Hypnosis and Consciousness

A review of Dr Joel L. Whitton PhD, Joe Fisher, Life Between Life: Scientific Explorations into the Void Separating One Incarnation from the Next, Grafton Books, 1986, 265 pp.

IntroductionA symptom cluster is very common among oncological patients: cancer-related fatigue, emotional distress, sleep difficulties, pain, and cognitive difficulties. Clinical applications of interventions based on non-ordinary states of consciousness, mostly hypnosis and meditation, are starting to be investigated in oncology settings. They revealed encouraging results in terms of improvements of these symptoms. However, these studies often focused on breast cancer patients, with methodological limitations. Another non-ordinary state of consciousness may also have therapeutic applications in oncology: self-induced cognitive trance. It seems (...) to differ from hypnosis and meditation, as it involves the body more directly. Thus, investigating its clinical applications, along with hypnosis and meditation interventions, could improve available therapeutic options in oncology. This article details the study protocol of a preference-based longitudinal controlled superiority trial aiming to assess the effectiveness of 3 group interventions to improve oncological patients’ quality of life, and more specifically CRF, emotional distress, sleep, pain, and cognitive difficulties.Methods and analysisA power analysis required a total sample of 160 patients. Main inclusion criteria are: cancer diagnosis, active treatments completed for less than a year, no practice of hypnosis, meditation, or SICT, and presence of at least one of these four symptoms: fatigue, sleep difficulties, depression, or anxiety. Each participant will choose the intervention in which they want to participate. To test the effectiveness of the interventions, data will be collected by questionnaires and neurobiological measures and directly from the medical record at four time points: before inclusion in the study ; immediately after the intervention; and at 3- and 12-month follow-up. The longitudinal data in each group will then be measured.DiscussionIn addition to standard cancer therapies, there is a growing interest from patients in complementary approaches, such as hypnosis, meditation, and SICT. The results of this study will be useful to increase knowledge about short- and long-term effectiveness of 3 group interventions for CRF, emotional distress, sleep, pain, and cognitive difficulties in patients with different cancers.Clinical Trial RegistrationClinicalTrials.gov/. Retrospectively registered on the 29th of April 2021. url: https://clinicaltrials.gov/ct2/show/NCT04873661. (shrink)

At the entrance of the Temple of Delphi, the inscription possibly best known in the history of ideas warned about the importance of self-knowledge. In turn, this inscription is philosophically unfolded by the argument that one can only know oneself who cares, since caring is already in itself, to know oneself. Accordingly, many of the ancient medical practices recommended healing through the word. However, only with the advent of clinical hypnosis has this practice recovered, which in theoretical terms seems to (...) run counter to the main lines of the philosophy of mind, whether from the physicalist or the dualistic point of view. In this essay, we will try to show to what extent the concepts of caring and mind can be compatible according to these areas. (shrink)

This article traces the history of hypnotherapies in Hungary by exploring and interpreting the work of Ferenc Völgyesi, a controversial physician, psychiatrist and forensic expert who gained remarkable fame in and beyond Hungary. It explores his work and its reception in the context of the complex, changing trends in European psychology between the 1920s and 1950s, drawing on published sources in a range of languages, and the archives of the Hungarian State Security. It uncovers experiments in human and animal hypnosis; (...) Völgyesi’s engagement with the Hungarian psychoanalytic community; and the cultural, scientific, and esoteric, networks from which theories and practices of hypnosis emerged. This reminds us also that the development of psychotherapy in Europe cannot be disentangled from the history of parapsychology and western esotericism. The article also examines allegations of ethical abuses of hypnosis, and the shortcomings of Völgyesi’s theoretical and practical claims. It argues that this case illustrates how the history of European psychotherapy in the 20th century cannot be fully understood without taking into account the enduring fascination with hypnotherapies into the postwar period – re-inscribed, in this case, through Pavlovian theories. (shrink)

