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Hypnosis - Smoking Cessation
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I am sitting in an office chair across
from Dr Melanie Bryan, a registered clinical psychologist and
a middle-aged American lady. Pen and patient record in her hand,
Dr Bryan looks poised. Her consultation room has the air of
a used, familiar room: a Persian rug, books on wooden shelves,
a coffee table between her and me. I chew toffees and answer
her questions about my smoking habits. Since I started a 13-year-old
punk kid, I have smoked on and off over the years. Alone at
home, I turn to cigarettes as I embrace stress, solitude, my
books and writing.
“It's a very strong learned behavior for you,” Dr. Bryan says,
describing my relationship with smoking. She gives me some practical
suggestions on how not to fall back into the habit. After that
she details how the hypnosis session I am about to go through
will proceed. Legs stretched, I fix my eyes on one spot. I breathe
in and out slowly counting the seconds, afloat on a sense of
stillness. Dr. Bryan instructs me to roll my eyes up high, as
if I am trying to look at me forehead. “Don't Blink or raise
your chin,” she says. ”Your eyes should feel a strained or burning
sensation. Now close them.”
The world comes down to a point of intense concentration. The
rain form outside the windows sounds as close as the hum of
the air-conditioner in the room. The breeze causes a tickling
sensation on my skin. My eyelids are somewhat heavy, but my
mind stays alert, attuned to the therapist's voice. “For your
body, smoking is poison,” she commands. The words flash across
my mind in capital letters. Dr Bryan asks me to picture random
smokers as prisoners of nicotine, in contrast to my own healthy,
smoke-free body. The mental images bounce, fragmented and colorful,
as the room seems to grow brighter at abrupt moments. My heart
jumps when she reaches the core of my self-sabotage: “You don’t
want to be stuck with a decision you made when you're 13.”
At the end of the session Dr Bryan counts form five to one.
On the count of one, I squeeze my hand and open my eyes.
My experience with hypnosis is unlikely to be the same as anyone
else's, since it is an experiential process to which everyone
responds differently. You may have read in newspapers and magazines
about the use of hypnosis to help people to lose weight, or
quit smoking or biting their nails. You may have seen advertisements
for short courses in hypnosis: ”In a few months you will pick
up the tools to hypnotize others and yourself. You will be able
to tackle fear of public speaking and flying, stress management
or even insomnia.”
But beyond the hype, hypnosis is actually much closer to our
daily lives than we imagine. When you space out during a boring
seminar, play you Xbox for hours, or walk down a familiar street
without recalling where you need to take a turning, you are
already in a trance, an altered state of consciousness. At such
moments of split awareness, our subconscious processes are acting
independently of conscious direction. As we receive and retain
many signals at the subconscious level, some of them turn into
fears and reactions of which we are unaware.
Dr 連峻 (Rene Lien), founder and director of the Hong Kong Institute
of Clinical hypnosis (HKICH), explained it in everyday terms:
“Imagine a man who suddenly vomits when he eats an orange, even
though he's always liked the fruit. Such a reaction may trace
back to a moment he doesn't recall: When he choked on the juice
of a sour orange months ago, or when he saw an old man eating
an orange on the street in a disgusting manner.”
During a consultation, a hypnotherapist probes into the client's
history and his or her relationship with the issue, so as to
identify the cause of the problem. “The use of hypnosis in therapist
is like installing a anti-virus program in the computer,” Dr
Lien continued. “The therapist reprogrammes the client's subconscious
and gives it the anti-virus it needs, to stop it from having
certain reactions in the future.”
If my being hypnotized sounds amazingly simple to you, I will
admit that it surprised me too. There are many ways to lead
someone into a hypnotic state, depending on the subject’s personality
and mental state during the consultation. A more traditional
method is progressive relaxation: the client is guided to relax
different parts of his or her body, and to picture images like
taking a stroll in the park. More subtle techniques include
using indirect suggestions (“You'll be very relaxed when you're
hypnotized”) and leading with a series of “Yes” questions (“Do
you feel calmer now you're breathing slowly?”)
