UHUMAN! nlimited FALL 2010
The Official Magazine
of the IACT and IMDHA
8852 SR 3001, Laceyville, PA 18623 570-869-1021 www.iact.org / www.imdha.com
IN THIS ISSUE: • A message from Robert Otto •Timely Articles by:
George Bien Noel Kok Hwee Chia & Norman Kiak Nam Kee Dennis & Jennifer Chong Daniel F. Cleary Paul G. Durbin Michael Ellner James S. Gordon Julie Griffin Philip Holder Will Horton C. Roy Hunter Del Hunter Morrill Kweethai Neill Ed Regensburg Bernie Siegel Patricia & James Sievert Flavio Souza-Campos Teresa Soares Tupholme • From The Archives: Create It from The Image • Members On The Move • International Chapters Listing • AND MORE!
MESSAGE FROM ROBERT OTTO, CEO Hello and Welcome! W
hat a glorious fall season we are experiencing here in the northeast region of Pennsylvania. As the changing of the season brings us closer to celebrating the year-end holidays, we are reminded that it is also a time to reflect on the year’s direction, growth and accomplishments. Something we are especially beholden to is the creation and innovative development of programs, tools and educational opportunities for you, our members. As this issue goes to print we have just completed another spectacular weekend hosting the annual Galaxy of Stars educational symposium in Detroit, Michigan. Folks in attendance came away inspired, energized, and rejuvenated for having participated. Some said it was the best event they’ve ever attended. And that’s not surprising given the lineup of educators and topics presented. Recordings of the workshops will soon be available in DVD and CD format through hypnosis headquarters. Should you have an interest in obtaining a copy please contact headquarters directly. I call your attention to the Hypnocaster; another excellent member service that consistently receives high praise and is constantly in the developmental stages of adding new shows to the playlist. The Hypnocaster was designed to bring news, views and information about our profession to you via the internet. Presently we host about 30 presentations on various subjects from some of the top-notch educators in the profession. They are available as a FREE download from the association’s home page. Once downloaded, you can listen to the shows using your favorite player on your computer, such as Media Player or iTunes. Or you can transfer to a portable media player such as an iPod or Zune and listen to it anywhere you like. I encourage you to consider the wealth of information available to you through your association; then review and use it as a refresher or adjunct resource when time permits. With the start of the new year comes an increase in our educational training requirements. Gone are the days of receiving certification in a weekend or even 100-hour course. With few exceptions, our profession lacks legislative regulation. It’s embarrassing to admit that in decades past this kind of substandard training was the training of choice; given that it was quick, inexpensive and easy to achieve. Today, hypnotism is gaining momentum in respect, popularity and awareness. If we are to be looked upon as a respected profession, we must first start with a solid foundation; and that begins with good training. In January our certification requirements will reach 160 hours. The public has an expectation of professional ethics and standards from our organization, and the officers and board have an obligation to the membership to protect that public expectation. One way this is being accomplished is by validating the credentials of all incoming members. It goes without saying that current members are held accountable to the standards set forth by the association. It may please you to know that a random audit is in place, which will verify compliance with regard to the annual continuing education requirements. If you know of a colleague who may have allowed their membership to lapse, you can help get them back on track by encouraging them to maintain their certification. A lapse of less than one (1) year simply requires proof of continuing education and the annual renewal fee. A lapse of over one (1) year requires that the member reapply and pay the initial fee. It's worthwhile mentioning that once a membership has not been renewed for two years (2), all information is permanently removed from the Association’s system. If this should occur, you generally do not need to re-test, but you do need to re-validate under the current training requirements. Those maintaining membership are exempt from the new training requirements. So … if you know of others that have allowed their certification to lapse, please pass this information along. It’s up to us to make sure the field of hypnosis remains professional. Of equal importance is your participation and organizational support of Hypno-Expo 2011. Consider this a personal invitation to join us at next year’s annual conference, May 11th-17th, and witness firsthand what amazing progress your association has made. The lineup of speakers is astounding with topics and courses to fill the needs of the most discerning practitioner -- from the newly certified to the seasoned professional. Daytona Beach is an awesome location with many amenities to satisfy most any visitor. Lastly, you have my steadfast commitment to continue to be vigilant in pursuing innovative ways to deliver on the promise of providing excellent benefits in a way that is relevant and responsive to your needs. Because we know that giving you excellent benefits and attentive service is the best way to contribute to the success of your enterprise. Our goal is simple: to provide you with the very best tools that assist you in becoming better at helping others to help themselves. My very best and most sincere regards,
Robert F. Otto Robert F. Otto
“Of all the "attitudes" we can acquire, surely the attitude of gratitude is the most important and by far the most life-changing.” – Zig Ziglar
NLP VERSES HYPNOSIS, AND THE POWER OF SYNERGY by: Dr. George Bien George Bien has inspired and changed the lives of hundreds of thousands of people worldwide. He is the principal trainer for the International Association of Counselors and Therapists, a Lifetime member of IACT and conducts Hypnosis Certification Seminars and Training Programs around the world.
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ome years ago, I had a heated discussion with an NLP Trainer. Perhaps it was actually a debate. He claimed that NLP was much more effective than “simple hypnosis” (his words), and said that he used NLP exclusively! “How can you compare Mapping Across with Submodalities to giving basic suggestions to a hypnotized subject?” he asked. “Then there’s the aspect of Anchoring – Chaining and Stacking. And what about the Visual Squash and the Fast Phobia Cure,” he continued. “In my 24-day NLP training, only two days were devoted to hypnosis. Obviously, NLP is much more important and involved,” he demanded. "What?" I heard myself screaming internally! I did everything I could to keep from grabbing this guy by the neck and yelling, "Wake up!" When discussing (debating) something with someone, I usually do my best to go into “second person.” What could this person be thinking, feeling, seeing, and what could be his/her motivation, outcome, self-talk? This NLPer was obviously very adamant about his convictions, and didn’t show any signs of flexibility. He must have been suffering from amnesia, because he seemed to have forgotten the NLP Presupposition, “The element in any system with the most flexibility will be the controlling element and have the greatest influence”— the Law of Requisite Variety. He was so rigid that our more than two-hour debate didn't even make a dent in expanding his thinking. He would say things like, "I've seen so many, so-called 'trained hypnotists' work, who couldn't even utilize effective hypnotic language," and "Give me a person with a problem, and I'll solve it without even knowing what the problem is. What hypnotist could do that?" He was so wrapped up in himself, that when I said sarcastically, "I really admire your humility," he answered, "Thank you; I'm not the bragging type." This guy was clueless, and didn't realize that "all communication is hypnotic," therefore hypnosis permeates all the healing modalities! Unfortunately, I was not able to get him to change his mind, and it's sad that he embraced his limitations displaying perfectly what the Father of American Psychology, Abraham Maslow said, "If the only tool you have is a hammer, you will see every problem as a nail." I’ve always believed that to do good change work, you need both hypnosis and NLP, and whatever other modality which might be appropriate.
Richard Bandler said, “NLP is an attitude and a methodology that leaves behind a trail of techniques.” As you can see, in NLP techniques or patterns are last on the list. Before any technique can really be effective, the NLPer should first create rapport. Without this no technique will work. Within that frame is the “outcome.” Without a specific outcome, there’s no way of telling if the behavior is or isn’t relevant. In addition, within that frame you must consider other outcomes, and if the desired outcome would conflict with other outcomes the client has, and/or the outcomes of important people in his/her life. This is checking ecology. It’s only then that one utilizes various NLP techniques. This is a wonderful structure to work within, and its effectiveness is self-evident. Let’s now take a closer look at Hypnosis. My mentor Gil Boyne called hypnosis “an emotionalized desire to satisfy the suggested behavior.” The important word here is “emotionalized.” The client actually feels like doing what is suggested. Here to, the above initial frames are necessary to create the hypnotic alliance between a client and the hypnotist, namely — rapport, outcome and an ecological check. You might think that we begin the same way with the two modalities. However, here's the decisive factor — the “emotionalized desire” actually helps generate rapport, which is “a meeting of the minds of the emotional level.” According to Spiegel (1978), there are three major styles for evoking or inducing the hypnotic state: 1. Fear — one can be frightened into a trance state by the use of fear and coercion. 2. Seduction — under appropriate conditions you can seduce a person into a trance state. This can be sexual, nonsexual, or a combination of both. And 3. Instruction and/or Guidance — a person can simply be guided or instructed into a trance state. Gil Boyne said that there are five principles by which the hypnotic state is produced: 1. A "Startling Command." A shout, loud noise, or anything that gets our immediate attention, puts a person's protective filters off guard. Hence, a person's logic and reason are bypassed. 2. A "Loss of Equilibrium." People are born with only two fears: fear of falling and fear of load noises. If their equilibrium is challenged, their need to regain equilibrium supersedes any suggestion that might be implanted — the suggestion goes Continues on page 4 …
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Hypnotherapy Certification Class with Instructor Franka Fiala
Massage, Shiatsu, Music Therapy, even Pet Therapy, etc. Synergy or synergism has to do with the phenomenon in which two or more discreet influences or agents acting together create an effect greater than that of the separate effects of the individual agents. You’ve heard the expression, “The whole is greater than the sum of its parts.” For example, if each of two politicians is able to gather one million votes on their own, but together they were able to get 2.7 million votes, their synergy would have produced 700,000 more votes than their individual, independent pull. In the world of business, a financial benefit that a corporation expects to realize when it merges with or acquires another corporation refers to a "corporate synergy". This also holds true for any therapeutic change work. You can never have enough tools in your pocket. The above NLPer I spoke with was limiting his choices, hence limiting his effectiveness. Why fight over whether NLP is better than hypnosis, or visa versa, or for that matter any of the healing modalities. They complement each other, strengthen the effectiveness of each other, and frankly, help keep us from getting bored.
NLP – Continues from Page 3 …
into their subconscious directly. 3. "Misdirection" — Physical misdirection / Mental misdirection. Similar to No. 2 above, this causes a person's conscious attention to be occupied and opens access to their unconscious. 4. "Mental Confusion." As above, this also occupies and tires the conscious, leaving an open door to the unconscious. And 5. "Relaxation." This is self-evident. Relaxation is an ideal way to program the subconscious with new ideas. Reading the above, one might probably think that hypnosis is much more powerful. Well here’s the clincher. NLP Change Techniques do not remain on the conscious level. They generate emotional responses, hence they integrate the subconscious. For any change to be permanent it has to be put on the unconscious/subconscious level. Hence, hypnosis permeates any synthesis of processes that involve permanent change. The key word here is “synthesis” — a combination of separate elements to form a cohesive whole. So for that matter, why not add EFT, Reiki, Reflexology, Aromatherapy, “I took the virtual tour of the web site and am looking forward to accessing the library --alone well worth the price of yearly membership! Thank you for all that you provide our association.” – Brian Hooper, La Jolla, CA “My father-in-law is visiting us from South Africa and has been reading both your Unlimited Human! Spring and Summer Issues. He absolutely loved them!” – Teresa Tupholme, Estoril, Portugal 4
Malaysia Chapter Meeting
Are You Interested In Forming a Chapter In Your Area? Contact Hypnosis Headquarters In Laceyville, PA (570) 869-1021 (Visit our website at www.iact.org for a complete listing of chapter locations)
CAN GENETICS BRING THE MIND BACK? PART 1 by: Flavio Souza-Campos, Ph.D. Flavio Souza-Campos earned degrees from Florida International University, in Miami, FL. He then earned a masters and doctorate degree in biomedical engineering from the same university. In 1996 Dr. Souza-Campos founded the Hypnotherapy and Counseling Center. Flavio has been vice-president of IACT Miami Chapter since its inception in 1998, the recipient of the IACT 2000 Humanitarian award, and an instructor of basic through advanced hypnotherapy, philosophy and metaphysics.
Thank you for the opportunity to share our Reflections on Mind, Body and Hypnotherapy with colleagues through the Unlimited Human! magazine(1). The article generated a number of requests for clarification of the notion that the mind can alter gene expression. This matter is important to hypnotherapists because, if the mind can favorably and reliably affect gene expression, then its engagement in medical care is warranted. I argue in favor of the title question: Yes, genetics can bring the mind back to medical care. It was impossible to make the point in 2,500 words though, so the article was divided into three parts: A review of genetics; a definition of “mind” and an explanation of “bringing it back”; and finally, recent scientific information showing the effect of the mind on the body at a genetic level. So, I invite you to read the rest of this article in the next editions of the Unlimited Human magazine. The science of genetics has its origins with an Augustinian priest named Gregor Mendel (1822-1884). Mendel was interested in the details of inheritance, how we come to look somewhat like our parents. At the time of his work, mostly up to 1868 when he was promoted to Abbot, two ideas attempted to explain inheritance: Blending and Lamarckism. Blending claimed that children are some sort of overall average between their two parents, an idea not too far fetched in view of common observation. Lamarckism, also known as soft inheritance theory, gets its name from Jean-Baptist Lamarck, (1744-1829) a naturalist who deduced, based on natural laws, philosophy, that children would acquire characteristics that their parents developed during their lifetimes. An example of soft inheritance would be that, if parents lift weights and develop large muscles, their children would be born with larger muscles as well. Although modern genetics has mostly discredited Lamarckism, recent evidence confirms this phenomenon, albeit to a limited extent (2). Mendel suggested the idea that some “factor” was passed from parents to children, but it was Wilhelm Johannsen (1857-1927) who coined the term “gene” in 1909(3), soon after three botanists, rediscovering Mendel's work, were credited with founding the modern science of genetics in 1900. These investigators were Hugo de Vries (1848 -1945), Carl Correns (1864-1933) and Erich Tschermak (1861-1962). Curiously, Dr. Tschermak's grandfather was Mendel's botany professor
in Vienna. The history of genetics is a fascinating account of human ingenuity, persistence, and luck. Geneticists first discovered that the substance responsible for the transmission of information from parent to child, or offspring, is nucleic acid, not protein as had been postulated. By 1952 the nucleic acid of interest was identified as deoxyribonucleic acid, DNA for short, and by 1953 the three-dimensional structure of the molecule, the famous double helix, was described. Imagine a string of pearls spaced apart. Now imagine another string next to it. The pearls next to each other, but on opposite strings connect. You now picture a ladder in your mind. The poles of the ladder are the original strings, and the rungs on the ladder are the connections between every two adjacent pearls. Now take this entire ladder and wrap it around a pole; that is what DNA looks like. Inside of the cell that entire double helix is itself wrapped around a protein core called histones; the entire package, DNA plus histones, forms the chromosome, of which humans have 46. One set of 23 chromosomes is derived from the maternal gamete, the egg; the other set comes from the paternal gamete, the sperm(4). The “pearls” we just imagined are called nucleotide bases, or just bases for short. In intact DNA, just as in the ladder, bases on opposite strands of the DNA connect, forming base pairs. Human DNA adds up to about 3 billion base-pairs(5). There are four types of nucleotide bases found in DNA, and their specific sequence can be used to convey information just as “1s” and “0s” can be used to convey digital information, or the 26 letters of the alphabet can be used to convey meaning through words and sentences. This information, much like a blueprint from which a house can be built, is used to build proteins, which serve as the building blocks of the body and as enzymes that make all kinds of biochemical reactions possible. Perhaps thinking of DNA as the “blueprint”, and of amino acids as the “bricks” from which proteins can be made, in 1958 Francis Crick (1916 - 2004) proposed an explanation for how this can happen that he called the central dogma of molecular biology(6). An irony in the history of genetics that Dr. Crick is said to have regretted was the use of the word "dogma" in what is arguably the most important scientific Continues on page 7 …
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HOW TO MEND A BROKEN HEART by: William Horton, PhD William D. Horton, is a licensed Psychologist, an alcohol and drug counselor, a Master Trainer of Neuro Linguistic Programming, a Certified Hypnotherapist and trained through the Red Cross program for Critical Incident Stress Debriefing. He has been trained in crisis/hostage negotiation by the FBI at the FBI Academy in Quantico, VA. A veteran of the Army and Naval Reserve, Dr. Horton is considered one of the leading experts in subconscious communications. He is an accomplished author of several books and the founder of the National Federation of Neurolinguistic Psychology, NFNLP
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ecently I have received several calls from people wanting tips on helping others who are in bad straits from failed relationships. They want to know how to help. There comes times when it is hard to let go of a failed or terminated relationship, it is at these times that our conscious mind cannot override these deep feelings. It may be even more painful during special days like anniversaries or the holiday season. When I have a client with this I use a version of the phobia technique, which I jazzed up, called Mending a Broken Heart Process. This is not only for lover relationships, but friendships, even job loss can be listed here. When many people lose their jobs (as in the current downsizing) they go through more of these grieving/loss feelings than most people realize. How can we help? When you look at how people naturally overcome this grieving/loss experience? I think we can use our tools to speed up the natural process. Have the person think of someone they used to be in a relationship with but now they have no feelings for, maybe a high school love, or an old friend who now is out of your life. The first time I used this I was pleasantly surprised at how well it worked. I had a weight loss client, who appeared very down at one of her follow up sessions. When I inquired into this she told me of her recent break up with her boyfriend. (I knew from previous conversations that this was an ongoing on again/ off again relationship). I asked her if she would like to be rid of her strong attachment to this relationship, she answered quickly, YES! So I walked her through this process. I made a note to follow up on her next visit. She returned and I asked her what happened, she told me the following. “I felt fine after our session but a couple of days later he called and wanted to talk, I told him no. The next days he sent flowers to my work, and called me, I was not interested. The next days he showed up at work with more flowers and a ring. I thought about it but I did not want to get back on the merry go round. It was strange; this would have worked before, but not now.” At this point I asked her if she would like her attachment for him back, since we could install that, she laughed and said 6
no. The moral, make sure they want to remove the strong feelings. Here are the steps. First we must acknowledge the protection process involved. The part of you that has been protecting you all this time by making you feel bad is an important and valuable part. We want to preserve its ability to protect you in future situations. The purpose of this technique is to refine and improve your brain's ability to protect you by updating its information. We will not remove the memories, just the strong emotional response. 1. With your eyes open or closed, imagine you're sitting in the middle of a movie theater and you see a black and white snapshot of yourself on the screen. 2. Now, float out of your body and up into the projection booth. See yourself sitting in the movie theater seat, and you notice the black and white photo on the screen. You may even wish to imagine Plexiglas over the booth's opening, protecting you. 3. Now, watch protected in the projection booth, as the other you in the movie theater watches a black and white movie of a younger you going through the entire relationship, the good, the bad, from the first meeting to the end. Watch the whole event, starting before the beginning to the end. Observe until you are beyond the end of it, when everything was okay again. If you are not fully detached, make the theater screen smaller and farther away, make the picture grainier and stop and start the film so that when you're done viewing it, you're completely detached. End the movie after the relationship event, with a freeze frame of yourself. 4. Next, leave the projection booth and slip back into the present you in the theater seat. Then, step into the freeze photo of the younger you, who is feeling okay again, at the movie's end. This is double dissociation. Now, run the entire movie of that relationship backwards in color, taking two seconds or less to do so. Be sure to go all the way back to before the beginning. See, hear, and feel everything going backwards in those two seconds or less. Add some circus Continues on page 9 …
GENETICS, Continues from page 5 …
discovery ever.values Someare of the coveredbase by the Beliefs and yourevents motivational andcentral what dogma are as follows. allows you to begin the change itself. This is your why A number of importance highly specialized proteins are change. involved in a question and the associated with the process known as transcription, when the DNA is Identity is your sense of self and in many molecule cases your unwound, split apart copied a new molecule called relation to others. Thisand is the “who”into question. ribonucleic acid. Because this molecule Purpose is looking at the entire picturecarries and isinformation, sometimes by virtue of its nucleotide sequence, outside the nucleus the difficult. This is the reason and driving force behindofthe cell, it is called messenger ribonucleic acid, or mRNA. change as well as why it is necessary. The what for question. Just outside thestep nucleus of every in or around another Logical levels by step – Onecell, of the areas where most organelle called endoplasmic reticulum (ER), another protein people go wrong is not establishing a guideline or method to complex called Using a ribosome assembles the building blocks of their madness. the levels and breaking it down into proteins, called polypeptides, based on the information smaller steps will ensure success. Think about it this way: carried by the mRNA. secondthey process called when a person goes to climbThis a mountain do notistake one translation. Proteins are molecules built by connecting huge step in hopes of reaching the top. There are a series of togethersteps manytoamino acidsthough. (there are 20 amino in total) smaller get there Same is true acids in achieving and folding the resulting "string" into complex shapes. A goals – develop a plan and take smaller steps! polypeptide is a sequence many amino acids does not Out of whack – The oldofsaying that you can that not fix what (4) form a fully functional protein . you do not acknowledge is very true. It is important to admit body isisbuilt out of proteins andit biochemical reactions thatThe a change necessary. What ever may be, if you do not depend on enzymes, also proteins. Therefore, what thetobody put a price tag on it, you will likely not adhere as closely the normally looks and functions like depends on the sequence of steps! nucleotide bases stored in the DNA molecule. But It turns out The right level – After admitting there is a need for that many diseases start with DNA as well. change, then you must discover what level the change is The organism lives longer than just aboutyou every cell inthe it. needed at. Really taking inventory will help discover Someofcells, suchthat as those of the gastro-intestinal and the level change is needed. For example, is tract it personal, skin, are replaced often because they are continuously business or another area that is suffering or could improve? abraded and off.–Before cell dies, it generates Putting it sheared into action As witheach anything, change in your another one just like it, or so we hope, in order to preserve life must come from motivation and understanding thatthe a integrity of the organism. Generating a daughter out of change could help you succeed or better your life. It is alsoa mother cell, as theyorare called, involves thehelp delicate process necessary to obtain find the right tools to you succeed, of copying all the DNA in its nucleus, all 23 pairs of it may be others, education, business or something else that chromosomes, all 3 billion base pairs of information; a tricky provides the needed foundation for your change. process called replication. Uses for logical levels – Using logical levels can assist you Imagine photocopying a document with 3 billion pages in in springing into action after you have answered the questions it, how many pages could be lost or exchanged before the and surrounded yourself with useful tools. Here is how to use meaning of the original document is fundamentally altered? the levels in a practical and efficient manner. Cells do not likegathering to lose or– change when Information Gettingany the information facts and making DNA is replicated, but sometimes it is, and that explains some use of it is very important. You wouldn't do a research paper genetic diseases. Small errors in DNA may result in without first gathering the information. After findingnonthe functional proteins; either structure or a function wouldcan be information, organize it ainto a system that you compromised, leading to disease. understand. Sickle cellrelationships anemia is a genetic disorderrelationships that reduces the life Building – Building within expectancy of affected individuals. Their red blood cells are the family is important in a change, because it typically abnormally shaped because of a defect in a protein called changes the dynamics of the entire family – especially in hemoglobin, responsible for holding to entire oxygenfamily on its changes such itself as marriage or divorce, whereonthe way from the lungs to each cell in the body. Normal is affected. Understanding how the family can work together hemoglobin formsbonds a doughnut-like shape,and butmake affected and implementing will help continue the hemoglobin forms fibers that give the red blood cells their change more successful. characteristic shape, that of a–sickle. Improve performance If it is a business or personal Out of the 3 base-pairs in the human genome, ONE change that is inbillion question, it is important to ensure that you are of them is exchanged in individuals affected with sickle cell doing your best. It may be that you need to decide at what anemia. That one difference in DNA is transcribed level or where the base change is necessary. In business, is it ainto finata different mRNA sequence, which then calls for a different amino acid, valine instead of gluatamic acid, during Continues on page 8 …
Unlimited Human! is published for the International Association of Counselors and Therapists and the International Medical and Dental Hypnotherapy Association, 8852 SR 3001, Laceyville, PA 18623. Phone: 570-8691021 Fax: 570-869-1249 www.iact.org and www.imdha.com. It is the goal of Unlimited Human! to reach beyond the expected and provide our readers with timely articles and innovative ideas that will help them in their business, professional and personal lives. The editors are always looking for news and unusual concepts in the medical, business and social arenas, and encourage submissions. Please send manuscripts to our international headquarters at the above address. Manuscripts must be submitted no later than two months prior to publication date. Manuscripts may also be submitted electronically using MS Word format or those compatible with Microsoft. Please include one printed copy of your submission by physical mail or fax, even when submitted electronically. Each manuscript will be considered carefully, but cannot be guaranteed publication. Unlimited Human! welcomes stories related to health, business, technique and wellness through the unlimited power of the mind. It is through the writings, stories and news articles supplied by our members that we can inform, educate and inspire our clients and ourselves. No outside advertising is accepted. We encourage you to SHARE THIS ISSUE WITH A FRIEND! Subscriptions to Unlimited Human! are reserved for members of the International Association of Counselors and Therapists and the International Medical and Dental Hypnotherapy Association.
