CANADIAN FEDERATION OF CLINICAL HYPNOSIS FÉDÉRATION CANADIEN D’HYPNOSE CLINIQUE Hypnosis Canada S i x t h E d i t i o n F a l l 2 0 1 2 Unexpected Ending By Ian Simpson, MA, MB, BChir., FCFP Early this year, I was asked to see a patient with a chronic pain who was worried about the amount of codeine that he was taking. His story was that four years previously he had gone to a Photo by Stuart Edgar chiropractor with back pain, and as part of the treatment had a neck manipulation (or adjustment). Within minutes of the manipulation he experienced pain in his head and neck, ringing in his left ear, dizziness, and balance problems. These symptoms persisted without remitting over the years. Later he noticed also that he was deaf in the left ear. The ringing persisted and worsened, or at least it bothered him more. Patients suffering from chronic pain almost always have other issues, so I started asking and probing a little. I asked him if he was angry about the chiropractor causing this. He thought carefully for a few minutes and then said, “I’m not really angry with her. I am still upset that she refuses to recognize that the manipulation caused this and denies the relationship, but my God I was in trouble almost immediately after she finished with me! But I know she was practicing as she was taught. I am angry that her professional association and the lawyers keep denying any liability. And the law case keeps dragging on in spite of my specialist’s opinion …(Continued...pg.5) … Focus on Medical Settings: Reaction to Two Exceptional Workshops By Marta Edgar The latest two CFCH May conferences in Banff (2011 and 2012) included workshops focused on using hypnosis in medical settings. I would like to share my reactions to two of these workshops. The first one, “No Fears, No Tears During Diagnostic and Medical Procedures”, was taught during the 2011 conference by Dr. Elvira Lang, a physician and a professor at Harvard Medical School. Dr. Lang addressed the use of hypnosis in challenging situations that involved time pressure, distractions, and patients who are ill, scared and in pain. It was a far cry from a typical psychotherapy or (Continued...pg.3) Page 2 Hypnosis is My Passion Hypnosis tends to attract that kind of professional, because it isn’t “main What got me started? I took my stream.” Deciding to try it demands introductory hypnosis training in a certain willingness to take risks -to November of 2001 - only 11 years ago -so be less “textbook driven” and more I’m not one of the Grand Masters. But, at personally creative in the provision the time, I was so exhilarated by the of treatment. It certainly suited my training that I volunteered to be on a start- style. So I became a kind of hypnosis up committee being organized in Ontario. “junkie”: I took all the training I To my surprise, I ended up as founding could get both here and in the U.S. President of Ontario Division -certainly over 300 hours and counting-and I not because of my hypnosis expertise -but worked hard to promote Ontario and because of my “passion” for using the fledgling Canadian Federation. hypnosis and because of the people I met It’s hard to believe that eleven years in the hypnosis community. have passed since those early days, and even after all the work I have Hypnosis people didn’t feel like the done, I am still deeply committed to professionals in other groups in which I had interacted. They were warm, Canadian hypnosis. clinically generous, creative thinkers, with Why? Actually, I sometimes wonder whom I felt instantly “at home.” myself. It hasn’t (Continued...pg.7) By Judy Coldoff, Ph.D. Integrating Cognitive Behavioural Therapy, Hypnosis, and Mindfulness in the Management of Depression By Veronica Dixon, R. Psych. At the 2012 Annual Spring Hypnosis Conference and Workshop in Banff, Dr. Assen Alladin presented a workshop entitled Integrating Cognitive Behavioural Therapy, Hypnosis, and Mindfulness in the Management of Depression. During the two-day training, Dr. Alladin reviewed his multimodal assimilative model of psychotherapy, entitled Cognitive Hypnotherapy (CH), which is an evidence-based approach to therapy integrating CBT and Hypnosis. Dr. Alladin outlined many ways Hypnosis can be systematically integrated to Hypnosis Canada enhance therapeutic effectiveness, decrease relapse rates, and decrease treatment time. Hypnosis, when integrated into therapy at different junctures, can help to reduce resistance, induce relaxation, interject an early experience of hopefulness, build emotional regulation, and strengthen the ego. This reviewer has been regularly practicing hypnosis since 2008, and have used hypnosis in the treatment of OCD, PTSD, GAD, MDD, Binge Eating, Insomnia, Self Esteem, Chronic Pain, etc. In an effort to (Continued...pg.8) Sixth edition Page 3 Making a Difference in Medical Hypnosis (Cont’d) the Workplace by Introducing Hypnosis to School Employees By Pascal Vettraino, M.S.W., R.S.W. It may not be too surprising to learn that hypnosis is making a difference in workplaces around the world, and perhaps less so, that hypnosis is helping employees of a public school board to become more resilient, and proactively deal with the inevitable stressors of work and life. My first exposure working with colleagues who regularly practised hypnosis in a Metro Toronto general hospital setting was in the early 1980s. It was fascinating to hear the type of issues they were treating and the amazing results attained by their patients. Through my readings, I became fascinated with hypnosis as a tool of psychological healing for patients coming to the emergency department with burns, pain, stress, anxiety and depression, and family members grieving the loss of loved ones. And so, I promptly asked one of my psychology colleagues where I could get the training in hypnosis, and was told that my Master of Social Work was not good enough, as I required a PhD in Psychology. It was disappointing to hear that and I moved forward to work in the mental health and addictions field in middle and senior management positions in Ontario and across the Western provinces. My interest in hypnosis resurfaced while working as a Clinical Supervisor at the Calgary Board of Education. Over the past six years, more and more employees asked if we offered hypnosis for smoking cessation, weigh loss and mental health conditions. Initially, I referred them to local hypnotherapists. As the request for hypnosis continued, I took intro-intermediate and advanced training with the Canadian (Continued...pg.9) counselling setting of gathering a thorough history, planning the treatment, and