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International Handbook of Clinical Hypnosis - E-Lib FK UWKS

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212 INTERNATIONAL HANDBOOK OF CLINICAL HYPNOSIS<br />

through a cocoon into a mature, well-differentiated butter¯y. The butter¯y is well<br />

differentiated sexually and can ¯y freely from ¯ower to ¯ower and choose its own<br />

mate, while the caterpillar is asexual, cannot ¯y is immature) and is limited with<br />

its choices <strong>of</strong> food and resources. This has a special value for the immature<br />

adolescent patient who struggles with con¯icts around gender identity. Another<br />

useful image is `The Red Balloon Technique' Walch, 1976) which was adapted by<br />

Hammond 1987) as an effective adjunct in helping patients to alleviate dysfunctional<br />

guilt. I also use images for gaining a sense <strong>of</strong> control and mastery by asking<br />

the patient to visualize herself driving a car, holding the steering wheel in both<br />

hands, turning to the right, or left whenever she wishes to do so, changing the speed<br />

<strong>of</strong> her travel in the car, moving forward, or reversing, and using the brakes and<br />

other control instruments in the car, based on her need and travel plans. All these<br />

are suggested in association with a sense <strong>of</strong> pleasure and self-mastery.<br />

Another image is one <strong>of</strong> the patient remodelling and redecorating her room, the<br />

room being analogous to the patient's body. First, one imagines living in an old<br />

room where the patient feels dissatis®ed, then imagery is used in which the patient<br />

visualizes the remodelling and redecorating <strong>of</strong> her room to meet her needs.<br />

Emphasis is put on the patient's choice <strong>of</strong> colours, materials, furniture, drapes,<br />

pictures, and so on. Another effective image is that <strong>of</strong> the patient adopting a puppy<br />

or kitten, perhaps a sick one from the animal shelter <strong>of</strong> the local community. Then,<br />

instruct the patient to visualize the kitten or puppy nursed into full health through<br />

the patient's commitment and dedication. The sick pet is naturally a metaphor <strong>of</strong><br />

the patient's unhealthy body, to which they make a commitment to heal and nurse<br />

back to full physical health.<br />

`BACK FROM THE FUTURE' TECHNIQUE<br />

In this method, hypnotic age progression techniques are utilized as described by<br />

Yapko 1984, 1986), Erickson 1985), Frederick and Phillips 1992), and Torem<br />

1992). Here, a discussion is held with a patient about a desired future image the<br />

patient would be interested in as representing her full recovery and reaching an<br />

ideal stage regarding personal goals, as well as body image and a state <strong>of</strong> healthy<br />

living. This is particularly important with a developing adolescent patient who is in<br />

the process <strong>of</strong> change and is generally struggling with the question <strong>of</strong> `Who shall I<br />

become?' The patient is guided into a state <strong>of</strong> self-hypnotic trance and suggestions<br />

are structured as with the following example:<br />

... Everyone who is committed to a process <strong>of</strong> healing and recovery has an image <strong>of</strong><br />

the future. If you wish, you may take this very special trip in a time machine, a trip in<br />

time, into the future. Ready ... enter into your special time machine and experience<br />

yourself moving forward in time ... as you continue to mature, turning into the age<br />

<strong>of</strong> 17 [assumingthe patient is 16 years old] moving forward into 18, 19, 20, 21, 22,<br />

23, that's right and now age 25 ...By this time, you have graduated from college and<br />

you are working in a job <strong>of</strong> your choice, gainfully employed, living in your own

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