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Published in: Journal of Contemporary Psychotherapy 3/2016

01-09-2016 | Original Paper

Brief Psychological and Hypnotic Interventions in Chronic Pain Management

Author: Ann Williamson

Published in: Journal of Contemporary Psychotherapy | Issue 3/2016

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Abstract

This article will explore how brief psychological approaches using hypnosis and imagery can be used with patients with chronic pain, predominantly in a Primary Care setting, although much that is discussed here could be applied in the Secondary sector. Chronic pain is defined as pain which endures for more than 6 months and may last for months or years. It serves no physiological purpose and persists after the time that ‘normal’ healing would be supposed to have taken place. Chronic pain may also range from that of cancer or arthritis, to that which seems to have no single or obvious physical causation. Teaching self-hypnosis and use of imagery can give these patients tools that they can use to help themselves, not only with pain, but also with the emotional distress that so often accompanies and exacerbates it. Unlike medication, self-hypnosis has only positive side effects and can give back some measure of control to patients who feel helpless and hopeless.
Literature
go back to reference Alden, A. L., Dale, J. A., & Degood, D. E. (2001). Interactive effects of the affect, quality and directional focus of mental imagery on pain Analgesia. Applied Psychophysiology and Biofeedback., 26(2), 117–126.CrossRefPubMed Alden, A. L., Dale, J. A., & Degood, D. E. (2001). Interactive effects of the affect, quality and directional focus of mental imagery on pain Analgesia. Applied Psychophysiology and Biofeedback., 26(2), 117–126.CrossRefPubMed
go back to reference Andrew, R., Derry, S., Taylor, R. S., Straube, S., & Phillips, C. J. (2014). The costs and consequences of adequately managed chronic non-cancer pain and chronic neuropathic pain. Pain Practice, 15(1), 79–94.CrossRef Andrew, R., Derry, S., Taylor, R. S., Straube, S., & Phillips, C. J. (2014). The costs and consequences of adequately managed chronic non-cancer pain and chronic neuropathic pain. Pain Practice, 15(1), 79–94.CrossRef
go back to reference Angus, L. E., & McLeod, J. (2004). The handbook of narrative and psychotherapy: Practice, theory and research. Thousand Oaks: Sage.CrossRef Angus, L. E., & McLeod, J. (2004). The handbook of narrative and psychotherapy: Practice, theory and research. Thousand Oaks: Sage.CrossRef
go back to reference Bannink, F. P. (2007). Solution-focused brief therapy. Journal of Contemporary Psychotherapy, 37(2), 87–94.CrossRef Bannink, F. P. (2007). Solution-focused brief therapy. Journal of Contemporary Psychotherapy, 37(2), 87–94.CrossRef
go back to reference Barbasz, A. (2000). EEG markers of alert hypnosis: the induction makes a difference. Sleep and Hypnosis., 2(4), 164–169. Barbasz, A. (2000). EEG markers of alert hypnosis: the induction makes a difference. Sleep and Hypnosis., 2(4), 164–169.
go back to reference Brann, L., Owens, J., & Williamson, A. (Eds). (2011). The Handbook of Contemporary Clinical Hypnosis: Theory and Practice, Chapter 18. Wiley-Blackwell. pp. 236–241. Brann, L., Owens, J., & Williamson, A. (Eds). (2011). The Handbook of Contemporary Clinical Hypnosis: Theory and Practice, Chapter 18. Wiley-Blackwell. pp. 236–241.
go back to reference Danesi, M. (1989). The neurological coordinates of metaphor. Communication and Cognition, 22(1), 73–86. Danesi, M. (1989). The neurological coordinates of metaphor. Communication and Cognition, 22(1), 73–86.
go back to reference Derbyshire, S. W. (2014). The use of neuroimaging to advance the understanding of chronic pain: From description to mechanism. Psychosomatic Medicine, 76(6), 402–403.CrossRefPubMed Derbyshire, S. W. (2014). The use of neuroimaging to advance the understanding of chronic pain: From description to mechanism. Psychosomatic Medicine, 76(6), 402–403.CrossRefPubMed
go back to reference Derbyshire, S. W., Whalley, M. G., Stenger, V. A., & Oakley, D. A. (2004). Cerebral activation during hypnotically induced and imagined pain. Neuroimage, 23(1), 392–401.CrossRefPubMed Derbyshire, S. W., Whalley, M. G., Stenger, V. A., & Oakley, D. A. (2004). Cerebral activation during hypnotically induced and imagined pain. Neuroimage, 23(1), 392–401.CrossRefPubMed
