Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1, pp. 3-183 2014 Heart-Centered Therapies Association Applications of Hypnosis and Hypnotherapy: A Compilation of Brief Monographs Diane Zimberoff and David Hartman* Abstract: Hypnosis and hypnotherapy provide a plethora of applications that are well-researched and evidence-based. In the brief summaries included in this anthology, the emphasis is on piquing the interest of the general public rather than focusing on that research base. The material is divided into two sections: one is quick suggestions regarding the many ways hypnosis and hypnotherapy can be utilized by a general practitioner hypnotherapist; the second focuses on practice building ideas for the hypnotherapist. Table of Contents Hypnotherapy Applications What Is the Difference Between Hypnosis and Hypnotherapy? How Does Hypnosis Work? Does Hypnotherapy Work? Hypnotherapy and Relationships Five Ways to Treat Depression with Hypnotherapy How Can Hypnotherapy Support Pregnancy and Fertility? How Does Hypnotherapy Work in Treating Suicidal Patients Hypnotherapy and Mind-Body-Spirit Healing Hypnotherapy Applications: Complex Trauma and Complex PTSD Treating Anxiety and Stress with Hypnotherapy Hypnotherapy Can Help Women Prevent Cancer and Treat Menopausal Symptoms Hypnotherapy for Pregnancy: Can it be Applied Effectively? Hypnosis and Hypnotherapy in the Treatment of Chronic Migraines Hypnosis and Hypnotherapy for Cancer Patients: Great Need and Wide Acceptance Hypnosis and Hypnotherapy Can Reduce Dementia PTSD Related Insomnia and Treatment With Hypnotherapy Hypnosis and Hypnotherapy as a Way to Triumph Over Arthritis Hypnotherapy with Hospice Care and/or Dying Clients Hypnosis and Hypnotherapy for Spinal Cord Injury Pain Management Hypnotherapy with a Suicidal Eating-Disordered Client Healing Resistance to Life through Hypnotherapy How Hypnotherapy Can Treat Fear of Commitment Use Hypnosis to Double Your Fertility Rate Hypnotherapy with Authority Issues in our Relationships Highway Hypnosis: Applications in Hypnotherapy Alert Hypnosis Patterns That Effect Our Life – Knitting A Sweater Discovering Authority Issues with Heart-Centered Hypnotherapy Hypnotherapy Enhances Sports Performance ____________________________________________________ * The Wellness Institute, 3716 - 274th Ave SE, Issaquah, WA 98029 3 5 7 9 13 17 21 25 29 31 35 39 43 45 49 53 55 57 59 63 67 71 75 77 79 81 83 85 87 91 800-326-4418 4 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 What Are You Prepared to Lose? Treating Exhausted Stress Response with Hypnotherapy Five Principles of Existential Hypnotherapy How Does Hypnotherapy Enhance Jungian Psychology? What Is Intimacy And How Can I Achieve It? Hypnotherapy Can Reveal Your Past Lives Assumptions and How They Negatively Affect our Relationships Treating PTSD with Hypnotherapy Hypnotherapy for Weight Loss: How is it Different than Hypnosis? Containment Equals Energy Management Hypnotherapy Can Help Caregivers of Special Needs Family Members Heart-Centered Personal Transformation How Heart-Centered Hypnotherapy Reveals Shadow Parts Hypnosis and the Science of Visualization Hypnosis for Tourette Syndrome in Children and Teens Hypnosis in Dermatology: Warts, Psoriasis, Herpes Simplex Hypnosis Prevents Weakened Immune Status Resourcing and Reparenting How Hypnotherapy Can Stop Thumb Sucking in Children in 20 Minutes 95 99 101 105 107 109 113 115 117 119 123 125 129 133 135 137 139 141 143 For Therapists: Hypnotherapy Best Practices Healing Trauma Without Re-Traumatizing Ask the Right Questions to Find the Best Training Program for You How to Obtain Hypnotherapy Certification Hypnotherapy Training In Only Six Days? Frequently Asked Questions Five Ways Hypnotherapy Certification Will Benefit Your Practice How to Get More Hypnotherapy Referrals From Other Professionals How to Retain Your Hypnotherapy Clients How to Attract New Hypnotherapy Referrals From Existing Clientele Why Are So Many Therapists Attracted to Hypnotherapy? What To Do When a Client Falls Asleep in Hypnotherapy Are You Feeling Bored, Frustrated, Unable to Really Help Clients? The Art of Clean Language in Hypnotherapy 15 ways Hypnotherapy Can Expand the Scope of Your Practice Why Hypnotherapy Is the Missing Link to Powerful Treatment What is Your Grand Bargain that Allows Spring to Replace Winter? On a Personal Note: Nelson Mandela’s Passing 145 149 153 155 159 163 165 167 169 171 173 175 177 179 181 183 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 5 What Is the Difference Between Hypnosis and Hypnotherapy? There are many different courses that call themselves “hypnotherapy certification programs” but are not truly that. There is a big difference between “hypnosis certification” and “hypnotherapy certification.” Sometimes the difference between the two terms is blurred by schools in order to enroll unqualified people. Hypnosis is the process of getting a person relaxed and giving them suggestions that may or may not help them to get their desired results. They may stop smoking or lose weight or decrease their anxiety. However, these hypnotically suggested changes are often temporary, and this is one of the reasons that both hypnosis and hypnotherapy have gotten the reputation of not having long lasting results. These terms have been used interchangeably and they are two very different concepts. What is Hypnosis? A professional therapist can easily learn to put someone into hypnosis, but then the question becomes, “what do I do now?” Let’s take treating addictions. Most treatment facilities have a very low success rate. This is because they are treating a very complex issue with band-aids. They are treating addictions by only reaching the conscious mind, which comprises 10% of the individual’s total being. When we put someone into “a state of hypnosis” we now have the potential of going into the other 90% of the mind, the subconscious, to discover and treat the underlying addictive pattern. Just putting the person in the state of hypnosis and giving suggestions, however, does not resolve the deeper issues. It is more like a tourniquet than a band-aid, but it still only stops the bleeding for a short period of time. Hypnotherapy Certification: The Clinical Difference Learning and getting certified in hypnotherapy gives you the skills to discover quite easily what the source of the addictive behavior is. Then, using the full 100% of the mind, you learn 6 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 how to resolve the issues which have led to this destructive and often deadly behavior. Hypnotherapy training and certification can help you free the client from toxic behaviors. Hypnotherapy will lead people toward healing the unresolved issues that have been hounding them their whole lives. We have learned to uproot the causes which have been feeding this hungry tiger within. Most people during childhood are faced with unpleasant situations and then draw subconscious conclusions about themselves from this very childish mind. We also make decisions about how to behave which seem good at the time, but now are defeating us. These childhood decisions are so deeply hidden that only through the depth of hypnotherapy, not hypnosis, can they be discovered and treated. A hypnotist (not a hypnotherapist) will mainly use relaxation and hypnotic suggestions to address the behavior. The hypnotist may ask the person to associate a nasty, disgusting substance with the food or drug they are addicted to. This may work for a few days or weeks. However, if the compulsive eater, say, encounters a situation where someone they love deeply threatens to leave, they are immediately back to consuming their addictive substance of choice. The pattern itself of using substances (food, drugs, etc.) to medicate unpleasant feelings has not been changed or healed. With hypnotherapy, you can regress the client to childhood, discover these patterns and change them deep within the unconscious mind. The new affirmations and suggestions will stick for more than just a few days. This is a fundamental reason why the mental health professional must discern the difference between hypnotherapy certification and hypnosis certification. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 7 How Does Hypnosis Work? Hypnosis is a simple shifting back and forth between the conscious and the subconscious mind. Studies show that all humans experience this between 80-90% of the day. The Conscious Mind Let us understand what the functions of the conscious mind are. When we are in the daily activities of thinking, debating, analyzing, doing mathematics, figuring things out or trying to remember, we are using the conscious mind. These, of course, are very important activities and we need our conscious mind in order to process our everyday activities. The surprising part of this, however, is that the daily activities and requirements of the conscious mind only comprise about 10% of the total capacity of the mind. The other 90% of our mind is taken up by the subconscious. The subconscious controls all the activities which the conscious mind is largely unaware of. In fact, a very good analogy for these two parts of our mind would be a computer and its memory system. All the programming in the subconscious part of the mind is akin to the files we store in our computer. So for example, the conscious mind can remember certain experiences, but only up to a certain point. When we ask a group of people how far back in their life can they remember, there is a wide range of answers. Most cannot remember younger than being 5 or 6 years old. And many people say, jokingly, things like, “My memory is not as good as it used to be and I can hardly remember what happened last week.” So the conscious mind is like our e-mail. It contains the current information, but is very limited in access to the archive. Hypnosis and the Subconscious Mind With hypnosis, the subconscious mind can actually search (similar to a search engine like Google) the memory files as far back as required in order for the individual to see patterns that have developed that they may be looking to change. Each unhealthy current behavior, such as smoking, losing one’s temper, excessive alcohol consumption, or compulsive 8 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 overeating has a chain of events that laid the foundation for all of our current unhealthy choices. Through the “memory chip” that has been laid down in the subconscious mind, we can trace back the experiences and subconscious decisions we made as children that may be leading us to the behavior that is no longer healthy for us. An example might be a husband who flies off the handle whenever his wife or children question his authority. He would prefer to have a more gentle approach to his family discussions, but he can’t seem to stop his triggered response of anger. With the help of a certified hypnotherapist, our client can join us on the internal search through the stored files of the subconscious mind. Perhaps he discovers that as a child one of his caregivers was very explosive, which terrified him. We often make life decisions from these young experiences that continue to be operating until they are discovered and changed. As a young child he may have made the decision that, “power is scary and I must puff up and get bigger in order to keep myself safe.” This decision has been stored deeply in his subconscious mind and surfaces whenever his power or authority as a father, boss or husband is threatened. Now that he has, through hypnosis, access to the childhood computer program that was installed, only he can change it. With the help of a certified hypnotherapist our client can discover what the destructive subconscious programs are, where they are stored, and how to effectively change them. When the unhealthy programming is changed on this level, the computer can easily be reprogrammed with much more mature and effective responses. This is the beauty of hypnosis and its use in hypnotherapy! Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 9 Does Hypnotherapy Work? You may be wondering, what conditions/issues does hypnotherapy work for and will hypnotherapy prove to be the most effective treatment method available? The answer to the question, does hypnotherapy work, is largely dependent on: 1. The professional who is facilitating the hypnotherapy session 2. The individual who is receiving therapy treatments Obviously, there are a wide range of people who advertise as hypnotherapists. It is preferable to choose a hypnotherapist who: 1. Is a licensed clinician with a Masters degree in Social Work, Marriage & Family Therapy, or a related professional field 2. Is certified in hypnotherapy from a well-recognized hypnotherapy training program 3. Continues to update his/her own hypnotherapy training to keep current with new techniques 4. Has personally undergone extensive hypnotherapy to understand the client perspective 5. Makes the client feel comfortable and secure In order to answer the question does hypnotherapy work, we must also recognize that there are important requirements for the client as well. The client should: 1. Have a positive view of hypnotherapy, or at least be open to the idea that it can help them 2. Be willing to look honestly and deeply at what the root cause of their problem is 3. Be clear that hypnotherapy, while being a very powerful healing modality, Is not “magic” Is not a parlor game for fun and entertainment Is not accomplished in one session 10 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 What Problems Can Hypnotherapy Help Treat? The exciting aspect of hypnotherapy is that it has and can be used to treat a wide variety of human illnesses, diseases, addictions, diagnoses and complaints. It can also be used for motivation and to help people achieve personal growth and success in their lives. In fact, what hypnotherapy can truly work for depends upon the skills of the certified hypnotherapist, their creativity and their willingness to receive the most progressive training in the field. Any client that comes into the office of a skilled hypnotherapist may come in wanting to address one specific aspect of their life, for example weight loss. Upon working with them, however, the hypnotherapist may also learn that this person has a bad temper and would like to become a more positive, loving spouse or parent. After some time other issues may be addressed such as considering a new profession, wanting to increase their income, or time management. The beauty of hypnotherapy is that it works effectively for all of these issues and more. Once clients realize the power of hypnotherapy as a treatment option as well as a way to improve their life, they begin to refer other friends and family members for sessions. Hypnotherapy benefits the clients as well as the hypnotherapist. There is no limit to what can be treated or improved, and there is no limit as to how many new clients the practicing hypnotherapist will receive just through word of mouth. Nurturing Creativity Through Hypnotherapy One of the most exciting areas that hypnotherapy works for is greatly expanding the individual’s creativity. The creativity center is located in the subconscious mind. For example, some clients who begin hypnotherapy may come into the office stating that they have recently picked up their old ballet shoes and begun dancing again, or are newly invested in their relationships. Many clients bring in amazing poetry that they have written or a beautiful drawing or painting as a result of their hypnotherapy sessions. Once the subconscious mind begins to open, the client has access to a wide variety of gifts and talents that may have been previously unexplored. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 11 This gift of recovering their own creativity also brings in new ideas into their lives. They may now have ideas of ways to expand their business, develop new programs to teach or new marketing ideas. The resource of the subconscious mind with its deep well of creativity is unlimited and is why hypnotherapy has grown into one of the most powerful healing methods, and effective tools for personal growth and expansion. Its resources are unlimited! 12 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 13 Hypnotherapy and Relationships Traditional Marriage and Family Therapy trains counselors to always see the couple together, never individually. The reason for this is to prevent the counselor from “taking sides” with one or the other. The problem, however, is that often in marital therapy, the individuals do not tell the real truth in the presence of their partner. The next and even deeper flaw in this traditional method is that it involves only engaging the conscious mind (10%) of each individual. Applying Hypnotherapy to Relationships With hypnotherapy, we engage the full 100% of the mind, in order to bring to conscious awareness the deeper source of the difficulty in the relationship. This is best understood by offering an example. In hypnotherapy we begin by speaking individually with each person to gain their trust and hear their truth. While this takes place, the other is filling out a relationship inventory. Then we switch so that the other gets their individual time with the therapist. We then meet with the couple together and discuss the benefits of hypnotherapy and the plan for treatment. We suggest that they each come in for 3 to 5 individual hypnotherapy sessions. These individual sessions allow the clients and hypnotherapist to build rapport, but more importantly, to get down to the core of the relationship difficulties. It allows the clients as well as the therapist to have all the facts and an overall perspective, rather than just two narrow personal viewpoints. The Benefits of Hypnotherapy for Relationships Many people are in adult bodies and look like adults, but when they get “emotionally triggered” they automatically regress to a child state of mind. For example, a man comes home from work and finds his wife not at home to fix his dinner. He panics and then immediately turns that fear into anger. Or a wife is fixing dinner and her husband doesn’t arrive home at the agreed upon time. For each, this may be what we call, “a triggering situation,” meaning that they have a strong physiological 14 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 reaction in their body to the event. They may feel breathing increase, indicating anxiety, fear and panic. Their heart may begin to pound and then the mind races through all the fearful scenarios. “He/she is having an affair” or “He/she was in an accident, may be in a hospital.” The woman may begin to cry and start making frantic phone calls. The man, having been trained by our culture not to cry, may become rage-filled. His racing mind certainly increases his angry reactions, judgments and conclusions. In hypnotherapy, we acknowledge the physiological responses and then use this information new information to do an age regression back to what memory has been triggered to cause the intense physiological response. The woman in our example, when regressed in hypnotherapy to the source of her fearful reaction, may go back to age six, when perhaps her father had been drinking and didn’t return home for dinner or perhaps for the whole night! She feels her mother’s distress and feels helpless to comfort her mother. So here we have an adult, the woman who came into our office for marital therapy, regressing to a six-year-old time in her life, who was abandoned by an alcoholic father. Conversely, the husband’s regression on his reaction when his wife is not home may immediately take him to his childhood when his mother may have been having affairs, perhaps drinking or otherwise not available for the children. This is why hypnotherapy is truly a mind and body therapy, since all the reactions, emotional and physical, are used to determine what this strong reaction that is out of proportion to the situation may be about. This is especially important if similar scenarios have played repeatedly in the relationship. Hypnotherapy helps us to see that we humans have a huge memory bank stored in the unconscious parts of our mind, and allows us to take a current situation in our lives and to use it in a memory search to discover how old the child part of us is that continually reacts to triggering events. Resolving Relationship Conflict with Hypnotherapy Very often during a marital conflict, both parties literally regress back to an emotional state indicative of a younger part of themselves. If we discover that our clients (or we ourselves) are regressing back to a similar experience, it indicates that the Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 15 childhood conflict was never resolved. Or that the child’s emotional needs never were addressed. During that younger time we made conclusions and decisions that have remained stored in our unconscious minds, just like the memory chips of our computers! An example may be for the woman, “I am unlovable. It’s my fault that daddy left.” And the behavior pattern that developed from this self-belief may be “I am responsible to keep everyone safe. I have to know where everyone is at all times.” This unconscious programming pops up whenever a situation occurs that is similar enough to the original traumatic prototype experience. The good news is that with hypnotherapy, we can use the emotional reaction of the husband or wife to do an internal search and discover why this couple seems to replay these scenes over and over in their marriage. And why couples often go from therapist to therapist searching for answers but nothing seems to permanently change the relationship or the intense reactions. The major false belief that traditional relationship therapists have perpetuated is that consciously understanding the problem will change it. This is as false as believing that you can call an electrician to fix your car or your computer. The electrician does not have the tools or the skills to fix your car. And likewise, the conscious mind does not have the knowledge or ability to change the unconscious mind. Advanced Hypnotherapy for Relationships In several individual sessions with each partner, the certified hypnotherapist can easily discover the ages of the “children” who are fighting with each other. We can then change the deep underlying self-beliefs and grow these immature parts up to match the adult bodies in which they reside. We can then bring this couple back into our office as adults so that they can de-role their partner from being whoever it was in their childhood who did not provide the healthy nurturing they needed. In other words, each partner can recognize they have been reacting to someone from their past, not the actual person in their life today. It is immensely healing to say, and to hear, “I know you are not my drunken father who didn’t come home. You are my husband.” Likewise “I know you are not my mother who was not available for us children. You are my wife.” 16 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Once the preliminary hypnotherapy is completed, we can use the advanced hypnotherapy technique of regressing the couple together so that they develop a more profound awareness of the pain or fear that lies underneath their spouse’s reactions, and find compassion and tolerance for each other. When the physiological reactions are reduced and they can each remain in their adult state of mind, even if their partner is late without calling, the marital therapy is successfully completed. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 17 Five Ways to Treat Depression with Hypnotherapy Depression is often a reaction to a distressing or traumatic event. The people and situations who are associated with the traumatic event in our lives are referred to as traumatic triggers. An example is someone reporting, “I never was depressed before my father (mother, child, spouse, best friend) died.” After a loved one passes on, the individual often has to deal with their belongings including their home, or now has to take on their responsibilities. Any of these can become traumatic triggers. If the person or family member who has lost the loved one does not have time to fully grieve the loss, and to process unfinished feelings about the person, depression may set in almost immediately. Other traumatic triggers include losing a job, divorce, or financial reversals such as bankruptcy or home foreclosure. The Signs and Symptoms of Depression The following are some of the typical signs of depression that may take over slowly like a fog rolling in on what was previously a sunny day and now is becoming darker with each minute. Symptom #1 – “Now, I can’t get out of bed in the morning. I just don’t have the same interest in things that I used to.” Symptom #2 – “I have body pains and I’m worried that I may have (fibromyalgia, cancer, arthritis, diabetes, etc.).” Symptom #3 – “I can’t seem to stop overeating and I gained 40 pounds.” Or “I have gone back to drinking, smoking cigarettes or pot, etc.” Symptom #4 – “I’m having trouble sleeping at night and I’m exhausted.” Symptom #5 – “I cry at the drop of a pin, but mostly I feel numb.” 18 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Often these symptoms will be treated with drugs prescribed by a doctor. Anti-depressants, sleep medication, and perhaps a diet or stop smoking program will be prescribed. These treatment methods, of course, are aimed at symptom relief but don’t get down to treating the underlying cause of the depression. If the depressed person goes to a counselor, they will talk about the feelings which may help for a while. Other therapists may try relaxation techniques combined with positive affirmations. There is a basic reason why these common responses to depression don’t really work: they do not address or resolve the deeper underlying causes of depression. How Does Clinical Hypnotherapy Treat Depression? 1. First, we drop down from the conscious mind, which is only 10% of the mind into the subconscious mind. Now we are addressing the whole person, 100% of the mind rather than just treating the symptoms. 2. People often have what Dr. Fritz Perls called “unfinished business” with whatever has been lost, be it a loved one, a job, or a home. These unresolved feelings, such as resentments, regrets, blame, anger, guilt, jealousy, and fear are stored in the body and must be released as soon after the triggering event as possible. Otherwise they become deeply buried beneath the numbness created by the anti-depressant drugs, the addictive behavior, and the concurrent repression that occurs when trauma and grief go untreated. Clinical hypnotherapy works for depression because it removes the underlying basis of depression and completes the unfinished business that otherwise continues to recycle as self-sabotaging thoughts and behaviors. 3. With hypnotherapy, we can go down to the deepest level of these traumatic experiences, memories and stored emotions to release them from the mind and body. When this hypnotherapy process is completed, the client reports that their depression has lifted, that they have stopped the compulsive thoughts or behavior, and that they are ready to resume living their lives again. 4. With each healing session of clinical hypnotherapy, we can replace the fearful repetitive thoughts that often Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 19 haunt people following a traumatic experience. Positive affirmations now work because the underlying emotional release has been accomplished. 5. Hypnotherapy provides an effective way to access the individual’s ability to affect the physical body. Once self-sabotaging thoughts and behaviors have been resolved, the individual can begin to use hypnotic suggestibility to improve the body’s functioning. Hypnotherapy can be very helpful in correcting patterns of restless sleep, low energy or libido, headaches or chronic pain. And one can use hypnotherapy to increase motivation to exercise and eat properly. Consistent research and methodology refinement has allowed hypnotherapy to progress as an advanced form of therapy to the point where clinical hypnotherapy is now regularly considered as a treatment option for depression. Working in tandem with a group of powerful psychotherapy techniques, hypnotherapy can be a highly successful form of treatment for individuals with depression. 20 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 21 How Can Hypnotherapy Support Pregnancy and Fertility? Desperate couples spend tens of thousands of dollars trying to get pregnant, many to no avail. We have successfully treated young couples with hypnotherapy, who now profusely thank us for helping them to conceive their beautiful babies. Hypnotherapy Works Miracles for Infertility Treatment First of all, let’s look at what may be blocking some couples from conceiving. Once tests are completed and found that there is no medical issue in the way of conception, we then begin the hypnotherapy to bring to awareness the emotional/psychological issues that may be at the root of this problem. Each of us holds hundreds of beliefs and subconscious conclusions about ourselves that were framed by very early experiences in our lives. When we experienced abusive or traumatic events in our childhoods, these conclusions were drawn without the benefit of our as-yet undeveloped adult understanding of the world. Hypnotherapy is a process of self-discovery, uncovering the deeper beliefs and decisions we made as small children without the benefit of an adult consciousness. The rational ten percent of our brain does not have the awareness necessary to change this child-mind thinking, because these experiences are held within the ninety percent of our mind that makes up the subconscious. A common example of this is a young woman who may have been sexually abused, or even raped, as a young child by a male, perhaps even by a close family member. This experience is very distressing for a young girl and often causes symptoms of PTSD. She may have nightmares, flashbacks and a myriad of fears and phobias that develop in her life from this experience. Children consistently draw conclusions about themselves and make decisions about how to stay safe during these times of distress in their young lives. They draw many generalizations which the subconscious mind clings to as truth. 22 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 One of the common beliefs we have uncovered through using clinical hypnotherapy with women who have been traumatized by men is that, “All men are abusers.” This belief is especially strong in women who were abused by their fathers, step-fathers, brothers or uncles. Since children commonly go into a state of dissociation and shock during traumatic events, this often creates a situation in which they do not remember what happened to them. Dissociation is a protective mechanism which helps children cope with abusive experiences so that they don’t go crazy; it can actually appear as if nothing happened. If a child abuse victim was also not protected by her mother or any other adults in the family, she may develop the belief system that tells her, “I am just like my mother and am unable to protect my own children.” She may have drawn the conclusion that she might even harm her own children. This could lead to a subconscious decision, “I should never have children.” Or, “I should never be a mother.” Thus, “I will never get pregnant” may be a deep unconscious decision still affecting her even in her adult life. This belief, then, sends a signal to her female parts to stop ovulation or in some other way prevent any pregnancies. Fertility, Pregnancy, and the Mind-Body Relationship The amazing thing that we have observed in over 35 years and thousands of hypnotherapy sessions is that the mind and the body do work together to carry out the messages of the subconscious mind. We have observed this phenomenon and now there is clear medical research to support the assertion that a woman’s body reacts to her deep subconscious beliefs in a similar way to what we commonly call “the placebo effect.” The research is clear that when a control group is given a “sugar pill” and told it is an anti-depressant. Many in that group have the same diminishing of depression as the group that is actually given the anti-depressant. So the placebo effect consistently reinforces what we as clinical hypnotherapists have observed for decades. The mind and body are intrinsically connected and work together to follow the directions of the belief systems that we hold. So when we apply this phenomenon to the infertile couple through hypnotherapy, we can get down into the subconscious mind and discover what experiences may be held there and what Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 23 conclusions and decisions may be preventing her from conceiving. These unwanted and unconscious conclusions can now be taken out of the hands of the young child who made them and brought to the adult to reframe into conclusions and decisions that support the adult to have her desires fulfilled. Hypnotherapy Can Influence Conception and Pregnancy The blocks to conception do not have to be as severe as sexual abuse. This is only one example of what may be blocking a couple from conceiving. Couples need to also understand that, whatever may be uncovered in the sessions, it does not mean it is the woman’s fault. We are not looking to blame or point fingers at either the man or the woman. A man’s subconscious beliefs can also affect his sperm count and it is a good idea for both partners to use hypnotherapy to get down to whatever may be blocking conception. The skilled, certified hypnotherapist has the tools to work with the couple in order for them to clear what is blocking their baby from entering the world. We at The Wellness Institute have many parents, grandparents and family members who send pictures of their babies and consistently thank our hypnotherapists for discovering a much less expensive and much less invasive method of treating infertility than going through traditional infertility treatment. 