The therapist's choice of hypnotic language varies according
to the issues at hand. For female clients who lack motivation
when trying to lose weight, Dr Lien instills positive messages
or images into their subconscious. “Some of these ladies keep
a strict diet and hang out at the gym. The just spend most of
the time at the gym watching TV or doing hair treatments. In
those cases, I'll describe some angels cheering them when they're
lifting weights. Or I'll give them gentle commands like ‘Your
hair is looking great. You can go on the treadmill now',” Dr
Lien remarked.
李麗琴 (Hilda Li), clinical psychotherapist and hypnotherapist
observed that hypnotherapy has been gaining its place in Hong
Kong, thanks to the work of relevant institutes and associations
and to media coverage. A part-time lecturer at HKICH, Li has
been active in promoting hypnosis through the institute's activities.
She also teaches a growing number of students with a serious
interest in the subject. As a therapist, she has practiced hypnotherapy
for five years and witnessed significant changes in her client’s
attitude.
“In the past most clients would use hypnotherapy as a last resort
after other forms of therapy failed. Nowadays many ask for hypnotherapy
on their own initiative, because they’ve read about it in the
media or heard success stories. Other times I suggest hypnotherapy
if I think it's the best treatment for the client. Most take
my advice just as a patient takes a doctor's prescription, given
that we've established a trusting relationship,” Li said.
Since founding his clinic almost a decade ago, Dr Lien has seen
clients form all walks of life and age groups. “I've had several
clients who are seven or eight years old and who received therapy
under their parents' supervision,” he said. “One had a problem
with concentration and demanded
“每個人都有自我催眠的潛伏能力,這大概是因為在內心深處,我們都有一股衝動,要逃出讓我們百般無奈的現實的樊籬,去找尋那片與世無爭的淨土。催眠師的工作,不過是喚醒我們催眠自己的意志和能力而已。”
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to see a hypnotherapist. When I asked
him why he chose hypnotherapy, he said he'd seen it in movies
and he believed it would work. There're also clients in their
70s who have no doubts that hypnotherapy will help them. It's
all about having an open mind.”
One of Hilda Li's clients, W S
Lo, is a marketing professional in his 20s, who had tried unsuccessfully
to kick his 10-year smoking habit through using gum, patches
and willpower. Hypnotherapy became an option for Lo earlier
this year, when a close friend of his successfully quit smoking
after visiting Dr. Lien's clinic. Before his own visit, however,
Lo had doubts in his mind. “It was something new after all.
I had about 30 per cent confidence that it would work on me,”
Lo said.
The three-hour session with Hilda
Li was a pleasant experience, Lo recalled. “For the first half,
we discussed for quitting. Li noted some contradictions in my
perception of smoking, like how I saw it as both an energy boost
and relaxation aid. After that Li guided me to relax different
parts of my body, starting from the toes and the feet, and gradually
moving up. I didn’t have any problem getting into the hypnotic
state.”
Lo remained aware of his surroundings while under hypnosis,
through he felt his logical mid drift off to a vague inter-space
between reality and sleep. “It was like dozing off, just very
slightly. Whenever I started to fall deeper into that state,
Li would pull me out of it with a command. During hypnosis,
she amplified my desire and reasons to quit, so that they would
overshadow the triggers to my smoking habit. There were also
mental pictures like a scene of my friends chain-smoking, and
one of myself resisting the urge, so that my subconscious was
reprogrammed to fight it.”
Coming out hypnosis, Lo felt refreshed and somewhat stiff in
his joints, as if he had woken up from a nap. After a brief
discussion of the session, Hilda Li gave him a list of suggestions
on how to fight withdrawal symptoms. While the craving for nicotine
lurked for a few days, Lo prevailed. In retrospect, he is still
amazed by this one-off cure. Before his friend's first-hand
experience with hypnosis, Lo admitted he had some bias towards
the subject, thanks to TV soaps and movies.
“I used to think infernal Affairs when I heard hypnosis. It
had such a dangerous sound, like it's a tool to mind control,
to coax you into telling what you shouldn't tell,” he said with
a laugh. “After my own success with hypnotherapy, I've been
encouraging my friends to quit smoking with the same method.