go back to reference Dillworth, T., Mendoza, M. E., & Jensen, M. P. (2012). Neurophysiology of pain and hypnosis for chronic pain. Translational Behavioral Medicine., 2(1), 65–72.CrossRefPubMed Dillworth, T., Mendoza, M. E., & Jensen, M. P. (2012). Neurophysiology of pain and hypnosis for chronic pain. Translational Behavioral Medicine., 2(1), 65–72.CrossRefPubMed
go back to reference Dominick, C. H., Blyth, F. M., & Nicholas, M. K. (2012). Unpacking the burden: Understanding the relationships between chronic pain and comorbidity in the general population. Pain, 153(2), 293–304.CrossRefPubMed Dominick, C. H., Blyth, F. M., & Nicholas, M. K. (2012). Unpacking the burden: Understanding the relationships between chronic pain and comorbidity in the general population. Pain, 153(2), 293–304.CrossRefPubMed
go back to reference Drisko, J. W. (2004). Common factors in psychotherapy outcome: Meta-analytic findings and their implications for practice and research. Families in Society, 85(1), 81–90.CrossRef Drisko, J. W. (2004). Common factors in psychotherapy outcome: Meta-analytic findings and their implications for practice and research. Families in Society, 85(1), 81–90.CrossRef
go back to reference Finan, P. H., & Smith, M. T. (2013). The comorbidity of insomnia, chronic pain, and depression: Dopamine as a putative mechanism. Sleep Medicine Reviews, 17(3), 173–183.CrossRefPubMed Finan, P. H., & Smith, M. T. (2013). The comorbidity of insomnia, chronic pain, and depression: Dopamine as a putative mechanism. Sleep Medicine Reviews, 17(3), 173–183.CrossRefPubMed
go back to reference Frank, J. D. (1971). Therapeutic factors in psychotherapy. American Journal of Psychotherapy, 25(3), 350–361.PubMed Frank, J. D. (1971). Therapeutic factors in psychotherapy. American Journal of Psychotherapy, 25(3), 350–361.PubMed
go back to reference Gingerich, W. J., & Peterson, L. T. (2013). Effectiveness of solution-focused brief therapy. Research on Social Work Practice, 23(3), 266–283. Gingerich, W. J., & Peterson, L. T. (2013). Effectiveness of solution-focused brief therapy. Research on Social Work Practice, 23(3), 266–283.
go back to reference Greene, R. J., & Reyher, J. (1972). Pain tolerance in hypnotic analgesic and imagination states. Journal of Abnormal Psychology, 79(1), 29–38.CrossRefPubMed Greene, R. J., & Reyher, J. (1972). Pain tolerance in hypnotic analgesic and imagination states. Journal of Abnormal Psychology, 79(1), 29–38.CrossRefPubMed
go back to reference Gruzelier, J. H. (2006). Frontal functions, connectivity and neural efficiency underpinning hypnosis and hypnotic susceptibility. Contemporary Hypnosis, 23(1), 15–32.CrossRef Gruzelier, J. H. (2006). Frontal functions, connectivity and neural efficiency underpinning hypnosis and hypnotic susceptibility. Contemporary Hypnosis, 23(1), 15–32.CrossRef
go back to reference Jensen, M. P., & Patterson, D. R. (2014). Hypnotic approaches for chronic pain management: Clinical implications of recent research findings. American Psychologist, 69(2), 167–177.CrossRefPubMedPubMedCentral Jensen, M. P., & Patterson, D. R. (2014). Hypnotic approaches for chronic pain management: Clinical implications of recent research findings. American Psychologist, 69(2), 167–177.CrossRefPubMedPubMedCentral
go back to reference Kosslyn, S. M., Thompson, W. L., Constantin-Ferrando, M. F., Alpert, N. M., & Spiegel, D. (2000). Hypnotic visual illusion alters colour processing in the brain. American Journal of Psychiatry, 157, 1279–1284.CrossRefPubMed Kosslyn, S. M., Thompson, W. L., Constantin-Ferrando, M. F., Alpert, N. M., & Spiegel, D. (2000). Hypnotic visual illusion alters colour processing in the brain. American Journal of Psychiatry, 157, 1279–1284.CrossRefPubMed
go back to reference Lang, E. V., Joyce, J. S., Spiegel, D., Hamilton, D., & Lee, K. K. (1996). Self-hypnotic relaxation during interventional radiological procedures: Effects on pain perception and intravenous drug use. International Journal of Clinical and Experimental Hypnosis, 44(2), 106–119.CrossRefPubMed Lang, E. V., Joyce, J. S., Spiegel, D., Hamilton, D., & Lee, K. K. (1996). Self-hypnotic relaxation during interventional radiological procedures: Effects on pain perception and intravenous drug use. International Journal of Clinical and Experimental Hypnosis, 44(2), 106–119.CrossRefPubMed