going at client’s pace. Yet Dr. Lang demonstrated that even in chaotic emergency situations it was possible to rapidly develop rapport, help the patients calm down, and reduce their suffering while making it easier for medical staff to help the person. The many impressive case studies were supported by research demonstrating the usefulness of hypnosis in reducing “Dr. Lang subjective discomfort as well as demonstrated that even reducing the amount of anaesthetic needed during medical interventions. in chaotic emergency situations it was The second workshop “Healing possible to rapidly Words” was taught in 2012 by Alex develop rapport, help Chisholm, a physiotherapist from patients calm down, Calgary specializing in care of burn and reduce their injuries. It was a fascinating consuffering while making tinuation of the medical topic, as it it easier for medical covered a broad background of staff to help the research evidence for the usefulness of hypnosis in medical settings, with person.” evidence that hypnosis can reduce pain and speed up patients’ recovery. The changes effected with the help of hypnosis were also related to the recent research in neuroplasticity. The workshop included several memorable participatory exercises, such as developing an illusory sensation in a fake hand, temporarily attached to the body of a volunteering participant. Another exercise helped the participants to develop a deeper understanding of the roles usually assumed by patients and medical staff. Although I work in an educational institution rather than a medical setting, I found both workshops fascinating as well as very useful. My clients report a great variety of hardships, among them physical illnesses, chronic pain, and anxiety -provoking medical procedures. Both workshops made it easier for me to address these challenges with my clients. I also benefitted personally from attending these workshops: an improved selfhypnosis practice now prepares me very well for my own medical and dental appointments. Page 4 Letter from the Editor, Marta Edgar I hope you will enjoy this newsletter. In this issue you will find a variety of items, including case studies, reactions to workshops and conferences, letters from some of the CFCH branch presidents, and a book review. Warm thanks to all who contributed their thoughts. This issue would not be what it is without a major input of time and creativity from Veronica Dixon, who contributed an article and formatted the whole issue in such an attractive way. I believe she deserves at least the title of Assistant Editor. The Alberta Fall 2012 conference, which was to have a focus on sexual issues and was originally scheduled for October 26-27, had to be cancelled because of very low registration numbers. Instead, the Alberta chapter board attended a strategic meeting led by a professional facilitator from Alberta Culture. Mr. Victor Moisan helped us to formulate vision and mission statements, outline long term goals, and specify individual shortterm goals for each member. The new vision and mission state is the following: CFCH – Alberta Society is the recognized leader in the development, promotion and ongoing education in the discipline of Clinical Hypnosis for registered Health Care Professionals. CFCH- Alberta Society exists to serve Registered Health Care Professionals by: Providing educational opportunities for members in the practice of Clinical Hypnosis via local conferences, workshops, consultation and media resources Promoting awareness of Clinical Hypnosis to the general public Advocating for the sanctioning of Clinical Hypnosis by the Governing Bodies of Health Care organizations The next conference is scheduled for May 24-26, 2013 in Banff. Reserve this time, and keep warm throughout the Canadian winter. Photo by Stuart Edgar Hypnosis Canada Sixth edition Page 5 Unexpected Ending (Cont’d) that it is quite definite that the manipulation caused all this.” Now I began to get a little anxious, as patients in litigation bring so many secondary problems with them. But I agreed that we would together see if he could be helped with hypnosis and particularly help himself by learning and using self-hypnosis. I told him that my practice was to induce and show him a hypnotic trance and we would assess each time whether he felt this was helpful. He had a very good response to the initial session, so I agreed to continue treatment weekly with him and told him that I would tape the next session for him to start practicing at home. When I saw him a few days later, he told me he felt a fair bit more optimistic and that he was using a bit less codeine. I continued to question him about whether he really was angry with what had happened. He immediately said, “ Yes, I’ve thought about what you said about anger and other things often being the reason chronic pain won’t go away even with treatment. After all the investigations and visits to doctors, I went back to the mill and asked for an office type job. I knew I couldn’t go back on heavy machinery to my old job as a heavy equipment operator. My balance is shot. I’m partially deaf, and have this ringing noise in my ear. The manager said there would probably be a job I could do in the office. I said, “I assume I will keep my seniority of thirty years in the paper mill.” He said “Oh no! You will go back to the bottom of the seniority list in your new job.” I was so angry. That is so unfair. I didn’t go back to the paper mill! “At his next visit, he stated he was really enjoying the practice: during the time of self hypnosis and for a short time after he was pain free, and the head and neck pain were improved a bit during the rest of the day.” Now it so happened that the mill closed down during these four years he had been sick, and his sick benefits continued. I said, “Aren’t you lucky! If you had gone into the office, you would have lost the job, and with it your long term disability when the mill went down! Instead, you’ve been financially OK.” We had another session in which I tried to reframe this anger towards his previous employers, showing him that he had financial stability and was still home seeing his children through secondary education etc. I encouraged him to continue his homework by listening to the audiotape and practicing his own self-hypnosis. At his next visit he stated he was really enjoying the practice: during the time of self hypnosis and for a short time after he was pain free, and the head and neck pain were improved a bit during the rest of the day. I asked him whether he kept up with his buddies from work. “Yes and no“, he said. “Most of