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_:: , HANDBOOK , of HYPNOTIC SUGGESTIONS AND METAPHORS This book is dedicated with deep love and affection to my children, Matthew, Erin, Christopher, and Mark FOREWORD Hypnotherapy is the application of hypnosis in a wide variety of medical and psychological disorders. Adequate training in psychotherapy is a prerequisite for practicing hypnosis, regardless of whether the clinician is a psychologist, physician, social worker, or dentist. In fact, training in psychotherapy and hypnotherapy is a never-ending process. A text of this magnitude offers both the neophyte and the experienced clinician a tremendous, comprehensive reference. After receiving initial classroom or workshop training, additional training comes through read­ ing, self-study and self-experience. This book represents a beacon for those desiring additional training in treating clinical problems. Having this reference available will give the new practitioner a very secure feeling. This is a book for clinical practitioners. In fact, it will undoubtedly become the practical companion volume and supplement to comprehensive textbooks and courses on hypnosis. It provides the reader with the "how to" suggestions that therapists use with their patients. Rather than intellectually discussing the topic of hypnosis, this book gives therapists, physicians and dentists a sampling of what experienced clinicians actually say to their patients during hypnotic work. At last we have a book that helps answer the common query from our students: "But what do I say now that the patient is hypnotized?" Every student and clinician who uses hypnosis will want to have this invaluable and comprehensive desktop reference. It represents the largest 'collection of therapeutic suggestions and metaphors ever assembled, with contributions from over 100 of the world's finest hypnotherapists. For those interested in the theoretical and research aspects of hypnosis, there are numerous other volumes that may be found in libraries. In my opinion, we are very fortunate in having this new text in which something so compli­ cated has been made so much more understandable. However, Dr. Hammond rightly emphasizes that this is not meant to be a cookbook of suggestions to be routinely used with certain problems. And simply the extensiveness of the suggestions he has compiled will tend to discourage anyone from mechanically applying the same paragraph of sug­ gestions to everyone with a problem. His inclusion of empirical indications vii viii HANDBOOK OF HYPNOTIC SUGGESTIONS AND METAPHORS and contraindications for modules of suggestions is also intended to facilitate thoughtful treatment planning and the individualization of treatment. What you will find here is a resource book from which you will be able to pick and choose suggestions that you clinically judge to be compatible with individual patients and with your own personal style of doing hypnosis. It is an eclectic book that models a wide range of styles of practice in clinical hypnosis. The tremendous breadth of suggestions will also serve as a stimulus to your creativity in preparing hypnotic suggestions and metaphors of your own. Chapter 2 will enhance your skills further through outlining the principles and guidelines for formulating successful hypnotic and posthypnotic suggestions. Suggestions included in the book concern dozens of clinical problems. There are chapters and sections of suggestions on such medical topics as pain, hypnoanesthesia and hypnotic preparation for surgery, burns, emer­ gencies, gastrointestinal disorders, cancer, chemotherapy, dermatologic complaints, obesity, smoking and addictions, childbirth training, obstet­ rical and gynecologic applications, insomnia, autoimmune diseases, and hemophilia. Psychotherapists will find practical suggestions concerning habit disor­ ders (e.g. , nailbiting, trichotillomania), anxiety and