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GENETICS, Continues from page 7 …
translation. Changing one amino acid changes the polypeptide sequence, and the protein it eventually forms folds into a different shape. This serious genetic disease is caused by a single point mutation: the substitution of one base on the person's DNA. Sickle cell anemia is a congenital disorder(7), which means that affected individuals were born with the condition. Other types of genetic disorders are not present at birth, though. When DNA is replicated, when all three billion base-pairs are copied in preparation for cellular division, a protein called p53 checks over the newly synthesized DNA before giving the cell the “go ahead” to complete its division. If an error is detected, protein p53 directs repairs if possible; if DNA repair is not possible, p53 initiates a process called apoptosis, the cell is directed to commit suicide before the damage can propagate. Cancers result when damaged cells propagate unchecked, often forming a mass of tissue called a tumor. Protein p53 is made with instructions found in a gene called TP53, one example of a tumor-suppressor gene. A mutation in the TP53 gene would produce either a missing or a faulty protein p53, cells with damaged DNA would be allowed to multiply leading to cancers in affected individuals. As in the case of sickle cell anemia, a common defect in the TP53 gene is a single point mutation, cytosine replaces guanine on the affected person's DNA, with cancer as a possible result(8). Such cancers may develop in adulthood because DNA can change during a person's life. These changes are called mutations, which are caused by mutagens, such as radiation, chemicals or viruses. While it is desirable to have gene TP53 expressed into fully functional p53, another class of genes, oncogenes, if expressed would lead to cancer through unrestrained cellular division. Although the meanings of “gene” and “gene expression” may have been inferred from their use above, an explanation is in order. Just as a word is any sequence of letters that conveys meaning, a gene is any sequence of nucleotide bases on the DNA molecule that can be transcribed and translated into a polypeptide (protein precursor). This definition of a gene is somewhat historical, stemming from the central dogma of
“I've been especially pleased to be part of the IMDHA, which is proving to be an exceptional international association, providing a superb journal and monthly newsletter, plus a mentor network for e-mail dialoguing, a repository of many articles and other learning tools to its members.” – Del Hunter Morrill, Seattle, WA
molecular biology(6); today it is known that some genes do not code for proteins, instead they direct the processes of transcription and replication. It may be useful to think of a gene as any sequence of bases that performs a function, a definition that makes it clear why it is so difficult to know exactly how many genes there are. Unless a particular sequence of nucleotide bases can be shown to have a function, it cannot be considered a gene. Out of the 3.2 billion nucleotide bases on human DNA(3, 9), scientists have identified roughly 30 thousand genes. It would be tempting to think that, on the average, each gene is comprised of 100,000 nucleotide bases, but this is not the case. After mRNA is made based on the DNA (transcription) it is highly modified before it is ready to serve as a template from which polypeptides can be made (translated). Many segments of DNA do not appear to encode mRNA, and many segments of mRNA are disposed of during modification prior to translation. The result is that only an estimated 2 percent of the DNA codes for actual genes(9), producing an average of 2,100 base pairs per gene. Considering that all humans share 99.9 percent of their DNA, each one of us can be uniquely identified on the basis of 3,000,000 base pairs of DNA, or 1,400 genes on the average. If we think of a gene as a set of instructions, as the blueprint, then expressing genes is like building the house. The gene product, a polypeptide, would be a brick, and the organism would be the house in this analogy. This means that having a gene for a particular trait or condition does not necessarily mean actually having that condition. The gene would have to be expressed in order for that condition to develop. Out of 30 thousand genes in the human genome, just about 8,000 are expressed in all mature cells, these are ubiquitous genes. In total, mature cells present from 11.000 to 15,000 genes expressed(10), primarily because of a phenomenon called cellular differentiation. When biological life first begins, all embryonic cells are similar, with the same genes expressed. At some point during development, however, as cells continue to divide to increase the size and functions of the baby-to-be, they begin to adopt specific functions and shapes. The result is that liver cells look and function differently from cardiac cells, for instance, because different sets of genes in each are expressed. Some genes are expressed only when the cell needs the product they encode. One example is the lac operon cluster of genes in e. coli bacteria. These genes code for enzymes needed for the metabolism of lactose. If lactose is not available to the bacterium, synthesizing the enzymes would not make sense, thus the genes would not be expressed. When the organism detects lactose in its environment, genes are activated, expressed, and the enzymes are manufactured making it possible for the bacterium to utilize lactose as a food source. Human cells are different from bacterial cells in a number of important ways; they are even more capable of selectively Continues on page 9 …
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GENETICS, Continues from page 8 …
BROKEN HEART, Continues from page 6 …
music, you may want to see your ex-partner with a clown nose, and feet. 5. Repeat this process two to three times. 6. Now bring up a collage of all the negative times you had with this person. Be honest, all the hurts and slights should be here. 7. Let this fade away into your past. 8. Now bring up an image of this person, and notice all of the connections you have with this person. You may notice cords of light, or energy strings. Pay attention to all the connections. Head to head, heart to heart, sex to sex, spirit to spirit. In whatever way is right for you, cut the cords. You may want to use a silver sword, or special scissors. Once you have cut the cords, reattach them to yourself, and let them reattach theirs to them. Release them to find their highest good, as you release your self. References To test the process, attempt to return to the bad feeling state 1 - Unlimited Human Magazine, Summer 2010. www.iact.org. 2 - Richards, E.J.: Inherited epigenetic variation revisiting soft in any way you can. What if you were faced with that person inheritance. Nature Reviews Genetics. Vol. 7, May 2006, p. now? If you still get a negative response, repeat the steps 1 to 8 exactly, but faster each time, until none of the phobic response 395-401. remains. Thank your higher self for helping and get on with 3 - “Genetics: A conceptual Approach”, by Pierce, B.A. 3rd edition. W.H. Freeman Co. NY. ISBN 13-978-0-7167-7928-5. your life. 4 - "Biology", by Raven et. al. 8th ed. McGraw Hill, NY, 2008. ISBN 978-0-07-296581-0. 5 - International Human Genome Sequencing Consortium (2001). "Initial sequencing and analysis of the human genome." Nature 409 (6822): 860921. 6 - Crick, F.: The central Dogma of Molecular Biology. Nature, Vol. 227, August 8, 1970. 7 - Vernier, R.L.: Hematuria as manifestation of sickle cell anemia in children. AMA Am J Dis. Child. 1955; 89(2):221225. 8 - Hollstein M, et. al. (1991). "p53 mutations in human cancers". Science 253 (5015): 4953. www.genomics.energy.gov 9 - Ramskold, D. et.al.: An abundance of ubiquitously expressed genes revealed by tissue transcriptome sequence Mayaguez, Puerto Rico Chapter Meeting data. PLoS CB, Dec. 2009, Vol. 5, Issue 12. controlling gene expression through a myriad of mechanisms. As a result of selective gene expression or repression, an entire life can be changed, one cell at a time. Recalling that the differences among humans can be explained on the basis of only 1400 genes, the selective expression of relatively few genes would be sufficient for diseases to form or resolve. Furthermore, proteins are ultimately important to the body, not genes. Polypeptide sequences can arrange in different ways producing different proteins, with different functions. Proteomics is the even more recent field that studies protein synthesis and function. Next “mind” and its historical role in medical care will be described. Finally, evidence showing that the mind can favorably affect gene expression will be presented. Thank you.
ERRATA The following figure was missing from the article Reflections on Body, Mind and Hypnotherapy, appearing in the previous edition of the Unlimited Human magazine.
SOUL UNCONSCIOUS ENERGETIC
RATIONAL
PHYSICAL BODY
“I was at a chapter meeting just last Friday night… After listening to them I was doubly sorry that I had not had opportunity to attend ... Thanks for the tip on the 2011 conference.” – Pandora Pillsbury, Medway, MA “This issue of Ask the Professional was terrific!! It was a lot of information presented in an economical and clear way. I truly enjoyed it and found it enlightening.” – Gloria Alexander, West Palm Beach, FL 9
AN EXCERPT FROM UNSTUCK: YOUR GUIDE TO THE
SEVEN STAGE JOURNEY OUT OF DEPRESSION by: James S. Gordon, MD -- Reprinted with permission of the author (Penguin Press, 2010). James S. Gordon, MD, a Harvard educated psychiatrist, is a world-renowned expert in using mind-body medicine to heal depression, anxiety, and psychological trauma. He is the Founder and Director of The Center for Mind-Body Medicine, Dean of the Graduate School of Mind-Body Medicine at Saybrook University, a Clinical Professor in the Departments of Psychiatry and Family Medicine at Georgetown Medical School, and recently served as Chairman of the White House Commission on Complementary and Alternative Medicine Policy. Dr. Gordon has devoted over 40 years to the exploration and practice of mind-body medicine. After graduating Harvard Medical School, he was for 10 years a research psychiatrist at the National Institute of Mental Health. Dr. Gordon’s most recent book is Unstuck: Your Guide to the Seven Stage Journey Out of Depression (Penguin Press) is a groundbreaking, inspiring, practical guide to that healing journey.
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rom the Preface: Depression is not a disease the end point of a pathological process. It is a sign that our lives are out of balance that we’re stuck. It’s a wake-up call and the start of a journey that can help us become whole and happy a journey that can change and transform our lives. This book will challenge the prevailing medical model of depression and the widespread – even epidemic – use of chemical antidepressants. This narrow model of diagnosis and treatment insists that those who feel helpless and hopeless, unhappy and uncertain, have a disease like insulindependent diabetes that requires pharmacological treatment. I’ll offer you evidence that strongly suggests that this model is poorly justified, largely inappropriate, limited and limiting, and often enough dangerous to your physical emotional and spiritual health. The antidepressants that it dictates should be seldom – as a last resort – and generally briefly, not as a form of primary care. What I’m sharing with you here is a newer more hopeful and far more comprehensive and effective model for healing depression – both the clinical depression that is diagnosed in sixteen to eighteen million Americans each year and chronic, low-grade dissatisfaction, unhappiness and anxiety that affect so many more of us. It’s a model you can start to use right now, one that will meet your unique individual needs and give you positive results that you can begin to experience immediately. This Unstuck approach marries modern science with the perennial wisdom of the world’s great psychological and spiritual traditions. It makes use of the remarkable capacity each of us have to recover – physically, emotionally, spiritually – from the hurts and trauma we have experienced to transform our fears into teachers and to restore and renew our brain body mind and spirit. From Chapter One: "Is There Some Other Way?" Hero’s Healing Journey: Becoming Unstuck Healing depression -- overcoming unhappiness means dealing more effectively with stress; recovering physical and psychological balance; reclaiming the parts of ourselves that have been ignored or suppressed; and appreciating the wholeness, the integrity that has somehow slipped away from us or that we have never really known. But this healing is dynamic and expansive as well as integrative, not just a series 10
of tasks, but an adventure. Depression almost always brings with it – along with the sense of loss and inadequacy of gloom and uncertainty – a feeling of immobility of stuckness. It feels as we’ve broken down alone and lonely in some dismal, charmless backwater that no one would ever choose to visit. The beginning of the end of depression comes when we recognize this place and see it not as the end but a beginning a starting point for the journey through and beyond depression confusion and despair toward wholeness and healing and delight. This uncertain challenging journey is, I believe, the lifedefining path which leads us to who we really are who we are meant to be. And it is in many ways like the journeys that have defined our culture and the modern ones that impress and inspire us: Moses’ painful pilgrimage, Jesus’ mission, Mohammed’s flight; the trials of confinement and the later life challenges of contemporary heroes like Mahatma Gandhi, Senator John McCain and Nelson Mandela; the hardwon authority of poet Maya Angelou and television teacher Oprah Winfrey; the steadfast marches of the Rev. Dr. Martin Luther King Jr. The ancient Greek poem “The Odyssey” – the model for both our classic novels of self-discovery and our modern adventure and mystery stories – is the tale of a man full of woe who finally finds his way home and to wholeness. These historic and heroic figures are taking, as mythologist Joseph Campbell and psychiatrist Carl Jung before him pointed out, “archetypal journeys” – journeys that reflect and embody timeless truths of human experience. Their stories can encourage us to accept rather than flee from the challenges that confront us to relax with, rather than tense against our terror. They show us that patience and courage awareness creativity and judicious action can transform suffering. And they tell us that grace – mysterious, sweet, unmerited blessings – may always be available if we but pay attention. These heroes and their stories also remind us that others have been there before, that we are not alone. The journey we take in depression, out of unhappiness, is mostly an internal one; travel and adventure, will and action, and retreats from our customary world, can also be valuable parts of it. The limitations on us, the threats to our well-being, our integrity and our sanity are not likely to be from ferocious Continues on page 11 …
HYPNOTHERAPY For Body, Mind, and Spirit Hypnotherapy for Body, Mind And Spirit is in its second printing and now available through Hypnosis Headquarters. Order your copy now by calling or accessing our online store. A quick search is available online for fast and direct ordering. "This is a book that will stand the test of time and will become one of the most valuable resources available for anyone interested in the art and science of Hypnosis." – Anne H. Spencer-Beacham, PhD, Founder, International Medical and Dental Hypnotherapy Association. “Chaplin Durbin has scored another home run in his series of well-written books in the art and science of hypnosis. I highly recommend this book as a 'must have' reference guide for the library of every serious hypnotherapist.” -- Robert F. Otto, President, Chief Executive Officer, International Medical and Dental Hypnotherapy Association, International Association of Counselors and Therapists.
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Paul G. Durbin, PhD Winner of The ZOIST Award DEPRESSION, Continues from page 10 …
Pharaohs or sadistic jailers. They come from within ourselves; from the losses and hurt and fear we have suffered; from our internalization of the commands and constrictions – real and imagined – of our parents and our society. These wounds and limitations manifest in our relationships to those we love and care for and work with; in the work we do and the play we permit ourselves. They are personal and often very private. Still in pulling ourselves from the swamp of our unhappiness in navigating the straits of our fears and moving beyond selfimposed limitations in our minds and bodies and in our present circumstances, we are making an effort and taking a journey that is every bit as difficult, and as healing and heroic as any that humans have taken or can take. The Seven Stages of the Healing Journey There are seven stages on this journey. They are – in one form or another – as old as recorded history. My discussion of these stages draws on the sequence that Campbell observed in scriptures and myths and described in The Hero With a Thousand Faces on my own experience as a traveler on this journey and on my work with thousands of depressed and discouraged confused and conflicted people. They are: I. The Call: the awareness that we are depressed and that some kind of change of journey is necessary; II. Meeting Guides on the Path: meeting and choosing the men and women who can help and developing our own inner
guidance and wisdom; III. The Surrender to Change: allowing and encouraging ourselves to let go of what constrains and freezes us and to move into the current of life; IV. Dealing with Demons: meeting the challenges – selfdoubt loneliness procrastination pride resentment perfectionism fear with all its faces – guilt, shame, self-pity and all the others – and finding in them the unique demon – the genius of our own meaning purpose and direction; V. The Dark Night of the Soul: allowing and inviting, as we move through the despair that may come to any of us, the deepest life-giving freedom to emerge ; VI. The Blessing: experiencing the unity and peace, the love and generosity the connection to something or someone greater than ourselves that can transform our lives; VII. The Return: learning to live every day joyously, deeply, consciously with ourselves and others in the light of what we have experienced and are always learning. In Unstuck’s next seven chapters I’ll give practical guidance and specific techniques to use at each stage of the journey (how to hear and answer the Call and choose your Guides relax into life and learn from rather than resist and be defeated by demons). And I’ll provide physical mental emotional and spiritual nourishment that can sustain each of you on your path – instruction in meditation and guided imagery that will quiet Continues on page 12 …
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DEPRESSION, Continues from page 11 …
your anxiety, raise your energy, promote understanding and improve your mood; detailed information about safe physiologically balancing, mood lifting supplements and herbs; insights that can change the way you look at your life; movies and music and stories about ancient heroes and the ordinary present-time ones who populate my consulting room stories that can move and instruct you inspire you and open the door to your own heroic possibilities to your own healing. Not all of you will experience all of the stages or experience them in the order I describe. Some of you may feel despair in the first hours of the Call and others may have moments of great and spacious peace while you struggle with your demons. Guides are always appearing. And challenges that are strenuous, difficult, daunting, even overwhelming, can after some struggle or in moments of grace become richly rewarding fascinating and even funny. This book is written for all those who are clinically depressed – who can’t get out of bed in the morning, eat incessantly or not at all, who know that the glass is half empty, who feel that life has failed you and you it, and that it will always be this way. It’s also for and is about all of you who may just feel stuck or overburdened or unhappy or dissatisfied for any of us who may wonder “Where am I going?” and “Am I ever going to feel better?” or “Why am I here?” “What is my purpose?” Unstuck is meant to be as useful for the ordinarily unhappy and confused as for the obviously depressed. On the journey toward wholeness all of us must meet similar challenges and proceed with similar care and attention and courage. If you flee from and suppress the symptoms of depression – with drugs and denial – you run the risk of remaining stuck in self-defeating and repetitive patterns in habits and ideas and ways of relating to others that no longer serve you. If you see and embrace each stage of the journey and each challenge as your teacher – as an opportunity to see what you’ve been ignoring and need to know – you enter another more spacious, life-sustaining universe. Now you can recover parts of yourself that have been denied; stretch and grow in ways that further your development as a human being; reach out in ways that offer and inspire love. Now powerful change and healing can and will come.
Hypnosis Demonstration at chapter meeting in Malaysia _______________________________________________ “I must tell you, if I haven't already, what a friendly group IACT folks are. I look forward to a long-term relationship with the group and am excited about becoming a trainer.” – Aline Hoffman, Coventry, CT
* * * “I thank you and commend you for the skillful and gracious manner in which you facilitated this entire procedure. You made everything easy. With warmest appreciation.” - Clarice Graham Carter, Farmington Hills, Michigan
* * * "It was a great conference and I learned a lot from all the great presenters. I will definitely go to the next conference in Daytona Beach next year. " – Gilbert Wong, Hong Kong 12
BEING AND TIME – A REVISIT, PART IV by: Dennis K. Chong & Jennifer K. Smith Chong ©
Dennis K. Chong & Jennifer K. Chong, have become known as leading authorities in the art of communication, Hypnotherapy, Psychotherapy, Neuro-Semantic Programming and Neuro-Linguistic Programming. They have co-authored several books, video and audio programs and produced seminars on various topics. Their presentations have been wellreceived by forums around the world including the U.K, Malaysia, Spain, Australia, Germany, Italy, the USA and in their home country of Canada. Many of their papers have been published in leading journals. In this paper, the male pronoun will apply to either gender. The nominal pronoun will apply to the first author. The plural pronoun will apply to both authors. Spelling is British English.
