Authors: Michael Yapko
ISBN-13: 9781583913048, ISBN-10: 1583913041
Format: Paperback
Publisher: Taylor & Francis, Inc.
Date Published: May 2001
Edition: 1st Edition
Depression is a debilitating human condition and a common cause of suffering worldwide. This elicits a sense of urgency for mental health professionals to meet this challenge of the treatment of depression. Hypnosis plays a vital role in that treatment and in the efficacy of psychotherapy.
This book focuses on the structuring and delivering of hypnotic interventions for major depression, with a substantial use of concepts and techniques from cognitive-behavioral and strategic approaches as a foundation. Current research on depression is used in this book to emphasize the still-growing knowledge of depression. Hypnosis has shown itself to be effective in not only reducing symptoms, but in teaching the skills (such as rationale thinking, effective problem-solving and coping strategies, and positive relationship skills) that can even prevent recurrences. Mental health professionals will find the detailed examples of hypnotic strategies invaluable to their own practice and application of hypnosis in the treatment of depression.
Clinical psychologist Yapko describes the use of hypnosis for treating depression. Introductory chapters discuss what is known about depression, how hypnosis can enhance the efficacy of therapy, and how to set treatment goals. The remainder of the text deals with the application of hypnosis in the clinical setting. Topics include, for example, the power of expectations in shaping moods, using hypnosis to teach coping skills, and developing prevention strategies. Annotation c. Book News, Inc., Portland, OR (booknews.com)
Foreword | ||
Introduction | ||
Acknowledgments | ||
I | Conceptual Framework | |
1 | Paving the therapy road with good intentions | 3 |
The eyes of depression | 3 | |
The costs of depression | 3 | |
Amplifying and de-amplifying awareness | 4 | |
On amplifying biology as the problem and drugs as the solution | 5 | |
Some of what we know about depression | 7 | |
We can walk AND chew gum | 9 | |
Some of what we know about treating depression with psychotherapy | 9 | |
The illusion of empirically supported treatments | 10 | |
The reality of empirically supported psychotherapies for depression | 12 | |
Is clinical hypnosis an empirically supported treatment? | 12 | |
Re-thinking our priorities | 13 | |
2 | Applying hypnosis in psychotherapy | 15 |
States, traits, and clients don't care | 18 | |
Suggestions for how to think about hypnosis | 20 | |
Why use hypnosis for treating depression? | 21 | |
Does hypnosis work? | 22 | |
3 | Practical considerations in hypnotic treatment design | 25 |
Not all hypnosis is the same | 25 | |
Doing hypnosis versus being hypnotic | 26 | |
Doing art and doing science | 26 | |
The art of design | 27 | |
Hypnosis and the targets and treatment | 28 | |
Where to begin? | 29 | |
Building therapeutic momentum and response sets | 29 | |
Symptoms as intervention targets | 30 | |
Risk factors as intervention targets | 33 | |
Relating to the context | 35 | |
Diminish weakness or amplify strength? | 36 | |
Getting started using hypnosis | 36 | |
Introducing hypnosis to the client | 37 | |
Choosing one's hypnotic style | 38 | |
II | Clinical Applications | |
4 | Ambiguity and the vulnerability of believing | 43 |
Ambiguity | 44 | |
Recognizing and tolerating ambiguity | 46 | |
Flexibility | 46 | |
Teaching the ability to discriminate | 47 | |
Discrimination strategies | 48 | |
Hypnotically facilitating the ability to recognize and tolerate ambiguity | 50 | |
Structuring hypnosis sessions for recognizing and tolerating ambiguity | 53 | |
Describing the strategy | 54 | |
Watching it work: The case of Bob | 57 | |
5 | Focusing on the future | 61 |
Hopefulness | 62 | |
Hurting the people we want to help | 63 | |
Plugging holes in awareness: Structuring goal-oriented therapy | 64 | |
Hopefulness and a solution orientation | 65 | |
Hypnotically building expectancy | 66 | |
A sample transcript of a "building expectancy" session | 73 | |
Putting it all together | 76 | |
6 | Clearly, you can/can't have it all | 77 |
Where's the control? | 78 | |
Discriminating controllability | 81 | |
External versus internal aversive, uncontrollable stimuli | 81 | |
Expectations and victimization | 84 | |
Expectations, helplessness, control, and anger | 86 | |
Primary and secondary control | 88 | |
Hypnosis and the art of secondary control | 88 | |
Assessing controllability | 89 | |
Hypnosis session transcript: Is it in your control? | 90 | |
Creating possibilities | 93 | |
7 | Coping styles and the right to choose ... wisely | 95 |
Depression and undermining the self | 95 | |
Coping with life | 96 | |
Avoidant coping styles | 97 | |
Ruminative coping styles | 98 | |
Active coping styles | 100 | |
Hypnosis and decision-making | 102 | |
Frames of reference | 104 | |
Hypnosis and exploring options | 104 | |
Exploring options in context: The case of Consuelo - a session transcript with commentary | 108 | |
Feeling stuck and having resources | 121 | |
8 | The case of Mike: Breaking patterns of depression | 123 |
Introduction | 123 | |
Background of the session with Mike | 124 | |
The verbatim (unedited) transcript | 124 | |
Follow up to the session with Mike | 145 | |
Final comments | 147 | |
9 | Hypnosis and suggestions for prevention | 149 |
The weakness in strength | 150 | |
Reconsidering the message we send | 150 | |
Prevention at the individual client level | 151 | |
Hypnosis: Focus on prevention | 152 | |
Prevention at the interpersonal (social) level | 156 | |
Teach foresight | 156 | |
Treat spouses and families | 156 | |
Teach children | 157 | |
Teach people | 157 | |
Final thoughts | 158 | |
References | 159 | |
App. A: Useful information on the Internet | 169 | |
App. B | Supplemental materials from Michael D. Yapko, Ph.D. | 171 |
Index | 173 |