24 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 25 How Does Hypnotherapy Work in Treating Suicidal Patients At The Wellness Institute, we have worked with thousands of people with suicidal ideation. Often these clients are just labeled depressed by family doctors and sent on their way with the latest anti-depressant. Traditional therapists may spend hours upon insurance-billable hours using CBT (cognitive behavioral therapy), attempting to cognitively teach the client to “manage” their symptoms of depression. Too often this is what we call “band-aid therapy,” like putting a band-aid on a survivor of a major car crash. Applying Hypnotherapy to Depression and Suicidal Ideation With Heart-Centered Hypnotherapy we begin treating the depression by identifying the symptoms and feelings, and then proceeding to where and when it began. Seeking the origin of the depression may lead us back to a recent devastating loss, failure, or rejection. However, ultimately the real source of the depression is often found in pre- and prenatal experiences. And what is most often discovered in this amazing journey of personal transformation is that somewhere down the road are several hidden beliefs/ conclusions about oneself and decisions about how to behave as a result of these self-sabotaging conclusions. For example, a client we will call Penny has been bulimic for most of her life, not allowing herself to receive nourishment. She then became very desperate with her inability to stop the bulimic behavior. Penny found herself caught in the trap of the “Victim Triangle” with her food addiction. She always felt like a victim by not being able to control what she ate, then she would try to rescue herself by attempting to over-control her eating addiction behavior. When that didn’t work she would persecute herself with all the judgments and negative self-talk about what an inadequate loser she was. And then she would subsequently push herself right into the victim role again. Penny was not consciously aware that by persecuting herself with negative self- 26 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 hypnotic suggestions, by regurgitating the nourishment from the food she was eating and then by diving deep into her depression, she was attempting to kill herself. Using Hypnotherapy to Identify Past Trauma As she attended many traditional treatment programs for eating disorders which never worked, she began to fall into deeper and deeper depressions. This ultimately led to several serious attempts of suicide by cutting her own wrists. When she finally found her way to a trained and certified hypnotherapist, she had given up any hope of ever healing. The first regression lead her to age five where she had intense body memories of a man forcing his penis down her throat and she felt like she was choking to death. Then she was gagging to the point of needing to throw up in order to get rid of the slimy disgusting stuff that was stuck in her throat. Then the next thing that came to her was that she was in the kitchen where her abuser proceeded to give her cookies and other sweets to soothe and make her feel better. These sweets were always around since her father owned a bakery and each night he would bring home the sweets that hadn’t been purchased. She was taught to self-soothe anxiety, fear and panic with cookies, pastries and cupcakes. In several subsequent sessions, Penny visited different places of anxiety connected with food. Her father being an alcoholic and a control freak made the dining room table a place of horrendous fear and panic for his wife and their six children. He always inspected their nails, clothes and hair like he had done when he was in the Marines. He demanded that they fill their plates with food and sit there until it was all eaten. He continually reminded them of all the suffering children on the planet, how he had fought overseas so that he could feed them this food and what ungrateful little wretches they were. He would yell at one or two of the children each meal time for obscure offenses that they had supposedly committed. One night he turned over the whole table and all the plates, silver and glasses went crashing onto the floor. Utter chaos ensued just as it had so many other times at the family table. One night he picked up a very hot beef roast and threw it at their mother, who began screaming in pain, humiliation, terror and rage. He felt the roast was not rare enough for his liking. The children, of course, Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 27 always had to clean up the messes, pick up everything from the floor and wash the dishes, floors and walls. When the dishes were done, he would come in to inspect them. If even one spoon had a smidgen of food on it, he would make them pull down all the dishes, pots and pans and glasses and rewash everything all over again. Then of course they had to do their homework. By then the children were so exhausted, nervous, and anxious they could barely concentrate on their homework assignments. It was at this time when she had made a decision to die. Achieving Healing Results There were many regressions of our bulimic, self destructive client where she used the energy release bat to get out her fear and rage. She began to feel her depression lifting and discovered what it felt like to be relaxed, peaceful and even joyful. We did, however, have one more hypnotic regression to do. She said that whenever she met new people or came into a new situation, she always felt inadequate, unacceptable and extremely selfconscious. She would be so anxious that she wanted to run out of the room, but she knew she had to make herself stay. So in the next session, instead of focusing on the specific eating disorder symptoms, we focused on her experience of not being accepted for who she was every time she entered a new situation. In the regression, she discovered herself in her mother’s womb. At first it was dark and pleasant and quiet. Then she began to look upset. We asked her what was happening and she replied, “I’m a girl. My father definitely wants a boy. I’m not right for him. He will never be able to really love me.” She soon began to realize that as she was being born and her gender was announced by the doctor, “It’s a girl,” her mother also felt very disappointed. Our client could feel that her parents were both expecting and wanting a boy, since they already had four girls. Her early conclusion about herself was, “I’m a mistake.” “I’m unwanted.” “I’ll never be what they want.” Her decision was, “I shouldn’t exist.” This combination of traumatic experiences, is the perfect recipe for an eating disorder which can become deadly. The original rejection of the child for her gender, oral sexual abuse forced on this same small girl followed by attempts to soothe her with cookies, and all this amidst almost continuous gut- 28 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 wrenching anxiety-filled abusive meals: these are the perfect ingredients to form an alcoholic, food-binging eating disordered woman with suicide attempts. Penny resolved her eating disorder, her anxiety, and her suicidal depression all at the same time, because they were all symptoms caused by the same source traumas. In this instance, hypnotherapy was directly applied to treat a complex web of symptoms that, to the patient, seemingly had no end. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 29 Hypnotherapy and Mind-Body-Spirit Healing Many schools of psychology and even hypnotherapy do not understand how to integrate the mind, the body, and the spirit with the clinical treatment of clients using hypnotherapy. In a Heart-Centered Hypnotherapy model, people often discover emotions that they never knew they had or that they did not have an ability to express. Using hypnotherapy, we can teach the client to identify their emotions and then to put the appropriate label on these feelings. The most effective way for clients to have absolutely certain that an emotion is in fact present, is to bring their awareness down into their body and notice what is happening. Many try to simply “think about” what they are feeling. The problem with this attitude is that these feelings are not located in their head, nor are they located in the conscious mind. These emotions are located in the subconscious part of the mind and physically in the body. Hypnotherapy is most effective for mindbody work because every emotion that we experience has a corresponding reaction in the body. Hypnotherapy Can Address the Mind/Body Relationship For example, when you begin to feel sadness, your eyes may start to tear up; you may have a slight pressure in the center of your chest, the heart center. The heart center is not your physical heart; it is your emotional heart. When you experience joy, you may feel like laughing or smiling (a physical reaction) and you may feel a warm feeling in your chest. Some people experience anger in their chest with a pounding sensation, rapid breathing and tightness, perhaps in the stomach. Fear often expresses as tightness or burning in the stomach or chest. Shame or embarrassment usually causes the person to put their hand over their eyes or cover their face. The body never lies and is the most consistent reporter of our current emotional status at any given time. In Heart-Centered Hypnotherapy, we always ask the client to bring their awareness 30 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 into their body to find the place where the feeling or emotion is located. Then we use the Gestalt Therapy approach taught by Dr. Fritz Perls of “giving that part of the body a voice” and letting it express to us our deeper emotions of which we are usually unaware. Many people hold their emotions inside their bodies, which is what some of us were taught to do as children. When this holding-in of powerful emotions has become a lifelong pattern, it can certainly lead to disease and chronic pain or illness. With the Heart-Centered types of therapies, the stressed person can learn to identify and release these powerful emotions in a healthy way so that the internalized stress does not lead them to a fatal illness such as cancer or heart attacks. When a client is in a hypnotherapy session, they have much more direct access to their emotions because they are in the subconscious mind. The client in the trance state is much more aware of their body and can be easily directed to notice and express in a healthy way, the feelings that have been stored within the body. This release of emotions is like opening or loosening the valve of a pressure cooker. The steam can slowly be released without exploding. This is how hypnotherapy heals the mind and the body, through the information revealed, expressed and released from the client’s energy field. This is also the reason why hypnotherapy can be so successfully used by psychologists, clinical social workers, licensed professional counselors, and school counselors as well as by doctors in the field of integrative medicine. Hypnotherapy and the Spirit Now how does spirit fit in? While the person is in the hypnotherapeutic trance state, clients often experience warmth or a light sensation near the end of their session. This phenomenon occurs with such frequency during the hypnotherapy experience that we have not been able to ignore it. We have learned after more than forty years of experience that many people are longing for some type of spiritual connection. This connection is available through the hypnotherapy process and can be used to help the client reclaim what may have been missing in their lives since they were children: the deepest and highest parts of themselves. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 31 Complex Trauma and Complex PTSD It has become clear in recent years that there are degrees of wounding in traumatization, some being more pervasive and complicated than others. One attempt to distinguish between them is the distinction between trauma and complex trauma, or PTSD and Complex PTSD. Complex trauma refers to trauma experienced as overwhelmingly intolerable, that occurs repeatedly and cumulatively, usually over a period of time and within specific intimate relationships which violate the human bond and sever the vital human connection.[1] The victim of complex traumatization is entrapped and conditioned by the perpetrator whom the victim relies on for safety and protection. In families, it is exemplified by domestic violence and child abuse and in other situations by war, prisoner of war or refugee status, and human trafficking. Complex trauma also refers to situations such as acute/chronic illness that requires intensive medical intervention or a single traumatic event that is calamitous. Understanding Complex Trauma and Complex PTSD Unresolved complex trauma results in Complex Posttraumatic Stress Disorder (Complex PTSD), which produces apparently contradictory symptoms. When children and adults are traumatized beyond their breaking point, they retreat inwardly to call on unconscious resources. The child tried fight or flight and it didn’t work (the abuse got worse), so he had to stop responding with that behavior. But his body’s nervous system didn’t stop reacting with sympathetic activation, and this energy just built up because it was unsafe to express it. So he had to find a way to override the body’s natural response to stress, and to tolerate the growing accumulation of undischarged energy. The mind dissociates from paying attention to what is intolerable; the body dissociates as well, through compensating activation, which we call shock. This is the central distinction between trauma and complex trauma, between PTSD and complex PTSD. This is the clinical definition of Complex 32 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Posttraumatic Stress Disorder: exposure to sustained, repeated or multiple traumas, particularly in childhood, resulting in a complex symptom presentation that includes not only posttraumatic stress symptoms, but also other symptoms reflecting disturbances predominantly in affective and interpersonal self-regulatory capacities such as difficulties with anxious arousal, anger management, dissociative symptoms, and aggressive or socially avoidant behaviors.[2] The Individual Split These other symptoms are really defenses which formed early on and were effective at surviving the ongoing trauma by allowing body and mind to dissociate. In a sense, the person is now accompanied by a powerful companion, a protective bodyguard for the traumatized and overwhelmed person to hide behind. Creating this bodyguard comes at a steep price, however; the person must turn over to the bodyguard, the set of defensive behaviors, the moment-to-moment decision-making about when and how to protect him/her. So the bodyguard might perceive an imminent threat, whether there is actually one or not, and throw himself in front of the one he is sworn to protect, suddenly, without warning or explanation or even rational purpose. That happens when I begin to experience loneliness and my protector ushers me into the kitchen to eat three pieces of cake; or when I experience that my boss is angry at me and my protector forces me into the nearest hiding place; or when I experience my spouse getting cozy with someone I consider to be a rival for her affection and my protector explodes in a jealous rage. The result is a split in the individual; the bodyguard develops into a powerful neurotic pathology in the form of addictions, thought disorders, anxieties, depression, and other selfsabotaging behaviors. These self-sabotaging behaviors are the psychological component of the protection, i.e., the adaptation to perceived threat. And shock is the physiological component, the same dissociative and defensive pattern embedded in the autonomic nervous system. The bodyguard (who shares the body’s real estate with the conscious ego-self) has conscripted the body to its service and manages to step into control, to take the steering wheel away from the conscious ego-self, through control of the Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 33 nervous system. The over-eater literally “finds herself eating desserts” despite the conscious ego-self’s best intentions not to. The bodyguard has taken control of the part of her that carries the willpower and ability to make healthy choices by putting it to sleep (parasympathetic shock) or by distracting it with busyness (sympathetic shock). It is important to recognize that the bodyguard is just doing its job, what it was selected for so long ago and trained to do: protect me. It is not malevolent, bad, or mean-spirited, any more than the ocean is when it rises up in a tsunami. It is just doing instinctually what comes naturally. We showed great courage and wisdom as children in going out to seek and find a powerful ally to help us deal with the trauma. Surely now as adults we can find the courage and wisdom to confront those same powerful forces (bodyguards) to renegotiate the arrangement. The way to retrain or recondition the bodyguard is to retake control of the body’s nervous system. When the bodyguard cannot usurp the body through sleep or distractions, the conscious ego-mind is returned to its rightful place at the steering wheel. And then I can choose to say to the bodyguard, “Thank you for trying to help me, but right now there is no threat. So take a break. I’ll take it from here. And that means I won’t eat cake right now; I’m going to deal with my loneliness in a different way. Maybe I’ll call a friend.” Hypnotherapy is a preferred method of working with both the psychological component and the physiological componentof Complex Posttraumatic Stress Disorder. [1] Courtois, C. A. (2004). Complex trauma, complex reactions: Assessment and treatment. Psychotherapy: Theory, Research, Practice, Training, 41(4), 412-425. [2] Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377–377. 34 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 35 Treating Anxiety and Stress with Hypnotherapy There are three main traditional ways anxiety has been treated. 1. Medication is usually offered to the anxiety ridden patient as the first line of treatment. This may work for some people, but it is more like putting a band-aid on a gaping wound. You need to keep reapplying the band-aid daily in the hopes that the wound will eventually get better. And the band-aid may not be big enough to cover the wound. There will be more bleeding and maybe an infection will set in and before you know it you may have to go to the emergency room because adequate treatment was not given at the beginning. 2. Some people will go to a counselor or take a stress reduction class, in hopes of getting some relief. This would be like putting the band-aid to treat the gaping wound on another part of the body. So let’s say the wound is on your left leg and then you put the band-aid on the right leg. It obviously will not stop the bleeding at all. 3. Some people try to ignore it or get used to their anxiety for many years until the symptoms demand attention. Perhaps the person is so anxious that he is driving his family crazy and his wife wants a divorce. Or he begins to self-medicate his anxiety with alcohol, drugs, sex, food or gambling. Then he is referred to AA or put on a diet or sent to a marriage counselor. Again, the symptoms are being treated without going to the source of the anxiety and the so-called treatment will not solve the problem at all. Why Is Hypnotherapy So Effective in Treating Anxiety? We are addressing the underlying emotions that feed the anxiety. Effective hypnotherapy can quickly, usually in the first session, get right down to the source of the client’s anxiety through age regression work. In the hypnotherapy session, we always begin with the current situation or triggering event in the client’s life. So perhaps they describe becoming extremely 36 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 anxious when facing a public speaking engagement or having to go in front of their professional board for an oral exam, having to speak to their boss or performing in a sporting event. 1.) We start with the feelings that they experience before the performance begins. The feelings that feed the anxiety are quite often fear, panic and shame. Then we ask where are these feelings located in the body. Perhaps they say in my chest or stomach. We then have them express these feelings to relieve some of the stress from their body. This is a main component in what makes hypnotherapy so effective. The majority of counselors and therapists have been taught to try to treat the feelings by talking about them with the client. Talking about feelings does not release or resolve or relieve them because emotions are not located in the brain. They are located in the body. 2.) Now we ask the anxious client to regress back to one of the first times they had these same or similar feelings of performance anxiety. Because we have hypnotized the client, we are actually addressing the subconscious mind and requesting that it bring to the awareness of the client the missing pieces of the puzzle of their anxiety. The subconscious mind is a huge reservoir of information, exactly like the memory chip in your computer. It stores a vast amount of information about patterns in your life and it can be accessed easily through hypnotherapy. 3.) We use the exact same situation of the client facing a performance and then experiencing anxiety, combined with the feelings of (for example) fear which is described as tightness in the stomach, and the feeling of panic may be sweating and the feeling of shame indicated by the person putting their hand over their eyes or face to hide the blushing. And when the client regresses to a similar situation it is often in their childhood. So keeping with our example of performance anxiety, perhaps the subconscious mind takes our client to age 12 where he is asked to present something in front of the class at school. He reports that his teacher begins to yell at him because he did the wrong assignment. And then the other children start laughing at him and calling him names. He then may regress even younger to age five when he wet his pants in kindergarten and his teacher shamed and embarrassed him in front of the whole class. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 37 4.) Now in the hypnotherapy session we are able to assist that five year old boy to create a different experience. He can tell the teacher that it hurts his feelings when she speaks to him like that, and tell her to never do that again. Ever! He can recognize that his best friend in the class is not laughing at him or mocking him, and he can find comfort in his friend’s loving support. Incredibly, the relief that the five year old experiences actually relieves the adult’s anxiety and bolsters his self-confidence. The beauty of hypnotherapy is that we can follow the bridge that takes us through the life of the person and right to the sources of dysfunctional patterns and anxiety. Hypnotherapy treats the complete mind, body and emotions as one complete package, and we can do that all at the same time. By going down to the source of the anxiety we are rooting it out. It’s as if you wanted to get the weeds out of your garden and you did so by cutting the upper part of the weed down to the soil. Now we all know that by doing that, we have not gotten to the root of the weed and it will certainly grown back very soon! Find the roots of the symptoms in a person’s life today and resolve it once and for all. 38 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 39 Hypnotherapy Can Help Women Prevent Cancer and Treat Menopausal Symptoms Hypnosis is a proven effective treatment for menopauserelated hot flashes and night sweats, new research finds. This alternative therapy reduced hot flashes by as much as 74% in a study conducted by researchers at Baylor University’s MindBody Medicine Research Laboratory. Only hormone therapy, which many women can’t take or want to avoid, is more effective for treating the most common symptom of menopause, says researcher Gary R. Elkins, PhD. Hot flashes, which affect about 80% of women, are a sudden rush of heat, followed by facial flushing and sweating, often followed by chills and clamminess. The progression is familiar to most women of peri-menopausal age, although it is unclear why some women are more affected than others. Hypnosis and Hypnotherapy Reduce Hot Flash Frequency In an earlier study, Elkins and his Baylor colleagues showed that hypnosis dramatically reduced hot flash and night sweat frequency in breast cancer patients with treatment-related symptoms. In the newly published study, they set out to determine if the alternative treatment would do the same in women whose symptoms were related to menopause. The study’s postmenopausal women reported having at least seven hot flashes a day, or 50 a week. The women in the study were given self-hypnosis training consisting of five, 45-minute weekly sessions. During the sessions they received suggestions for mental imagery designed to minimize the intensity of their hot flashes, such as images of a cool place. The women were also given a recording of the hypnotic induction, and they were asked to practice self-hypnosis at home daily. The study participants kept “hot flash frequency” diaries, and they also wore small sensors on their bodies that recorded their hot flashes. 40 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 After 12 weeks: Women in the hypnosis group reported 74% fewer hot flashes on average, compared with 17% fewer among the other women. The skin sensors showed a 57% reduction in hot flashes among the hypnosis group, compared to a 10% reduction in the non-hypnosis group. The women treated with hypnosis were far less likely than the other women to report that their hot flashes interfered with their daily lives and sleep. The study was published in the Oct. 26, 2012 issue of the journal Menopause, and was funded by the National Institutes of Health’s National Center for Complementary and Alternative Medicine. Hypnotherapy and the Mind-Body Treatment of Women The use of hypnotherapy in the mind-body treatment of women is concomitant in helping them to find healing and to take back control of their bodies. From the earliest age of beginning menses, many young women feel mystified, usually because they haven’t been properly informed about what was happening to them and their bodies. The women who tend to have debilitating cramps and difficult menstrual cycles, painful intercourse and long arduous birthing experiences, are often the very same women who have been shamed about their menstrual cycles, ridiculed about their developing breasts, treated as sexual objects and even sexually abused or raped. So it is not surprising that these are often the same women who, when entering into the aging process, also find that to be just as painful, humiliating and out of their control. Hypnotherapy, then, is the key to giving them back power over their bodies and the cycles that are still mystifying them. How can hypnotherapy give women back power and control of their bodies and prevent cancer? 1. Teaching them self-hypnosis and making healing recordings that they can play at home. 2. Using the titration hypnotherapy technique so they can: decrease the intensity of the hot flashes, with less or no medication needed Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 41 decrease painful menses cramps, less use of medical drugs increase good feelings about being a woman, decreasing anti-depressant drugs decrease intensity of surges in childbirth (not using anesthesia, producing a fully present mother and an alert infant) increase their ability to relax when their body is tensing up (less medications) decreasing hot flashes and thus eliminating taking hormones (potentially cancer producing) 3. Treating sexual abuse, thus reducing the shame they carry internally about being a woman. All of the shame, fear, rage and self-hatred has a high correlation among women who eventually develop cancers in their breasts, cervix and uterus. Just take a look at the ever increasing number of women having hysterectomies at younger and younger ages. Treating these issues early on with hypnotherapy can certainly help to prevent or ameliorate some forms of dis-ease, including cancer, and perhaps decrease the number of women losing their wombs. When left unaddressed, all of this shame, terror, rage and self-hatred begins and continues contaminating a woman’s internal organs. This cancerous self-loathing continues “eating away” at the sexual organs of the women when they have not had the profound benefit of hypnotherapy to cleanse their body, mind and indeed, their soul. 42 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 43 Hypnotherapy for Pregnancy: Can it be Applied Effectively? People often call to ask if it is advisable to use hypnotherapy with a pregnant woman. The answer is YES! Actually there are many uses for hypnotherapy and pregnant women. Recently there was an incredible program on NBC Dateline showing the use of hypnosis in delivering babies. Two young women birthed their babies, totally free of pain, quickly and without any drugs or pain medication. This article offers suggestions for using clinical hypnotherapy techniques for pregnant women with any of four situations described: (1) any specific fears about childbirth; (2) nausea or vomiting; (3) any condition which requires her to stay in bed; or (4) desiring a baby of particular gender. Hypnotherapy and the Conditioning Process You will always want to teach and condition the couple in the use of hypnosis at least two months before the birth in several real-life sessions as well as making them audio recordings. You should make one 90 minute recording with all kinds of positive suggestions. The “mother-to-be” needs an audio player with headphones. This way she can begin listening to the tape as soon as she goes into labor to stay totally relaxed during the whole process. The more relaxed things are, the quicker and easier the delivery will be. Educating the Doctor About Using Hypnotherapy It is advisable for you as the certified hypnotherapist to make a visit to the doctor with your patient in order to explain what you will be doing and how he/she can support your client in not using anesthetic. One way is not to offer it to her. Another is not to ask any unnecessary questions, allowing her to remain undistracted and relaxed. 44 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Know the Parents’ Issues Talk thoroughly with the parents to find out if either has any special problems such as: 1. Any specific fears and whom he/she may have learned those fears from 2. Any nausea/vomiting 3. Any condition which requires her to stay in bed 4. Wishing to have a baby of particular gender Hypnotherapy can be effectively applied to pregnant women who exhibit one of these four special cases as well as many others. The application of hypnotherapy during pregnancy is intended to harness the power of suggestion and relaxation in order to access the part of a patient’s mind that is responsible for physiological functions and reactions. Helping pregnant women cope with the fear and anxiety that typically accompanies pregnancy and childbirth is the chief aim of any application of hypnotherapy in this context. During labor, anxiety and fear can contribute to harder and more painful contractions. If hypnotherapy is applied effectively during childbirth, the expectant mother should have a more even breath rate, delivering oxygen more effectively to the mother and baby, and improved relaxation in the core muscle groups contributing to the delivery. Ideally, this will lead to contractions that are less painful and more effective. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 45 Hypnosis and Hypnotherapy in the Treatment of Chronic Migraines Treating and preventing chronic migraine headaches with hypnosis is a cost-effective alternative to prescription drugs. Actually, hypnosis is of benefit in the treatment of headache whether the headache is migraine, episodic, or chronic. In one recent study, researchers compared the costs of several types of behavioral treatment with preventive prescription drugs. After six months, behavioral treatment was comparable with prescription drug treatment. In minimal-contact treatment, a patient sees a therapist a few times a year and for the most part practices the behavioral techniques at home, often with the aid of recorded audio programs. After one year, minimal-contact therapy was nearly $500 cheaper than drug treatment, according to the study published in the June 2011 issue of the journal Headache. Using Hypnotherapy to Treat Underlying Stress Even more effective than self-hypnosis, however, is using hypnotherapy to treat the underlying stress causing the headaches. Pain in the body is a “wake up call”, delivered in the language that the body speaks: sensation. In hypnotherapy, because we have direct access to the subconscious, we can ask the body to deliver its message in the language that the conscious mind understands, that is in English. We might ask the client, “Now bring your attention to the sensations that are most foreground for you right now. Where is that? Okay, the temple areas of your head. Now give the feelings in that area of your body a voice. Let it speak.” This Gestalt therapy technique is very effective, and inside the trance logic of the hypnotic state, the client will almost always spontaneously experience words coming out of their mouth to express the point of view of the pain located within the body. “I am sick and tired of working so hard and getting nowhere” or “I need a break, and this is the only way I know to force you to give it to me.” 46 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 This is just the beginning of the emotional exploration, however. Next we use these words and the light they shed on the underlying dynamics at work to go back to the source of this behavior pattern, back in age regression. Perhaps the client follows the trail back to an incident at age seven when he was exploding with frustration in his second grade classroom, unable to understand the teacher’s explanation of how to tell time. His head began to throb, and the teacher allowed him to go to the nurse’s office to lie down and rest. The headache became his ticket out of a hopelessly difficult situation, and he unconsciously began using it more and more often. We then work with the client’s age-regressed seven-year-old ego state to find alternative ways of dealing with the challenging situation. And with the help of the adult ego state, that seven year old will always come up with creative solutions. “Maybe I’ll just tell the teacher that I need more time. Or maybe I will replace the analog clock on the wall with a digital one.” The client experiences a healthy corrective experience, gaining a sense of empowerment, and also a sense that the headache has been one option but is not the only option in any given stressful setting. And perhaps it is an option that his adult no longer chooses. Seeking Alternative Modes of Relief This new insight, and the freedom experienced retroactively, bring the client relief from the dread that these familiar headaches are inevitable, that they are a mortal enemy lurking in his head waiting to pounce anytime. Reaching such a realization on the visceral level, not just intellectually, is possible only through accessing the creativity of the subconscious mind. And hypnosis is a gentle yet powerful means of gaining access to deep subconscious motivation, and access to the body’s wisdom in a clearly understandable language. It is very common for patients to go to doctors or to the local drug store or to the medicine cabinet for relief. They do not often think of going to their therapist to work with physical issues such as headaches. However, hypnotherapy clients know quite well that every physical symptom they experience has the potential to be healed with hypnotherapy. This is a way that many certified Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 47 hypnotherapists greatly increase their income while serving their clients more effectively. The subconscious mind has the amazing ability to speak for and through the human body. When clients are taught the skill of direct communication with the body, they are empowered in ways they never before imagined. In modern medicine, we have been trained to exclusively go to medical doctors to solve physical problems. However, Chinese medicine, Indian Ayurvedic medicine, and other ancient herbal medicines have always connected the mind, body and spirit: all parts of ourselves are connected. Modern Western medicine that specializes and separates different parts of the body is actually sometimes counterproductive to healing. In places like the Cleveland Clinic’s Integrative Medicine department, they are discovering how to use hypnotherapy, along with other tools, to bring healing to the entire mind, body and spirit of their patients. When clients realize that their pain, illness and even serious disease may have originated from a childhood decision based on attaining safety or comfort or getting their needs met in some way, they are elated that they can now make healthy adult decisions that don’t include the pain or illness! It is often quite a surprise and a joyful healing event when this takes place right in the therapist’s office. So when you learn hypnotherapy you will have a whole new resource of referrals wanting to avail themselves of this modality of treatment. 