Potential Deleterious Effects of Hypnosis in the Clinical Setting

Kleinhauz, Moris; Eli, Ilana

doi:10.1080/00029157.1987.10734345

Cited by 14 publications

(5 citation statements)

References 12 publications

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“…Certain patient attributes and hypnotic procedural and therapist characteristics are suggested as possible explanations for the occurrence of these effects [58]. In this study, hypnosis was an adjunct to a comprehensive treatment programme, so patients had enough opportunity to discuss or deal with their problems.…”

Section: Discussionmentioning

confidence: 99%

A Randomised Controlled Clinical Trial on the Additional Effect of Hypnosis in a Comprehensive Treatment Programme for In-Patients with Conversion Disorder of the Motor Type

Moene¹,

Spinhoven

Hoogduin

et al. 2002

Psychother Psychosom

147

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Background: The primary aim of this study was threefold: (1) to examine the additional effects of hypnosis aimed at symptom reduction, using symptom-oriented and expression- and insight-oriented techniques in a comprehensive clinical treatment programme for in-patients with a persistent conversion disorder of the motor type; (2) to assess whether the level of hypnotisability was predictive of treatment outcome, and (3) to explore the efficacy of the total clinical treatment programme. Methods: The study population consisted of 45 in-patients between 18 and 65 years of age meeting the DSM-III-R criteria for conversion disorder of the motor type or somatisation disorder with motor conversion symptoms. A randomised controlled clinical trial was undertaken. The primary outcome measures were the Video Rating Scale for Motor Conversion Symptoms, the D(isabilities) code items from the International Classification of Impairments, Disabilities and Handicaps and the Symptom Checklist-90. Measures of the credibility of treatment and patient expectations of treatment outcome were used as manipulation checks. Hypnotisability was measured using the Stanford Hypnotic Clinical Scale. Results: Significant treatment results for all outcome measures were found for the total sample. These effects proved to be clinically significant. The use of hypnosis had no additional effect on treatment outcome. Hypnotisability was not predictive of treatment outcome. Conclusion: A comprehensive treatment programme, either with or without hypnosis, can be worthwhile for patients with long-standing conversion symptoms.

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Section: Discussionmentioning

confidence: 99%

A Randomised Controlled Clinical Trial on the Additional Effect of Hypnosis in a Comprehensive Treatment Programme for In-Patients with Conversion Disorder of the Motor Type

Moene¹,

Spinhoven

Hoogduin

et al. 2002

Psychother Psychosom

147

View full text Add to dashboard Cite

show abstract

“…Occasionally, patients experience a severe emotional response due to an ongoing problem or past trauma 14. Otherwise, complications appear rare when hypnosis is used in the clinical setting 31. However, difficulties may arise, for example, because of the inappropriate content of a session, the inability of a therapist to effectively guide a patient or deal with an unwanted reaction, or incomplete reversal of the hypnotic state 31.…”

Section: Unwanted Effectsmentioning

confidence: 99%

“…Otherwise, complications appear rare when hypnosis is used in the clinical setting 31. However, difficulties may arise, for example, because of the inappropriate content of a session, the inability of a therapist to effectively guide a patient or deal with an unwanted reaction, or incomplete reversal of the hypnotic state 31. These problems are most likely to arise if the therapist is inadequately trained in hypnotherapy.…”

Section: Unwanted Effectsmentioning

confidence: 99%

Hypnotherapy for functional gastrointestinal disorders

2005

DTB

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About 20% of people in the UK have functional gastrointestinal disorders such as irritable bowel syndrome and functional dyspepsia.1,2 These conditions account for about 4% of GP consultations3 and 50% of gastroenterologists' workload.4 For some, the symptoms affect quality of life and ability to work. Drug treatment aimed at relieving symptoms is often ineffective.5,6 Other options include psychological treatments such as cognitive behavioural therapy, brief psychotherapy and gut-directed hypnotherapy.7,8 Here we discuss whether hypnotherapy has a role in the treatment of patients with irritable bowel syndrome or functional dyspepsia.

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“…Occasionally, hypnotized clients fail to terminate hypnosis at the therapist's suggestion; they experience difficulty in awakening following hypnosis (Judd et al, 1985;MacHovec, 1988a;Williams, 1953). Kleinhauz and Eli (1987) contended that special attention ought to be given to the dehypnotization process in order to diminish the likelihood of this occurring.…”

Section: Procedural Aspectsmentioning

confidence: 99%

Prevention and therapeutic management of "negative effects" in hypnotherapy.

Frauman¹,

Lynn²,

Brentar³

1993

Handbook of Clinical Hypnosis.

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For more than half a century of hypnosis research (MacHovec, 198813;Schultz, 1922), there have been disquieting reports of so-called "negative effects" during and after hypnosis: unwanted or untoward reactions that degrade hypnotic involvement or eventuate in deleterious psychological sequelae. The spectrum of reported negative effects has encompassed minor complaints such as headaches, dizziness, or nausea (Coe & Ryken, 1979); serious reactions such as psychosis (Kleinhauz, Dreyfuss, Beran, Goldberg, & Azikri, 1979) or suicide (West & Deckert, 1965); transient symptoms lasting only a few minutes (MacHovec, 1987); and chronic conditions lasting for months (Kleinhauz & Beran , 1984). The range of negative effects includes physical pain or discomfort (Hilgard, 1974); anxiety or panic (Judd, Burrows, & Dennerstein, 1985); depression (Kleinhauz & Eli, 1987); difficulties in awakening from hypnosis (Orne, 1965); and unexpected reactions to an inadvertently given suggestion (Levitt & Hershman, 1963). MacHovec ( 1988a) suggested the following definition of hypnosis "complications": "unexpected, unwanted thoughts, feelings or behaviors during 95

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Potential Deleterious Effects of Hypnosis in the Clinical Setting

Cited by 14 publications

References 12 publications

A Randomised Controlled Clinical Trial on the Additional Effect of Hypnosis in a Comprehensive Treatment Programme for In-Patients with Conversion Disorder of the Motor Type

A Randomised Controlled Clinical Trial on the Additional Effect of Hypnosis in a Comprehensive Treatment Programme for In-Patients with Conversion Disorder of the Motor Type

Hypnotherapy for functional gastrointestinal disorders

Prevention and therapeutic management of "negative effects" in hypnotherapy.

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