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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.
Stress is a natural part of life,but too much stress can be detrimental,robbing you of energy and peace of mind.This hypnosis session can start to help you balance your life&sleep better.Maintain peace of mind by accessing a relaxation state of mind.
Hypnosis is very effective in healing and reducing acne!In this hypnosis session I’ll give your body suggestions that will work at the deep inner mind level so that you’ll naturally want to nurture your skin.You’ll be confident in public!
Hypnosis provides some of the best tools for achieving personal transformation.Achieving a level of mastery in any aspect of your life requires re-training your brain and body. Begin creating the mind that is capable of taking you to new heights!
Why does anyone still smoke? Just about everywhere you go nowadays you see signs that clearly state that smoking is not allowed. Yet despite all of the sanctions, taxes, peer pressure, and with over 440,000 deaths every year in the US, there remain millions of hardcore tobacco users who just don’t seem to want or be able to stop this habit.
Clearly, the fact tobacco products cause cancers of the lung, esophagus, larynx, and oral cavity should motivate any sane...
Let’s face it. For each and every one of us there is something or someone who inspires in us a level of anxiety and dread, which can reasonably be referred to as fear. For some it can be the thought of a snake, spider, dogs, or even wide open spaces. Others constantly live in utter misery as they tend to avoid many of the sights, sounds, and occurrences of modern-day life. What causes this and do we have a choice?
As humans we have a superior ability to anticipate and simulate. When we anxiously await the arrival of a person who we love or are overly concerned about the possibility...
Who am I? Ever since Sigmund Freud the concept of the ego has been an intense topic of conversation. We attempt to understand who we are in terms of not only our physical description, but also our values, beliefs, and behaviors. When all of this is considered, we just may have a reasonable concept of our “I-ness.” This can also be referred to as our ego.
In the Freud-influenced Western world a healthy mind is often synonymous with a healthy ego. This means that a stable ego is presumed to be a core requirement for the maintenance of adequate mental health. However, as normal ins-and-outs...