go back to reference Lang, E. V., & Rosen, M. P. (2002). Cost analysis of adjunct hypnosis with sedation during outpatient interventional radiologic procedures. Vascular and Interventional Radiology, 222(2), 375–382. Lang, E. V., & Rosen, M. P. (2002). Cost analysis of adjunct hypnosis with sedation during outpatient interventional radiologic procedures. Vascular and Interventional Radiology, 222(2), 375–382.
go back to reference Leach, M. J. (2005). Rapport: A key to treatment success. Complementary Therapies in Clinical Practice, 11(4), 262–265.CrossRefPubMed Leach, M. J. (2005). Rapport: A key to treatment success. Complementary Therapies in Clinical Practice, 11(4), 262–265.CrossRefPubMed
go back to reference Martin, J., Cummings, A. L., & Hallberg, E. T. (1992). Therapists’ intentional use of metaphor: Memorability, clinical impact, and possible epistemic/motivational functions. Journal of Consulting and Clinical Psychology, 60(1), 143–145.CrossRefPubMed Martin, J., Cummings, A. L., & Hallberg, E. T. (1992). Therapists’ intentional use of metaphor: Memorability, clinical impact, and possible epistemic/motivational functions. Journal of Consulting and Clinical Psychology, 60(1), 143–145.CrossRefPubMed
go back to reference McGeown, W. J., Mazzoni, G., Venneri, A., & Kirsch, I. (2009). Hypnotic induction decreases anterior default mode activity. Consciousness and Cognition, 18, 848–855.CrossRefPubMed McGeown, W. J., Mazzoni, G., Venneri, A., & Kirsch, I. (2009). Hypnotic induction decreases anterior default mode activity. Consciousness and Cognition, 18, 848–855.CrossRefPubMed
go back to reference Melzack, R. (2001). Pain and the neuromatrix in the brain. Journal of Dental Education, 65(12), 1378–1382.PubMed Melzack, R. (2001). Pain and the neuromatrix in the brain. Journal of Dental Education, 65(12), 1378–1382.PubMed
go back to reference Salmon, P., Ring, A., Humphris, G. M., Davies, J. C., & Dowrick, C. F. (2009). Primary care consultations about medically unexplained symptoms: How do patients indicate what they want? Journal of General Internal Medicine, 24(4), 450–456.CrossRefPubMedPubMedCentral Salmon, P., Ring, A., Humphris, G. M., Davies, J. C., & Dowrick, C. F. (2009). Primary care consultations about medically unexplained symptoms: How do patients indicate what they want? Journal of General Internal Medicine, 24(4), 450–456.CrossRefPubMedPubMedCentral
go back to reference Surah, A., Baranidharan, G., & Morley, S. (2014). Chronic pain and depression. Continuing Education in Anaesthesia, Critical Care and Pain, 14(2), 85–89.CrossRef Surah, A., Baranidharan, G., & Morley, S. (2014). Chronic pain and depression. Continuing Education in Anaesthesia, Critical Care and Pain, 14(2), 85–89.CrossRef
go back to reference Trout, D. L., & Rosenfeld, H. M. (1980). The effect of postural lean and body congruence on the judgment of psychotherapeutic rapport. Journal of Nonverbal Behavior, 4(3), 176–190.CrossRef Trout, D. L., & Rosenfeld, H. M. (1980). The effect of postural lean and body congruence on the judgment of psychotherapeutic rapport. Journal of Nonverbal Behavior, 4(3), 176–190.CrossRef
go back to reference Williamson, A. (2008). Chapter 13, Brief psychological interventions in practice (pp. 128–129). New York: Wiley.CrossRef Williamson, A. (2008). Chapter 13, Brief psychological interventions in practice (pp. 128–129). New York: Wiley.CrossRef
go back to reference Yapko, M. (2001). Hypnosis in treating symptoms and risk factors of major depression. American Journal of Clinical Hypnosis, 44(2), 97–108.CrossRefPubMed Yapko, M. (2001). Hypnosis in treating symptoms and risk factors of major depression. American Journal of Clinical Hypnosis, 44(2), 97–108.CrossRefPubMed
Metadata
Title
Brief Psychological and Hypnotic Interventions in Chronic Pain Management
Author
Ann Williamson
Publication date
01-09-2016
Publisher
Springer US
Published in
Journal of Contemporary Psychotherapy / Issue 3/2016
Print ISSN: 0022-0116
Electronic ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-016-9327-6

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