The mysterious persistence of hypnotic analgesia

The International Journal of Clinical and Experimental Hypnosis
J Barber

Abstract

Hypnotic treatment of pain has a long history and, among hypnotic phenomena, pain relief is a relatively commonplace focus for intervention, yet we lack a conceptual explanation for this treatment. Hilgard's neodissociation theory accounts for the phenomenon of acute hypnotic analgesia, but not of persistent pain relief. Perhaps the enduring effect of hypnotic treatment can be explained at either of two levels: a neurophysiological model or a learning model. This explanation leads to the further question: How does hypnotic treatment of recurring pain achieve enduring relief? Clinical experience suggests a two-component model. First, the clinician communicates specific ideas that strengthen the patient's ability to derive therapeutic support and to develop a sense of openness to the unexplored possibilities for pain relief within the security of nurturing therapeutic relationship. Second, the clinician employs posthypnotic suggestions that capitalize on the patient's particular pain experiences, which simultaneously ameliorate the pain experience, and which, in small, repetitive increments, tend to maintain persistent pain relief over increasing periods of time.

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Citations

Jul 10, 2003·Psychological Bulletin·David R Patterson, Mark P Jensen
Sep 5, 2006·The International Journal of Clinical and Experimental Hypnosis·Mark P JensenDavid R Patterson
Mar 1, 2008·The International Journal of Clinical and Experimental Hypnosis·Mark P JensenDavid R Patterson
May 18, 2013·The International Journal of Clinical and Experimental Hypnosis·Dominic P Lu, Gabriel P Lu
Dec 21, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Seyyed Kazem AbdeshahiAlireza Halaj Monfared
Jan 6, 2001·The American Journal of Hospice & Palliative Care·D B Douglas
Oct 10, 2001·The American Journal of Clinical Hypnosis·D P LuL Kleinman
Mar 11, 2006·Journal of Psychosocial Nursing and Mental Health Services·Sharon M Valente

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