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International Handbook of Clinical Hypnosis - E-Lib FK UWKS

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9<br />

<strong>International</strong> <strong>Handbook</strong> <strong>of</strong> <strong>Clinical</strong> <strong>Hypnosis</strong>. Edited by G. D. Burrows, R. O. Stanley, P. B. Bloom<br />

Copyright # 2001 John Wiley & Sons Ltd<br />

ISBNs: 0-471-97009-3 Hardback); 0-470-84640-2 Electronic)<br />

<strong>Hypnosis</strong> and Depression<br />

GRAHAM D. BURROWS and SANDRA G. BOUGHTON<br />

University <strong>of</strong> Melbourne, Australia;University <strong>of</strong> Western Australia,<br />

Australia<br />

Depression is a frequently occurring disorder with estimates <strong>of</strong> the lifetime risk<br />

for Major Depressive Disorder varying from 10 to 25% for women and from 5 to<br />

12% for men. Signi®cant levels <strong>of</strong> depression are also associated with many other<br />

major disorders, such as chronic pain. There appears to be a widespread assumption<br />

that hypnosis has no role, indeed is inappropriate, in the management <strong>of</strong><br />

depression. In Australia, over the past 10 years, material presented for examination<br />

by the Australian <strong>Hypnosis</strong> Society or for publication in the Australian and<br />

New Zealand Journal <strong>of</strong> <strong>Hypnosis</strong> has not included any detailed description <strong>of</strong><br />

clinical or experimental work on the use <strong>of</strong> hypnosis in the treatment <strong>of</strong><br />

depression. The understanding has been that expert opinion regards hypnosis as<br />

contraindicated for the management <strong>of</strong> individuals presenting with depression. It<br />

would seem that the situation has not signi®cantly changed since Burrows 1980)<br />

concluded that<br />

It would seem nevertheless that most experienced clinicians teach that severe<br />

depressive illness is a de®nite contraindication to hypnosis. Although they teach this,<br />

depressive illness appears to have received, for such an exceedingly common medical<br />

problem, minimal attention in most modern reference books on hypnosis. A possible<br />

interpretation is that the authors concerned may believe hypnosis has little place in the<br />

therapy <strong>of</strong> depression. p. 167)<br />

CURRENT OPINION ON THE RELATIONSHIP BETWEEN<br />

HYPNOSIS AND DEPRESSION<br />

A review <strong>of</strong> the literature indicates that the consensus <strong>of</strong> opinion is not, in fact,<br />

strongly opposed to the use <strong>of</strong> hypnosis in the treatment <strong>of</strong> depression.<br />

Commentators vary, however, in their readiness to accept the use <strong>of</strong> hypnosis<br />

unconditionally . Yapko 1992) advocates a broad-based acceptance: `As for the<br />

speci®c contraindications to the use <strong>of</strong> hypnosis, it may seem a bold statement<br />

to make, but I am aware <strong>of</strong> no such contraindications' p. 186). Clarke &<br />

<strong>International</strong> <strong>Handbook</strong> <strong>of</strong> <strong>Clinical</strong> <strong>Hypnosis</strong>. Edited by G. D. Burrows, R. O. Stanley and P. B. Bloom<br />

# 2001 John Wiley & Sons, Ltd

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