Braid can be taken to imply, in later writings, that hypnosis is largely a state of heightened suggestibility induced by expectation and focused attention. In particular, Hippolyte Bernheim became known as the leading proponent of the "suggestion theory" of hypnosis, at one point going so far as to declare that there is no hypnotic state, only heightened suggestibility. There is a general consensus that heightened suggestibility is an essential characteristic of hypnosis. In 1933, Clark L. Hull wrote:
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Researchers have used PHA as a laboratory analogue of functional amnesia because these conditions share several similar features. Case reports of functional amnesia, for instance, describe men and women who, following a traumatic experience such as a violent sexual assault or the death of a loved one, are unable to remember part or all of their personal past. However, as in PHA, they might still show “implicit” evidence of the forgotten events. For instance, they might unconsciously dial the phone number of a family member whom they can’t consciously recall. (In contrast, explicit memories are those we consciously have access to, such as remembering a childhood birthday or what you had for dinner last night.) And, as suddenly as they lost their memories, they can just as suddenly recover them.
This finding—that PHA temporarily disrupted some people’s ability to recall the past—echoes decades of hypnosis research. What is entirely new in Mendelsohn et al.’s study is their demonstration that PHA was associated with a specific pattern of brain activation. Consistent with what normally occurs in remembering, when people in the non-PHA group performed the recognition task and successfully remembered what happened in the movie, fMRI showed high levels of activity in areas responsible for visualizing scenes (the occipital lobes) and for analyzing verbally presented scenarios (the left temporal lobe). In stark contrast, when people in the PHA group performed the recognition task and failed to remember the content of the movie, fMRI showed little or no activity in these areas. Also, fMRI showed enhanced activity in another area (the prefrontal cortex) responsible for regulating activity in other brain areas.
Although Dave Elman (1900–1967) was a noted radio host, comedian, and songwriter, he also made a name as a hypnotist. He led many courses for physicians, and in 1964 wrote the book Findings in Hypnosis, later to be retitled Hypnotherapy (published by Westwood Publishing). Perhaps the most well-known aspect of Elman's legacy is his method of induction, which was originally fashioned for speed work and later adapted for the use of medical professionals.
Franz Mesmer (1734–1815) believed that there is a magnetic force or "fluid" called "animal magnetism" within the universe that influences the health of the human body. He experimented with magnets to impact this field in order to produce healing. By around 1774, he had concluded that the same effect could be created by passing the hands in front of the subject's body, later referred to as making "Mesmeric passes". The word "mesmerize", formed from the last name of Franz Mesmer, was intentionally used to separate practitioners of mesmerism from the various "fluid" and "magnetic" theories included within the label "magnetism".
Hypnosis is not a dangerous procedure. It is not mind control or brainwashing. A therapist cannot make a person do something embarrassing or that the person doesn't want to do. The greatest risk, as discussed above, is that false memories can potentially be created and that it may be less effective than pursuing other, more established and traditional psychiatric treatments.
When James Braid first described hypnotism, he did not use the term "suggestion" but referred instead to the act of focusing the conscious mind of the subject upon a single dominant idea. Braid's main therapeutic strategy involved stimulating or reducing physiological functioning in different regions of the body. In his later works, however, Braid placed increasing emphasis upon the use of a variety of different verbal and non-verbal forms of suggestion, including the use of "waking suggestion" and self-hypnosis. Subsequently, Hippolyte Bernheim shifted the emphasis from the physical state of hypnosis on to the psychological process of verbal suggestion:
The American Psychological Association published a study comparing the effects of hypnosis, ordinary suggestion, and placebo in reducing pain. The study found that highly suggestible individuals experienced a greater reduction in pain from hypnosis compared with placebo, whereas less suggestible subjects experienced no pain reduction from hypnosis when compared with placebo. Ordinary non-hypnotic suggestion also caused reduction in pain compared to placebo, but was able to reduce pain in a wider range of subjects (both high and low suggestible) than hypnosis. The results showed that it is primarily the subject's responsiveness to suggestion, whether within the context of hypnosis or not, that is the main determinant of causing reduction in pain.
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Hypnotherapy is a use of hypnosis in psychotherapy. It is used by licensed physicians, psychologists, and others. Physicians and psychologists may use hypnosis to treat depression, anxiety, eating disorders, sleep disorders, compulsive gambling, and posttraumatic stress, while certified hypnotherapists who are not physicians or psychologists often treat smoking and weight management.
Therefore, Braid defined hypnotism as a state of mental concentration that often leads to a form of progressive relaxation, termed "nervous sleep". Later, in his The Physiology of Fascination (1855), Braid conceded that his original terminology was misleading, and argued that the term "hypnotism" or "nervous sleep" should be reserved for the minority (10%) of subjects who exhibit amnesia, substituting the term "monoideism", meaning concentration upon a single idea, as a description for the more alert state experienced by the others.
Although there are different techniques, clinical hypnotherapy is generally performed in a calm, therapeutic environment. The therapist will guide you into a relaxed, focused state and ask you to think about experiences and situations in positive ways that can help you change the way you think and behave. Unlike some dramatic portrayals of hypnosis in movies, books, or on stage, you will not be unconscious, asleep, or in any way out of control of yourself. You will hear the therapist’s suggestions, but it is up to you to decide whether or not to act on them.