phobic disorders, sexual dysfunctions and relationship problems, concentration, academic performance, sports, ego-strengthening to increase self-esteem and self­ efficacy, posttraumatic stress disorders, multiple personality disorder, severely disturbed (e.g. , borderline, schizophrenic) patients, and other emotional disorders. A chapter on hypnosis with children includes such clinical topics as pain and hypnoanesthesia, dyslexia, stuttering, enuresis, Tourette syndrome, school phobia, and asthma. Dentists will find useful suggestions concerning bruxism, TMJ, anxiety and phobic responses, pain control, thumbsucking, vascular control and gagging. There are also suggestions to be found on facilitating age regression, age progression, and time distortion. Each chapter represents the epitome of clinical expertise extant in our field. This Handbook contains a wealth of original and previously unpublished suggestions that Dr. Hammond solicited from many of our most experi­ enced hypnotherapists. In these pages you will also discover many of the finest suggestions that have appeared in books, chapters and journal articles over the last 30 years. For example, suggestions are included from throughout the back issues of the two most prestigious hypnosis journals in the world, the American Journal of Clinical Hypnosis and the International Journal of Clinical & Experimental Hypnosis. Dr. Hammond has done the work for us of reviewing tens of thousands of pages of books and journals, and then compiling in one place the practical clinical gems that he discovered. This book was a massive undertaking. Tasks of this kind require literally hundreds of hours of personal sacrifice and effort. Very few people possess this dedication and scholastic capability. The present text is literally Herculean in scope, volume and content. The book is also unique in that neither Dr. Hammond nor any of his contributors will receive royalties from its publication. The book was literally a labor of love by all those who have contributed. It was donated to and accepted as an official publication of the American Society of Clinical Hypnosis. All royalties from its sale will go to the American Society of Clinical Hypnosis to promote further research and workshop training in clinical hypnosis throughout the United States and Canada. Dr. Hammond is a master clinician of unusual breadth and talent who has become one of the giants in the field of clinical hypnosis. Part of his brilliance lies in the expertise that he has in integrating the practical contributions that are found in a great diversity of different orientations and approaches to hypnosis. Although he clearly makes scholarly and research contributions to the field, Dr. Hammond is primarily a clinician of the greatest magnitude, as exemplified by this text. Cory Hammond is one of the few people whom I know capable of authoring and compiling this type of text. People in the field will always be indebted for this yeoman challenge which he has completed in this magnificent presentation. His clinical breadth, extensive practical experience, and thorough knowledge of the field are truly reflected in this work. Dr. Hammond's book is destined to be a classic in the field that will be sought after for decades to come. It will rank as one of the greatest therapeutic contributions made in the fields of medicine, psychology, dentistry and allied fields. Harold B. Crasilneck, Ph.D. Past President, American Society of Clinical Hypnosis and the Society of Clinical and Experimental Hypnosis Clinical Professor of Psychiatry and Anesthesiology, University of Texas Health Sciences Center, Dallas FOREWORD ix CONTENTS Foreword by Harold B. Crasilneck vii 1. Introduction 1 The Underlying Therapeutic Philosophy: Integrative Hypnotherapy 2 The American Society of Clinical Hypnosis 4 Training Opportunities 5 Eligibility for ASCH Membership 8 Acknowledgments 9 2. Formulating Hypnotic and