The status of hypnosis as an altered state of consciousness has long been controversial. The classic phenomena of hypnosis, such as sensory anaesthesias, analgesia, amnesia, and posthypnotic suggestion, provide prima facie evidence of altered consciousness, but some theorists contend that these are the products of normal mental processes, such as suggestion and expectation. In this article, hypnosis is viewed against a general framework for describing ASCs in terms of four converging operations: induction procedure, subjective experience, behavioural correlates, and physiological correlates. (...) Although 'neutral' hypnosis, in the absence of specific suggestions, has few distinctive characteristics, many of the classic phenomena of hypnosis involve dissociations between explicit and implicit memory, or perception, such that percepts, memories, and thoughts influence ongoing experience, thought, and action outside conscious awareness and control. (shrink)

The thesis of cognitive penetrability, according to which cognitive states can affect perceptual experiences, remains the topic of intense debate among philosophers. A new candidate for a case of cognitive penetration is presented and defended. The candidate is based on studies involving suggestions that something is a certain way, which are usually given under hypnosis, rather than mere request to imagine that things are a certain way.

A necessary first step in collaboration between hypnosis research and meditation research is clarification of key concepts. The authors propose that such clarification is best advanced by neurophenomenological investigations that integrate neuroscience methods with phenomenological models based on first-person reports of hypnotic versus meditative experiences. Focusing on absorption, the authors argue that previous treatments of hypnosis and meditation as equivalent are incorrect, but that they can be fruitfully compared when characteristic features of the states described by these concepts are examined. (...) To this end, the authors use the “phenomenological and neurocognitive matrix of mindfulness” (PNM), a multidimensional model recently proposed by Lutz and colleagues. The authors compare focused attention meditation and open monitoring meditation with hypnosis across the dimensions of the PNM, using it to interpret empirical research on hypnosis, and to shed light on debates about the role of meta-awareness in hypnosis and the role of suggestion in meditation. (shrink)

What is 'rebirth' in Buddhism? The contribution of hypnotic regression.

Research over the past decade has helped to demystify hypnosis and meditation, bringing these practices into the scientific and clinical mainstream. Yet, while hypnosis and meditation overlap on many levels, few scientific accounts have explored their complementary rapprochement. Despite cultural and historical differences, hypnosis and meditation share common phenomenology, cognitive processes, and potential therapeutic merits. This book provides a synthesis of knowledge concerning the bridging of hypnosis and meditation. The authors adopt a trans-disciplinary approach considering cultural, historical, and philosophical perspectives (...) to elucidate contemporary questions in cognitive, neurobiological, and clinical science. The book explores the relationship between hypnosis and meditation in five progressive sections: Part 1 investigates historical, cultural, and philosophical issues to contextualize the scientific study of contemplative practices. Part 2 presents a range of views concerning the similarities and differences between hypnosis and meditation. Part 3 explores the psychological and cognitive mechanisms at work. Part 4 integrates recent brain imaging findings to unravel the neural underpinnings. Finally, part 5 examines how juxtaposing hypnosis and meditation can enhance clinical applications. Hypnosis and Meditation is a valuable resource to both specialists as well as interested lay readers, and paves the road to a more unified science of how attention influences states of brain, body, and consciousness. (shrink)

Cognitive scientists routinely distinguish between controlled and automatic mental processes. Through learning, practice, and exposure, controlled processes can become automatic; however, whether automatic processes can become deautomatized – recuperated under the purview of control – remains unclear. Here we show that a suggestion derails a deeply ingrained process involving involuntary audiovisual integration. We compared the performance of highly versus less hypnotically suggestible individuals in a classic McGurk paradigm – a perceptual illusion task demonstrating the influence of visual facial movements on (...) auditory speech percepts. Following a posthypnotic suggestion to prioritize auditory input, HSIs but not LSIs manifested fewer illusory auditory perceptions and correctly identified more auditory percepts. Our findings demonstrate that a suggestion deautomatized a ballistic audiovisual process in HSIs. In addition to guiding our knowledge regarding theories and mechanisms of automaticity, the present findings pave the road to a more scientific understanding of top-down effects and multisensory integration. (shrink)

