A Philosophical Approach to the Rehabilitation of the Patient with Persistent Pain. [Review]

MedStar author(s):
Citation: American Journal of Clinical Hypnosis. 62(4):330-343, 2020 Apr.PMID: 32216629Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Chronic Pain/px [Psychology] | *Chronic Pain/rh [Rehabilitation] | *Hypnosis/mt [Methods] | *Pain Management/mt [Methods] | *Pain Management/px [Psychology] | Humans | PhilosophyYear: 2020ISSN:
  • 0002-9157
Name of journal: The American journal of clinical hypnosisAbstract: The use of hypnosis to promote hypnoanalgesia has a long history and has been written about anecdotally as well as having been researched in the last several decades. Research has been both clinical in nature and, in the laboratory, trying to understand the brain physiology and processes involved. This article is not about a review of the research. It is about sharing what I have learned to do clinically using hypnosis to treat patients with persistent pain over the last 40 plus years. Due to the restraints of limited space, I can only discuss the various techniques briefly. I will describe a philosophical perspective that has served me well and driven my approach to treatment. I will discuss the concept of self-regulation training along the dimensions of Sensation, Affect, Cognition, and Behavior and share how hypnosis has been incorporated in working within each of those aspects of experiencing.All authors: Appel PROriginally published: American Journal of Clinical Hypnosis. 62(4):330-343, 2020 Apr.Fiscal year: FY2020Digital Object Identifier: Date added to catalog: 2020-07-09
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Journal Article MedStar Authors Catalog Article 32216629 Available 32216629

The use of hypnosis to promote hypnoanalgesia has a long history and has been written about anecdotally as well as having been researched in the last several decades. Research has been both clinical in nature and, in the laboratory, trying to understand the brain physiology and processes involved. This article is not about a review of the research. It is about sharing what I have learned to do clinically using hypnosis to treat patients with persistent pain over the last 40 plus years. Due to the restraints of limited space, I can only discuss the various techniques briefly. I will describe a philosophical perspective that has served me well and driven my approach to treatment. I will discuss the concept of self-regulation training along the dimensions of Sensation, Affect, Cognition, and Behavior and share how hypnosis has been incorporated in working within each of those aspects of experiencing.

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