Posthypnotic Suggestions Principles of Hypnotic Suggestion 1 1 Types of Hypnotic Suggestions 27 The Phrasing of Suggestions 38 The Process of Suggestions in Facilitating Phenomena 3. Hypnosis in Pain Management 45 INTRODUCTION 45 11 42 Techniques of Hypnotic Pain Management I Joseph Barber 50 • Altering the Quality of Discomfort: Example of Leg Pain I M. Erik Wright 52 • Transformation of Pain I William L. Golden, E. Thomas Dowd, and Fred Friedberg 53 • Erickson's Suggestions for Pain Control I Milton H. Erickson 54 • General Principles for Alleviating Persistent Pain I Ernest L. Rossi and David B. Cheek 56 • Religious Imagery of Universal Healing for Ego-Strengthening and Pain I M. Erik Wright 58 • The "Sympathetic Ear" Technique with Chronic Pain I Barry S. Fogel 58 • Reactivation of Pain-Free Memories: An Example of Intensifying and Relieving Pain I M. Erik Wright 59 • Chronic Pain Syndrome I Richard B. Garver 61 • Hypnotically Elicited Mystical States in Treating Physical and Emotional Pain I Paul Sacerdote 63 • Active Control Strategy for Group Hypnotherapy with Chronic Pain I Timothy C. Toomey and Shirley ' ·o: , ., ,:. , . : � xii HANDBOOK OF HYPNOTIC SUGGESTIONS AND METAPHORS Sanders 66 • Pain Strategies by Hypnotizability Level I David Spiegel and Herbert Spiegel 67 • Reinterpreting Pain as Protection I Charles B. Mutter 68 • Splinting Technique for Pain Control I Charles B. Mutter 68 • Erickson's Interspersal Technique for Pain 68 • The Setting Sun Pain Metaphor I Alexander A. Levitan 71 • Mexican Food: Metaphor of the Body Adapting to Pain I D. Corydon Hammond 71 • Metaphor of Callous Formation I D. Corydon Hammond 71 • Suggestions for Patients with Chronic Pain I Lillian E. Fredericks 72 • Pain Reduction I Beata Jencks 72 • "Body Lights" Approach to Ameliorating Pain and Inflammation (Arthritis) I Ernest L. Rossi and David B. Cheek 75 • Suggestions with Postherpetic Neuralgia ("Shingles") I Diane Roberts Stoler 76 • Suggestions to Reduce Pain Following Hemorrhoidectomies I Ernest W. Werbel 77 • Suggestions for Pain Control I Don E. Gibbons 78 • Hypnosis for Migraine I Lillian E. Fredericks 80 • Suggestions with Migraine I J.A.D. Anderson, M. A. Basker, and R. Dalton 80 • Diminution Rather Than Elimination of Headache I Irving I. Secter 00 • Suggestion for Symptom Substitution I Gary R. Elkins 81 • The Progressive Anesthesia Induction-Deepening Technique I D. Corydon Hammond 81 4. Hypnoanesthesia and Preparation for Surgery 85 INTRODUCTION 85 Preparation for Surgery I Lillian E. Fredericks 90 • Suggestions for Anesthesia and Surgery I Bertha P. Rodger 91 • Hypnosis and the Anesthetist I John B. Corley 92 • Summary Steps for Preoperative Hypnosis to Facilitate Healing I Ernest L. Rossi and David B. Cheek 94 • Ericksonian Approaches in Anesthesiology I Bertha P. Rodger 94 • Examples of Preoperative Suggestions I Joseph Barber 98 • Preparation for Surgery I Sandra M. Sylvester 98 • Temperature Suggestion Following Chest/ Abdominal Surgery I D. Corydon Hammond 101 • Suggestions for Insertion of Needles or Short Procedures I Esther E. Bartlett 101 • Switching Off the Senses I Bertha P. Rodger 101 • Rapid Induction Analgesia I Joseph Barber 102 • Surgical and Obstetrical Analgesia I Ernest L. Rossi and David B. Cheek 106 • Techniques for Surgery I William S. Kroger 107 5. Ego-Strengthening: Enhancing Esteem, Self-Efficacy, and Confidence INTRODUCTION Ego-Strengthening I Moshe S. Torem 110 • An Example of Positive Suggestions for Well-Being I Sheryl C. Wilson and Theodore X. Barber 112 • Positive Suggestions for Effective Living I T. X. Barber 113 • Suggestions for Raising Self-Esteem I T. X. Barber 118 • Barnett's Yes-Set Method of Ego-Strengthening I Edgar A. Barnett 120 • Ego-Enhancement: A Five-Step Approach I Harry E. Stanton 122 • Suggestions for Modifying Perfectionism I D. Corydon Hammond 124 • Suggestions Derived from Rational-Emotive Therapy I Harry E. Stanton 126 • Suggestions for Raising Self-Esteem I Helen H. Watkins 127 • Suggestions to Facilitate Problem Solving I Don E. Gibbons 130 • The Serenity Place I D. Corydon Hammond 130 • Ego-Strengthening Suggestions I Richard B. Garver 132 • The Inevitability of Change I Robert C. Mashman 132 • Change Is Necessary for Comfort I Robert C. Mashman 133 • An Abstract Technique for Ego-Strengthening I B. J. Gorman 133 • Learning to Feed Yourself: An Example of Age Regression to Experiences of Mastery I D. Corydon Hammond 135 • Ego Building I Joan Murray-Jobsis 136 • The Ugly Duckling Metaphor I Roy L. Rummel 139 • The Prominent Tree Metaphor I Alcid M. Pelletier 139 • The Seasons of the Year: A Metaphor of Growth I Lawrence R. Gindhart 140 • Confidence Building I H. E. Stanton 141 • Increasing Determination: The Snowball I H. E. Stanton 143 • Suggestions for Emotional Enrichment I Don E. Gibbons 143 • Stein's Clenched Fist Technique I D. Corydon Hammond 145 • Suggestions for Ego-Strengthening I John Hartland 147 • Suggestions for Self-Reinforcement I Don E. Gibbons 149 • Visualization of the Idealized Ego-Image I Maurice H. McDowell 149 • Cycle of Progress I Douglas M. Gregg 150 • A Brief Ego-Strengthening Suggestion I William T. Reardon 151 • A Future-Oriented Suggestion I P. Oystragh 151 Anxiety, Phobias, and Dental Disorders 153 INTRODUCTION 153 Hypnosis with Anxiety 1 56 Progressive Relaxation Induction or Deepening Technique I D. Corydon Hammond 156 • Hypnotic Treatment Techniques with Anxiety I David Spiegel and Herbert Spiegel 157 • The Private Refuge I Selig Finkelstein 158 • Imagery Scenes Facilitating Relaxation I H. E. Stanton 159 • Island of Serenity I Edwin L. Stickney 1 59 • Deep, Meditative Trance: The Approach of Ainslie Meares, M.D. 160 • Methods of Relaxed Breathing I Beata Jencks 162 • The Autogenic Rag Doll I Beata Jencks 165 • Hypnotic Suggestion/Metaphor to Begin Reframing I Steven Gurgevich 167 • Rational-Emotive Suggestions About Anxiety I Albert Ellis 168 • Stress Reduction Trance: A Naturalistic Ericksonian Approach I Eleanor S. Field 170 • The Closed Drawer Metaphor I Brian M. Alman 172 • He Who Hesitates Is Lost: A Metaphor for Decision-Making I Michael D. Yapko 173 • De-Fusing Panic I Marlene E. Hunter 173 Hypnosis with Phobias 175 Paradigm for Flying Phobia I David Spiegel and Herbert Spiegel 175 • A Reframing Approach for Flight Phobia I Peter A. Bakal, M.D. 175 • Hypnosis with Phobic Reactions I Don E. Gibbons 177 • Suggestions for Simple and Social Phobias I Michael A. Haberman 177 • Example of Treating Phobic Anxiety with Individually Prepared Tapes I M. Erik Wright 180 • Treatment of Lack of Confidence and Stage Fright I David Waxman 180 • Overcoming Anxiety over Public Speaking I Don E. Gibbons 182 Suggestions in Dental Hypnosis 183 Suggestions with TMJ and Bruxism I Harold P. Golan 183 • Suggestions with TMJ I Ellis J. Neiburger 183 • Erickson's suggestions with Bruxism I Milton H. Erickson 184 • TMJ and Tension Heachaches I Dov Glazer 184 • Suggestions to Promote Dental Flossing I Maureen A. Kelly, CONTENTS xiii xiv HANDBOOK OF HYPNOTIC SUGGESTIONS AND METAPHORS Harlo R. McKinty, and Richard Carr 185 • Gagging I Harold P. Golan 185 • Imagery with Hypersensitive Gag Reflex I J. Henry Clarke and Stephen J. Persichetti 187 • Denture Problems and Gagging I Donald R. Beebe 188 • Suggestion with Gagging I Irving I. Seeler 188 • Gagging Suggestion I William T. Heron 188 • Control of Salivation I Irving I. Sector 189 • Dental Phobias and Fears I Louis L. Dubin 189 • Illustrative Suggestions with Tooth Extraction I Selig Finkelstein 191 • Dental Hypnosis I Victor Rausch 192 • Suggestions for Operative Hypnodontics I WilliamS. Kroger 193 • The Let's Pretend Game I Lawrence M. Staples 194 • Erickson's Approach with Bruxism in Children I Milton H. Erickson 195 • Use of Fantasy or Hallucination for Tongue Thrusting I Irving I. Seeler 195 • Suggestions with Tongue Thrusting