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When hope is lost.

Rehabilitation Medicine and Palliative medicine have much in common as both specialties deal with loss and impending loss related to incurable medical conditions. Significant losses are encountered by patients in both rehabilitation and palliative care settings, and often threaten quality of life, hopefulness, and resiliency. The losses are related to what the patient has identified as self. In this article the author suggests a way of approaching loss and suffering that incorporates, mindfulness, Disidentification and Ego-State work to help preserve a sense of self that is not identified with

The eye-roll sign and the PAS dissociation scale.

In the past decade we have seen many new articles devoted to the study of dissociation and its implications in health and illness. The area of dissociative disorders received special attention with many authors pointing out the probability that dissociative disorders may, in fact, be much more pervasive than used to be thought. The need for a reliable measurement of dissociation has become more acute. This paper reports the results of a study comparing the Perceptual Alteration Scale (PAS), a behavioral scale measuring dissociation capacity, with Spiegel's Eye-Roll Sign (ERS) a postulated biol

Historical perspectives on music as a cause of disease.

The relationship between music and medicine is generally understood in the benign context of music therapy, but, as this chapter shows, ther … fluence. It was often linked to fears about sexuality, female gynecological health, and theories of hypnosis and degeneration. In the twentieth century, the debate on the medical perils of the wrong kinds of music became overtly politicized in Germany and the Soviet Union. Likewise, the opponents of jazz, particularly in the United States, often turned to …

Neuropathic Pain Related with Spinal Disorders: A Systematic Review.

Systematic literature review. To review the evidence from high-quality studies regarding the treatment of neuropathic pain originating specifically from spinal disorders. In general, treatment guidelines for neuropathic pain cover all its various causes, including medical disease, peripheral neuropathy, and cancer. However, the natural history of neuropathic pain originating from spinal disorders may differ from that of the pain originating from other causes or lesions. An expert research librarian used terms related to neuropathic pain and spinal disorders, disc herniation, stenosis, and spin

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… One RCT showed the effectiveness of 10 sessions of self-hypnosis training and EMG biofeedback relaxation training, suggesting that patients with neuropathic pain respond to hypnotic analgesia treatment alone; however, the improvement was not maintained at the 3-month follow-up [ 51 ]. … Effects of self-hypnosis training and EMG biofeedback relaxation training on chronic pain in persons with spinal-cord injury. Int J Clin Exp Hypn. 2009;57:239–268. doi: 10.1080/00207140902881007. 52. Boldt I, Eriks-Hoogland I, Brinkhof MW, de Bie R, Joggi D, von Elm E. …

Supportive care interventions in hematopoietic stem cell transplantation: a systematic review and meta-analysis.

AbstractThere is no comprehensive synthesis of supportive care interventions for patients with hematologic malignancies receiving transplantation and cellular therapies (TCTs). This systematic review and meta-analysis aimed to characterize randomized controlled trials (RCTs) of TCT supportive care interventions and examine effects on patient-reported outcomes (PROs). We systematically searched MEDLINE, Embase, CINAHL, PsycInfo, Web of Science, and Cochrane Central Register of Controlled Trials. Risk of bias was assessed using Cochrane Risk of Bias 2.0. Findings were grouped by intervention and

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… results from a single-site palliative care intervention trial. 33 , 34 Conversely, 3 multiarm trials are presented as separate rows within respective intervention categories to reflect each active intervention type tested against a comparator group: Syrjala et al (cognitive behavioral therapy [CBT] and hypnosis … Mind-body/stress management Syrjala et al 31 (1992; United States); single-site RCT † | — | — | — | — | ↓ Oral pain → No difference in nausea | — | A 12-session in-person hypnosis training delivered before HSCT and during hospitalization reduced oral pain but not nausea up to 3 wk after HSCT. …

Guided imagery for treating hypertension in pregnancy.

