The conselling and therapeutic approach must be suitable not only for the patient but the therapist as well, otherwise the whole screed going to be strained, unnatural and most likely unsuccessful. There are many different approaches and everyone of them have advantage, so anyone can find the therapist who match to their expectations. However if a therapist is ready to provide a flexible approximation and willing to develop the therapeutic approch to the patient instead of try to form the patient to their own therapy will attract more future patient.
A number of patients have an unreal fear of hypnosis resting on misbeliefs or fals informations and expectations. In this case personalisation adviseable by all until patients anxiety is eliminated.
In some special cases inductions and screeds should not be personalised. For instance group therapies, audio or audiovisual carriers (CDs, MP3s, DVDs,) or educational materials. In these cases more general is more useful.
Hypnotic induction is the preliminary part of a hypnotic session, consists of a series of instructions which leads into hypnotic trance where the effective therapy can get started. As such it plays an important role in the whole procedure, the success of the therapy may depend on the right choice of an induction technique carried out by the therapist.
There is a huge variety of different hypnotic inductions, however most of them follow some basic rules and all must bring same results such us body and mind relaxation, reduced external while increased internal awareness with a narrowed focus of attention, increasing fatigue and bringing trance state, to be procured by those principles like using a specialized language, tone of voice and the proper structure of an induction.
It depends on the suggestibility of a patient, but in most cases (85% of the adults has a moderate level of ability to be hypnotized) induction is successful if uses a simple vocabulary, give well traceable instructions with time designations and easily interpretable contents and it has to be repetitive with using slow monotone or rhythmic voice. The most common inductions which follow this pattern are Fixation induction, Indirect induction, Relaxation induction, Progressive relaxation induction and they are usually successful on a level for anyone who has the necessary suggestibility, however there is a further method of personalisation to enhance succeed and create a deeper trance.
A hypnotherapeutic treatment process comprises counselling, therapy and a number of hypnotic sessions. The wild range of therapeutic and counselling approaches may determine the type of induction and screed used by a therapist some of them like to personalise inductions or others may use this method only in special cases.
Although how people adapts their surroundings appear quite different from each other the fact is that humans are the same on a way they all use a relatively narrow range of tools and processes to build up their personalities from the same components. What makes them seem to be even so remarkably different is the numerous possible outcome of this process. According to the proportion of the components, endless number of unique unrepeatable pattern can be created. Several psychological studies referred mapping this field, some of them can be very useful in personalising hypnotic inductions and screeds nevertheless stick rigidly to those theories has their dangers too and most of the case listening a patient effectively and following our intuition creatively is a more productive way when responding their needs.
One of the theories may be used in hypnotherapy efficiently is the learning modalities and related Lateral Eye Movements (LEM). This psychological field analyses memory and learning processes. According to this theory, our mind dealing better with receiving informations through preferred sensory organs and processing them using the correlated part of the brain. The study distinguishes visual, auditory, kinaesthetic, mixed and some additional rear, extra modality types, for instance olfactory, gustatory or auditory digital which using smell, taste or symbols through cognitive processes and usually dont appear clear but mixed with other modalities.
Beside their perceptive preferences every group has their assigned skills, interests, capabilities, cogitation, typical use of language, peculiar postures, gestures, tone of voice and breathing. Involuntarely eye movements also can indicate special cognitive processes in some cases. A result of a controversial study identified special eye movements which are related to particular thought processes eg.: constructed or remembered imagery, sound, words, music, digital, feelings or internal dialog irrespective of the person etnical or cultural background, race, age and sex. Observing behavioural signs and eye movements we can gain information about the patient preferred modalities, however unadvisable use it inconditionally or overuse it while personalizing an induction or screed.
It has to be taken into account that some patient might be sensory sensitive and can be easily overloaded when using too much information stimulating their main modalities. Or a big percentage of them has mixed modalities however their eye movement indicate only the main one and stimulating only that, we miss the opportunity to create an artless imaginary scene giving a more natural experience for them. And also memories can change effectiveness of approaches for instance a sufferer of Post Traumatic Stress Syndrome or Obsessive-Compulsive Disorder most likely processes and stores the troublesome incidences in their brain accordingly to their modalities so any imaginary instruction fit to their preferred sense-organs can be a trigger of anxiety.
Using a permissive or authoritarian style instructions in an induction is the other way to personalised a screed. The fact that most of the people can reach hypnotic trance through a general induction applies here as well, but we can find some of them respond better when more authoritarian or others when more permissive instructions are given.