48 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 49 Hypnosis and Hypnotherapy for Cancer Patients: Great Need and Wide Acceptance The diagnosis and treatment of cancer are often stressful events, and high levels of psychological and psychiatric disorders have been reported consistently over the last 20 years as a result of these conditions. However, there is good evidence that much of this distress is preventable by providing a support service that is fully integrated with other parts of the patient’s cancer services. Relaxation therapy, guided imagery and hypnotherapy can be very beneficial in helping patients cope with their cancer diagnosis and treatment. This helpful intervention can take the form of self-hypnosis or facilitated, Holistic Hypnotherapy. Self-Hypnosis for Cancer Patients Self-hypnosis can be taught as a life skill to integrate psychological as well as pharmacological interventions in pain management, anxiety, insomnia, and medication side-effects. Typically, patients are given two to four instructional sessions on how to self-induce a hypnotic trance and effective ways to create and structure self-suggestions. Patients are usually asked to keep a daily record of their hypnosis sessions, and to track the resulting relief from whatever symptoms they are addressing. Applications for Advanced Hypnotherapy When a more intensive therapeutic intervention is arranged, patients are typically offered three to six hypnotherapy sessions, together with a follow up several months after the last session. All hypnotherapy sessions must be individually tailored to cover the specific individual needs, however, particular attention should be paid to: 1. management of anxiety, depression, anger, frustration 2. management of pain, fatigue, insomnia 3. management of side-effects of chemotherapy and radiotherapy 50 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 4. visualization to promote health improvement. Fortunately, the vast majority of cancer patients (89%) are willing to use hypnosis to control side effects associated with cancer treatment, irrespective of gender, ethnicity, education or age, according to a study at Wake Forest University. The research also concluded that “Evidence suggests that hypnosis is an effective intervention for reducing distress, pain and other side effects associated with cancer and its treatment.” It was published in the October 2010 issue of The American Journal of Clinical Hypnosis. Regression Hypnotherapy for Cancer Patients Along with these types of physical treatments, regression hypnotherapy can provide direct communication with the body to discover the emotional components of the disease or illness. If we only use traditional medicine, the physical disease may go into remission for a while. But without listening to what the illness or the body is telling us, the disease will often reoccur or some other one will appear in its place. Traditional medicine and hypnotherapy can work hand in hand to produce healing, in what is now called Integrative Medicine. The body is speaking to us; we need to pay attention and teach our clients how to listen. For example, we always listen to the words that the client uses to describe their illness. A person with stomach cancer may say, “My cancer is eating away at me.” In a hypnotic trance state, we may then ask the client to give the cancer a voice and let it speak. The cancer may say, “I’m eating you up inside. You are too stressed and all that anxiety is killing you.” We also want to address where in the body the cancer may be located. Since breast cancer is prevalent among woman, we may say, “Now give your breast a voice, what does it say?” We often hear things like, “I’m your breast and your giving too much to everyone else. I need your attention. Take care of me.” The subconscious mind is a vast storehouse of personal information, and hypnotherapy is the search engine that will retrieve this information that is vital to each person’s personal growth and healing. All the clinician needs to do is: Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 51 1. Learn how to communicate, through hypnotherapy, with the internal search engine – how to perform an effective Google search for data stored in the subconscious 2. Be ready to openly listen to the information we receive 3. Be willing to use this sacred communication for the healing of ourselves and our clients. The Cleveland Clinic Center for Integrative Medicine continues to hire clinicians who are trained and well prepared to use hypnotherapy in conjunction with their traditional medical treatments. It has been abundantly demonstrated to them that clinicians with this training are skilled at using hypnotherapy with a wide variety of medical and emotional challenges to benefit patients cost-effectively. 52 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 53 Hypnosis and Hypnotherapy Can Reduce Dementia A scientist at the University of Liverpool has found that hypnosis can slow down the impacts of dementia and improve quality of life for Alzheimer patients in seven main areas: 1. Concentration on daily tasks thus retaining valued independence 2. Relaxation thereby reducing anxiety which is a common feature 3. Motivation, which helps to avoid depressive states 4. Undertaking daily activities and keeping active 5. Short term memory retention 6. Memory for significant life events 7. Socialization, thereby avoiding the tendency for selfisolation and depression. Forensic psychologist, Dr. Simon Duff, Department of Clinical Psychology at Liverpool University, investigated the effects of hypnosis on people living with dementia. His study compared the treatment to mainstream health-care methods and to a type of group therapy which encourages participants to discuss news and current affairs. The study found that people living with dementia who had received hypnotherapy showed an improvement in concentration, memory and socialization compared to the other treatment groups. Relaxation, motivation and daily living activities also improved with the use of hypnosis. Dr. Duff said: “Over a nine month period of weekly sessions, it became clear that the participants attending the discussion group remained the same throughout. The group who received ‘treatment as usual’ showed a small decline over the assessment period, yet those having regular hypnosis sessions showed real improvement across all of the areas that we looked at. “Participants who are aware of the onset of dementia may become depressed and anxious at their gradual loss of cognitive ability and so hypnosis – which is a tool for relaxation – can 54 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 really help the mind concentrate on positive activity like socialization.”[1] [1] http://www.liv.ac.uk/news/press_releases/2008/07/Hypnosis_sho wn_to_reduce_symptoms_of_dementia.htm Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 55 PTSD Related Insomnia and Treatment with Hypnotherapy Individuals that suffer from PTSD commonly complain of insomnia and related sleep disorders. Not enough sleep, or sleep that is not restful enough, can contribute to other symptoms of stress and trauma. One group of people who suffer inordinately from PTSD related insomnia is combat veterans. Treating PTSD with Medication vs. Hypnotherapy Commonly, these individuals are treated with medications: either Zolpidem, a short term insomnia medication, or an SSRI anti-depressant treatment. These medications can be helpful, but often are only effective as long as they are being taken. There is no long term relief from the underlying stress. In one recent study, thirty two male veterans suffering from PTSD combat related insomnia were assigned to one of two groups: hypnotherapy or Zolpidem. The hypnotherapy for PTSD sessions were administered in two 1.5 hour sessions twice a week for two weeks by a board of certified practicing psychiatrist hypnotherapist. Those in the medication group were given Zolpidem for 14 days. All participants in the study were diagnosed with PTSD, were between 21 and 40 years old, and all participants had been taking an SSRI anti depressant medication for a minimum of two months prior to the study. The study found that those in the hypnotherapy treatment group reported a 76.4% improvement in their ability to sleep compared to 26.6% of those in the standard treatment protocol group. 82.3% in the hypnotherapy group were shown to have increased their total sleeping time compared with 66.6% of the Zolpidem group. Post treatment, 88.2% of the hypnotherapy group reported an excellent or good quality of sleep level, this compared to 26.6% of the Zolpidem group.[1] [1] Abramowitz, E., Barak, Y., Ben-Avi, I., & Knobler, H. (2008). Hypnotherapy in the Treatment of Chronic Combat- 56 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Related PTSD Patients Suffering From Insomnia: A Randomized, Zolpidem-Controlled Clinical Trial. International Journal of Clinical and Experimental Hypnosis, 56(3), 270-280. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 57 Hypnosis and Hypnotherapy as a Way to Triumph over Arthritis Dani Dudek had fingers so sore, it was difficult to open a car door, and pain in her elbow so intense, straightening her arm made her feel like she had broken something -- at age 22. In 2009, senior point guard Dudek was one of the most prolific women’s basketball players in NCAA history, only the second woman to top 1,000 points, 800 rebounds and 600 assists. She has learned to handle the pain through using self-hypnosis. Dudek developed arthritis in fifth grade, and for the next four years, she took antibiotics for the infection in her bloodstream. But there was no prescription for the intense pain. During her freshman year in high school, Dudek found relief in a self-hypnosis technique taught to her by a pediatric psychologist at the Hackensack University Medical Center. As he explained to Dudek, her light switch for pain was constantly on. By hypnotizing herself, she could turn that switch off. It is encouraging to note that numerous studies have documented that hypnosis is effective in reducing the pain associated with arthritis and chronic inflammatory disease. But beyond symptom relief, and even more encouraging, is the finding that hypnosis impacts at the disease level, reducing swelling and stiffness. One large study also found that depression is often connected with arthritis and the concomitant loss of physical ability. This study finds that the depression is significantly reduced for those who utilize hypnotherapy for depression and to deal with the pain and other symptoms of arthritis. Chronic pain contributes to clinical depression, and using hypnotherapy for chronic pain management helps to alleviate the depression.[1] It is best for hypnosis to first be taught by a certified, professional hypnotherapist before recommending that someone try self-hypnosis on their own. Professionals are trained and skilled at providing the proper wording for the most positive results. Positive suggestions, appropriate visualizations and key wording is required in order to reduce pain and inflammation. In 58 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 addition, we use mind body techniques that will help the arthritis sufferer discover any emotions that may be connected with the arthritis in order to relieve the symptoms of depression, frustration and the feelings of powerlessness over their body. [1] Horton-Hausknecht, Jillian R.; Mitzdorf, Ulla; Melchart, Dieter. (Jan 2000). The Effect of Hypnosis Therapy on the Symptoms and Disease Activity in Rheumatoid Arthritis. Psychology & Health, 14(6), 1089-1104. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 59 Hypnotherapy with Hospice Care and/or Dying Clients There are many issues with which Heart-Centered Hypnotherapy can be very effective. When someone is facing death, it is vital that they do in-depth work as early as possible. Some of the issues to be addressed are (1) completing unfinished business with family, friends and co-workers; (2) asking for forgiveness and self-forgiveness for any perceived wrongdoings; (3) releasing pent-up emotions that may be locked in the body; (4) releasing attachments that may be preventing them from letting go of life on earth; (6) reconnecting disowned parts of themselves including their soul; and (7) developing or maintaining a strong spiritual connection. Let’s take each one of these issues by itself to examine it further to see why Heart-Centered Hypnotherapy is such an effective tool. Completing Unfinished Business Most people have not been given the tools during their lifetimes to communicate directly with friends and family members. In the trance state, their inhibitions and defenses are lowered so that they can speak their truth to their loved ones, and their “not-so-loved ones.” Within the privacy of their session, they can fully express all that they feel without worrying that they will hurt anyone’s feelings. Through this work they can also get clear if there is actually anything that needs to be said in person to complete this relationship. Often releasing the feelings is all that is needed; speaking them directly to the person involved is not necessary. This is most important since it is often this unfinished business that keeps people emotionally “hanging on” to life when their body is in extreme pain and is ready to go. Asking for Forgiveness Many people carry hidden guilt around with them for their perceived wrong doings during their lifetime. When they are facing death, this guilt can result in self-punishment and 60 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 prolonged and unnecessary suffering. This is a personal issue as well as a spiritual issue. They need to ask whomever it is that they have wronged to forgive them as well as to ask God. This work needs to be done on the subconscious level since that is where all the self-blame is stored. And then it is important, of course, to have a deep conversation with themselves to release the guilt. Releasing Pent-up Emotions When people repress emotions in their bodies, these emotions block and drain their vital supply of energy. This energy is so important especially when they are often drugged for pain control. Also as they release the emotions, they become much more clear about what they may need to communicate in person. Emotions such as deep grief, anger, and resentment keep them locked in their bodies, unable to “let go”. Releasing Attachments Hospitals, nursing homes and hospice homes are filled with people who are ready to die but who can not “let go”. Attachments to people with whom they have unfinished business keep them hanging on for months and years. This causes the agony of unnecessary suffering on the part of the caregivers as well as the dying person. All attachments need to be released so that the individual is finally freed from any “hooks” that are keeping them in their suffering bodies. Integrating Disowned Parts of Oneself (Soul Retrieval) Often during the lifetime of an individual there have been certain traumas such as abuse, accidents, natural disasters, or major illness. During those times, a commonly used method of self-protection is dissociation or disconnection from self. When a part has dissociated or split off from the whole, people sometimes describe it as “I feel empty inside” or “Ever since that time, I just don’t feel like myself.” Another common experience is described by the familiar song, “I Left My Heart in San Francisco.” As part of the dying experience, it is important for individuals to go back and reclaim disowned parts of themselves. Whatever their experience, such as the loss of their heart, their Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 61 soul, or a specific part of themselves, the clinical hypnotherapist is in an excellent position to help the client reclaim these disowned parts. It is very common, once the person has access to their subconscious mind to be able to go back to where the part split off and to reclaim it. This integration process often is a powerful spiritual and emotional healing for the person. Developing or Maintaining Spiritual Connections This is by far the most important work for the dying patient to address. And because Heart-Centered Hypnotherapy naturally guides them onto the spiritual plane, it is obviously a powerful tool to use. Some people are already very clear about the spiritual connection and so the trance work can be used to further deepen that connection. Another group of people know they have some spiritual connection, but perhaps they have not really had the motivation to clarify it previously. Obviously this is the time to get into full spiritual contact and to address the spiritual issues such as forgiveness and where do I go from here? The Heart-Centered Hypnotherapy will assist them in discovering through visualization and directly experiencing who or what their spiritual connection is. They may see or feel Jesus, the Divine Mother, Buddha, White Light, the Great Spirit, or the feeling of Unconditional Love. It is important in these situations for the hypnotherapist to feel comfortable with spirituality and not to impose any specific religious doctrine onto the client. This work is not about religion, but rather to assist the client to discover what feels right for them. The third group of clients that you may encounter may have denounced God, religion and spirituality all their lives. But as they begin to face death, suddenly these issues begin to take on new urgency. Through hypnotherapy, the client may suddenly begin to have spiritual experiences. It is important to support them and encourage them to accept that it is not too late to develop this relationship. When we are facing death, things that never seemed important before suddenly take on a very deep importance. It is important to educate people about what they will experience in death. It is extremely beneficial to describe to them reports of people who have had near-death experiences (NDE). 62 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 This should be done both on the subconscious level in hypnosis and on the conscious level as well. This will demystify death for them and also relieve the fear that most people carry about dying. They need instructions about how important it is to go directly into the light and not to cling to their dying body or to another person on earth. This will help them have a peaceful journey instead of becoming a tortured or energy-draining earthbound disincarnate. Another powerful aspect of this work is, of course, to do this work with close family members as well. They need to also finish their business with the dying person and “let go” so that they do not inadvertently keep their loved one in his/her body longer than necessary. Also they need to pray and visualize the person moving into the light and being greeted by an appropriate spiritual connection to “take them across.” When family members are educated in this way, their assistance can have a profound effect on the dying experience. In this way they are all working together, sometimes for the first time, to create a healthy release for everyone concerned. Doing this kind of in-depth healing with someone facing death is sacred and poignantly fulfilling. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 63 Hypnosis and Hypnotherapy for Spinal Cord Injury Pain Management The vast majority of persons with spinal cord injury report chronic, unpleasant sensations or pain. And about a third describe the chronic pain as severe, which is a very hard thing to live with. Chronic pain in persons with spinal cord injury tends to exist at multiple body sites and generally does not improve with time. It can interfere significantly with normal activities such as work and social life, and perhaps for that reason is associated with depression. Acute pain takes place before healing has occurred, whereas chronic pain sets in after the healing is already done: the injury has healed, but the pain remains, and it becomes chronic pain. Traditional biomedical treatments, like opiate medications, are generally effective for acute but not chronic pain management. Chronic pain is extremely complex and difficult to treat with narcotics alone. A number of factors complicate chronic pain conditions and their treatment: Psychological distress. There is a significant association between chronic pain and depression and anxiety. We have found that people don’t get used to chronic pain. Instead, it actually gets worse; people get worn down after years of unrelenting chronic pain. Grieving the loss of activity. When chronic pain results in an inability to continue with usual life activities, grief over this loss can increase or maintain the pain. Original cause of pain is often gone. Deactivation. When you are having pain with any kind of movement, what do you do? You avoid movement, and as a result your muscles become deactivated and start to atrophy (shrink and become weaker). Thereafter, any movement you try to do is far more painful because the muscles haven’t been used. This becomes a vicious cycle. 64 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Guarding. This is the tendency to tense up or tighten the muscles around the injured area as a way of protecting it, which then causes you to move or walk differently. For instance, if you sprain your ankle, the muscles around it tense up, causing additional pain. Furthermore, you will probably put more weight on the other foot, eventually causing pain in other parts of your body. In fact, a common problem following sprained ankle is hip pain on the side opposite the ankle sprain. Using Hypnosis for Treating Chronic Pain For hypnosis to be effective in chronic pain situations, the post-hypnotic suggestions need to focus on the five factors (from the list above) that are maintaining or aggravating the chronic pain syndrome. So, instead of suggesting to chronic pain patients that their pain will go away, which doesn’t work, the therapist might suggest that they’re going to feel more energy and more motivated to participate in physical therapy or an exercise program. These suggestions are more successful in helping somebody who is coping with chronic pain. Hypnotherapy can be highly effective in addressing the other factors: depression, anxiety, and grief. In other words, going beyond giving suggestions to the receptive subconscious mind, with hypnotherapy we can deal with the emotional (and spiritual) “collateral damage”. Pain often interferes with sleep, so decreasing pain helps increase restful sleep. Studies show that sleep also improves as a result of the hypnosis. Another research team [1] at the University of Washington School of Medicine Rehabilitation Medicine, documented a case of working with a U.S. Army soldier stationed in Iraq who developed myriad pain problems after sustaining a high-level spinal cord injury from a gunshot wound. These problems were negatively impacting his ability to participate fully in his physical rehabilitation and care. Ten sessions of self-hypnosis training were administered to the patient over a 5-week period to help him address these problems. Both the patient and his occupational therapist reported a substantial reduction in pain over the course of treatment, which allowed the patient to actively engage in his therapies. Six months post treatment, the Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 65 patient reported continued use of the hypnosis strategies taught, which effectively reduced his experience of pain. Based in part on a report by Shelley Wiechman Askay, PhD, Clinical Psychologist at Harborview Medical Center and assistant professor, Rehabilitation Medicine, University of Washington. Retrieved [http://sci.washington.edu/info/forums/reports/hypnosis_for_sci_ pain.asp]. [1] Stoelb BL, Jensen MP, Tackett MJ. American Journal Clinical Hypnosis, Jan 2009, 51(3):273-280. 66 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 67 Hypnotherapy with a Suicidal Eating-Disordered Client We at The Wellness Institute have worked with thousands of people with suicidal ideation. Often these clients are just labeled depressed by family doctors and sent on their way with the latest anti-depressant. Traditional therapists may spend hours upon insurance-billable hours using CBT (cognitive behavioral therapy) attempting to cognitively teach the client to “manage” their symptoms of depression. Too often this is what we call “band-aid therapy,” like putting a band-aid on a survivor of a major car crash. With Heart-Centered Hypnotherapy we begin treating the depression by identifying the symptoms and feelings, and then proceeding to where and when it began. Seeking the origin of the depression may lead us back to a recent devastating loss, failure, or rejection. However, ultimately the real source of the depression is often found in pre- and prenatal experiences. And what is most often discovered in this amazing journey of personal transformation is that somewhere down the road are several hidden beliefs/conclusions about oneself and decisions about how to behave as a result of these self-sabotaging conclusions. For example, a client we will call Penny has been bulimic for most of her life, not allowing herself to receive nourishment. She then became very desperate with her inability to stop the bulimic behavior. Penny found herself caught in the trap of the Victim Triangle with her food addiction. She always felt like a victim by not being able to control what she ate, then she would try to rescue herself by attempting to over-control her eating addiction behavior. When that didn’t work she would persecute herself with all the judgments and negative self-talk about what an inadequate loser she was. And then she would subsequently push herself right into the victim role again. Penny was not consciously aware that by persecuting herself with negative selfhypnotic suggestions, by regurgitating the nourishment from the 68 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 food she was eating and then by diving deep into her depression, she was really attempting to kill herself. As she attended many traditional treatment programs for eating disorders, which never worked, she began to fall into deeper and deeper depressions. This ultimately led to several serious attempts of suicide by cutting her own wrists. When she finally found her way to a Wellness-trained therapist, she had given up any hope of ever healing. The first regression lead her to age five where she had intense body memories of a man forcing his penis down her throat and she felt like she was choking to death. Then she was gagging to the point of needing to throw up in order to get rid of the slimy disgusting stuff that was stuck in her throat. Then the next thing that came to her was that she was in the kitchen where her abuser proceeded to give her cookies and other sweets to soothe and make her feel better. These sweets were always around since her father owned a bakery and each night he would bring home the sweets that hadn’t been purchased that day. She was taught to self-soothe anxiety, fear and panic with cookies, pastries and cupcakes. In several subsequent sessions, Penny visited different places of anxiety connected with food. Her father being an alcoholic and a “control freak” made the dining room table a place of horrendous fear and panic for his wife and their six children. He always inspected their nails, clothes and hair like he had done when he was in the Marines. He demanded that they fill their plates with food and sit there until it was all eaten. He continually reminded them of all the suffering children on the planet, how he had fought overseas so that he could feed them this food and what ungrateful little wretches they were. He would yell at one or two of the children each meal time for obscure offenses that they had supposedly committed. One night he turned over the whole table and all the plates, silver and glasses went crashing onto the floor. Utter chaos ensued just as it had so many other times at the family table. One night he picked up a very hot beef roast and threw it at their mother, who began screaming in pain, humiliation, terror and rage. He felt the roast was not rare enough for his liking. The children, of course, always had to clean up the messes, pick up everything from the floor and wash the dishes, floors and walls. When the dishes were done, he would come in to inspect them. If even one spoon Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 69 had a smidgen of food on it, he would make them pull down all the dishes, pots and pans and glasses and rewash everything all over again. Then of course they had to do their homework. By then the children were so exhausted, nervous, and anxious they could barely concentrate on their homework assignments. It was at this time when she had made an unconscious decision to die. There were many regressions of our bulimic, self-destructive client where she used the energy release bat to get out her fear and rage. She began to feel her depression lifting and discovered what it felt like to be relaxed, peaceful and even joyful. We did, however, have one more hypnotic regression to do. She said that whenever she met new people or came into a new situation, she always felt inadequate, unacceptable and extremely selfconscious. She would be so anxious that she wanted to run out of the room, but she knew she had to make herself stay. So in the next session, instead of focusing on the specific eating disorder symptoms, we focused on her experience of not being accepted for who she was every time she entered a new situation. In the regression, she discovered herself in her mother’s womb. At first it was dark and pleasant and quiet. Then she began to look upset. We asked her what was happening and she replied, “I’m a girl. My father definitely wants a boy. I’m not right for him. He will never be able to really love me.” She soon began to realize that as she was being born and her gender was announced by the doctor, “It’s a girl,” her mother also felt very disappointed. Our client could feel that her parents were both expecting and wanting a boy, since they already had four girls. Her early conclusion about herself was, “I’m a mistake.” “I’m unwanted.” “I’ll never be what they want.” Her decision was, “I shouldn’t exist.” This combination of traumatic experiences is the perfect recipe for an eating disorder, which can become deadly. The original rejection of the child for her gender, oral sexual abuse forced on this same small girl followed by attempts to soothe her with cookies, and all this amidst almost continuous gutwrenching anxiety-filled abusive meals: these are the perfect ingredients to form an alcoholic, food-binging eating disordered woman with suicide attempts. 70 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Penny resolved her eating disorder, her anxiety, and her suicidal depression all at the same time, because they were all symptoms caused by the same source traumas. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 71 Healing Resistance to Life through Hypnotherapy Resistance is exhausting; however, millions of people struggle with their own resistance on a daily basis. How do we create internal resistance? If we can think of this like a pulley, which has immense power to lift things, it is easier to understand. It is the tugging, the pulling from opposite ends that actually creates the power to lift a heavy object. However, it also takes a lot of energy in order to lift or move an object. When this pulling and tugging is going on internally, it is exhausting! Lucille’s Story Inside of ourselves, this power also exists. What are the two opposite parts that pull against each other within us? We call these autonomous complexes or splits. These splits are often represented by small child parts of ourselves, struggling to solve problems that are way beyond their capabilities. For example, a middle aged woman named Lucille (not her real name) takes years to make decisions. She wanted to change her profession and took over 10 years to do so. She was resistant to making any of the necessary changes required to move forward on her goals. She wanted to take a training course that would move her into her new career; however, her resistance kicked in and she struggled for over four years to finally decide to take it. She took the first level and then took four more years to decide to take the second level. She used all kinds of excuses such as not enough money, when she had actually just bought a home in an exclusive neighborhood and drove an expensive car. Recently, she wanted to teach a workshop and had 20 people who were interested, but none of them actually took her class. From Talk Therapy to Hypnotherapy After many years of talk therapy, she finally found her way to Heart-Centered Hypnotherapy. Through age regression, we were able to get down to the source of her resistance to life. In hypnotherapy, people often regress back to early childhood in 72 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 their search for the core issues that cause their self-defeating behavior. She regressed back to when she was in her young mother’s womb. Her mother’s parents (Lucille’s grandparents) were furious that their young 16-year-old daughter was pregnant. They shamed her and wanted her to get an abortion. Our client’s mother then attempted a terrifying abortion from an unqualified person, back in the days when abortion was illegal. Lucille has gone through life resistant to coming into a family who never wanted her and literally tried to kill her. She was filled with shame about her very existence, but never knew why. She had spent years in talk therapy never knowing this or the reasons why she couldn’t move forward in her life. She was literally and unconsciously trying to kill herself, to fulfill her mother’s and grandparents’ wish. Resolution Lucille is so much more aware now of her resistance to life and how it manifests. She is moving forward in her life, achieving her goals more easily and laughing at herself when she feels the resistance emerging. By using hypnotherapy, these changes are not just from her conscious mind but deeply embedded in her subconscious mind. She finds herself making new changes and choices now without even having to think about them. Lucille describes the new, wondrous feeling of freedom she experiences living life without the burden of the deep existential shame she had always carried. Resistance to life can fall into one or more of the following categories: COMMITMENT ISSUES. “I can’t really commit to that.” How do these commitment issues show up in relationships? 1. The presenting issue of having difficulty committing to a relationship. a. Divorces – something is always wrong with the other person b. Searching on “Match” but no one seems to be “the one” c. Break-ups with friends, always focusing on the faults of others Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 73 d. Changing jobs, always finding something wrong with the boss, the co-workers, the building, the salary, the location, etc. 2. Having difficulty committing to the therapy agreement they have made with you (and themselves) a. Not showing up for appointments – excuses such as sickness, no money, etc. b. Showing up late with more excuses c. Always having excuses that seem real, but there is a deeper hidden motivation d. This can even escalate to where they get sick or have an accident just before an event in their life that they have committed to. AMBIVALENCE ISSUES. “I’m not sure which one I want to do.” 1. Consistently setting up two or more choices for themselves and then feeling stuck in the middle 2. Debating in their minds, “Should I do this or that? Take this vacation or that one?” or “Maybe I just won’t take one this year.” 3. “Should I take this course or that one? Or maybe I’ll just go back to school and get my degree.” 