Our sense of self includes awareness of our thoughts and movements, and our control over them. This feeling can be altered or lost in neuropsychiatric disorders as well as in phenomena such as “automatic writing” whereby writing is attributed to an external source. Here, we employed suggestion in highly hypnotically suggestible participants to model various experiences of automatic writing during a sentence completion task. Results showed that the induction of hypnosis, without additional suggestion, was associated with a small but significant (...) reduction of control, ownership, and awareness for writing. Targeted suggestions produced a double dissociation between thought and movement components of writing, for both feelings of control and ownership, and additionally, reduced awareness of writing. Overall, suggestion produced selective alterations in the control, ownership, and awareness of thought and motor components of writing, thus enabling key aspects of automatic writing, observed across different clinical and cultural settings, to be modelled. (shrink)

Mirrored-self misidentification is the delusional belief that one's own reflection in the mirror is a stranger. In two experiments, we tested the ability of hypnotic suggestion to model this condition. In Experiment 1, we compared two suggestions based on either the delusion's surface features (seeing a stranger in the mirror) or underlying processes (impaired face processing). Fifty-two high hypnotisable participants received one of these suggestions either with hypnosis or without in a wake control. In Experiment 2, we examined the extent (...) to which social cues and role-playing could account for participants' behaviour by comparing the responses of 14 hypnotised participants to the suggestion for impaired face processing (reals) with those of 14 nonhypnotised participants instructed to fake their responses (simulators). Overall, results from both experiments confirm that we can use hypnotic suggestion to produce a compelling analogue of mirrored-self misidentification that cannot simply be attributed to social cues or role-playing. (shrink)

The Stroop effect is composed of interference and facilitation effects. The facilitation is less stable and thus many times is referred to as a “fragile effect”. Here we suggest the facilitation effect is highly vulnerable to individual differences in control over the task conflict . We replicated previous findings of a significant correlation between stop-signal reaction time and Stroop interference, and also found a significant correlation between SSRT and the Stroop facilitation effect—participants with low inhibitory control had no facilitation effect (...) or even a reversed one. These results shed new light on the “fragile” facilitation effect and highlight the necessity of awareness of task conflict, especially in the Stroop task. (shrink)

Hypnotic responding might be due to attenuated frontal lobe functioning after the hypnotic induction. Little is known about whether personality traits linked with frontal functioning are associated with responsiveness to hypnotic suggestions. We assessed whether hypnotic suggestibility is related to the traits of self-control and impulsivity in 154 participants who completed the Brief Self-Control Scale, the Self-Regulation Scale, the Barratt Impulsiveness Scale , and the Harvard Group Scale of Hypnotic Susceptibility . BIS-11 non-planning impulsivity correlated positively with HGSHS:A . Furthermore, (...) in the best model emerging from a stepwise multiple regression, both non-planning impulsivity and self-control positively predicted hypnotic suggestibility, and there was an interaction of BIS-11 motor impulsivity with gender. For men only, motor impulsivity tended to predict hypnotic suggestibility. Hypnotic suggestibility is associated with personality traits linked with frontal functioning, and hypnotic responding in men and women might differ. (shrink)

The present study investigated how the magnitude the word blindness suggestion effect on Stroop interference depended on hypnotic suggestibility when given as an imaginative suggestion and under conditions in which hypnosis was not mentioned. Hypnotic suggestibility is shown to be a significant predictor of the magnitude of the imaginative word blindness suggestion effect under these conditions. This is therefore the first study to show a linear relationship between the imaginative word blindness suggestion effect and hypnotic suggestibility across the whole hypnotizability (...) spectrum. The results replicate previous findings showing that highs respond to the word blindness suggestion to a greater extent than lows but extend previous work by showing that the advantage for those higher on the hypnotizability spectrum occurs even in a non-hypnotic context. Negative attitudes about hypnosis may not explain the failure to observe similar effects of the word blindness suggestion in less hypnotizable individuals. (shrink)

One approach to hypnosis suggests that for hypnotic experience to occur frontal lobe activity must be attenuated. For example, cold control theory posits that a lack of awareness of intentions is responsible for the experience of involuntariness and/or the subjective reality of hypnotic suggestions. The mid-dorso-lateral prefrontal cortex and the ACC are candidate regions for such awareness. Alcohol impairs frontal lobe executive function. This study examined whether alcohol affects hypnotisability. We administered 0.8 mg/kg of alcohol or a placebo to 32 (...) medium susceptible participants. They were subsequently hypnotised and given hypnotic suggestions. All participants believed they had received some alcohol. Participants in the alcohol condition were more susceptible to hypnotic suggestions than participants in the placebo condition. Impaired frontal lobe activity facilitates hypnotic responding, which supports theories postulating that attenuation of executive function facilitates hypnotic response, and contradicts theories postulating that hypnotic response involves enhanced inhibitory, attentional or other executive function. (shrink)

