American Journal of Clinical Hypnosis最新文献

This paper brings together concepts, tools, and case examples that provide guidance for ways to use process-oriented clinical hypnosis to shift perfectionistic tendencies to help resolve depression and enhance well-being. Perfectionism is a transdiagnostic risk factor for clinical and subclinical suffering of many types including depression. Over time, perfectionism is becoming more widespread. Perfectionism-related depression can be effectively treated when clinician attention is directed toward core skills and themes. Case examples illustrate how to help clients moderate overly extreme thinking, create and use realistic standards, and develop and apply a balanced self-evaluation. A variety of clinician styles and approaches, especially when tailored to individual client characteristics, preferences, and needs, are compatible with process-oriented hypnotic interventions for perfectionism and depression.

It is a fundamental truth in living that the quality of your decisions shapes the quality of your life. One's cognitive style determines whether one is more likely to be detailed and linear in thinking or more general and impressionistic, obvious influences on the way experiences are interpreted and reactions formed. Global thinking, also referred to as over-general thinking, has been linked to depression for several reasons. These include the lack of detail in making important discriminations that would reduce or eliminate the kind of self-injurious and depressogenic decisions described in the "stress generation" model of depression. The importance of having meaningful strategies for making effective decisions on a situation-by-situation basis cannot be overstated. Cognitive psychologists and cognitive neuroscientists use the term "discrimination" to describe the process of making distinctions between different situations that give rise to one's reactions. In this article, hypnosis is described as a vehicle for teaching global thinkers to be more skilled in making important discriminations. A sample hypnosis script is provided to illustrate the process.

This paper reviews: The neuroscientific features of inner consciousness, including its role in suffering and in accessing states of mind that relieve suffering; details salient meditative and hypnotic approaches appropriate for palliative settings of care; discusses core principles and orientations shared by effective approaches; and proposes early integration of hypnotic training as a coping skill and a platform for spiritual exploration, as desired.

When cure is not possible, suffering often takes form as pain and distressing symptoms, death anxiety, existential distress, and meaninglessness. This paper describes important elements connecting palliative care principles with hypnotic approaches designed to provide support, palliate symptoms, foster hope, and address existential and spiritual distress. We offer a developmental process for and examples of hypnotic suggestions customized to simultaneously ameliorate physical symptoms and address profound distress arising from physical, social, psychological, existential, and spiritual challenges commonly encountered in terminal illness. This process necessarily requires use of the patient's vernacular to hypnotically deepen inwardly focused attention in order to explore and access internal resources, reframe negative automatic thoughts, and create positive meanings for experiences that disinvite suffering. Effective delivery utilizes cognitive tools such as clinical and scientific principles, artistic forms such as poetry and haiku, and a thorough assessment of needs. This approach strategically addresses an overarching dimension of temporality through suggestions that sequentially address multiple sources of suffering that are layered throughout the various dimensions of self. This requires focus and presence in the present moment; it ultimately fosters a therapeutic relationship that can safely hold past painful experience as helpful new meanings emerge that build resiliency for that experience. This work benefits from inwardly focused concentration and a holding environment to identify and access helpful inner resources, which include an increasingly malleable relationship with temporal memories.

Rehabilitation Medicine and Palliative medicine have much in common as both specialties deal with loss and impending loss related to incurable medical conditions. Significant losses are encountered by patients in both rehabilitation and palliative care settings, and often threaten quality of life, hopefulness, and resiliency. The losses are related to what the patient has identified as self. In this article the author suggests a way of approaching loss and suffering that incorporates, mindfulness, Disidentification and Ego-State work to help preserve a sense of self that is not identified with what is happening to the body.