4. “Should I apply for a job here? Well, actually, I’m thinking of moving to another state. Perhaps California, my sister lives there. Oh, but . . .” RESISTANCE ISSUES. “I don’t want to be here.” 1. Struggling much more than is necessary in their life 2. I don’t want to be here in: a. This job b. This marriage c. This state or city d. Your office (for therapy) e. This house f. Searching for geographic solutions (“I’ll leave, I’ll move”) g. Their answer is often to just leave rather than solve a problem 74 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 3. “I’m exhausted, it all seems too hard.” I’m just too tired, I can’t seem to do anything. 4. “I’m stuck!” I just can’t move. 5. The “Yes, but” Game in which any suggestion the therapist offers for problem solving, they go into “Yes, but…” and then list all the reasons why that or any solution won’t work. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 75 How Hypnotherapy Can Treat Fear of Commitment Many couples or individuals come into therapy with frustrating patterns that they can’t seem to break through. Many have tried all different types of therapies, taken courses and read books. In general, if these endeavors have mostly engaged the conscious mind, then the couple has only used 10% of their overall mental resources and thus have spent a large amount of their resources. The majority of people believe that if they could just figure things out, which will solve the problem. This is certainly true in mathematics, science and technology. However, the human brain is much more complex than that. The human brain is composed of two basic parts: the conscious mind, which is about 10% of our capabilities and the subconscious mind, which engages the other 90%. So when a client goes to a talk therapist, cognitive behaviorist or any of the other “thinking type” therapies, they are only paying to treat 10% of their mind, i.e., the conscious part. The Conscious and the Subconscious Mind The conscious part of our mind holds some of our defenses, such as judgments, rationalizations, and analyses, and “thinking type” therapies can be helpful in confronting these defenses. However, most of our defenses are subconscious, such as denial, projection, and addictive and compulsive behaviors. These defenses are formed as children as a way to protect us from harmful or abusive people and situations. They are useful when we are in danger, but then become like a wall, which prevents us from getting down to our more vulnerable feelings and our profound resources. So many of our untapped resources are held in the subconscious mind, which is where hypnotherapy can take us. These resources are contained in our memories, feelings, emotions, intuition and unconscious motivations. Most people like to think that they make decisions based in their so-called rational mind but actually researchers have shown that most 76 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 decisions are made from our feelings. This is especially true when it comes to relationships. Studies show that when singles go into a meeting place, they attract someone within 60 seconds of entering. The studies also show that if you have been bullied as a child, you may subconsciously be attracted to a bully. If you grew up in an alcoholic family, the alcoholic will find you almost immediately. If you believe, subconsciously, that all women are “bitches” or all men are abusive, guess who you will be attracting? But all of this is happening so quickly, and so deeply below our conscious awareness, that the conscious mind is easily outmaneuvered. This is exactly why Heart-Centered Hypnotherapy has discovered that we must guide people into the depths of their subconscious vault where all these relationship patterns are stored. Hypnotherapy and the Subconscious Mind The subconscious mind contains a deep inner wisdom which, when properly directed, will take the client right back to the source of where these patterns began. For example, a woman who keeps attracting men with commitment issues may be subconsciously directed by her internal resources to visit her childhood family where her father left when she was a toddler. Another peak into the window of her early life may give her the view of her mother who continued to bring men home who eventually would leave. A subconscious conclusion she may have made about herself when these father figures left was, “I’m unlovable” and the behavior she may have chosen based on that belief was never to be vulnerable, never to commit and thus to always keep herself safe from being abandoned again. Once the deeper source of this fear of commitment is discovered through Heart-Centered Hypnotherapy, then the healing can truly begin. Without this deeper work, the client continues in a whirlwind of searching for answers that her conscious mind just does not contain. Hypnotherapy brings awareness sooner and heals the deeper pain hidden below the conscious mind. Now new conclusions about oneself can be reprogrammed into the computer-like region of the brain that holds all of the past programming. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 77 Use Hypnosis to Double Your Fertility Rate Doctors and scientists from all over the world are proving the effectiveness of hypnosis for fertility and other reproductive challenges. Many fertility experts see the transfer of an embryo to a woman’s uterus as a key event that determines whether IVF will succeed. Stress during embryo transfer can reduce the success rate, and many women experience stress from fear that the treatment will fail, or that the transfer will be painful. Hypnosis can be instrumental in relieving such stress. Study Showing Hypnosis Doubles Rate of Fertility Women who are hypnotized before undergoing the transfer of an embryo by in-vitro fertilization (IVF), may be more likely to become pregnant. One study showed that nearly 60 percent of a group of women who used hypnosis during the procedure became pregnant compared to about 30 percent of a group of women who didn’t use hypnosis. Women in the hypnosis group met with a physician certified in hypnosis, who asked them to select a “very pleasant” past experience to think of during embryo transfer. Patients were hypnotized before the transfer, and told to compare the procedure “with the reception of long-awaited and very welcome guests.” After the woman was in trance state for about 10 minutes, the doctors began the transfer. When the procedure was finished, before the patients were taken out of the hypnotized state, they were given instructions intended to help them feel calm, relaxed and optimistic. Hypnosis Relaxes the Uterus, Increasing Fertility Dr. Eliahu Levitas of Soroka University Medical Center in Beer Sheva and his colleagues published their study in May 2006 in Fertility & Sterility, Journal of the American Society for Reproductive Medicine (March 2006, vol. 85). Dr. Levitas hypothesizes that hypnosis helped a woman’s uterus to remain relaxed, allowing the embryo to implant more easily. It is also 78 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 possible, he says, that hypnosis produced changes in the immune or hormonal uterine function resulting in “an improvement in the interaction between the blastocyst and the endometrium,” or the lining of the uterus. “This study suggests that the use of hypnosis during ET may significantly improve the IVF-ET cycle outcome in terms of increased implantation and clinical pregnancy rates,” according to Dr. Levitas. Using Hypnotherapy to Treat Depression Improves Fertility Depression can often occur by the second to third year of infertility and does not return to normal levels until six years later. Treating depression can improve your fertility. Women with a history of depressive symptoms reported twice the rate of subsequent infertility (Psychosomatic Medicine, 1995, vol. 57) Women with depression, when treated showed a 60 percent viable pregnancy rate within six months, contrasting with 24 percent when depression went untreated. (Journal of American Medical Women’s Association, 1999, vol.54) Women who experienced depression following the failure of their first in vitro fertilization (IVF), had much lower pregnancy rates that their non depressed counterparts during their second IVF cycle (Journal of Psychosomatic Research, 1993, vol. 37) A study reported in Reproductive Endocrinology (April 2000, vol. 73, issue 4), treated women who were in their second year of infertility. The women who received group psychological interventions to stem the tide of depression caused by infertility, had significantly increased viable pregnancies compared to those who did not receive preventative treatment for depression. Hypnotherapy reduces stress and increases confidence, instilling a sense of control in the client, which in turn enables her to maximize chances of conceiving naturally and/or increase the success of medical assistance. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 79 Hypnotherapy with Authority Issues in our Relationships Authority issues arise in two distinct situations: when a person or institution has power and authority over another, and/or when I am the person with authority. In general, modern psychology has struggled to effectively deal with this pervasive issue. And yet, it is at the bottom of most relationship conflicts in our society. In psychotherapy situations, couples often come in stating that they have power struggles or that their partner is a control freak! Here we will focus on this aspect of authority as it relates to working with couples. Authority Issues Emanate from Our Family of Origin Our authority issues generally are the result of being immersed in power struggles within our family environment. These power struggles often originated in our families between Mom and Dad, between parents and grandparents, or between siblings. One common set-up for power struggles within the family structure is children being raised by older siblings who are left to their own devices to make and enforce the rules. The so-called adult child often resents having to care for younger siblings and may become abusive behind the backs of the incompetent, alcoholic or overly stressed parents. The younger children often grow up with deep resentments and confusion toward their older siblings who often misused the power they were given, even to the point of severe abuse perpetrated on the younger ones (sibling abuse). Authority Issues from Undermining Another Authority Another devastating form of authority issues results when one authority (parent) undermines another, especially in front of the children or even directly to the children. One common scenario is when one parent would go behind the other’s back to change rules, or would wink at the children to indicate “you don’t really have to do what he/she says.” This wink communicates collusion and teaches children not to respect the 80 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 authority of the other parent. Another example is one parent who uses put downs or shaming of the other parent who was supposed to be in charge of the children. Another common situation results when other relatives, such as grandparents, break the rules that the parents have set for the children. This clearly undermines the family power structure and teaches children not to respect authority. One parent may go behind the back of the other parent, recruiting the child to adopt his or her judgments about the other parent: “He’s so weak” or “She’s crazy” or “Don’t believe a word she says.” This teaches children to disrespect authority and teaches a destructive family pattern called “Let’s You and Him Fight” (Eric Berne, Games People Play). Healing through the Subconscious Mind These deeply embedded power struggles, learned so subtly during our formative years, follow us throughout our relationships in school with teachers and friends, throughout our dating years and then of course into our own families. Hypnotherapy is most effective in addressing the current nonproductive experiences in our lives and then following the thread to where they began. Most cognitive therapies may talk about these relationship issues and gain an understanding of them; however, the conscious mind only contains 10% of our psyche. In order to permanently change these deeply embedded and complex patterns, we have discovered the importance of enlisting hypnotherapy techniques. This enables the client and therapist to access the wealth of information stored in the subconscious mind and to replace these destructive patterns with new healthy patterns on the deepest level. Using Heart-Centered Hypnotherapy In Heart-Centered Hypnotherapy we use a double induction technique with couples in which both partners engage in ageregression therapy at the same time, next to each other. This facilitates compassion and empathy for each other, an understanding of how their foundational childhood patterns may be conflicting with those of the spouse, and then developing new healthy behaviors with each other as well as with their children. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 81 Highway Hypnosis: Applications in Hypnotherapy “About one hour into a long drive, typically on a highway with a straightaway, you start zoning out and your reaction time slows down,” according to Joshua Maxwell, an ergonomics engineer at Hyundai-Kia Technical Center. “Your brain goes into an auto-pilot phase.” When a driver is in this mental state it is possible to travel many miles with little recollection of having consciously done so. And there is a greater chance of becoming drowsy. Science and Engineering Engineers from automakers Hyundai and Kia have partnered with researchers from the University of Michigan to study “highway hypnosis,” to measure driver brainwaves using electroencephalograph (EEG) sensors. These sensors are able to detect when a driver begins to get drowsy and have been programmed to perk the driver up through audible and physical alerts. Currently, detecting how drowsy a driver gets during a long drive is determined by monitoring changes in their head position and the amount of times they blink their eyelids. The EEG method has the potential to determine drowsiness before typical behavior changes in head and eyelid activity can be observed. 390,000 Injured/died by Distracted Driving We’ve probably all had the experience of “waking up” after travelling some distance without any awareness, and it turns out to be a very serious potential driving hazard. The National Highway Traffic Safety Administration says 3,331 fatalities occurred in 2011 as a result of distracted driving. On top of that, the NHTSA estimates an additional 387,000 people were injured because of distracted driving. So how are the engineers planning to jolt the driver awake when necessary? Maxwell said the engineers haven’t come up with a specific warning system for cars yet. “It could be a sound 82 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 and a visual cue. “It might be the coffee cup icon, which is familiar to most people (as a drowsy-driving alert).” Application of Research in Hypnotherapy Of course, there are two quite separate states of mind that have been lumped together here, using the term highway hypnosis for both. One is drowsiness, sleepiness. The other is quite different: a dissociated state in which a person can function at repetitive tasks easily while being mentally engaged in something separate. It is this ability that we use in the therapeutic use of hypnosis. An example is that in age regression the individual actually goes back to the earlier time and reexperiences it (not just remembering it as an event in the past), while he/she is able to use their adult cognitive and language abilities without awareness, without distracting attention from the age-regressed focus of attention on the re-experience. It is possible that we may gain something useful from the University of Michigan research into driver brainwaves beyond keeping us from falling asleep at the wheel. We may learn more about this fascinating ability humans have of dissociating, and that will help us become more effective hypnotherapists. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 83 Alert Hypnosis [Adapted from Scientific American Mind, December 2008] In reading an article about hypnosis in Scientific American Mind, I came across a reference to people being hypnotized while vigorously riding a stationary bicycle, and I was intrigued by the idea. So I began researching it, and here is some of what I found. Active Hypnosis The concept of active hypnosis developed from an observation in social science; Ludwig and Lyle (1964) introduced the concept of “hyperalert” hypnosis to describe people who seemed to be following suggestions in a hypnotized way, while physically very active. As examples of this “natural hypnosis” they cited tribal dances, religious revivals and political rallies. Bányai & Hilgard (1976) described “active-alert hypnosis”. They developed a standardized induction that involved open eyes, no mention of relaxation or sleep, and measurable physical activity. During the induction their subjects pumped a stationary bike under heavy load. Bányai used a standard script for the induction, with suggestions for alertness, attentiveness and freshness instead of sleep and drowsiness. The hypnotic state produced by active-alert induction was nearly identical with a traditional relaxation induction. This opened the door to using hypnosis in situations that require open eyes and alert attention. Improved Cognitive Skills In one study, college students were taught to use “alert selfhypnosis” to improve their skills to read, listen, take notes, and write exams. Students were randomized into alert hypnosis treatment or waiting list groups. Following training in an eyesopen induction, treated subjects were coached to create and give themselves suggestions for better comprehension while reading in hypnosis. After training, all subjects were tested on a standardized reading comprehension test, and students in the “alert self-hypnosis” group improved their test scores, and they 84 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 made an average gain of almost one half a grade from the quarter before to the quarter after training (Wark & laPlante, 1991). Athletic Achievement Athletic achievements can be increased with alert hypnosis, for example raising an archer’s precision. In one model (Robazza & Bortoli, 1994), the athlete in alert hypnosis receives suggestions for body awareness, imagery rehearsal, focus on relevant cues for the event, and smooth automatic execution. The impact of all these suggestion is enhanced by alert hypnotic induction and suggestion during practice, followed by a total review later, in traditional hypnosis. Their study showed marked improvement in the alert hypnosis archer. While many studies have shown virtually no difference between the hypnotic state produced by a traditional relaxation induction and an active-alert induction, one distinction is significant: alert inductions are significantly associated with reports of joyful dreams (Bányai, 1980). So apparently there are positive uses for active-alert hypnosis beyond tribal dances, religious revivals and political rallies. Citations Bányai, É. (1980). A new way to induce a hypnotic-like alert state of consciousness: Active-alert induction. In L. Kardos and C. Pleth (Eds.), Problems of the Regulation of Activity. (pp. 261-273). Budapest: Akademiai Kiado. Bányai, É., & Hilgard, E. (1976). A comparison of active-alert hypnotic induction with traditional relaxation induction. Journal of Abnormal Psychology, 85(2), 218-224. Ludwig, A.M., & Lyle, W.H. (1964). Tension induction and the hyperalert state. Journal of Abnormal and Social Psychology, 69(1), 70-76. Robazza, C., & Bortoli, L. (1994). Hypnosis in sport: An isomorphic model. Perceptual and Motor Skills, 79(2), 963973. Wark, D.M., & laPlante, P.M. (1991). Reading in alert trance: Effects on comprehension. Hypnos, 17(2), 90-97. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 85 Patterns That Effect Our Life – Knitting A Sweater Knitted sweaters often consist of repeated patterns throughout. The more intricate the pattern, the more difficult and time consuming it is to do the knitting. It requires a great deal of concentration, co-ordination and determination to complete. We can choose to just purchase a machine-made sweater from a store or we can develop the skills to knit the most beautiful one-of-akind sweaters that really suit our own individual needs. And so our lives are very similar. Many people have difficult situations in their lives such as toxic addictions, inability to make decisions, debilitating procrastination, or hurtful even abusive relationships. They may spend decades of their lives repeating these same patterns over and over until they finally get help. Perhaps they talk to a friend, go to their minister for counseling or to a therapist hoping to find relief. They may gain some understanding and vow to change the patterns that have not really supported a fulfilling life. However, these patterns are so deeply entrenched that just deciding, even committing to change them, does not usually last very long. Just like the patterns in the sweater, they continue to be repeated over and over again. Unhealthy Patterns An example is a young woman we’ll call Susie, who can never seem to move forward in her life. She came to her counselor feeling stuck in her life; however, through counseling, she began to see that she has confused love with rescuing. That pattern of putting others’ needs before her own seemed to be at the root of much of her unhappiness. After years of repeating this pattern, she was elated about her discovery and committed to changing the pattern. This was not as easy as she thought. After several more years of trying to leave her loveless relationship, she became very depressed, anxious and again feeling stuck in her life. She finally discovered Heart-Centered Hypnotherapy, desperate to change this pattern of putting others’ needs before her own. With hypnotherapy, she was able to go 86 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 deeper and discover the source of this pattern. Her subconscious mind revealed to her that the source was while she was in her mother’s womb. Her mother was a very needy person who spent much of her life feeling empty and lonely. When she became pregnant with our client Susie, the mother began to feel a blissful joy that she never experienced before. Having a baby inside of her made her feel complete and she wanted to hold on to that feeling. When it was time for the delivery, she did not want this union to vanish and so mother, unconsciously, held on to the baby. Life Patterns From Birth Three days after her water broke, baby Susie was still not born. The midwife felt this was dangerous and finally gave the mother an ultimatum: either you have this baby this morning or we will be going to the hospital. Baby Susie was born within hours of this ultimatum. Through hypnotherapy Suzie discovered the source of this pattern of putting others’ needs before her own. In the womb, she began putting her mother’s needs before her own, by staying stuck inside even though she was ready to be born. Even though she felt constricted and even suffocated she did not push forward to be born. This pattern of staying stuck in order to please someone she loved, kept repeating over and over in her life. And just like knitting the sweater, the pattern was set to continue. I know that for people who have not experienced hypnotherapy, it seems unbelievable that you could return to your birth and that it could have an effect on your life. But after thousands of hypnotherapy sessions and much research, we have determined that most of our lifelong patterns begin very early in our lives. And all this invaluable information is stored in the vault of our subconscious minds. Hypnotherapy is the key to unlocking this valuable wealth of information and to changing these patterns where they began. That’s when the most beautiful new pattern can emerge. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 87 Discovering Authority Issues with Heart-Centered Hypnotherapy Authority Issues in the Therapeutic Relationship: Transference and Countertransference Surprise, surprise! Therapists are human just like their clients, often with very similar issues. This is why Freud, Jung and others brought to our awareness the concepts of transference and countertransference. They became aware of experiencing authority conflicts and power struggles with their own patients as well as with each other, their colleagues. From our 35+ years of teaching and healing professional therapists, we have also become aware of how pervasive unresolved authority issues are within all of us, therapist as well as patients. Do you find yourself reacting (being triggered) when a client engages in a power struggle with you? Perhaps they disagree with your advice, miss an appointment, or don’t keep an agreement they made with you. An extreme form of this is a client who reports you to your professional Board or takes a legal case against you. The way to notice a trigger is to check in with your body. When a client is late (or any of the above mentioned triggers), drop into your chest or stomach and see if there is a tightness, shortness of breath or discomfort. Notice your jaw; is their clenching or tightness? It is difficult to properly treat clients who trigger us by reacting to our authority in subtle or not so subtle ways. This is why our predecessors (Freud, Jung, etc.) always required their students to be in their own analysis/therapy for many years so that they could resolve their own issues and be unbiased with clients. In Heart-Centered Hypnotherapy we completely agree and follow the model of, “Physician, heal thyself.” We often say, “You can’t take a client anywhere you haven’t been yourself.” If we, as therapists, continue to be in our own self-discovery process, we will learn as much from our own reactions to our clients as we learn directly from them. How do most therapists handle clients who are reactive to them or who trigger their own issues? Some therapists try to 88 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 ignore it, some actually engage in trying to rescue the client or fix their problems and others just refer “unpleasant” clients to another therapist. These are unhealthy choices and don’t allow us, as therapist or our clients to effectively heal. How to Discover Authority Issues Many people find themselves reacting when a person or institution has power and authority over them. People may get triggered (react strongly) when stopped by a policeman, get critiqued by their boss, or are evicted by a landlord. Others may react to political leaders, to their course instructors, or to their minister, rabbi or priest. Do you notice yourself in power struggles (acting out behavior, or even just in your mind) with others who are in positions of authority: criticizing the authority, finding faults with how they govern, teach or run institutions? Perhaps you often feel you know better than others and get into power struggles with officemates, parents, spouses or even your own children. Authority issues are universal and affect many areas of our lives. It is important to become aware of the clues or triggers to our own authority issues before we, as therapists, can properly treat these issues in our clients. Noticing the triggers or reactions in our bodies can provide us with invaluable information that leads to healing. Authority issues can take the form of feeling powerless in the presence of certain other people, comparing ourselves in our mind and then feeling incompetent or better than, and then engaging in power struggles in relationships. We may notice ourselves “putting others down,” trying to steal power from the authority figures, or engaging in gossip about those who are in authority. Some people do the opposite and try to align themselves with powerful people by bragging about their personal friendships or association with those in authority in order to elevate themselves. Whether discounting authority or falsely aligning with it, these are all road signs pointing to where the healing needs to happen. Healing Through Heart-Centered Hypnotherapy In Heart-Centered Hypnotherapy we use the strongest triggers as the starting point in each therapy session. The conscious mind can tell stories, fool the therapist, or believe our Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 89 own justifications. However, in hypnotherapy we often ask the body to tell us the true story. The body never lies and is a very clear road marker which points in the direction of our own individual issues. Whereas the conscious mind in cognitive therapies can take us on detours, put up road blocks, and make the trip much longer than it needs to be, the subconscious mind provides us with the direct route to the issue we want to heal. This direct route to healing authority issues not only gives us insights into our projections, but allows us to finish our business with people in our lives that we may only subconsciously have known to be unfinished (Fritz Perls). Through age regressions we can express feelings that were unacceptable to express as children, we can change our old unhealthy conclusions about ourselves, and make new functional decisions about how to behave. 90 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 91 Hypnotherapy Enhances Sports Performance Visualization through hypnosis, as taught by The Wellness Institute, can improve an athlete’s mental attitude, increase confidence and improve performance, sometimes even more than actual physical practice. One study shows that Olympic swimmers and downhill skiers who spend equal time in physical training as well as mental rehearsal, achieved better performance results then their competitors who only practiced physically. Another study amazingly showed that basketball players using only visualization had the same rate of improvement as those who only practiced physically! The same mental imagery techniques have been shown to be highly effective in refining other skills as well as sports performance. For example, basic surgical skills were refined better with mental imagery than with textbook study only in a Texas A & M College of Medicine study. What is Sports Visualization and Mental Rehearsal? It involves recreating our best sports performance in our minds, engaging all of our senses but without conscious thoughts and without making any physical movements. All of our senses are located in the subconscious mind and that’s why hypnotherapy is so effective, in fact essential, in enhancing sports performance. Mental rehearsal involves making complete use of our senses. It must include hearing the familiar sounds such as the crowds cheering us on, the familiar sights connected with our sport, and most importantly, the sensations and feelings we have when we are “in the zone.” Many athletes describe the experience of “being in the zone” as a feeling of oneness. An example is a golfer where the golf club becomes an extension of their arm and connects with the ball in unity with the perfect swing. That feeling of connection with the ball then may move into the golfer feeling himself standing there and watching the ball land in the perfect spot. Re-experiencing the emotions of joy, fulfillment and excitement are all an essential 92 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 part of the sports visualization experience. Olympic skiers visualize soaring down the slopes, feeling completely connected with nature and the mountains, with the sound and feel of their skis moving through the snow and the experience of soaring with the flow of the course. They may also feel the wind or cold air on their face as they fly down the slopes. All of these sensual experiences are vital components of sports visualization and enhancement. Along with mental rehearsal, there are several ingredients that contribute to an athlete’s performance which can all be addressed by Heart-Centered Hypnotherapy. The Three C’s of Enhanced Sports Performance CAPABILITY – Any repetitive skill can be greatly enhanced by visualization and mental rehearsal. The most important aspect is to have a clear picture of what you want to accomplish and then rehearsing this for 10 minutes at a time. Also, just before dropping off to sleep is an excellent time to do your final daily “visualization practice.” When a task is new, run your simulations slowly so you can focus on the details. If you’re an expert, quicker is better. CONCENTRATION – The experience of being in the zone is something that is required by every successful athlete. In the heat of competition, it is required that an athlete block out everything and stay completely focused on the physical execution of the sport. This is truly the gift of hypnotherapy which opens the doorway through the subconscious mind to effectively master the practice of mental rehearsal. It is essential to block out the conscious mind’s thoughts, distractions and fears and drop deeper into our senses. CONFIDENCE – Confidence is one of the biggest stumbling blocks for many athletes. The athlete may be excellent at the physical execution of their sport, but if they lack confidence, those negative self-beliefs can totally undermine their physical ability. Through HeartCentered Hypnotherapy we can quickly discover what their negative self-talk is and go back to the source of this and change it. An example may be a person who Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 93 keeps sabotaging their own success, even though they are physically talented in their sport. One example was a young man who had the belief that he could never be number one! He always came in 2nd or 3rd rather than 1st. In hypnotherapy he was able to revisit his childhood where, in his family, he had a developmentally disabled sister. The family did not want her to feel badly about herself, so they kept boosting her up and asked the boy to hold himself back so as not to make her jealous. He grew up learning to hold himself back and subconsciously continued to do that in school and athletics. This led to always coming in second or third and never understanding why he wasn’t first. Once he worked this through in Heart-Centered Hypnotherapy, he allowed himself to soar to number one! Because Heart-Centered Hypnotherapy teaches individuals to visualize as well as to resolve unconscious and self-limiting beliefs about ourselves, it is truly a dynamic model for sports enhancement and mental rehearsal. Citations Bauman, James. (May/Jun 2000). The Gold Medal Mind. Psychology Today, Vol. 33 Issue 3, p. 62. Moran, Aidan; Guillot, Aymeric; MacIntyre, Tadhg; Collet, Christian. (May 2012). Re-imagining motor imagery: Building bridges between cognitive neuroscience and sport psychology. British Journal of Psychology, Vol. 103, Issue 2, 224-247. Suinn, R. M. (1997). Mental practice in sport psychology: Where have we been, where do we go? Clinical Psychology: Science & Practice, 3, 189–207. Sanders, Charles W.; Sadoski, Mark; van Walsum, Kim; Bramson, Rachel; Wiprud, Robert; Fossum, Theresa W. (Jun 2008). Medical Education., Vol. 42 Issue 6, 607-612. 