SPC in industry.
Inefficiency and absenteeism would be diminished; work morale would be higher;
there would be a definite lessening of friction among personnel; there would be
considerably fewer stress problems; absenteeism due to illness would be much
less. All these would result in increased productivity. That such results are
possible with SPC was borne out in a study done at Rockwell International and
72 Alfred A. Barrios
Procrastination - Have done one or two extra chores every night instead of
putting it off until there is no time left. This includes paying bills, letters, etc.
Diet and Health - Started doing exercises at home. Have also done pretty well
with my meals. Have already lost a few pounds.
The Development of Self-Programmed Control… 73
Smoking - Have cut down considerably. Have gone without one as much as
four hours at a time at work where the pressure is the greatest.
Work - Work running more smoothly now. Not as many redo's from frus-
tration or aggravation and the time element is no longer creating excessive
tension.
I am convinced the program works. For years I've read books oriented along
these lines, but this course seemed to show how to accomplish your goals.
This course has been helpful in many ways toward improving my self-image.
My confidence and positive thoughts have strengthened a great amount.
My life is a much happier one which gives off a glow of warm vibrations to
others around me. I'm able to concentrate on a positive thought whenever I desire.
Problems, large or small, at work or at home, no longer pose a threat of failure
because I am assured I can solve any.
Since my self-image has improved, I find that I like myself even more and am
able to do much more than I've done in the past. Now that I realize I have the
ability, I know I will be successful most of the time. I am confident I will
accomplish my goals, both short and long range. Without this course, I wonder
where would I be today?
I have greatly reduced tension. My sex life has improved considerably and I
feel I have a more positive attitude toward the future. My memory and reading
comprehension have improved. And I am able to shut out outside interference
when thinking.
While my problems were not as great as many people, I can see where
everyone could benefit from this course. I feel it was worth the time and money.
I have learned the techniques, I have the tools - now the rest is up to me.
The class has definitely helped me. For instance, no one could have hated a
job more than I did; I despised going to work in the mornings. Now, I really enjoy
my job - I don't mind getting up and going to work. I really like the people I work
with now. I just changed my attitude (after I started the class and started reading
“Psycho-Cybernetics”) and everything just seemed to shape up.
74 Alfred A. Barrios
Also, I have lost 7 lbs. I have started and am continuing an exercise program
every day at noon. Have been running a mile at noon instead of eating lunch. I
have something light at dinner - absolutely no sweets and sweets were my
weakness.
So, I will have to say the class has been a success for me. My weight and
work problems seem to be going okay now so I think I'll start trying for self-confi-
dence (that will be a tough one but I know I’ll be able to make it).
This has opened my eyes to a lot of little things that are really big. Find
myself thinking clearly again and normal. Also, I've noticed that more done lately
in shorter time and with less effort. I find that I'm now able to get vivid blue on
the Stress Card more and more frequently. I'm definitely going to continue work-
ing with this program.
I do not feel that SPC has helped me a great deal, but who knows what seeds
have been planted.
greatly enhanced to the point where cooperation and efficiency of the overall
program results in a much better end result.
In the past, under pressure, I'd run. Now I don't. Example - In a night class I
am taking I have noticed a complete change of attitude. Before I would easily
become discouraged and be quick to give up and drop the class. Now I find
myself sticking to it and no longer so afraid of the teacher.
I find that SPC has also helped with my job - because I can keep calm long
enough to learn it. Previously I would be so upset during the learning period it
took twice as long. I use the quick count-down when I get in a tight spot and it
seems to help quite a bit. Also, there is an annoying person whom I work with - I
can for the most part, with the countdown, keep my feelings in control so as not to
upset the entire office.
I feel that I have learned the tools to help myself over the past six weeks. I
probably would not have read Psycho-Cybernetics at all. Now that I started the
book I feel I will complete the book within the month.
Before the course I rated myself low in self-confidence and positive thinking.
Now I find myself catching myself as soon as I become aware of the situation
and program in that I am confident in my abilities. When I think negatively I
immediately disregard the thought and think of a positive thought. I think I have
reversed my negative pattern.
As far as habits are concerned, I am working on one that has grown since
childhood. I recently have had success in controlling this habit for the first time in
approximately 30 years - three successes in a row. This has helped my ego and my
confidence to a great degree.
Also, I had trouble sleeping at times. Now when I go to bed I go through a
complete programming input and relax much more than before, thereby getting to
sleep earlier and more relaxed. As a result I am on time for work and more
relaxed during the day. And my mind is not as cluttered up with negative thoughts
and fears during the day. Therefore I am able to get more work accomplished.
I look forward to working hard on all areas with the tools learned in the class.
Have achieved positive results from the 6 week program; feel that this is only
the beginning. This course gave me the tools, now I must continue to use them to
continue the progress.