The issues about Being are only in part matters of ontology. However, Being ceases because of death! So then, what really is Being? Clearly and logically, this entire paper from Part I to Part III touched on and examined certain structural matters appertaining to our teleology1. However, to truly explore the issues of Being we cannot stop here. We have to examine the phenomena relating to the conditions for the inception of Being, to the grand mysteries of our eschatology2. There are many ways to understand the way of our creation. Certainly, the many varied religions, today and in the past, have their differing versions to answer this question. We, however, have elected to align ourselves with the propositions put forward in the Santiago Theory: The Santiago Theory proposes that at the beginning of the life there was NOTHING and the person and the certain structures in him. From these structures his world unfolds before him. Since we have similar structure we have similar worlds. Each of us has a world but none of us has THE world. There are certain words above that have to be explicated. It is will not do to assume that we all share the same meaning for them. Let us consider the word NOTHING that Maturana and Varella wrote above? It is from Heinz R. Pagels3 that we get the meaning of the word, NOTHING, and how it is understood today in 2009 by High Physics: The nothingness "before" the creation of the universe is the most complete void that we can imagine - no space, time or matter existed. It is a world without
place, without duration or eternity, without number – it is what the mathematicians call "the empty set." Yet this unthinkable void converts itself into the plenum of existence – a necessary consequence of physical laws. Where are the laws written into that void? What "tells" the void that it is pregnant with a possible universe? It would seem that even the void is subjected to law, a logic that exists prior to space and time. Heinz R. Pagels: Perfect Symmetry THE SEARCH FOR THE BEGINNING OF TIME Simon and Schuster 1985 page 347. The field of Neuro-Semantic Programming, NSP, says that the NOTHING that was extant before the moment of the Big Bang is the same NOTHING that existed at the very moment of our creation. It is this unthinkable void that converts itself into the plenum of our being, our existing, our Being. Our instincts tell us that the plenum of our existing, our Being is a necessary consequences of physical laws. As Pagels asked, so too does NSP asks: where are the laws written into the void from which we unfolded? Indeed, NSP also asks, what, "tells" the void that it is pregnant with the possibility of the plenum of our existing, our Being. The interesting thing is that it had done so for billions of humankind before us. It has done so for the billions today including you and me. In passing, for this to be so implies some structure, some law. NSP says that the physical laws that were in the void, ab init, would also have been written into us. The questions for any student are: What is the function of these physical laws. What purpose do they serve? The physical laws exist to determine how the physics of reality are to reveal themselves to you and to me. Therefore, these laws govern all structures and thing relating to us and Continues on page 14 …
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BEING AND TIME, Continues from page 13 …
our reality, from Å -15billion 4 , to +15 billion light years 5 and beyond. For an astute student his next question: If we accept that it all began with the void, the empty set, where did structures and things relating to us come from? The language of High Physics states that the Big Bang occurred because of "a perturbation" in the void. The perturbation is understood to have been an extremely small distortion or tweak in the void. It had dimension less than Å 15billion . From it, in the next instant, exploded a cataclysmic outpouring of all forms of energies and sub-atomic particles. These things were to coalesce by the laws of Physics into stars. The stars aggregated into clusters and universes. The stars lived their life cycle and some became novae. From the debris of these novae came other forms of heavenly bodies and the chemical elements for the physiology of life. It is an axiom of High Physics that the event horizon of a black hole is a place where its space is incredibly distorted. Stephen Hawking has shown that from this incredibly distorted space, matter is squeezed out. This matter is in the form of sub-atomic particles and its counterpart, energy. This is to say from nothing emerges physical things. We exist in this scenario. According to the Santiago Theory, it is we who have unfolded from the structures within us! Since we have similar structures we have similar worlds. Our world is only a world, not THE world. We have only a universe, not THE universe. A serious student may now ask: What evidence is there for such an assertion? The evidence lies in our own experiences. Consider this. Let us suppose there are you, A and me, B:
The classical view is when you see me, the dispersed light bouncing off me will reach your eyes, enter the pupil, stimulate the eye pigments that then generate the electrical impulse. This impulse tracks only the optic nerve6 to reach the visual cortex where it is registered:
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The question for you is this: Since I am in a very real sense registered in your visual cortex, where do you see me? Inside your head in the visual cortex or out there? And we ask you to be logical about this! If you are logical you will say, "I see you inside my head." Yet if you do so, at some level of reality you instinctively know that you are saying something that is insane. It is only with a humungous act of your will you override your logic and you say "I see you out there." The problem with the classical view now is that it has to postulate that the consequence of seeing me on the outside constitutes your perception of me. Therefore there has to be a boundary between you and me. On the other side of the boundary is my virtual reality of you and on this side of the boundary is me.
However, there is no contradiction if we accept the Santiago Theory. I unfold you and therefore you must see me "out there" relative to me:
Everything now centers on: What are these structure? What is the evidence that they exist? To explore these questions for the curious student would be a matter of compelling interest. This was done in Part III of this paper. 1 teleology is the study of our purpose. 2 eschatology is the study of our ultimate destiny. 3 Heinz R. Pagels was an American Physicist, adjunct Professor of Physics at Rockefeller University, the executive director of the New Academy Academy of Sciences and president of the International League for Human Rights. He is best known for his popular science books The Cosmic Code (1982), Perfect Symmetry (1985), and The Dreams of Reason: The Rise of the Science of Complexity (1988). His greatest contribution for us his work to retranslate the language of Science to ordinary understandable language for people like you and me.2 4 one angstrom, Å is an internationally recognized unit of length equal to 0.1 nanometre or 1 × 10 -10 metres (there are 10 billion of these in a metre) 5 15 billion light years is the approximate age of our universe.3 6 impulse tracks only the optic nerve: For a purist such as my dear friend Edwin Bebee, there is a faux pas to miss the track of the impulse to its way station known as the geniculate ganglion.4
ENJOYING SESSIONS WITH A CHILD by: Del Hunter Morrill, M.S., B.C.C.H. Del is the author of the GREAT ESCAPES volumes of therapeutic hypnosis scripts and the "New Beginnings" recordings. Her books, now being translated into Spanish, French, Chinese and Danish, are being used in over 38 countries. Del's curriculum for working with children is used in doctoral programs in the US and Canada; and her course on Hypnosis with Children is being taught in China by a former student. Adapted from a larger essay, copyrighted © 2002, by Del Hunter Morrill (253) 383-5757, http://www.hypnocenter.com
Use of Imaginative Scripts A child doesn't always have to have traditional inductions used in order to be hypnotized. Besides the traditional positive suggestion approach, there is a wide variety of possibilities for effectively inducting a child and providing a proper “prescription” for healing or changing habits. Most children are in a sort of trance-like state already, or, at the very least, fuzzy about the line between the real and unreal. This makes it possible to create a trance-like state in some very simple ways. Some of these can include telling stories or creating a metaphors, using the child's favorite television program to spin a tale, creating an adventure a child can go on that leads to a solution to their problem, looking at a gyroscope or into a kaleidoscope, focusing on a dot on the guide's finger, coloring an optical illusion while the therapist talks to them, making use of a pendulum, hypnotizing a puppet in order to show a child how very simple it is, going on an amazing trip such as a rocket to Mars, or locating a magical
kingdom where wonderful things can happen that change your life. The Star/Tree/Garden script. in my GREAT ESCAPES, Volume I for therapists who work with children and pre-teens, is a good example of placing the child in a visual and safe setting. Blowing up balloons, receiving gifts from the sea, burning a ship of problems, changing labels and others provide settings that allow the child to be active in their changing. Another value of such methods is that they can be used for just about any age group, including adults. Being animals, meeting a magician who helps you change, greeting people on the other side of the rainbow, or going into a tough area with your favorite hero are fun for a child, or “adult child”, and make use of their wonderful imagination. Locating the Source When a child is brought in for any serious issue, it should be assumed that there may be some deeper problem, for which this is just a symptom. In such cases, the problemsolution finding process script, in GREAT ESCAPES, Volumes I and IV (which has adapted for younger ages), can be very helpful, especially for younger ages, or less articulate children. Regression is possible in a later session, if such a script or process hasn't been fully affective. Value of Homework Homework can be a helpful addition in supporting the work done in the office. It can serve as reinforcement for the child, and gives the parent some way to participate. Homework for the child also can serve as a sort of posthypnotic suggestion, thus strengthening the session. Homework for a parent could range from creating a log or chart for a child's improvement, to using particular affirmations with the child, before bedtime.
A view from the Hilton Hotel in Daytona during the 2009 Conference. Make your reservations and join us this year! (See details on back cover)
TIPS: Keep a basket of stuffed animals, puppets and soft dolls in the room or hang them on a hat rack. My bookshelves include such things as a magician's hat and wand, a deerstalker hat (like Sherlock Holmes'), a kaleidoscope, spinning circle, different types of pendulums, and other interesting items. 15
NEW HYPNOSIS DELIVERY SYSTEMS FOR TODAY'S EVOLVING WORLD by: Julie Griffin, BCH, CI
Julie Griffin, BCH, is a registered, certified international instructor of clinical and medical hypnosis. Julie is the director of The Hypnotherapy Training Company and The International Center for Hypnosis Education and Research. She is a certified instructor of hypnotherapy through The International Association of Counselors and Therapists, as well as other organizations. Over the last 17 years, Julie has presented hundreds of basic, intermediate, and advanced level hypnosis and self-hypnosis trainings in the United States, Indonesia, and Canada and has presented at 18 national conventions. Her inspiring articles written for the public and professionals alike have been featured in multiple publications, including Unlimited Human! and New Horizons. A highly skilled medical hypnotist, Julie has been a lecturer at Massachusetts General Hospital, Southern New Hampshire Medical Center, and Malden Hospital.
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ighteen years ago, the driving force of my brand new hypnosis practice was my weekly weight loss clinic. When a "Type A" businessman, Mark, answered an ad I'd placed in the local paper his first question to me was: "Is it possible for me to see you privately?" He let me know that he didn't want to be, "the only dude in a room full of women." I listened as he told me about his lifestyle. "I'm out on the road a lot. It's hard to set appointments because I don't always know when I will be back in town." At that time, Mark was the only man who had ever called me for weight loss. When Mark arrived for his first appointment, I explained how hypnosis works and what he was likely to experience during the session. He politely listened, but his body language told me that he wanted to move on to the hypnosis session. Using my most popular weight loss script and licensed trance music I performed the hypnosis session. Instead of relaxing and going into trance, he remained fidgety and unsettled. I'd mistakenly assumed that because my other clients responded well to that program, that Mark would feel the same. But there was nothing in that session that held his attention – let alone that captivated or hypnotized him. Eventually, I admitted that we'd "missed the train to Trance-L-Vania." My joke, broke the nerve-wracking spell that previously plagued the session. We laughed and relaxed, once he stopped worrying about the hypnosis. To be certain that his next session went well, I read through his intake form and questioned him about his experience. "What was the session like for you?" I asked. "I don't know what you mean," he answered. I changed my question: "What did you like the most about the session?" "The chair was comfortable," he said, patting its big, leather arms. "Anything else?" "Nope. That's about it--and I don't mean to be rude, Miss, but could you please shut off that airy fairy music you've been playing? It's driving me up a wall." His comments were difficult to hear. "Anything else?" "To be honest, I tried to get into breathing with you--but breathing so slow and deep felt weird. I wanted to run out of 16
here, but it seemed like I was trapped in a bad chick flick." I was determined not to react defensively to his comments. The session had been like a train wreck. I wanted to roll over and play dead, but instead I asked more questions: "Is there anything you'd like me to do differently at our next session?" "Yes! Can you play some decent music next time--instead of that airy, fairy B.S.?" Mark shared his music preferences with me: "I'd like to hear something slammin' like the Eagles--or maybe Garth Brooks," he replied, as though it was ridiculous that I had to ask. At that moment, I stopped expecting him to respond like one of the girls. I was determined to create a session that he'd love. I didn't want to be a one trick pony or to develop a habit of conducting cookie-cutter hypnosis sessions. In hypnosis, one size does not fit all. That first session with Mark failed miserably because nothing about it felt, looked, smelled, or sounded captivating to him. The more I spoke to the client, the more I noticed that his personality was "Type A." His intake form told me that when he was on vacation, he preferred to engage in exciting activities vs. their relaxing counterparts. His favorite pasttime was riding his Harley Davidson motorcycle, on winding country roads, in the Fall. I realized the way to induce trance in Mark was through fixation. Clearly, the standard relaxation approach had failed. The next time Mark came to my office, instead of having him imagine himself walking down a beach to the sound of my trance music, I blared the Eagles', Hotel California, and had him imagine himself pleasurably riding his Harley down winding roads on a perfect Fall day. I suggested that he feel the vibrations of his Harley against his body as he imagined the wind caressing him, and whipping through his hair. I continued describing the scenes and sensations of his imaginary Harley ride until his eye movement and breathing showed me that he'd entered into hypnosis. At that moment, I abruptly clapped my hands and commanded: "SLEEP." His body became rigid for a split second before he slumped and achieved somnambulism. Then, I delivered a series of typical weight loss suggestions. Continues on page 17 ‌
NEW DELIVERY SYSTEMS, Continues from page16 ‌
When the session concluded, he didn't remember that I had instantly induced trance or any of my therapy suggestions-but he was happy! He thanked me for playing his music, and without coaxing, Mark booked another appointment. Knowing that his job required many hours of driving each week, I felt it unlikely that he would set aside 30 minutes a day to listen to a typical reinforcement session. Since reinforcement is crucial to lasting success in weight loss, I knew that I needed to come up with a reinforcement cassette that he would enjoy. When he was in trance I turned on my recorder only after I'd induced hypnosis and deepened him. I left the recorder operating while I delivered approximately 15 minutes of simple, direct weight loss suggestions. I shut the recorder off before I counted him out of hypnosis. After the session, Mark reported that he did not remember anything after hearing Hotel California play. He insisted that he was not hypnotized, but he said he wanted to book another session because he liked the music and enjoyed being on his Harley. I booked the appointment for the next week, but told him that he needed to swing by the next day to pick up his reinforcement cassette. Since I had recorded only the direct hypnotherapy suggestions, I knew that I could use them to create the ideal subliminal hypnosis cassette for his personal use. I went to work, using a cheap Karaoke machine that I'd purchased at Kmart. I mixed the suggestions subliminally with Garth Brooks on one side of the cassette, and The Eagles on the other side. I tested it, noting that I could not make out my suggestions. They sounded only like faint whispers behind the music and lyrics. Since he and I legitimately owned copies of those albums, I did not obsess over copyright law. But the fact remains, I violated the law in making that subliminal cassette for Mark because it featured copyrighted music. I now have bought and created enough music so I am not even tempted to violate the rights of other professionals (in any field). I share this article with you because of its many learning lessons--not to illustrate or glorify that temporary lapse in ethics. NOTE: I now create and stock many kinds of music-including my own rock and roll, jazz, metaphysical, and other genres of music. I don't have to worry about copyright infringement because I am well prepared with licensed trance music and music of my own creation. If a client comes to me and mentions liking a specific kind of music, I select music from my collection that seems the most similar. If nothing in my collection fits the bill, I create something new using one of my software programs. I gave Mark the reinforcement cassette after explaining that Garth was on one side and The Eagles on the other. I let him know that I had added subliminal weight loss suggestions. He was very appreciative and told me that he would listen to both sides of the tape every day.
Since the tape contained only direct suggestions and affirmations, and was free of any relaxation and deepening suggestions, I knew it was as safe for him to listen to while driving as it was for him to listen to music on the radio. Since people listen to music on car radios all the time--even while processing conversations with others, I believed his subconscious would properly register the therapeutic suggestions. The good news was that it worked. He lost more than 40 lbs. in under two months' time. Throughout it all, Mark never believed that he was hypnotized. Fortunately, he told me that since "something" was working, that he wanted to keep coming to see me. I did not argue with him, and I kept congratulating him on his success. His weight loss occurred so obviously, that he could have been a walking billboard for my practice. During one session, he gave me the funniest feedback: "Julie, I don't understand something . . . I still stop every day to buy a hot fudge sundae, but I can only stand to eat one or two bites of it because it tastes like I'm eating a stick of butter. Can you tell me why that happens?" I fibbed as I responded, "I have no idea, Mark, but that's a good thing, right?" Not wanting to accidentally create resistance, I chose not to tell him that one of the subliminal suggestions stated: "You are very aware of excess fat in foods and it is now easy for you to move away from fatty, greasy, sugary, salty, and oily food in favor of healthy food in ideal portions." This, my first subliminal tape, worked stunningly even with no special technology. This was also the first time that I broke out of the thinking that hypnosis has to be relaxing and came to understand that fixation works as powerfully in hypnosis as relaxation. Since Mark was fixated on his Harley, Garth Brooks, and The Eagles, I delivered a brand of hypnosis that he could groove to, and that fostered his success. As a newbie hypnotist, I'd been taught to avoid music that contains any discernible melody or percussion. Through experimentation I know that both melody and percussion can actually help to imbed therapy suggestions and to make the overall production more hypnotic. Not wanting my sessions to be viewed as the equivalent of a hypnotic chick flick, I began writing programs designed to please, men, women, teens, adolescents, and children. Some of my programs, like Blast Off: a weight loss program, and Change: a personal empowerment program, were written to be enjoyed by entire families. As needs arose, I successfully devised techniques to hypnotize deaf, blind, and autistic clients. Fitting hypnosis to the needs of my clients is always an exciting, rewarding challenge. Through my experience with Mark, I learned to avoid using a cookie-cutter approach to hypnotism and never to be a one-trick pony. Since it is easy to get too comfortable with your favorite inductions, imagery, and music, be sure your session matches your client's likes and needs. Continues on page 18 ‌
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NEW DELIVERY SYSTEMS, Continues from page 17 ‌
I take advantage of the many technological advances that make it easy to create sessions that meet my clients' needs and that spark their interests. I discovered software programs that turn my computer into a sound studio and allow me to create my own music. For years I sought out and purchased as much licensed trance music as I could afford so that I could offer a lot of choices to clients without worry over copyright violations. Fortunately, there are now many sources of licensed music available on the internet. Most of it is not specifically written for hypnosis sessions, but don't let that stop you from buying copyright free music that suits your needs. Do check the length to be sure it is long enough for your sessions. REMEMBER: The best kind of music for any hypnosis session, is music that works. Try all kinds of music. Test all kinds of music. Create all kinds of music. Don't let anyone convince you that there is a wrong kind of music. Modern technology now exists that makes it not only easy to use your computer as a recording studio--but also to create your own music. I have arranged a great deal of music suitable for hypnosis on my iMac computer using a program called Garage Band that was included in its purchase. Garage Band makes it easy for me to arrange, edit, and burn CDs of virtually any kind of soundtrack. If you don't own a Macintosh computer, there are programs available for PCs that allow you to perform very similar functions. A student of mine purchased Mixcraft5, a software download, for only about $75, and within a week she was able to create her own CDs, including arranging her own music track. It was easy for her to decide to purchase Mixcraft5, because it offered a free 14-day trial. The good news is that not only can hypnosis be easily adapted to current times, we can apply old principles to new technology and come up with therapeutic techniques and vehicles that are more empowering, healing, and interesting than ever before. We can merge our talent and creativity with modern technology to manifest masterpiece hypnotherapeutic techniques and programs. You don't have to be a musician to create music with computer programs. It takes some practice, but it is amazingly easy and fun. INTRODUCING MY HYPNO-SONGS & POETRYOUT-LOUD-STYLE HYPNOSIS The more user-friendly hypnosis becomes, the more people we can serve. Modernizing hypnosis is a win-win situation. I have experimented by creating therapeutic hypnosis songs for certain clients and for children. I also use my own "poetry out loud" style of hypnosis that can be safely used at any place and at any time. I'm excited to report that most clients love these new applications of hypnotherapy – especially the hypno-songs that were designed to be safe when driving and while working out. These programs use alert hypnosis, similar to the hypnotic state you enter while surfing the internet and while driving. 18
I have written hypnosis songs designed to welcome audience members as they walk into my seminar halls. These special Entrance Songs evoke happy feelings and begin hypnotizing the audience before I step up to the podium. Additionally, I created a subliminal hypnosis Success Booster soundtrack that can be used to fortify the strength of any hypnotist's hypnosis seminars and clinics. To listen to my Entrance Song: Leave Your Light On, you can visit my informal website: juliegriffinhypnosis.com You can also see how I use this website as a client-information site. This informal, non-commercial site offers free sessions and teaches about how and why hypnosis works. I do not demand that juliegriffinhypnosis.com site visitors supply their contact info to be able to enjoy my freebies. I want the site to simply be a happy, stress-free, welcoming hypnosis experience for all who visit. BE AN INNOVATOR You can reinvent your hypnotic tools making them new, relevant, positively consequential, tellingly suggestive, breathtakingly spectacular, hedonistically pleasurable, transformational, and F-U-N to the point of being able to facilitate miraculous, lasting, magnificent change. Great hypnosis is thought-provoking, probing, revealing, and significant. Phenomenal hypnosis programs can be produced more easily and affordably than at any time in the past. We can step out of the box of yesterday's hypnosis and put modern technology to work to create brand new, user-friendly, and time-efficient forms of hypnosis. To learn more about Julie Griffin's new hypnosis approaches, be sure to check out her talk on IACT's exciting new: HYPNOCASTER and to read her interview in the November edition of: ASK THE PROFESSIONAL. ________________________________________________
New Home of Masters Center Newtown, PA under the direction of Dr. Philip Holder
HAVING A SUCCESSFUL MINDSET by: James and Patricia Sievert James and Patricia are the co-chairmen of the IMDHA Mentoring Program. They are both IMDHA Lifetime Fellows and the recipients of the IMDHA Team Player Award. They maintain dual memberships in IMDHA and IACT. One is most likely to find this couple working together on just about every project.