them are over in the Alberta oil patch. They mostly commute, spending several weeks in camp, and then some time back home. I do see them when they are home but I feel sort of funny around them. We don’t seem to have the same things to talk about.” As I enquired further, it seemed to me that he was feeling guilty that he was still home and almost all his workmates had to go away. So at this session we worked on this feeling of “survivor guilt”. When he returned again, he was obviously doing much better, in all respects, except for the tinnitus, which was much the same. I had done a literature search; there wasn’t much on hypnosis and tinnitus. I had informed him that I could find nothing in the literature to suggest a cure for (Continued...pg.11) Page 6 Forgive For Good: A Proven Prescription for Health and Happiness Book Review: Forgive For Good: A Proven Prescription for Health and Happiness, Luskin, Fred. HarperOne, New York, N.Y.:2002. “Luskin is a master teacher who summarizes his methods throughout the book in such a clear and concise manner that it is easy to incorporate them into any standard hypnotic induction” This absolute ‘gem’ of a book is the culmination of Dr. Luskin’s doctoral dissertation and his initiative in establishing the Stanford University Forgiveness Project. Grounded in careful research, rich in practical methodology, effective metaphors and case illustrations; outcome studies have shown the work to be effective in individual and group applications. The model has been used successfully with people who suffered from the violence in Northern Ireland and Sierra Leone as well as the attacks on the World Trade Center on 9/11. Luskin has described his approach as a combination of guided imagery, cognitive strategies, journal writing and discussion all presented in a safe and nurturing environment. The reviewer uses hypnosis frequently when counselling and approached Luskin’s work in the spirit of Photo by Stuart Edgar Hypnosis Canada Aladdin’s Cognitive Hypnotherapy *, a combined or integrated approach to therapy. Luskin is a master teacher who summarizes his methods throughout the book in such a clear and concise manner that it is easy to incorporate them into any standard hypnotic induction whenever the therapist senses that the client is carrying a grievance toward self or other, past or present, and would benefit from letting go of the ‘unfinished business’. The results of this multi-disciplinary approach have been very gratifying, and the reviewer hopes that the Canadian Federation of Clinical Hypnosis – Alberta Society will consider inviting Dr. Luskin to present his very effective methods to our membership at some time in the very near future. By Tom Brown, Ph.D., R.Psych. *Alladin, Assen. Cognitive Hypnotherapy: An Integrated Approach to the Treatment of Emotional Disorders. Wiley, Chichester, West Sussex, England,:2008 Sixth edition Page 7 Hypnosis is My Passion (Cont’d) manuscripts to MBR for publication and build the momentum of MBR. been easy, and certainly not always fun: there were political problems I didn’t anticipate; I misjudged some situations and made some mistakes. But I also learned a lot, worked very hard and made some great friends. In the early years, Mark Dimirsky and I wrote the Ontario and Alberta websites and developed bylaws for OD and for CFCH; I was the Canadian Rep to ASCH for 6 years; I founded and edited both Hypnosis Ontario and later Hypnosis Canada; and I served as Secretary of CFCH from 2003 until two years ago when I became President. I consider one of the highlights of my work to be the recruitment of renowned neuroscientist, Amir Raz, to help us start up what is now the Journal of Mind-Body Regulation (MBR) and become our Editor-in-Chief. I cannot tell you how difficult it is to mount a brand new journal and get the word out about it. Amir and his team at McGill (especially Noémie Aubert-Bonn and Michael Lifshitz) have worked tirelessly to produce an online journal of which we can be very proud. Heartfelt thanks to you, Amir, and all of your team; and kudos on your magnificent product! One of the fringe benefits of this database is that we can use it for a number of purposes: to promote the workshops of our member societies, (as well as those of other professional hypnosis societies); AND to promote products of interest to our members and to those in the broader community. This is good for our societies and for the Federation. Money is always the “It is my fervent hope that hypnosis takes its bottom line in trying to manage a volunteer organization: we never have place in becoming the indispensable, enough money to do all the work we mainstream tool it would like to do - mount conferences; deserves to be - a advertise; pay wages and expenses of those who give their time and energy to remarkable asset to one’s clinical repertoire: our society. So finding ways of one that well-trained and promoting revenue sources is extremely talented health important to us. professionals can use to Raising money is what is critical for us address the daunting now. Your Board and Finance health problems we face Committee have been working at in our world today.” developing ways of doing this. Some of us are planning to create videos for sale on line. We are always looking for good people to help us with the work, which is enjoyable and not too strenuous. Please do get in touch with me or any member of your executive, if you have any ideas or are willing to let your voice be heard on our Board or on one of our committees. We’ll welcome you warmly. ....(Continued...pg.10) Since MBR’s launch in 2011, I have been working at developing an online database to promote MBR. At last count, I have collected well over 200,000 academics and health professionals both in North America and around the world for our database. As a result, MBR’s circulation is growing steadily and it is becoming better-known. A few months ago, we were invited to sign a contract with EBSCO - a large indexing service that will allow MBR’s articles to be accessed by search engines around the world - both in academic and popular media. This means that they can be viewed and cited by researchers, clinicians and students seeking information. We are hoping that this will prompt more authors to submit their Photo by Stuart Edgar Page 8 Hypnosis, CBT, and Mindfulness in Treating Depression (Cont’d) customize the hypnotic approach to the client, I have used an array of induction, deepening, and imagery techniques with good success. With that said, the writer was exposed to many intriguing ideas during Dr. Alladin’s workshop. This