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Trance and Treatment, Second Edition

Clinical Uses of Hypnosis

Herbert Spiegel, M.D., and David Spiegel, M.D.

  • ISBN 978-1-58562-190-3
  • Item #62190
Winner of the 2004 Arthur Shapiro Award for the Best Book on Hypnosis


What is hypnosis? Despite widespread misconceptions, hypnosis is not a treatment in itself; instead, it is a facilitator—a useful diagnostic tool that can help the practitioner choose an appropriate treatment modality and accelerate various primary treatment strategies.

The second edition of this remarkable work (first published 25 years ago) is written to provide both beginning and seasoned practitioners with a brief, disciplined technique for mobilizing and learning from an individual's capacity to concentrate. Putting to rest both exaggerated fears about hypnosis and overblown statements of its efficacy, this compelling volume brings scientific discipline to a systematic exploration of the clinical uses and limitations of hypnosis.

The challenge was to develop a clinical measurement that could transform a fascinating amalgam of anecdotes, speculations, clinical intuitions and observations, and laboratory advances into a more fruitful and systematic body of information. Thus was born the authors' Hypnotic Induction Profile (HIP), a crucial 10-minute clinical assessment procedure that relates the spectrum of hypnotizability to personality style, psychopathology, and treatment outcome.

Structured to reflect the flow of a typical evaluation and treatment session and highlighted by case examples throughout, this remarkable synthesis describes how to use the HIP, reviews relevant literature, and details principles and short- and long-term treatment strategies for smoking control; eating disorders; anxiety, concentration, and insomnia; phobias; pain control; psychosomatic disorders and conversion symptoms; trichotillomania; stuttering; and acute and posttraumatic stress disorders and dissociation. Meticulously referenced and indexed, this in-depth work concludes with an appendix on the interpretation and standardization of the HIP.
This unique work stands out in the literature because

  • It is written both as an introduction for practitioners new to hypnosis and as an in-depth guide for practitioners with wide experience in hypnosis.
  • Unlike current clinical works, it emphasizes the importance of performing a systematic assessment of hypnotizability to identify, measure, and utilize a given patient's optimal therapeutic potential—a process that, until now, has been relegated to clinical intuition.
  • It describes human behavior phenomenologically as it relates to hypnosis in a probable rather than an absolute fashion.
  • It reviews only specific portions of the literature that are particularly relevant to the important themes presented by the authors. Wherever possible, the authors apply statistical methods to test their hypotheses.

The realm of scientific investigation encompassing hypnosis and psychological dysfunction is comparatively new. This exceptional volume, with its profusion of systematic data, will spark controversy and interest among scientific students of hypnosis everywhere, from psychiatrists, psychologists, and psychoanalysts to physicians, dentists, and other interested clinicians.


    About the Authors
    PART I: Trance: The Phenomenon and Its Measurement
    Defining Hypnosis
    Chapter 1. Naturally Occurring Trance Phenomena and Related Myths
    Chapter 2. Formally Induced Trance Phenomena
    The Hypnotic Induction Profile
    Chapter 3. Rationale for a Clinical Test
    Chapter 4. Administration and Scoring
    PART II: The Hypnotic Induction Profile as a Diagnostic Probe
    Spectrum of Hypnotizability and Personality Style
    Chapter 5. The Person With the Problem: Apollonians, Odysseans, and Dionysians
    Chapter 6. Review of the Literature: Hypnotizability and Personality
    Nonintact Profiles: Softs and Decrements
    Chapter 7. Hypnotizability and Severe Psychopathology
    Chapter 8. Neurophysiology of Hypnosis
    PART III: Using Hypnosis in Treatment
    Chapter 9. Formulating the Problem
    Chapter 10. Restructuring
    Treatment Strategies: Short Term
    Chapter 11. Smoking Control
    Chapter 12. Eating Disorders
    Chapter 13. Anxiety, Concentration, and Insomnia
    Chapter 14. Phobias
    Chapter 15. Pain Control
    Chapter 16. Psychosomatic Disorders and Conversion Symptoms
    Chapter 17. Miscellaneous Behavior Disorders
    Treatment Strategies: Long Term
    Chapter 18. Spectrum of Therapies
    Chapter 19. The Grade 5 Syndrome: Special Considerations in Treating the Dionysian
    Chapter 20. Hypnosis in the Treatment of Acute Stress Disorder, Posttraumatic Stress Disorder, and Dissociation
    Appendix: Interpretation and Standardization of the Hypnotic Induction Profile
    Name Index
    Subject Index

About the Authors

Herbert Spiegel, M.D., is Clinical Professor of Psychiatry (Emeritus) at Columbia University, College of Physicians & Surgeons, where he directed the postgraduate course in hypnosis from 1960 to 1982. Currently at Columbia, he is Special Lecturer in Psychiatry and in private practice in New York City.

David Spiegel, M.D., is the Jack, Lulu and Sam Willson Professor in the School of Medicine, Associate Chair of Psychiatry and Behavioral Sciences, and Medical Director of the Center for Integrative Medicine at Stanford University Medical Center.

Hypnosis remains one of the great mysteries in psychology and psychiatry because it has such enormous potential for healing, yet we know little about how or why the simple exchange of words and images between therapist and client can work such wonders. This beautifully crafted book, by Herbert and David Spiegel, takes readers from all backgrounds on an exciting and wisely structured journey into this curious realm of human nature. Based on their many decades of pioneering research and innovative treatment methods, this father and son team explores the dynamic utilization of hypnosis in therapeutic settings. They have polished the gem that was their first edition into an even more readable and enjoyable text featuring their creative and practical ideas within scenarios that therapists will find are readily applicable in their practice.—Philip G. Zimbardo, Ph.D., Professor of Psychology, Stanford University, Stanford, California

The masterful yet practical clinical methods presented in this volume represent much more than an update of the original classic text. This Second Edition integrates the latest scientific findings on hypnosis as a foundation for clinical practice. Both the clinician and researcher will clearly learn what to do and how to do it. The theory and research bases will facilitate their use beyond the specific examples explicated. This book is essential to practitioners using hypnosis and a marvelous primer for those curious about the clinical uses of hypnosis.—Professor Arreed Franz Barabasz, Ed.D., Ph.D., ABPP, Wash. State Univ; Editor, Intl Journal of Clin & Exp Hypnosis; Past Pres, Soc of Clin & Exp Hypnosis; Past Pres, Am Psychological Assoc Div 30

It was a true pleasure to read the second edition of Trance and Treatment by Herbert Spiegel and David Spiegel. Since the publication of the first edition more than 25 years ago, there has been much clinical research and some neurobiological research in the field of hypnosis. The authors have incorporated both and much more. Moving from history to philosophy, psychosomatic medicine, and other clinical topics, the book is a comprehensive, well-written tour de force.—Journal of Clinical Psychiatry, 2/1/2005

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