94 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 95 What Are You Prepared to Lose? Entering into psychotherapy, or any method of honest selfreflection, demands a willingness to lose something as well as to gain something. Personal growth often involves “loss”: the loss of illusions I have believed in order to avoid the truth. Perhaps I have constructed a self-image that is too flattering, or just the opposite I may have believed myself to be less competent and less capable than I really am. It is common in therapy for an individual to begin their work believing that “My family (or Mother or Father) was practically ideal”, only to realize later a more honest appraisal. Projection and Inflation It reminds me of the Fleetwood Mac song “Tell Me Sweet Little Lies.” All of the defense mechanisms that Freud itemized so thoroughly a hundred years ago are built around the principle of deception and creating illusion. We deny the truth and invent a fantasy in its place. It might be that “I’m not afraid of intimacy and being fully present in this relationship – you are!” (called projection). It might be that “I am the most capable person in my department at work, and the only reason I haven’t been promoted is everyone is jealous of me” (called inflation). Honest self-reflection requires that I get real about the stories I have told myself, that I acknowledge the truth I have denied and that I renounce the fantasies I invented. This is what we call Shadow work, discovering how destructive our “blind spots” have been in our life. In the Twelve Step paradigm it is Steps Four and Five: 4. We made a searching and fearless moral inventory of ourselves. 5. We admitted to God, to ourselves and to another human being the exact nature of our wrongs. Shadows And for most of us, the greatest wrongs we have committed have been against ourselves. Our “blind spots” have allowed us to stay enslaved to addictions, to stay too long in unsatisfying or 96 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 unsafe relationships, to make excuses for our failures. Our shadows don’t reveal themselves as such – these parts of us are too clever for that. Rather they tend to externalize onto a troubling aspect of the environment “out there”, the projection gambit referred to earlier. Thus they tend to be denied as any part of me, with the result often being entrenched “me vs. them” boundaries and a continuous search for scapegoats. Naturally, the solution to problems they create is to “problem solve” the other’s beliefs and behavior. There is a twofold process in healing the internal split through which these shadows emerged. One is to give back to the rightful owner any untrue beliefs about myself taken on early in life. My father told me that, “You’re worthless” or “You’re stupid.” Because a small child gullibly believes everything an adult tells him, those messages became introjected as deeply held self beliefs. And they need to be recognized as not mine, not reflecting my true essence, not me, and given back. The beautiful Truth Only then can the second part of the healing process take place. That is to reclaim the original truth: “I am worthwhile” or “I am as smart as I need to be.” And being rigorously honest, we must acknowledge the damage done through the confusion, whether the damage was to another or to myself. Here is where the healing extends beyond the personal, however. We need to address the world we live in, and that requires a re-evaluation of how we make personal choices. There are cultural values exerting influence from the background, unconsciously, just like the personal ones I introjected from a parent. Beyond the personal, I discover and confront the archetypal shadows, the cultural assumptions and societal biases that can be so limiting. My healing also requires that I become clear about the background patterns that drive my reflexive behaviors, the archetypal shadows operating independent of the ego, and give them back to the rightful owner, too. Or better yet, to allow those to become “losses” that personal growth grows from. Hypnotherapy is an ideal vehicle for this shadow work, because through age regression it allows access to our various “parts” which are the arrested development child states that we Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 97 call shadows in adults. It also gives access to the traumatic events that initiated the defense of these shadow parts. Compassion comes easier when we begin to recognize our shadows as inner child states attempting to get a basic need met, needs such as safety, nurturing, comforting, or acceptance. Gaining this perspective allows us to lose the dysfunctional patterns that these infantile or childish parts of ourselves have been relying on. 98 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 99 Treating Exhausted Stress Response with Hypnotherapy Allostatic load is “the wear and tear that results from chronic overactivity or underactivity of allostatic systems.” Hypnotherapy is an effective treatment for the conditions that result. We know that the body is able to deal with stress by responding to threat or challenge with heightened cortisol levels, and then to gradually dissipate the excess cortisol as the challenge diminishes. We know, too, that the body’s ability to deal with stress and danger is limited, that it reaches exhaustion at some point and begins to shut down. In integrative medicine it might be called adrenal fatigue, irritable bowel syndrome, or fibromyalgia. Allostatic Load: Too Much Stress The first type of allostatic load is simply too much stress in the form of repeated events that cause repeated elevations of stress mediators over long periods of time with insufficient relief. For example, the amount and frequency of economic hardship predicts decline of physical and mental functioning as well as increased mortality (Lynch, et al, 1997). We have written about this condition before in relation to femicide, using the terminology of insidious trauma (Zimberoff & Hartman, 1998): insidious traumas are characterized by repetitive and cumulative experiences of oppression, violence, racism, genocide, or femicide. They present an assault on every level of security a person has: physical, psychological, interpersonal, and spiritual. Yet not all types of allostatic load deal with chronic stress, it can also be dealing with the inability to turn on the antidote to stress, that is to turn off the stress reaction. This leads to inability to relax or to allow the vulnerability of an intimate relationship. Allostatic Load: Failure to Habituate This second type of allostatic load involves a failure to habituate or adapt to the same repeated stressor. This leads to the 100 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 over-exposure to stress mediators because of the failure of the body to dampen or eliminate the hormonal stress response to a repeated event. An example of this is the finding that, while most individuals habituate their cortisol response to repeated public speaking so that it becomes less stressful over time, a significant minority of individuals fail to habituate and continue to show elevated cortisol response no matter how often they speak in public (Kirschbaum et al, 1995). Another example of this is blood pressure elevation in workrelated stress which turn down over time for most people; the longer they are in the job the less job stress they experience. However, job-related high blood pressure is very slow to decrease in some individuals with a family history of hypertension (Gerin & Pickering, 1995). Hypnotherapy is a valuable tool to use in helping people to gain clarity about why they react to certain situations as stressful, which translates into more conscious choice about how to deal with those situations. Hypnotherapy also provides direct access to the unconscious mind’s regulation of the nervous system and the endocrine system. Gerin, W., & T. G. Pickering. (1995). Association between delayed recovery of blood pressure after acute mental stress and parental history of hypertension. Journal of Hypertension, 13, 603-610. Kirschbaum, C., J. C. Prussner, A. A. Stone, I. Federenko, J. Gaab, D. Lintz, N. Schommer, and D. H. Hellhammer. (1995). Persistent High Cortisol Responses to Repeated Psychological Stress in a Subpopulation of Healthy Men. Psychosomatic Medicine, 57: 468-474. Lynch, J. W., G. A. Kaplan, and S. J. Shema. (1997). Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning. New England Journal of Medicine, 337, 1889-1895. McEwen, B. S. (1998). Protective and Damaging Effects of Stress Mediators. New England Journal of Medicine, 338, 171-179. Zimberoff, D., & D. Hartman. (1998). Insidious trauma caused by prenatal gender prejudice. Journal of Prenatal and Perinatal Psychology and Health, 13(1), 45-51. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 101 Five Principles of Existential Hypnotherapy 1. Meaning in life is found in the living of each moment. Most people have experienced some of their most profoundly meaningful experiences in the most fleeting of moments. Consider the adage to “smell the roses along the path.” Being fully present in the experiencing of each moment also implies that the meaning and purpose to be found is in the engagement itself, not in some result that “I get out of it.” One of the primary injunctions for a therapist with an existential approach is to not have expectations, or an agenda, for the client’s experience or therapeutic goals. Such an approach could be considered awakening from the “trance of ordinary life”. For most people, the past is alive in the present in the form of unfinished business and uncompleted developmental tasks. As one resolves and completes what was left unfinished, the person opens to the immediacy of the present moment, reducing reactivity and increasing self-esteem, which hypnotherapy is very effective in treating. 2. Passionate commitment is the highest form of expression of one’s humanity. Many researchers have consistently found that relationships are the most important source of meaning for all age groups and both genders. Females identify significantly more relationship meanings than males, however, confirming the emerging understanding in the field of identity development that there is a relatively greater significance of relatedness in female development, and of self-definition in male development. 3. All human beings have freedom of choice and responsibility for our choices. Faced with existential anxiety, one option is avoidance through neurotic defense such as addictions or depression. A 102 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 second existential choice is self-rejection, to judge, attack or punish oneself for being the person he/she has become. A third existential choice is to remain open and nondefensive in the face of our deepest anxieties. Hypnotherapy is useful in assisting an individual to recognize fears, anxieties, defenses and personal shortcomings without self-judgment. 4. Openness to experience “Openness to experience is the most frequent predictor of wisdom”. Kramer’s research (2000) documents that people who are generally considered wise share the following attributes: promotion of their own personal development and enjoyment of learning; enrichment of relationships; critical awareness and tolerance of ambiguity and complexity; self-clarity including a critical stance toward oneself; capability of finding purpose and meaning in life’s turbulence and using their negative emotional experiences as catalysts for emotional growth; ability to see patterns in their experience and life choices, and to use the insights gained to help themselves and others; concern for others’ welfare and a lack of self-absorption; embracing of one’s own negative and positive characteristics for greater wholeness. 5. The imperative of death Death is a common theme in many transpersonal altered state experiences, and this is the case with existential therapies (Zimberoff & Hartman, 1999). The context of death may express the fear of existential annihilation, taking one of several forms: 1. It may be that of ego death, the surrender of the limited self-concept in the service of transformation and integration. It is the profoundly spiritual transformation that deep existential therapy can bring. 2. It may be that of the necessary death that must precede rebirth, the initiation required for successful return of the hero discussed by Joseph Campbell. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 103 3. Everyday awareness of death may provide the motivation to live life more immediately. 4. The context of death may be that of the depressed lack of psychical energy we call malaise, symptomatic of soul loss in Jungian psychology. Alternately, the context of death encountered in existential therapies may reflect a “death urge,” taking one of several forms: 1. It may be that of an existential resistance to life, to being incarnate on earth, the deep sense of “I don’t want to be here.” 2. The form of death urge may be that of someone who gets to a particular stage of development and has a mortal fear of moving on to the next stage. 3. It may be that of fulfilling a pre- or perinatal imprint on one’s encounter with death prior to or in birth, e.g. reenacting the traumatic suffocation created in a prolapsed umbilical cord birth or an overterm birth. 4. The “death urge” may be fulfilling one’s perception of the parent’s desire for the child’s death, e.g. parental rejection in the form of contemplated or actual adoption or contemplated or attempted abortion. This person, afraid of death, is actually terrified of life. A line in the popular song “The Rose” captures this approach to life: It’s the one who won’t be taken Who cannot seem to give And the soul afraid of dying That never learns to live. Heart-Centered Hypnotherapy addresses these aspects of a client’s life experience by directly accessing the unconscious, where these deeply embedded patterns live. References Kramer, D. A. (2000). Wisdom as a classical source of human strength: Conceptualization and empirical inquiry. Journal of Social and Clinical Psychology, 19(1), 83-101. 104 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Zimberoff, D., & Hartman, D. (1999). Personal Transformation with Heart-Centered Therapies. Journal of Heart-Centered Therapies, Vol. 2(1), 3-53. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 105 How Does Hypnotherapy Enhance Jungian Psychology? From Jungian Psychology we have been introduced to the concepts of shadow parts. These shadow parts are actually hidden parts of our personality, hidden, that is to us, but certainly not to our friends, family and co-workers. Shadow parts are akin to the blind spot in our rear view mirror. Even though the car passing to our left side is nearly upon us, we can not see it. Examples of personal blind spots or shadow parts may be having the self concept that we are a loving kind mother, wife and friend and then losing control and lashing out at those closest to us. Then later on, acting as if nothing has happened. It’s like the car we don’t see in the rear view mirror until they are suddenly in front of us and we continue on our journey, as if we had seen them all the time. Example Another example is believing that we are fair, kind and accepting and then listening to the voices of our inner judge who stands back and mentally criticizes or finds fault with others, nearly continuously throughout our day. Outwardly, perhaps we act normally, giving them compliments about how nice they look, how accomplished they are or what a great friend they have come to be. The running shadow dialogue in our head is quite to the contrary. “What an ugly dress, he/she is an idiot and will never get anywhere, or I don’t trust them as far as I can throw them.” These inner dialogues indicate that our shadow parts have actually formed an alliance within us called a complex by Jung, without our conscious awareness or agreement. How does Heart-Centered-Hypnotherapy interface with and enhance these Jungian concepts to make them more therapeutically available to our clients? First, with hypnotherapy we can actually slow down long enough to drop into the subconscious mind to be able to hear the unconscious dialogues that play in our heads like a radio left on. These internal dramas, akin to a soap opera, take on a life of their own, uncensored and 106 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 uninterrupted. When we, client and therapist, enter into the dialogue through hypnotherapy, we become aware that this radio program has been playing for a long time. Through the wisdom of the subconscious mind, we can regress to the origin of this dialogue and discover the age of the child part that is hiding in the shadows, i.e., the blind spot of our rear view mirror. Healing Unresolved Infantile Conflicts Second, with hypnotherapy we can resolve the infantile unresolved conflicts that gave birth to the immature parts of us that felt unsafe and had to hide in the shadows/recesses of our consciousness. As children if we grew up in families where we were criticized instead of encouraged and loved only if we performed to an impossible standard, we had to develop some defenses in order to survive and not become completely hopeless. It was a strong survival instinct that created our internal shadow parts that knew they could not be seen or we could have been punished to the point, in some families, where the abuse would have been even more devastating. Conscious vs. Unconscious Mind Without the tools of hypnotherapy, we are limited to using only 10% of our mind which is the conscious mind. Like the blind spot in our rear view mirror, the limited conscious mind can think, analyze and talk about the concepts of our deeply hidden shadow parts. With Heart-Centered Hypnotherapy we have complete access to use the full 100% of the mind. Having increasing access to the subconscious mind allows us to drop down into our memory banks in order to expand our full awareness of when and how these young shadow parts and complexes were created. These complexes can be untangled so that the intertwining issues that were suffocating our human development can be resolved. Through hypnotherapy, the client as well as the therapist, is gifted with the ability to hear these shadows, determine what they truly need for safety, and encourage them to emerge from their hiding places to be seen, loved and transformed! Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 107 What Is Intimacy and How Can I Achieve It? Intimacy is being able to drop down into your deepest feelings and feel safe. Intimacy is: 1. feeling safe to share your deepest feelings and know you won’t be ridiculed or shamed. 2. knowing what the deepest part of your soul is longing to express and being able to express it with your partner, spouse or friend. 3. knowing in the deepest part of your Soul that you are loved, adored and treasured. 4. being able to disagree, even strongly, and trusting that you will be heard – if not immediately, then at least sometime in the very near future. 5. feeling honored and respected enough to be yourself even if that self is not always sugar and spice and everything nice. 6. being able to receive the love that is offered even if it doesn’t come in the form you wanted or expected it to be in. 7. being able to love the other person even if they don’t meet your expectations, speak the way you want to be spoken to, or live up to your expectations of the fantasy relationship you thought you wanted. 8. having faith and a deep knowing that your souls are supposed to be together for a much deeper purpose than you can see right now. 9. being able to face the suffering of humanity together and becoming stronger for the journey. 10. deeply laughing, playing and crying together and passionately loving. 11. being able to create together: music, poetry, the dance and thoroughly enjoying every moment of the process without regard for the finished product. 108 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 12. trusting our most vulnerable parts to be exposed and expressed, and having faith that we won’t be judged, but knowing that we will be valued even more deeply. 13. feeling deeply respected and deeply respecting the other. 14. laughing and crying together, disagreeing and clearing the air to pave the way to go even deeper. Intimacy is not a commodity that you can purchase or figure out. It is a magnificent lotus flower that divinely grows and then emerges from the depths of our souls. Intimacy is a fabric that two people weave together when the strands of their lives dance the intricate dance of vulnerability, passion and rejoicing. Intimacy cannot be achieved; it must be uncovered, recovered and discovered! Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 109 Hypnotherapy Can Reveal Your Past Lives The subconscious mind is a wonderfully complex piece of internal mental machinery. Most of us try to understand the complexities of the subconscious mind and the even deeper complexities of the unconscious mind with the relative simplicity of conscious mind. Herein lies the problem. During one of my very first hypnotherapy sessions, I had a powerful, physical and emotional experience of regressing back to a war zone that was not in this lifetime. Because the subconscious mind has access to all the senses, I could actually feel the dirt on my skin, smell the dead bodies around me and feel the freezing temperatures of the night air on my skin. When I returned back to the everyday reality, I was quite puzzled and discussed this with my hypnotherapist. Different Aspects of Past Life Regression There are many different aspects of “past life experiences” which are valuable in our own personal development. First, with Heart-Centered Hypnotherapy we are most concerned with the client’s presenting issue. If someone comes into our office with a marital or relationship issue, that is what we will be addressing. So our client, Sandra came in saying that her daughter Franny was extremely defiant towards her, very disrespectful and ready to fight her at the drop of a hat. To further add pain to this situation, Franny’s father, Sandra’s husband, did not seem to notice the defiance of their daughter and if he did, he usually sided with Franny. The value of Heart-Centered Hypnotherapy is that we can regress the client back to the source of their conflicts, in order to then resolve any underlying unconscious issues that often are contaminating their relationships. Sandra at first regressed back to her family of origin where a familiar family scene came into her awareness. It was that her older sister was beautiful, intelligent and seemed to be the “Golden Child” as she described her. Sandra’s mother and father constantly compared her to her 110 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 sister and somehow, Sandra always felt she came out on the bottom rung of the ladder. We began to address this issue of competitiveness and regressed her once again on these feelings of other females disrespecting her. In this regression, she found herself in another lifetime where she was being stoned to death for her religious beliefs by a group of zealots. It was a very painful, shaming and completely devastating experience. As she was dying in that “past life” Sandra concluded that she didn’t deserve respect and that there was nothing she could do to redeem herself. She was powerless and devastated. We asked her to look at the faces of the people in the crowd that stoned her to death to see if she recognized any of them. She felt that her daughter, sister, mother and father (in this life of Sandra) were all in the crowd. She felt she could see a person that resembled her husband standing off from the crowd but unwilling to help her. We asked her to then get in touch with her spiritual connection and to cut the cords that have kept her connected with that past life experience. She was able to do that, along with other techniques we use in hypnotherapy to free people from their past experiences, whether in this life or another. Common Questions Now, many common questions often arise in the mind of a client: 1) Do past lives really exist? 2) Was that a true experience of a past life? and 3) What do I do with this experience? There is much research in other cultures and countries such as India that “prove” that past lives do exist. A common study has researched many young children who were speaking about their “other family” from another town. The children were young enough to remember names, houses, family members and even addresses. The researchers set out to these towns and in 80% of the cases were able to verify what the children said and how they died in that incarnation. In order to work with past lives, however, it is not necessary to believe this research or to believe that past lives literally exist. Dr. Carl Jung taught about the collective unconscious where we each have aspects of ourselves that relate to universal archetypes. They are the primal images that come alive every night in our Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 111 dreams, or in moments of fanciful imagination. In HeartCentered Hypnotherapy, we work with these archetypes as a way to heal on the deepest unconscious level. Another form of healing that we use is Energetic Psychodrama. We would take Sandra’s current family situation and assign roles for people in her therapy group to play. Sandra would be in a trance state and go through her feelings, eventually regressing to her childhood and then even to the “past life” in order to heal these issues. Our goal is not to unveil what some people see as the fascination of past life issues. But rather to see the links, conclusions and decisions that people make in their lives that continue to attract dysfunctional patterns of behavior. Changing these patterns on the deepest subconscious level is the main difference between Hypnotherapy and talk therapy. It is also fascinating to explore the depths of the subconscious mind for what is stored in that vast treasure trove of surprises. And past lives just may be one of them! Resources Dr. Jim B. Tucker, M.D. is a board-certified child psychiatrist and Associate Professor of Psychiatry and Neurobehavioral Sciences at the University of Virginia. He has carefully researched past life phenomena, and written two very good books about it – Life Before Life: A Scientific Investigation of Children’s Memories of Previous Lives and Return to Life: Extraordinary Cases of Children Who Remember Past Lives. You can learn more at http://www.jimbtucker.com/return-tolife.html. 112 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 113 Assumptions and How They Negatively Affect our Relationships “Most of our assumptions have outlived their uselessness.” – Marshall McLuhan Assumptions negatively affect our relationships in several important ways. We unconsciously make assumptions and judgments about (1) other people’s behavior, (2) other people’s intentions behind their behavior, and (3) our own behavior and intentions. For example, a husband goes to the store to get something for dinner. He knows his wife will be hungry and tries to find out what she would like. He calls her from the store, but to no avail. Then he tries to decide what she may want. He had asked her in the morning but she didn’t know what she might want 10 hours later. When she gets home in the evening, he prepared what he likes and says, “I didn’t know what you wanted, so I didn’t get anything.” The woman immediately goes into a fury. She angrily replies, “Have I ever gone to the store and gotten something for myself and not for you? No, of course not! I would never do that to you. Now I have to go back to the store to find something for myself.” So what are the assumptions that each has made about the other’s behavior? 1. The husband shopping at the store assumed that since his wife didn’t tell him what she wanted, that she might get angry if he came home with the wrong thing. He assumed that she might be more angry if he came home with the wrong thing than with nothing at all. 2. The wife assumed that her husband didn’t care about her needs, didn’t think about her and was selfishly only thinking of himself. She judged him to be selfish, uncaring and thoughtless. He judged her as overly emotional and irrational. 114 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 3. Now, in the moment she was too angry to check out her assumptions and he was too confused to check out his. The behavior pattern of each person can be traced back to early experiences of how, or if, their needs were met. Age regression hypnotherapy is a powerful tool to accomplish this exploration. Our assumptions are directly related to what we project onto others. Assumptions, projections and judgments are where the fights begin in relationships. After an argument, a good practice in couples work is for each partner to look at their assumptions and judgments. If you really want to change your relationships into a healthy communication style, here is a practice couples can do. Sit down with a notepad and complete each stem sentence 1. Describe the behavior, just the actual specific behavior: “When you . . .” (for example, “When you went to the store and bought your dinner and came home with nothing for me”) 2. Identify your emotional feelings: “I felt . . .” (only the core emotions of angry, hurt, sad, scared, lonely, jealous, or shame) 3. Identify your assumptions: “I assumed that you . . .” (“You didn’t care about me”) 4. State your judgments: “The judgment I made about you was . . . (“You are selfish”) 5. What question would provide more useful information to clarify your assumption: “I assumed that . . . Is that true?” (“I assumed that you don’t care about me. Do you care about me?”) 6. Be clear about what you need from yourself in order to handle a similar situation in a healthy way (“I need to check out my assumptions before acting on them.”) 7. Be clear about what you would like from the other person, knowing that you may or may not get it (“I would like you to buy food for both of us when you go to the store.”) 8. Close the exercise with an intention to create closeness with the other person (“I would like to open my heart to you and have a conversation about what happened.”) Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 115 Treating PTSD with Hypnotherapy Hypnotherapy has emerged as a credible, evidence-based treatment option for sufferers of PTSD. Posttraumatic Stress Disorder, PTSD, consists of a series of symptoms that arise from a traumatic event in one’s life. The symptoms of PTSD usually consist of: 1. Intrusive flashbacks (mentally reliving a violent scene) 2. Nightmares or recurrent bad dreams 3. Anxiety disorders resulting in chronic physical pain, body tensions, teeth grinding 4. Over reacting to situations with seemingly little control 5. Sudden outbursts of rage or temper tantrums 6. Unexplained fears or phobias 7. Sleep disorders 8. Inability to relax the mind and the body 9. Persistent stress, tension, fears 10. Inability to concentrate, loss of memory Another common thread is that certain people or situations may suddenly remind the person of the traumatic event. We call these triggers. What Is a PTSD Trigger? An example of a PTSD trigger is anyone who has served in combat who may be walking down the street and hears a car backfire and reacts in a similar manner to when they were in a high-stress combat situation, re-experiencing the past as if it were happening right now. The trigger from the car backfire may cause this combat veteran to begin to sweat, feel his heart pounding, his breathing may increase rapidly and he or she may even find himself running for cover. The triggered PTSD veteran may begin to have flashbacks where intrusive memories flood their mind and they may, for some period of time, feel like they are actually right back on the battlefield Hypnotherapy in large part deals with unlocking the subconscious mind. We must emphasize here that the main tools of the conscious mind are rational thinking, analyzing and 116 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 judging. In contrast, the gifts of the subconscious mind are all located within our senses. The subconscious mind is a huge sensory vehicle consisting of the ability to experience our world through our senses: sounds, smells, tastes, visuals or pictures, and/or feelings. One way to locate what is stored in our subconscious in order to help an individual suffering from PTSD is to understand what the PTSD triggers actually are. Hypnotherapy and PTSD Trigger events can be very disconcerting for any victim of PTSD who does not either know they have PTSD, or are unfamiliar with their own particular triggers. PTSD often goes undiagnosed by the medical profession and even in the psychological community. Common examples of undiagnosed people with PTSD can be adults who, as children, grew up with parents who were alcoholic, where there was violence, yelling, fighting and bullying in the household. A person who was physically, emotionally or sexually abused during the formative years most likely has grown up with symptoms of PTSD without it ever having been recognized or treated as well. Familiarity with the principles of the mind through hypnotherapy gives us the most effective tools to truly recognize, diagnose, and then treat PTSD. Hypnotherapy for PTSD is an evidence-based treatment and can effectively treat the symptoms as well as the underlying causes. The people who have the most severe PTSD symptoms and who will likely benefit greatly from hypnotherapy are people who have had previous trauma or stressful experiences during childhood. Here are some of the unique ways that hypnotherapy is effectively used in the treatment of PTSD: 1. Immediate installation of powerful stress reduction exercises recorded so the PTSD client can replay the recordings as often as needed after leaving the treatment facility 2. Titration of symptoms so that the PTSD client can slowly reduce his or her reactions to the common triggers 3. Identifying each trigger so that the client experiences more control of situations in their life 4. Hypnotherapy to go even deeper into individual memories to see if other, previous stressful events are adding fuel to the PTSD wildfire Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 117 Hypnotherapy for Weight Loss: How is it Different than Hypnosis? First and foremost, it must be understood that hypnosis does not work permanently for weight loss. Hypnotherapy, and its integrated set of therapeutic techniques, does. So, why is hypnotherapy a more effective treatment option for weight loss than simple hypnosis? Thousands of people seek out a hypnotist to lose 10 or 15 pounds, perhaps because they want to fit into that wedding dress or swim suit in three months. This may be done in an individual session, a small group or a very large group. Hypnosis can be very effective in these situations. The person or group will be hypnotized, put into a light trance and given suggestions. These suggestions usually include: Seeing yourself at your perfect weight Feeling motivated to exercise Feeling the desire to choose healthy foods. The problem is that this may be only temporary for a good percentage of the millions of people seeking hypnosis treatments to lose weight. A small percentage of these people are sufficiently motivated by the situation, for example, the wedding. When the situation is over and they no longer have a direct motivation to lose weight, however, they often return to their previous eating patterns and gain the weight back. Hypnotherapy Is an Effective Treatment for Weight Loss Tens of millions of people around the world spend large amounts of money in attempts to lose weight. There are so many different weight loss options that are aggressively promoted and commercialized that it’s becoming more and more difficult to find a plan that actually works for you personally. For the majority of people desperately seeking to lose weight, however, issues with food typically go much deeper than any diet or exercise program will be able to address. 