How effective is Pure Hypnoanalysis?
The IAPH Survey:
Introduction
Between July 2008 and July 2009 the IAPH conducted a type of survey (known as a cross sectional study) of clients who had completed a special course of hypnotherapy known as Pure Hypnoanalysis.
This paper presents a summary of the project following one year. It is ongoing as a number of follow ups are planned over a further 12 month period. We are extremely grateful to those who
participated in our survey. Their comments have helped us to more our practice forward with renewed enthusiasm and confidence in our therapy.
Summary
Clients who had completed a course of Pure Hypnoanalysis were invited to participate in an online survey indicating the degree to which their original presenting 'complaint' had been affected
following the course of therapy. The initial feedback indicated that all participating clients had reported a reduction in, or resolution of their original symptoms.
The initial feedback indicated that all participating clients had reported a reduction in,
or resolution of their original symptoms.
Respondents also produced detailed additional comments regarding their experiences of therapy. A follow up is planned at twelve months.
Why did we do this?
Pure Hypnoanalysis is a unique approach to therapy that has been developed by Rob Kelly FIAPH, and other Members of the International Association of Pure Hypnoanalysts (IAPH). Its origins date back
to 1974 since when the practice has been developed and modified. The terms hypnotherapy and hypnoanalysis are frequently used in medical literature, but have wildly differing interpretations, as such
any previous research cannot be drawn upon as evidence for the effectiveness of Pure Hypnoanalysis as it is unlikely that hypnotherapists were using this specific technique. It was for this reason
that we developed our survey. We were interested in hearing from clients who had been through 'our' therapy in contrast to other forms of hypnotherapy.
How does Pure Hypnoanalysis work?
The practice of Pure Hypnoanalysis involves working with a client for approximately six to ten sessions at weekly intervals. Its underlying premise being that we all have 'bottled up' thoughts and
emotions, stemming from earlier periods of our lives and that these have a significant role in the development and maintenance of some physical and psychological problems. (It is a condition of
therapy that presenting physical problems should have been thoroughly investigated prior to therapy). The degree to which these 'hidden' emotions will affect an individuals functioning will vary from
person to person. Practitioners do not however interpret or analyse client's recollections in the traditional sense, (such as frequently seen in the practice of psychoanalysis in films), but rather
allow the opportunity for material to surface using a modified version of free association (FA) whilst the client is in a pleasant relaxed hypnotic state, (some times referred to as a 'focussed state
of mind').
This simply means talking freely and without hindrance. The assertion being that thoughts and feelings which are of significance are not deeply buried in the mind, but likely to be seeking an
outlet, (which in effect they already have, albeit unhelpfully by creating the symptom, such as fears, phobias etc).
Clients are encouraged to link associations and 'here and now' experiences rather than to recall a chronological history. Practitioners are extremely aware of the risks associated with 'leading' a
client, especially when in hypnosis and for this reason interventions made by them should only be for prompts or clarification. Pure Hypnoanalysis is totally different to 'normal' hypnoanalysis (and
other forms of therapy) in that it genuinely seems to resolve the underlying cause of a persons 'neurotic conflicts'.
What did we already know?
Practitioners experiences to date have strongly suggested that using this method, clients can reach a point of insight at between six to ten sessions, and that having done so, this leads to a
reduction or disappearance of the presenting problem, e.g. emetophobia. Evidence from clients suggests that the majority of these 'bottled up' experiences are linked with strong feelings irrespective
of any underlying 'incident'. It is not therefore the recollection of a client's history which is significant, but the processing and releasing of experiences (i.e. as they are occurring in the
clients mind at the time of therapy) which has the therapeutic effect.
A number of terms have been used to describe how a client feels after the completion of therapy. The words 'enlightened' and 'librated' have been in common use for some years. Clients are offered the opportunity for a follow up appointment after the course of therapy before being discharged. Prior to the survey, no systematic collation of client's responses had been coordinated, although several validated anecdotal accounts, including testimonials were in existence.
How did we conduct the survey?
The survey was administered nationally (in the UK) and all practising IAPH members were able to bring it to the awareness of discharged clients. On completion of therapy clients were
given a card offering them the opportunity to log on to the IAPH website if they wished to participate.