I was particularly impressed with my ability to remember names. This was
always a weak point with me. I find that I am also starting to gain confidence in
my handling of situations at work that bugged me before and am much more
relaxed when making presentations to a group of people.
I was quite pleased with the "before" and "after" results of the Willoughby
test.
I really "dig" the "positive thought" technique. I use this every day. This is the
basis of Maltz' book [Psycho-Cybernetics] but I didn't really get it until this class.
This is the biggest thing I have learned to date. I now try to concentrate on my
successes as much as possible.
I thought the course was well presented. I have obtained positive results in my
blood pressure reduction goal and find I am more relaxed now. I have also made
some slight progress in my weight reduction goal.
Thanks to the short-cut techniques I can automatically relax when problems
come up at work and find I can deal with others more easily.
MEDICINE
One can also see the possibilities of SPC in the area of medicine. Although no
study has been done with the specific purpose of testing the effectiveness of SPC
for improving health, one can see from many of the above reports as well as
others scattered throughout the book [Towards Greater Freedom and Happiness]
that SPC can be considerably effective with such health problems as: high blood
pressure, ulcers, arthritis, asthma, pain, headaches, insomnia, anxiety, depression,
smoking, obesity, diabetes, alcoholism, heart disease and cancer. (Barrios, 1985:
213; see also testimonials section of www.stresscards.com)
The Development of Self-Programmed Control… 77
DRUG REHABILITATION
As has already been reported, one of the side benefits of the SPC program for
students was considerable reduction in a number of habits of excess including a
number of different drug addictions.
A more direct use of SPC with drug addicts and alcoholics was its application
at Bridgeback and the House of Uhuru in the predominately African-American
area of Los Angeles. Both are rehabilitative centers for hard-core drug and
alcoholic offenders many of whom had been sent to prison for drug-related
crimes. The types of results achieved are illustrated in the two letters presented on
pages 214-16 of Barrios, 1985.
The first was written by a resident at Bridgeback and addressed to-whom-it--
may-concern:
For many years (since 1959) I had been a drug-addict. Now I'm a resident at
Bridgeback.
For a long time I thought there was no hope. I had been told that once a
dope-fiend always a dope-fiend. Not having too much on the ball, as far as a
future, I let this saying make a nest in my subconscious. Because of this I would
not deal with anything. Through the years I tried several times to break the habit
but each time would go back. Well, I finally gave up and said it's time to get help.
I signed up for the Bridgeback Drug Program. There I thought that I could get
help by just grouping [note: this is a form of encounter group therapy and has
been the main form of therapy currently used by many drug rehabilitative
programs] but I couldn't. So along came Dr. A.A. Barrios. He had a very unique
program called SPC (self-program control).
At first I just sat in class and didn't get involved, then he started saying
things that sounded good. He said he could change a person's entire life if they
got involved. I didn't believe it at first. So, I said what can I lose.
I started out by using the Spiral Mind Technique. I began getting so
involved, I purchased a kit. Every morning I would use it. Then it started taking
effect. The next thing I know I had no desire whatsoever to use or even be around
dope.
Then I had this Mural to paint, 75 feet long and 25 feet high. I just knew I
wouldn't finish it. So I programmed in that I would complete the Mural, and now
it's one of the best in the city of L.A. and I'm always getting recognition for it.
Now, still using Dr. A. A. Barrios' SPC program, I'm enjoying life in a much
more rewarding way. I attend L.A. Business College where I'm studying
accounting. Upon completion, I hope to become an accounting clerk. Next, I
applied for a job for the State of California as a claim's examiner's assistant. My
application was accepted. I took the test and I found it was so easy; it was as if I
78 Alfred A. Barrios
had taken it before. It's really something to see how these techniques work. I just
know I did well on it because I got under the Spiral that morning.
Oh yes, let me include this in this short story of my changed life-style. My
grades in high school were C's and D's; now they are, believe it or not, A's and
B's.
I'm going to close with these last few words. There was this young lady that
came to the program. I saw where I could help her with this new program. She
was like me at first, skeptical; now she's getting involved and she's really doing
fine now.
The following letter was written to the Director of the House of Uhuru by one
of the peer-counselors who had taken part in the pilot SPC study there:
With the continued usage of the techniques learned through SPC, and
reading excerpts from the book Psycho-Cybernetics by Maxwell Maltz, I became
more confident and aware of my abilities to change and control my life as I deem
fit.
In regards to Self-Program Control being incorporated and implemented as
an on-going therapeutic phase of the Uhuru's philosophy, I am strongly in favor
of the idea. Not only have I seen the positive effects of the class on myself and
the others taking it, but I have also seen that we ourselves could very easily teach
it to others in turn.
During the last four classes ten clients participated who were from the
residential component. These ten clients were taught SPC by us without Dr.
