Beyond the myths of hypnosis

Professionals say it can be a useful tool for dealing with phobias, bad habits and health issues. But it's not a magic bullet.

Posted by the Asbury Park Press on 02/28/06
BY BOBBI SEIDEL STAFF WRITER

Sailing on a stormy sea wouldn't be Fred Forgie's favorite idea of spending a day. But the Middletown man would choose that over flying.

At least, that's how Forgie, 55, felt until a year ago, when he realized he wasn't thrilled with the prospect of flying from Newark to Orlando, Fla.

"I hadn't flown in a while," said Forgie, a Verizon technician who lives in the Port Monmouth section. "I was never too fond of it. Flying bothered me."

But he had to take that flight, so in February 2005, he called Dr. Ronald L. Kamm, an Ocean Township psychiatrist who uses hypnosis as an adjunct to therapy.

"He did an evaluation to see how I would react to hypnosis. I had a second visit, and he hypnotized me. He showed me how to put myself under, how to give myself posthypnotic suggestions to float with the plane," Forgie said. "And while I was under, we talked about phobias and fears.

"That was it. I flew. I had normal anticipatory anxiety, but he told me I would feel that; it's normal. But no fear where you're glued to the seat."

Hypnosis can be used to address phobias, such as a fear of flying or of dogs, habits such as smoking, and health issues such as stuttering, among others, Kamm said. Hypnosis also can help athletes to focus, said Kamm, the immediate past president of the International Society of Sport Psychiatry.

"There's an excellent success rate with phobias," Kamm said. "If someone has anxiety, hypnosis can be a powerful tool in addition to psychotherapy and medication.

"With just two sessions for smoking, the one-year follow-up with hypnosis alone is 35 percent (of clients) not smoking a year later," said Kamm, who studied hypnosis during his residency in the early 1970s at Columbia Presbyterian Medical Center in New York City and has since taken courses.

"It's much higher if a patient is very motivated and has a good trance capacity. The success rate can be boosted even more through the use of medication and/or the nicotine patch," he said.

Mind at rest

Hypnosis helped Andrea Adams of Waretown end a 22-year smoking habit last August.

"Quitting for my health was my No. 1 goal. And I started thinking I was blowing money out the window," said Adams, 43.

Adams made an appointment with Hypnosis for Women in Dover Township, run by Rhoda Kopy, who is certified by the National Guild of Hypnotists, a New Hampshire-based, nonprofit organization focused on educational and ethical standards. Kopy also is a member of the Michigan-based International Medical and Dental Hypnotherapy Association.

"It was very relaxing. We talked about what made me smoke," Adams said of the three sessions.

For 12 weeks afterward, Adams listened to a CD that Kopy made for her and practiced self-hypnosis, which Kopy taught her; Adams still uses both. Kamm also teaches clients self-hypnosis and makes an audiotape for them.

"The behavior may change within one to three sessions, but that doesn't mean it's firmly entrenched in the subconscious. It takes four to six weeks for new behavior to become permanent," Kopy said, explaining the use of the CD and self-hypnosis.

"Self-hypnosis takes a minute or two, which they repeat several times a day," Kamm said, explaining there are techniques to use in public, in private, and even a shorthand one that takes about two minutes.

"The reason hypnosis works so well is that when somebody is in a hypnotic state, their conscious mind is at rest, kind of on the back burner," Kopy said. "The subconscious mind is much more accessible.

"That's the part of the mind where change is made," added Kopy, who studied hypnosis at the first state-approved school of hypnosis in New Jersey, the Academy of Professional Hypnosis in Union.

Kopy also has a bachelor's degree in medical communications, studied nursing and has been a community health educator, behavior modification counselor and career coach.

"Hypnosis is not only a tool to make wonderful changes in your life," Kopy said. "It's a way to de-stress. Your pulse slows. Your blood pressure comes down. When that happens, you see things more clearly. You're primed for making changes."

Not a quick fix

Yet hypnosis won't succeed without motivation, Kopy noted.

"Hypnosis can be extremely powerful, but it is not a magic bullet. If someone is looking for a quick fix where they won't have to do any work, this isn't for them," Kopy said.

Despite success with hypnosis, misconceptions still surround it, Kopy and Kamm said.

"People have developed very inappropriate concepts of what happens. I think, in part, it is because of Hollywood," Kopy said. "Hollywood's depiction is someone swinging a pendulum of some sort and gaining control of you. Nothing could be further from the truth."

"When you go to a nightclub and see these stage hypnotists, they know how to pick people with a high trance capacity," Kamm said. "They look for certain facial expressions, for focused attention. They'll pick them out and put them in a trance and say, "When you wake up, you'll bark like a dog or cluck like a chicken,' and sure enough, they do."

This doesn't happen with a responsible hypno-counselor. Nor will people "get lost" in a trance, Kamm said.

"You'll always be able to come out," he said.

"You'll hear what I'm saying. You probably will recall most of what I say. You will not follow any suggestion that does not seem appropriate to you," Kopy said.

In a trance

Another myth is that hypnosis is like sleep, Kamm said.

"In sleep, your awareness falls off. In hypnosis, your awareness becomes totally focused. It's like shining a very intense, focused light on something so that's all you see. You're really honing in," he said.

Hypnosis is actually a natural mental state, they said.

"You've been in a state of hypnosis thousands of times," Kopy said.

"We go into a trance spontaneously and don't know we're doing that," Kamm said. "It's like being absorbed in a good novel. You lose awareness of the noises and distractions in the immediate environment. When the novel's finished, you need a moment to reorient yourself to the outside world."

Therapeutic hypnosis occurs with the help of another person, an "operator," who helps the person enter a trance state, he said. Help includes visualization and suggestions, such as telling the person his eyes are getting tired.

About 80 percent of the population can be hypnotized, Kopy said.

"It's an inborn neurological trait. That means your brain is wired for it, to a great or lesser extent," Kamm said.

People who usually can't be hypnotized include those with very low IQs, Kopy said. Those who are anti-authoritarian or have strong control issues also would have difficulty, Kamm said.

People who should not be hypnotized include anyone who is paranoid, severely depressed or manic, or who has severe attention-deficit disorder, is experiencing intense anxiety or is in the midst of a nervous breakdown, Kamm said.

Kopy and Kamm ask clients to complete personal histories. Kamm does a test to see if a person can be hypnotized. Kopy advises depressed clients to instead see a licensed psychotherapist. Neither is a proponent of large-group, one-session programs, usually held to stop smoking or control weight.

"They work for a very small number of people," Kopy said. "If you have a group of 200 people, you're not going to make a personal connection."

"They can be helpful if you have a good trance capacity," Kamm said. "If it's a small group meeting with a hypnotist for stopping smoking or weight loss, that can be effective because group members can support each other. If it's a one-session group in a hotel or somewhere, that does not apply."

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