BACKGROUND: Hypertension (high blood pressure) in pregnancy carries a high risk of maternal morbidity and mortality. Although antihypertensi … aromatherapy, relaxation therapy, acupuncture, acupressure, massage, device-guided slow breathing, hypnosis, physical exercise, and yoga). DATA COLLECTION AND ANALYSIS: Three review authors independently assessed the trials for inclusion, extracted data, and assessed risk of bias for the included studies. We checked extracted data for accuracy, and resol …

Hypnotic-oriented counseling for ambiguous loss in college students.

Ambiguous loss involves uncertainty regarding the physical or psychological presence of a significant person and limited opportunities for clear confirmation or closure. Such uncertainty may contribute to persistent emotional distress, difficulty adapting, and reduced psychological well-being. This study examined the preliminary effectiveness of a structured, five-session Hypnotic-Oriented Counseling intervention for reducing psychological reactions associated with ambiguous loss and enhancing psychological well-being among college students. Employing an A-B-A single-case experimental design,

Ego-strengthening hypnotherapy, negative emotional state, and suicidal thoughts in outpatients with depression.

This research aimed to investigate the efficacy of ego-strengthening hypnotherapy in reducing negative emotional states and suicidal ideation among outpatients with depressive disorders in an Iranian sample. This was a randomized controlled trial featuring three phases: baseline, intervention, and follow-up, involving both an experimental group and a wait-list control group. The sample included 40 outpatients with major depressive disorder, persistent depressive disorder, and unspecified depressive disorder, selected through random sampling for each group. In this study, the Depression, Anxiet

Anxiety and the Wounded Self.

The self-wounds model of anxiety disorders based on the work of Wolfe (2005, 2006) is delineated here. The focal point of this model is the concept of wounded self or early unresolved emotional injuries. According to this view, anxiety disorders represent a chronic struggle with painful experiences. These emotional experiences are driven by two interrelated layers of psychological processes which arise from the wounded self. While the first layer of this process entails conscious awareness of symptoms resulting from cognitive distortions, the second layer comprises implicit or unconscious inte

Suggested posthypnotic amnesia in psychiatric patients and normals.

The present study examined both quantitative and qualitative hypnotizability differences among four psychiatric patient groups (dissociative disorder (n = 17), schizophrenic (n = 13), mood disorder (n = 14), and anxiety disorder (n = 14) patients), and normals (college students (n = 63)). Dissociative disorder patients earned significantly higher corrected total scores on the Stanford Hypnotic Susceptibility Scale, Form C (mean = 7.94), than all other groups. Likewise, dissociative disorder patients initially recalled significantly fewer items when the posthypnotic amnesia suggestion was in ef

Systematic review of interventions for treating or preventing antipsychotic-induced tardive dyskinesia.

BACKGROUND: Antipsychotic medication can cause tardive dyskinesia (TD) - late-onset, involuntary, repetitive movements, often involving the … did have some effect in one small study (n = 42, RR 0.53, 95% CI 0.33 to 0.84; low quality), as did hypnosis and relaxation (one RCT, n = 15, RR 0.45, 95% CI 0.21 to 0.94; very low quality). We identified no studies focusing on TD in people with dementia. The NMA model found indirect estimates to be imprecise and failed to produce useful summaries on relat …

Statement of the Independent Forensic Expert Group on Conversion Therapy.

Conversion therapy is a set of practices that aim to change or alter an individual's sexual orientation or gender identity. It is premised o … tary confinement or being kept from interacting with the outside world); verbal abuse; humiliation; hypnosis; hospital confinement; beatings; and "corrective" rape. Conversion therapy appears to be performed widely by health professionals, including medical doctors, psychiatrists, psychologists, sexologists, and therapists. It is also conducted by spiritua …

Irritable Bowel Syndrome.

I believe there are four essential elements in the management of patients with irritable bowel syndrome (IBS): to establish a good physician … tive to alternative strategies. These include general relaxation techniques such as biofeedback and hypnosis therapies.

Neurophysiological Mechanisms Related to Pain Management in Bone Tumors.

