Hypnosis is a state of inner absorption, concentration and focused attention. This focus allows us to use the potential of the mind for specific goals like blocking pain or reducing inflammation. This cannot be done without the patient’s cooperation and there is no truth in the popular misconception that hypnosis results in a loss of control. Contrarily, hypnosis works by empowering the patient to gain control over a specific condition. All hypnosis is self-hypnosis.

There are many different techniques for accessing this subconscious influence on the body, but for practicality we will focus on one tool that primary care practitioners can use and modify to meet the needs of their patients. This tool requires 5 main principles.

1. Education
2. Tailoring to patients’ beliefs/interests/needs
3. Trance induction
4. Utilization of trance directed towards
   a specific goal

5.   Re-alerting (coming out of trance)

Time must be taken to educate the patient regarding hypnosis to remove fear and misunderstanding. The first task is to define trance. This is a heightened state of attention where the body is more prone to suggestion. Emphasize to the patient that everyone has experienced trances many times. Examples would be daydreaming or a driving trance where you arrive home and can’t remember the drive because the mind was focused on other thoughts. Being absorbed in a good movie offers an excellent example. While focusing on

the film, we are less aware of things happening near by and more responsive to suggestions that are offered. One might jump if startled or cry if saddened. The ability of the movie to provoke these physical responses usually correlates with how well it does at the box office. The patient is always in control and can go and get popcorn if s/he wishes. A good movie or hypnosis session involves three factors: absorption, dissociation and suggestibility. Through an induction technique the subject becomes fully absorbed in the matter at hand resulting in dissociation from various distractions. This creates a heightened state of awareness that allows the person to be more receptive to suggestions that can influence physical change. Educating the patient regarding the purpose of hypnosis will help remove fear and confusion and result in a better clinical response.

The talented hypnotherapist will tailor the hypnotic technique to each individual’s unique needs. Since most practitioners using this reference won’t have this experience, we will focus on a few questions that can easily be remembered, helping tailor the hypnosis to the patient’s beliefs and interests. The more the technique relates to these beliefs, the more accepted and useful it will be. In contrast, if a technique is used that encourages an image that is associated with anger or fear, the process will be counterproductive.

Questions that will help tailor the hypnosis:

• Name a favorite place where you feel comfort and a sense of peace.

• What is your favorite color?