~ HANDBOOK > " of HYPNOTIC SUGGESTIONS AND METAPHORSThis book is dedicated with deep love and affection to my children, Matthew, Erin, Christopher, and MarkFOREWORD Hopnoireans is the application of hypnosis in a wide variety of medical and psychological disorders. Adequate training in psychotherapy is a prerequisite for practicing hypnosis, regardless of whether the clinician is a psychologist, physician, social worker, or dentist. In fact, training in psychotherapy and hypnotherapy is a never-ending process. A text of this magnitude offers both the neophyte and the experienced clinician a tremendous, comprehensive reference. After receiving initial classroom or workshop training, additional training comes through read- ing, self-study and self-experience. This book represents a beacon for those desiring additional training in treating clinical problems. Having this reference available will give the new practitioner a very secure feeling. This is a book for clinical practitioners. In fact, it will undoubtedly become the practical companion volume and supplement to comprehensive textbooks and courses on hypnosis. It provides the reader with the “how to” suggestions that therapists use with their patients. Rather than intellectually discussing the topic of hypnosis, this book gives therapists, physicians and dentists a sampling of what experienced clinicians actually say to their patients during hypnotic work. At last we have a book that helps answer the common query from our students: “But what do I say now that the patient is hypnotized?” Every student and clinician who uses hypnosis will want to have this invaluable and comprehensive desktop reference. It represents the largest collection of therapeutic suggestions and metaphors ever assembled, with contributions from over 100 of the world’s finest hypnotherapists. For those interested in the theoretical and research aspects of hypnosis, there are numerous other volumes that may be found in libraries. In my opinion, we are very fortunate in having this new text in which something so compli- cated has been made so much more understandable. However, Dr. Hammond rightly emphasizes that this is not meant to be a cookbook of suggestions to be routinely used with certain problems. And simply the extensiveness of the suggestions he has compiled will tend to discourage anyone from mechanically applying the same paragraph of sug- gestions to everyone with a problem. His inclusion of empirical indicationsviii HANDBOOK OF HYPNOTIC SUGGESTIONS AND METAPHORS and contraindications for modules of suggestions is also intended to facilitate thoughtful treatment planning and the individualization of treatment. What you will find here is a resource book from which you will be able to pick and choose suggestions that you clinically judge to be compatible with individual patients and with your own personal style of doing hypnosis. It is an eclectic book that models a wide range of styles of practice in clinical hypnosis. The tremendous breadth of suggestions will also serve as a stimulus to your creativity in preparing hypnotic suggestions and metaphors of your own. Chapter 2 will enhance your skills further through outlining the principles and guidelines for formulating successful hypnotic and posthypnotic suggestions. Suggestions included in the book concern dozens of clinical problems. There are chapters and sections of suggestions on such medical topics as pain, hypnoanesthesia and hypnotic preparation for surgery, burns, emer- gencies, gastrointestinal disorders, cancer, chemotherapy, dermatologic complaints, obesity, smoking and addictions, childbirth training, obstet- rical and gynecologic applications, insomnia, autoimmune diseases, and hemophilia. Psychotherapists will find practical suggestions concerning habit disor- ders (e.g., nailbiting, trichotillomania), anxiety and phobic disorders, sexual dysfunctions and relationship problems, concentration, academic performance, sports, ego-strengthening to increase self-esteem and self- efficacy, posttraumatic stress disorders, multiple personality disorder, severely disturbed (e.g., borderline, schizophrenic) patients, and other emotional disorders. A chapter on hypnosis with children includes such clinical topics as pain and hypnoanesthesia, dyslexia, stuttering, enuresis, Tourette syndrome, school phobia, and asthma. Dentists will find useful suggestions concerning bruxism, TMJ, anxiety and phobic responses, pain