psychologist truly appreciated his systematic approach, which seamlessly wove hypnosis into a comprehensive CBT treatment plan with the utmost importance placed on taking a pragmatic approach to therapy. “Dr. Alladin suggested that all hypnotherapists could learn from the skilled stage hypnotists, who regularly demonstrate the validity of the hypnotic experience to their patrons.” Dr. Alladin emphasized the use of an evidence based pragmatic approach to treatment and stressed the importance of integrating trance ratification procedures, such as eyelid catalepsy into the hypnotic experience to demonstrate and affirm for clients the believability of their hypnotic experience, thus enhancing the efficacy of the procedure. Dr. Alladin suggested that all hypnotherapists could learn from the skilled stage hypnotists, who regularly demonstrate the validity of the hypnotic experience to their patrons and thus enhance their believability in the experience. In a clinical setting, convincing the client they have been hypnotized is of great importance. The writer feels her clinical skills have improved since attending Dr. Alladin’s workshop. This Psychologist uses hypnosis in therapy at many more treatment points, and now always use a trance ratification procedure. The benefits reported by clients have been substantial. Anecdotally, it appears as though their treatment time and thus distress has been shortened. This Psychologist was already using hypnosis regularly, and from a CBT perspective, but now I am more skilfully using it. depression. The dropout rates remain high, and even though it is lower than treatment with medication-alone, symptoms of depression do not resolve for an unsatisfactorily high number of clients. The goal of CBT is to teach clients to recognize and examine their negative beliefs and maladaptive perceptions. This goal is achieved through a structured collaborative process, engaging the client to explore and examine their thoughts, feelings, and behaviours and encourage the client to engage in experimentation to challenge their thoughts, feelings, and beliefs. The idea is that if you can restructure the thoughts, you can alter the emotional reaction and the resulting behaviour that together sustains the depressed mood and consistently undermine client’s hopefulness, worthiness, and integrity. Many clinicians have likely had times when clients struggled to identify their thought processes. Dr. Alladin suggests this is another juncture that Hypnosis can be quite effective. Hypnosis permits clinicians and clients to access unconscious thought processes, enabling cognitive restructuring. In demonstrating this point, he referred to a client whose therapy was progressing well until she experienced a setback. The client was unable to identify the trigger without the use of hypnosis regressing her to the event and exploration of her thoughts, feelings, and beliefs. Clients struggling with depression habitually ruminate. Such perpetual recycling of negative thoughts leads to Dr. Alladin discussed the many benefits and negative affect, negatively biased limitations of CBT in the treatment of thinking, impaired (Continued...pg.13) Hypnosis Canada Sixth edition Page 9 Hypnosis with School Employees (Cont’d) Federation of Clinical Hypnosis (CFCH-AB) in 2009, and recruited two more hypnotherapists. The training literally changed the course of my life by opening up an unlimited number of doors. My clients’ success motivated me to learn and continue to refine my hypnosis technique as a fascinating healing tool. I continue to attend many professional hypnosis workshops as I become more and more comfortable using a wide variety of techniques and recording tools with individual clients and groups. It became very clear that hypnosis fast-tracked the therapeutic process by empowering clients to heal faster and develop the ability to proactively deal with inevitable stressors. Purpose and direction of the Employee Counselling Services As an integral part of the Employee Health Resource Centre (EHRC), the Employee Counselling Services provides counselling services of the highest professional standards to approximately 13,000 employees. Our in -depth knowledge of workplace dynamics, and collaboration with the EHRC and other departments, enables us to provide the highest standards of counselling services. We are dedicated to improving and maintaining the well-being of our employees by proactively anticipating needs and developing accessible, high-quality services. The top four reasons Calgary Board of Education employees access the Employee Counselling Services include stress, depression, anxiety and work-related conflict. It is important to note that the above-noted findings are not school-based , but mental health in the workplace. They appear to be consistent with research in mental health in the workplace, both nationally and internationally. In the professions and in business, Ottawa River, Simone Brosig "Stress is the leading priority for employee assistance programs" (Murphy, 1991). According to a 2007 Ipsos Reid survey, employers in Canada are aware of the prevalence and impact of mental illness, but many don’t know how to deal with this problem. Developing a Strategy Based on Presenting Issue In 2008, we targeted the above-noted top four issues by introducing Healing Rhythms Biofeedback (recently renamed Relaxing Rhythms) for stress and anxiety reduction. A Stress & Anxiety Scale was developed to monitor improvement before and after each session. Prior to the biofeedback session, clients were also asked to access the Georgia Southern University-Stress Workshop and Online Relaxation Training. Clients learned a variety of relaxation exercises in the form of Quick Time and MP3 audio files that they could play on their computer or download on their ipod/iphone. The survey results proved that over 90% of clients using biofeedback reported feeling considerably less stressed and anxious. Clients were able to complete the program in five one-hour sessions. In addition to individual sessions, we had several stress reduction/change management/Work-Life Balance workshops at several schools at the beginning and end of the school year. This proved to be an easy and effective way to engage employees in taking personal responsibility for their health in a gradual and non-threatening way. (Continued...pg.12) Page 10 President’s Letter, Quebec Division. By Stan Blicker The Québec division has been active in teaching introductory courses in the past few years. A number of our former students are now taking an active role on the executive of the