Compliance and Motivation

(This blog was originally posted on May 27, 2014)

Photo courtesy of Presentation Pro

           Imagine you have been taking antibiotics to treat a bad sinus infection. The symptoms have gone away, but you still have three days’ worth of medication left to take. Not only have you lost some of your motivation to take the medications now that you feel better, but you find it very inconvenient to make sure to eat something first, to prevent getting an upset stomach. Since your physical discomfort has gone away, you (your conscious mind) may wonder why you need to finish the prescription, at all. Your subconscious mind might even try to solve that problem for you when you “forget” to take the next dose.

           It can be even tougher to follow through with a treatment plan when there is no end in sight. Even if you don’t consciously object to doing something—you know that you need to keep taking insulin to control your diabetes—your subconscious mind might not be so willing to go along with the program. Indeed, sometimes the “remedy” feels or may actually be more uncomfortable than the disease you are trying to fight. Between the discomfort and/or pain that you experience from the illness and the perceived inconvenience of all the things you must do to get better, sometimes the temptation to let everything slide for a day or two may be incredible. However, hypnotherapy can help you to follow “doctor’s orders” and provide some physical, emotional and mental comfort, as well. 

When I work with someone to facilitate a medically-related, health-related behavior change, the first thing I do is obtain a referral from the licensed medical practitioner or psychotherapist who is treating that individual (Business and Professions Code 2908). I use my client’s own words or expressions to create the hypnotic script that will motivate him or her to follow the medical or mental-health expert’s treatment regimen or advice. Each suggestion that I give to this client will reflect the person’s physical or emotional suggestibility, which will enable the person’s subconscious mind to easily understand and accept the suggestions to easily and comfortably facilitate achieving the stated compliance objectives.

Some other examples of when hypnotherapy can facilitate compliance with a recommended medical, health or addiction-recovery protocol include:

·         Following Alcoholics Anonymous, Narcotics Anonymous, etc. guidelines during rehabilitation from a substance addiction;

·     Observing a prescribed physical-fitness or exercise program to facilitate physical therapy;

·        Adhering to a medically-recommended diet to control non-insulin dependent diabetes.

          

        Remember: Hypnosis is not and should never be provided as a substitute for medical, psychotherapeutic or addiction-recovery care from a licensed practitioner. (I also require clients who have a substance-addiction to currently participate in a 12-step program while I work with them, because these programs are the most effective tool to help them recover from their addiction.) However, hypnosis can be and is a marvelous adjunct and complement to these therapies because the hypnotherapeutic script will gently and effectively reinforce the client’s specific motivations and desires to comply with the referring doctor or psychologist’s treatment recommendations.

               

               

Sara R. Fogan, C.Ht. is a certified hypnotherapist based in Southern California. She graduated with honors from the Hypnosis Motivation Institute in 2005. For more information about Calminsense Hypnotherapy®, please visit http://www.calminsensehypnotherapy.com/.

© 2015

Defense Mechanisms: Magical Thinking and Undoing

(This blog was originally posted on October 7, 2014)

Photo courtesy of Microsoft

            My great-grandmother used to spit three times or throw salt over her shoulder if anyone said something that could be perceived as wishing bad fortune on another person or situation. Some people say “knock wood” or literally rap their knuckles on a wood surface to prevent an unwanted event. Others wash their hands or mime this behavior as if to cleanse themselves of an event or relationship they don’t want to be associated with. Many kids still make the “cross my heart” pledge to keep a secret or what have you. (In keeping with my grandma’s fear of tempting fate, I always left off the “and hope to die” part.) Each of these behaviors is an example of a defense mechanism, undoing, whereby a person performs some kind of ritual or gesture to negate the likelihood or power of a potential consequence of a behavior or belief.

Similar to undoing, magical thinking is another form of defense mechanism that entails creating associations—usually imagined and typically based in superstition—between an event and a behavior. There is a great scene in the 1990 film, Betsy’s Wedding, in which Betsy’s dad (Alan Alda) is shooting basketball hoops as he repeats the mantra, “If I make this basket, it will be a great day.” When he doesn’t make the basket, he keeps throwing that basketball at the net until (finally) the ball goes in and he feels relieved that he might have a good day. Other examples of magical thinking include the old adages about breaking your mother’s back if you step on a crack in the pavement or being cursed with bad luck if you walk under a ladder—seven years of it if you break a mirror. Neither undoing nor magical thinking truly has the ability to shield or protect a person from whatever consequence he or she believes could occur if the behavior is not performed. However, every time the possible consequence is avoided by performing the action reinforces the person’s belief in its effectiveness, which further encourages the person to keep repeating that behavior until he or she achieves the desired result.

These and other defense mechanisms are strategies that enable a person to cope with a stressful situation in his or her life. Like other defense mechanisms, undoing and magical thinking are characterized by the following traits: 1) they are unconscious; 2) they are self-deceptive; 3) they contain elements of denial; 4) they distort reality through thoughts and action. Whenever we seem to successfully “avoid” suffering a possible consequence by performing that action, this success reinforces our belief (subconscious mental script) in the effectiveness of that ritual. This success also encourages us to repeat that behavior to avoid negative outcomes in other areas of our life.

