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International Handbook of Clinical Hypnosis - E-Lib FK UWKS

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NEUROPSYCHOPHYSIOLOGY OF HYPNOSIS 65<br />

EEG hemispheric differences in both hypnotic and nonhypnotic conditions.Highs<br />

were signi®cantly faster than lows in recognizing angry and happy affect in the<br />

discrimination <strong>of</strong> faces presented to the left or right visual ®eld Crawford, Kapelis<br />

& Harrison, 1995).For highs only, angry faces were identi®ed faster when presented<br />

to the right left visual ®eld) than left right visual ®eld) hemispheres, while lows<br />

showed no signi®cant asymmetries.During self-generated happy and sad emotions<br />

in hypnosis and nonhypnosis conditions, in comparison to lows, highs showed<br />

signi®cantly greater hemispheric asymmetries greater right than left) in the parietal<br />

region, in high theta, high alpha and beta activity between 16 and 25 Hz, all<br />

frequency bands that are associated with sustained attentional processing Crawford,<br />

Clarke & Kitner-Triolo, 1996).Taken together, these two studies suggest that highs<br />

have more focused and sustained attention.Greater right parietal activity, as<br />

indicated by faster reaction times and more EEG activity, is suggestive <strong>of</strong> greater<br />

emotional arousal e.g., Heller, 1993) and/or sustained attention among the highs.<br />

FRONTAL LOBE ACTIVITY AND HYPNOTIZABILITY<br />

Our work suggests that highly hypnotizable persons have more effective and ¯exible<br />

frontal attentional and inhibitory systems Crawford 1994a,b; Crawford, Brown &<br />

Moon, 1993; Crawford & Gruzelier, 1992; Gruzelier & Warren, 1993).Consistent<br />

with the above discussed research showing a relationship between hypnotizability<br />

and sustained attentional processing, an intriguing neurochemical study by Spiegel<br />

and King 1992) suggests that frontal lobe activation is related to hypnotizability.In<br />

26 male psychiatric inpatients and 7 normal male controls, levels <strong>of</strong> the dopamine<br />

metabolite homovanillic acid were assessed in the cerebrospinal ¯uid.While<br />

preliminary in nature, the results suggested that dopamine activity, possibly involving<br />

the frontal lobes, was necessary for hypnotic concentration.<br />

Gruzelier and Brow 1985) found highs showed fewer orienting responses and<br />

increased habituation to relevant auditory clicks during hypnosis, suggesting increased<br />

activity in frontal inhibitory action Gruzelier, 1990).Gruzelier and his<br />

colleagues Gruzelier, 1990; Gruzelier, 1999; Gruzelier & Warren, 1993; for<br />

review, see Crawford & Gruzelier, 1992) proposed that during the hypnotic<br />

induction there is an engagement <strong>of</strong> the left frontal attentional system and then a<br />

signi®cant decrease <strong>of</strong> left frontal involvement with a shift to other regions <strong>of</strong> the<br />

brain, dependent upon the hypnotic task involved.Our hypnotic analgesia work<br />

reviewed below also strongly implicates the active involvement <strong>of</strong> the frontal<br />

inhibitory processing system.<br />

CEREBRAL METABOLISM DIFFERENCES BETWEEN LOW AND<br />

HIGHLY HYPNOTIZABLE PERSONS<br />

Only recently have we been able to begin to explore cortical and subcortical<br />

processes during hypnosis with neuroimaging techniques such as regional cerebral

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