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Beneficial Effects of Hypnosis and Adververse Effects of Empathic Attention.
PURPOSE: To determine how hypnosis and empathic attention during percutaneous tumor treatments affect pain, anxiety, drug use, and adverse events. MATERIALS AND METHODS: For their tumor embolization or radiofrequency ablation, 201 patients were randomized to receive standard care, empathic attention with defined behaviors displayed by an additional provider, or self-hypnotic relaxation including the defined empathic attention behaviors. All had local anesthesia and access to intravenous medication. Main outcome measures were pain and anxiety assessed every 15 minutes by patient self-report, medication use (with 50 mug fentanyl or 1 mg midazolam counted as one unit), and adverse events, defined as occurrences requiring extra medical attention, including systolic blood pressure fluctuations (>/=50 mm Hg change to >180 mm Hg or <105 mm Hg), vasovagal episodes, cardiac events, and respiratory impairment. RESULTS: Patients treated with hypnosis experienced significantly less pain and anxiety than those in the standard care and empathy groups at several time intervals and received significantly fewer median drug units (mean, 2.0; interquartile range [IQR], 1-4) than patients in the standard (mean, 3.0; IQR, 1.5-5.0; P = .0147) and empathy groups (mean, 3.50; IQR, 2.0-5.9; P = .0026). Thirty-one of 65 patients (48%) in the empathy group had adverse events, which was significantly more than in the hypnosis group (eight of 66; 12%; P = .0001) and standard care group (18 of 70; 26%; P = .0118). CONCLUSIONS: Procedural hypnosis including empathic attention reduces pain, anxiety, and medication use. Conversely, empathic approaches without hypnosis that provide an external focus of attention and do not enhance patients' self-coping can result in more adverse events. These findings should have major implications in the education of procedural personnel.
J Vasc Interv Radiol. 2008 Jun;19(6):897-905. Epub 2008 Mar 17. Lang EV, Berbaum KS, Pauker SG, Faintuch S, Salazar GM, Lutgendorf S, Laser E, Logan H, Spiegel D. Department of Radiology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts.
Freedom from Panic Attacks!This session is extremely effective because you’ll learn techniques to quickly and easily relax, even when you feel an attack coming on. Live yourlife without ever being blindsided by panic attacks again.
Hypnosis is a great solution to reducing your tendency to worry because it is positive, safe and gentle.During the session you will experience a deep relaxation and calming of the nerves.Move through times of worry so that you can resume a happy life
Solving Life’s Problems Without Guilt!This session can really help you deal with the powerful emotions of guilt because it addresses the inner mind motivations that have led you to live your life under the weight of guilt.
When I work with bodybuilders, I teach them the relationship between how they conceive the shape of their body and how it actually is. Going further, I show them how by changing their mental image of their body, they can actually accelerate improving their strength, building up muscle mass, and burning off fat. Even though most people are more concerned about losing a few pounds and improving their physical fitness and not winning a bodybuilding competition, these lessons may very well apply to them as well.
The brain maintains a map of every organ and cell of our body. When we are ill, a...
For each and every one of us there are times when we feel, sad, lonely, and wish that our situation was better. This is a natural, normal feeling that we all go through. In fact, it may be just a matter of our biorhythms fluctuating every 90 minutes or so or just helping us balance our life after a period of exhilaration. On the other hand, if these feelings are persistent and so severe as to prevent you from participating in normal relationships and regular activities, just possibly you may have chronic depression and need assistance.
Here’s what you should be looking for if you think...
Very early in my study of hypnotherapy I was required to focus on many issues of women's health as relates to my field. I became interested in the number of reproductive-related issues that can be affected by a woman's mental state. There are a high number of researchers who had looked into how stress affects various issues regarding a woman's health. As way too many in the medical field considered hypnosis primarily as a stress reduction tool, they were more than willing to look at the relationship between hypnosis and woman's health. Over the years there has been more interest in looking at...