Of 79 men in whom clinical and laboratory examinations revealed no organic cause for their impotence; 20 men received testosterone, 21 received trazodone, 20 underwent hypnosis and 18 served as placebo controls. They were assessed by interview 4, 6 and 8 weeks after starting treatment: the patients reports were verified by interviewing their partners. Placebo men had a 39% improvement in sexual function v. rates of improvement in the testosterone, trazodone and hypnosis groups of 60%, 67% and 80%, respectively, none of which reached significance. COMMENT: Although the improvement was not statistically significant, probably because of the small numbers of subjects involved, the differences were wide, especially in comparison to placebo. Treatment with testosterone and trazodone could be used as an adjuvant therapy in nonorganic male sexual dysfunction, and hypnosis appeared to be the most superior to placebo. A more effective treatment may be obtained by combining these therapeutic modalities. Hypnosis, as I have noted before, continues to be markedly underused, and has great potential to engage and harness the inner pharmacy within each patient.
Hypnotherapy is the therapeutic use of hypnosis. In hypnotherapy, hypnosis is used by psychotherapists to modify a patients behavior. According to the American Association of Professional Hypnotherapists, there is a 75-90% chance of effectively changing behavior with hypnotherapy. Once the patient has seen a hypnotherapist, self-hypnosis can be learned, and is sometimes recommended as part of the treatment plan. Self-hypnosis involves a patient using relaxation techniques and specific signals to clear his mind of extraneous thoughts and sensations.
Preparation
Hypnotherapy requires only that the patient desire to change a certain type of behavior. The hypnotherapist usually prepares for the sessions by asking the subject to stare at an object, suggesting, in a soothing voice, that the eyelids are becoming heavy, that the subject relax, and that he is becoming hypnotized. Then, the hypnotherapist conveys to the subject that it will be effortless to follow the hypnotherapists suggestions
Aftercare
Coming out of the hypnotic state is as simple as entering it. Waking from the hypnotic state slowly is preferable for optimal results. After hypnosis, subjects report changes in bodily sensations and describe an awareness of having gone into an altered state of mind.
Risks
Because hypnosis can sometimes completely remove or distract people from feeling pain, it is important that a doctor, or other appropriate medical specialist, assess the underlying medical or psychological condition. This assessment is important because, when using hypnosis to reduce pain or other physical symptoms, the pain may be alerting the patient to a problem that needs some other form of medical or psychological treatment. As an example, a brain tumor might be causing chronic headaches, and require immediate treatment.
Normal results
Family doctors have begun using hypnosis to treat psychosomatic illness, control appetite, and reduce the need for medication. Because of the utility of using hypnosis to reduce the sensation of pain, it can make it possible for physicians to lower dosages of pain medication in cases of chronic illness. Because hypnosis is actually an intense state of concentration, physicians have now accepted the fact that patients can regulate their own heart rate, circulation, temperature, muscle tension, and other body functions, if necessary.
Abnormal results
Hypnotherapy requires that the patient desire to change a certain type of behavior. Success is greater the more committed the subject is to change. If the patient is reluctant, hypnotherapy may be unsuccessful.
Key Terms
- Anesthesia
- The absence of normal sensation, especially sensitivity to pain as induced by an anesthetic substance, or by hypnosis. May be induced for medical or surgical purposes topically, locally, regionally, or generally.
- Hypnotherapist
- A professional who uses hypnosis as an adjunct to other techniques in psychotherapy
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August 19th, 2008
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