O
kay, so you have completed your hypnosis training and you’re ready to start helping clients. You take a moment to review your check list of things you need to do to start up your hypnosis business. Let’s see, you’ve selected your business name and you have all your marketing material together. You have a good supply of your business cards printed and you’re ready to hand them out. You have your brochure designed and you know you’ll put it on any waiting surface. You have your website set up and it looks great. You used software that was easy since you aren’t a computer design person. The software had templates that helped make the process easy and you decided to start with an information website. Maybe you used WordPress to set up your site and are ready to blog about yourself and hypnosis. Good idea, since WordPress is free! You’re on the move, so your contact telephone number is a cell number. That’s great because you can be free to market yourself and still be able to have access to calls coming in. Good thinking. You have a Facebook page up so folks can become fans and you can share information. Maybe a MySpace page too. Your Twitter account is up for you to Tweet to the folks following you. Did you remember to get on all the new social and hypnosis networking groups? Sure you did, and you know that there are new ones added all the time. You let the local news paper know and they did an article on a new local Hypnotherapist. The radio and Public access interviews are set up and you are excited. How about that free talk you doing at the local Chamber of Commerce and the lunch talk at the professional business club. Nice! So what’s left? Well, if you’ve not done so from the start, now is a great time to set your body/mind/spirit to the Mindset of success. Sit for a moment and listen to your thoughts. Humans are blessed with the ability to think about our thinking. So, what are you thinking? If you are not thinking success, then change what you are thinking. An old Silva Method technique might be to simply say “STOP” and then mentally express what it is that you do want. To paraphrase the disclaimer at the end of an investment commercial, “Past results do not necessarily indicate future results.” Now that goes both ways. Having achieved a goal as
a result of your positive mindset in the past does not mean continued successes are assured. Your mental approach must be continually geared for your successes. Continue on the path you are following by continuing to monitor your thoughts. Conversely, if your goal has not been achieved, consider shifting your mental approach. As a Hypnotherapist, you have been trained in the use of language to achieve a desired result in your clients. You also know that you can use the same techniques for yourself. A positive mindset is essential to not only a happy life, but a successful business. We know thoughts become things, or thoughts are things, so be vigilant in your positive expectations. What we think about most is what we will attract to us. As Robert Otto would say, “The subconscious mind will move in the direction of our dominant thought.” Whether that thought would move you in a positive direction, or otherwise, is up to you. Dr. Maxwell Maltz has described the subconscious mind as a “goal striving servo-mechanism.” The beautiful part about that is that we get to decide on the goal. But we must take an active role in the process! Having a positive mindset is essential. However, we also know that Hypnotherapy provides a service for our clients. Unlike businesses where clients return often and steadily, we will see many clients for a relatively short period of time. We need to work to continually attract new clients. With that in mind, we need to positively promote ourselves. Remember that your thoughts will be reflected in your outward demeanor. You are your own best marketing tool. You think the thoughts. You talk the talk! You walk the walk! Have that attitude of gratitude. Be grateful for all of your blessings and more blessings will come to you. Make a list of the things you are grateful for and review it often. Consider things like: I am grateful for a roof over my head, the bed I sleep in, the floor under my feet, the lights in my house, the heat/AC or fans to keep me comfortable, the furniture I sit on, the water I drink, the food I eat, the fact I wake up each morning! I am grateful for my car, the roads I drive, the building I work in. I am grateful that I was born, for my thoughts, emotions and expectations. I am grateful for my Continues on page 45 …
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DEVELOPING A SENSE OF MEANING AND ENRICHING THE SOUL THROUGH CLINICAL HYPNOSIS
(A STUDY WITH CANCER PATIENTS IN THE LISBON PORTUGUESE INSTITUTE OF ONCOLOGY) by: Teresa Soares Tupholme Teresa is a Clinical Health Psychologist, Certified Hypnotherapist and member of the International Association of Counselors and Therapists working in Lisbon, Portugal. She works with a variety of psychological services including pain management, psychotherapy and clinical hypnosis. The study she has presented was carried out at the Pain Clinic in the Lisbon Portuguese Institute of Oncology. She believes that through an integrative holistic approach patients can achieve new levels of mastery as they sort out and come to terms with their conflicts, fears and suffering. She finds very often hypnotic alleviation of pain and regulation of physiological functions will bring about marked psychological recovery.
INTRODUCTION In 1998, Stephen Kosslyn, neuroscientist and Professor of Psychology at Harvard University, coordinated an experiment with the help of the most recent generation equipment in the area of computerized tomography (PET). In the trial, Kosslyn and his colleagues recorded cerebral activity, which clearly showed that hypnosis can change the state of the brain. The experiment's results indicated that hypnosis also enables the brain to "disassociate itself from the senses." This ability, according to Kosslyn, explains "the success of hypnosis in reducing pain and anxiety." This experiment was definitive for the validation of Clinical Hypnosis as a scientific method by the World Health Organization in 1998. Clinical Hypnosis has demonstrated results with significant benefits for cancer patients and should be integrated into existing psychotherapeutic interventions to help these patients in their personal adjustments to the disease (Hall, 1982; Newton, 1982; Liossi et al., 2001; Sunnen, 2002; Gruzelier, 2002; Laidlaw et al., 2002, 2005). The success of cancer therapy is usually described in terms of time without active disease, survival, complications and toxicity. According to Pimentel (2006), using these parameters alone, does not take into account the full complexity of cancer. The perception that the patient has of all the events associated with the disease is more comprehensive and assumes a central role in the patient's experience. The shock of the diagnosis, the pain and stress resulting from the treatments, restrictions on their physical and mental performance, limitations in daily activities, social stigmatization, dealing with situations which endanger or which will reduce their life expectancy, all these parameters must be taken into account in the care of the cancer patient (Pimentel, 2006). Hypnosis finds applications at several levels of cancer care. In addition to being useful as a means of dealing with the symptoms of the disease itself, it is also useful in the management of the side effects of the cancer treatments, being particularly important for the effects of chemotherapy 20
and radiotherapy, which often are so uncomfortable that lead patients to abandon therapy (Dura & Ibaùez, 2000). Above all, hypnotherapy helps cancer patients in their confrontation with major psychological adjustments. In addition to anxiety, there are feelings of despair and loss of control of the situation, accompanied by feelings of alienation and loneliness, feelings of guilt and loss of selfesteem. Many patients see the diagnosis as a death sentence and are forced to grapple with profound existential issues. Hypnosis has a place in helping with this difficult situation (Sunnen, 2002). Through hypnosis patients can learn to transcend many of their negative conditions, confirming the integrity of their self-image and finding in their suffering, a meaning to live. They may also experience the "deep emotional release", which is not usually allowed in an environment of more cognitively oriented psychotherapy. Hypnosis provides a significant relief of symptoms and an improvement both in terms of functional status and wellbeing. Moreover, in spite of disease progression, there is evidence of a reduction in the use of health services, which has great significance in economic and health policies (Broderick, 2000; Montgomery et al. 2007). OBJECTIVES For several years we have found that some patients undergoing psychotherapeutic interventions incorporating cognitive-behavioural and psychopharmacological interventions experience several relapses in their therapeutic journey. This study aimed to examine the effect of incorporating hypnotherapy techniques which go beyond the thinking rational mind to explore patient's deep personal and intrapsychic issues through self discovery (techniques that help the patient to experience his authentic self, reaching new dimensions of self-control and autonomy through emotional release and achieving new levels of mastery) ultimately enriching the" self " and helping the patient to discover his/her meaning and purpose. Continues on page 21 ‌
DEVELOPING … , Continues from page 20 …
METHOD In this study, various Clinical Hypnosis techniques were incorporated into traditional psychotherapy interventions already implemented, some of which included; introduction to relaxation techniques, practice of hypnotic induction, teaching self-hypnosis and various emotional release techniques including "Gestalt in Trance” a technique by leading Hypnotherapist member of the IACT, Paul Aurand, where the patient learns to verbalize negative feelings that need to be expressed. The patient may also find his “Inner Guide/ Healer Within” to fuel a sense of personal power and meaning. Guided Imagery was also used to strengthen adaptation mechanisms, induce positive emotional states, bolster selfesteem and self control and release repressed emotions such as anger and hurt. Through the medium of hypnotic imagery, the patient can learn to transcend many of the negative cognitions he may have built about his condition (Sunnen, 2002). The literature encourages health professionals to teach guided imagery to improve control of pain, nausea, vomiting and anxiety (Van Fleet, 2000). Gimbel (1998) reports that besides being an instrument of physical and emotional support, imagery helps the patient to create a perfect union between body, mind and spirit. There has also been an interest in imagery not only to guide cancer patients to better frames of mind, but to influence the disease process itself. Imagery, through connections with neurohumoral mechanisms, has indirect influences on the immune system (Hall, 1983). It has been suggested and enough evidence is available that hypnosis can modify the production and activity of components of the immune system and the immune response as measured by B-cells, T-cells, and helper cells and suppressor cells (Gruzelier, 2002). Such immune control is usually accompanied by self-reports of enhanced mood and well-being. PARTICIPANTS A sample of 20 female cancer patients with ages between 34 and 67 years was chosen. These patients are being treated at the Pain Clinic in the Lisbon Portuguese Institute of Oncology which is comprised of a multidisciplinary team including specialists in anaesthesia, neurology, nursing and psychology. Although these patients had been submitted to traditional psychotherapeutic and psychopharmacological interventions for several years, they continued to reveal various relapses in their therapeutic journey. Even though these patients had learned to rationalize and could generate alternatives in times of great suffering; they were still unable to resolve meaningful family relationships and continued to reveal high levels of distress, depression, anxiety and anger. Clinical Hypnosis has provided a new tool for these patients to access repressed emotions, helping them to achieve new dimensions of self-
control and autonomy through emotional release. The Emotion Thermometers by Mitchell AJ et al. (2009) were used to assess psycho-social levels of distress in this sample; this is a new rapid screening instrument for assessing psycho-social distress and emotional complications, being validated in cancer populations and populations with cardiovascular disease. This five dimensional tool comprises five visual analogue scales in the form of four predictor domains (distress, anxiety, depression, anger) and one outcome domain (need for help). Each domain is rated on an 11 point (0 to 10) Likert scale in a visual thermometer, namely the Distress Thermometer (DT), Depression Thermometer (DepT), Anxiety Thermometer (AnxT) and Anger Thermometer (AngT). The Portuguese translated version of the Emotion Thermometers by Pereira & Teixeira (University of Minho, 2009) was used. To illustrate the work that was carried out with these patients, two Clinical Case Studies will be presented, whose authorization for publication was obtained. The hypnotherapy techniques used illustrate how hypnosis may also be woven into psychotherapy to assist the uniquely personal adjustments each patient has to make to his illness. Case Study # 1: Patient: I.O. Age: 62 years; Marital Status: Widow (currently living with her mother and brother). Diagnosis: Pleomorphic Adenoma of the Sub maxillary Gland in 1996 with Relapse in 1997/1998. Treatments: Surgery in 1996 and 1997. In 1997 received 32 sessions of Radiotherapy (JulySeptember). The patient is being treated at the Pain Clinic since August 1999 where she has also had Psychological Consultations. In addition she has been followed by the Psychiatry Department since September 1999. The patient was extremely distressed with her home environment and current family situation. She complained that both her mother and brother had invaded her “space”, as well as, her privacy leading her to feel unwell in her own home. The patient has an immense resentment towards her mother whom she claims has always mistreated her since childhood. Her frustration with this uncontrollable situation has lead into to a vicious cycle of despair helplessness and loss of control. She feels a tremendous rage and anger about the whole situation and needs to externalize these negative emotions. In the previous months before the patient started the hypnotherapy program she had three Psychiatry visits in three months (30/06/2009, 10/08/2009, and 11/09/2009). Since starting this program in October 2009 until the present date, the patient has had only one Psychiatry consultation (30/03/2010). The patient has learned to channel her anger rather than repress it. Through emotional release techniques incorporating guided imagery, as well as, the technique "Gestalt in Trance" she has learned to verbalize the harmful negative feelings she Continues on page 22 …
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has repressed for many years. In the sessions she has also practiced assertive communication with her mother and was given a relaxation CD to listen to everyday at home. She was also asked to incorporate the emotional release techniques and guided imagery, especially for those moments when she felt overwhelmed by feelings of loss of control and helplessness. The patient's results on the Emotional Thermometers have reduced significantly as can be verified in the graph below.
BLACK BAR = Patient's first assessment with the Emotion Thermometers (Mitchell AJ et al., 2009). WHITE BAR = Last recorded assessment with the Emotion Thermometers (Mitchell AJ et al., 2009). “ ... I am more assertive, especially with my mother and I feel more confident when talking to her. Above all, I feel calmer…and my heart is more open, allowing me to be more
in touch with my own essence! This inner peace and calm has helped me to deal better with my physical pain and suffering. I feel more in control of my illness. I feel that my life has more meaning and I am enjoying my journey of emotional release and discovery. Since I opened my heart, I have started the beautiful journey of embracing my own essence…” Case Study # 2: Patient: M.L.F.; Age: 63 years; Marital Status: Married. Diagnosis: Breast Cancer in 1993. Additionally the patient has painful episodes due to Herpes Zoster (shingles). Treatments: Simple Mastectomy in 1993. Radical Mastectomy in 1995 followed by Chemotherapy and Radiotherapy treatments. The patient has been followed by the Psychiatry Department of the Lisbon Portuguese Institute of Oncology since 1999. The patient was distressed about her disease situation and complained about the terrible pain she was experiencing in her left arm. She was also extremely angry and deeply hurt with her sister. The patient took care of her mother (who suffers from Alzheimer's) over a period of five years at a time when she herself was very ill and tired. She deeply regrets the fact that she never received any support from her sister. When her mother was eventually transferred to a nursing home, her sister dismantled the house in less than 24 hours. All her mothers' jewelry and valuable possessions disappeared. Later she was notified by her sister that she had personally decided to take possession of these valuables. There is a great deal of contained grief, rage and anger. The patient is aware that this distress is
Insta-Kalm
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Insta-Kalm is a portable biofeedback device that helps you learn to activate your body's natural relaxation response -- without the use of medication. People who want to reduce their stress levels and increase control of their own health are excellent candidates for biofeedback. Clinical trials have shown that personal biofeedback training is an effective treatment for hypertension. Biofeedback is safe and has a better side-effect profile than many conventional medical treatments, including aspirin. Slowing down your breathing can slow down your heart rate and help you relax. The portable, non-invasive technology of Insta-Kalm cues you to slow down and synchronize your breathing. The Insta-Kalm device cues you to not only slow your breathing, but, just as importantly, to synchronize your inhales and exhales with the natural cycle of your heart rate. It's easy-to-use technology has been practiced by thousands of people for decades. The goal of the Insta-Kalm device is to relax your body and to calm your mind. Price - $34.95 – – Available in our online store. Search for it by name while supplies last. – http://www.hypnosisalliance.com/shop/?page=shop/flypage&product_id=631&category_id=0e 323f64046602df0395ac0acefdc2f2&ps_session=26480db34af92669449d4017b5b59878
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DIFFICULT OR CHALLENGING CLIENTS AND YOUR PRACTICE (PART II) (PRACTICE MANAGEMENT SOLUTIONS) by: Philip Holder Philip Holder is president of Master's Center for Personal Development, an IMDHA Approved School Director and offers certification courses in the Philadelphia vicinity. Philip is a college professor and teaches Hypnotherapy courses at Bucks College.
Clients Who Are "Control Freaks" (Active and Passive Control Freaks) Maintaining Good Boundaries and Roles As discussed previously, one key element in successfully growing a practice is to have a "workable plan" that includes sensible office policies and procedures. Just as important, it means having workable office policies that you are willing to stick by. Like I often say, "Never let the inmates run the asylum." Essentially that means … My office, my chair, my CD player, so my rules. Setting appropriate boundaries and establishing appropriate relative roles within therapy makes your life easier and will go far in giving your client confidence in your abilities. This will also aid clients in experiencing greater levels of success. Although it is important to "hear" your client and factor into session his or her perceptions and emotions, etc., you are the therapist. It is up to you to design the roadmap to success. Control Freaks Control Freaks come in all different forms. For our purposes we will break them down into two primary categories; "Active Control Freaks" and "Passive Control Freaks." Active Control Freaks: Active control freaks are the easier to detect initially. They are usually outspoken, often demanding, and want to let you know how brilliant they are. They will usually try to monopolize the conversation and are often hard to keep on track because they already know (or think they know) what information you need or should have from them in order to structure their sessions. Often times they already know (or again think they know) exactly what direction you should go with their therapy. Often they will tell you that they have "read up" on or "studied" their problem. The underlying implication is that, they view themselves as somewhat of an expert or authority on the subject. Again I say to you … if they know so much about achieving their goal, what are they doing in your chair? The active control freak's behavior may be the result of some inflated sense of grandeur or quite possible the opposite. They may have underlying feelings of inferiority
and therefore they have the need to prove to others, but more so to themselves, that they are strong, capable and intelligent. Either way the bottom line is the same. If you want the sessions to be productive, you must be the one wearing the therapist's hat. They must be the one in compliance. Working with an Active Control Freak The most important behavior for a therapist in working with an active control freak is to be in charge. You are the therapist so run your office. Frankly, I would rather lose a client than conduct a crappy session. The fact is that often the active control freak – like a child testing the boundaries that their parents set – is, in fact, testing you. They are testing to see who is in charge and if they can they manipulate you. The fact is that similar to the child, they actually want you to be the one in charge. That's why they came to your office. If anything occurs that shows that you are not the one in charge the client will lose respect for you and will lose faith in your abilities. Most of the time there are tactful and polite ways to maintain good boundaries. Other times you simply have to put your foot down. That is a case-by-case judgment call that you must make. You can often resolve a control issue with directive statements and directive and meaningful questions designed to keep the client focused and on track. Keep the pace (tempo) up and while being respectful, don't provide opportunities for the client to get themselves or you off track. If they say something that is useful to the therapy, acknowledge that. By the same token, if the client is getting off track, or attempting to take you in a direction other than the one you know will be productive, simply say something like, "That's very interesting but what I need to know from you at this moment is, X, Y or Z." Throughout the session keep your focus on what your original intent was. Remember … "When you're up to your butt in alligators it's often hard to remember that your primary objective was to drain the swamp." (Drain the swamp and the alligators will go away.) Case In Point/Active Control Freak I had an interesting case a while back. A woman called me for services. She had previously been to a number of different Continues on page 25 …
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very harmful to her and emphasized that when she thinks about her sister she is filled with rage and her body becomes overwhelmingly tense and painful. What most torments the patient is the fact that she has never been able to confront her sister. She also emphasised that she was fed up with her daily prescription of medication; “… I am sick and tired of taking 37 pills and still feeling terrible! And they still want to send me for more Psychiatric Consultations!” To help the patient alleviate the pain experienced in her left arm, glove anesthesia, was used, as well as, altering the configuration of the pain. The patient also learned how to control anticipatory anxiety which heightened the dolorous experience. Helping the patient to relax provided significant analgesia. Through guided imagery, the patient was able to reduce the emotional response that occurred when the pain was anticipated. The patient learned how to channel her anger and outrage through emotional release techniques and breathing exercises, as well as, “Gestalt in Trance" where she learned to verbalize those repressed harmful feelings she had towards her sister. Through this technique she confronted her sister and experienced profound emotional release, a session she described as "magical." Furthermore, the patient learned selfhypnosis and how to communicate with her body through Paul Aurand's Body Wisdom Process. Paul emphasizes that listening to the body's messages and responding to them are essential steps in the healing process. The patient's results on the Emotional Thermometers have reduced significantly as can be verified in the graph below. Since starting the program she has also reduced her psycho pharmaceutical medication significantly.