This process included gaining their consent. Participants were then directed to an online questionnaire which asked a number of 'direct' and 'choice' questions. Most questions contained additional comment boxes. The inclusion criteria meant that only clients who had completed the course of therapy were included. For this study no provision was made to follow up those who decided not to complete the course of therapy. The study design was subject to ethical approval by the IAPH Council.
What did we find out?
The majority of respondents were female. The largest age group category for both groups being 26-35 yrs followed by 36-45 yrs. No respondents were aged over 65 yrs. The majority of clients completed
therapy within 10-12 sessions, with the next largest group completing in7-9 sessions. The majority of clients presented with problems under the heading of 'general anxiety' although several also
indicated other presenting difficulties, the second highest category being 'social phobia' and 'Depression'.
These were self diagnosed conditions which were used by participants to best describe their situation. Clients were offered a rating scale to indicate the 'intensity' of their problem for a pre and post therapy rating. This ranged from 'No interruption to everyday thinking, feeling and behaviour'' to 'Very significant interruption to everyday thinking, feeling and behaviour' on a five point scale. All clients reported a reduction from their original rating on completion of the course.
All clients reported a reduction from their original rating on completion of the course.
A number of comments were received, for example;
'Before therapy I felt my life had come to an end. I was unable to do normal everyday things like eating out, going on public transport, hairdressers etc. The normal things that people take for
granted'
(This client rated from 'significant interruption to daily living' to 'no interruption to daily living' on pre and post therapy scales).
Clients were asked about their understanding of the originating cause of their problem. Approximately 50% stated that what they experienced in therapy was a complete surprise, (usually meaning that what the participant had thought was the cause of their problem turned out to be incorrect) with the remainder having 'some idea' (albeit vaguely) of the contributing cause. For these clients therapy was rather like a jigsaw puzzle with the missing pieces joined together. All clients reported a reduction in their original presenting problems. A number stated that it had now been completely resolved, (often following a number of years during which other treatments had been tried).
In conclusion
This cross sectional survey indicates very positive results for clients who have undertaken a course of Pure Hypnoanalysis. The responses and detailed comments from this sample group indicate that
Pure Hypnoanalysis has been effective at symptom removal, and allowed clients the opportunity to lead improved lives as a result.
What have we learned?
We are delighted to have received such positive results, and to know that our therapy has been effective at helping change peoples lives. Many participants gave us detailed comments that enabled us
to draw together a picture of what happens in therapy and how the positive effects were evident, in many cases almost immediately. A significant number also commented on the professionalism shown by
our practitioners, and the sensitive and caring manner that was demonstrated in the sessions. A very high number of participants have permitted us to use some of their comments as testimonials and
you can see some of these below....
Client Feedback from the Research Project
Depression
It's unbelievable really. I had suffered depression most of my life. I have been to numerous therapists, on lots of different drugs, been under psychiatrists and psychologists, and even been admitted to hospital - none of it really helped that much. 8 sessions of pure hypno and I'm cured! It's gone! I have never felt better in my life. Thank you so much, for giving me back my life.
Weight Issues and Self Esteem
Depression and Anxiety
Over Eating and Low Self Esteem
'Control' Issues
Social Phobia
Obsessive Compulsive Disorder
Insomnia
Relationship Issues
Social Phobia, General Anxiety and Self Esteem
Hair Pulling and Finger Picking
Social Phobia and Blushing
Social Phobia
Social Phobia and Sexual Issues
Eating Disorder
Depression, Anxiety and Anger Issues
Weight Loss
Past Issues
Emetophobia
Emetophobia
Sexual Issues and Childhood Abuse
Depression, Anxiety and Weight Issues
Emetophobia
Anxiety, Bulimia and Childhood Abuse
Depression and Anxiety
Anxiety, Negative Thinking and Conflict Over Fetish
General Anxiety and Self Esteem
Shy Bladder and Anxiety
General Anxiety and Sleep Problems
Weight Loss
Jealousy & Insecurity
Eating Disorder
Childhood Abuse
General Anxiety
Social Phobia and Self Confidence
General Anxiety
Depression and General Anxiety
Depression, Anxiety and Relationship Issues
Comfort Eating
Social Phobia and Sleep Problems
Depression, Anxiety and Sleep Problems
Depression, Anxiety, Panic and Claustrophobia
General Anxiety and Childhood Abuse
Social Phobia, Anxiety and Relationship Issues
Pre-Menstrual Tension
Panic
General Anxiety
General Anxiety
Depression
Vaginismus
Social Phobia
Anxiety
Social Phobia, Sexual Issues and General Anxiety
Bruxism
The IAPH Survey:
Introduction
Between July 2008 and July 2009 the IAPH conducted a type of survey (known as a cross sectional study) of clients who had completed a course of hypnoanalysis. We now know that a successful outcome,
i.e. profound change that is effortless to maintain, is achieved in hypnoanalysis through the mechanism of memory
reconsolidation.