division. This year we have started a program of membership meetings at which we expect to have good presenters as well as a panel of experts to which our members can bring their problem cases for discussion. At our 1st meeting in May our speaker was Dr. Amir Raz. After having taught a number of introductory courses, we are planning to have an intermediate course in the Fall 2012, largely for many of our former introductory level students. This will be followed by another introductory course in the new year. Photo by Stuart Edgar Hypnosis is My Passion (Cont’d) For me, the continuing driving force is clinical: using hypnosis hugely empowers my practice; it gives me a sense of heightened possibility for my clients -most especially, the increased speed at which they recover-and it is a healthy, inexpensive method without side-effects when skilfully used. For these reasons, hypnosis is a technique very much worth learning; worth becoming more expert at; worth promoting to as many health professionals as possible, because of its powerful healing potential. It is my fervent hope that hypnosis takes its place in becoming the indispensable, mainstream tool it deserves to be - a remarkable asset to one’s clinical repertoire: one that well-trained and talented health professionals can use to address the daunting health problems we face in our world today. Judy Coldoff, Ph.D., Psychologist, President of the Canadian Federation of Clinical Hypnosis drcoldoff@bellnet.ca Hypnosis Canada Sixth edition Page 11 Unexpected Ending (Cont’d) the tinnitus but that it would bother him a lot less, although still present. And this is what occurred. I thought that now we had uncovered and helped him deal with his anger and guilt, helped him significantly with the neck and head pain, and significantly reduced his codeine use. I felt that my job was finished. He asked for one more session just to reinforce his own self-hypnosis and relaxation, and also to have a different audiotape to listen to. I knew by now a lot of what went on in his mind during his hypnotic sessions, so I asked if he wanted any specific imagery in this relaxation session. “No”, he said. “This case “As you usually do when I’m relaxed, ask me to find my own special imaginary place. I usually demonstrates the end up back as a boy cod-fishing with my father, but sometimes I am just sitting looking out over the bay. I think I’m older when that happens. It’s interesting to wait and see which image comes.” importance of the emotions -often So for this last hypnosis, I really did not have to think and prepare. We had done the work together. He had allowed himself to realize what other factors were preventing his healing, and I buried deep and knew we were finishing our journey together -- or so I thought. denied-but still I was not concentrating and focusing the way I should have been. I often use counting to induce an having such a strong hypnotic trance, and I counted coherently from one to five, and then my mind not being focused I influence in went from five to thirteen. My immediate thought was, “Oh my God, I’ve broken his trance“, but I maintaining the went on talking to him. “Now thirteen is an interesting number, it’s unlucky for some but lucky symptoms in patients for some others. Twenty one: that’s another interesting number, lucky for some card players…”-with chronic pain.” I went on with my talking. I did not appear to have disturbed his trance, only my own equilibrium briefly. After the hypnosis I debriefed him. He immediately said “How did you know my lucky numbers?” I said, “What do you mean, what are you talking about?” He said, “Thirteen and twenty one are special numbers for me. Thirteen was the number of the house I grew up in, and twenty one is our house number now. Also, they were both my numbers on my hockey shirts at different times! This case demonstrates the importance of the emotions –often buried deep and denied—but still having such a strong influence in maintaining the symptoms in patients with chronic pain. It is the same situation with patients with PTSD. Often until the memories and emotions are recognized, exposed, and talked through, the symptoms that trouble them still remain. I have no opinion to offer about the apparent mind reading. But the surprise to the patient seemed to be therapeutic! Dr. Ian Simpson, MA, MB, BChir., FCFP Photo by Stuart Edgar Page 12 Hypnosis with School Employees (Cont’d) In 2009, the author completed IntroIntermediate and Advanced Hypnosis Training with the CFCH-AB, and two other colleagues also became members. In the years that followed, we purchased software which further expanded our services. We use Sound Forge Pro-10 for recording hypnosis sessions and gather client feedback through the Outcome Rating Scale and Session Rating Scale (Scott & Miller, 2000). The SHARM 4 software allowed us to add royalty-free sound tracks to give to our clients, and the Neuro-Programmer 3 added more tools like brainwave entrainment to facilitate accessing the desired brainwave. Developed the Sleep Well Workshop and recorded a 20-minute self-hypnosis CD to give to each group participant. In the past year, we jointly run smoking cessation and weigh loss groups with the Lung Association and Weight Watchers, respectively. Once we have our portal up and running, we will record a series of personalized mindfulness mediation/selfhypnosis sound tracks to enable all CBE employees to access these self-help tools whenever they need/want to. Our goal will be to empower our employees to stay healthy and enhance their performance by drawing upon untapped inner resources. Self-hypnosis has proven to be an immensely valuable tool. As a result of requests for tools to help educators become more resilient and proactively manage compassion fatigue, we developed Preventing Compassion Fatigue-Self-Care Strategies for Educators. This 2-hour workshop was successfully delivered to two elementary schools. A self-hypnosis CD was recorded to help them relax, melt away stress and Hypnosis Canada recharge their internal battery. Many schools have since requested this workshop to help educators prepare and successfully navigate the school year. Summary Mental health is an important determinant of how employees function at work and at home. Like many clinicians working in Employee Assistance Programs, we relied on clinically-proven therapeutic modalities such a Cognitive Behaviour Therapy, Brief-Solution Focus therapy for managing stress, depression and anxiety and other mental health issues. The introduction of hypnosis in the workplace happened primarily as a result of