Following a hypnotic amnesia suggestion, highly hypnotically suggestible subjects may experience amnesia for events. Is there a failure to retrieve the material concerned from autobiographical memory, or is it retrieved but blocked from consciousness? Highly hypnotically suggestible subjects produced free-associates to a list of concrete nouns. They were then given an amnesia suggestion for that episode followed by another free association list, which included 15 critical words that had been previously presented. If episodic retrieval for the first trial had been (...) blocked, the responses on the second trial should still have been at least as fast as for the first trial. With semantic priming, they should be faster. In fact, they were on average half a second slower. This suggests that the material had been retrieved but blocked from consciousness. A goal-oriented information processing framework is outlined to interpret these and related data. (shrink)

Clinical delusions are difficult to investigate in the laboratory because they co-occur with other symptoms and with intellectual impairment. Partly for these reasons, researchers have recently begun to use hypnosis with neurologically intact people in order to model clinical delusions. In this paper we describe striking analogies between the behavior of patients with a clinical delusion of mirrored self misidentification, and the behavior of highly hypnotizable subjects who receive a hypnotic suggestion to see a stranger when they look in the (...) mirror. Based on these analogies, we argue that the use of hypnosis is a reliable method to investigate the surface features of clinical delusions. But to what extent can hypnosis successfully recreate delusions? Can it also contribute to a better understanding of delusion formation? Although clinical delusions and hypnotically induced beliefs are different in etiology, some analogies can be identified in the underlying processes that characterise them, based on the two-factor theory of delusion formation. (shrink)

Studies in economic decision-making have demonstrated that individuals appreciate social values supporting equity and disapprove unfairness when distributing goods between two or more parties. However, this seems to critically depend on psychological mechanisms partly pertaining to the ingroup–outgroup distinction. Little is known as to what extent economic bargaining can be manipulated by means of psychological interventions such has hypnosis. Here we show that a hypnotic ingroup versus outgroup suggestion impacts the tolerance of unfairness in an Ultimatum Game. Specifically, the ingroup (...) suggestion was associated with significantly greater acceptance rates of unfair offers than the outgroup suggestion, whereas hypnosis alone exerted only small effects on unfairness tolerance. These findings indicate that psychological interventions such as hypnotic suggestion can contribute to ingroup favoritism and outgroup rejection. (shrink)

Disparate theoretical viewpoints construe hypnotic suggestibility either as a stable trait, largely determined by underlying cognitive aptitude, or as a flexible skill amenable to attitudinal factors including beliefs and expectations. Circumscribed findings support both views. The present study attempted to consolidate these orthogonal perspectives through the lens of expectancy modification. We surreptitiously controlled light and sound stimuli to convince participants that they were responding strongly to hypnotic suggestions for visual and auditory hallucinations. Extending our previous findings, we indexed hypnotic suggestibility (...) by de-automatizing an involuntary audiovisual phenomenon—the McGurk effect. Here we show that, regardless of expectancy modification, the experimental procedure led to heightened expectations concerning future hypnotic response. We found little effect of expectation, however, on actual response to suggestion. Our findings intimate that, at least in the present experimental context, expectation hardly correlates with—and is unlikely to be a primary determinant of—high hypnotic suggestibility. (shrink)

This functional Magnetic Resonance Imaging study investigated high and low suggestible people responding to two visual hallucination suggestions with and without a hypnotic induction. Participants in the study were asked to see color while looking at a grey image, and to see shades of grey while looking at a color image. High suggestible participants reported successful alterations in color perception in both tasks, both in and out of hypnosis, and showed a small benefit if hypnosis was induced. Low suggestible people (...) could not perform the tasks successfully with or without the hypnotic induction. The fMRI results supported the self report data, and changes in brain activity were found in a number of visual areas. The results indicate that a hypnotic induction, although having the potential to enhance the ability of high suggestible people, is not necessary for the effective alteration of color perception by suggestion. (shrink)