This paper presents a summary of the project following one year. A number of follow-ups were planned over a further 12 month period.
Summary
Clients who had completed a course of hypnoanalysis were invited to participate in an online survey indicating the degree to which their original presenting ‘complaint’ had been affected following
the course of therapy. The initial feedback indicated that all participating clients had reported a reduction in, or resolution of, their original symptoms.
The initial feedback indicated that all participating clients had reported a reduction in, or resolution of, their original symptoms.
Respondents also produced detailed additional comments regarding their experiences of therapy. A follow-up was planned at twelve months.
Why did we do this?
Hypnoanalysis traces its origins back to 1974, since when the practice has been developed and modified. The terms hypnotherapy and hypnoanalysis are frequently used in medical literature but
have wildly differing interpretations; as such, any previous research cannot be drawn upon as evidence for the effectiveness of Pure Hypnoanalysis as it is unlikely that hypnotherapists were using
this specific technique. It was for this reason that we developed our survey. We were interested in hearing from clients who had been through ‘our’ therapy in contrast to other forms of
hypnotherapy.
How does hypnoanalysis work?
The practice of hypnoanalysis involves working with a client for approximately eight to sixteen sessions at weekly intervals. Its underlying premise being that we all have unresolved or
unprocessed material stemming from earlier periods of our lives and that this has a significant role in the development and maintenance of some physical and psychological problems: (it is a condition
of therapy that presenting physical problems should have been thoroughly investigated prior to therapy). The degree to which this ‘hidden’ material will affect an individual’s functioning will
vary from person to person. Practitioners do not however interpret or analyse client’s recollections in the traditional sense, (such as frequently seen in the practice of psychoanalysis in
films), but rather allow the opportunity for material to surface using a version of free association (FA) whilst the client is in a pleasant, relaxed hypnotic state, (sometimes referred to as a
‘focused state of mind’).
This simply means talking freely and without hindrance. Clients are encouraged to link associations and ‘here and now’ experiences rather than to recall a chronological history. Practitioners are extremely aware of the risks associated with ‘leading’ a client, especially when in hypnosis and, for this reason, interventions made by them should only be for prompts or clarification.
What did we already know?
Practitioners’ experiences to date have strongly suggested that using this method, clients can reach a point of insight at between six to sixteen sessions on average and that, having done so, this
leads to a reduction or disappearance of the presenting problem. Evidence from clients suggests that it is not the recollection of a client’s history which is significant but the processing and
releasing of emotions (i.e. as they are occurring in the clients mind at the time of therapy) which has the therapeutic effect.
A number of terms have been used to describe how a client feels after the completion of therapy. The words ‘enlightened’ and ‘liberated’ have been in common use for some years. Clients are offered the opportunity for a follow-up appointment after the course of therapy before being discharged. Prior to the survey, no systematic collation of client’s responses had been co-ordinated, although several validated anecdotal accounts, including testimonials, were in existence.
How did we conduct the survey?
The survey was administered nationally (in the UK) and all practising IAPH members were able to bring it to the awareness of discharged clients. On completion of therapy, clients were given a
card offering them the opportunity to log on to the IAPH web site if they wished to participate.
This process included gaining their consent. Participants were then directed to an online questionnaire which asked a number of ‘direct’ and ‘choice’ questions. Most questions contained additional comment boxes. The inclusion criteria meant that only clients who had completed the course of therapy were included. For this study no provision was made to follow up those who decided not to complete the course of therapy. The study design was subject to ethical approval by the IAPH Council.
What did we find out?
The majority of respondents were female. The largest age group category for both groups being 26-35 yrs followed by 36-45 yrs. No respondents were aged over 65 yrs. The majority of
clients completed therapy within 10-14 sessions, with the next largest group completing in 7-9 sessions. The majority of clients presented with problems under the heading of ‘general anxiety’
although several also indicated other presenting difficulties, the second highest category being ‘social phobia’ and ‘depression’.
