Unraveling depression: Principles and practices of clinical hypnosis.

IF 1.2 4区 心理学 Q3 PSYCHOLOGY, CLINICAL American Journal of Clinical Hypnosis Pub Date : 2024-03-01 Epub Date: 2023-07-12 DOI:10.1080/00029157.2023.2208622
Douglas Flemons
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Abstract

People struggling with depression are burdened by losses they can't and won't accept. They find themselves at odds not only with their circumstances, but also with symptomatic expressions of their exhausting efforts to shelter from, gird against, and contend with their pain and desolation. Their embattled sense of self gets no respite: Everything, including the depression itself, feels threatening, a violation, other. This article investigates why, and demonstrates how, hypnosis is particularly well suited for treating such self-referential, adversarial entanglements. Fundamentally associational in both structure and function, hypnosis resonates with other long-established, connection-based traditions for altering suffering. In keeping with Taoist, Sufi, and Buddhist ideas and practices, hypnosis introduces a quality of acceptance into the relationship between self and other, between self and pain. Clinical hypnosis establishes and maintains a context of interpersonal and intrapersonal security, a protective space and a relationship in which avolitional experience is not felt to be out-of-control or uncontrollable, but rather not-in-need-of-being-controlled. It thus becomes safe for clients to become curious about, approach, and engage with what in other settings would have the potential of producing a fearful, even panicky, reaction. By altering the boundary between clients and their suffering, clinicians facilitate an effortless rapprochement, making possible the shifting, repurposing, and unraveling of symptoms.

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揭开抑郁症的神秘面纱:临床催眠的原理与实践。
与抑郁症抗争的人背负着他们无法也不愿接受的损失。他们发现自己不仅与自己所处的环境格格不入,而且还与自己竭力躲避、抵御和对抗痛苦与荒凉的症状表现格格不入。他们陷入困境的自我意识得不到喘息的机会:一切,包括抑郁症本身,都让他们感到威胁、侵犯和其他。本文研究了催眠为什么特别适合治疗这种自我反思、对抗性纠结,并展示了催眠是如何做到这一点的。催眠在结构和功能上都具有关联性,它与其他历史悠久、以关联为基础的改变痛苦的传统疗法产生了共鸣。与道教、苏菲派和佛教的思想和实践相一致,催眠术在自我与他人、自我与痛苦的关系中引入了一种接受的品质。临床催眠建立并维持了一种人际和个人内部的安全感,一种保护性的空间和关系,在这种关系中,人们不会觉得无常的体验是失控或无法控制的,而是不需要被控制的。这样,客户就可以安全地好奇、接近和接触在其他环境中可能会产生恐惧甚至惊慌反应的事物。通过改变客户与他们的痛苦之间的界限,临床医生可以毫不费力地促成和解,使症状的转变、重塑和解开成为可能。
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来源期刊
CiteScore
2.00
自引率
23.10%
发文量
52
期刊介绍: The American Journal of Clinical Hypnosis ( AJCH) is the official publication of the American Society of Clinical Hypnosis (ASCH). The Journal publishes original scientific articles and clinical case reports on hypnosis, as well as books reviews and abstracts of the current hypnosis literature. The purview of AJCH articles includes multiple and single case studies, empirical research studies, models of treatment, theories of hypnosis, and occasional special articles pertaining to hypnosis. The membership of ASCH and readership of AJCH includes licensed health care professionals and university faculty in the fields of medicine, psychiatry, clinical social work, clinical psychology, dentistry, counseling, and graduate students in these disciplines. AJCH is unique among other hypnosis journals because its primary emphasis on professional applications of hypnosis.
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