BLACK BAR = Patient's first assessment with the Emotion Thermometers (Mitchell AJ et al., 2009). WHITE BAR = Last recorded assessment with the Emotion Thermometers (Mitchell AJ et al., 2009). "This hypnosis program has helped me to confront my fears and to control my anxiety. The sessions have left me with an inner peace, tranquillity and love. They have helped me alleviate the pain I have in my body and I have especially enjoyed listening to my body's messages and inner wisdom. I am beginning to feel a sense of integration of my body, mind and soul, which I had never before experienced! 24
Sometimes I feel so free! Almost like I am floating! I feel like another person! These sessions have helped me so much; I feel they have enriched my soul…Sometimes it takes so little for us to feel happy with ourselves and with those around us. These sessions have given me an opportunity to reconnect with my inner wisdom and to face my daily challenges without fear.” Cancer patients can benefit tremendously from the wider application of hypnosis in Oncology Centres. Adjunctive hypnotic treatment of cancer should be integrated into existing psychotherapeutic interventions to assist in the uniquely personal adjustments each patient has to make to his illness. These patients have truly inspired me. They have learned to overcome major obstacles in their journey and how to accomplish meaningful change. Their courage and resilience has helped me to live my own life more inspired. When you are inspired, it is almost like you enter into a trance state and start hearing what your heart speaks and live life with more authenticity. I feel honored to have worked with them and to have participated in their healing process. Sadly, this project has abruptly been terminated by the Psychology Department of this Hospital by reasons that are not linked either with the quality of the work or with economic issues (this project has actually saved hospital resources; some patients reduced their use of medical consultations, including psychiatric consultations and are currently taking less psychotropic medication). Being a pioneering project of a valuable scientifically validated technique, it would be of interest to the Hospital's continuity. Moreover, it has shown that "the primacy of the patient" that should be read as the main objective of the Lisbon Portuguese Institute of Oncology is ultimately dependent on Department Director's willingness or reluctance to help the plight of the suffering patient. References: Broderick, J. (2000). Mind-body medicine in rheumatologic disease. Rheumatic Diseases Clinics of North America, 26 (1), 161-176 DeBetz B, Sunnen G. (1985). A Primer of Clinical Hypnosis. PSG Publishing Company, Inc., Littleton, MA. Durá, E., & Ibañez, E. (2000). Psicologia Oncológica: Perspectivas futuras de investigación e intervención profesional. Psicologia, Saúde & Doenças, 1 (1), 27-43. Gimbel, M. (1998). Yoga, meditation and imagery: clinical applications. Nurse Practice Forum, 9 (4),243-255. Gruzelier JH (2002) A review of the impact of hypnosis, relaxation, guided imagery and individual differences on aspects of immunity and health. Stress 5(2): 14763. Hall H. (1982/1983). Hypnosis and the immune system: A review with implications for cancer and the psychology of healing. Am J Clinical Hypnosis; 25(2-3): 92-103. Kosslyn SM, Thompson WL, Costantini-Ferrando MF, Alpert NM, Spiegel D (2000). Hypnotic Visual Illusion Alters Color Processing in the Brain. Am J. Psychiatry 157: 1279-1284. Laidlaw T, Bennett BM, Dwivedi P, Naito A, Gruzelier J (2005) Quality of life and mood changes in metastatic breast cancer after training in self-hypnosis or Johrei: a short report. Contemporary Hypnosis 22(2): 8493. Continues on page 28…
DIFFICULT CLIENTS, Continues from page 23 …
therapists of varying backgrounds (Hypnotherapists, Psychotherapists, Psychologists, Psychiatrists, Moonbeam healers, you name it, she was there). None of the previous therapies had accomplished anything of significance for her. On the phone she ran down a list of diagnoses that she had previously been given. Then she basically told me that she had done all of the necessary research regarding her problems and had constructed her own therapy. She simply wanted me to hypnotize her and then spoon-feed her the suggestions that she had designed. I immediately told her that I don't work like that. She said that if I was unwilling to do that she would look for someone else who would. I replied, "There are a lot of people out there who would gladly take your money so to go ahead, and best of luck to you." I told her that if she changed her mind and wanted to schedule sessions with me with the stipulation that she would agree to allow me do my job, than I would be happy to see her. The next day she called back she said that she would like to see me and on my terms but that she would like to send me the data she had collected for my review. I agreed telling her that I would look over the materials and that if I found any of the information to be useful, I would incorporate it into the therapy. A few days later I received about 200 pages of documents complete with highlighted sections and her side notes. She certainly had done lots of research. The problem in such situations, however, is that the materials may have little to do with the actual problem. A client is too close to their own issues and therefore is incapable of being unbiased in collecting or interpreting data about their own case. A day or two later she called to see if I had received the information. She began to instruct me as to what pages were most significant and how she wanted the information implemented. My reply was simple: "You and I have had this conversation before," I said. "I will review the information and anything I feel is relevant I will use, however, I will structure the sessions based on my training and experience. Again, if that is unsatisfactory then I suggest you call someone else." She again agreed to abide by my terms. When she came to my office she had even more papers and more instructions. I stopped her before she could even get started. I asked, "What is your goal in coming to me?" She stated her goal. I told her that I would help her accomplish her goal, but that she either had faith in me to help her, or not. "If not," I told her, "we can part on good terms now. So make your choice." She replied, "You'll help me accomplish my goal by doing it your way?" I said, "That is the only way I will do it … So your choice is?" She finally, and for the duration of her therapy, abided by my terms. Like a child wants a parent to set reasonable boundaries, so most often, does the active control freak. Passive Control Freaks: Passive control freaks often appear timid, weak and/or
needy. They have learned that by being the "Needy Victim" they can elicit sympathy and nurturing from those around them. Often the very problems they have are rooted in the fact that they hold onto their particular baggage due to the "payoff" of sympathy and coddling that they receive as victims. Keep in mind at all times … you are not your client's buddy, sister or parent. You are their therapist. If they want to whine and complain, that is what their friends and relatives are for. Not my job! Passive control freaks are often difficult to keep on track for a different reason than the active control freak. The passive control freak often wants to dwell on the problem rather than the solution. They often want to tell their tales of woe, even if the tales have little or nothing to do with why they are in your chair. The fact of the matter is a victim has no power. You can't fix what you are unwilling to own. Your first job is to help the client take responsibility for their life, thereby gaining power in their life. Working With a Passive Control Freak With a passive control freak it is important to shift the client's point of reference from that of being a negative victim to that of being a positive survivor/accomplisher and to have them acknowledge that they and they alone have the power to make positive change in their lives. Until they accept that they have the power of choice … until they accept that where ever they are in life today it is a product of their past choices, they have no power to make change. Help them to accept both the responsibility and the power that comes with accepting responsibility. Any amount of whining about the past isn't going to change the future. On the table that stands next to my chair in my therapy room I have a remote control from a television that probably hit the dumpster years ago. I have kept the remote there for a reason. If a client starts the victim, needy, helpless, whiney, manipulation stuff, here is what I do. I pick up the remote and say, "Imagine that this is the remote control of your life. You have two choices. You can keep it close to you and control your own life, or, you can give it to others and let them push your buttons. The choice is entirely yours either way. So you're going to choose which?" Invariably they say, "I'll keep it and control my own life." I reply, "Good choice." Case In Point/Passive Control Freak: I had a woman who came in for stress management. She was having trouble keeping a job because of a "short fuse" and an inability to get along with others. She said that her life was a shambles. She had lived an unhappy childhood. Her marriage had broken up some years back, and she was a single mom with two adult daughters who were constantly making demands of her. Both daughters were in problem relationships and that added to the stress. Woe was her! Life just couldn't get worse (or so she would have you believe). I was curious about the daughter thing. That seemed to be Continues on page 26 …
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DIFFICULT CLIENTS, Continues from page 25 …
the biggest source of her stress. In short, she felt to be a good mom, when her daughters said jump, her only question should be "How high?" I asked, how about setting some boundaries. "You can be a good mom," I said, "without catering to every whim of your daughters." Her reply was that her daughters would get mad at her if she did not cater to them. That, in fact, they were always mad at her. She went on to tell me that she had no money because she was paying her daughter's bills and so on and so on. She asked, "What can I do to keep my daughters from getting mad at me?" My reply was "Nothing, your daughters didn't come to me for therapy, you did. You have no control over your daughters. You can only control yourself." "You must like being treated this way," I said, "because you keep going back for more. Somewhere you are getting benefit from this cycle (secondary gain). Is there some value to you in being a martyr?" She replied with a timid "No." "As I see it," I said, "You have two choices: you can continue down this same old path; or you can set standards for your life and let the chips fall where they may. You certainly can't control your daughters. They have chosen their paths. They are adults and must bear the responsibility for their choices. Are you willing to do the same? If you want me to help you in learning to set boundaries and focus on bettering your life (as opposed to changing your daughters), then we can do that too. What's your choice?" She chose setting boundaries. I said, "Good, then no more negative talk or whining about your daughters. It's time to work on you.” “Right!" she agreed. The first thing needed was to neutralize her victim mentality. Next was to change the outward focus for the problems (her daughters) into an inward solution (her taking power and setting boundaries in her life). No matter how sympathetic or empathetic you as the therapist may be, being sympathetic is not your job and being empathetic is only a tool on the road to success. A passive control freak will attempt to draw you into their sorrows and make a buddy of you. Stop their pity-party and get them on track. Empower them. Help them to understand that today truly is the first day of their life and that what happens from here forward is completely up to them and the choices they make. They must accept responsibility to gain power. Other Miscellaneous Issues and Practical Ways To Handle Them THE HAGGLER (Payment/haggling over price etc.) A client pays a therapist for what the therapist knows and his or her ability to effectively utilize the skills of their profession. What's your professional time worth? Does your skill level vary with your client's income or in relationship to the fees of other practitioners in your area? Of course not! (Or at least in my opinion it should not) I base my fees primarily on one thing … The value of the services I provide based on my training, experience, and success rate. If you "haggle" or 26
"make exceptions" to your fee structure, it makes you look unprofessional and unsure of your own worth. As well, your client will not place as much value in the services you provide if he or she is able to beat a bargain price out of you. This in turn will directly and negatively impact the level of success you have with that person. I "never" attempt to justify my fees. They are what they are. I don't use sliding scales and I don't give credit or payment plans. There are a number of practical reasons for this but following are the most significant. 1. People always seem to find enough money for beer, dinning out, a sporting event, bowling, CDs/DVDs, and other niceties. If they are really serious about making positive change in their life they will find the money for therapeutic services as well. It is not my or your job to financially back their therapy. It must be a priority to them if they are to be successful. I tell my students, "Never be more invested in your client's life than they are.” 2. I do not have "Payment Plans." As well, payment for my three-session "Program" is payable in full and in advance. I don't run a finance company, I run a therapy office. As well, keeping track of payments would add another layer of unnecessary paperwork and expense. 3. When people are financially committed to their therapy their level of success is higher. 4. Regarding sliding scales: I want to be fair to everyone. To me, being fair includes charging the same fee to everyone. By providing cheaper prices to those with a lesser income, would I not at the same time be discriminating against those people with greater incomes? Why should they be charged more (penalized) simply because they have created a better situation for themselves? My Answers to Hagglers: Haggler: The guy down the street only charges $75.00 per session My Answer(s): 1. If you cannot afford my fee then you may have to settle for someone else whose fee is cheaper. 2. If you were looking for a neurosurgeon would you shop by price? (Obviously the answer is that they would not). Then whether or not you come to this office, I would suggest that shopping by price for your therapist is no wiser. Receiving quality service from the start is always cheaper in the long run. 3. Only rich people can afford to buy cheap because they can afford to replace it. 4. You can get oats for 20 cents a pound or cheaper after they have been through the horse. Haggler: Can I make payments? My Answer: I don't do payments or billing. If I did, it would increase my clerical costs and I would have to raise my prices to cover those costs; however, we do take credit cards so you can pay us with your credit card and make whatever monthly payments you choose on your card. Continues on page 27 …
DIFFICULT CLIENTS, Continues from page 26 …
[Note: I have an agreement with the bank. I won't extend credit if they don't do hypnotherapy] Haggler: I can't afford that price. My Answer: Well … When you get your money together, call me. Place a value on your services. In the long run, even if you lose the occasional client, you will make out better financially. You will also maintain a more professional image in your client's eyes. Chances are the client who wants to argue price from the onset is probably not a client you want in the first place. Remember … It is usually not that the person can't afford your services but rather where they place their priorities. (Was their priority moving forward in their life, or those football tickets to the big game?) CLIENTS WHO HAVE DIFFICULTY KEEPING ON TOPIC/TASK Some clients will go on and on telling you about areas of their lives that have absolutely nothing to do with the reason they came to you. That wastes precious time and effort. Your client may be a person with a focus problem (another opportunity for additional sessions with that person). He or she may be someone who simply likes to converse with anyone and everyone, or, they may think (from watching therapists on TV, etc.) that you actually need all of this information. In any event the result is wasted time. The solution is easy. Simply cut them off and say, "That's very interesting but what I really need to know in order to help you is …" and then ask a specific question relevant to their therapy. This will keep you and your client on track while maintaining rapport. PROBLEMATIC PARENTS OF CLIENTS WHO ARE MINOR CHILDREN AND PROBLEMATIC SPOUSES OF CLIENTS I have a guiding philosophy when it comes to the care of a patient or client. The therapist's responsibility is solely to their client regardless of who is paying the bill. The best way to avoid problems is to make this clear from the beginning. When parents call for appointments for their children I make it a point to speak personally to at least one, but preferable both parents before they ever bring the child in. Here are some important points I make to them before they ever come to the office: 1. Regardless of who is paying the bill my responsibility is to the child. 2. I will not violate the child's trust by telling the parents anything that the child tells me in session unless it involved a situation where harm could come to the child, or someone else were the parent not to have that information. The fact is … I cannot be effective in conducting the child's therapy unless the child can trust me. 3. (Depending on the age of the minor child) On the first visit I may in fact sit on the floor with the child, perhaps playing Checkers, Connect Four, etc. while the child and I talk (In fact I may conduct my intake during that time). This is for
the purpose of establishing rapport, in a non-threatening environment, eye level with the child (as opposed to an adult hovering above the child). I tell the parents in advance to expect this so that they don't wonder why they are paying my fee for their child while I to sit on the floor playing checkers. If the parents for any reason don't like my terms then I tell them that they need to find a different therapist. The same is true with spouses. Your responsibility is to your client/patient of record. Even in couples counseling I make it clear that I will never violate the confidence of one, to the other. Passing on of any information is only done by written consent. “DO YOU GIVE A GUARANTEE?” If you have been in practice any length of time I am sure that you have been asked if you give a guarantee. My answer is: if the person is truly motivated, and complies with my direction during their program, they will be successful; however, because I cannot guarantee that you will do your part in this process, I cannot guarantee you success. I often use this example: Let's say you go to your physician for chest congestion and he or she gives you a prescription and instructs you to take 1 tablet, 3 times a day for 5 days. Instead, you take 3 tablets the first day, 2 the next day and then you stop taking them. On your follow up visit you complain to your physician that you have gotten no better and that you are unsatisfied with his or her services. The physician asks you if you have followed his or her instructions. You confess that you have not. Well … what would one expect in that situation? The same is true here. We (therapist and patient/client) are a team. I will do my part in providing competent services. I cannot guarantee that you will do your part. If you do your part, you will be successful. IT'S YOUR OFFICE Never compromise your values. Never be so hungry for a client that you sell out your integrity, the reputation of your practice, or the public's confidence in our profession. You have trained long and hard. Even if your client happened to be a therapist he or she is too close to their own issues to objectively structure their own therapy. Listen, but you must set the agenda. By doing so your level of success will be high as will your reputation. IT'S YOUR PRACTICE It's your practice. Run it like a professional and you will be seen as a professional. If you do so your success rate, as well as your income will grow. Stress, wasted time and effort will be minimized. Knowing and preparing in advance how you will handle problem clients will enable you to do so with greater tact and success. As I have said many times, "Never let the inmates run the asylum.” Set functional office policies and most importantly follow them. Doing so will enhance the success of your practice and your level of happiness in running your practice. 27
TRIBUTE OF ALFRED ADLER: PART 2 by: Paul G. Durbin Paul Durbin, is a retired Army Chaplain (Brigadier General), author and retired director of Pastoral Care and Clinical Hypnotherapy - Methodist Hospital in New Orleans, LA. He is a past president of the International Medical and Dental Hypnotherapy Association and a Lifetime member of the International Association of Counselors and Therapists
THE
FOUR PHASES OF ADLERIAN COUNSELING
ARE: (1) the relationship, (2) the investigation of dynamics, (3) interpretation of the client, (4) reorientation. Adler departed from Freud's method of having the client recline on a couch while the therapist sits behind. Adler preferred to face the client so he could see the client's responses and body movement. He wanted to engage in free discussion with the client. The relationship with the client which the Adlerian seeks to establish is one of friendliness and cooperation. The investigation aspects explores the current life situation as it is viewed by the client to include his complaints, problems and symptoms. The client's early life and position in the family constellation are discussed. Adler believed that the order of birth is an important determiner of personality. The first born is given a great deal of attention until the second child is born and the first is dethroned. The dethroning experience may affect the child in a number of ways such as DEVELOPING … Continues from page 24 …
Laidlaw T, Willett MJ (2002) Self-hypnosis tapes for anxious cancer patients: an evaluation using Personalised Emotional Index (PEI) diary data. Contemporary Hypnosis 19(1): 2533. Liossi C, White P (2001) Efficacy of clinical hypnosis in the enhancement of quality of life of terminally ill cancer patients. Contemporary Hypnosis 18(3): 14560. Mitchell AJ, Baker-Glenn EA, Granger L, Symonds P (2009) Can the Distress Thermometer be improved by additional mood domains? Part I. Initial validation of Emotion Thermometers Tool. Psycho-Oncology. Newton B. (1982). The use of hypnosis in the treatment of cancer patients. Am J. Clin. Hypnosis 25 (2-3):161-172. Pereira & Teixeira (2009). Termómetros Emocionais (Versão de Investigação, Universidade do Minho). Pimentel, F. L. (2006). Qualidade de Vida e Oncologia. Edições Almedina, SA Coimbra (ed). Sobel, D. (2000). The cost-effectiveness of mind-body medicine interventions. Progress in Brain Research,122, 393-412. Van Fleet, S. (2000). Relaxation and imagery for symptom management patient assessment and individualizing treatment. Oncological Nursing Forum, 27 (3), 501-510.
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protecting himself from reversals, hatred for the second child, conservatism, insecurity, or it may cause him to develop a striving to protect others and be a helper. The second child is in a different situation for he shares attention from the beginning which may cause him to be more cooperative or competitive. He may strive to catch and surpass the older child. All other children are dethroned but never the youngest, who is often spoiled. He may strive to overcome all the others. Adler used the Biblical story of Joseph who was the favorite of his father and the smartest of all his other children to illustrate that striving. It is true that Joseph had a younger brother, but he was 17 years younger than Joseph. Some favorite questions of Adler were, "And why do you feel like that?" "What purpose does your illness serve?" "What do you think is the reason for your reacting that way?" The interpretation puts an emphasis on the goal and life style of the client. The mirror technique is used whereby the individual looks at himself. During the reorientation stage, the client is encouraged to drop the old style of life and take up another. The new lifestyle will be such as to help him deal with the realities of life and receive satisfaction from living. Adler compares the client with a person who is caught in a dark room and cannot find an exit. The therapist helps the client illuminate the room so that she can find a way out to a new way of dealing with the problem. Adler wrote, "Every individual represents both a unity of personality and the individual who fashions that unity. The individual is thus both the picture and the artist." Therefore if one can change his concept of himself, he can change the picture he is painting. Adler had very little to say about hypnosis, but what little he did say indicated that he did not understand the clinical possibilities of hypnosis. He recognized that no one could be hypnotized against his will, but felt that the individual who allowed himself to be hypnotized placed himself under the power of the hypnotist. BEVERLY'S CASE HISTORY: Beverly was in the hospital for a skin graft to cover a large scar on her left leg. She was very self conscious about the scar and felt that people stared at her leg. I was consulted to work with her for pain Continues on page 29 …
TRIBUTE … , Continues from page 28 …
management and self-esteem. Beverly was an illegitimate child who was raised by her grandparents. She said "I had the hurts and accidents of childhood, but my grandparents were always there to show me love." Beverly had a very close friend, Kay, who was "like a sister." It was Kay who told her about sex and to whom she went to for sexual advice. Beverly had not been given any instructions concerning menstruation, so she was very frightened when she first stated at age 11. Kay told her what was happening and then everything was all right. As she began to develop sexually, she felt good because she wanted to catch up with Kay who was two years her senior. "She was like a sister and I wanted to keep up with her. As she developed, she thought, “Great! Now I am catching up with Kay, everyone will be proud of me.” This is in line with Adler's view that the younger child wants to catch up with the older child. Following high school, Beverly joined the Army and spent four years on active duty. Shortly after she was released from the army she had an accident on a bicycle which was the cause of the large scar on her leg. To help her cope with pain and increase her self-esteem, I used several techniques and scripts while counseling Beverly. Beverly was a visual person with a slight dominance for indirect suggestibility SETTING SUN FOR TRANQUILITY AND HEALING: See (If person was not visual, I would use "imagine") yourself sitting on a tropical beech at sunset. Notice the bright sun as it descends on the far horizon. See the colors begin to change from orange to crimson, and then to a deep, red-orange. Notice that as the sun approaches the water, there actually seems to be two suns, one in the sky and the other in the water. See the sun gradually sink into the ocean. See the colors change from red to purple and then to blue. Notice the magical stillness that pervades everything just at sunset when the ocean is as smooth as glass. Enjoy the delicious feeling of tranquility... The subconscious mind knows how to maintain its own healthy blood chemistry, and maintain the necessary hormonal and chemical components for a healthy functioning mind and body. And in similar fashion, the subconscious mind is maintaining an immune system effortlessly, and in every way, mind, spirit and body working for health, healing maintenance of healthy functioning. And somehow knowing of these inner resources; the strength, the growth, the healing, the life force, making everything easier. Day by day in every way, you are getting better and better, healthier and healthier. BUILDING SELF-CONFIDENCE AND SELFESTEEM: You are feeling relaxed and peaceful. As you are relaxed and peaceful, you feel good about yourself. This good feeling is an experience you enjoy. You like the way you look, the way you feel. You feel good-now, you feel safe-now, you feel healthy-now. You enjoy life-now. Your self-esteem, selfconfidence, self-acceptance, is increasing with each breath you take. Everyday you become emotionally calmer, stabler,
settled. You realize that you are becoming the person you want to be. Hold this good image of yourself and allow it to sink into your subconscious, so that you have a model to work with. Beverly now feels good about herself and has a lifestyle that is undergirded with social interest. As she has a concern for others as well as herself, I feel that she will have a very satisfying life. Beverly is basically as well adjusted person who can function well in society. ALFRED ADLER'S: BIBLIOGRAPHY: Adler, A. (1969). Individual Psychology. Littlefield and Adams. Totowa, N.J. Adler, A. (1964). Problems Of Neurosis. Harper Tourchbook. N.Y. Adler, A. (1964). Social Interest. Capricorn Book. N.Y. Adler, A. (1973). Superiority And Social Interest. Viking Compass Book. N.Y. Adler, A. (1954). Understanding Human Nature. Faucet. Greenwich, CT
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“DRAWN TO THE TABLE” – WHY CHILDREN ON THE SPECTRUM NEED ART PSYCHOTHERAPY AS A REQUIRED SERVICE by: Ed Regensburg, MA, CHt., ATR-BC, LCAT Ed Regensburg is a licensed, board certified professional Art Therapist (ATR-BC, LCAT) with over 30 years of experience. In addition, he is a board certified hypnotherapist, having earned the CHt.-BC distinction from the International Association of Counselors and Therapists in 1992. At that time, he established the first Wellness Education and Treatment Through The Arts model of care for people with special needs, with a focus on psychological illness. Unlike traditional programs, this model combines creative arts with functional skill building techniques to help people resolve inner conflicts and to heal and grow.