In some extreme cases we may find patient who is unable to take authoritarian instructions in at all, or does not achieve any progress through hypnotherapeutic sessions when gaining permissive instructions. In these cases the personalisation is obviously required at the beginning, but needful to consider the possibilities why the patient shows these sign of overstatement an treat that beforehand. The personal well being is related to a kind of harmony in personality and every excessive dislocation to a side can refer to a hidden problem which may have a negative effect on succeed of the therapy.
Sometimes patients act to take authoritarian instructions in very well, but they dont show the expected improvement. This hidden resistance can appear in patients who had been cruelly punished for disobedience in their childhood. They may report to feel more comfortable following authoritarian instructions while do not realise their own anger and stand against it.
Another misleading occurance when a patient like to be treated by a therapist using a highly permissive style, seems very cooperative giving always absolutely pleased feedbacks but no sign of improvement. In this case the patient has serious difficulties to face their own problems and solving them. Several different thing may generate this reaction eg.: covered memories from childhood or a very strong parental command not to change their lives, habits, personalities, ideologies, health issues etc.
Using the techniques above when personalising inductions we also need to note that modalities and preferences are not fixed, may change from time to time, especially when someone attends on a therapeutic treatment course. So frequently monitoring the actual needs of a patient is a must and also need to adjust our approach through the whole treatment avoiding to use inappropriate an inefficient methods.
To get informations which can be used when personalizing our induction or screed, to carry out an initial consultation and trial induction are the best way.
First of all, we can assess the patient ability to be hypnotised. 10% of the adults are highly suggestible, in their cases to use rapid induction may take into consideration because of the time factor. Those whose suggestibility is moderate best to have personalised induction but after a couple of session when they likely go to trance easier induction can be shortened or even set up a conditioned responds which drive patient into trance very quickly. Most patient can be train after a couple of sessions to go into a deep trance with only following a few words which was suggested earlier. Also screeds can be shortened later on. At the first couple of sessions patient need more time to respond to suggestions, but later on give the main ingredients is most likely enough. This certainly does not close off personalisation moreover in this case it could be highly operable.
Secondly, whether to personalise an induction or not, another very important part of a previous talk is to build up a good relationship with patient. Most of them has misbelief about or fear of hypnosis thats why therapist has to assess patients attitude and knowledge about hypnotic state by asking questions and correct their expectations by giving a comprehensive explanation. A therapy and suggestions only work if a patient trusts in therapist and feel themselves fully secured, for that reason a personal centred and well set-up strategy is relevant through the entire course so if the therapist prefers to use general inductionns considering time factor, utilizing the benefit of personalisation in the rest of the screed is a suitable choice to extend success.
Impressive way for personalising is to get patient involved effectively in work as much as possible. Get them have a deep understand and knowledge about what is happening with them, let and guide them find out their own way to work on themselves beside therapeutic sessions. They can give feedbacks telling what did and did not work for them on previous sessions and may share their feelings about their own improvement or any ideas about changes in therapeutic methods.
Effective listening and use of leading questions are also may be useful to pick up profitable informations. Therapist can observe patient sleng, proper use of certain words or search contents which are better to be avoided, especially in case of personality and borderline disorders where specific words, frase or thinking may have particular meanings and can couse anxiety, distress or on the contrary they may calm patient when anything else failed to work effectively.
Not the trial induction or first induction moreover any of the hypnotic sessions can predict a 100% sure how the patient will responds in the future, only can give an idea about the following direction. On the first couple of conselling session the patients willingness and capacity of using the technique can be assessed, and that gives information about what type of inductions, deepeners, imagery and suggestions may be efficient, but can be worthwhile to make assessement again and again through the whole therapeutic treatment concidering that while the patient personality goes through a developmental process preferences and demands may change a lot and approach or techniques must follow that.
Taken it all round, personalisation a method which may be use to enchance the therapeutic succeed if both therapist an patient agree with it, and the type of the therapy does not close it off. Personalising an induction or the whole screed therapist can use academic studies or simple techniques for questioning patient effectively gaining informations or get patient more involved in their own therapy.
And of course these techniques may be used at the same time keeping a good balance between them. Whichever techniques the therapist willing to use need to consider some special cases when they have to take personalisation with reservation. The most important thing that both patient and therapist feel themselves comfortable while working together and achieve their goals, all the therapeutic equipment must be choosen and used to this end.
Pete Sanders: First Step in Counselling
Robin Waterfield: Hidden Depths
Hellmut W.A. Karle, Jennifer H. Boys: Hypnotherapy
Josie Hadley, Carol Staudacher: Hypnosis for Change