employees asking for it. Over the past three years, there has been a gradual increase in acceptance of hypnosis as an effective tool to help employees more effectively manage mental health issues, enhance work performance, and facilitate successful return to work. Currently, we use hypnosis on a daily basis in individual sessions and plan to expand to a variety of health and wellness groups. As always, the feedback from our clients will help guide our strategic plan. To quote Emily Cue: “Every Day, in Every Way, we’re Getting Better and Better.” References Attridge, M. (2008). A Quiet Crisis: The Business Case for Managing Employee Mental Health-Human Solutions Report. Wilson Banwell ProACT. Human Solutions. (Continued...pg.14) Sixth edition Page 13 Hypnosis, CBT, Mindfulness in Treating Depression (Cont’d) motivation, ceased or reduced involvement in instrumental behaviour, impaired concentration, and increased stress. It is a familiar habit that clients often falsely believe helps them to solve problems. Rumination can be automatic and outside their conscious awareness, but it can be interrupted using hypnosis. Another additive benefit of hypnosis is that it helps clients to access and replace negative imagery, another form of rumination. Clients do not only ruminate on negative thoughts and feelings, but also negative imagery, which is often difficult for the client to access and articulate in traditional CBT. Dr. Alladin discussed how habitual rumination might at times resemble a form of Negative Self-Hypnosis (NSH). NSH involves noncritical thinking, active negative imagery, dissociation, and powerful posthypnotic suggestions of negative self-affirmation (e.g. “I’ll never get better”). The other benefit of hypnosis is attention switching. Clients can experience a rebound effect with conscious thought stopping, so attention switching is an effective tool to move clients away from ruminative thoughts. Hypnosis is very useful in expanding emotional experiences beyond the negative and retraining the brain to help clients attend to a greater expanse of emotion and stimuli in the environment. It is also instrumental in creating positive expectancy and interjecting posthypnotic suggestions that enhance motivation and commitment to the therapeutic process. Together these efforts expand a client’s emotional awareness and reactions, creating positive anchors that help pave new non-depressive neural pathways, thus potentially decreasing relapse rates. Dr. Alladin impressed the importance of starting the therapeutic relationship with a thorough intake interview that also examines the client’s beliefs and values for later hypnotic intervention. Dr. Alladin pointed out that we validate our reality based on our feelings not our thoughts. “Dr. Alladin pointed out that we validate our reality based on our Dr. Alladin’s Cognitive Hypnotherapy feelings not for depression consists of 16 weekly sessions. Early in the process the clinician employs first aid techniques our thoughts.” to temporarily lift depressive symptoms and instil hope that the client can experience brief moments of calm until further along in therapy. Then the focus switches to bibliotherapy and more typical CBT homework, which is later reviewed in-depth in therapy and the disputation process is introduced. Hypnosis is used to induce relaxation, demonstrate the power of the mind through trance ratification, strengthen the ego, reduce distraction, maximize concentration and mindfulness, decrease rumination, facilitate divergent thinking, amplify positive feelings and experiences, and enhance awareness of range of feelings. Hypnosis can also facilitate access to psychological processes below conscious awareness, reduce guilt, and enhance mindfulness and acceptance. The workshop was very informative, and most valuable was the presentation of a comprehensive treatment plan. Veronica Dixon, M.Sc., R. Psych., South Calgary Psychology Photo by Stuart Edgar Page 14 Self-Hypnosis for Pain Management By Jeffrey Bechthold, MaCP Using hypnotic suggestion, I have been able to mitigate the pain without drugs for the past four months since the conference. The May 2012 CFCH hypnosis conference has been a transformative experience for my professional and personal views of human psychology. Seeing and experiencing first-hand the power of clinical hypnosis is very different from just learning theory. In a relatively short period of time (a weekend conference), I was able to learn and apply hypnosis techniques. I encourage all professionals to visit one of the upcoming workshops. For the past five years, I have managed back pain from a work-related injury with various strengths of painkiller. Using hypnotic suggestion, I have been able to mitigate that pain without drugs for the past four months since the conference. If hypnosis can work so amazingly for me, I know that my clients can benefit from these methods as well. I am planning to increase my proficiency in the use of hypnosis as I move forward with professional development in clinical psycholgy. In my own experience with pain reduction, I first visualized the pain in my back area as a three-dimensional image, with orange and red marking the areas that were painful and inflamed. I then visualized these areas turning blue and becoming cool. I practiced holding my thumb and pinky finger together to bring back the sense of well-being when becoming aware of pain. The connecting of finger and thumb became a signal for my brain, a reminder to use the hypnotic suggestion. After a period of time doing this, I think I conditioned myself to automatically control the pain without conscious awareness. Now I do not need to use the reminder any more; it seems that my body has learned to self-manage the pain as a response to pain signals. I believe that my self-hypnosis practice had been helpful in reaching this point. I am not very sure about how this relates to research on hypnosis, but I know it has worked for me. Hypnosis with School Employees (Cont’d) References (Cont’d) Georgia Southern University: http://students.georgiasouthern.edu/counselling/ contact.htm Murphy, L.R. (1991) ‘Organizational stress interventions’, 9, pp8-11 Scott D. Miller aned Barry L: Duncan (2000). Session Rating Scale and Outcome Rating Scale, Institute for the Study of Therapeutic Change, available at: www.talkingcure.com Sharm 4: http://www.thesharm.com Sony Sound Forge Pro 10:http://www.sonycreativesoftware.com/soundforge The Centre for Addiction and Mental Health. Great-West Life Centre for Mental Health in the Workplace and the World Health Organization; 2009. Government of Canada-2006. The human face of mental health illness in Canada Neuro-Programmer 3 (http://www.transparentcorp.com) By Pascal Vettraino, M.S.W., R.S.W. Hypnosis Canada Sixth edition SCEH CONFERENCE TORONTO, Oct. 2012 Greetings colleagues! Well, I have to say that I attended my first SCEH conference--co-sponsored by CSCH-Ontario Division, and I came back exhilarated! Although the conference was small (about 120 in attendance,) it certainly made up for it in enthusiasm. As President of the Canadian Federation, I am delighted and proud of the contribution our members made there, and the things we accomplished. Presentations: On Thursday morning, I conducted a half-day Intermediate workshop, entitled "So Now I Can Do Inductions...What Next?"