State Theory of Hypnosis for Depression Treatment

Dr. Jeffrey K. Zeig developed a state model with a hypnotic perspective, deconstructing and reconstructing hypnosis, problems, resolution, treatment, and therapists.

The hypothesis of modern treatment is that patients come to the treatment room, the main purpose is that they want to change their state, or want others to change the state. Imagine that “state” is a car, two front wheels are “behavior” and “thought”, and two rear wheels are “emotion” and “feeling”. The two front wheels are like the operation of consciousness, and the two rear wheels are Like a subconscious operation. Cognitive and behavioral therapy is treated at the level of consciousness, and changing the direction of the front wheel can change the direction of the entire car.

Hypnosis is a way to change the “state”. Hypnotherapy can change the direction of any of the four wheels and change the direction of the entire car. The hypnosis principle of changing state can promote change without using formal guidance. In order to use inspiration to adjust the state, we must first construct a picture of the problem and the phenomenology of the solution. In addition, it would be best if the therapist could flexibly present different “states”.

Algorithms can be used in fixed steps to derive specific answers. Mathematics is a series of deductive studies. The teacher who teaches mathematics is to provide information and advice. But when steps and answers are ambiguous, you must use Heuristics to find answers. Learning to love or be happy is an inspiring process. Treatment is about phenomenology in changing the problem and answering the structure. To be the best therapist needs to change phenomenology. When the therapist is like a poet, use non-linear communication to influence emotions and opinions. Therefore, “hypnosis” does not exist. It is a concept that is convenient to describe a subphenomenology; it is derived by using an enlightening process. In order to trigger a phenomenological change, it is necessary to use inspiring principles that come from hypnosis and can lead to new thinking in contemporary treatment.

When the therapist applies the “state” mode to the treatment of depression, it is necessary to understand the phenomenology of the patient’s depression, that is, why the patient is depressed, and then imagine that the patient is no longer depressed, what is the phenomenology of happiness, how the patient to be happy, and finally think about how to help patients to change the phenomenology of depression into a happy phenomenology. If you are doing hypnotherapy, how to achieve the goal of change by guiding attention, changing intensity, creating dissociation and adjusting reactions and other hypnosis. If you think about treatment more broadly, how to achieve the goal of change through an empirical, dramatic, and flexible process in contact with the patient. The therapist naturally “sees the map of treatment”, knowing the current location, direction and destination, can develop a treatment strategy, evaluate the effectiveness of the treatment strategy, and adjust it.

Three phenomena are involved in hypnosis: problem phenomenon, hypnotic phenomenon, and resolution phenomenon. During the evaluation phase of therapy, the therapist identifies the specific symptom and phenomenon components of the patient. When evaluating a depressed patient, the depressive phenomenon experience may consist of the following components: internal focus of attention, negativity, tendency toward the past, inactivity, despair, and lack of purpose.

The therapist establishes a new phenomenon, the hypnotic phenomenon, which includes the primary and secondary qualities mentioned above. What we can learn is that if the patient can change his behavior once, he can change it again in a more positive direction.

During the hypnotic therapy (triggers resources) phase, the therapist tries to help the patient establish a resolved phenomenon. For example, the phenomenon of happiness, or the opposite of “melancholy,” includes more outwardly focused, positive, energetic, hopeful, constructive, and future-oriented goals.

According to these concepts, hypnotic guidance is the bridge between problem and solution. At the beginning of treatment, patients are in a “reverse gear” state, experiencing the phenomenon of problems. The hypnotherapist sets up props on the patient’s stage to allow the patient to empirically move to a “neutral gear” state, the hypnotic state. Finally, the therapist helps the patient experience “first gear,” which means changing or coping with the phenomenon correctly. The remaining “gears” accelerate patients’ satisfaction with life and strengthen their ability to use hidden resources to live their lives.


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