The Teaching of Hypnosis: Outline and Method

Abstract

In the past several years there has been a significant increase in the number of training programs in clinical hypnosis. There appears to be little information available regarding the actual method and content of such coursework. The authors gave a number of professionals and paraprofessionals a training program that included lectures, clinical inductions, and an opportunity for limited use of these methods in a supervised setting. The methods used were presented in a step-by-step fashion, drawing upon not only the authors' experience and expertise, but also requiring the active participation of those learning these clinical methods. In all, there were ten sessions with some required reading outside of the class time. Typical problems of resistance, problem solving, and various perspectives were discussed and employed.     

Outcome of an interdisciplinary pain management program in a rehabilitation clinic

The Chronic Pain Section at Reykjalundur has 33 beds for patients with various chronic pain problems. About 200 patients are treated annually. For 3 years, 158 patients were enrolled in a random study focusing on increasing the patients' functioning and eliminating analgesic drugs through an interdisciplinary rehabilitation program. Patients answered a questionnaire at admission, before discharge from the clinic and about one year after discharge. The follow-up was done with a mailed questionnaire. The focus was on the patients' functioning rather than absence of pain. The program's duration was 7 weeks. The first 2 weeks were utilized for evaluation, information and education (pain school). Pain relieving drugs were gradually withdrawn but anti-inflammatory drugs were used when indicated. Cognitive behavioral therapy was applied in an increasing number of cases over the 3 year period by specially trained nurses and a psychiatrist. Pain, anxiety and depression were self-evaluated on a numeric rating scale (NRS). About 50% of the patients had a history of pain for more than 5 years. Low back pain was the most common diagnosis (48.1%) and 28.5% had post-traumatic pain. A significant reduction in pain, anxiety and depression was found both at discharge (p < 0.0001) and at follow-up (p < 0.001). Before entering the program, only 18.4% of the patients were able to work whereas 48.1% returned to work after discharge and 59.2% were working at follow-up.     

The Use of Hypnosis in the Treatment of Dissociative Patients

A frequent need of adult patients who were traumatized in childhood is to recall and work through those experiences which have been blocked out of awareness but continue to exert negative influences. Hypnosis is an effective resource with such patients. This article discusses the early developments of hypnosis. It describes components of the trance state which makes it a useful resource with trauma patients as well as an effective therapeutic process and technique. Two case studies are presented to demonstrate some applications of hypnosis with sexually traumatized patients.     

PAINWeek messages include cannabis for pain

The virtual PAINWeek meeting held this month had several poster presentations of interest to ADAW readers, as reported by Ryan Basen for MedPage Today.     

Of pain,passing and longing for music

Despite musicology’s historic veneration of ‘tragic’ (mostly physically or mentally impaired) artists, disability studies is still a new and controversial field in music scholarship. This essay addresses the recent emergence of disability studies in music scholarship from the perspective of a non‐visibly disabled musician and researcher. It examines the internal dissonance of passing as pain‐free and non‐disabled, the limitations of focusing on visible difference in musical performance and the complexities of performance where impairment, damage or pain is aurally evident, connecting the listener to the performer’s body. It calls for the study of musical bodies in all their manifestations, using pain and disability as analytic constructs.     

Incentive-based management for nonprofit organizations

Nonprofit organizations should consider using incentive-based management programs so long as such programs are studied thoughtfully, implemented carefully, and closely tied to other important management practices. The article describes the experiences of one nonprofit organization, Citizens' Scholarship Foundation of America (CSFA), in successfully conducting a staff incentive program during the past several years. The author also reports briefly on the results of a recent survey among CSFA staff involved in the incentive plan, outlining the benefits of such a program in helping the organization to reach its objectives. Finally, the author addresses potential pitfalls to avoid in implementing an effective staff incentive program.     

Collaboration for community-based wildlife management

Perhaps as remarkable as the general upsurge in public interest in wildlife over the last 30 years is the trend toward greater community-based wildlife management since the late 1980s. This paper discusses the challenges and opportunities at the local, community scale of collaboration for wildlife management. We explain how collaborative activity between the professional wildlife manager and community stakeholders can lead to improved identification of human-wildlife interactions and better understanding of wildlife-related impacts that are of primary management concern in the community. Community-based collaborative decision making can also effectively result in the specification of management actions that are acceptable to a community. Furthermore, agency-community collaboration can lead to co-management that goes beyond stakeholder input or involvement in decision making about management objectives and actions, and includes appropriate sharing of responsibility for implementation and evaluation. A growing role for the wildlife agency in such situations is facilitating the development of local capacity by filling information and process needs so that individuals and groups in a community can participate effectively in collaborative efforts appropriate to the necessary level of agency-community engagement. This opportunity for the wildlife profession promises to be rewarding and have lasting positive influence on communities for the benefit of wildlife management. However, most agencies cannot address every issue at a community level. Public wildlife managers need guidelines for judgment about when to engage in community-based wildlife management. They need to assess various risks associated with not engaging in a particular issue and to prioritize the potential situations where various degrees of community engagement may be desirable. This paper highlights these intriguing challenges and opportunities associated with community-based wildlife management. An erratum to this article is available at .     

Stakeholder participation for sustainable waste management

Inadequate environmental sanitation in many cities is a major cause of diseases and is a drain on the economy by way of lost workdays, cost of treatment and cleanup activities. Municipal authorities and policymakers need to act fast to address this issue. Sustainable waste management provides a comprehensive inter-disciplinary framework for addressing the problems of managing urban solid waste, in the resource constrained developing countries where quality of such services are poor and costs are high often with no effective means of recovering them. Upgrading the coverage of waste management and services and increasing their efficiency is a precondition for improving the environmental quality of cities. This paper highlights the fact that the involvement and participation of all the stakeholders such as the waste generators, waste processors, formal and informal agencies, non-governmental organisations and financing institutions is a key factor for the sustainable waste management.     

Expectation management for public sector organizations

Transparency and collecting stakeholder feedback are becoming the norm also in the public sector. Though much of feedback is related to stakeholder experiences, we propose that it is more beneficial to study expectations than experiences, as expectations affect future satisfaction. This study reports a process of collecting and analyzing stakeholder expectations in one health-care oriented public sector organization in Finland, and reports how these expectations and their implications were assessed by the organization's top management. The study suggests that to ensure stakeholder satisfaction and organizational success, top management should be guided to work through the feedback. We propose a “fix or fit” approach where expectations are first grouped and then analyzed as either something that requires changing of organizational functions, or as something that requires guiding of stakeholders’ expectations to fit existing functions.     

Expressing pain: The communication and interpretation of facial pain signals

This article reviews recent theory and research on the origins, nature, and meaning of facial expressions of pain. A general model of pain expression, distinguishing experiential, encoding, and decoding processes involved in pain episodes, is proposed. Variables which are known to or may affect these processes are reviewed. Relationships between elements of the model and clinical phenomena of interest to health-care workers are discussed. The implications of findings in this area for health-care workers are examined. Areas in need of research are identified.The authors' research reported in this paper was supported by research grants to K. M. Prkachin from the Medical Research Council of Canada and to K. D. Craig from the Social Sciences and Humanities Research Council, the Natural Sciences and Engineering Research Council, the Medical Research Council, and the British Columbia Health Care Research Foundation. We gratefully acknowledge the helpful comments on earlier drafts of Mark Costanzo, Sherry Beaumont, Linda LeResche, and Glenda Prkachin, and the issue editor, Val Derlega.