control, thumbsucking, vascular control and gagging. There are also suggestions to be found on facilitating age regression, age progression, and time distortion. Each chapter represents the epitome of clinical expertise extant in our field. This Handbook contains a wealth of original and previously unpublished suggestions that Dr. Hammond solicited from many of our most experi- enced hypnotherapists. In these pages you will also discover many of the finest suggestions that have appeared in books, chapters and journal articles over the last 30 years. For example, suggestions are included from throughout the back issues of the two most prestigious hypnosis journals in the world, the American Journal of Clinical Hypnosis and the International Journal of Clinical & Experimental Hypnosis. Dr. Hammond has done the work for us of reviewing tens of thousands of pages of books and journals, and then compiling in one place the practical clinical gems that he discovered. This book was a massive undertaking. Tasks of this kind require literally hundreds of hours of personal sacrifice and effort. Very few people possess this dedication and scholastic capability. The present text is literally Herculean in scope, volume and content. The book is also unique in that neither Dr. Hammond nor any of his contributors will receive royalties from its publication. The book was literally a labor of love by all those whoFOREWORD ix have contributed. It was donated to and accepted as an official publication of the American Society of Clinical Hypnosis. All royalties from its sale will go to the American Society of Clinical Hypnosis to promote further research and workshop training in clinical hypnosis throughout the United States and Canada. Dr. Hammond is a master clinician of unusual breadth and talent who has become one of the giants in the field of clinical hypnosis. Part of his brilliance lies in the expertise that he has in integrating the practical contributions that are found in a great diversity of different orientations and approaches to hypnosis. Although he clearly makes scholarly and research contributions to the field, Dr. Hammond is primarily a clinician of the greatest magnitude, as exemplified by this text. Cory Hammond is one of the few people whom I know capable of authoring and compiling this type of text. People in the field will always be indebted for this yeoman challenge which he has completed in this magnificent presentation. His clinical breadth, extensive practical experience, and thorough knowledge of the field are truly reflected in this work. Dr. Hammond’s book is destined to be a classic in the field that will be sought after for decades to come. It will rank as one of the greatest therapeutic contributions made in the fields of medicine, psychology, dentistry and allied fields. Harold B. Crasilneck, Ph.D. Past President, American Society of Cli Clinical and Experimental Hypnosis Clinical Professor of Psychiatry and Anesthesiology, University of Texas Health Sciences Center, Dallas ical Hypnosis and the Society ofCONTENTS Foreword by Harold B. Crasilneck 1. Introduction 1 The Underlying Therapeutic Philosophy: Integrative Hypnotherapy 2 sete The American Society of Clinical Hypnosis 4 Training Opportunities = 4 Eligibility for ASCH Membership 8 2 Acknowledgments 9 : 2. Formulating Hypnotic and Posthypnotic Suggestions 11 Principles of Hypnotic Suggestion 11 Types of Hypnotic Suggestions 27 The Phrasing of Suggestions 38 : The Process of Suggestions in Facilitating Phenomena 42 : 3. Hypnosis in Pain Management 45 INTRODUCTION 45 Techniques of Hypnotic Pain Management / Joseph Barber 50 ¢ Altering the Quality of Discomfort: Example of Leg Pain / M. Erik Wright 52 ¢ Transformation of Pain / William L. Golden, E. Thomas Dowd, and Fred Friedberg $3 © Erickson’s Suggestions for Pain Control / Milton H. Erickson $4 © General Principles for Alleviating Persistent Pain / Ernest. - L. Rossi and David B, Cheek 56 * Religious Imagery of Universal = bE} Saba Healing for Ego-Strengthening and Pain / M. Erik Wright 58 © The “Sympathetic Ear” Technique with Chronic Pain / Barry S. Fogel 58 ¢ Reactivation of Pain-Free Memories: An Example of Intensifying and Relieving Pain / M. Erik Wright 59 * Chronic Pain Syndrome / Richard B. Garver 61 * Hypnotically Elicited Mystical States in Treating Physical and Emotional Pain / Paul Sacerdote 63 * Active Control Strategy for Group Hypnotherapy with Chronic Pain / Timothy C. Toomey and Shirley