Barrios. We, the class, introduced to them a few of the SPC techniques that were
ideal for tension control and relaxation. At the end of the very first session, all of
the residential clients were very enthused and expressed a desire to attend and
learn more from additional sessions.
At the conclusion of the fourth session, clients were relating to me how they
had used the Deep Breathing Technique to relax and had as a result stopped
taking sinnequans, a tranquilizing medication. Also while participating in the
regular intensive grouping sessions, by using the 20 to 10 Countdown Technique
the clients were able to control their tempers and display a more positive attitude
and behavior pattern. Many of the clients also reported that they were now able
to go to sleep at night without the aid of medication simply by using the
techniques learned in SPC. One client especially stated she had gotten so upset
one day that her blood pressure went up high enough for our doctor to feel
medication was necessary to restore it to normal. At this time the client went
through the techniques learned in SPC, and as a result her blood pressure
returned to normal without her having to be administered medication.
Each day SPC is being heralded by these ten residents who were fortunate
enough to be included in the SPC class, and they themselves are now teaching
the techniques of SPC to new residents.
These are some of the incidents that lend credence to the benefits that can be
acquired through SPC.
The above letter illustrates once again a major advantage of the SPC program
- how easy it is to teach. Please also note the chain reaction effect. The students I
taught in turn taught the program to ten other residents who in turn started
teaching the program to others. Again this is all in keeping with the
"demystification" approach of Ivey and Alshuler (1973) that says we don't have to
be Ph.D’s or so-called experts in order to help others. I believe strongly that we
need this chain reaction effect if we are going to help turn this world around in
time. As I alluded to in the beginning of this book [Towards Greater Freedom and
Happiness], we are currently in a life or death race, “... for at the phenomenally
80 Alfred A. Barrios
fast rate at which technology has advanced during the past century, man now has
the means to totally destroy himself, and will unless we can get to him first”.
(Barrios, 1985:217)
CONCLUSIONS OF PART II
A significant number of benefits were derived from the theory. These include:
(1) a further understanding of the hallucinogens, schizophrenia and bipolar
disorder, biofeedback, higher–order conditioning, placebos and faith-based
phenomena including free will and faith healing; (2) development of more
effective methods of hypnotic induction; (3) development of more effective
methods of giving post-hypnotic suggestions; and (4) development of Self-
Programmed Control (SPC), a positive-oriented behavioral improvement program
which provides a systematic means of achieving self-actualization. Although
Maslow (1971) did an excellent job of introducing the concept, he never really
developed a systematic approach to achieving self-actualization. It is felt that
among other things, SPC can be the catalyst that provides the all important
missing link – a means of facilitating change and thus helping to achieve the goals
necessary for achieving self-actualization. Key factors in achieving self-
actualization in the SPC program are the greater levels of self-efficacy (Bandura,
1977) and emotional intelligence (Goleman, 1995) achieved. Positive results of
SPC’s application in a number of important areas were presented: education;
welfare; industry; medicine; and drug rehabilitation. This emphasis on a positive
psychological approach to behavioral improvement fits right in with the current
Positive Psychology Movement (Seligman, 2005).
APPENDIX
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Appendix 85
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Appendix 87
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Appendix 89
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Appendix 91
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Appendix 93
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Appendix 95
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Appendix 97
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Appendix 99
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Appendix 101
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Appendix 103
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Appendix 105
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Appendix 107
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Appendix 109
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Appendix 111
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Appendix 113
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Appendix 115