Children (and anyone else) who have been diagnosed with a PDD/Autism/Asperger's Disorder, (soon to be formally described as Autism Spectrum Disorder a/k/a “On the Spectrum ” according to the American Psychological Association's Proposed Revisions for the DSM V) are at risk for being misunderstood, and hence, not treated with all of the most effective techniques available today. Perhaps the greatest dis-service is the widely accepted belief that because children on the spectrum experience diminished internal selfregulation, cannot utilize cognitive processes for appropriate self-expression, (such as words), and have difficulty building functional skills, connecting with others and experiencing effective interpersonal communication (socialization), that there is no viable option for meaningful psychotherapy. It is understood that their impacted abilities of self control are sometimes expressed through explosive and seemingly “uncontrolled” behaviors placing themselves and/or others at risk for challenging and potentially abusive situations, and at least, non conforming behavior that usually has negative consequences. The widely accepted approach of using behavioral shaping techniques, such as Applied Behavior Analysis, etc., may be able to “shape” or modify a pattern of dangerous behavior and also help increase functioning levels. However, many of these children remain stressed because they are being asked to conform to our mainstream structures such as schools, treatment facilities, restaurants, shopping malls, etc. … and the list is endless. The problem is that “our mainstream systems” were designed for differently- abled children, ie: “Normal.” This basic driver of structures attempts to “contain” and restructure ASD children who are responding and will respond to many different dimensions and types of stimuli. When these stimuli are appropriately understood, they can be included and worked with within a treatment model that is psychologically congruent for our children and has a therapeutic effect. Psychotherapy as a discipline is usually not clearly defined enough to say we all share the same understanding … so let's look at our terms. Psycho has its roots in the Greek language as Psyche: “of the mind” and according to the Encarta World English Dictionary: Psyche is “the human spirit or soul.” Therapy is “the treatment of physical, mental or
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behavioral problems that is meant to cure or rehabilitate somebody (often used in combination).” Art is “the creation of beautiful or thought provoking works, for example, in painting, music or writing” and Mind is “the center of consciousness that generates thoughts, feelings, ideas and perceptions and stores knowledge and memories.” Therefore, to treat the spirit, soul and mind of a child on the spectrum we must have a treatment pathway that embraces and integrates all of the above, and it must be practical. The treatment must have the ability to be applied in a way that does not threaten the child's autonomy. The incorporeal and non-local aspect of the human psyche and mind demand a treatment option that is not solely focused upon intellectual or cognitive functioning that leads only to behavioral changes or behavior modification. We must include the emotional and spiritual world if we are to understand, enter, validate and modify these emotional drivers of behavior. We now know from neuroscientific research that the brain is not the “fixed matter” once believed. Rather, current research supports the idea of neuroplasticity, which is the ability of the brain to change, grow, and rejuvenate according to human experience and need (Hancock, 2010). The acceptance that children on the spectrum have compromised communicative abilities leads to the belief that they cannot participate in psychotherapy. Therefore, they need an alternative pathway to access the psychotherapeutic process. There is another modality that is more easily received by the child. However, this other modality can be perceived as very mysterious for the “mainstream treatment community” as it is often unfamiliar. This pathway is a sensorially oriented treatment called Creative Arts Therapy. Art Psychotherapy is the visual (or pictorial) dimension of this pathway and is provided by credentialed and professionally trained Art Therapists, who by their education and natural connection to this internal, multisensory world can “connect” with our children on the spectrum. The modality of Art Psychotherapy has two major dimensions, which are always at work. From the outside looking in, an untrained observer may confuse or not be able to identify the clear separation of the two dynamics constantly Continues on page 32 …
WHY SHOULD WE LEARN HYPNOTIC REGRESSION? by: C. Roy Hunter, M.S., FAPHP
Roy Hunter, is an IMDHA member and practices hypnotherapy near Seattle, in the Pacific Northwest region of the USA. His experience includes providing hypnotherapy part time for terminal patients of the Franciscan Hospice from 2001 thru 2008, and 21 years teaching a 9-month professional hypnotherapy training course based on the teaching of Charles Tebbetts. Roy is the recipient of numerous awards, including awards from three different organizations for lifetime achievement in the hypnosis profession. His workshops are in demand worldwide.
In recent months several people in hypnosis forums have hotly debated the topic of regression. Here is a brief summary of arguments for and against this technique … Those who use regression often state the opinion that it is very useful in helping the subconscious discover and release the cause of a problem, and that effective use of regression therapy often gets lasting results. Those who oppose the use of regression usually state one or both of the following reasons for opposing its use: (1) the risk of false memories, and/or (2) the belief that clients do not need to experience abreactions (emotional discharges) while remembering unpleasant experiences from their past. Occasionally a third reason is posted, criticizing hypnotherapists who use regression with almost every client. While I both use and teach regression therapy, my objective in this article is to discuss both sides of the debate … and do so with the experience of 27 years in the hypnosis profession. I will start my discussion with the two primary issues raised by those who oppose it. RISK OF FALSE MEMORIES This concern is very genuine, with a basis in the misuse of regression through inappropriate leading. Sadly, there are many examples of false memories caused by hypnotists who projected their own preconceived opinions into a trance journey for their clients. A number of these bad examples happened in the mental health community by therapists doing “memory reconstruction,” resulting in litigation by family members who fought allegations of past abuse. Unfortunately people in the hypnosis profession have also jumped boldly into regression without adequate training, implanting false memories in some of their clients. One event that got national media attention resulted from a man who took a short hypnosis course, and then regressed a client back to alleged abuse from a priest. It later turned out that the hypnotist (deliberate choice of words) did inappropriate leading and projected preconceived opinions into the session. The result was a tainted trance, as well as bad publicity for our profession. Unless you understand the risk of false memories and know how to minimize this risk, you may very well wish to
listen to the critics regarding this issue. I myself was on the receiving end of a mishandled regression, as mentioned in an earlier article for this journal. http://www.royhunter.com/articles/2memories.htm Paul Durbin has some important articles on his website relating to false memories; and you may also wish to browse the IMDHA online library for further study. That being said, asking the “W” questions helps to minimize the risk: what, when, where, who, why, and how (which ends in “w”). Also, a good pre-talk with a client helps reduce the risk; because anytime emotion is involved, our perception of an event can differ from facts. This is obvious when two children at school witness a fight and give different versions to a teacher just five minutes later. There is another concern that regression skeptics sometimes bring up: the risk of abreactions, and how to handle them properly. CONCERN OVER ABREACTIONS Abreactions can scare those who are not properly trained in how to help facilitate emotional discharges during a client's regression. So, from a certain point of view, I agree that anyone not properly trained in regression therapy should avoid using it. However, it is important to know how to deal with the rare spontaneous regression. Recently a hypnosis instructor told me that the official course that he teaches in behalf of the organization he belongs to actually instructs hypnotists to bring someone out of hypnosis if they go into a spontaneous regression and start having emotional discharges. The client is supposed to be awakened without any formal release or resolutions of said emotions. This would actually leave a client with unresolved emotions at the surface! In my opinion this would leave the client in a totally unnecessary state of anxiety after awakening. If you are not trained in regression, but a client goes into spontaneous regression and starts displaying emotions, guide the client to his or her peaceful place and give suggestions for the client to deal with the problem at the appropriate time and place. Reinforce his or her ability to remain calm by helping to establish a peaceful place trigger. Continues on page 33 …
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DRAWN TO THE TABLE, Continues from page 30 …
at work. Firstly, the aspect of Behavioral Functioning is the primary attribute that MUST be addressed. Arriving on time for a session, finding the correct seat in the Art Room, receiving the appropriate materials, following instructions, appropriate handling of the materials (art supplies), and cleaning up are some of the many behavioral (or functional) steps a child must deal with in order to be “successfully” engaged in Art Therapy. Secondly, the powerful internal process of conscious/unconscious emotional and spiritual expression of the self is at work, moving towards resolution all the time. This includes processes such as deductive reasoning, discriminatory selection (choosing the right color), cathartic release, spiritual perceptions, sublimation of aggressive drives (transformation), orientation to time and space, conquering the fear of failure as it is replaced with pride and accomplishment (which is even more scary than failure), and more detailed neurological phenomena (i.e.: recent research involving hormonal release, gene switching on/off when imagery is involved) (Hancock,2). Even when it seems like the process is chaotic and it looks like “out of control behavior,” more times than not it is but a necessary phase of the treatment where it can be understood as an adaptive regression in service of the ego (Kris, 1952). This is an older term that puts a handle on the idea of becoming more primitive (chaotic) in expression in order to build skills of conscious control (self regulation) and purpose. The result of addressing these two key dynamics within the safety and trust of the Art Room, with a trained Art Therapist, are outcomes of INTEGRATION and an INCREASE of the child's ability to withstand, self regulate, process, contain, structure, and manage the powerful, chaotic emotions at work. This phenomenon is borne out and demonstrated over and over again through what is commonly described as the “Artwork.” It is but a “mirror” – a “frozen moment of time” of the child's dynamic process, containing within it forms, colors, and other symbols of sensory, spiritual and intellectual perception, which can be “De-Coded,” and used to understand the process the child has gone through. This leads to accurate diagnosis, treatment, and understanding of the phenomena at hand. In my over thirty years of experience, in all of the populations I have worked with ranging from mental health issues to developmental disabilities to physical disease, there has always been and continues to be a transcendent, spiritual dimension to the experience of expressing images. With children (and anyone) on the spectrum, at times, this phenomena becomes the primary focus of the “treatment.” William Stillman, in his book The Soul of Autism, speaks of the phenomena of spiritual perception in children with autism spectrum disorders. His book opens with a poignant quote from a mother of a child with autism, “Okay, here's a weird theory and something to think about: Because our children are 32
sensitive to sights, sounds, smells, and so on, could they possibly be more in tune with the spirit world as well?” (15). Whether we believe ASD is a condition, disease, or simply an alternative genetic (spiritual) reality, etc., it is without doubt a different way to perceive life (as opposed to the traditionally accepted “Normal”) and therefore demands an alternative (or more appropriate) treatment modality to respond to its unique set of requirements and standards. Interestingly, Art Therapists themselves are “differentlyabled” as they have spent and will spend the majority of their natural lives responding through their sensorially oriented consciousness, always working to “make sense” out of a primarily intellectually oriented world, in terms of structures and their meaning. It is this natural phenomenon that bonds the Art Therapist with the child with autism, and so trust is immediately being built upon introduction to each other, albeit on an unconscious level at first. This is why children on the spectrum not only can respond to and therefore are appropriate for Psychotherapy but need a modality that it is attuned to their frequencies. Art Therapy may be able to be constructed to include more formal behavioral treatment (ABA) by utilizing the functional tasks inherent in any art making experience, however the two disciplines must be fully integrated, conscious, and trained in each other's process in order to be effective and not fragment the child's experiences. If all we do is try to shape the child's behavior “from the outside,” utilizing techniques such as verbal commands, token reinforcements, intellectual validations and extinctions (“Do you understand me”) and fail to “see” how and where in the psyche and physical body they experience stimuli and express their responses to a world that cannot receive and “see” their message, we will be involved in a long term dance and struggle for power and control. Unfortunately, we may then miss the opportunity to connect with the child, validate their experience on the planet and above all share the love they, like all humans, desire and need to survive and thrive in our world, especially during these challenging times. © 2010 Ed Regensburg, ATR-BC, LCAT Edited by Lauren Fabrizio, MPS References: American Psychiatric Association (2000). Diagnostic and statistic manual of mental disorders (4th ed.) Washington D.C.: Author. American Psychiatric Association. DSM V Proposed Revision of Autistic Disorder. Retrieved July 11, 2010 from http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=94 Association for Behavior Analysis International. Retrieved July 11, 2010 from www.abainternational.org Chopra, D. (1989). Quantum healing: exploring the frontiers of mind/body medicine. New York: Bantam Books. Davies, P. (1983). God & the new physics. New York: Simon & Schuster. Dossey, L. (1982). Space, time & medicine. Boston: Shambhala Publications, Inc. Hancock, P. Neuroscience and art. Retrieved July 11, 2010 from http://www.telluridearttherapy.com/neuroscience.htm Kris, E. (1952). Psychoanalytic explorations in art. Madison, Conn.: International Universities Press Myss, C. (speaker) 1996. Anatomy of the spirit: the seven stages of power and healing. (Cassette Recording). Boulder, Co: Sounds True. Stillman. W. (2008). The soul of autism: looking beyond labels to unveil spiritual secrets of the heart savants. Franklin Lakes, NJ: Career Press. Soukhanov, A. (Ed.). (1999). Encarta world English dictionary. New York: St. Martin's Press
WHY HYPNOTIC REGRESSION? Continues from page 31 …
During the summer months I received an email from an experienced hypnotherapist who told me that he avoided using regression because of the possibility of “opening a Pandora's box” of unresolved issues. While I've had a few clients over the years that needed several regression sessions, this is the exception rather than the rule. Now let's discuss the benefits of competent client centered regression … DISCOVERING THE CAUSE(S) OF PROBLEMS One of the gemstones of hypnotherapy I learned from Charles Tebbetts in 1983 involved four primary hypnotherapy objectives: suggestion and imagery, discover the cause, release, and subconscious relearning (or reprogramming). It was Charlie's opinion that if we simply suggest away the symptoms (which he called “band-aid therapy”) without discovering and releasing the core cause, the subconscious was fully capable of either returning the same problem or another one that was worse. An example was a client pulling hair and eyelashes. After the behavior was “released” with hypnotic suggestion and NLP without discovering and releasing the cause, several weeks later he was scratching his arms with his fingernails and drawing blood. Some years ago a businessman told me personally that his employer told him to either deal with his fear of flying and see a new client in Sydney, or face a demotion. He saw a hypnotist who used a quick phobia release, which apparently lasted long enough for him to have a pleasant outbound flight to Sydney. Three weeks later, on the return flight, his subconscious bought back the phobia with a vengeance! He told me that he was so terrified flying six miles above the Pacific Ocean that he literally believed he was going to have a heart attack. In the above example, this man's core cause of the fear of flying was still buried in the subconscious; and it took only one regression session to discover and release the cause. Over the years I've seen a number of clients who have experienced backsliding after seeing another hypnosis profession who failed to discover and release the causes of their problems. There are two primary events to discover: the Initial Sensitizing Event (the first time a client is sensitized to the emotions surrounding a problem), and the event that activates the problem (which Tebbetts called the Activating Event). They may be one and the same, or they may be separated by days, months, or years. BOTH events, if separate, must be discovered and released. If you have not received formal training in regression therapy, I suggest that you network with another hypnotherapist who is already trained and experienced … and/or seek formal training yourself. In my professional opinion, you will be doing both yourself and your clients a service!
My 27 years of experience demonstrates to me the value of regression therapy. That being said, let me respond to the final concern of regression skeptics … Should We Use Regression for Most Clients? My response to the above question is a resounding NO! Charles Tebbetts warned against the exclusive use of any technique, even parts therapy (which he pioneered). Instead, he taught us to fit the technique to the client rather than vice versa. Over the years, way less than half of my clients ever experience hypnotic regression. Likewise, less than half experience parts therapy. That being said, I will continue to argue FOR the client centered use of regression to discover and release the causes of problems as long as it is facilitated by hypnotherapists who are competently trained. Perhaps you might be interested in reading my very long chapter on the five phases of regression in The Art of Hypnotherapy, now available through Crown House Publishing (or on my website). Additional suggested reading is Randall Churchill's REGRESSION THERAPY: Transcripts of Transformation. Are some professionals making mistakes with hypnotic regression? My answer is YES; but let's not throw out the baby with the bath water. There will always be a place for client centered regression. Upon request, I am available to teach it in your area and/or combine it with training in parts therapy.
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WORDS FROM THE FIELD by: Michael Ellner Michael Ellner, an internationally prominent medical hypnosis educator and practitioner is a major force in educating healthcare professionals. Based on his extensive training and experience, he teaches a wide range of behavioral techniques that utilize language, metaphor, and imagery that heal at the most personal and biological levels. His blog can be found on the multi-award-winning web site TherapyTimes.com and his column can be read in Hospital Newspaper, a leading trade journal for doctors, nurses and hospital administrators.
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have been reinventing the way that I market my practice with the help of Devin Scannura – a marketing expert who specializes in helping people get the most out of the Web. I am sharing my experiences here thinking some of you can benefit from my discoveries and take advantage of what I have recently learned. I selected the URL: www.ellner.info and launched my website many years ago without realizing that only the people who knew me would be able to find me using my name. I was lost to the millions of people seeking information about hypnosis and hypnotic services. I have recently purchased: NYCanxietyhypnosis.com to make it easier for search engines and the people who use search engines to find me thanks to Devin's input on how to respond to what people are looking for when choosing the your website. I value "Ellner.info" and I will continue to maintain and link to it as a resource and way to highlight my accomplishments once people have discover me via "nycanxietyhypnosis.com" Thanks to Devin, there will be a very big difference in the two sites. The focus of my new website (nycanxietyhypnosis.com) be on what is in it for the people visiting my site. nycanexietyhypnosis.com will be content based and filled with blogs and links to my interviews and videos. One of the pages that I am very excited about will link breaking news to how hypnosis can improve people's lives, health and careers. So far I have added the most recent breaking news-tonews items going back to March 2010. I am confident that the research that I sited can be used to build your practices: In the News: September 2010 ▪ News Item: NYC Anxiety – related to activities like public speaking, taking tests, job and relationship pressures, etc. have been linked to cardiovascular disease, immune dysfunction and other metabolic disorders. This new research links stress and obesity. Comment: I highly recommend adding a stress management piece to your weight loss programs. August 2010 ▪ News Item: New research that shows one-in-four people postpone surgery due to irrational fears about anesthesia, and Americans pay a $30.5 billion annually for back pain. Comment: Hypnosis can help alleviate both issues: 34
Hypnosis can help reduce or eliminate, pre-surgical fears and anxieties, and pre-surgical hypnosis can relieve post-surgical stress and pain, which speeds up the healing process. Hypnosis can help reduce, and even eliminate, chronic back pain, which also speeds up the healing process. July 2010 ▪ News Item: Researchers link adverse effects, like thoughts and acts of aggression and violence, to prescription stop smoking aid. Comment: Hypnosis offers a cost effective alternative to prescription stop-smoking drugs without the dangers of adverse effects. ▪ News Item: Recent findings show that people who quit smoking before surgery can reduce the risk of complications afterward. Comment: The just published research shows that smokers are more likely to stop smoking if offered assistance in preparation of their surgery. May 2010 ▪ News Items: May is National Arthritis Month, Fibromyalgia Education and Awareness Month, and High Blood Pressure Education Month. Comment: The great news is that Hypnosis has guided selfhelp programs that are easy-to-learn and can help you reduce or relieve stuttering, arthritis, and fibromyalgia-related pain, as well as lowering blood pressure. April 2010 ▪ News Item: April is International IBS Awareness Month. Comment: Tragically, most IBS sufferers will not be aware that hypnosis can help prevent and relieve their IBS flare-ups because their doctors are not aware that learning and practicing self-hypnosis can help. Alan Barsky and I offer an effective guided self-help program for relieving the symptoms of IBS. ▪ News Item: New research that shows that severe chronic pain can be a killer. Comment: The newly published research clearly demonstrates that not treating pain is more dangerous than the risks associated with treating pain. Hypnosis can teach people how to lower and, in some cases, even eliminate their need for pain medications. Continues on page 37 …
THE SIDE EFFECTS OF CANCER by: Bernie Siegel, MD
Dr. Siegel, who prefers to be called Bernie (not Dr. Siegel), was born in Brooklyn, NY. He attended Colgate University and Cornell University Medical College. He holds membership in two scholastic honor societies, Phi Beta Kappa and Alpha Omega Alpha and graduated with honors. His surgical training took place at Yale New Haven Hospital, West Haven Veteran’s Hospital and the Children’s Hospital of Pittsburgh. He retired from practice as an assistant clinical professor of surgery at Yale of general and pediatric surgery in 1989 to speak to patients and their caregivers. In 1978 he originated Exceptional Cancer Patients, a specific form of individual and group therapy utilizing patients’ drawings, dreams, images and feelings. The physical, spiritual and psychological benefits which followed led to his desire to make everyone aware of his or her healing potential. He realized exceptional behavior is what we are all capable of.
I have been counseling cancer patients in support groups and individually for over thirty years and it has been very therapeutic for me too, as I try to live the sermon. What got me started on my journey of enlightenment was one of my patients. We were both at a workshop, which I thought was intended for physicians, but only three were there amongst over a hundred patients. She said to me, “You're a nice guy. I feel better when I am in the office with you but I can't take you home with me. So I need to know how to live between office visits.” She shifted me from feeling helpless about not being able to cure every patient to the fact that I could help them all to live. So I sent a hundred letters out to our cancer patients inviting them to join a group and “live a longer healthier life.” I was in a panic expecting they would bring friends and relatives with cancer and I would have hundreds of people to work with. I woke up to the fact I didn't know my patients and their will to live when less than a dozen women came to the first group session. What I began to learn is that there is a survivor personality. Psychiatrist Dr. George Solomon calls it an immune competent personality from his work with AIDS patients. I will share the qualities of these people shortly. First, I began to see that if you helped people to live they didn't die when they were supposed to. I have shared, in my books, about some of these people whose disease disappeared and whom doctors call spontaneous remissions. In his book Cancer Ward, Solzhenitsyn, who had cancer himself, helped me to wake up with his description of these cases. He writes about the men sitting around the ward and one of them has a medical textbook which he reads from, “It says here there are cases of self induced healing, not recovery through treatment but actual healing, see.” It was as though self induced healing fluttered out of the great open book like a rainbow colored butterfly for everyone to see and they all held up their cheeks for its healing touch as it flew past. It was only the gloomy Podduyev who with a hopeless and obstinate expression on his face croaked out, “I suppose for that you need to have a clear conscience.”