BackgroundPrimary and metastatic bone tumor incidence has increased in the previous years. Pain is a common symptom and is one of the most important related factors to the decrease of quality of life in patients with bone tumor. Different pain management strategies are not completely effective and many patients afflicted by cancer pain cannot be controlled properly. In this sense, we need to elucidate the neurophysiology of cancer-induced pain, contemplating other components such as inflammation, neuropathies and cognitive components regarding bone tumors, and thus pave the way for novel thera

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… classified as Interventional (injection therapies, neural blockade and implant therapy), Rehabilitative (modalities, therapeutic exercise, occupational therapy, hydrotherapy, treatment for specific disorders), Psychological (psychoeducational interventions, cognitive behavioral therapy, relaxation therapy, hypnosis … Hypnosis. This therapy involves inviting the patient to focus on his awareness and use his imagination to experience beneficial changes in symptoms and emotional responses. …

Rehabilitation for ankle fractures in adults.

BACKGROUND: Rehabilitation after ankle fracture can begin soon after the fracture has been treated, either surgically or non-surgically, by … an air-stirrup versus an orthosis or a walking cast. One study (12 participants) found 12 weeks of hypnosis did not reduce activity or improve other outcomes.Thirty studies investigated rehabilitation interventions during the immobilisation period after surgical fixation. In 10 studies, the use of a removable type of immobilisation combined with exercise …

EULAR revised recommendations for the management of fibromyalgia.

OBJECTIVE: The original European League Against Rheumatism recommendations for managing fibromyalgia assessed evidence up to 2005. The paucity of studies meant that most recommendations were 'expert opinion'. METHODS: A multidisciplinary group from 12 countries assessed evidence with a focus on systematic reviews and meta-analyses concerned with pharmacological/non-pharmacological management for fibromyalgia. A review, in May 2015, identified eligible publications and key outcomes assessed were pain, fatigue, sleep and daily functioning. The Grading of Recommendations Assessment, Development

Comparing Cognitive Behavioral Therapy and Ericksonian Hypnotherapy for Obsessive-Compulsive Disorder: A Randomized Controlled Trial.

Obsessive - Compulsive Disorder (OCD) is a chronic condition that often responds well to Cognitive Behavioral Therapy (CBT), though many patients fail to achieve full remission. Ericksonian Hypnotherapy (EH) has been proposed as a promising alternative. This randomized controlled trial compared the efficacy of CBT and EH against a waitlist control in 99 adults with OCD. Participants received 12 weekly online therapy sessions. Outcomes were assessed at baseline, mid-treatment, and post-treatment using the Padua Inventory-Revised, Yale - Brown Obsessive Compulsive Scale - Self-Report (Y-BOCS-SR)

Combined Effects of Hypnotic-Cognitive Therapy with Therapeutic Exercise on Quality of Life in Individuals with Fibromyalgia: A Pilot Feasibility Randomized Controlled Trial.

Fibromyalgia (FM) is characterized by widespread musculoskeletal pain accompanied by diverse psychological and physical symptoms. The current study assessed the feasibility of an intervention that combines hypnotic cognitive therapy (HYP-CT) with therapeutic exercise for individuals with FM. Randomization of 16 participants was conducted in one of two treatment conditions: (1) HYP-CT (HYP-CT combined with therapeutic exercise) or (2) attention control (AC; attention control combined with therapeutic exercise). All predetermined feasibility criteria were exceeded, evidenced by high recruitment

EEG-Based Analysis of Emotional Effects of Hypnotic Guided Imagery (HGI) on Employees with Burnout: A Feasibility Study.

Unregulated negative emotion increases the risk of burnout by 67%, which can impair performance and cause physical symptoms. Hypnotic guided imagery (HGI) is a deep relaxation-based intervention designed to shift negative to positive emotion. However, the physiological basis of emotional changes remains unclear. This feasibility study examined the acceptability and effects of HGI on emotional valence and arousal in employees with burnout using electroencephalography (EEG). Valence was indexed by frontal alpha asymmetry (FAA), calculated as ln[rel(F4)] - ln[rel(F3)] and arousal by the frontal b