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International Handbook of Clinical Hypnosis - E-Lib FK UWKS

International Handbook of Clinical Hypnosis - E-Lib FK UWKS

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HYPNOSIS AND DEPRESSION 141<br />

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symptoms over follow-up: Findings from the National Institute <strong>of</strong> Mental Health Treatment<br />

<strong>of</strong> Depression Collaborative Research Programme. Arch. Gen. Psychiat., 49,<br />

782±787.<br />

Spiegel, H. & Spiegel, D. 1978). Trance and Treatment. New York: Basic Books.<br />

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Strategies for Change. Int. J. Clin. Exp. Hypn., 42, 94±96.<br />

Terman, S. 1980). <strong>Hypnosis</strong> and depression. In H. Wain Ed.), <strong>Clinical</strong> <strong>Hypnosis</strong> in<br />

Medicine. Chicago: Year Book Medical Publishers.<br />

Wright, M. & Wright, B. 1987). <strong>Clinical</strong> Practice <strong>of</strong> Hypnotherapy. New York: Guilford<br />

Press.<br />

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New York: Brunner/Mazel.<br />

Yapko, M. D. 1992). <strong>Hypnosis</strong> in the Treatment <strong>of</strong> Depressions. Strategies for Change. New<br />

York: Brunner/Mazel.<br />

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Brunner/Mazel.<br />

APPENDIX<br />

A HYPNOTIC INDUCTION FOR THE MODIFICATION OF<br />

HOPELESSNESS<br />

Individuals experiencing depression express a pervasive sense <strong>of</strong> hopelessness. The present<br />

is seen as negative and joyless and the future is just more <strong>of</strong> the same. It is important, in<br />

order to do any useful work, to attempt to modify this stable negative attribution that<br />

characterizes depressed thinking. Ideally the clinician will utilize material from the client to<br />

facilitate a trance induction aimed at the modi®cation <strong>of</strong> hopelessness. Sometimes, in order<br />

to access a client's involvement in the process <strong>of</strong> change, it will be necessary to begin by<br />

working with little information other than the client's sense <strong>of</strong> hopelessness. The following<br />

script is one possible approach.<br />

I wonder ... whether you can allow yourself to notice ... the heaviness <strong>of</strong> the<br />

depression ...like a heavy blanket <strong>of</strong> dark smoke ...Allow yourself ...to let go, not<br />

struggle ... to simply experience the weight <strong>of</strong> the depression that ties you down ...<br />

And as you look around in your mind's eye, it is as if a ®re has been through the<br />

landscape and left nothing untouched ... it seems as if the blackness, the barrenness,<br />

reaches all the way to the end <strong>of</strong> your vision ... without change ... and there is no<br />

way ... to be less tired ... weighed down ... by the heavy dark cloud <strong>of</strong> depression<br />

...There is such stillness that ...it seems as if ...no change is possible ...that there<br />

will always be ... the endless wait ... to be ... always tied. And you know ... that<br />

this heaviness has been with you for some time ... and you have come to believe ...<br />

that this is the pattern <strong>of</strong> your life ... that the future will be ... more <strong>of</strong> the same ...<br />

and there will be no way out.<br />

And perhaps ... as you notice the heaviness <strong>of</strong> your body ... I wonder if you can<br />

discover ... that some <strong>of</strong> that heaviness that weighs you down ... is a sense <strong>of</strong><br />

increasing relaxation ... and your wait ... can feel like an untying. Let yourself ...<br />

become aware ... <strong>of</strong> the point where the wait becomes ... the burden <strong>of</strong> curiosity ...

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