I think he says all we need to know about self healing with his symbols. Yes, you need a clear conscience related to your past and life and he tells you how to achieve it. The butterfly is the symbol of transformation and the rainbow is every color which, I know from my experience with drawings, represents our life's emotions and when they are in order we can heal. The first reaction I received from other doctors was that I was creating guilt and blame by bringing up people's lives when they had cancer. Yes, in my books I ask questions like what has happened in the last year or two of your life, what does the disease mean to you, how do you benefit from your illness, why do you need an illness and do you want to live to be one hundred? I didn't grow up with guilt, blame and shame so I truly did not appreciate what other people were feeling. I was on all the famous talk shows discussing and explaining the issue. For some people death is preferable to life and for others the only way for them to get attention is to be sick. What I have learned from my life and that of my patients is that you cannot separate your life from your health. Monday we have more heart attacks, strokes, suicides and illnesses. Going home to a house with a dog after having a heart attack reduced the mortality rate at the end of twelve months, in one study, from 26 percent to 5 percent. Women with the same cancers as men live longer and married men live longer than single men with the same cancers. It is not female hormones and sleeping with them that is protective; it is our connections and relationships that are significant. Our internal chemistry relates to our feelings. In his book The Biology of Belief, geneticist Bruce Lipton talks about genes and the fact that they do not make decisions. It is the body chemistry and neuropeptides created by our emotions which select by activating the genes. Identical twin sisters do not get the same disease on the same day. The sister more likely to develop breast cancer is the good girl, who pleases her parents and others and internalizes her anger and not her little devil of a twin. To quote a patient, “My mother's words were eating away at me and maybe gave me cancer.” She had to get cancer to start living and buy a red dress since her Continues on page 37 …
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From the archives of the Virtual Library The archives of the Virtual Library collects, preserves, and makes available to members written and graphic information concerning hypnosis, hypnotherapy and adjunct modalities. It is the designated repository for articles and research of educational value. The Library catalogs printed material for the express use of it's members. The mission of the Library and it's Archives is to preserve, secure and make accessible historically significant records and other valuable resources, to meet the reading needs of members, to build and encourage advancements in education, to improve membership services, and to enhance the capacity for achievement of wellness practitioners.
CREATE IT WITH AN IMAGE by: JAIME F: PITNER: UNLIMITED HUMAN: VOL 10, ISSUE 2: 2001 About the Author: Jaime V. Pitner is currently the Holistic Health Services Coordinator for Virtual Health, a five-hospital system in Southern New Jersey. He is responsible for the integration of complementary medicine and holistic services, including Hypnotherapy. He is the creator of the Mind-Gym, providing comprehensive programs in Tai Chi, Yoga, Meditation, Stress Management, Hypnosis, and Mind-Body education programs. Jaime develops training programs for healthcare providers such as "Holistic Practices in Patient Care" and "Stress Reduction Counselor." He has developed a lifestyle modification program for cardiovascular disease risk reduction and reversal called "Holistic Heart," which uses hypnotherapy for stress reduction and behavior modification.
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magination is more Important than Knowledge." Albert Einstein. Albert Einstein first realized the distortion of time and space by imagining himself riding on a ray, traveling at the speed of light. Images are thoughts that draw on senses. They may involve one or all: sight, auditory, touch, taste, smell. For most people, visual imagery is predominant. Imagery is a form of communication used to bridge the mind and the body. Understanding the scientific basis for how imagery works can help us understand how healing takes place and how to create effective healing images. The mind reacts to imagined events just as it does to real events. In fact, imagination can be more important than knowledge when we recall emotional memories that make us laugh or bring a tear to our eye. Tears are a good example, because we have no conscious control over them. Actors must first conjure up some mental images to enable them to cry for a needed scene. Anyone who cries at movies knows well the power of the imagination. We know it's not real, but the image stimulates a real physical response, as the unconscious mind controls all bodily functions. The chemicals of the immune system, immuno-modulators, 36
have been found to be affected by images. Recent studies have found that when people were trained to image immunomodulators, specifically T -cells, neutrophils, and salivary IgA, these actually underwent change. When we generally feel "bad" or "good," we can expect that feeling state to have an impact on how our immune system responds. TYPES OF HEALING IMAGERY: Relaxation Imagery – Finding a "favorite place" where you feel most relaxed and at ease, or guiding someone else to a peaceful scene, usually a scenic place in nature. Sensation Imagery- tuning in to internal feelings and sensations and creating mental images that represent them. Process Imagery- seeing yourself going through the process successfully, while feeling confident and relaxed. Using biologically correct healing process imagery; a broken bone growing back together, blood pressure lowering, white blood cells eliminating infection, or symbolic images: natural cancer killer cells cruising through your body like stealth jet fighters that fire guided missiles which hit only the cancer cells eliminating them with surgical precision, or imagining FROM THE ARCHIVES, Continues on page 38 ‌
WORDS, Continues from page 34 …
CANCER, Continues from page 35 …
mother only dressed her in dark colors so she wouldn't be noticed and embarrass the family. As science has opened its mind we are seeing studies demonstrating the truth in these statements. A recent study at UCLA showed that people who felt lonely activated the genes which controlled immune system activity. Loneliness was related to feelings of isolation and separation and not about how many people you knew but your lack of closeness to anyone. These people were more likely to develop autoimmune disorders, viral infections and cancer. So you can see how loss affects the surviving spouse and family members. Other studies done in the past by Dr. Caroline Thomas, at Johns Hopkins, showed medical students who had a low closeness to parent profile were more likely to develop cancer later in life and a recent Harvard study showed that almost 100 percent of students who felt unloved by their parents had experienced a major illness by mid-life while 28 percent of those who felt loved had experienced a major illness. Many years ago Jungian Elida Evans wrote that cancer was growth gone wrong and a message for them to take a new path in their life. I understand that what she is saying is about how to turn a curse into a blessing. We need to be born again. Every therapy tells us this fact. In AA they say, “Fake it till you make it.” I have been asking people to learn to act as if they were survivors because we know that actors immune function and stress hormone levels are altered in a negative way when acting in a tragedy and in a positive way when in a comedy. The disease can become our teacher by awakening us to our mortality and truly beginning to live our unique and authentic lives. And when you do you will exceed the expectations of physicians who are only looking at statistics and not the individual and their experience. So cancer can be hell or a wake up call and a new beginning. Please understand I am not talking about immortality or saying that death is a failure. I am talking about living your chocolate ice cream and its associated benefits. This includes deciding about treatment options and more. As I have written and said it is about the labor pains of rebirthing one's self. Perhaps in a future article I will have the time to discuss how I use patient's dreams and drawings, but I can tell you that your body speaks through these symbols as does your unconscious so pay attention to their inner wisdom. You can diagnose cancer from dreams and drawings, though they never tell you that in medical school, and also learn when you are cured through these images. If you have information that concerns you make sure you let your doctor know and pursue appropriate tests to verify your inner wisdom. Guided imagery can also stimulate your body and help you to heal.
March 2010 ▪ News Item: The second week in March is National Procrastination Week. Comment: There are often multiple reasons why people put things off, including fear of failure, the task seems to large to tackle or not knowing where or how to start. Hypnosis can help your clients learn how relax, recharge and motivate themselves to take action. ▪ News Item: Concerns about the health risks for millions of people using over-the-counter acetaminophen and NSAID pain- killers. Comment: There is considerable scientific evidence that learning and practicing self-hypnosis can help reduce, even eliminate, pain. I'll update you in my next column.
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CANCER, Continues from page 37 …
You can read my books to get information about the techniques involved. You don't have to be a killer or wage an inner war to heal yourself. Now let me give you the list of questions so you can see if you have the survivor personality qualities. Here are the questions based on Dr. George Solomon's research. If you answer no to the first seven questions and yes to the last two you need attention. 1. Do I have a sense of meaning in my work, daily, activities, family and relationships? 2. Am I able to express anger appropriately in defense of myself? 3. Am I able to ask friends and family for support when I am feeling lonely or troubled? 4. Am I able to ask friends or family for favors when I need them? 5. Am I able to say no to someone who asks for a favor if I can't or don't feel like doing it? 6. Do I engage in health related behaviors based on my own self defined needs instead of someone else's prescriptions or ideas? 7. Do I have enough play in my life? 8. Do I find myself depressed for long periods during which time I feel hopeless about ever changing the conditions that cause me to be depressed? 9. Am I dutifully filling a prescribed role in my life to the detriment of my own needs? What they are asking you is about who decides how your life's time is spent. You can lose your life pleasing others. Nurses often have a problem with question number 5. For me play is what makes you lose track of time and the healthiest state you can be in and your feelings lead you to nourish your life the way hunger makes you seek food. Lastly, that you are not the wage earner or momma so that if you lose your job, or the kids live home, there is no longer any point in living. I have added three more: 1. I am taking you to dinner; what do you want? 2. What would you hold up before an audience to demonstrate the beauty and meaning of life? 3. How would you introduce yourself to God? If you answer number 1 within a few seconds it tells me you are in touch with your feelings and not thinking about what I want for dinner or how much money I want to spend. The answer to number 2 is a mirror, and for number 3 that you accept your divine nature and say to God, “Your child is here” or, “It's You” and not answer with your profession or say “It's me.” and separate yourself from the divine. ________________________________________________ “Your site looks very impressive. Clearly you are putting out a lot of good stuff for members. Congrats to you both.” – Julie Griffin, Nashua, NH 38
ARCHIVES, Continues from page 36 …
the urge to smoke a cigarette like a cord which can be cut with scissors to eliminate the signal. End Result Imagery – imagining the positive end result of your goals. Seeing yourself where you want to be in the healed state, doing all the things you would in the successful place. Healing Imagery can be used to tune in to sensations or "diagnose" what is going on, or to send a healing messages to the body, for relaxation; to reduce fear or anxiety, and to compliment medical treatment and procedures. Imagery allows us to experience all of our senses within our mind, without actually being there physically. The unconscious mind does not distinguish between real and imagined events. We are the creator, and the images that we create have a dramatic effect on how we think and feel, physically and emotionally. Olympic and professional athletes have used visualization as a valuable mind tool, to practice and perfect their performance, and to develop and nurture their goals. When we focus on positive mental images, enjoying all the sights, sounds, tastes, smells, and feelings, our attention is focused on where we want to be, not on old habits and behaviors which may have been holding us back. Since sensory experiences allow the conscious mind to relax, the unconscious mind is left free to work out the negative content of thought, in a creative, non-judgmental and effective process. The unconscious part of your brain is left free to find associations that normally are not made. This mental activity takes place behind the scenes. We become aware of it only occasionally. This allows our mind the freedom and playfulness that makes it possible to come up with creative and original solutions. Replaying images that you create actually allows you to practice skills, perform exercises mentally, and develop a clear image of your desired end result. By using imagery as a tool to plan and rehearse the things you need and want to accomplish, you can take an active role in your own health, well being, and success in life.
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ME TALK MO' GOODER NOW by: Daniel Cleary Dan Cleary is an internationally recognized instructor and presents programs on the language of transformation. His specialties include Pain Relief, Therapeutic Language and Personal Transformation. He is the author of Little Book of Change and Changing Pain. Dan co-hosts a monthly educational teleseminar, Transformation All-Stars and maintains dual membership in IACT and IMDHA.
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client of mine was at her doctor's office for a pre-op consultation and the doctor's assistant was describing preparations and expectations for the day of the surgery and follow up care. "I’ll give you a prescription for pain and another for nausea." She said. "Hmm. So I take one pill if I want to have pain and the other if I want to vomit?" asked my client and the laughter began. Language and the way we communicate are fundamental to our work as hypnotists. How we say a thing is at least as important as what we say. As I write this piece I begin to wonder how the reader can grasp the basic intention that I am expressing here, in a way that inspires using words even more gracefully and effectively in our daily life and practice. When we notice the way enjoying communication feels, we may also recall that language is more than the words we speak. The language of our clients offers an amazing resource for transformation. Now I wonder how we could imagine that 'positive and negative' are electrical terms and no longer apply to the words we use. As we begin to accept this idea, we can consider rather, that the words we use engage or disengage both the listener and the person speaking. When the terms and expressions we use disengage, there may be conflict or misunderstanding. When the terms and expressions we use engage the listener, we are practicing the power of induction. Certainly there are words and phrasing that can be more effective than others in particular situations and yet, there are times when words that we have been told are 'BAD' like: 'NOT' or 'TRY' can be used to get the desired outcome. Words are words, context and intention can alter their meaning and effect; play with them. Perhaps one of the greatest challenges in the process of developing our skills as communicators could be the 'Shoulda-Woulda-Coulda Syndrome' of second-guessing ourselves. One little exercise that I employ with both clients and students begins by tossing out the idea that there exists such a thing as 'hypno-talk.' I suggest that we begin speaking with the people we encounter in daily life from the intention of listening and communicating more effectively, if we can get a smile in the process, all the better. As an example; when you are in the checkout line at the grocery store, make eye contact with the checker and when they greet you, ask how they feel and mean it. Use their name and engage them in conversation: so often the little dialogues that take place in these situations
seem to be reflexive and pro-forma, when you ask what time they are getting off and what they could do as a special treat for t h e m s e l v e s o r t h e i r f a m i l y, y o u h a v e t h e i r attention. Hmmm. A bit like trance, is it not? Then there is the nonverbal language of the body. When we observe the physical language, we can notice more of the effect of the spoken word as expressed through the body movements; the unconscious responses may reflect conflict or agreement that might otherwise remain unstated. These responses offer an insight to the internal process of communication. Changes in breathing or body movements are often more revealing than verbal responses. There is no X=Y=Z formula that gives all of the answers or formats all communication in a nice, neat bundle; it is a matter of observation and exploration. Consider that each of us speaks in a private language that is unique unto our selves and that communication is a matter of translation and interpretation. When we keep in mind that our view of the world is just that: our view, we allow that our client has their view as well. And by the way, theirs is always right for them, even if it creates limitations. The true elegance of hypnotic communication is in our ability to remain flexible: rather than attempting to teach the client our language, we learn theirs and help them to shift aspects that may be limiting their success. Consider that learning more about language and listening beyond the words alone offers a lifetime of adventure and welcome the opportunity to notice some little thing today that you might have missed in the past.
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DOLPHIN AS A PSYCHOPOMP: A WINDOW INTO THE PSYCHO-SPACE OF CHILDREN WITH AUTISM by: Noel Kok Hwee Chia, EdD & Norman Kiak Nam Kee, M.Ed National Institute of Education, Nanyang Technological University, Singapore Noel Chia Kok Hwee is an assistant professor with the Early Childhood & Special Needs Education Academic Group at the National Institute of Education. He holds two post-graduate fellowships: literacy and dyslexia. The former was awarded by the College of Preceptors; the latter, by the College of Teachers. He is a registered reading therapist and registered dialogic-diagnostic art therapist with the International Association of Counselors & Therapists, Norman currently teaches courses in special education in the Diploma in Special Education programme as well as in the Degree programme. His research interest includes Montessori Pedagogy in special education.
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oung children between two and seven years of age, during the so-called pre-operational stage of their cognitive development, often demonstrate a lack the capacity to appreciate a perspective different from their own. This mental stance has been termed as egocentrism. Egocentrism must not be confused with egoism or egotism – both are referring to an excessive or exaggerated sense of self-importance of an individual, who is often motivated by self-interest and may or may not be done at the expense of others. The late Jean Piaget (1896-1980), a renowned Swiss development psychologist, has defined egocentrism as an incomplete differentiation of the Self and the world at large, including other people (we have chosen to shorten the phrase and termed it as Otherselves, i.e., other Selves besides the Self), with the tendency to perceive, comprehend and interpret the surrounding world in terms of Self. In other words, these young children do not possess the mental capacity to comprehend that other people may hold viewpoints different from theirs. They tend to select their own viewpoint of what they see rather than the actual viewpoint shown to others (Santrock, 2008). When a child is deeply egocentric, he/she becomes “blind” to others or his/her peers. In such an instance, the child is said to manifest two main difficulties in (i) being able to attribute mental states to others as a natural way of understanding them (also known as the theory of mind); and (ii) having an automatic appropriate emotional reaction to others' mental states. These difficulties hamper successful social interaction resulting in a major failure in empathizing, which is also known as mentalizing. Such a condition is described as hyper-egocentrism, which is one of the key symptoms observed in individuals with autism. Along with egocentrism is the other mental stance known as animism, i.e., the belief that inanimate objects are capable of actions and have life-like traits. One good example is that young children do believe toys – as depicted in the Walt Disney movie of the Toy Story – are real and alive except that they do not show it, especially when there are human adults around. In child psychology, Jean Piaget has referred the term to an implicit comprehension of the world in a child's mind that assumes all events are the product of intention or consciousness. This is cognitive immaturity (and hence, 40
inability and NOT disability) to distinguish the external world from one's own psyche. Developmental psychology has since established that the distinction of animate versus inanimate things is an abstraction acquired by learning. When egocentrism and animism come into play together, they project a very powerful mental stance termed as magical thinking. This is used to describe causal reasoning that seeks correlation, which can be either possible but improbable or probable but impossible, between acts or utterances and certain events. The first one deals with a meta-world of improbabilities (i.e., not likely but can possibly happen) and the other, a meta-world of impossibilities (i.e., not possible and can never happen). On the one hand, the meta-world of improbabilities includes Conan Doyle's Lost World and James Cameron's Pandora – the planet where the Na'vi tribe dwells – in the blockbuster movie Avatar. On the other hand, the meta-world of impossibilities such as Lewis Carroll's Wonderland and Frank Baum's Land of Oz, where anything can happen at any time has no premises to condition the rest of the story. In this other meta-world of fantasy, carpets fly, a frog turns into a handsome prince, a rabbit carries a watch in its waistcoat pocket, a witch flies on her broomstick … There are no maxims, physical or moral, to govern this meta-world. It is an amoral polymorphous world of a naïve child. These meta-worlds are invented worlds and collectively we have termed them as psycho-space, which exists only in our mind of imaginations. Therefore, it is not surprising to note that many young children are unable to differentiate between what is real and what is not. CHILDREN WITH AUTISM SPECTRUM DISORDERS According to Chia (2008), ASD is “a neuro-developmental syndrome of constitutional origin (genetic) and whose cause could also be epigenetic, and its onset is usually around first three years of birth, with empathizing or mentalizing deficits that result in a triad of impairments in communication, social interaction, and imagination (or presence of stereotyped behaviors), but may, on the other hand, display (especially by autistic savants) or hide (especially by autistic cryptosavants) a strong systemizing drive that accounts for a distinct triad of strengths in good attention to detail, deep narrow Continues on page 43 …
LIES AND TRUTH: LYING MAY KEEP YOU SAFE, BUT THE TRUTH WILL SET YOU FREE: GUIDING CLIENTS TO TELL THE TRUTH by: Steve Stork & Kweethai Neill
Dr. Kweethai is founder and president of iHealth Center for Integrated Wellness. Her iChange TherapyTM combines hypnotherapy, Life Enhancement Training™ and Feng Shui to produce health and happiness inside and out. Steve Stork is Director of Education and Programs at iHealth Center. He is a specialist in early childhood education.