--on how to integrate hypnosis into your practice. The reviews were even better than I had hoped for, and were seen to directly assist clinicians of all disciplines to develop some better tools for putting their hypnotic skills into practice. Thanks to faculty group leaders, Rick Kluft, Steve Pauker and Marie Wilson for their excellent contributions. Although I could not commit to a full day workshop because of health problems this year, this workshop would be even more effective in a full day format. On Friday, Federation's President-elect, Dr. Marie Wilson, gave a full day workshop on her own model of healing trauma to a most enthusiastic group of participants. I attended the morning session, and left reluctantly because of an intermediate faculty commitment in the afternoon. Marie's work is her original contribution to the field, and is an accessible, manageable technique for mental health professionals to work effectively with the trauma population. It is cutting-edge stuff, and will definitely advance the field. Excellent work, Marie! Scientific meeting: MBR's illustrious editor-in-chief, Prof. Amir Raz, along with his graduate student Michael Lifshitz were the Scientific Co-Chairs of the SCEH meeting, assembling an excellent roster of hypnosis researchers. Some highlights: Prof. Eric Woody of Waterloo University presented research using functional MRI's to show clear differences in brain functioning between hypnotic states Page 15 and imagination states, contributing some real evidence to the neurobiology of hypnosis (published in MBR, 2011.) Elia Abi-Jaoude of the Dept of Psychiatry, University of Toronto, gave a fascinating talk on the role of suggestion and expectation in the therapeutic relationship. A very engaging keynote address by Prof. John Vervaeke opened Sunday morning’s session with his talk on the science of meditation, setting the stage for the following symposium presented by Michael Lifshitz and Steven J. Lynn comparing meditation with hypnosis. Other engaging speakers included Donald Moss, Marianne Wetendorff Noergoard of Denmark, Phil Shenefelt, Slelagh Freedman and Henry Szechtman. Michael Lifshitz, Noemie Aubert-Bonn, Ilia Blinderman and Devin Terhune in different symposia discussed their research into the use of suggestion to control automatic processes—work that contributes to a better understanding of voluntary control and top-down influence. The average age of these young researchers is only 26, and they represent, in the best possible way, the future of scientific hypnosis research. All in all, the scientific program did what good scientific programs are intended to do: help clinicians like myself find validity, meaning and direction in the work we do. It was truly enlightening. Presidential Address: In his characteristically provocative, but humorous fashion, SCEH President Dr. Steve Pauker, knocked the socks off those in attendance. In his speech entitled, "SCEH and Hypnosis 2012: Do Hypnosis Societies Have DID?", Steve questioned many of the attitudes held in the professional hypnosis community: membership requirements; hypnosis journals that lack credibility in the mainstream; elitist attitudes towards "lay" hypnotists (without knowing how they are actually trained, and without real evidence of harm); and the double standard between "who-should-practice -hypnosis-with-whom" and what is actually done. As an esteemed cardiologist and chair of the clinical promotions committee at Tufts University in Boston, Steve used his considerable credibility to raise questions about the values many in the hypnosis community hold dear.(Continued pg. 18) Page 16 Banff Spring Conference May 24-26, 2013 We are fortunate to have Dr. Michael Heap as our keynote presenter for next year’s conference. One of the Founding Members of the British Society of Experimental and Clinical Hypnosis, he is well-known nationally and internationally. Attendees of his workshops and keynote address will derive a great deal of useful information and wisdom from Dr. Heap. BRIEF BIOGRAPHY Michael Heap, PhD, is a Clinical and Forensic Psychologist with 42 years of experience assessing and treating people with psychological disorders and patients with neurological conditions. Since 1992 he has regularly prepared for both civil and criminal courts. From 2000 to 2009, he was half-time Consultant Psychologist at Wathwood Medium Secure Hospital, Rotherham, England, working with patients compulsorily detained under the Mental Health Act. From 1990 to 2000, he was half-time Lecturer in Clinical Hypnosis at the University of Sheffield and Administrator of the Diploma and Masters Courses in Clinical Hypnosis, which he and his colleagues set up. From 1993 to 1999, he was a teacher and Assistant Administrator of the Diploma and Masters Courses in Applied/Clinical Hypnosis at the Department of Psychology of University College, University of London. Over the last 30 years, Dr. Heap has published many papers and chapters on hypnosis in scientific journals and books, and has lectured on the subject throughout Europe, Israel, Canada and the USA. He is an Advisory Editor for the International Journal of Clinical and Experimental Hypnosis. In the last 20 years he has edited and co-authored several learned books on the subject of hypnosis and its clinical applications, including M. Heap & K.K. Aravind (2002) Hartland’s Medical and Dental Hypnosis (4th ed.). His latest book (2011) is entitled Universal Awareness: A Theory of the Soul. HYPNOTHERAPY IN PSYCHOSOMATIC DISORDERS, May 24, 2013 A wide range of common medical disorders are often referred to as ‘psychosomatic’ because they may be triggered, aggravated, or maintained by stressful emotional experiences and conflicts. They include dermatological, gastro-intestinal, respiratory, and cardiovascular disorders. These conditions themselves may have adverse effects on