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Preparing the Patient and Professional Practice Max P Shapiro, PhD NESCH Basic Workshop October 20, 2012 Newton, MA
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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 ?
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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
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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
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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
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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
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Variables in Hypnotic Responsiveness Setting & Meaning Relationship with Clinician Individual’s Aptitude Quality of Teaching / Coaching Practice Effects
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Domains of HYPNOSIS Altered State of Consciousness Hypnotic Relationship Socio-cognitive Variables: Expectations, Suggestions, etc.
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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
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Professional Issues Max P Shapiro, PhD NESCH Basic Workshop October 21, 2012 Newton, MA
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Organizations SCEH ASCH Regional Societies: NESCH et. al. Boards Certification
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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
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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
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NESCH Membership Faculty Gift: Free Membership thru Dec 2013 Attend Quarterly Educational Meetings Sun AM Attend Monthly Seminars / Study Groups
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