Carpel tunnel syndrome, diabetic neuropathy, fibromyalgia, glucosamine and chondroitin, hypnosis in pain management, marijuana for pain.

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Carpel tunnel syndrome, diabetic neuropathy, fibromyalgia, glucosamine and chondroitin, hypnosis in pain management, marijuana for pain.

J Pain Palliat Care Pharmacother. 2007;21(2):61-7

Authors: Fishman SM

This feature presents information for patients in a question and answer format. It is written to simulate actual questions that many pain patients ask and to provide answers in a context and language that most pain patients will comprehend. Issues addressed in this issue are carpel tunnel syndrome, fibromyalgia, glucosamine and chondroitin, hypnosis, marijuana.

PMID: 17844729 [PubMed - in process]

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[Hypnosis for rehabilitation of immunological status in neoplasia]

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[Hypnosis for rehabilitation of immunological status in neoplasia]

Vopr Onkol. 2007;53(6):699-703

Authors:

The study group included 21 patients with malignant melanoma stage II-IV, aged 25-67, and 25 patients, aged 28-68, (control) with stomach tumors stage I-IV. All patients received individually-tailored hypnosis. Our newly-developed methods used batteries of suggestive images to deal with non-psychotic disorders and to map out strategies to support immunocompromised patients. In group 1, suggestion stimulated the “devouring” effect of the “patroling” cells. Quantitative and qualitative characteristics of immunocompetent cells of peripheral blood were assessed by flow cytometry, immuno-enzymatic analysis and other procedures to evaluate immunological status. Correlation analysis of data on group 1 identified 7 negative coefficients (p < 0.05 and p < 0.01) exactly in the monocytic macrophageal link thus suggesting the modulating effect of hypnosis. Our results support evidence available on the potential of hypnosis for cancer patient immunity and point for the first time to feasibility of differentiated targeting specific links of the immune system.

PMID: 18416141 [PubMed - in process]

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Subconscious guided therapy with hypnosis.

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Subconscious guided therapy with hypnosis.

Am J Clin Hypn. 2008 Apr;50(4):323-34

Authors: Anbar RD

Two adolescents were hospitalized with incapacitating symptoms: one with headache, back pain, and an inability to walk, while the other had headache, musculoskeletal pain, nausea, and emesis. Medical evaluation did not reveal an etiology for the symptoms of either patient. Consultation with child psychiatry services yielded recommendations that both patients might benefit from counseling. Both demonstrated an immediate improvement of their symptoms with instruction in self-hypnosis-induced relaxation techniques that included favorite place imagery and progressive relaxation. The patients were told that while in hypnosis their “subconscious” might be able to characterize psychological issues that underlay their symptoms through the medium of automatic word processing (AWP). The information identified through AWP helped guide their subsequent therapy. Thus, instruction in self-hypnosis, as well as helping adolescents develop awareness about the cause of their debilitating symptoms can be associated with rapid improvement of their symptoms.

PMID: 18524299 [PubMed - in process]

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Brief hypnosis for severe needle phobia using switch–wire imagery in a 5-year old.

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Brief hypnosis for severe needle phobia using switch–wire imagery in a 5-year old.

Paediatr Anaesth. 2007 Aug;17(8):800-804

Authors: Cyna AM, Tomkins D, Maddock T, Barker D

We present a case of severe needle phobia in a 5-year-old boy who learned to utilize a self-hypnosis technique to facilitate intravenous (i.v.) cannula placement. He was diagnosed with Bruton’s disease at 5 months of age and required monthly intravenous infusions. The boy had received inhalational general anesthesia for i.v. cannulation on 58 occasions. Initially, this was because of difficult venous access but more recently because of severe distress and agitation when approached with a cannula. Oral premedication with midazolam or ketamine proved unsatisfactory and hypnotherapy was therefore considered. Following a 10-min conversational hypnotic induction, he was able to use switch–wire imagery to dissociate sensation and movement in all four limbs in turn. Two days later the boy experienced painless venepuncture without the use of topical local anesthetic cream. There was no movement in the ’switched-off’ arm during i.v. cannula placement. This report adds to the increasing body of evidence that hypnosis represents a useful, additional tool that anesthetists may find valuable in everyday practice.

PMID: 17596226 [PubMed - as supplied by publisher]

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The effect of question format on resistance to misleading postevent information and self-reports of events occurring during hypnosis.

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The effect of question format on resistance to misleading postevent information and self-reports of events occurring during hypnosis.

Int J Clin Exp Hypn. 2008 Apr;56(2):198-213

Authors: Eisen ML, Oustinovskaya M, Kistorian R, Morgan DY, Mickes L

Participants were administered a standard tape-recorded version of the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS:A) and then a modified version of the HGSHS:A response booklet that asked each participant to report which suggested behaviors they performed during the procedures. These response booklets were altered to include 3 additional suggestions not offered during the hypnotic procedures. Half the participants were administered the questions in the response booklet in the standard format (”I performed the suggested behavior” versus “I did not perform the suggested behavior”). The remaining participants were offered a third alternative to each question (”I do not remember this occurring”). As predicted, participants offered the 3rd alternative were significantly less likely to report performing actions that were never suggested during the procedures. Further, these participants reported performing fewer suggested behaviors (i.e., reported passing fewer of the true Harvard items) than participants in the standard 2-alternative condition.

PMID: 18307129 [PubMed - in process]

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