There've been people asking me about it, too.”
For the majority if Hong Kong public, however, hypnosis still
wears a mysterious veil. Li pointed out that there are many
misconceptions about the subject and some people show ‘an almost
allergic reaction’ at the mention of hypnosis.
“Most can't pinpoint what they're afraid of about hypnosis,
except that they may be coaxed into revealing their secrets
and bank account details. Others wonder if they'll be brainwashed
and end up doing things they don't want to do, or they won't
wake up. The truth is people are fully awake under hypnosis.
They can get out of the trance any time, and they have full
control over their consciousness. The therapist can't control
a client's mind, but only reprogrammes the issues at the subconscious
that the client has discussed.”
In Li's view, the development of hypnotherapy in Hong Kong is
far behind that of Western countries, where it is more commonly
understood and accepted. “Some confuse it with stage hypnosis,
which is a dramatic performance and a totally different kind
of hypnosis. Others still think of a swinging pendulum, or get
the wrong ideas from movies in which hypnosis is used as a means
of manipulation. There're people who worry they may be hypnotized
when they don't want to be, and those who believe that they're
too strong-willed to be hypnotized. Both of these beliefs are
mistaken.
Dr. Bryan, who practiced in New York City before moving to Hong
Kong in 1991, noted an underlying resistance against counseling
and other forms of therapy among Hong Kong people. “They associate
it with weakness when someone says he or she is seeing a therapist,
whereas people in US and Australia are more open about seeking
help. In Hong Kong, hypnotherapy is relatively new. It's spoken
about as a cure to quit smoking and other simpler issues, rather
than a way to help deeper emotional difficulties.”
Akira Chan, a Chinese medicine practitioner who has studied
hypnotherapy for about a year, contended that cultural differences
do come into play. “I work in a clinic near Taikoo Plaza where
many executives are expatriates or Hong Kongers who have studied
overseas or have a more cosmopolitan outlook. They're more familiar
with hypnosis and they're receptive to the idea. Most locals
are quite skeptical, but they listen to what I have to say because
I'm a doctor.”
My interviewee’s opinions are no doubt grounded in their contact
with a wide range of clients. In my own social circle, though,
ignorance seems to have little to do with one's origin. One
afternoon in the office, I mentioned I had gone through hypnosis.
One coworker, a 27-year-old guy from the US, chuckled: “Did
you act like chicken? I'd pay to see that.” The others, born
and raised in Hong Kong, did not react. One girl asked me for
the therapist's numbers. “My father needs to quit smoking,”
she said, snatching the piece of paper with Dr. Lien's contacts
form my hand.
Another friend, a Chinese American who lived in New York City
before moving here, said my coworker's ‘chicken’ comment was
only common in the US. “I never heard about the use of hypnosis
in therapy back in the States. It's only in Hong Kong that I've
learnt about it,” he said.
Akira Chan and his wife, who is a human resources professional,
are both pursuing studies at HKICH. At present, HKICH is the
only institute in Hong Kong that offers internationally accredited
Clinical Hypnotherapy Diploma courses. As a doctor, Chan recognizes
that up to 40 per cent of minor health problems and symptoms
are stress-induced. Hoping to enhance the efficiency of his
work, Chan signed up for course and he has applied the knowledge
to his consultation.
“Some hypnotic language and techniques are useful in explaining
cases and recommending treatments to patients. My wife and I
used it on each other when we're stressed. I've also helped
friends with their sleeping problems,” Chan said. “For myself,
I do self-hypnosis before I give a presentation or a public
speech. It makes a real difference to my mental
“Some confuse it with stage hypnosis, which is
a dramatic performance and a totally different kind of hypnosis.”
Hilda Li, hypnotherapist
“在半睡半醒的狀態,看得見的特別看得真,想得到的特別想得通。這一刻的清醒,就算稱不上是智慧,也肯定是領悟。”
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state. It keeps my mind
sharp and I give a better performance.”