I Donald J. Rosinski 196 7. Hypnosis with Cancer Patients 199 INTRODUCTION 199 Clinical Issues in Controlling Chemotherapy Side Effects I William H. Redd, Patricia H. Rosenberger's and Cobie S. Hendler 200 • Suggestions and Metaphors for Nausea I Alexander A. Levitan 201 • Suggestions for Chemotherapy Patients I Alexander A. Levitan 202 • Suggestions and Metaphors for Support and Ego-Strengthening in Cancer Patients I Billie S. Strauss 203 • General Suggestions for Self-Healing I Joan Murray-Jobsis 203 • Hypnotic Suggestions with Cancer I Jeffrey Auerbach 204 • Hypnotic Suggestions with Cancer Patients I Harold B. Crasilneck and James A. Hall 205 • Imagery to Enhance the Control of the Physiological and Psychological "Side Effects" of Cancer Therapy I Simon W. Rosenberg 206 • Breast Cancer: Radiation Treatment and Recovery I Diane Roberts Stoler 209 • Hypnosis as an Adjunct to Chemotherapy in Cancer I Sidney Rosen 212 • Hypnotic Death Rehearsal / Alexander A. Levitan 215 8. Hypnosis with Medical Disorders 217 INTRODUCTION 217 Hypnosis with Dermatologic Disorders 222 Treatment of Pruritus I Michael J. Scott 222 • Erickson's Reframing Suggestion with Pruritus I Milton H. Erickson 223 • Suggestions for Itching I Beata Jencks 223 • Hypnotic Technique for Treating Warts I Harold B. Crasilneck and James A. Hall 223 • Suggestions for Warts [Modeled after Hartland] I Don E. Gibbons 224 • Suggestions for Vaginal Warts I Diane Roberts Stoler 225 • Suggestions with Condyloma Acuminatum (Genital Warts) I Dabney M. Ewin 226 • Suggestions for Immunodeficient Children with Warts I M. F. Tasini and Thomas P. Hackett 226 • Evoking Helpful Past Experiences and Medical Treatments: Example with Skin Rash I M. Erik Wright 226 • Suggestions with Pruritus I William S. Kroger and William D. Fezler 227 • Reducing Dermatologic Irritation I D. Corydon Hammond 228 Hypnosis with Burns and Emergencies 228 Suggestions with Burn Patients I Harold B. Crasilneck and James A. Hall 228 • Emergency Hypnosis for the Burned Patient I Dabney M. Ewin 229 • Hypnosis in Painful Burns I R. John Wakeman and Jerold Z. Kaplan 231 • Ideomotor Healing of Burn Injuries I Ernest L. Rossi and David B. Cheek 233 • Direct Suggestions in Emergencies with the Critically III I Ernest L. Rossi and David B. Cheek 233 • Suggestions for Use of Spontaneous Trances in Emergency Situations I M. Erik Wright 234 • Painless Wound Injection Through Use of a Two-finger Confusion Technique I Steven F. Bierman 236 Hypnosis for Healing, Psychosomatic Conditions and Autoimmune Diseases 238 General Approach to Physical Symptoms Caused by Stress I Carol P. Herbert 238 • Symphony Metaphor I Marlene E. Hunter 238 • Healing Imagery I Marlene E. Hunter 239 • Suggestions with Autoimmune Disease I Jeffrey Auerbach 241 • Prolonged Hypnosis in Psychosomatic Medicine I Kazuya Kuriyama 242 • Further Suggestions for Facilitating Prolonged Hypnosis I Stanislav Kratochvil 244 • Vascular Control Through Hypnosis I Emil G. Bishay and Chingmuh Lee 244 • Suggestion for Control of Bleeding I Milton H. Erickson 245 • Suggestions for Control of Upper Gastrointestinal Hemorrhage I Emil G. Bishay, Grant Stevens, and Chingmuh Lee 245 • Blood Perfusion Protocol I Lawrence Earle Moore 246 Hypnosis with Neurological and Ophthalmological Conditions 247 Teaching the Other Side of the Brain I Marlene E. Hunter 247 • Once Learned, Can Be Relearned I Marlene E. Hunter 248 • Hypnosis with Blepharospasm I Joseph K. Murphy and A. Kenneth Fuller 250 • Hypnotherapy for Lagophthalmos I Jean Holroyd and Ezra Maguen 251 • Suggestions for Involuntary Muscle Jerking I Valerie T. Stein 25 1 • Hypnosis with Bell's Palsy I Simon W. Chiasson 252 Hypnosis with Sleep Disorders 253 Suggestions with Sleep Disturbance I Richard B. Garver 253 • Suggestions with Sleep Disorders I Doris Gruenewald 253 • Visualization for Treating Insomnia I H. E. Stanton 254 • Hypnosis Techniques with Insomnia I David