These were self-diagnosed conditions which were used by participants to best describe their situation. Clients were offered a rating scale to indicate the ‘intensity’ of their problem for a pre- and post-therapy rating. This ranged from “No interruption to everyday thinking, feeling and behaviour” to “Very significant interruption to everyday thinking, feeling and behaviour” on a five point scale.
All clients reported a reduction from their original rating on completion of the course.
A number of comments were received, for example;
‘Before therapy I felt my life had come to an end. I was unable to do normal everyday things like eating out, going on public transport, hairdressers etc. The normal things that people
take for granted’
(This client rated from ‘significant interruption to daily living’ to ‘no interruption to daily living’ on pre- and post-therapy scales).
Clients were asked about their understanding of the originating cause of their problem. Approximately 50% stated that what they experienced in therapy was a complete surprise, (usually meaning that what the participant had thought was the cause of their problem turned out to be incorrect), with the remainder having ‘some idea’ (albeit vaguely) of the contributing cause. For these clients, therapy was rather like a jigsaw puzzle with the missing pieces joined together. All clients reported a reduction in their original presenting problems. A number stated that it had now been completely resolved, (often following a number of years during which other treatments had been tried).
In conclusion
This cross sectional survey indicates very positive results for clients who have undertaken a course of hypnoanalysis as practiced at the time by most IAPH members. The responses and detailed
comments from this sample group indicate that hypnoanalysis has been effective at symptom removal and allowed clients the opportunity to lead improved lives as a result.
Postscript
The above is an abridged version of the original study. At the time, the results of the survey were encouraging, but even so we were always aware of those clients who failed to get their
‘liberating moment’ – a source of frustration and disappointment for both client and therapist. With the recent advances in neuroscience, we now have a better understanding of the actual change
we seek – memory reconsolidation – which in turn guides us to greater success. Having said that, there is always space for
the type of client who overthinks and ruminates to do some beliefs work and improve their symptoms where they were essentially caused by their own poorly managed thinking.
Social Phobia
Right now 5 hours after final session feel like I can take on the world. I feel at peace inside and hopeful that my stress levels have substantially reduced/gone to enable me to make a success of my career. I have confidence to make decisions for me. I am happy with myself and am going to start living my life for me without fear of peoples opinions and trying to fit in. I have been living within a glass box my whole life and I now feel like the doors and windows have been opened, I am now free so watch out world cos I’m not scared anymore!!!
Weight Issues and Self Esteem
I initially approached my therapist with weight related issues and low self esteem but found by my 6th session that weight was no longer a major issue. I had more self confidence and was no longer binge eating when things were upsetting me. I was calmer and felt more relaxed than I had in years. People were commenting on how different I had become and without any effort I started to lose weight and go down a clothes size.
Obsessive Compulsive Disorder
I simply feel much more confident now – in work and in my personal life. My self esteem has greatly increased – I feel like I matter, that I have a value. I walk taller. I no longer feel that I have no right to be here. I feel more physically attractive as a result and much more masculine. I feel powerful and in control. I avoided relationships with the opposite sex to the point where I convinced myself that I was homosexual. Unbelievably, I now feel that it would be possible for me to have a relationship with a member of the opposite sex! For the first time in my life I feel sexually attractive. I used to think and plan constantly. I would play out scenarios in my head, usually planning for when things went wrong – this led to the constant worry I experienced. This has virtually stopped. I feel a great deal lighter (of mind) and more spontaneous. I’m simply enjoying life more, now that I don’t have this constant conversation with myself. The OCD has all but disappeared too. I can’t say that all of this has made me feel euphoric in any way, I just feel normal and content and that’s exactly what I wanted out of this. It has honestly been life changing
Insomnia
After suffering from occasional but severe insomnia for years, I now sleep like a baby, even when I have problems and anxiety in my life. On average it now takes me 15 minutes to get to sleep – before, even when I wasn’t suffering from a bout of insomnia, it took a lot longer, around an hour. There were also several completely sleepless nights.