Forming implementation intentions has been consistently shown to be a powerful self-regulatory strategy. As the self-regulation of thoughts is important for the experience of involuntariness in the hypnotic context, investigating the effectiveness of implementation intentions on the suppression of thoughts was the focus of the present study. Participants were randomly assigned to one of four conditions . Results showed that participants who received information included in the “Carleton Skill Training Program” and in addition formed implementation intentions improved their hypnotic responsiveness (...) as compared to all of the other three groups on measures of objective responding and involuntary responding. Thus, in line with the nonstate or cognitive social–psychological view of hypnosis stating that an individual’s hypnotic suggestibility is not dispositional but modifiable, our results suggest that hypnotic responsiveness can be heightened by furnishing hypnotic instructions with ad hoc implementation intentions. (shrink)

Research by Raz and his associates has repeatedly found that suggestions for hypnotic agnosia, administered to highly hypnotizable subjects, reduce or even eliminate Stroop interference. The present paper sought unsuccessfully to extend these findings to negative priming in the Stroop task. Nevertheless, the reduction of Stroop interference has broad theoretical implications, both for our understanding of automaticity and for the prospect of de-automatizing cognition in meditation and other altered states of consciousness.

Although the induction of a hypnotic state does not seem necessary for suggestive modulation of the Stroop effect, this important phenomenon has seemed to be dependent on the subject’s level of hypnotic suggestibility. Raz and Campbell’s study indicates that suggestion can modulate the Stroop effect substantially in very low suggestible subjects, as well as in those who are highly suggestible. This finding casts doubt on the presumed mechanism by which suggestive modulation is brought about. Research aimed at uncovering the means (...) by which low suggestible individuals are able to modulate the Stroop effect would be welcome, as would assessment of this effect in moderately suggestible people. (shrink)

Can suggestion, particularly hypnotic suggestion, influence cognition? Addressing this intriguing question experimentally is on the rise in cognitive research, nowhere more prevalently than in the domain of cognitive control and attention. This may well rest on the intuitive connection between hypnotic suggestion and attention, where the hypnotist controls the subject’s attention. Particularly impressive has been the work of Raz and his colleagues demonstrating the modulation and even the complete elimination of classic Stroop color–word interference when subjects are given a posthypnotic (...) suggestion that words are meaningless. Overriding a highly practiced, possibly even automatic response like reading is testament to the attentional control that can be exerted under hypnotic suggestion. What else do we need to know—in the Stroop context and more broadly—to obtain a clear picture of how suggestion can orchestrate attention? (shrink)

The demonstration that hypnotic suggestion can inhibit word/colour Stroop highlights one of the benefits of using hypnosis to explore cognitive psychology and in particular attentional processes. The compelling results using a rigorous design have particular relevance for the presumed automaticity of some forms of information processing. Moreover the results support the potential that hypnotic suggestion offers for creating clinically informed analogues of relevant psychological and neuropsychological conditions. As with all novel research, the results of Raz and Campbell raise further operational (...) and theoretical questions, relating in this case to the use of hypnotic, post-hypnotic and non-hypnotic suggestion and the utility of existing measures of hypnotizability. (shrink)

Research in cognitive neuroscience now considers the state of the brain prior to the task an important aspect of performance. Hypnosis seems to alter the brain state in a way which allows external input to dominate over internal goals. We examine how normal development may illuminate the hypnotic state.

Using the Stroop paradigm, we have previously shown that a specific suggestion can remove or reduce involuntary conflict and alter information processing in highly suggestible individuals . In the present study, we carefully matched less suggestible individuals to HSIs on a number of factors. We hypothesized that suggestion would influence HSIs more than LSIs and reduce the Stroop effect in the former group. As well, we conducted secondary post hoc analyses to examine negative priming – the apparent disruption of the (...) response to a previously-ignored item. Our present findings indicate that suggestion reduces Stroop effects in HSIs. Secondary analyses show that LSIs had an NP effect at baseline and that suggestion influenced the NP condition. Thus, at least in this experimental context, suggestion seems to dampen a deeply-engrained and largely automatic process – reading – by wielding a larger influence on HSIs relative to comparable LSIs. (shrink)