Defense mechanisms are fabulous temporary devices that can help us achieve such security. Undoing rituals such as throwing salt over the shoulder, knocking on wood and crossing the heart are great examples of learned (and therefore known) behaviors. According to John Kappas, Ph.D.’s Theory of Mind, everyone is subconsciously motivated to maintain and/or restore a known physical and emotional status of comfort and security. Since the subconscious mind is motivated and even programmed to seek this comfort, we may adopt those defense-mechanism behaviors because we learned them from someone we trust who does or used to do the same thing. However, the primary role of a defense mechanism is to protect the subconscious mind from what it perceives as a threat or “pain” of having to deal with an unknown. These behaviors really only provide a temporary perception of control over the environment. Eventually, we must deal with and resolve the primary issue that has triggered the defense mechanism to achieve personal growth.

Sara R. Fogan, C.Ht. is a certified hypnotherapist based in Southern California. She graduated with honors from the Hypnosis Motivation Institute in 2005. For more information about Calminsense Hypnotherapy® and to set up an appointment, please visit http://www.calminsensehypnotherapy.com/.

© 2015

 

When the Presenting Problem Is a Symptom

Sometimes, an issue that a client presents to the hypnotherapist during a therapy session is a symptom rather than the cause of another problem. For example, increased anxiety and various signs of physical discomfort such as light-headedness, headache or nausea may suggest that the individual is experiencing symptoms of low blood-sugar levels rather than just responding to a specific stress trigger. Low blood-sugar levels can also trigger a phobic reaction. (For more information about this relationship, see my blog titled Nutrition and the Development of Fears and Phobias.) In this case, it is important for the hypnotherapist to work with the client’s physician to create an appropriate nutrition program to control the blood-sugar level and incorporate suggestions about nutrition and healthy eating during hypnosis to reduce these symptoms.

However, it is also possible that a client’s behaviors or emotional responses/reactions are actually manifestations of his or her repressed emotions: i.e., a body syndrome. Once a licensed medical doctor has ruled out a physical etiology (cause) of the symptom, the hypnotherapist may explore the cause of the symptom in the context of body syndromes. For example, persistent pain in the client’s shoulders and upper back (Responsibility Syndrome) may provide a secondary gain of being “allowed” to avoid participating in certain activities undesirable at work or with the person’s family.

For example, Hypnosis Motivation Institute founder John Kappas, Ph.D., explained how a client’s persistent hoarse throat and fatigue was actually a symptom of her subconscious resistance toward the woman’s husband/manager’s pushing her to accomplish something. The client, a singer, also experienced symptoms of low blood-sugar that were brought on by her husband’s demands for perfection in her performances. The hypnotherapist determined that his client was subconsciously motivated to use her hoarse throat as a way to avoid having to sing when she didn’t feel like it. Consequently, Dr. Kappas approached her therapy by first addressing her behaviors (e.g., feeling tired and hoarseness). He explained how her nutrition contributed to her feeling tired and recommended ways to change her diet that would increase her energy. Next, he explored with her the various reasons why (cause) she was experiencing the hoarseness and addressed the client’s perception of her husband’s perfectionist tendencies as a source of her stress and subconscious resistance.

Once the client understood how the various sources of perceived external and internal pressure on her to perform were affecting her behavior, the hypnotherapist discussed ways of treating her symptoms. First, Dr. Kappas encouraged her and her husband to separately work with a therapist to work out some of their professional conflicts. Then he worked with the client to help her husband agree that they could change their interactions with each other and how this behavior change could be achieved. Ultimately, the woman’s symptoms would dissipate as her relationship with her spouse/manager improved, thus ameliorating her subconscious desire to avoid singing/performing because their pattern of interacting with each other became less stressful.

Sara R. Fogan, C.Ht. is a certified hypnotherapist based in Southern California. She graduated with honors from the Hypnosis Motivation Institute in 2005. For more information about Calminsense Hypnotherapy® and to set up an appointment, please visit http://www.calminsensehypnotherapy.com/.

© 2015

Thoughts of the Day

                Every now and then I like (and need) to take a few moments and remind myself about what is really important to me, in my life. If you follow me on my Calminsense Hypnotherapy Facebook page you may have seen some of these quotes before on this page, or will in the future. Many of these Quotes of the Day are beautiful examples and illustrations of the work I do as a hypnotherapist, so I will probably draw on them in future essays.

• Do you tend to rest on your laurels after a success? Stop in your tracks to lick your wounds after a defeat? “It matters if you just don’t give up.” – Stephen Hawking 
   
•  “The way is not in the sky. The way is in the heart.” – Buddha
   
• “The risk is worth taking if it is going to give you a life worth living.” – Steve Atchison
   
• “Change is mandatory for extraordinary results.” – Robert Kiyosaki
   
• “Perhaps our eyes need to be washed by our tears once in a while, so that we can see life with a clearer view again.” – Alex Tan
   
• “Strive not to be a success but rather to be of value.” – Albert Einstein
   
• “There are friendships imprinted on our hearts that will never be diminished by time or distance.” -- Dodinsky
   
• “Life is a reflection of your choices. When you want a different result, make a different choice.” – ProjectForgive.com
   
• “Have the bravery to visit where your fears live. Because as you do, you’ll also discover the place where your truest power lies.” – Robin Sharma
   
• “Every time you are tempted to react in the same old way, ask if you want to be a prisoner of the past or a pioneer of the future.” – Deepak Chopra

Sara R. Fogan, C.Ht. is a certified hypnotherapist based in Southern California. She graduated with honors from the Hypnosis Motivation Institute in 2005. For more information about Calminsense Hypnotherapy® and to set up an appointment, please visit http://www.calminsensehypnotherapy.com/.

© 2015