Preparing the Patient and Professional Practice Max P Shapiro, PhD NESCH Basic Workshop October 20, 2012 Newton, MA

Preparing the Patient Usual work-up, esp., GOALS Assess prior experience & expectations Dispel Myths & Misconceptions –Self-control ? ( NB: total contol---POW, cults, hostage situations, etc.) –Awareness & amnesia ? –Truth-serum ? –Memory as a recording ?

Preparing the Patient II Defining Hypnosis for the Patient: –“ a state of inner absorption, concentration and focused attention” –changing the field of attention broad  narrow flashlight  laser ( NB: bare bulb in meditation) –like using a telescope or microscope– doesn’t change reality, but rather what you see and what it means

Preparing the Patient III How hypnosis works: 1. Greater use of imagination 2. Suggestion of useful sensations, feelings, ideas, images, etc. 3. Exploration of inner life

Preparing the Patient IV Hypnosis is an individualized experience –Differing degrees of aptitude in different areas –Different responses in different contexts: i.e., relationship, problematic situation, expectation set Possible frameworks: –Conscious vs. Unconscious activation –All hypnosis is based on your own inner abilities

Preparing the Patient V Hetero- hypnosis vs. self-hypnosis Like learning to ride a bicycle Suggestions only work if congruent for the patient Go into trance ( “go inside”) only when in your own best interest

Variables in Hypnotic Responsiveness Setting & Meaning Relationship with Clinician Individual’s Aptitude Quality of Teaching / Coaching Practice Effects

Domains of HYPNOSIS Altered State of Consciousness Hypnotic Relationship Socio-cognitive Variables: Expectations, Suggestions, etc.

The Different Dimensions of Hypnosis SENSORY ◊ Alteration ◊ Catalepsy ◊ Dissociation ◊ Analgesia ◊ Anesthesia ◊ Hyperesthesia ◊ ± Sensory Construction ◊ Ideosensory ◊ Ideomotor COGNITIVE ◊ Age Progression ◊ Age Regression ◊ Hypermnesia ◊ Amnesia ◊ Time Distortion ◊ Induced Dreams/Imagery POST-HYPNOTIC EFFECTS ALTERED MEANING

Professional Issues Max P Shapiro, PhD NESCH Basic Workshop October 21, 2012 Newton, MA

Organizations SCEH ASCH Regional Societies: NESCH et. al. Boards Certification

Your Individual Path The more you do, the more success you’ll enjoy Use with your own patients in focal ways –Stress management, Pain Management, –Optimizing Relaxation Training –Encourage curiosity Family / Friends / Etc –But remember, it intensifies relationship

Your Path (cont.) Mentoring: You forge the learning contract –Range: weekly PRN Workshops: eg., Dec 4 th (Wark: Alert Hypnosis) Annual Meetings: SCEH / ASCH / ISH Regional Meetings: ASCH / NESCH

NESCH Membership Faculty Gift: Free Membership thru Dec 2013 Attend Quarterly Educational Meetings Sun AM Attend Monthly Seminars / Study Groups