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eople lie. It is as natural as breathing air and almost as hard to give up. While one might feel guilt when having to resort to an egregious falsehood, it is the self-protective little white lies, spoken mindlessly and reflexively, that do the most harm over time. Unexamined and therefore unacknowledged lies become personal truths over time. “I have no alternative.” “I am trying.” “You don’t understand …” “It’s not my fault.” All lies. And all based ultimately on fear that others will discover the truth, which is itself a lie. Excuses and alibis (lies) signify a loss of self. Suffering increases as self-doubt overwhelms objective truth; eventually descending into despair as the foundation of one’s life erodes as if into quicksand. Hypnotherapy clients ultimately fear themselves to be unlovable. Peeling back the layers of the onion, “If I let my guard down and tell the truth, people will not like me. They will reject and abandon me. I will be all alone and unloved. I am unlovable. I am not good enough. I am unwanted and powerless.” This is a progression of truth adopted over time; a reality the subconscious seeks to reinforce, interpreting all life experiences through that filter; a truth that is destructive and self-defeating. The resulting loss of self love is exhibited as despair. Just as yogis seek enlightenment, hypnotherapists guide clients toward self-empowerment. The client’s subconscious truth is that they deserve no better than what they are experiencing. To desire something better, to put themselves first in their own life, is somehow interpreted as selfish. Yet the ultimate truth is that if you cannot love yourself, you cannot love others. If you cannot accept yourself, no one will accept you. I am quite comfortable confronting clients with the lies they tell themselves. But they need some preparation so as not to turn such revelations into yet another excuse for selfdoubt. Early in the education portion of a session, I teach clients about “radical honesty.” This concept leads a client to accept herself and to speak up for herself. She must agree to accept the truth about herself and “own” that truth, even if she finds it uncomfortable. A basic skill in exercising radical honesty involves responsible responses: Radical Honesty: Four Golden Responses: 1. Yes 2. No
3. I don’t understand, please help me understand 4. I have no excuse The first two responses are definitive. The third response helps the client gather more information to arrive at response #1 or response #2. “Maybe”, “perhaps” and “I will try” obscure an honest response and are therefore not acceptable. The first three responses help the client to become aware of the frequency with which he makes excuses or lies to self and others. Limiting the range of acceptable responses forces him to reflect on the easy lie, the obfuscation of truth. While practicing the four golden responses I relate inspiring stories that secure the client’s acceptance of this new paradigm. It seems very simple, but using just the first three responses is quickly empowering. Clients learn to say yes and no confidently. Transformation begins as they embrace the way “radical honesty” honors their own feelings and those of others. Response #4 is my favorite. Clients with low self-esteem develop a habit of perpetual, unnecessary and subservient apology. One client of mine embedded, “I am so sorry,” in virtually every utterance. She apologized even for the weather! I educate such clients to understand that apologies are equivalent to “trying”. And, as “Trying is lying,” apologies are also lies. Apologizing expresses negative feeling. It lays out a perception of bad deeds with no opportunity for redemption. My clients are not allowed to apologize. Instead, they are to respond, “I have no excuse.” Apologies dis-empower; taking responsibility empowers. Apologies involve excuses, alibis and stories that mitigate responsibility; desiring to be let off the hook. Apologies are wimpish deflection of responsibility. In contrast, “I have no excuse,” can be followed by, “Give me a chance to make it right.” Rectitude empowers. Taking responsibility—fixing an error or misdeed—is empowering, leading to redemption and hope. As clients grasp this idea, their demeanor changes and hope glitters in their eyes. The basis of my work is to lead clients from habitual selfbetrayal—lying to themselves — to authenticity. Developing a capacity for radical honesty is a key to that transformation. Authentic communication stems from self-knowledge. As clients start accepting and loving themselves, their entire Continues on page 42 …
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world view changes for the better. As miraculous as hypnosis is, the hypnotherapist cannot simply command that a client love herself. Even if it were possible, she would lack the knowledge and skills to sustain it. Transformation is a continuous process. The following list describes potential milestones in the process, as I have experienced it with my own clients. It is loosely hierarchical, but certainly not linear. Each milestone may be accompanied by an emotional bridge, or not. My practice is to deal with what emerges; so each step takes as long as it takes, returning after each detour back to the general path. 1. Draw attention to contradictions or paradoxes in a way that they become apparent to the client. o A client denied jumping quickly from one relationship to another. So, explaining that I just needed to be clear for myself, I pulled out a calendar and had her chart them. A look of profound confusion clouded her face as the graphic evidence contradicted her assumption. I could not convince her that two plus two was equaling five until she did the math for herself. 2. Guide the client to become more aware of his perceptions. o A middle-aged client claimed he could not expect financial assistance from his parents. “Have you ever asked?” “No, I just know they won’t do it.” His parents gladly chipped in, and his honest expression of need was rewarded with a renewed relationship. 3. Guide the client to become aware of her excuses and alibis. o To the client excuses and alibis make it sound like she has no choices. To the hypnotherapist they indicate she took the easy way out. I explore alternatives, with the goal of having the client own up to poor choices, i.e., “I have no excuse.” 4. Guide the client to be open to creative solutions and to seek them out. o A client complained she was the perpetual target of insensitive remarks as she walked through another department. There was no alternate path to the copy room. “Are these people in any way connected to your work responsibilities?” No. “Would you ever associate with these people outside work?” No. “You said they act like monkeys. Can you imagine them to actually be monkeys as they make these remarks?” She immediately started to giggle. I strengthened the visualization in hypnosis. She later reported an urge to giggle every time she walked through that department and the perpetrators (likely very confused) ceased their remarks. o Many clients complain of intrusive questions or comments by friends and particular family members. My patent recommended response is, “And how are your hemorrhoids?” This bit of levity opens them up to exploring what it is they really want to express. We role play to reinforce specific responses, and also to explore
contingencies. 5. Guide the client to engage in introspection to determine underlying issues. o This is a variation on “Count to ten.” The purpose is to introduce the client to the concept of mindfulness. A client reported back to me, “For the last two weeks my boss has been a different person. He created several openings for me to volunteer for work that was his responsibility. In the past I would have done it and then been upset with him. I’m now questioning whether or not he expected me to volunteer, he went ahead and did the tasks himself without comment. So I guess the volunteering is my problem, not his.” 6. Guide the client to adopt strategies for selfreinforcement of new behaviors or habits of mind. o I make clients who express self-deprecation or are overly defensive wear a thick rubber band on their wrist. When they catch themselves making such remarks, they are to tug the rubber band and “snap out of it.” o Another obvious strategy is self-hypnosis; returning to a happy place where they are what they have expressed a desire to be; then bringing that back with them into waking consciousness. 7. Guide clients to identify positive intentions for the future. o I teach clients a variation on the Law of Intentions, in which they express their intentions in present tense; i.e., “I am healthy, wealthy and wise” (with appropriate specificity). 8. Guide clients to trust in the universe. o There are many aspects of hypnotherapy which require some interpretation. My interpretations are always positive. To some it may sound like stretching the truth, but I see it as creating the truth. As long as I have the opportunity, I want the truth I create to be positive; and the universe responds accordingly. o As a client relates a negative experience either in the present or that emerged in regression, I ask what lesson the universe is teaching. Turning a negative experience into a learning experience makes it positive. 9. Guide clients to give up the need to be right. o The ability to distinguish between being right and being happy is a critical component of self-empowerment. The universe does not operate on a zero sum mentality. Differing opinions—or many “facts” for that matter—can co-exist. Right and wrong, happy and unhappy, need not balance each other out. 10. Guide clients to Mind Your Own Business o That sounds funny for someone like me who makes a living calling my clients liars and teaching them how to live better. The key difference is that those clients seek me out and agree to pay me for that service. I call any client a liar who begins a sentence with, “But they need me to…”—especially if it is evident the client has a great need to help others when Continues on page 45 …
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interests, and islets of ability” (p.10). As mentioned earlier, children and adolescents with ASD manifest hyper-egocentrism. This has caused them to appear aloof and isolated – living in the world (or meta-world) of their own. To bring a child or adolescent with ASD out of that world of hyper-egocentrism, we need to know the portal or channel to enter that meta-world. However, it becomes a mission impossible if we have no idea how to get into that world or meta-world. We need someone or something to show us the way. That someone or something is what is termed as a psychopomp. For an example, the wardrobe in the book The Lion, the Witch and the Wardrobe, written by C.S. Lewis, serves as some kind of a portal to the imaginary land of Narnia, a world that exists parallel to ours, allowing four English children to cross over to that meta-world from here. The wardrobe is a psychopomp. In another example, the rabbit with a watch in its waistcoat pocket in a hurry rushing to somewhere and Alice following it into a tree-hole that took her to the meta-world of Wonderland. Both the rabbit and the tree-hole are psychopomps. Finally, in our last example here, the body of an avatar that Jake Scully, a crippled marine, has to enter in order to stay in touch with the natives of the Na'vi tribe in James Cameron's blockbuster movie Avatar, is a psychopomp. We need a psychopomp to enter into the world of a child or adolescent with ASD. We have to look for one. This approach is certainly going to be very different from the conventional intervention approaches such as the Applied Behaviour Analysis and the Greenspan floortime plan that are commonly used when treating individuals with autism. We did not have to look far. We found our psychopomp. The pink dolphins (known as indo-pacific humpback dolphins) at the Dolphin Lagoon in Sentosa, would become our psychopomp(s). Dolphin-assisted therapy There has always been something special about the dolphins. To the Minoans as far back as 1500 BCE, dolphins are symbols of joy and music. The ancient Greeks even dedicated a temple at Delphi to a dolphin god. This special relationship between humans and dolphins has gone beyond just religious belief, moving into scientific and medical domains. In the early 1970s, dolphins have been the subjects of interests in research investigation relating to the understanding of effects of dolphin-human interaction on human behavior. Dolphins have been trained to assist individuals with disabilities, and this form of intervention approach became popularly known as dolphin-assisted therapy (DAT). Several experimental studies have been done to investigate the effectiveness of DAT with children with various disabilities, mental retardation, and autism. One study reported how autistic children were relieved of their characteristic anxiety (e.g., vocal and motor selfstimulations and rocking movement) and stress through
positive interactions with dolphins, and subsequently they also improved in their communication and learning. Another study reported that DAT helped to motivate an autistic child to communicate. In Singapore, one study was reported in 2009 on the efficacy of DAT on reduction of stereotyped behavior in non-verbal children with ASD and these subjects also began to hand-signal in their attempt to communicate with others. There are many different forms of DAT. The simplest form can involve a child swimming with, touching or taking care of dolphins, while the more complex one is based on an individualized structured program designed to meet the needs of the child concerned. According to Nathanson (1998), the DAT is based on the theory that children with disabilities will increase their attention to relevant stimuli in the environment as a result of their desire to interact with dolphins. The general purpose of DAT is to encourage children with disabilities to engage in desired responses in accordance with their individual education or therapy plan. HOW DOLPHIN-ASSISTED THERAPY HAS PROMOTED AWARENESS IN AUTISTIC CHILDREN For past three years since end of 2007, we have been researching on the efficacy of short-term (i.e., a duration of between three and six months) DAT for children and adolescents with ASD, looking for new discoveries that we might have missed previously. With parental consent, five autistic children aged between five and seven years old participated as subjects in the Dolphin Encounter for Special Children (DESC) program a short-term dolphin-assisted therapy offered by the Underwater World Singapore, and being conducted by qualified therapists and dolphin trainers at the Dolphin Lagoon in Sentosa, an island south of mainland Singapore. Over three months and on every Wednesday for almost an hour, these children learnt to keep their eyes on the dolphin as it swam around the pool, use hand signals to initiate a certain response from the dolphin (i.e., performing what we would call dolphin tricks such as waving goodbye to the dolphin which would respond by waving one of its flippers back, holding and shaking the flippers like a friendly handshake), pat on the dolphin when it came forward to them, feed the dolphin, waddle in the water with the dolphin swimming around them, and for the more daring ones, even swam with the dolphin in the pool. What we have noticed in the major behavioral change of these children with ASD is the reduction in their hyperegocentrism. They have also become more socially aware of themselves, beginning with the somatic awareness of their hands (e.g., performing a hand signal to get the dolphin to respond back) and legs (e.g., waddling their legs in the pool). No longer did they have to hold someone's arms using them as if they were a tool to get something or to do something. These children could do proto-declarative Continues on page 44 …
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gradually coordinated with each other, generating new structures of mental operations that are applied on representations of objects rather than on the objects themselves. Mental images, words and numerical notations are good representations standing for objects and hence, each of them becomes the object of mental operations. We have summarized our research into the following diagram below: Dolphin Pool
Hyper-egocentrism
decentrizing Egocentrism
awarizing Awareness
DOLPHIN
pointing if they wanted something (e.g., pointing to the dolphin, keeping an eye contact with it and beckoning it to come forward). The somatic awareness led them to what we have termed “decentrizing” their hyper-egocentrism. To decentrize is to break down the walls of hyper-egocentrism, leaving the egocentrism without the hyper part. At the beginning of DAT, the dolphin was like some sort of an awareness initiator to these children a point of a social contact. Along the way, during the process of DAT and over a period of time, the dolphin became an awareness mediator between the child and his/her surrounding (superimposed with the dolphin = child, and its pool = child's surrounding). By the end of third month, these children became very aware of the surrounding, that is, the dolphin pool with at least one dolphin swimming in it at any one time. The dolphin pool is like a photo-frame encapsulating the dolphin within it. It can represent the psycho-space in the mind of a child: simple and clear, without any other distractions. It has its unique hypnotic effect on the child's mind. The dolphin now plays the role of an awareness reinforcer in these children. From the somatic awareness, these children have developed a psycho-spatial awareness that is gradually transformed into their environmental awareness. The discussion on how this transformational process takes place is beyond the scope of this paper. This transformation has been our greatest breakthrough in our DAT research. Not only did these children become environmentally more aware than before, they became socially aware of themselves and the people, especially their parents and siblings around them, too. They could now awarize, i.e., taking a deliberate choice to make awareness. We have termed this transformational process awarizing (i.e., to awarize is an action rather than to be aware of, a passive reaction). By this term, we mean transforming of awareness to be integrated into the new mental schemes so as to take into account the particularities of the objects, persons, or events the child is interacting with. In Piagetian terms, we would refer the process of awarizing to assimilation and accommodation the two basic functions in the process of understanding (making sense) that is the basic mechanism of ensuring equilibrium in the relationship between the child and his/her environment. The environment is assimilated into the schemes of perception and actions that are already available or existing in the child's mind. These schemes are transformed or accommodated to the peculiarities of the objects (e.g., the dolphin) of the environment (e.g., the dolphin pool), if they are not completely appropriate. Hence, the cognitive development is a continuous process of assimilations and accommodations that lead to increasing expansion in the application of and coordination between schemes, enhancing internalization of schemes, and developing an abstraction of them. These are mental operations that are
initiator of awareness
mediator of awareness
reinforcer of awareness
Psychopomp Psycho-space
For those of us who have come very close in our encounter with dolphins, we have experienced a warm feeling, unexplained by words alone, and what exactly it is we are unable to describe. It still remains a big mystery. To quote from Dr Horace Dobbs (1990), the founding director of the International Dolphin Watch, “[F]or want of a better word, let us call it the spirit of the dolphin” (p.15). _________________________________________________________ References: Chia, N.K.H. (2008). Autistic savant: A need to re-define autism spectrum disorder. Special Educational Needs Monograph Series (Paper 1). Singapore: Cobee Publishing House. Dobbs, H. (1990). The magic of dolphins. Cambridge, UK: Lutterworth Press. Nathanson, D.E. (1998). Long-term effectiveness of dolphin-assisted therapy for children with severe disabilities. Anthrozoos, 11, 22-32. Santrock, J.W. (2008). A topical approach to life span development. New York, NY: McGraw-Hill.
"A warm welcome to our newly Certified Hypnotherapists in Malaysia. The final module of training was taught in October under the direction of George Bien. We wish to extend our sincerest congratulations for the successful completion on the course.” LIES AND TRUTH Continues from page 42 …
they do not have their own poop in group. Do not be afraid to call a client a liar … as long as you are prepared to lead them to the truth. Giving up the need to lie is the best gift you can give a client. This means you are teaching the client that it is okay to be honest and okay to be who she truly is. There is no more need to lie. While some believe that lies give them better liberties, it is the safety to tell the truth that truly sets them free. I have a framed thank you card from a client hanging in my office. The card depicts a box full of butterflies. One butterfly is flittering outside the box. The butterflies that remain inside ask why she has left the safety of the box. She responds, “That, my friends, is why I left it. For you may be safe, but I AM FREE!” ______________________________________________ “Thank you for all you and those assisting you do to help us to easily be the best educators we can be, continually moving forward with new information to share!” - Paulette Richard-O'Rourke Mashpee, Massachusetts
MINDSET, Continues from page 19 …
hypnosis training so I can help others, I am grateful for the client that challenges me to think outside my box. Your list will be endless. Live with an attitude of gratitude! We are all works in progress. Maybe you haven’t been utilizing your subconscious mind to its fullest potential. This may take a little time. That’s fine, just get started today. Have you ever made a list of things that you own that did not come with a bill of sale? Things that can never be taken from you? Thank you, Dr. Anne Spencer, for this wonderful exercise. Start your list and keep it going! I own my integrity, I own my thoughts, I own my feelings! Now … get out there and go get ‘em tigers! ______________________________________________ “It is a great privilege and honor to be a member of IMDHA and I look forward to many pleasant years as a member of your organisation.” - Anthony van den Berg, Gauteng, South Africa * * * “Thank you so much for continuing to provide such a professional, wonderful organization in which to certify my students.” -- Deborah Mabee, British Columbia, Canada 45
MEMBERS ON THE MOVE … On September 30th, Patricia Scott was arrested and released to help Jerry's Kids©. Her bail had been set at $3,200.00. This fun event, benefits individuals and serves families in the Tampa Bay area by MDA who are affected by a neuromuscular disease. Bail was raised by bringing the price of a single 2-hour hypnosis session down (more than 50 percent!) to only $100, and donating half towards bail to MDA. Peter Blum visits Peru. Peter writes: “Ever since I read a book in 1971 called "The Secret of the Andes" about a secret White Brotherhood whose hermitage was high in the Andes Mountains in Peru, I have been drawn to go there. It took almost 40 years but I finally made it. My lady Susan and I found the place and the people to be most extraordinary. I have traveled fairly extensively and I must say that this was the most other-worldly geography I have ever experienced. Machu Picchu is every bit as amazing as they say. The food was fantastic, our guides were knowledgeable – and I would have to say the high point was staying overnight with local people on an island in the middle of Lake Titicaca – the highest lake in the world at 12,000-plus feet.” You're not seeing body doubles! To the delight of members in the UK, Marx Howell and Roy Hunter were spotted strolling the streets of London last month. To their credit and extraordinary teaching skills, these two hypnosis icons have had the opportunity to travel abroad on more than one occasion. Georgina Cannon hosted the Shirley MacLaine chat room on September 20th. Her talk's focus was on joy, giving and receiving. There's a new teaching schedule on the horizon for Conrad Adams. He'll be teaching hypnosis in adult education classes at Louisiana State University! Seth Deborah Roth is now the co-editor for the Hypnotherapy section of the All Things Healing web site. If you would like to submit an article please feel free to contact Seth directly. Congratulations to Dennis and Jennifer Chong who celebrated their 40th wedding anniversary this September. The event was celebrated at a party with close friends and relatives in attendance. IMDHA school owner Lois Prinz had an excellent article published in the American Society of Pain Educators PainVIEW magazine (Spring issue). The article is available 46
for viewing in our Virtual Library. Congratulations on a job well done! Wil Smith is establishing a program to help the worthy members of the armed forces. If you live in or around the South Carolina area and wish to donate your time and talent, please contact Wil through Hypnosis Headquarters. Now here's a way to make good use of extra time! Tony DeMarco is working on a project writing nine different kids’ books and recording the related CDs. He and his wife Joan also enjoyed some fun in the sun recently while on vacation in Aruba. New Status! For Sarah Oppenheim-Somerville! Sarah writes: “Hello All – just wanted to update you with my new status – married! I just got back from Santa Fe and will be using the rather long version of my name for a while and will eventually transition to Sara Somerville. This just in from Monica Geers Dahl: “My exciting news was that I got a follow up call from Walter Reed hospital yesterday, chief of the TBI unit. I was putting out my feelers to the Colonel in charge of the hospital to see about working with their PTSD and TBI folks for the 2.5-to-3 years of post graduate supervision I need to take the State license. I had to go through nine different potential supervisors to find one who said "Yes." The current issue of Family Health magazine (Fall 2010 edition) features an article entitled: “Hypnotherapy An Effective Tool for the Modern Medicine Cabinet.” It is cowritten by IMDHA school owner Sherry Hood and Fred H. Janke, MD. Dr. Janke is an associate professor and director of rural programs from the Department of Family Medicine, University of Alberta, in Edmonton. Our hats off to them for a job well done! For your convenience and review, a copy can be found in the Virtual Library archives. Valetta Stewart would like to have hypnotists come to where she is stationed in Germany to do a show for the troops. If you would like to offer assistance to help alleviate some stress and pump up the humor of the US troops, please contact Valetta through Hypnosis Headquarters. We wish Cynthia Cameron a fond farewell and many adventurous journeys ahead as she makes her transition into retirement. Cynthia writes: “Dear IMDHA – I have retired from practice. I want to take the opportunity to thank IMDHA for the support over the years of my membership and wish the Association every success in the future.” – Cynthia Cameron, NSW, Australia”
INTERNATIONAL CHAPTER LOCATIONS CALIFORNIA Southern CA Chapter Contact: Shannon Feather (951) 704-2334 CONNECTICUT New Haven Chapter Contact: Barbara Herr (203) 980-9601 FLORIDA Gainesville Chapter Contact: Carol Perrine 352-328-8163 Miami Chapter Contact: Santiago Aranegui (305) 267-0117 or (305) 267-8277 Palm Harbor Chapter Contact: Patricia V. Scott 727-943-5003 Jupiter Chapter Contact: Sandra Landsman (561) 575-0547 Pensacola Chapter Contact: Ann Hayes (850) 678-9533 KANSAS Kansas City Metro Chapter Contact: Linda Gentry (660) 747-3277 LOUISIANA Baton Rouge / New Orleans Chapter Contact: Mark Babineaux (337) 233-7766 MASSACHUSETTS Cape Cod Chapter Contact: Paulette Richard-O'Rourke (508) 539-2885 MICHIGAN Detroit Chapter Contact: Hena Husain (248) 561-8159 MINNESOTA Northern Lights Chapter Contact: Margaret Waldoch (507) 665-5068 MISSISSIPPI Hattiesburg Chapter Contact: Bonnie Miller & Leonard Byrd (601) 408-5983
MISSOURI Kansas City Metro Chapter Contact: Linda Gentry (660) 747-3277 NEW YORK New York City Contact: Marianna Lead (917) 371-9713 Long Island Chapter Contact: Alesia Simco (631) 974-2836 Southern Tier Chapter Contact: Louise Gregg (607) 533-6625 Elma Chapter Contact: Doreen Daniels (585) 591-2620 NORTH CAROLINA Eastern Carolina Chapter Contact: Maggie Minsk (252) 288-2724 OHIO Northern Ohio Chapter Contact: Mary Ellen Ott (440) 670-1518 PENNSYLVANIA Bucks County / Philadelphia Chapter Contact: Phil Holder (215) 295-8062 Perkasie Pennridge Chapter Contact: Matthew Tartaglia (215) 257-2718 TEXAS Dallas Chapter Contact: Nadine Romain (214) 796-5327 Houston Chapter Contact: Cheri Pemble (832) 656-8733 or Diane Pope (281) 787-2777 UTAH South Jordan Contact: Wendy MacDonald (801) 556-1153 VIRGINIA Fairfax Chapter (National Capital Area) Contact: Nancie Barwick for directions (703) 385-9311 Virginia Beach Hampton Roads Chapter Contact: Mary von Posch (757) 630-8141
WASHINGTON Seattle Chapter Contact: Roger Moore (206) 903-1232 Tacoma Chapter Contact: Joni Wiley (253) 279-9944 __________ INTERNATIONAL CHAPTERS AUSTRALIA Melbourne Chapter Contact: Peter Smith (0425) 704 230 Sydney Chapter Contact Rick Morse (0419) 689 865 Melbourne Chapter Contact Peter Smith (0425) 704 230 CANADA British Columbia BC Coastal Chapter Contact: Susan Turner (604) 591-2077 Ontario Oakville Chapter Contact: Susan Jennifer Grace (905) 827-4973 DENMARK Scandinavian Chapter Contact: Martin Hulbaek +45 28699911 PUERTO RICO Mayaguez Chapter Contact: Franka Fiala (787) 831-0558 SINGAPORE Contact: Dr Wolff Von Auer (65) 6762-2378 or Asst. Group Leader: Ms Loke Ying Ying (65) 6778-3829 SOUTH AFRICA Pretoria/Edenvale Chapters: Contact: Mervyn Bartholomew (27) 0861-105 808 TAIWAN Chung Li Chapter Contact: Rong-Seng Chang +866 932080450
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The International Association of Counselors and Therapists International Medical and Dental Hypnotherapy Association 8852 SR 3001, Laceyville, PA 18623 Laceyville, Pennsylvania 18623
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