the patient’s psychological wellbeing, the ability to participate in various activities and the ability to cope with the demands of everyday life. The workshop will familiarise participants with a wide variety of hypnotic procedures that have proved effective in the management and amelioration of these conditions. There will be didactic and practical sessions, as well as case discussion and overviews of the clinical research literature. There will be ample course material (hard copy and electronic). HYPNOSIS IN LEGAL, MEDICO-LEGAL AND FORENSIC CONTEXTS, May 25, 2013 Is it necessary to have laws restricting the use of hypnosis? Should hypnosis be used in the interrogation of witnesses in criminal investigations? As an ‘expert Hypnosis Canada Sixth edition Page 17 Banff Spring Conference May 24-26, 2013 witness’ for a trial, how would one assess the defence claim that hypnosis caused a complainant to have ‘false memories’ of sexual abuse in childhood? Is it possible, through hypnosis, to make people do things against their will, such as engage in antisocial or criminal activities? Is stage hypnosis dangerous? How does one assess an allegation of negligence on the part of a practitioner of clinical hypnosis or stage hypnosis? Or a claim that a therapist indecently assaulted a patient during hypnosis? All of these questions go to the heart of the question, ‘What is hypnosis?’. The workshop leader will draw on his wide experience of providing expert witness reports for the civil and criminal courts that address these questions. As well as didactic sessions, there will be small group discussions of actual cases with which the workshop leader has been involved. There will be ample course material (hard copy and electronic). Keynote Address: EXPERIMENTAL AND CLINICAL HYPNOSIS: ARE THEY THE SAME?, May 24, 2013, 7:00 – 8:00 p.m. In recent years there has been a growing consensus amongst experimental researchers and theoreticians concerning the defining characteristics of hypnosis as a normal psychological phenomenon, likewise the nature of its likely underlying mechanisms. The pivotal area of research has been the experiences and behaviour of susceptible subjects who are responding to hypnotic suggestions, and it is broadly agreed that such individuals experience the suggested effects in a realistic and automatic way ‘at times bordering on the delusional’ (Kihlstrom). Neuropsychological and neurophysiological research has also highlighted differences between responsive and unresponsive subjects both in and outside of the hypnotic context. Recent theoretical models have proposed some kind of dissociative or inhibitory mechanism within the perceptual-cognitivebehavioural process. How are these advances reflected in the way clinicians conceive of hypnosis in their work? Very often it appears that they are referring to something quite different, the central concept being a state of mind and brain which is, of itself, therapeutic and which potentiates healing communications. The lecture will address the question how much the laboratory investigation of hypnosis and the theoretical models proposed have in common with the way hypnosis is conceived of and practised by clinicians. By. Dr. Assen Alladin Page 18 SCEH CONFERENCE TORONTO, Oct. 2012 (Cont’d) I saw his commentary as an important challenge to self-examination in professional hypnosis societies (including the Canadian Federation) that we need to begin discussing today. Bravo, Steve! Banquet Surprise: Several awards were distributed at the banquet including an Honorary membership to Dr. Claire Frederick by Ontario Division, presented by Dr. Dabney Ewin-first recipient of an honorary OD membership in 2002 (an award that I presented to him10 years ago as founding president of that society). Congratulations to Claire on a welldeserved honour. Then, in a surprise move, Claire Frederick & Judy Coldoff President Steve Pauker called Dr. Jacques Gouws and me up to the stage to receive Presidential awards for our contributions to Canadian hypnosis. This was very unexpected, as, outside of my workshop contribution and work as Intermediate faculty, I had not participated in the planning of the conference. (My offer to SCEH and OD of the use of our large database to help publicize the conference was declined several months back). However, the award was Steve's way of encouraging future cooperation between Federation and OD-a sentiment I most whole-heartedly support. Invitation: A tangible outcome of the meeting was that the Canadian Federation was invited to cosponsor--along with Ontario Division--the next SCEH meeting at Berkeley, California in October 2013. I again offered our large database for publicizing the conference (over 240,000 health professionals and researchers) and this time the SCEH reps were positive. Some details will need to be worked out, but we look forward to working with our colleagues in SCEH and OD to make next year's conference bigger and even better. In addition to the learning experiences at these conferences, some of the best moments occur during the social opportunities. IMHO, that is how relationships are developed and things happen. Federation Board was well-represented by Marie Wilson, Stan Blicker, Pascal Vettraino and me. Stan, Marie and I had meals with Claire, Dabney, Rick, Amir, Sid Freedman, Ed Frischoltz, Steve Lynn, and James Straub. Even Norman Doidge (author of The Brain that Changes Itself) was there. The relationships we forged during this exciting meeting bode well for the very bright future of CFCH. Kudos to the SCEH planners and OD. Plan on coming to Berkeley next year...it's going to be great! By, Judy Coldoff, Ph.D., President, CFCH Marie Wilson & Stan Blicker Hypnosis Canada Canadian Federation of Clinical Hypnosis / Fédération canadienne d'hypnose clinique Executive Members: President, Dr. Judy Coldoff (Quebec rep.) President-elect, Dr. Marie Wilson (Alberta rep.) Treasurer, Dr. Stanley Blicker (Quebec rep.) Nominations, Dr. Kent Cadegan (Atlantic rep.) Federation Offices: Alberta.Office@clinicalhypnosis.ca (800) 386-7230 Atlantic.Office@clinicalhypnosis.ca (902) 677-2243 Quebec.Office@clinicalhypnosis.ca Members at large, Dr. Ian Simpson (Atlantic rep.), Mr. Pascal Vettraino (Alberta), Ms. Jane Oxenbury (Alberta) Interesting Web Links: The Journal of Mind–Body Regulation: http://mbr.synergiesprairies.ca/cjh/index.php/mbr/index Why Listening is so Much More than Hearing: http://www.nytimes.com/2012/11/11/opinion/sunday/why-listening-is-so-muchmore-than-hearing.html?_r=0 Mind Body Medicine Network: http://www.mindbodymedicinenetwork.com/Webinars.html