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For centuries different cultures have experimented with inducing trance­like states by hypnosis to promote healing. The founder of modern hypnosis was Franz Anton Mesmer, whose treatment of patients in the 18th century gave his name to "mesmerism." Practitioners induce a state of consciousness akin to deep daydreaming, in which the patient is deeply relaxed and open to suggestion and can be desensitized to fears, phobias, or pain. Hypnotherapy has moved away from earlier associations with quackery and gained respect within the medical establishment, but has yet to be incorporated into mainstream practice.


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HISTORY

The ancient Egyptians and Greeks are said to have used healing trances, and tribal cultures in Africa and the Americas have long used dancing and drumming to hypnotic effect. Hypnotherapy, however, is generally understood to have evolved from the work of 18th century Austrian doctor Franz Anton Mesmer. He was eventually branded a charlatan and "mesmerism" was denounced, but in 1843 a Scottish surgeon, James Braid, attempted to explain trances in scientific terms. Surgery was performed under what Braid termed "hypnosis," but the medical establishment remained uninterested, especially after the discovery of the anesthetic properties of ether in the 1840s. In the 1890s, the publication of Braid's papers in both French and German sparked new interest, and a "school of hypnotism" was founded in Nancy, France.  

Sigmund Freud used hypnosis in his early work, but later preferred to work with the patient fully conscious. In the 1950s and 1960s an American psycho­therapist, Milton H. Erickson, developed the modern form of hypnotherapy, which is widely used in the West. Although the US and UK medical authorities recommend its inclusion in doctors' training, medical students rarely receive such teaching.
 
KEY PRINCIPLES
 
Practitioners believe that the mind has different levels of consciousness. Under hypnosis, the conscious, rational part of the brain is temporarily bypassed, making the subconscious part, which influences mental and physical functions, extremely receptive to suggestion. Although hypnosis may be light, medium, or deep, a medium trance is usually used, during which metabolism, breathing, and heartbeat slow and the brain produces alpha waves.  
 
It is claimed that 90% of the population is capable of entering a hypnotic state. Of these, 10% are highly hypnotizable and can be taken into a deep trance, in which minor operations may be performed without anesthesia. Imaginative people who are easily absorbed in what they are doing make the best subjects, but much depends on a willingness to be hypnotized and on a good rapport with the practitioner. Hypnotherapists claim that it is impossible to hypnotize an unwilling person, since the subconscious mind is extremely unlikely to accept unreasonable suggestions.
 
EVIDENCE & RESEARCH
 
There is no doubt that hypnosis works, but how is still a mystery. Some researchers claim that patients "allow" themselves to be hypnotized, and that the relationship between practitioner and patient is the key.
 
The Laboratory of Hypnosis Research was established at Stanford University in California in the 1960s and similar projects were set up elsewhere in the US, Canada, Europe, and Australia.
 
Studies published in The Lancet in 1989 showed hypnosis to be successful at relieving irritable bowel syndrome. In 1984, an Australian study found that anxiety levels could be controlled with hypnosis, while research in the US revealed that it enabled patients to relax during dental surgery.
 
Two trials published in the 1960s in the British Medical Journal showed hypnosis to be an effective treatment for asthma. In 1953, a study conducted by the British Medical Association concluded that it was helpful for psychosomatic and psycho­neurotic disorders, and for pain relief in surgery, dentistry, and obstetrics.
 
MEDICAL OPINION

Despite being tainted by the exploits of showmen, hypnotherapy is supported by more scientific evidence than any other complementary therapy. Most doctors would support the use of self-hypnosis as a relaxation technique.

CONSULTING A PRACTITIONER
 
Treatment usually consists of one-hour weekly sessions, the number of which varies according to the problem. The practitioner asks you about your physical and mental health, and your motivation to resolve any problem. Hypnosis may not begin until the second session. There are several different schools of hyponotherapy:   Classical induction: You lie on a reclining chair or couch and the practitioner talks to you in a slow and soothing voice. You may be asked to visualize a walk down a country road, to stare at a light or pencil, or to listen to a series of monotonous statements. The practitioner will usually suggest that you feel heavy and relaxed, and that your eyes arc closing. To take you deeper, she may count down from ten to zero or ask you to imagine descending in an elevator. As if i a relaxed daydream, you will still be awar of your surroundings. "Ericksonian" hypnotherapy: "Ericksonian hypnotherapists tend not to use classical induction techniques, preferring to use suggestions "strategically" during the "everyday trance" of a patient's daydream and imagination.   Suggestion hypnotherapy: This is often used to treat addictions. The practitioner tries to "implant" positive suggestions - fo example, that a symptom will disappear or a certain pattern of behavior will change.  
Analytical hypnotherapy: A practitioner trained in this approach will "regress" you by asking you to recall any buried memories or emotions that might be at the root of your problem.
 
PRECAUTIONS
 
•     It is vital that you choose a trustworthy, qualified practitioner.
 
•     Avoid hypnotherapy or self-hypnosis if you have severe depression, psychosis, or epilepsy.

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