Relationship Issues
I saw my therapist at a very low point in my life almost a year after a relationship break up with the father of my children, which had been at my instigation. I was very confused as to which direction my life should take and had got involved with someone else I didn’t really want to be with but felt unable to break off. My therapist helped me come to terms with everything that had gone on and made me feel valid as a person again with the right to say no to situations/people without feeling guilty and thinking I was a horrible person. She made me realise my inability to say no and my fear of being unloved and unliked stemmed from a repressed childhood incident. My life has now turned around and I am extremely happy and able to give my opinion without worrying who I will upset and I don’t feel I have to go along with situations just for the sake of it cos I don’t want to upset anyone.
Social Phobia, General Anxiety and Self Esteem
My therapy has helped me realise that I am not as bad as I had forgotten I thought I was. It helped me remember the cause of the inner-dislike, and it showed me how that feeling had affected my perception and feelings about events during my childhood since the original cause. I now, feel like a weight has been lifted off my chest and have been left with a chance to make a fresh start without the inner-dislike of myself. I have been much happier since my therapy and feel like I can achieve more than I have up until now.
Social Phobia and Blushing
Before – I was an irrational blusher and suffered terribly at work, I would avoid situations that I knew would flare up my symptoms. Now – I feel so confident, happy and more importantly enjoy challenging myself to enter situations I previously would have avoided. I feel like I have a new lease of life.
Eating Disorder
I finished my therapy very recently but I would say that my life has changed significantly. I feel more confident and worthy to go after what I want in life and that began by ending a destructive relationship I have been in. I was terrified of losing him at the start of my therapy, so what a turnaround in ten weeks!! I’m excited at what life has to offer which is amazing considering I’ve spent so long waiting for my life to get better. The biggest weight has been lifted and I know that I can lose the rest from my body now.
Sexual Issues and Childhood Abuse
The therapy helped me understand myself, give me more confidence in myself and allow me to feel normal again. I have since been enjoying getting on with my life happily!
Anxiety, Bulimia and Childhood Abuse
The therapy has given me a greater understanding and acceptance of myself. It has helped me to make sense of things and to increase my self worth. It has given me the confidence to believe that I can overcome the eating disorder that I have had for the last 21 years…..I finally am starting to believe that I am lovable.
Depression and Anxiety
It has changed my life because I am now more confident,self assured and I like myself, still got a bit of a way to go but I know I will get there. I was a wreck when I first started my therapy and I honestly thought that was the person I was meant to be and would not have believed that in 12 weeks or so I would be the confident and strong woman that I am now. I no longer blame everything on things I thought were my fault. Now at 62 and single I am ready to live again. Thank you so much.
Shy Bladder and Anxiety
It’s hard to explain the change in me – it was a gradual process of self-discovery. I now feel able to cope with the stresses that life may bring me. Life feels calmer and I CAN COPE.
Social Phobia and Sleep Problems
Life has changed Although I feel the same in myself, I am free of fear and worry of what others think of me. I’m just happy to be myself. I didn’t realise how this was controlling every aspect of my life until it had gone.
Depression, Anxiety, Panic and Claustrophobia
I am no longer paralysed with fear and unable to complete only the most basic of tasks. I am no longer suffering from feelings of claustrophobia and no longer getting panic attacks. I feel much calmer and not so stressed about people and events around me. I feel a much stronger person mentally.
General Anxiety
I feel calmer, more in control and less panicky. The biggest thing for me was being able to walk down the aisle and get married, knowing there were many many people watching me. Normally this would have made me want the ground to open up and swallow me but I remained calm and collected and actually enjoyed myself, which is exactly how a bride’s big day should be!
General Anxiety
Transformed my life. Have confidence, energy, drive and excitement for the future. I no longer have a critical voice inside my head. I am calmer, have emotions that are appropriate and at an appropriate level of intensity (i.e. are not irrational) My friends notice a huge difference in my outward level of happiness. An incredible experience that I would recommend to anyone and everyone that feels they have an issue that is holding them back.
Anxiety
This is powerful stuff. I feel free of the anxiety that had hijacked my life. I was on heightened alert waiting for someone to say a trigger word that would set me into a terrible blushing and anxiety attack. At times I did not want to be alive because I could not tolerate my anxiety attacks and how I felt about myself as a result. Now I feel 100% alive and I really like being free and empowered. I feel I am in control of my life and I like my life.
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Surrey Psychoanalyst and Hypnotherapist Peter Back at The Surrey Hypnotherapy Clinic
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