Among her studies form various profession, Li sees an even spread
of medical professionals, counselors and social workers, and executives
form commercial fields such as human resources, public relations
and marketing. ”Hypnosis is definitely applicable to business.
Think of the body language of an insurance agent, or a salesperson's
use of suggestions and questions to lure you into a purchase.
The ambient music in shops is another trick. With the right use,
hypnotic techniques can improve one's persuasion skills and interpersonal
relationships,” Li remarked.
Before pursuing hypnotherapy, Dr. Lien advises researching the
therapist's background, including their academic qualifications
and professional memberships. Some hypnotherapy associations have
stringent requirements on their members' qualifications, such
as over 300 hours of clinical practice and specific certification.
Others have much lower requirements. Also, graduates of short-term
hypnosis courses have an overview of the subject, but they lack
the expertise required to be a professional hypnotherapist.
Dr Bryan is wary of the up-and –coming hypnotherapy scene. As
a clinical psychologist of more that 20 years standing, she thinks
only credentialed and experienced health care professionals should
practice hypnotherapy. “The standards of hypnotherapists in Hong
Kong are hugely variable. Many don't have the clinical experience
to handle clients. Hypnosis is only only tool in therapy, and
a therapist should be trained to access and deal with a wide range
of emotions. In some cases, hypnosis isn't the right treatment
at all, but the therapists use it on the clients just the same.
That's downright harmful.
ECHOES
Would you ever undergo hypnosis? Why or why not?
1. “Yes, I have hypnosis during hypnosis training last year. As
I spent so much money on the lessons, then why shouldn't I have
a personal experience? Besides, if I do not try it, I will never
know exactly what hypnosis is about. Form what I experienced,
it is a means to help your mind and body relax. Of course it may
help in certain mental or physical therapies. But it is totally
different form what we see in the movies, which seems to be quite
magical.” Stella Lee, Marketing Assistant
2. “Yes I would, because I am a strong believer in free will and
don't believe I could be ‘forced’ to do something I would never
willingly do (like kiss a snake). While I doubt the power of hypnosis,
beliefs are meant to be challenged, so I would be up the challenge
so long as friends and family are watching in case I can't remember
what happens while I am being hypnotized.” Sabrina Maguire, Lawyer
3. “Sure, I would go for a
trial. It would be one of the most adventurous things in my life
because I would be letting the hypnotist read my mind! Hidden
fear and secrets all revealed. Perhaps it can trace back to why
I'm so afraid of hens (and chicken feathers)! Shall we make an
appointment now?” Helen Yuen, Advertising Manager
4. “No – or at least probably not. I put
hypnosis in the same category as a colonic: I know some people
swear by it, but I'm still wary (though I admit my opinion is
very uninformed). Perhaps it's because I'm afraid of the unknown.
Under hypnosis, what if I act like Linda Blair in The Excorist
or I start quoting George Bush or do something else really embarrassing?
If the Dalai Lama, Madonna, Bill Gates, Zhang Yimou, consumer
reports or someone/-thing else I admire were to endorse hypnosis,
I might consider.” Barbara Koh, Writer/Journalist
5. “I know hypnosis CAN work. My brother
once got hypnotized at a dinner show, and his pre-hypnotic suggestion
was that he would lose weight – he was a chubby boy. The deal
was that audience members could volunteer to be part of the show,
and be put under hypnosis. In exchange for your services, the
hypnotist would let you have a free post-hypnotic suggestion.
Around six people volunteered, and most of them asked for help
to quit smoking. Well, he went under and was part of this hypnotic
performance, but there was a snag. When the hypnotist went to
wake up all the volunteers, my brother didn't wake up. The hypnotist
had to call him personally and give a few extra claps for him
to come out of hypnosis. Sure enough my brother lost weight, and
remained a more slender version of himself for around three or
four years. So, like any other practice, it remains important
to find qualified hypnotist, but yes, I'd go under.” M Chen, Web
Entrepreneur
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資料來源 摘自 MUSE 2008年10月
21期更多健康資料 http://www.rene-a.net
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