Spiegel and Herbert Spiegel 255 • Suggestions for Insomnia I Milton H. Erickson 255 • Snoring: A Disease of the Listener I Daniel A. Zelling 255 Miscellaneous Medical Applications 256 Hypnotic Techniques and Suggestions for Medical-Physical Complaints I Beata Jencks 256 • Paradoxical Self-Hypnotic Assignment for Chronic Urinary Retention or "Bashful Bladder" I Gerald J. Mozdzierz 262 • Hypnosis in Postoperative Urinary Retention I Simon W. Chiasson 263 • Hypnotic Paradigm-Substitution with Hypochondriasis I Thomas Deiker and D. Kenneth Counts 264 • Suggestions with Asthma I Don E. Gibbons 265 • Suggestions for Prevention of Seasonal Allergies I Hans A. Abraham 265 • Erickson's Metaphor with Tinnitus I Milton H. Erickson 266 • Procedure with Difficulty Swallowing Pills I Irving I. Seeler 266 • Suggestion for Alleviating Hiccups I Gerald J. Mozdzierz 267 CONTENTS XV XVi HANDBOOK OF HYPNOTIC SUGGESTIONS AND METAPHORS 9. Hypnosis in Obstetrics and Gynecology 269 INTRODUCTION 269 Obstetrical Hypnosis: Childbirth Training 271 Group Hypnosis Training in Obstetrics I Simon W. Chiasson 271 • Outline of Hypnotic Suggestions in Obstetrics I Bertha P. Rodger 273 • Suggestions for a Comfortable Delivery I Joseph Barber 275 • The Hypnoreflexogenous Technique in Obstetrics I A. Kenneth Fuller 277 • Childbirth Suggestions I Larry Goldmann 278 • Management of Antenatal Hypnotic Training I David Waxman 279 • Erickson's Childbirth Suggestions I Milton H. Erickson 281 • An Ericksonian Approach to Childbirth I Noelle M. Poncelet 282 • Childbirth Script I Diane Roberts Stoler 286 • Preparation for Obstetrical Labor I William S. Kroger 293 • Suggestions with Untrained Patients in Labor I Nicholas L. Rock, T. E. Shipley, and C. Campbell 296 Premature Labor, Miscarriage and Abortion 296 Hypnotic Relaxation Technique for Premature Labor I Haim Omer 296 • Use of Immediate Interventions to Uncover Emotional Factors in Pre-Abortion Conditions I David B. Cheek 299 • Treating the Trauma of Prospective Abortion I Helen H. Watkins 301 Hyperemesis Gravidarum and Miscellaneous Gynecologic Disorders 302 Hypnotic Intervention with Hyperemesis Gravidarum I Ralph V. August 302 • Control Of Hyperemesis I Larry Goldmann 303 • Suggestions for Hyperemesis I William T. Heron 304 • Progressive Anesthesia Technique for Hyperemesis Gravidarum I D. Corydon Hammond 305 • Suggestions for Hyperemesis I Harold B. Crasilneck and James A. Hall 305 • Suggestions for Hyperemesis Gravidarum I David Waxman 305 • Suggestions with Psychogenic Amenorrhea I WilliamS. Kroger 306 • Suggestions with Leukorrhea I F. H. Leckie 306 10. Hypnosis with Emotional and Psychiatric Disorders 309 INTRODUCTION 309 '-- Suggestive Techniques with Emotional Disorders 312 Hypnotherapeutic Technique for the Reduction o f Guilt: The Door of Forgiveness I Helen H. Watkins 3 12 • Dumping the "Rubbish" I H. E. Stanton 313 • The Red Balloon Technique I D. Corydon Hammond 313 • Edelstien's Fusion of Extremes Technique I D. Corydon Hammond 3 15 • Scenes for Facilitating Self-Understanding I H. E. Stanton 316 • Meeting an Inner Adviser I David E. Bresler 318 • Responsibility to a Fault: A Metaphor for Overresponsibility I Michael D. Yapko 320 • Different Parts: A Metaphor I Michael D. Yapko 321 • Enhancing Affective Experience and Its Expression I Daniel P. Brown and Erika Fromm 322 Hypnosis with Severely Disturbed Patients 324 Can Hypnosis Help Psychosis? I James R. Hodge 324 • Renurturing: Forming Positive Sense of Identity and Bonding I Joan Murray-Jobsis 326 • Suggestions for Creative Self-Mothering I Joan ; ' Murray-Jobsis 328 • Hypnotherapeutic Techniques with Affective Instability I Louis N. Gruber 328 • Hypnotic Suggestions to Deter Suicide I James R. Hodge 330 • Hypnosis with Bipolar Affective Disorders I A. David Feinstein and R. Michael Morgan 332 .... , Hypnosis with Post-Traumatic Stress Disorder and Multiple Personality Disorder 333 Emergency Room Suggestions