정신역동과 최면치료

Psychodynamics and Hypnotherapy

Hypnosis it self is a form of adaptive regression in the service of the ego. Dynamic hypnotherapy is defined as doing dynamic psychotherapy in a hypnoid state. Several characteristics of trance probably potentiate psychotherapy : change in attention and awareness, increase in dissociation, decrease of reality orientation, imagery enhancement, increased availability and manipulability of affect, increased primary process thinking, and development of a fusional relationship. Dynamic hypnotherapy, like psychoanalysis can be divided two stages. The first is analytic and relates to the uncovering of unconscious motivational patterns through the interpretation of a patient’s free associations, dreams, defense mechanisms, resistance, and transference relationship with the hypnotherapist. The second is synthetic involving reintegration in the process of working through affect, and relates to a patient’s growth and mastery. A number of objections may be voiced against dynamic hypnotherapy : the matter of hypnotizability, the validity of the material emerging during the trance state, the possible obliterating influence of posthypnotic amnesia, the possible deleterious effect on transference, a patient’s inert role in hypnosis, and symptom substitution. These objections can be explained through a precise understanding of dynamic hypnotherapy. It is hoped thatskilled psychotherapists with experience in clinical hypnosis will supplement their practice with number of hypnodynamic techniques