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  • Jepsen posted an update 7 months, 1 week ago

    he government is expected to be able to provide easy health policies to remote rural communities in order to achieve optimal community welfare and health.ABSRACT End-stage renal disease is an irreversible, fatal, condition. There are two treatments that extend life, dialysis, and transplant. Both are accompanied by recognized consequences. Although the emotional impacts are extensive, and the symptoms are treatable, there have been very few reports of their amelioration by hypnosis. This article summarizes what research has been done and proposes a manual for self-care to meet this worldwide and growing clinical challenge.Researchers do not completely understand how hypnosis functions or what variables can predict an individual to have a high or low hypnotic susceptibility. Expectation is a variable that has been studied, but researchers disagree on the effect it has on hypnotic susceptibility. The purpose of this paper is to obtain a comprehensive understanding of how personal expectations affect hypnotic susceptibility. Selleckchem BB-94 To this end, a critical literature review was conducted on studies dating from 1964 to 2017 examining the relationship between expectation and hypnotic susceptibility of college students. To be included in this review, all studies were required to measure both the participants’ expectations of being hypnotized and their hypnotizability with a hypnotic susceptibility scale. An exhaustive search of the PsycINFO database identified 19 studies satisfying the listed and other requirements. Results indicated that expectancies of being hypnotized and hypnotic susceptibility have a very small correlation. Expectations assessed after the induction procedure tended to obtain higher correlations with hypnotic susceptibility than expectations assessed before the induction. Additionally, studies that assessed expectation by providing participants with a detailed written description of each suggestion tended to obtain higher correlations with hypnotic susceptibility than studies that did not give participants any information about the suggestions. When all is considered, expectation does not appear to be highly correlated with hypnotic susceptibility; however the modest correlation observed remains worthy of study as it is higher than other tested variables.Chronic pain not only has the greatest negative effect on quality of life compared with other chronic health problems but also contributes to the greatest disability worldwide. Management of chronic neuropathic pain is particularly challenging given its association with other pain processes, the fact that less than half of patients respond to a single pain medication, and the lack of evidence regarding combination therapy (i.e. a treatment regimen that combines several scheduled pain medications) safety and efficacy. Given these challenges, there is a growing interest in the application of complementary and alternative medicine (CAM) therapies such as yoga, acupuncture, and hypnosis. We present the case of a 67-year-old male with severe diabetic neuropathy refractory to first, second, and third-line treatments. His disabling pain precipitated premature retirement, contributing to severe depression with suicidality requiring hospitalization. Ultimately, he experienced relief through an integrative health regimen, and he identified hypnosis as the most effective therapy for his pain. Through individual and group sessions, recordings, and daily self-hypnosis, he improved both his chronic pain symptomatology and quality of life, simultaneously decreasing opioid use. Simulation modeling analysis of his pain ratings over time showed that they reliably decreased after engaging in hypnosis, r = -.33, p =.001. A growing body of research suggests that hypnosis is beneficial as part of an integrative treatment approach to chronic pain and enhances the efficacy of other therapies. Our medically challenging case study supports that hypnosis may serve as a viable and durable treatment for chronic neuropathic pain.Fibromyalgia affects the quality of life of the patients, as well as their family. It also affects their social, labor, physical, and psychological dynamics. We aimed to evaluate the effectiveness of audio-recorded hypnosis in ameliorating fibromyalgia symptoms. We enrolled 97 individuals with fibromyalgia (mean age 45 years) and randomly distributed them to two groups (48 in the experimental group and 47 in the control group). Individuals in both groups maintained their standard pharmacological treatment and continued their usual physical or psychological activities. The experimental group received an audio-recorded hypnosis intervention in the first session; subsequently, they received another audio hypnosis session to use for daily practice for a month. We evaluated the pre- and post-intervention pain intensity, pain interference, fatigue intensity, fatigue interference, depressive symptomatology, and satisfaction with life. We found that the self-administered audio-recorded hypnotic intervention significantly decreased the intensity and interference of pain and fatigue, as well as the depressive symptomatology. Audio-recorded clinical hypnosis techniques could provide an effective, practical, and economical alternative for reducing fibromyalgia-related symptoms.Over the last 15 years, as editor-in-chief of the American Journal of Clinical Hypnosis, I have seen papers by hundreds of authors. Many authors discuss the research, theories, and case presentations without identifying their allegiance. However, an apparent trend has developed in the last decade in which many therapists prefer to identify their work as being “Ericksonian.” Yet, there have only been few authors identifying as such who go on to explain what it means to be Ericksonian. It is concerning that few authors seem to have returned to the original source when citing concepts that have been developed by, or attributed to, Dr. Milton Erickson. The vast majority of authors who quote techniques such as utilization or naturalistic induction usually cite a third source rather than Erickson’s writings directly. Often this cited third-party author is someone who never studied with Dr. Erickson and whose writing about the cited techniques has also not been directly taken from Dr. Erickson’s work. What evolves from this practice is sort of like the childhood game of “telephone.

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