for Physically or Sexually Assaulted Patients I Carol P. Herbert 333 • Hypnotic Suggestions with Rape Victims I Bruce Walter Ebert 334 • Saying Goodbye to the Abused Child: An Approach for Use with Victims of Child Abuse and Trauma I Ronald A. Havens 334 • Reframing Dreams in PTSD I Charles B. Mutter 335 • Suggestions and Metaphors for Post-Traumatic Stress Disorder and Pain Control (in Spanish) I Marlene D. de Rios and Joyce K. Friedman 335 • A Fusion Ritual in Treating Multiple Personality I Richard P. Kluft 339 • Another Fusion Ritual / Richard P. Kluft 341 • Containing Dysphoria in MPD I Richard P. Kluft 342 • Modified Ego-Strengthening for MPD I Moshe S. Torem 343 • Corporate Headquarters of the Mind I Donald A. Price 343 • Metaphors with Multiple Personality and Trauma Patients I D. Corydon Hammond 346 • A Projective Ideomotor Screening Procedure to Assist in Early Identification of Ritualistic Abuse Victims I D. Corydon Hammond 347 11. Hypnosis with Sexual Dysfunction and Relationship Problems 349 INTRODUCTION 349 Hypnotherapy and Sexual Dysfunction 354 The Master Control Room Technique I D. Corydon Hammond 354 • Illustrative Suggestions in Sex Therapy I Bernie Zilbergeld 356 • Hypnotherapy with Psychogenic Impotence I Harold B. Crasilneck 356 • Suggestions for Spectatoring and Sensate Focus I D. Corydon Hammond 358 • Suggestions for Facilitating Sexual Fantasy I D. Corydon Hammond 360 • Changes in Preference Metaphor I D. Corydon Hammond 361 • Metaphors for Going Out to Dinner and Back Scratching I D. Corydon Hammond 362 • Organ Transplant Metaphor I D. Corydon Hammond 363 • The Pee Shyness Metaphor for Sexual Dysfunction I D. Corydon Hammond 364 • Metaphoric Suggestions and Word Plays for Facilitating Lubrication I D. Corydon Hammond 364 • Suggestion for Ejaculatory Inhibition or Orgasmic Dysfunction I D. Corydon Hammond 365 • Suggestion for Erection or Lubrication I D. Corydon Hammond 366 • Suggestions for Impotence and Anorgasmia I Leo Alexander 366 • Suggestions for Induced Erotic Dreams I D. Corydon Hammond 367 • Suggestions with Sexual Dysfunctions I Don E. Gibbons 368 • Suggestions for Premature Ejaculation I Milton H. Erickson 370 Hypnotic Suggestions for Interpersonal Relationships 371 Hypnotic Ego-Assertive Retraining I David Waxman 371 • "Fruits & Vegetables": A Simple Metaphor for Understanding People Better I Gerald J. Mozdzierz 372 • Suggestions to Increase Interpersonal Effectiveness I Don E. Gibbons 373 • Suggestions for Difficulties in Interpersonal Situations I Kermit E. Parker, Jr. 374 • The Symbolic Imagery Letter CONTENTS xvii ,·r\ xviii HANDBOOK OF HYPNOTIC SUGGESTIONS AND METAPHORS Writing Technique I MarkS. Carich 374 • The Jazz Band Metaphor for Family Interaction I Philip Barker 375 • Golden Retriever Metaphor I D. Corydon Hammond 376 • The Pygmalion Metaphor I D. Corydon Hammond 377 12. Hypnosis with Obesity and Eating Disorders INTRODUCTION 379 Hypnosis with Obesity 380 379 Examples of Suggestions for Weight Reduction I Sheryl C. Wilson and Theodore X. Barber 380 • Hypnotic Suggestions for Weight Control I T. X. Barber 383 • Hypnotic Strategies for Managing Cravings I D. Corydon Hammond 385 • Weight Control I David Spiegel and Herbert Spiegel 387 • Suggestions for Patients with Obesity Problems I Joan Murray-Jobsis 388 • Computer Metaphor for Obesity I Richard B. Garver 389 • Suggestions for Decreasing Food Intake I Harold B. Crasilneck and James A. Hall 390 • Historic Landmark Technique for Treating Obesity I William C. Wester, II 391 • Hypnosis in Weight Control I Herbert Mann 393 • Weight Control Suggestions I Harry E. Stanton 395 • Miscellaneous Suggestions for Weight Control I WilliamS. Kroger and William D. Fezler 395 • Further Suggestions for Management of Obesity I William S. Kroger 396 • Erickson's Suggestions with Obesity I Milton H. Erickson 397 • Negative Accentuation: Vivifying the Negative During Trance I M. Erik Wright 397 • Aversive Metaphor for Chocolate Eaters I Marvin Stock 399 • Symbolic Imagery: The Dial Box Shrinking Technique I Mark S. Carich 400 • The Attic of the Past I Eleanor S. Field 400 Treatment of Eating Disorders 402 Suggestions to Modify Body Attitude I Eric J. Van Denburg and Richard M. Kurtz 402 • Altering Body Image I Hans A. Abraham 402 • Suggestions for Increasing Food Intake I Harold B. Crasilneck and James A. Hall 403 • Suggestions for Presenting Symptoms in Anorexia Nervosa I Meir Gross 403 • Metaphors for Bulimia and Anorexia I Michael D. Yapko 405 13. Smoking, Addictions, and Habit Disorders 407 INTRODUCTION 407 Hypnosis with Smoking and Addictions 409 Smoking Suggestions I Joseph Barber 409 • Hypnotic Suggestions for Smoking Cessation I T. X. Barber 41 1 • Hypnosis and Smoking: A Five Session Approach I Helen H. Watkins 413 • Smoking Control I David Spiegel and Herbert Spiegel 416 • Suggestions for Smoking Cessation I Harold B. Crasilneck and James A. Hall 416 • Smoking Cessation I Richard B. Garver 417 • Suggestions Regarding Smoking I Steven Gurgevich 418 • Suggestions to Modify Smoking Behavior I Harry E. Stanton 419 • Suggestions Applicable for Smoking, Obesity and Other Addictive Behaviors I Doris Gruenewald 420 • Suggestions for Rational Self-Talk for Smoking and Other Addictions I D. Corydon Hammond 422 • Suggestions for Smoking Cessation I William C. Wester, II 422 • Aversive Metaphor for Smoking I Marvin Stock 423 • General Strategies for Overcoming Pleasure-Producing Habits I M. Erik Wright 425 • Illustrative Suggestions with Smokers I Paul Sacerdote 428 • A Posthypnotic Suggestion and Cue with Smokers I Brian M. Alman 429 Hypnosis with Habit Disorders 429 Hypnosis with Nailbiting I Harold B. Crasilneck and James A. Hall 429 • Erickson's Suggestions for Nailbiting I Milton H. Erickson 429 • Suggestions for Nailbiting I David Waxman 429 • Suggestions for Nailbiting I Don E. Gibbons 430 • Suggestions with Trichotillomania I Marianne Barabasz 431 • Suggestions for Scalp Sensitivity with Trichotillomania I T. J. Galski 431 14. Concentration, Academic Performance, and Athletic Performance 433 INTRODUCTION 433 Enhancing Academic Performance 436 Suggestions for Enhancing Academic Performance / Don E. Gibbons 436 • The Memory Bank I Douglas M. Gregg 437 • Academic Study Suggestions I Stanley Krippner 439 • Concentration Suggestions I William T. Reardon 440 • Suggestion for Concentration I Brian M. Alman 440 • Suggestions and Success Imagery for Study Problems I Jeannie Porter 440 • Suggestions for Studying, Concentration and Text Anxiety I Richard B. Garver 445 • Erickson's Suggestions for Facilitating Speed of Learning I Milton H. Erickson 446 • Alert Trance Suggestions for Concentration and Reading I E. R. Oetting 446 • Alert Self-Hypnosis Technique to Improve Reading Comprehension I David M. Wark 449 • Advanced Comprehension Suggestions for an Alert Trance I David M. Wark 450 • Improving Reading Speed by Hypnosis I Raymond W. Klauber 450 • Gorman's Ego-Strengthening Technique Adapted for Reading I G. Gerald Koe 452 • Suggestions for Foreign Language Study I Don E. Gibbons 457 • Suggestions for Mathematics or Statistics Performance I Robert M. Anderson 458 • Examination Panic I Milton H. Erickson 459 • Suggestions for Concentration, Studying and Overcoming Test Anxiety I Alcid M. Pelletier 460 • Suggestions for Examination Phobia I David Waxman 461 Suggestions for Aesthetic Refinement 461 Suggestions for Artistic Expression I Don E. Gibbons 461 • Suggestions for Aesthetic Appreciation and Enjoyment I Don E. Gibbons 462 • Suggestions to Enhance Musical Performance I Don E. Gibbons 462 • Suggestions to Enhance Writing Ability I Don E. Gibbons 464 Enhancing Sports and Athletic Performance 465 Suggestions Used to Enhance Sport Performance I Keith P. Henschen 465 • Sports Performance Enhancement I Richard B. CONTENTS xix

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