118 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 A certified hypnotherapist will ask a series of questions to determine how the hypnotherapy can best help a client with their weight loss goals. It must first be determined if the seeker of hypnotherapy for weight loss has the habit pattern of emotional eating. This means that they eat for reasons other than true hunger; like when they are stressed, feeling angry, scared, guilty, unhappy, lonely, or just plain bored. Do they eat just because it is lunch or dinner time or break time? Do they use food as a reward for “good behavior”? Most importantly, are they addicted to certain high calorie foods such as sweets, greasy fried foods, fast foods from restaurants like McDonalds, pastas, pizza and breads? Emotional eating is just as much of an addiction as alcoholism and is often more deadly due to its direct link to obesity and the illnesses that may follow. For these tens of millions of people, hypnosis may not be the most effective method for weight loss. They require hypnotherapy by a certified hypnotherapist who uses powerful, hypnotherapeutic techniques to get down to the root causes of this stubbornly addictive relationship with food. These deeper issues must be identified, addressed and resolved by a professional who is not just content to give simple suggestions and hope they work. Many people are so desperate to lose weight that they will do almost anything. Many try dangerous and invasive surgeries, attend expensive in-patient eating disorders programs and use high amounts of dangerous drugs in an attempt to stop these addictive eating patterns. In fact, it is entirely possible for people to lose nearly one hundred pounds with stomach bypass surgery only to gain it all back because they have not addressed the psychological aspect of emotional eating and weight gain. If this surgery had been combined with hypnotherapy to help reverse the emotional eating patterns, it may have been a much more successful weight loss treatment in the long run. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 119 Containment Equals Energy Management What does the word containment mean? How does it apply to me as a therapist or group leader? Or parent or spouse? What are the tools that I have available to provide containment for myself, my clients, and my family members? Think of milk: it is essential to a baby’s development. Without milk, the baby’s bones would break and the growing child could not walk or participate in many of life’s opportunities. Without a proper container, the milk would just spill all over and the wonderful nutrients would be wasted. This is the same for our human energy. Energy is a powerful force which, when uncontained, spills all over everyone in the vicinity and can contaminate our personal interactions. Similarly, water is a very powerful force and when contained by a dam, provides electricity for the world to use productively, yet when uncontained can become a destructive tsunami or flood. So, how does this apply to me as a therapist or group facilitator or parent? First, we have ground rules, especially for our individual clients and when teaching or leading groups. Ground rules provide the parameters to keep group members safe so that they feel confident to do deep personal work. In Wellness programs, we provide consistent ground rules such as confidentiality, only one person speaking at a time, no sexual advances and no use of drugs and alcohol during or just before therapy sessions. Sometimes when we as leaders provide or present the ground rules for safety, individual members may react. We will come back to this further on. Some of these same ground rules could also provide safety in families and schools for children. Then there are the more subtle forms of containment which I am calling energy management. Just like the powerful energy of the water in a rushing river, emotions, if not contained properly, can cause flooding, destruction and even death. When that emotional energy is properly contained, it provides enormous healing power for all concerned, even the therapist. In HeartCentered Therapies we offer the Clearing Process which like the river dam, enables strong emotions to become usable for 120 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 personal growth and transformation and thereby prevents destruction of relationships. This process provides safety so that the reactive individual does not flood another group member or the entire group with their uncontained emotional reaction. We all as human beings, have what we call “emotional triggers.” These are situations or other people that we have a strong reaction to. One example is when someone threatens to leave or does leave the group without proper closure (containment). This leaving may “trigger” in others a reaction of feeling abandoned or rejected. “What did we or I do wrong?” We, as humans, fill in the blanks when we are not provided with the facts. Usually we fill in the blanks according to our past experiences. So, if as children, one of our parents died, or physically or emotionally abandoned the family, we interpreted this leaving as if I, the child, were bad or had disappointed the parent. We then became filled with guilt, self-blame and feelings of unworthiness to really be loved. And some group members will automatically fill in the blanks when triggered with their storehouse of guilt, self-blame and unworthiness. An important part of energy management (containment) is knowing that we have been triggered, and what the reaction is. We teach our students and therapists to always check in our bodies, first and foremost, to determine what has triggered us. We check first in our chest for pounding or increased heart rate and breathing, then in our gut for pain and tightness, then perhaps in our jaw for tightness. These are a few of the common body signals that tell us we have had a reaction. Our bodies can tell us, also, what the reaction is: we include a short regression or visitation into our childhood to see where this reaction/projection came from, where the deep unresolved feelings began, and to own their own reactions instead of projecting their emotional reactions onto others. This owning of individual reactions is the container which leads the client to their own healing, the milk carton which allows the rich nutrients to become useful to our own personal growth. In therapy terms, this is often called transference, especially in one-on-one therapy between client and therapist. In our HeartCentered Therapy model, we place equal importance to our countertransference. When we as the therapist experience a reaction to one of our clients, we need to contain, through Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 121 recognition and resolution, our own emotions and reactions so that we can be as clear as possible. Then and only then can we become a clear and open channel through which our own intuitive energy can be used for healing. One important part of creating safety is commitment. Keeping commitments is part of creating integrity and teaching our students and clients how to recognize when their fear thoughts cause them to want to run or miss scheduled meetings. Because so many people have been raised in families with divorce or some other ways of being abandoned, commitment is an important safety agreement for everyone. When our process becomes challenging, we often turn into that small child that wants to run away from home or hide under the bed or in the closet. Our adult needs to come in and provide the container for the fearful child to stay present and receive the consistent support that comes from honoring our own commitments, from facing our patterns of avoidance and ambivalence that fool us into thinking that our fear voice is our clear voice. 122 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 123 Hypnotherapy Can Help Caregivers of Special Needs Family Members Many people find themselves in situations where they do not want to put elderly or disabled parents into nursing homes, or where they do not or cannot afford to get outside care for special needs children or family members. How can Heart-Centered Hypnotherapy help? 1) Respite care for caregivers is always advised but most people don’t know how to make that happen. Self-hypnosis provides a deep state of instant relaxation once it has been taught. The caregiver may not be able to physically leave the home for rest and relaxation, but can “leave the stress behind” when taught to do self-hypnosis and relaxation techniques while their patient is sleeping or otherwise preoccupied. 2) Hypnosis is also exceedingly helpful in providing healing and relaxation for the aging or disabled family member. Milton Erickson discovered hypnotherapy when he was besieged with polio as a child. He learned to eliminate his daily pain by imagining himself slowly floating down to the bottom of a swimming pool (self-hypnosis) and then leaving the discomfort down there. As he visualized himself coming up to the surface of the pool, he saw this large black pool of pain, which he termed “ink.” He realized he could visually leave the ink/pain at the bottom of the pool and gradually float up to the surface, i.e., coming up out of the deep trance he had created by going down to the bottom of the pool. He emerged free from discomfort for the entire day. He committed to doing this pain control practice daily and we now use this and many more techniques to relieve chronic pain. It helps to reduce or eliminate the need for pain killing drugs which can become addictive. 3) Often the caregiver has deeply buried emotions toward the family member they are caring for that have not been released. For this we employ the deeper methods of Hypnotherapy. For example, perhaps the caregiver is 124 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 resentful, feeling as if they have been forced to put their own life on hold for an undetermined period of time. Sometimes they find themselves secretly “wishing” that their patient would die. Of course this brings feelings of guilt and shame. They may also feel fear that they are causing their family member to get worse, or that they are responsible for any downward turn the patient takes. Through hypnotherapy for the caregiver, we can go back to the source of the guilt and shame, perhaps to a pattern of taking on burdens of responsibility that they really did not want to take on. 4) We also suggest that the caregiver read our book Breaking Free from The Victim Trap, which will help them to understand the family dynamics that may be contributing to the situation they have created for themselves. An example of this lifelong pattern is best told by one of our long time students named Faith, who, herself recently had a heart attack at age 67.She had spent the best years of her life taking on the heavy responsibility of caring for other family members. The pattern began in childhood when her role in the family was to be “the good little girl” and “mama’s little helper.” Her mother shaped this role for her with constant praise and rewards when she took on the role of selfsacrifice. This role was especially praised when Faith took care of her mother and grandmother. She spent much of her youth caring for her “dying grandmother.” Faith kept thinking that grandma would die soon and then she would be free to play and have fun. The more this situation dragged on, the more rewards Faith received from her mother. When grandma finally did die, of course, Faith was sad, but was looking forward to her new freedom to play with friends. Needless to say this never happened as there was always someone else her mother set her up to care for. This pattern continued into adulthood, and of course Faith became a nurse so there were always folks to care for. What a dilemma! However, after that heart attack, Faith realized through her hypnotherapy experiences that she was not responsible for everyone else, that it was selfsabotage to sacrifice her own life in order to take care of others, and that it is now time for her to be free, to play and have fun. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 125 Heart-Centered Personal Transformation One of the most important breakthroughs in Western psychology has been the discovery that psychological maturation can continue far beyond our arbitrary, culture-bound definitions of normality, and that techniques exist for realizing our expanded potentials.1 Abraham Maslow said, “What we call normality in psychology is really a psychopathology of the average, so undramatic and so widely spread that we don’t even notice it.”2 Normality is a form of arrested development, where the developmental process has stopped prematurely, incomplete.3 Many people now see development beyond normality as the logical culmination of human development. In the first phase of life, from childhood to middle adulthood, we are becoming individuals, learning to meet the demands of family, work, and society. In the second phase, which begins, according to Carl Jung, with the “midlife crisis”, we begin to turn inward, to reconnect with the Self, the center of our being. In the first phase we build and develop our ego and in the second phase we transcend it.4 We have all experienced moments of transcendence, induced by religious ritual, a peak experience, hallucinogenic drug, meditation, near-death experience, or many other means. This experience provides a “glimpse” of the vast possibilities beyond normal everyday consciousness. We transform first physically, changing the structure and functioning of our bodies. We begin to understand the subtle energy that we are composed of, and learn to manage it for optimal health and growth. We gain conscious influence over many of the processes once believed to be autonomic, such as our sleep cycle, recovery from injury and illness, the functioning of the immune system, and ultimately the process of dying. Secondly we transform emotionally, healing the wounds of unresolved trauma and growing in self-actualization (Maslow’s term) or individuation (Jung’s term). This healing necessarily involves incorporating the full expression of ourselves, 126 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 embracing the repressed shadow, the imperfection, the unworthiness as well as the wisdom and the transcendence. Thirdly we transform spiritually, surrendering the ego to that which is greater than itself (“Thy will, not mine, be done”), finding our highest purpose in life and beginning to express it in every action. This involves reclaiming all the fragments of the Soul that have been dissociated or lost through identification with a narrow, too-limited self-concept. Finally we transform our social context, creating healthy community to support our highest level of functioning. We transform within the crucible of relationships, creating an identity and strengthening the resulting ego by facing our deepest fears and greatest challenges. We create through. We create and use safety and trust, encouragement and support within the heart-centered unconditional love of a healthy community. Psychotherapy, Healing, and Transformation In psychotherapy, we basically follow the prescription discovered by Freud of retrieving traumatic memories, bringing unconscious material into consciousness, expressing the attached emotions, and releasing the trauma. In the process, traumas are resolved and we return to the normality of social adaptation, free of symptoms. Our goal is a well-adapted life with a sense of personal power and healthy relationships. The ultimate goal is a happy life. In healing, we expand the goal of our intervention from symptom relief to system optimization. It might be seen as the difference between medicine and naturopathy. We also bring into the process spiritual connection (the client’s and the healer’s), accessed through intuition and experienced as the grace of God. We use more powerful techniques to access deeper levels of the unconscious, bringing forgiveness and acceptance. Our goals are self-actualization, the expression of unconditional love in healthy community, and service to others. The ultimate goal is a harmonious, balanced life. In transformation, we begin by following the same therapeutic process. We might call this phase of transformation regressive, going to the source of lessened capacity and healing it. We don’t stop there, however. We continue the healing into Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 127 the psychospiritual realm, overcoming normality and achieving (returning to) wholeness. We might call this phase of transformation progressive, evolutionary growth into selfactualization. We transcend the limitations of generally accepted ordinary reality. We release the attachments to people and things that keep us captive and limited, and work toward karmic liberation, clarity of psychic vision (listening to and following the quiet, infallible Inner voice), and reaching the highest expression of love in the surrender of the ego to the will of God. The ultimate goal is a life of moments so balanced and conscious that one maintains equanimity, composure and spiritual focus even at the moment of death. People usually seek therapy for quick solutions to immediate problems. Perhaps they have an addiction or anxiety or a relationship issue which they know they need to address. Unfortunately, therapeutic treatment is symptomatic, and often results in symptom replacement. Healing, on the other hand, requires an in-depth look at what life is about, the purpose and meaning of existence, and how to more fully express oneself in this lifetime. In healing work, we recognize the interconnectedness of the whole person. We go deeper to the level of early trauma and resolve what was left unresolved. We know that true healing clears up the problem, symptom and cause, leaving the person healthy and prepared to fight off future infections, be they physical or emotional. In transformational work, we see the symptom as a clue to the deeper spiritual issue with which the person is involved. The symptom can actually lead through the deeper emotional work, clearing out ego issues that block spiritual connection. For example, a person who is continually upset with his/her relationship partner is so preoccupied with these projections that it prevents him/her from looking deeper at the real source of the hurt and anger. A hindrance to transformation is the support we may receive to not change. The process of transformation often results in estrangement from those who have been our companions in ordinary life. As we develop new insights, new interests, new life scripts and life goals, those in our companionship circle who haven’t changed in a like manner are no longer able to effectively support us. They may even try to sabotage our growth 128 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 in a new direction, and support us to turn back to the old ways. This is especially common with relationships that have involved addictions or other behaviors designed to keep us numb and asleep. However, we can create healthy community, a network of new companions, like-minded and supportive of the newly expanded perspectives. This is a community of seekers on the same path who value consciousness over unconsciousness. After spending time with people who share their soul on the deepest levels, it is difficult to go back to cocktail parties and idle chitchat. It becomes very boring to spend time with people who are not honest about their feelings and are still highly involved in feeding their hungry egos. References 1 Walsh & Vaughan, 1993, p. 47. 2 Maslow, 1968, pp. 71-72 3 Walsh and Vaughan, 1993, p. 110 4 Metzner, 1998, p. 258 5 Thomas Moore, 1992, p. xi Maslow, A. (1968). Toward a Psychology of Being, second edition. Princeton, NJ: Van Nostrand. Maslow, A. (1971). The Farther Reaches of Human Nature. New York: Viking. Metzner, R. (1998). The Unfolding Self: Varieties of Transformational Experience. Novato, CA: Origin Press. Moore, T. (1992). Care of the Soul. New York: HarperCollins Publishers. Walsh, R., & Vaughan, F. (Eds.) (1993). Paths Beyond Ego: The Transpersonal Vision. New York: Jeremy P. Tarcher/Putnam. Zimberoff, D. (1989) Breaking Free from the Victim Trap: Reclaiming Your Personal Power. Issaquah, WA: Wellness Press. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 129 How Heart-Centered Hypnotherapy Reveals Shadow Parts – The Jungian Aspect of Our Work How Do I Know if I Have Any Shadow Parts? Shadow parts are like the blind spots in our rear view mirror. One moment we look out of the mirror and it looks as if we have clear sailing, no cars in sight. Then suddenly, seemingly out of nowhere, a car appears dangerously close to us! Where did that come from? Similarly in our lives, we may be having a discussion with our partner, co-worker or friend and suddenly a shadow part is triggered, reacts to something said, and jumps out, seemingly without your permission or even awareness! The reaction might be sudden rage or jealousy, sadness or fear. Now we have a mess to clean up that was completely out of our control, like getting side-swiped by an unseen car trying to pass on the highway. The power of Heart-Centered Hypnotherapy in these situations, when shadow parts jump out, is that we offer many tools and techniques to help that rear view mirror give a clear and realistic picture of the traffic which may be there ready to take you over. This is accomplished by providing tools to effectively work with trance states and with the deep unconscious mind. The unconscious mind is a gold mine ready to be explored through hypnotherapy, to reveal what has been deeply buried within each of us. How Does this Work? We take Jungian psychology out of the head, which is only 10% of our mind, and we bring it into the subconscious portions of our awareness, into the body, and even into the unconscious mind. This is only logical since this is where the shadow parts of us reside, in the blind spots hidden deep below our conscious awareness. The trick here is to “see” where the shadows are hiding since usually we only observe the aftermath of a shadow’s emergence. Just like how confusing it is if we have a car accident, without ever seeing the car hidden in our blind spot. 130 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 We might ask ourselves, “Why did that happen or how did that happen? I didn’t even see it coming!” Blind spot shadow collisions frequently are evidenced in our relationships. An example is a man in one of our groups whose shadow parts would emerge through his interactions with others as well as in e-mails. He would characteristically respond to a group e-mail with an angry response to something from out of the blue. One time he was sent an announcement about an upcoming class to which other people responded with excitement and interest in enrolling. Those that weren’t interested simply didn’t respond at all or just said, “No thank you, not at this time.” The shadow part of this man, we’ll call Dan, responded with an angry tirade saying, “Why should I take this class? It isn’t going to help me and it certainly would not increase my income!” And then he continued on from there. When we would question this student later about one of these tirades, he either didn’t remember it at all or would just blow it off by minimizing it. “Oh that’s over now, I didn’t mean anything by it.” His wife who lived with him, would just dissociate by going into shock when his shadow tirades flared up. However, as she continued to grow through her own deep work with Heart-Centered Hypnotherapy, she began to thaw out from her shock state of dissociation. She began to no longer tolerate the appearance of these hostile, demeaning and disruptive shadow eruptions. Through their relationship work, he agreed to honor a signal from her which she could use to let him know that one of his shadow parts had taken over “driving the bus”. How Heart-Centered Hypnotherapy Heals Shadow Parts Each time a shadow part emerges, we regress the client to the source of the reaction, the connected feelings and the early decision that was made by a young, uninformed child, about how to survive. Let’s go back to the angry response to the offering of a new class. We would ask the person what feelings were triggered when he read the announcement of a new class. He may have said, “Well, I was very stressed about money that day, etc.” Then we would regress the person back to the source of these feelings of not enough money or resources for him. In this case, he Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 131 instantly regressed to being five years old, during an economic hardship where his parents were raising several children and they couldn’t make ends meet. There was a lot of family stress during that time and the young boy wanted to help. He offered his services in some way and was pushed aside by the older siblings with shaming and demeaning words. “Don’t be silly, you are a baby, what makes you think you could earn any money for the family?” He went to hide in his room, feeling shamed, unappreciated and very anxious that there would be no food for them to eat. The deeper fear was, “We’re going to die.” The unconscious conclusion he made about himself was, “I have no value, I’m worthless.” The small child’s subsequent decision was, “I’ll get revenge. They’ll be sorry, I’ll hurt them the way they have hurt me.” It was here at five years old that his shadow part developed about hurting others before they could hurt him again. This shadow part followed him around for all of his life, angrily attacking or reacting to others who he perceived as rejecting his offers to help. This shadow part contributed to many personal conflicts, the loss of business partners, and eventually going bankrupt. His healing began when he saw that his little boy just wanted to be loved and appreciated and valued. He realized that he had a very soft, loving heart that was easily hurt. He learned to put protection around himself and ask his fellow Wellness students and family members for feedback if the angry child shadow part of him emerged without his awareness. The blind spot that had caused collisions so often in his life, was now moving into clear sightedness. Healing shadow parts is most easily accomplished with hypnotherapy to bring access to the unconscious events and decisions that are the petri dish in which the seemingly isolated shadow parts grow. Further healing is accomplished through groups where loving feedback can bring light to these shadow parts and thus bring them into the person’s awareness and out of the dark. 132 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 133 Hypnosis and the Science of Visualization Although visualization may have been regarded as “new age hype” by some, research has shown that there is a strong scientific basis for how and why visualization works. It is now a well-known fact that we stimulate the same brain regions when we visualize an action and when we actually perform that same action. For example, when you visualize lifting your right hand, it stimulates the same part of the brain that is activated when you actually lift your right hand. This amazing discovery offers new possibilities for healing and recovery in areas such as: Stroke rehabilitation Strengthening the immune system Improving athletic performance Treating phobias, such as a fear of flying Changing mental attitudes When a person has a stroke due to a blood clot in a brain artery, blood cannot reach the tissue that the artery once fed with oxygen and nutrients, and that tissue dies. This tissue death then spreads to the surrounding area that does not receive the blood any more. However, if a person with this stroke imagines moving the affected arm or leg, brain blood flow to the affected area increases and the surrounding brain tissue is saved. Imagining moving a limb, even after it has been paralyzed after a stroke, increases brain blood flow enough to diminish the amount of tissue death. This is a very clear indicator of the power of visualization. Extending the use of hypnosis beyond visualization to incorporate hypnotherapy can be very helpful in assisting a stroke survivor to deal with anxiety and depression that may develop. Both levels, the physical rehab and the emotional healing, can be accomplished in the same hypnosis session. Many studies have shown that visualizing T-cell production (which enhances the immune response) actually does increase the body’s production and distribution of those infection-fighting cells. 134 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Athletes have known about this power for a long time. One study showed that visualizations under hypnosis enabled nationally ranked Stanford male gymnasts to execute for the first time several complex tricks that they had been working on for over a year. The gymnasts were able to eliminate timing errors in the tricks, to increase flexibility, and, possibly, to concentrate strength. Visualization has also been shown to improve high jumpers clearing the bar. This principle clearly applies to mental attitude and emotion. When people focus on their fears it increases blood flow to the brain regions that process fear, which will stop your actions. If you focus on a positive outcome, blood flow in the brain is enhanced in areas that activate initiating goal-directed action. It is important not to let fear leak into your positive visualization, because if you visualize while worrying, it is like painting with a shaky brush. For example, a powerful treatment for a phobia like the fear of flying is to gradually increase visualizing the anxiety producing aspects of flying while maintaining a relaxed and positive attitude. Hypnosis is a valuable method for staying relaxed even in the face of an imagined stress. The same techniques can be used in helping someone to change their belief system about low self-esteem, or an inability to create abundance. Hypnotherapy provides additional depth to the process of visualization by allowing an individual to go back in time, through age regression, to the source of the fear or phobia or self-limiting beliefs. Your brain will act in accordance with your visions. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 135 Hypnosis for Tourette Syndrome in Children and Teens A new study of children and adolescents with Tourette Syndrome finds that self-hypnosis taught with the aid of videotape training reduced their symptoms and improved their quality of life. Seventy-nine percent of the 33 research participants achieved enough improvement in tic control to report personal satisfaction with the technique, according to the study published online in the July 2010 issue of the Journal of Development and Behavioral Pediatrics. This is the largest case series of patients with Tourette Syndrome treated with self-hypnosis. The authors, Jeffrey Lazarus, M.D., and Susan K. Klein, M.D., Ph.D., were with University Hospitals Rainbow Babies & Children’s Hospital and the Case Western Reserve University School of Medicine at the time of the study. Subjects were shown video clips of a young boy with Tourette Syndrome before, during, and after his self-hypnosis training. Following that, each child or teen in the study was taught self-hypnosis in individual sessions. The participants ranged in age from 6 to 19 years, with an average of 13 years. The research subjects also were assigned to practice the selfhypnosis technique three times a day and homework to answer questions designed to increase their awareness of tics and how they felt about experiencing them. All of the research participants had motor tics and three had verbal tics in their initial evaluations. According to Dr. Lazarus, self-hypnosis helps the patient experience a state of mind that combines relaxation with concentration on a desired point of focus while other thoughts or feelings fade into the background. “Once the patient is in his or her highly focused ‘special place,’ work is then done on controlling the tic,” said Dr. Lazarus. “We ask the patient to imagine the feeling right before that tic occurs and to put up a stop sign in front of it, or to imagine a tic switch that can be turned on and off like a light 136 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 switch. Further suggestions are made, including encouraging the patient to invent his or her own images.” Almost all of the participants experienced a dramatic increase in tic control after only a few sessions: 12 after two sessions, 13 after only three visits, and one after four visits. Dr. Lazarus says that this non-pharmacological therapy for tics is attractive because the medications that are used to treat tics can be associated with undesirable side effects. Also, physicians are reluctant to prescribe medications for mild or moderate tic disorders, which many children often outgrow as they get older. “This case series suggests that self-hypnosis might be able to be taught effectively in fewer sessions than another technique known as habit reversal, but we’ll need to study this further. However, the use of videotape as a teaching aid presents several advantages: It can help standardize the technique of teaching the method, it may shorten the length of time needed to teach the technique, and it makes the technique more accessible to younger children. Viewing a series of videotapes of another patient gives patients the reassurance that they are not the only ones in the world with this problem, and it gives them hope and the motivation that they can take control of their bodies and life challenges,” said Dr. Lazarus. Lazarus, Jeffrey E.; Klein, Susan K. (July/August 2010). Nonpharmacological Treatment of Tics in Tourette Syndrome Adding Videotape Training to Self-Hypnosis. Journal of Developmental & Behavioral Pediatrics. 31(6):498-504. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 137 Hypnosis in Dermatology: Warts, Psoriasis, Herpes Simplex Hypnosis is a tool with many useful dermatologic applications. It involves guiding the patient into a trance state for a specific purpose such as relaxation, pain reduction, or habit modification. Hypnosis can regulate blood flow and other autonomic functions not usually under conscious control. The relaxation response that occurs with hypnosis also affects the neurohormonal systems that in turn regulate many body functions. Hypnosis may be used to increase healthful behaviors, decrease situational stress, reduce needle phobias, control harmful habits such as scratching, provide immediate and longterm analgesia, ameliorate symptoms related to disease such as pruritus, accelerate recovery from surgery, and enhance the mind-body connection to promote healing. Hypnosis can be especially helpful when dealing with skin diseases that have a psychosomatic aspect. Warts The efficacy of suggestion in treating warts has been confirmed numerous times (Sheehan, 1978). Numerous reports attest to the efficacy of hypnosis in treating warts. In a wellconducted controlled study that serves as a typical example (Surman, Gottlieb, Hackett, & Silverberg 1973), 53% of the experimental group had improvement of their warts 3 months after the first of five hypnotherapy sessions, while none of the control group had improvement. Another randomized controlled study with similar findings was that of Spanos, Williams, and Gwynn (1990). Hypnosis can definitely be helpful as complementary or alternative therapy for warts. Psoriasis Stress plays an important role in the onset, exacerbation, and prolongation of psoriasis. Hypnosis and suggestion have positive 138 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 effects on psoriasis. Tausk and Whitmore (1999) performed a small randomized double-blind controlled trial using hypnosis as adjunctive therapy in psoriasis with significant improvement of highly hypnotizable subjects. Herpes Simplex Ameliorization of discomfort from herpes simplex eruptions has also been reported as well as reduction in the frequency of recurrences of herpes simplex following hypnosis. One study showed that, following hypnotherapy, there was a significant overall reduction in the number of reported episodes of recurrent genital herpes simplex virus, accompanied by an increase in the immune system activation. The improvers showed significantly reduced levels of anxiety when compared to non-improvers. References Sheehan, D.V. (1978). Influence of psychosocial factors on wart remission. American Journal of Clinical Hypnosis, 20, 160164. Spanos, N.P., Williams, V., & Gwynn, M.I. (1990). Effects of hypnotic, placebo, and salicylic acid treatments on wart regression. Psychosomatic Medicine, 52, 109-114. Surman, O.S., Gottlieb, S.K., Hackett, T.P., & Silverberg, E.L. (1973). Hypnosis in the treatment of warts. Archives of General Psychiatry, 28, 439-441. Tausk, F., & Whitmore, S.E. (1999). A pilot study of hypnosis in the treatment of patients with psoriasis. Psychotherapy and Psychosomatics, 495, 1-9. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 139 Hypnosis Can Prevent Weakened Immune Status Studies suggest that hypnosis may improve immune function, increase relaxation, decrease stress, and ease feelings of anxiety. The mind has the ability to control the body’s production of immune cells and regulate immune functions, and hypnosis provides access to the part of the mind that has that capability. Researchers have determined that hypnosis and related relaxation techniques can actually prevent the weakening of the immune response that often follows periods of acute stress. Preventing the weakening of the body’s defenses is good, but studies show that hypnosis may even enhance the immune status in people facing surgery or other stressful events. The lead researcher in a study reported in the Journal of Consulting and Clinical Psychology, Janice Kiecolt-Glaser describes using hypnosis in this research as something like “hitting a reset button” for the participants in the study. KiecoltGlaser is a professor of psychology and psychiatry at Ohio State University. This study found that subjects who had not used selfhypnosis showed a 26 to 39 percent difference in the levels of Tcells - important to the immune response – as measured by blood samples before and after the stressful event. Stress caused subjects in a control group to drop production of T-cells ( T-lymphocyte) by 33 percent compared to an 8 percent increase of T-cell proliferation in the hypnosis group; The more frequently the subjects in the hypnosis group practiced their technique, the better their immune response was. This is validation of the observations of so many clients that hypnotherapy is useful in treating the underlying origins of diseases of stress, such as Crohn’s disease and fibromyalgia, as well as anxiety and depression. 140 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 The hypnosis is always best done by a licensed professional who is also well trained in Hypnotherapy skills. In this treatment, stimulating word choices and teaching the client to visualize can enhance the power of increasing the immune system’s response. It is also imperative to help the client uncover the underlying emotions connected with the decrease in immune efficiency. A common example is a person who has just lost a spouse or child and thus has lost their own will to live. This often decreases the immune system in a subconscious desire to leave the earth and to be re-united with the lost family member. It is fascinating to observe how the body responds to our unconscious directives. Because hypnotherapy works on the subconscious level, a skilled hypnotherapist can help the immune deficient patient to discover what may have turned their immune system off and how to turn it back on again. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 141 Resourcing and “Reparenting” When clients are dealing with shock, we work with them to create a situation in the present that supports them in exploring their shock in a “peeling the onion” approach, going back in time from the most recent shock to earlier experiences, and providing appropriate treatment for each situation. In the hypnotherapy as well as in psychodrama and breathwork, the most important part of treatment for shock is resourcing. We always do that at the beginning of the session. Some ways we resource the client are to establish: 1. A strong adult ego state as a resource 2. A spiritual connection for protection and resourcing 3. A “1, 2, 3, stop” agreement or a hand signal if they need to take a break from the process 4. Permission to touch them for support or to hold them for nurturing, or in some cases to shift their position out of the shock posture they are in 5. Cold packs (BooBoo Buddies) and hot packs (Belly Buddies) to treat sympathetic as well as parasympathetic shock. In Heart-Centered Hypnotherapy, along with resourcing, we always include the following for treating shock: 1. Reparenting, which we do in the regressed state so as to incorporate the loving nurturing parent, the spontaneous child, and the wise adult into the subconscious mind where state dependent learning actually occurs. 2. Empowerment, developing appropriate (and healthier) defenses, and learning to fully express what could never be said in the shock state. Going back and reprogramming the old dysfunctional rules and belief systems which have kept the person from expressing feelings so that they may now be empowered to have and express a full range of emotions. 3. Interrupting and repatterning the shock physiology. You can do this by sitting the client up gently if they have been very far into shock and asking them to slowly 142 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 take a drink of water. This will help them connect back with their body. You can also very gently ask them if you can move their foot. Or you can ask, “Which part of your body do you feel the most energy in? Please move that part of your body if you can.” As they move, have them begin to feel the energy coming slowly back into their body. Work slowly. 4. Letting go of your agenda in order to build trust and safety. Because people who have been emotionally and/or physically shocked are deeply wounded around trust, the work proceeds slowly to allow genuine contact at those most wounded levels, which builds the resources so that the deeper healing can occur. 5. Titration approach to accessing traumatic material and working with it cathartically. Titration allows for “dipping into” it and out again, gradually. This accomplishes essentially a gradual extinguishing of the deeply embedded wounding. 6. Containment of the person’s experience. We provide a “holding environment” for it, similar to the way a mother contains her baby’s experiences. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 143 How Hypnotherapy Can Stop Thumb Sucking in Children in 20 Minutes I recently met two sweet sisters who sincerely wanted to stop sucking their thumbs (actually it was their fingers rather than thumb that they constantly had in their mouths). The girls were wearing braces but still could not stop the behavior. Their single mother was also highly motivated since she was the one who had to pay for their braces. Follow these steps to eliminate thumb sucking behavior: 1. In a comfortable location, the girls laid down on either end of the couch with mom and grandma in the room to create safety and normalize the experience. 2. We did a short “down the stairs” induction with only five steps. 3. Then each girl created a resource state, which was going to the beach, current in their experience since the setting was a resort in the Caribbean. 4. Then I asked, “What would be the best thing that would happen for you (each, separately) when you stop sucking your fingers?” 5. Both responded, “Straight teeth and no braces!” 6. Then we did collapsing anchors, each girl imagining something gross and disgusting on her thumbs and fingers. 7. Then I instructed them, “Okay, now wash your hands and see yourself on the beach with a beautiful smile, no braces and feeling so proud of yourself.” 8. Instructions to Mom were, “Don’t ask them anything about their experience or ‘check up on them’. Just leave it up to them to speak about it if they want to.” Mom was elated with the results. She reported two weeks later, sending pictures of the girls, “Hi Diane - Just wanted to drop you a quick hello and let you know that so far there have been no fingers in the mouth since we came back from vacation 144 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 and they have not even needed to go back to the recording. You are fantastic!!!” These NLP techniques work exceedingly well with children (collapsing anchors, anchoring a resource state, and rehearsing a desired future self). Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 145 Hypnotherapy Best Practices: Healing Trauma Without Retraumatizing Working with trauma in the Heart-Centered Hypnotherapy model is always careful to avoid re-traumatizing the individual. That does not mean, however, avoiding re-experiencing the trauma fully. Hypnotherapy and the Release of Past Traumas In the therapeutic process of deep healing and release of past traumas, the three most important elements are: 1. The energetic somatic release of the painful emotions, which in turn releases the shock and body armoring embedded in the body’s musculature and nervous system. 2. Containment of the process and of the client’s energy. The hypnotic trance is induced, managed, and terminated all in an orderly way. We titrate the emotions through the extinguishing process. We help them to create a safe resource state with anchors that they can always return to and use as a refuge from overwhelm. Ego strengthening is begun before the therapeutic part of the session, and continued throughout with corrective experiences of empowerment. There is an agreed upon signal to use if they wish to interrupt the process or take an intermission: “1, 2, 3, Stop”. 3. The corrective experience. They abreact feelings bringing in the adult to express for the child what the child could not express at the time of the trauma, thus overcoming early inhibitions. Their experience is legitimized. They learn to attribute the abusive behavior to the abuser, not accepting blame themselves, and to discriminate between self-identity and introjected qualities taken on from others. They reconnect memories and emotions to events, giving meaning to past events that were experienced as bewildering. 146 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Louis Cozolino (The Neuroscience of Psychotherapy, 2002, p. 27) has a number of suggestions for how to facilitate neural integration in psychotherapy. He proposes that neural growth and integration in psychotherapy may be enhanced by: 1. The establishment of a safe and trusting relationship. 2. Gaining new information and experiences across the domains of cognition, emotion, sensation, and behavior. 3. The simultaneous or alternating activation of neural networks that are inadequately integrated or dissociated. 4. Moderate levels of stress or emotional arousal alternating with periods of calm and safety. 5. The integration of conceptual knowledge with emotional and bodily experience through narratives that are coconstructed with the therapist. The first ingredient speaks for itself: without feeling safe, no client is going to risk the vulnerability of working to heal trauma. The second ingredient means that we need to address all the ways individuals process information. Some people are visual, some are auditory, some kinesthetic. In facilitating a session, we obviously don’t want to expect a non-visual person to “see” or a non-kinesthetic person to “feel”. We emphasize the narrative of experience with someone who does best with verbal language, while we utilize the physical with someone who does best with ‘hands on’ experience. Some people relate literally, others to symbolic or poetic metaphor. The third ingredient is crucial for effective healing. Cozolino (p. 46) states that “all forms of therapy are targeting dissociated neural networks for integration.” We engage the person as they were at the time of the trauma, which means some of their processing was not functioning properly. In a moment of trauma, the hippocampus goes offline. It is the brain structure instrumental in the synthesis of experiences which provides a conscious structure, context and a time stamp to the experience in the process of memory encoding. In traumatic states, Broca’s area, a circuit of interaction with other brain areas that plays a vital role in the production of language, located in the left hemisphere, may be inactive. So trauma resolution involves reexperiencing the trauma with corrections so that the hippocampus can understand context (that particular man, but Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 147 not all men, are abusive) and time-stamp the experience (prevent a memory in the past from seeming to float in time and invading the present). We want to encourage the person to speak her truth and verbalize her feelings in order to activate the Broca’s area of her brain during a re-living of trauma. Here we are activating both the fear circuits and language circuits in ways that enable clients to reorganize their damaged neural connections. The fourth ingredient is commonsense, really. We all have limits to how much intensity we can tolerate, and when we have reached that limit, it is time to take a break. We ‘take a break’ by treating shock, allowing quiet time for reflection, helping the client find internal resources, nurturing the client with external resources, and attending to his overstimulation. We ‘take a break’ so that we can then return to disturbing material when affective regulation is under better control, and there is more capacity for an integrated brain response. Psychoanalyst Fred Pine calls this “striking while the iron is cold” because it delays the intervention from a moment when the conflictual issues are bubbling over and the client is not able to handle it (Developmental Theory and Clinical Process, 1985, p. 153). The therapist must be careful, however, not to delay “striking while the iron is hot” (when the timing is right for the issue to be confronted) as a rescue of the client who doesn’t need rescuing or as a means of avoiding therapeutic work that is personally challenging for the therapist. And the fifth ingredient on Cozolino’s list means that we must reach our clients in their physical and emotional experience, as well as their mental or cognitive understanding. Talking alone is not sufficient to heal trauma. The memories are carried deep in the unconscious, embedded in the body, recording “fears set down at a young age in the amygdala, the one part of the brain that never forgets. That’s why therapy is seldom successfully done in a session or two, and is never simply a matter of ‘explaining’ to people how irrational their thinking is, or how counterproductive their behavior” (Mary Sykes Wylie & Richard Simon, Psychotherapy Networker, Sep/Oct 2002, ”Discoveries from the Black Box: How the Neuro-science Revolution Can Change Your Practice”). 148 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 These procedures wrapped together in the Heart-Centered Hypnotherapy protocol are coordinated to actually help rewire the brain circuits that were damaged in early trauma. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 149 Ask the Right Questions to Find the Best Training Program for You There are certainly many diverse courses in hypnotherapy available for those seeking certification. Here are some things to consider in order to discover the best training model that fits your professional and personal goals. 1. Are you currently practicing or employed in a related field of treatment? Do you have a Masters degree or a professional license in any of these fields? Social Work Psychology Professional Counseling Drug and Alcohol Counseling Mental Health Nurse, Nurse Practitioner Private Practice Alternative Therapy If so, you should be looking for a professional hypnotherapy training and certification program (not just hypnosis training: know the difference between hypnosis and hypnotherapy) that has been training professionals for at least 10-30 years. The highest quality hypnotherapy training should focus on training you to do psychotherapy with your client in a trance state. The best programs will teach you the skills of hypnosis while blending your current knowledge of psychotherapy, your clinical background and treatment skills with: Learning age regression techniques and how to implement them during therapy Assessing how to use hypnotherapy with different Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic categories such as personality disorders, addictions, anxiety disorders, PTSD and depression Using hypnotherapy within different states of dissociation, shock and trauma 150 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Understanding which diagnostic categories would not be appropriate for hypnotherapy Working with developmental stages and healing the inner child Combining humanistic psychology, Gestalt and Transactional Analysis This type of course work serves to provide an integrative approach to hypnotherapy techniques that will ultimately result in better client outcomes and patient success stories. 2. Do you value a blend of clinical learning and hands-on experiential training? What percentage of the course time is focused on: Practicing new skills Watching live demonstrations and videos of the techniques presented Learning to do the techniques presented Learning cognitive clinical material Advanced hypnotherapy training must provide you with an experiential, hands-on learning environment that serves to develop a comprehensive clinical and demonstrative approach to hypnotherapy treatment. Ask these types of questions to get a clear handle on just how experiential the course will be and how much that will contribute to your learning and overall ability to perform hypnotherapy techniques in your own practice. 3. Would you like to expand your ability to work efficiently with a wider variety of clients with conditions such as: Eating disorders Stress reduction Anxiety disorders PTSD, for example, veterans returning from the battlefield Trauma resolution Addictive behavior, relationship addictions, love addictions, sexual addictions Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 151 4. Would you like to learn to combine your profession with healing and energy work? If so, here are some things to look for in a hypnotherapy training program: A trained professional with at least a Master’s degree is leading the course A high value is placed on trainers staying current with their own personal work in the field of hypnotherapy The energy work can be combined with the hypnotherapy training in a step-by-step process 5. Does this training have continued professional support in the form of follow-up supervision groups, advanced trainings and a client referral program? Use these questions as your starting point for determining which hypnotherapy certification program makes sense for your professional and personal goals. Many hypnotherapy students find the most success in hypnotherapy programs that apply advanced techniques with experiential training. When looking for the correct hypnotherapy certification program for yourself, be sure you are investing your time, money, and energy in one that will meet your professional needs as well as provide ongoing community support and interaction in order to facilitate your growth as a hypnotherapist. 152 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 153 How to Obtain Hypnotherapy Certification Each State Licensing Board has different requirements that constitute a full certification in hypnotherapy. It is important to take this into account as you search for the best hypnotherapy certification program that fits your professional needs and goals. Finding the Right Hypnotherapy Certification Program There are many groups that offer hypnotherapy certification. How can you tell which is the correct one for your professional aspirations? Typically, the question comes back to whether you are looking to learn simple hypnosis or clinical hypnotherapy. Additionally, you must answer the question as to whether or not you already have a Masters degree in a mental health field. Every state is different, every hypnotherapy school is different and there is no one standard across the board to receive a hypnotherapy certification. The generally accepted hypnotherapy certifications are: Clinical Hypnotherapist (C.Ht.) and Advanced Clinical Hypnotherapist (A.C.H.) The field of hypnotherapy, unlike other professional therapeutic fields, is generally unregulated and certainly not standardized. It is different from state to state and each state has its own standards with some states having virtually none at all. All professionals who hold at least a Masters degree in a health care discipline, and have licensure/certification in the state which they practice, are qualified to pursue hypnotherapy certification and are able to incorporate hypnotherapy into their current practice of psychotherapy. The State of Florida is the one exception, requiring an additional certification in hypnotherapy over and above the mental health licensure. Hypnotherapy Certification Requirements In some of the most prominent (well-recognized) hypnotherapy training institutions, in order to receive certification you must complete at least 60 hours of in-person 154 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 classroom training and complete at least 20 practice sessions, some of them under supervision. To provide adequate preparation in the field, any certification training must include supervised practice sessions, not just demonstrations by trainers. Otherwise, the training is abstract theory only, and lacks the hands-on experience so necessary to mastery of any clinical practice. Legitimate training leading to certification as a clinical hypnotherapist must incorporate information about the ethical uses of hypnosis and professional boundaries. There should be information relating to the use of hypnotherapy in treating specific diagnostic presenting issues, such as depression, addictions, anxiety, sexual abuse, or anger management. One would expect to learn how to teach self-hypnosis to others, and what are the appropriate uses of self-hypnosis. NLP (neurolinguistic programming) and Gestalt Therapy are related therapeutic techniques that are often incorporated into hypnotherapy training as well. Hypnotherapy can also be very effective in conjunction with medical treatment such as pain management, accelerated healing of broken bones or burns, or anesthesia for surgery. Certification in clinical hypnotherapy should prepare a health care professional to work with these types of conditions and many more in an integrative medicine setting. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 155 Hypnotherapy Training In Only Six Days? Frequently Asked Questions We would like to help answer some frequently asked questions that come up when professionals are searching for the right hypnotherapy training course(s). 1. Can I Learn Hypnotherapy in Six Days? Heart-Centered Hypnotherapy is an intense six day training providing 60 CEU hours. Because The Wellness Institute attracts mainly licensed mental health professionals and health care providers, we assume that they have a basic foundation in subjects such as developing rapport with clients, making assessments as to the current DSM diagnosis of clients, and basic interviewing and counseling techniques. Most other hypnosis schools enroll a wide range of students with little or no requirement for previous education in counseling or therapy or health care. As a result, they may require many more hours of training, and rightfully so. The fact that most of our students are Master’s level professionals, affords us the luxury of being able to teach trance inductions and deepening techniques as well as self-hypnosis in the first day and a half instead of stretching it out over a week. We do not have to spend three to five days teaching interview techniques, developing rapport, and how to assess the client’s level of functioning and their appropriateness for hypnotherapy. We then move right into the most exciting and challenging aspect of hypnosis which is incorporating hypnotherapy and trauma resolution into the trance state. We spend the majority of our six-day training by balancing clinical information with live sessions, videotapes of the Heart-Centered Hypnotherapy process with real clients, and hands-on experiential practicing. We are not just practicing trance induction and deepening techniques, but each student gets to be the therapist, the client and an observer several times during the training. 156 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 2. Can I Practice Hypnotherapy When I Return Home? In general the answer is a resounding YES! If you have been a practicing therapist previously, this is a definite yes! People come into the training with all different skill and confidence levels and different tools in their tool box. The more previous experience you have in working with people, the more intuitive ability you have and the more overall confidence you bring, the more likely you are to leave the training and begin using the Heart-Centered Hypnotherapy immediately. 3. What if I Don’t Have a Practice or Clients to Work with? The Wellness Institute is highly regarded among professionals in the field of training due to our commitment to provide a wealth of support once you have completed the SixDay Hypnotherapy Certification program. If you don’t have access to clients, the supervision and internship groups will provide people to be a part of your practice sessions. 4. What Ongoing Support and Training is Available after the Hypnotherapy Course? Supervision groups (not included in the price of the training) are ongoing, once per month, in each of the cities where the SixDay Hypnotherapy Certification course is taught. These groups bring together other people in your area who have taken the training and who are working on completing their 20 practice sessions required to complete the certification process. These groups also attract all levels of certified hypnotherapists who come to further their learning and to network with other likeminded healers in their area. 5. What if I Live more than Two Hours Away from Supervision? You can drive in and stay with another certified hypnotherapist in our network, then drive back home the next day. Our network support will provide you with someone within the supervision area, and you will probably make a new friend! You can also arrange online Skype Supervision. We have graduates all over the country who are happy to do Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 157 Skype Supervision and will arrange the time and fee with you. 6. Do You Offer Advanced Training after Completion of the Initial Hypnotherapy Certification Course? Once students return home and begin doing their practice sessions, they begin to realize how much they learned... and how much more there is to learn. Because of student requests for further trainings, we developed the two-year Advanced Internship Training over 25 years ago. We are now beginning our 60th Internship group. This program meets for four extended weekends per year, with the same students in each group for the entire two years. Each subject covered for one day in the Six-Day training is expanded to a whole weekend for a much more in-depth learning experience. The student is also learning group skills which allow you, eventually, to do this work with groups. This greatly increases your income as you learn to work smarter rather than harder. In other words, you earn more per hour when you are treating 10 to 16 people in a group setting rather than hour after hour of individual sessions. 158 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 159 Five Ways Hypnotherapy Certification Will Benefit Your Practice In this article we would like to discuss some underlying questions that many aspiring and practicing certified hypnotherapists have come to us with related to the integration of hypnotherapy into their individual careers or practices. Overall, the answers to these questions are intended to give you a sense of how a hypnotherapy certification will potentially benefit you and your career. 1. How can Hypnotherapy Certification increase my income? If you work for an agency, take a minute to calculate how many hours you work per week and what your salary is per hour. Most Masters level therapists or Social Workers are shocked to find out that the answer to this question is usually $25-$35 per hour! If you have a private practice and “work for the insurance panels” you probably earn around $60 per session. If you now calculate into that hourly wage the amount of time you spend to do insurance paperwork, your salary has now decreased to $35 per hour. You may be surprised to learn that most of our HeartCentered Hypnotherapists earn $150-$200 per session. Many of them have gotten off the insurance panels and now only accept private pay clients. 2. When you were drawn to the helping professions, what experience were you looking for? Most professionals say that when they went to college, they wanted to help people and through that experience, dreamed of feeling gratified. Therapists are often searching for the experience of personal satisfaction and feeling that they are contributing to the good of mankind in some way. But after many years of dry book learning and tens of thousands of dollars in college loans and internships at inadequately funded agencies, they have begun to feel discouraged about their original 160 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 hopefulness about being able to make a difference in people’s lives. Through adding a hypnotherapy certification to their practice, most of our therapists are now experiencing the satisfaction of knowing they have the professional skills to truly bring positive change into the lives of their clients/patients that walk into their offices. These therapists report that they now feel fulfilled by being able to bring powerful healing to nearly everyone who seeks help from them. 3. How many clients do you refer out in a year to someone “more qualified” to treat certain presenting issues? By adding Hypnotherapy Certification to the tools in your toolbox, you never have to refer a client out to someone else. The brilliance of Heart-Centered Hypnotherapy is that it can be applied to nearly every presenting problem seeking to be healed. Now other therapists in your area will begin referring to you! This is the exciting and challenging aspect of learning hypnosis. You will learn to explore the deeper subconscious mind which contains 90% of our mental capacity. Getting an advanced degree from a university provides you with the foundation necessary to build your “clinical house.” This theoretical foundation, while necessary to provide structure and stability, certainly requires the rest of the rooms in your “clinical house” to be built in order to provide truly effective treatment for people seeking your healing. 4. How do I become “the expert” in treating a much wider variety of presenting issues with hypnotherapy? Expand your competence and confidence to treat more presenting issues effectively. The hypnotherapy certification will help build the treatment rooms in your “clinical house” for: Addictions to substances such as alcohol, marijuana, cocaine, caffeine and others. Stress, depression and anxiety, which have been treated primarily with medications which merely cover up the underlying cause of these symptoms. “Talking with a counselor” may help the client to understand all the reasons for their disorders, but that only addresses 10% of the client’s mind. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 161 Behavior addictions such as codependency, sex addiction, gambling addiction, and a wide variety of unhealthy relationship patterns such as always attracting drunks or domestic abusers. Eating disorders, including food addictions, anorexia, and addressing the most prevalent complaint of obesity. Mind, Body, Spirit healing, physical complaints ranging from allergies, headaches, bladder infections, back problems, eye, ear, and throat dysfunctions, cancer, Fibromyalgia and much more. People usually seek a physician’s help although studies now show that people are overwhelmingly also seeking alternative solutions. Clinical hypnotherapy is an integral part of holistic and Integrative Medicine. You will learn how the unconscious mind can speak through the body and inform the client about what needs to be treated and what the underlying causes of any physical complaint may be. Relationship Counseling Children and Family Therapy Sexual Abuse 5. How can I change my personal beliefs that may be holding back my success as a certified hypnotherapist? Over the past 35 years of training professionals like yourself, we at The Wellness Institute have discovered a surprising fact: the amount of money that most therapists earn is in direct correlation with the effectiveness of what they are offering, but just as surely with their belief about their own worthiness (confidence that they deserve to be compensated well). Would you agree? Ask yourself honestly, if this may be true for you and may be affecting your income? Do you have the belief that you should help others and really shouldn’t be asking for money for providing healing work? Do you have difficulty collecting your fee from clients, or confronting those who are behind in paying you? During the Six-Day Hypnotherapy Certification training, you will have the opportunity to look at underlying beliefs that may be holding you back from reaching your full potential. As you are learning to heal your clients, you will also have the profound 162 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 opportunity to experience Heart-Centered Hypnotherapy for your own self discovery and personal transformation! Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 163 How to Get More Hypnotherapy Referrals from Other Professionals Professionals will be eager to refer individuals to you once they know you and are comfortable with the quality of work you provide to those whom they refer. So the challenge is to get those initial referrals that will allow you to “prove yourself” as a certified hypnotherapist. We’ve all received a mass-mailed letter of introduction from a therapist in the area, asking for referrals – and we’ve all probably discarded them without a thought. But if one of their clients recommends you, that professional is much more likely to consider referring to you. Referral Sources for Practicing Hypnotherapists There are many professionals who can become good referral sources for your practice: Attorneys always have clients that are in need of mental health intervention: a car accident victim suffering PTSD; an individual embroiled in divorce; the underachieving children of a business client. Physicians have patients who need to stop smoking or release forty pounds or reduce the stress that is escalating their high blood pressure. Dentists have patients with TMJ who may be able to relax through hypnosis and hypnotherapy enough to avoid surgery, and patients who could benefit from hypnotherapy to deal with their panic attacks that occur in the dentist’s chair. Physical therapists have clients who may benefit from hypnotherapy to obtain better compliance with their prescribed therapy. Massage therapists can refer clients who are unable to relax or to tolerate physical touch. Other psychotherapists, of course, have clients with whom they are at an impasse, and may welcome the opportunity for a referral for a single hypnotherapy 164 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 session with you – perhaps one that the referring therapist would attend with their client. When you gain added opportunities to demonstrate your proficiency as a certified hypnotherapist, you will soon have the reputation as the “wonder worker”. You will work with a wide variety of presenting issues, more than most psychotherapists. And some of the areas you are prepared to work with after rigorous hypnotherapy training have few other therapists capable of offering services. For example, utilizing hypnotherapy you will be able to work with referrals from physicians on psychosomatic disorders, autoimmune deficiency, TMJ, pain relief, smoking cessation, or weight loss. You will also receive referrals from other therapists for consultation with their clients who are at an impasse, who cannot seem to access their emotions, or who are unable to remember crucial events from their childhood. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 165 How to Retain Your Hypnotherapy Clients It’s not that you want to keep your clients in treatment longer than is helpful to them, of course. But we’ve all experienced a client who makes an appointment and at the end of a really good session says, “Wow, that makes me feel a lot better. I’ll call you if I ever feel like coming in again.” Retain Your Clients as a Long Term Investment Such an individual may be a little short sighted, and probably could benefit from more sessions. Perhaps she feels embarrassed about what she revealed, and wants to avoid facing you again. Perhaps she has low self-esteem, and doesn’t value herself enough to feel deserving of spending the money on her own healing. Perhaps she has prosperity anxiety, and is afraid to invest the money in this way. Whatever the reason, in most cases they are actually presenting issues for therapeutic intervention – and the ethical therapist will bring that to the client’s attention with an invitation to continue in therapy long enough to adequately address them. It is not only ethical but also humane to discuss treatment outcome goals with your client from the beginning of your time together. Ask your client to complete assessment checklists on codependency, addictions, and anxiety, and then use the results to establish treatment goals. When you have short term and longer term outcome goals set up, it provides the framework for discussing not only current successes but also the unfinished work that remains to be completed. If your client says to you one day, “Wow, I feel a lot better. I’ll call you if I ever feel like coming in again,” you have their uncompleted goals to refer to. It would be unthinkable for a 166 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 dentist to accept that statement from a patient who had a toothache resolved but still had teeth with cavities. We are dealing with the identical situation. Hypnotherapists are offering more than repair of a damaged psyche. The individuals who come to us want that, of course. But many or most of them also want to live their life more freely and their relationships more intimately, liberated from self-imposed inhibition and achieving mastery over the obstacles that have been interfering with a fulfilling life. And these are life skills that we can assist our clients to develop through the power of hypnotherapy. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 167 How to Attract New Hypnotherapy Referrals From Existing Clientele It usually requires hard work and persistence to attract new clients to your practice. New clients may come through online marketing, the Yellow Pages, referrals from colleagues, or an event where you were a speaker. By far the best source of new clients, however, is referrals from your existing clientele. There is no cost to you, and no effort other than letting your clients know that you appreciate their referrals and will welcome any new clients that they refer. Why do hypnotherapists find that they get more referrals from their own clients than most other psychotherapists? People are much more likely to talk with their friends and family about their therapy, and to encourage them to follow suit, when they are experiencing dramatic results. Your client may not tell his friend, “Yeah, I talked about how unhappy I am in my marriage again. My therapist gave me some ideas that he thinks would help.” But he may very well tell a friend, “Wow, you wouldn’t believe what came up for me this week. I had totally forgotten about the time in second grade that I had such a crush on Becky that I was showing off and fell down the stairs at school. I felt so foolish, and all the kids in the hallway were laughing at me. I think it’s taken ever since then for me to feel confident in approaching women.” Every hypnotherapy session is an adventure, and they always end on a positive note. Seven Ways to Attract Hypnotherapy Client Referrals There are several action steps for you to take in order to maximize your referrals from existing clients who have found personal success in their sessions with you: 1. Let your existing clients know that you are accepting new clients, and that you will give their referral priority in scheduling an appointment. 2. Reassure your clients that you hold their privacy as a sacred trust by stating explicitly your confidentiality policy. 168 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 3. Offer a no-risk initial telephone consultation (setting a definite maximum time length for the call) to anyone that your client refers. 4. Have a brochure, pamphlet, or flyer about your services available for your clients to take with them to give to their friend or relative when they speak about you. 5. Offer classes or public talks regularly on interesting topics that your clients could invite an interested acquaintance to attend with them. The events can be free, or you may want to have a small charge to attend which you can waive for your clients and anyone they bring with them. 6. Hold an open house at your office occasionally, inviting existing clients to come by for refreshments, and suggesting that they are welcome to invite other interested friends or family to come along. 7. Ask your existing clients if they would be willing to write a testimonial about your services that you could post on your office bulletin board or include in a “scrapbook” on display in your waiting room. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 169 Why Are So Many Therapists Attracted to Hypnotherapy? Hypnotherapy is one of the most sought after clinical trainings in the world. And it is one of the most requested forms of treatment by patients and clients. After teaching hypnotherapy for over 30 years to tens of thousands of therapists internationally, we have discovered that therapists are very curious people. They really want to understand the mind and how it works. They want to understand why bad things happen to good people. They are driven toward self discovery and personal growth. To our amazement we have found that the majority of people entering the field of psychology want to understand human behavior and that often begins with their own. Learning Hypnotherapy Unlike many other forms of therapy, hypnotherapy cannot be simply taught through lectures and reading books. How to hypnotize someone, to put them into a trance possibly could be taught that way, although we certainly don’t recommend it. Most people who learn to just put someone in a trance state, then say, “Now what can I do with this powerful state of deep relaxation?” Becoming proficient with the many uses of hypnotherapy requires hands on, experiential training. That is how we train our therapists at The Wellness Institute. We have found that during our trainings, therapists often say that one of the most valuable aspects is what they learned about themselves. Each one of our students gets to experience being the client, the therapist as well as an observer of this powerful process. Every session in which they participate is a completely unique experience with new learning, every step of the way. Of course they highly value the rapid healing they see taking place right before their eyes that they will be able to apply to their clients as well. An Example An example is a student who has a great deal of ambition and many creative ideas of classes she would like to teach and 170 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 books she would like to write. She also would like to do some public speaking, but seems to have a deep fear of that. She gets to the point of putting all her materials together, but seems unable to enroll her classes or to get her writing to a publisher. During her session of Heart-Centered Hypnotherapy, she worked with this frustrating pattern in her life. Her subconscious mind took her back to just after she was born where she became aware of the shame her mother felt about her birth. It seems that she was the product of a secret affair that her mother was having with a very fair skinned, blond haired, blue eyed man. She was born with this light coloring even though her mother and her supposed father were both dark skinned with dark hair and dark eyes. Each time her supposed father saw the baby, our client, he was furious and was reminded of the affair his wife was having while they were trying to get pregnant. And each time this happened, the mother of our client felt shame and guilt about the existence of her illegitimate child. This completely explained to our client her pattern of hiding and not wanting to be seen. It helped her to understand why she kept procrastinating the completion of any project that would make her more publically visible. She was subsequently much more able to bring her ideas forward, enroll her classes and even do some public speaking. It was now okay for her to be seen. She was very grateful for what she had unexpectedly discovered about herself in the process of learning the exciting new professional skill of Heart-Centered Hypnotherapy. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 171 What To Do When a Client Falls Asleep in Hypnotherapy Sometimes when a hypnotherapist induces hypnosis, the client appears to have fallen asleep. This may not actually be sleep as we know it, but rather it may be a signal that this client is what we call a somnambulist. These folks go very deeply, very quickly, into a hypnotic trance or into a dissociative state. Our research in over thirty years of trauma work is that somnambulism is a defense mechanism which the young child has unconsciously used to “retreat from the reality of trauma” and to find a safe haven. This is a natural response which also confirms what we teach, that hypnosis is a natural state of mind. Young children go to that state frequently when they visualize “imaginary friends” or just stare out the window and “disappear.” They may be in a deeply hypnotic trance state. The adult in our office may have been this traumatized child who is well trained to go to sleep when threat or fear arises. Before completing the session, we would inquire how much sleep they had last night to try to rule out that this response may just be exhaustion. But most often a client who falls asleep in your office (this is different than falling to sleep listening to a recording of the therapist’s voice) is having a response to facing some traumatic events in their life. In the work that we do at The Wellness Institute, we are learning to recognize what a shock response looks like. A client falling asleep during the induction is a probable indicator that the client is withdrawing from the process, possibly out of deep, unaddressed and therefore unconscious fears. How Do You Treat this Shock? Immediately at the point of your client appearing to be asleep, you can vary the volume and tone of your voice in order to rouse the client. If he/she doesn’t respond to that, I would gently wake them up and treat their shock. This would include asking the client to sit up, which involves “changing the shock posture” and often will move the person out of their dissociative 172 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 response of falling asleep. The therapist can also ask the client to take a drink of water as well as to offer them some heat or cold to place on their belly, neck or chest. The therapist may certainly ask if the client is aware of what their fears may be. All this is done within the trance state, and you can instruct the client, “Now keep your eyes closed and let yourself really feel what’s going on inside your body.” A qualified hypnotherapist would go back to what the client’s presenting issue is to discover what the fears are. However, many people don’t consciously know what their deepest fears are about and that is why they have chosen hypnotherapy. An example of this is a client who had a huge fear of hospitals, doctors and couldn’t even relax when going to the doctor’s office. He kept falling asleep during the induction. When his shock was treated, and he began to feel safe, the client was finally able to remain awake during the induction. When regressed to the source of his anxiety about doctors and his sleepy response, he regressed back to six months old. It turns out that he was born with a physical disability and required many painful surgeries as a very small baby. He was filled with much anesthesia for the series of operations. Also, during those days, parents were not allowed in the operating room or even the recovery room for fear of infections. The result of this is that there was no comfort available to the disabled baby, our “sleepy” client. The hypnotherapist learned to use shorter inductions and build in resources so that the client could heal the baby within him and release the anesthesia from his body. An experienced hypnotherapist develops the clinical skills of managing the client’s depth of trance, the level of their somatic energy, and treating the traumatic shock embedded in their nervous system. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 173 Are You Feeling Bored, Frustrated, Unable to Really Help Clients? Let Hypnotherapy Put Zest Back into Helping People Therapists, like yourself, sit hour after hour, day after day, week after week, listening to clients who go over and over their problems and why they can’t change. You offer suggestions and they play the “Yes, But Game” telling you why that wouldn’t work. Clients do need to tell their stories, but it’s not the events in their story that are the problem; it is when the story becomes a never-ending repetitive pattern like a mouse on a mouse wheel. The client becomes stuck in this pattern, often clinging to their story as some type of badge of honor. We as therapists may want to ask ourselves, in continuing to listen to their stories, are we contributing to maintaining their repetitive patterns. Eugene Gendlin has done research showing that when we continue to think and talk about a problem, we are actually drawing the same lines heavier, rather than inspiring the painting of a new picture. It’s no wonder that we as therapists get just as depressed and frustrated as our clients do. Gendlin’s research shows that mindfulness and experiential therapy, such as Heart-Centered Hypnotherapy, provide clients with what he called a felt sense, an epiphany, a breakthrough experience, which takes the client outside of his or her usual mental concepts and catapults them into a completely new awareness. This felt sense is experienced in the body, mind and spirit of the client. The profound part of this is that the therapist also experiences this felt sense with the client. Just as we, as therapists, can empathize with our clients’ pain and anger, we can also co-experience the felt sense of a new paradigm, a complete shift in consciousness that happens in an instant in deep experiential therapies. Hypnotherapy, Reaching The Mythopoetic Level Hypnotherapy provides the petri dish in which felt senses can grow and emerge like a beautiful lotus flower that is developed in the darkness of the muddy river bottom and then emerges as a magnificent orchid-like flower. Just as people can 174 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 get stuck in their thoughts about their problems, they can also get caught in an endless cycle of emotions. Just because a person is crying or angry, that in and of itself does not indicate healing. These emotions can become part of the repetitive cycle which keeps clients chained to their helplessness or rage. A key ingredient necessary to provide the space for a felt sense is slowing down and sitting in the silence. Hypnotherapy provides just that as both client and therapist must slow down in order to access the trance state. In our Heart-Centered Hypnotherapy model, we move with the client from the story level, down to the emotional level, and then to the mythopoetic or spiritual level. Once those emotions are released, we often just sit quietly and hold a safe space for the client. They are doing deep processing where words are not important; in fact they get in the way. Words are often inadequate to describe the depth of the awakening the client is experiencing at such a time. The Subconscious and Dreams A felt sense, as described by Gendlin, needs to just emerge. It is an intricate whole that encapsulates the entire set of life situations the client is addressing on this very deep level. This is all happening below the conscious mind/ thought level, often below the subconscious level and even into the collective unconscious level. This is why, we ask clients to write down their dreams (without interpretation) after sessions since many images and symbols come to them. The felt sense then is processed so deeply, that perceptions of one’s life and situations change, seemingly miraculously! It is like a picture that is worth a thousand words, an intricate puzzle where the pieces just suddenly fall into place to reveal a whole new perspective for the client as well as the therapist! This is why after a profound hypnotherapy session, we do not talk about the experience with the client, but rather we ask them to sit for a while in the waiting room and journal. We ask them to go for a walk and not speak to anyone but just to incorporate the experience into every cell of their body. Then to verbally explore their new awareness on their next appointment. Deep, experiential hypnotherapy provides a profound new paradigm that sets the stage for personal transformation. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 175 The Art of Clean Language in Hypnotherapy In hypnotherapy we directly access the client’s unconscious, and the words he/she uses to communicate their experience are precise and personally deeply meaningful to the client. We always want to use the client’s exact words, not substituting “angry” when they say “pissed” or “alone” when they say “lonely”. Our language conveys interpretation and suggestion, and we want to avoid either one. Explicitly introducing clean language into one’s approach to psychotherapy sharpens the focus on the client’s own inherent wisdom. The less we attempt to change the client’s model of the world, the more they experience their own core patterns, and organic, lasting changes naturally emerge. David Grove quite radically modified the traditional philosophy of NLP by using clean language (containing a minimum of presupposition) to replace typical NLP patterns of language which are designed to have maximum influence, often through the covert use of suggestion. NLP is based on the notion that you can take an experience, find its structure and if you change its structure it changes the experience. Thus the Clean Language therapist follows the natural direction of the process rather than leading it. Working with Symbol and Metaphor What Grove discovered was the more he used Clean Language, the more clients naturally used metaphor to describe their symptoms. When Clean Language questions were then directed to the metaphors and symbols, unexpected information became available to the client, often with profound results. By interfering with a client’s description of their symptoms with interpretation and suggestion, well-meaning therapists can rob clients of the very experience needed to resolve their unwanted behaviors. Working with symbol and metaphor is the forte of Clean Language. The aim is for the client to gather information about their own subjective experience, not necessarily for the therapist 176 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 to understand it. Common by-products of being asked Clean Language questions are: a state of self-absorption (trance often spontaneously develops); a sense of connecting with some deep, rarely explored aspects of ourselves; and a sense of wonder, curiosity and awe at the marvelous ingenuity of our unconscious. When a therapist makes even minute changes to a client’s words the implications can be significant. Clients often have to go through additional translation processes and mental gymnastics to reorient to the therapist’s presuppositions. Thus the therapy subtly goes in a direction determined by the therapist’s map of the world. To illustrate how easy it is to unwittingly interfere in a client’s process, recognize that a therapist could respond in a number of ways to the statement: “I’m stuck with no way out.” It is highly therapeutic to begin by fully validating the client’s ‘current reality’ that there is no way out of stuck through the use of Clean Language. It may be tempting to want to direct the client, subtly or not-so-subtly, toward a solution. But that is short-circuiting the client’s exploration of their dilemma. There are 9 basic Clean Language questions. Two questions request information about attributes and two ask for location information. There are two questions which reference the past and two which reference the future. One question offers the client the opportunity to make a metaphorical shift in perception. The 9 basic Clean Language questions are: 1. And is there anything else about ......? 2. And what kind of ...... is that ......? 3. And where is ......? 4. And whereabouts? 5. And what happens next? 6. And then what happens? 7. And what happens just before ......? 8. And where does/could ...... come from? 9. And that’s ...... like what? Grove, David J. & B I Panzer. (1989). Resolving Traumatic Memories: Metaphors and Symbols in Psychotherapy. Irvington, New York. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 177 15 Ways Hypnotherapy Can Expand the Scope of Your Practice Develop new specialties using hypnosis and hypnotherapy in your practice. With all the current, updated and new research being done with using hypnosis, there are so many more areas that you can specialize in. For example, in the past, researchers were using old fashioned types of suggestions to reduce the pain from spinal cord injury patients. The newer researchers at The University of Washington discovered that just telling the patient, “you no longer have pain” was actually detrimental in the pain relief of the patient. The resurgence of the ancient belief of Integrative or Holistic medicine, is now incorporating hypnosis and hypnotherapy into their departments. The world renown Cleveland Clinic has lead the country in providing comprehensive holistic services to its patients and their families. They have found that the use of hypnosis and Heart-Centered Hypnotherapy actually reduces recovery time from surgeries, and reduces the amount of drugs that patients are required to take. They have shorter hospital stays and can return to work faster than previously thought. Here is a short list of some of the current research indicating effective uses of hypnosis in the fields of: 1. Surgery preparation, which has been shown to decrease the recovery time 2. Post-op recovery, including pain management 3. Hypno-anesthesiology for children, the elderly and people who cannot tolerate anesthesia 4. Migraine headache treatment, often eliminating the need for drugs 5. Reducing bleeding. 6. Fertility treatment; without expensive and invasive medical procedures 7. Hypno-birthing to support natural childbirth without pain 178 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 8. Claustrophobia, especially for people needing MRIs and other suffocating medical procedures 9. PTSD for trauma survivors and vets returning from war zones 10. Weight management and addressing the underlying emotional issues of obeisity 11. Smoking cessation to prevent heart attacks and cancer 12. Eating disorders and bariatric surgery 13. Anxiety and depression 14. Autism 15. Dementia And the list of possible uses of hypnosis goes on and really is endless. It is only up to the creativity of the hypnotherapist to provide the link between the presenting issue of the client and the treatment using hypnosis. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 179 Why Hypnotherapy Is the Missing Link to Powerful Treatment and How to Change Self-sabotage Studies show that the conscious mind, even though it is very important, is only about 10 % of our minds. The conscious mind helps us to think, debate ideas, reason, and process short term memory experiences. All very important tasks. The subconscious mind contains a full 90% of the mind! It contains long term memory, to help us “learn from our own history.” This demonstrates the profound saying that if we don’t learn from our history, we are likely to repeat it, making the same mistakes over and over again. So even though our conscious mind may completely understand our dysfunctional relationships or self-sabotaging patterns, it is not capable of making the necessary changes. What we have discovered by exploring the intricacies of the subconscious mind, is that from very early in our development, we draw conclusions about ourselves which are programmed into the deepest core level of beliefs about ourselves. And then we make decisions about how to behave based on those conclusions. And this behavior is so deeply buried into our operating system that the limitations of the conscious mind do not allow us to find them or change them. An example of this would be growing up in an alcoholic family or dysfunctional family system. Having the experience of sitting at the dinner table with an explosive parent who pounds the table and emphatically says, “You’re not leaving this table until you eat everything on your plate!” Or sitting at the dining room table night after night with parents who are fighting, drunk or screaming at the children. A conclusion that the children growing up in this family might make about themselves is, “I’m a bad person.” Or “I’m not safe, even in my own family.” Then those conclusions may be followed by a subconscious decision about how to behave in order to feel safe. That decision might 180 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 be, “I’ll just become invisible – if I become real small perhaps no one will notice me and then I’ll be safe.” Later on in life such people may wonder why they cannot really be successful in reaching goals in their life. They become aware, perhaps in cognitive therapy or counseling, that they keep sabotaging themselves, hiding their own light, so to speak. Getting it all figured out in the conscious mind is certainly a good first step. But after lots of time and money spent trying to change this behavior of self-sabotage by talking about it, analyzing it and deciding to be different, most of us have learned the hard way that the self-sabotage continues! Professionals are flocking to receive hypnotherapy certification training because it has proven to be the most effective and efficient path to create change within ourselves and our clients. Through hypnotherapy we learn that the way to change these old stubborn patterns that have plagued most people for a majority of their lives, is to have direct access to the subconscious mind, discover what conclusions and decisions are still operating and re-program them. This is just like the operating system of your computer. If you don’t upgrade the old system, it will no longer be operational. The old programs are just not sufficient to serve you. Hypnotherapy is a powerful tool in re-programming what no longer serves your highest good. Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 181 What is Your Grand Bargain that Allows Spring to Replace Winter? On March 20 every year we celebrate the Spring Equinox. In the rhythm of the seasons, there are two points in the cycle where light and dark are equal – the spring and autumn equinox. These are the occasions for special festivals that celebrate the polarities of life, from ancient times until today. On the Spring Equinox day and night are equal, poised and balanced, but about to tip over on the side of light. The spring equinox is sacred to dawn, youth, the morning star and the east. The Greek Goddess we associate with the Spring Equinox is Persephone, daughter of Demeter, the Goddess of grain and growing things. In the spring, Persephone comes back from the Underworld to be reunited with her mother. Here is the story of how they came to be separated, and why they share reunion each spring. In the beginning, there was no separation of seasons, just never-ending good crops. And it was Demeter, Goddess of grain and growing things, who nourished the earth with this abundance of plant life. Once upon a time Demeter’s daughter Persephone was abducted by Hades, God of the Underworld, and taken there to become his Queen. Demeter abandoned her divine functions of nourishing the earth in order to look for Persephone. Angry and mourning, Demeter left Olympus and hid the seed for the next harvest far below the ground, bringing famine to the land of mortals. This in turn threatened the very existence of humankind, who were left with no crops and no food, the springs of fertility ran dry, vegetation languished, animals ceased to multiply, and the hand of death touched mankind. It was not until after the great Zeus beseeched Demeter to return to her duties, that man was able to go on living. Demeter only agreed to this in a great bargain with Zeus and Hades: Persephone would live in the Underworld for one third of each year, and would be allowed to return to this world each spring and remain here for the remaining two thirds of the year. Still to this day, Demeter allows the earth to go barren during those 182 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 winter months in which Persephone resides with her husband. But every spring, with the return of her daughter, the goddess shows herself in the blossoms, the leaves on the trees, the sprouting of the crops, the mating of birds, the birth of young animals. In the agricultural cycle, it is time for planting. We, too, have rhythms in which periods of productivity alternate with periods of wandering and hibernation. It is good to accept these cycles gracefully instead of attempting to force productivity all the time, which some of us “work-a-holics” try to do. There is a legitimate place for creating sustenance in this world, and a place for reigning over the invisible world beyond. Another insight from this story is that the power to give is most notably and often only appreciated when it is withheld. It is so easy to take all of life’s precious gifts for granted. And finally, the myth seems to convey the intrinsic contribution of the Mother, the Great Feminine to life itself, and the implicit warning of the grave consequences inherent in not respecting her. As well, there is a parallel between this myth and our form of psychotherapy. Our ability to live a good life, prosperous and productive and loving, depends on our willingness to journey into the dark and unfamiliar realms of our own deep unconscious, the Underworld where our shadows live otherwise undetected. So what is your grand bargain that allows spring to replace winter when you find yourself mired in anguish, disheartened by disillusionment, seething with rage, or hopelessly lonely? Heart-Centered Hypnotherapy is effective in assisting people to navigate between these two realms, to explore in the underworld for the source of these plagues and then with that clarity to bring renewed passion and exuberance into their daily life. It’s springtime! Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1 183 On a Personal Note: Nelson Mandela’s Passing December 5, 2013 Dear Graduates, Our hearts are heavy with the passing of Madiba – the term of endearment always used for President Mandela, it is the name of his clan. When we were called to come to South Africa in 1995, the year after he was inaugurated South Africa’s first democratically elected President, we had no idea of what we would encounter. We were soon educated by the residents there about the atrocities of apartheid which traumatized all the races of South Africa: white Afrikaaners, English-speaking whites, black, Cape Colored and Indian. We taught integrated classes on the clinical skills of Heart-Centered Hypnotherapy, and we received a powerful education about what truly happened as that history unfolded through personal experiences in participants’ age regressions. We witnessed firsthand and deep within our souls, the pain, the terror, the rage and the shame for all concerned that resulted from a culture deeply divided by racial prejudice. We met Madiba in person one night in 1995 when he visited the hotel in Johannesburg that we happened to be staying in. His beloved rugby team was having a celebration after winning the World Cup. David and I will always remember all the waiters and hotel staff breaking out in a spontaneous tribute song and dance dedicated to him and showing their deep respect for his bravery and leadership, even after twenty seven years of imprisonment. The movie Invictus, starring Morgan Freeman as Mandela, recounts the significance of that historic event. His passing represents the passing of an era, of a generation that bravely fought, lived and died for their ideals of freedom of expression for all people. Madiba has left an enduring legacy: the awarding of the Nobel Peace Prize in 1993 to Nelson Mandela and Frederik Willem de Klerk jointly for their work to peacefully terminate the apartheid system anticipated the graceful Truth and Reconciliation Commission which averted the violence that could have easily overshadowed the transition to democratic majority rule. 184 Journal of Heart-Centered Therapies, 2014, Vol. 16, No. 2, and Vol. 17, No. 1