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Appendix 117
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Appendix 119
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Appendix 121
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Appendix 123
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INDEX
A anger, 58
antecedent indicant of hypnosis, 40, 41
absenteeism, 71 anxiety reaction, 8
addiction to sweets, 74 anxiety state, 116
addiction, 47, 59, 69, 70, 77 anxiety, 8, 9, 46, 66, 69, 76
adult learning, 113 apathy towards hypnosis, 83
adventurous subjects, 102 approximation techniques, 64
adventurousness and hypnotic ahistorical approach in therapy, 11
susceptibility, 103 Armageddon, x, 80
African-Americans, 70, 77 arthritis, 76
age and hypnotic induction, 119 artificial situation technique, 9, 36
age and hypnotic susceptibility, 19, 20, artificially induced responses, 21, 36,
105 100
age regression, 9, 106, 107, 110 ascribing hypnotic phenomena to
age regression suggestions, 111 hypnotist, 102
aggravation, 73 assertiveness, 57
alcohol, 10, 78 association memory technique, 67
alcoholics, 77 asthma, 8, 76, 116
alcoholism, 8, 9, 70, 76, 116 attention factor in hypnotic induction,
allergic rhinitis, 8 101
altering accessibility, 21 attention, 27, 28, 84, 98
alternative medicine, 5 attitude towards hypnosis, 101
American Psychological Association, attitudes and hypnotic induction, 103
7, 49 attitudes, 9, 11, 15, 22, 49, 64, 66, 73,
amnesia, 108, 109 75, 85, 119
anesthesia, 108, 109 attractiveness, 72
132 Index
automatic behavior, ix, 28, 29, 37, 54, theory of hypnosis, 14, 17, 19-24,
55, 62 26, 31, 32, 35, 36, 37, 38, 41,
automaticity, 28 45, 48, 49, 50, 53, 54
automatons, ix, 29 the theory and biofeedback, 45, 48,
autonomy, 26 81
aversion therapy, 10 the theory and bipolar disorder, 45,
48, 81
the theory and the hallucinogens,
B 45, 81
the theory and learning, 45, 48, 81
Bandura, Albert, x, 4, 5, 66, 67, 68, 69, the theory and religious
81 phenomena, 18. 53, 81
Barber T.X., 13, 23, 24, 39, 40, 41, 88, the theory and schizophrenia, 45,
100, 103 46, 47, 81
Barber Suggestibility Scale, 36, 103 the theory and the placebo, 18, 45,
Barrios, Alfred A., 118 81
automatic behavior, 29 welfare and work incentive
clinical review of hypnosis programs, 70, 71
literature, 3, 8, 9, 10, 13 basal metabolism, 107
depth of hypnosis required, 12, 25 behavior therapy, 3, 8, 13
drug rehabilitation, 70, 77, 78, 79 behavioral change, 4, 23, 29, 64
education, 65, 66, 67, 69, 70 behavioral effect of the hallucinogens,
faith healing, 55, 56, 57, 58, 59, 60 45
free will, 26, 54 behavioral effects of hypnosis, 45
hypnotic induction improvement, behaviour disorders of school children,
61, 62, 63, 64, 81 9, 117
industry, 71, 72, 73, 74, 75, 76 belief in one’s capabilities, 66
medicine, 76 belief systems, 22, 23
methodological shortcomings of belief, ix, 14, 17, 18, 19, 22, 26, 29,
hypnosis experiments, 25, 39, 30-33, 37, 46, 50-53, 54, 55, 56,
40, 41, 42 57, 60, 62, 66, 68, 85, 91
placebo effect, 50, 51, 52, 56, 81 beliefs, 15, 19, 32, 46, 49, 52, 85
post hypnotic suggestion, 39, 61, belief, definition of, 54
64, 81 benefits of hypnosis, ix, 3, 5
self-efficacy, 67, 68, 69 benefits of SPC, 70, 77, 79
SPC program, 22, 37, 62-81 benefits of the theory, 43, 45, 81
the subconscious, ix, 28, 29, 54, 59 bible, 57, 58
biofeedback, 4, 5, 17, 35, 36, 37, 45,
48, 62, 67, 68, 81
Index 133
traditional hypnosis, 59 W
trance suggestions, 91
trance, 22, 24, 25, 91, 92 waking state, 25, 33, 36, 90, 112
transference, 101, 102 waking suggestions, 13, 88, 90, 91, 96,
trustworthiness and belief, 68 100, 101, 117
Type A behavior, 55 easy of execution prior to hypnotic
unconditioned response (UCR), 83, 92 induction, 99
unconditioned stimulus (USC), 83, 92 waking suggestions of:
allergic dermatitis, 88
analgesics, 88
U automatic changes, 88
color blindness, 88
UCLA, 70 deafness, 88
unconscious differentiated from heart acceleration, 88
subconscious, 28 heart deceleration, 88
uncontrolled hyper-responsive state, 48 salivation, 88
uncontrolled hypersuggestibility, 45, water metabolism controlled via
46 hypnosis, 107
unhealthy habits, 78 weight control, 70, 72, 74, 76
Weitzenhoffer, A. M., 103, 105, 107,
111, 112, 118
V welfare reform via SPC, 4, 65, 70, 81
Willoughby test, 72, 76
values as cognitive stimuli, 85 willpower, 26, 29, 55, 59
variations of hypnosis, 18 winning attitude via SPC, 74
verbal persuasion and self-efficacy, 4, Wolpe, J., 9, 12, 13, 88, 89
67, 68, 69 Wolpe’s desensitization technique, 9
visual hallucination, 109 words as conditioned stimuli, 87
visual hyperacuity, 108 work attitude improved via SPC, 73
visualization techniques, 22, 57, 59, 64 work capacity increased via SPC, 108
vocabulary skill increased via PHS, work efficiency increased via SPC, 74
118 work incentive programs, 70
voice of the hypnotist, 40 work morale and SPC, 71
voodoo, 52 work performance and SPC, 74
work pressure reduced via SPC, 73
Index 147