Does hypnotic susceptibility influence information processing speed and motor cortical preparatory activity?

Redefining hypnosis: A narrative review of theories to move towards an integrative model

Hypnosis is an ancient mind-body intervention that has regained interest with the surge of research in the last decade documenting its clinical validity. Yet, theoretical controversies and misconceptions prevail among theorists, clinicians, and the general public, impeding the understanding, acceptance, replication, and use of hypnosis. Providing adequate information, which dispels misconceptions and promotes more balanced views, is warranted to facilitate the implementation and adoption of hypnosis in clinical and research settings. This review re-examines the conceptualisation of hypnosis throughout history and the theoretical controversies surrounding it while highlighting their meeting points and clinical implications. Despite dichotomies, a broad agreement appears across theoretical approaches regarding hypnotic analgesia effects, key components, and vocabulary. Further, theories highlight key factors of hypnotic responding. For instance, social theories highlight social and contextual variables, whereas state theories highlight biopsychosocial mechanisms and individual factors. Based on theories, the terms hypnotherapy or clinical hypnosis are recommended to refer to the therapeutic use of hypnosis in psychotherapeutic and medical contexts, respectively. This review concludes with a model that integrates various theories and evidence and presents hypnosis as a complex multifaceted intervention encompassing multiple procedures, phenomena, and influencing factors. This review intends to deepen our understanding of hypnosis, and promote its more rapid adoption and adequate implementation in research and clinical contexts, in addition to steering research towards evidence-based hypnotic practice. The review can have important research and clinical implications by contributing to advancing knowledge regarding hypnotic procedures, phenomena, and influencing factors.

Hypnotizability and psychopathology of patients with personality disorders

Assessment of hypnotizability is useful in research and predicting the effects of hypnosis in clinical practice. There are few contemporary scientific reports examining the relationship between hypnotizability and psychopathological personality dimensions. The current study explores the connections between abnormal personality in psychiatric patients and the hypnotizability level. Fifty-five patients with anxiety and personality disorders who previously completed the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) were invited to undergo the Elkins Hypnotizability Scale - Clinical Form (EHS-CF). The hypnotizability scores comprise a normal distribution but shifted toward low scores. Twenty-seven patients were included in the low hypnotizability (LOW) group, and 28 patients in the medium to high (MID-HIGH) group. The number of participants with high scores on the Psychopathic Deviate and Paranoia MMPI-2 clinical scales was significantly higher in the LOW than in the MID-HIGH group. Patterns of associations between hypnotizability and psychopathology differed in the two groups. The results indicate that moderate hypnotizability should be considered a normal trait that has no meaningful relationship with psychopathology, but certain dysfunctional symptoms of personality disorders may entail resistance and a defensive attitude toward the hypnotherapy, resulting in a tendency to obtain lower hypnotizability.

The Effect of Hypnosis on the Intensity of Pain and Anxiety in Cancer Patients: A Systematic Review of Controlled Experimental Trials

BACKGROUND

Pain is a common symptom in cancer patients. Hypnosis is considered one of the most recognized non-pharmacological techniques in pain management. In oncology, this technique can be used as a complementary treatment to reduce the level of pain and anxiety. The objective of this study is to systematically review and evaluate controlled clinical trials (CCTs) examining the effect of hypnosis on the intensity of pain, and anxiety in cancer patients.

METHODS

A systematic review was conducted according to the recommendations of the "Preferred reporting items for systematic reviews and meta-analyses" (PRISMA). The Cochrane systematic review database, the abstract databases, Scopus, PubMed, Google Scholar, and Cochrane Library have been systematically reviewed from 2005 to 2018.

RESULTS

Eleven CCT with a total of 1182 participants met the inclusion criteria and were included in this review. The participants were mainly women (n = 968). Their average age alternates between 48 and 58 years. Perceived pain was measured primarily by visual analog scale (VAS)/numerical pain rating scale (NPRS), which showed that anxiety was measured by Hospital Anxiety and Depression scale (HADS). Hypnosis-related anxiety and pain decreased significantly with respect to usual treatment.

CONCLUSIONS

Evidence suggests promising results of hypnosis on the management of pain, and anxiety levels in the vast majority of cancer patients. Therefore, because of the exploratory design and high risk of bias, the effectiveness of hypnosis or hypnotherapy in reducing pain and anxiety levels remains unclear. There is a need for more rigorous randomized controlled trials (RCTs).

Can posthypnotic suggestions boost updating in working memory? Behavioral and ERP evidence

Updating is an essential executive function (EF), responsible for storing, retrieving, and substituting information in working memory (WM). Here we investigated whether posthypnotic suggestions (PHS) given to high-hypnotizable participants can enhance updating in WM and measured neural correlates of the observed effects by recording event-related brain potentials (ERP). In a tone-monitoring task different syllables were presented in random order, requiring a response to every fourth presentation of a given syllable. Experiment 1 (n = 19) established the relationship between performance and several ERP components across updating load (different numbers of syllables). In Experiment 2 (n = 18), a no-hypnosis (NH) and a hypnosis-plus-PHS session were administrated in counterbalanced order. Task instructions, presented at the beginning of the sessions, emphasized a cognitive strategy, demanding imagination of visual counters, a strategy that was also emphasized during PHS. PHS additionally contained suggestions stimulating cognitive simulation of the task, where participants were advised to apply the suggested strategy. Relative to the NH session, PHS enhanced WM performance with medium to large effect sizes. In ERPs, PHS increased the P2 and P3 components, indicating the proactive recruitment of control-related attention and updating-related cognitive control processes, respectively. PHS also reduced updating load effects in the posterior recognition component, suggesting diminished demands on WM buffers. These ERP findings suggest that PHS enhanced updating in WM by strengthening proactive control, which may have diminished the necessity for reactive control. Hence, the present results suggest that our PHS had worked like mental practice helping participants to develop an efficient and context-dependent trigger-action contingency. Consequentially, the present study provides a new framework for employing PHSs, which may be used as a basis for developing new training regimes for modifying WM or other EFs.