Why Hypnosis Only Works On Certain People - Dr David Spiegel Great Pods

Why Hypnosis Only Works On Certain People - Dr David Spiegel

Summary

Hypnotizability is a very stable trait that develops early in life. Most eight-year-olds exist in trance-like states naturally, but as people develop formal operations during adolescence, they begin valuing thinking and analysis over immediate experience. By age 21, people settle into stable degrees of hypnotizability that remain consistent throughout life.

Research by Phil Zimbardo showed that hypnotizability measured in college students had the same correlation 25 years later as IQ tests - it does not change much over time. Some people are simply not hypnotizable, regardless of the skill of the hypnotist.

The speaker uses a five-minute assessment involving a standard hypnotic induction where subjects look up, close their eyes, and are told their hand will remain light and upright. The assessment measures dissociation, response to challenges, involuntariness, and floating sensations on a 10-point scale.

Treatment approaches vary by hypnotizability level:

High hypnotizability (like a "10 out of 10" woman with throat pain): Dramatic, immediate results possible through direct suggestion and imagery.

Mid-range hypnotizability (like an injured pianist): More negotiation and experimentation with different techniques, allowing patients to evaluate what works.

Low hypnotizability (like a zero-scoring back pain patient): Cognitive approaches similar to CBT, focusing on changing thought patterns rather than hypnotic states.

Generally, organized, analytical people tend to be less hypnotizable than creative, artistic individuals, though this isn't always predictable. The key is matching the therapeutic approach to the person's hypnotizability level rather than forcing a one-size-fits-all method.

Key Points

  • Hypnotizability is a very stable trait that doesn't change much after age 21
  • Most 8-year-olds are in trances most of the time - work and play are the same thing for children
  • During adolescence, people develop formal operations and begin valuing thinking over immediate experience
  • A 25-year study showed hypnotizability test-retest correlation is as high as IQ over time
  • Some people are simply not hypnotizable no matter how skilled the hypnotist
  • A 5-minute evaluation of hypnotizability should guide treatment approach for each person
  • High hypnotizability people (10/10) can achieve dramatic results immediately
  • Mid-range hypnotizable people require negotiation and trying different approaches
  • Low hypnotizability people need cognitive approaches similar to CBT or ACT therapy
  • The standard assessment involves hand levitation, dissociation testing, and involuntariness measurement
  • Organized, analytical people tend to be less hypnotizable than creative, artistic types
  • Assessment uses a 10-point scale measuring dissociation, response to challenges, and sense of control
  • For high responders, hypnosis can provide immediate pain relief without medication or surgery
  • Mid-range people can reduce pain levels through negotiated hypnotic techniques
  • Low responders benefit from reframing problems and focusing on solutions rather than fighting symptoms
  • The approach should match the person's hypnotizability level - dramatic techniques for highs, negotiation for mids, cognitive for lows
  • Hypnosis works by teaching the brain to respond differently to pain signals
  • About 7,000 people have been treated using this systematic approach based on initial hypnotizability assessment

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