Braid also believed that subjects in trance were susceptible to imitating and responding to vocal and non-verbal cues and suggestions. He recognised that hypnotic trance states were likely to be very similar to those that were self-induced by the ancients, for example, fakirs and yogins and other mystics.
The idea that hypnosis was the result of an external force had not disappeared and continued to draw public interest from numerous occult groups and as entertainment on the stage. One exception to this was the work of the scientist Baron von Reichenbach who, again using magnets, believed he had discovered an external force using magnets on people, which he named the Odic force.
It is not surprising that following the discoveries of gravity, magnetism and electricity people attributed hypnotic effects to some kind of invisible energy. With James Braid a completely different way of understanding was born. Whilst still remaining true to the key factors identified by the Franklin Commission in investigating Mesmer’s work, namely imagination, touch, and imitation.
Braid shifted the attention from an external power and powerful therapists to the experience of the client as part of normal human behaviour. Interestingly, according to Braid’s research 10 per cent., of his patients were able to achieve something like the somnambulistic state of deep trance whilst the majority experienced a state of reverie without losing consciousness or memory of the experience. These results would seem to have remained similar to those achieved in recent times, for example, through the administration of hypnotic suggestibility scales developed at Harvard and Stanford universities, America.
The Victorian era was noted for some amazing engineering achievements. Perhaps one of the most well known was the work of Isambard Kingdom Brunel. In his own work Braid likened himself to an engineer whose role is to guide the patient in using his or her own abilities in developing trance.
Braid began to distinguish different stages of the hypnotic trance. He originally referred to this as double consciousness whereby some individuals could achieve a state of deep sleep which was accompanied by a loss of consciousness and willpower. Any sensory stimulus for example, auditory, olfactory or physical would not arouse the patient. The patient would have no memory of any stimulus being present. Then following a second lighter sleep the patient was able to recall all the stimulus activity.
He also was able to demonstrate that for many people muscles relaxed, breathing and circulation calmed. However, for others a state of catalepsy was achieved with an increase of circulation and difficult breathing.
Many of these findings would seem to reflect what we now know in the variations in our population and that it is still possible to be in a trance state while our physiological systems are active and aroused. This may have been the beginning of what we now commonly refer to as states of dissociation that occur naturally and in some cases as a means of surviving some kind of trauma and with the consequences of negative symptomatology. For example, post traumatic stress disorder. Perhaps the phobic response also has a similar symptomatology with experiences of dissociation, overactive physiological systems and a highly active imagination all with negative outcomes.
The method James Braid commonly used in assisting his patients to achieve a trance state was that of focused attention through eye fixation; his own fascination and observation of the physiological effects on the eye muscle that occurred with eye fixation are interesting. It might now seem obvious that with prolonged fixation on any object (it does not have to be the stereotypical pocket watch or spiral) that eye muscles will become tired and there will be some physical distortion often leading to a natural closing of the eyelids.
He also noticed an increase in activation once the eyelids closed. Once again we might speculate how the genesis of this observation led many years later to what we now understand as rapid eye movement sleep associated with dreaming.
Would it be too fanciful to link this with what was developed by John Grinder and Richard Bandler in their work on eye accessing cues to understand neurological activation? Or the work of Dr Shapiro in eye movement desensitisation and reprocessing with combat trauma victims.
Braid concluded that consciousness and will are dimmed during trance. Movements become instinctive and automatic with dominant suggestions in the imagination providing a tendency to movement. The notion of a suggestion producing involuntary action became known as idio-dynamic which has been developed in recent times by Cheek and Rossi with finger signalling in trance and the use of the cheruval pendulum. Arm levitation has long been used in therapeutic hypnosis as a means of trance ratification and creating a state of fascination and curiosity.
The tone of the therapist’s voice was seen by Braid as hugely important. A tone that would reflect the positive expectation of what was desired, spoken in a convincing manner. However, he also discovered that slight changes in intonation indicating more subtle changes in emotion from happiness to sadness would produce consistent responses in the patient. His use of language in exciting the imagination was rooted in assisting his patient through the use of sensory based questioning. For example, what colour? What feeling? What sound? What taste and smell?
It is now well established that the qualities of the voice and not the words themselves convey most of the emotional meaning in communication. Much of this is processed by the recipient outside of conscious awareness.
He conducted some remarkable experiments of vocal imitation where one subject could imitate perfectly the language or song of another without any knowledge of the meaning of the words or of the music, demonstrating an acute sensitivity of the auditory system.
Sensory preferences and modalities have featured greatly in the work of many different therapists including Carl Jung, Virginia Satir, and again in NLP.
Unlike the mesmerists Braid would not make passes or strokes with his patients. However, he did explore the use of touch especially on the forehead and noticed how different physical postures would regularly produce different emotional responses. In using his forefinger in gently lifting the skin of the forehead he found that this assisted in inducing a state of optimism and openness and where the reverse motion on the forehead may induce concern and worry. He noticed how lifting the head and making suggestions to open the chest would also produce optimism with the reverse being true to produce a depression.
What we now understand as physical anchoring of emotional states through touch, gesture or other movements was also used by Braid. Both in literal physical contact or by using his gaze or his own body movements to suggest the activation of certain muscle groups in his patients by their unconscious imitation.
The phenomenon of physical mirroring is now well known whether it is in the infectious yawn or the symmetrical body language of a couple in rapport.
Interestingly Braid’s use of smell with people in trance was surprisingly effective. He showed how people could recognise another individual from a crowd where they have previously, in trance, smelled a glove belonging to that person. Apart from the field of aromatherapy and our natural olfactory sensitivities which easily evoke memories and emotions the use of smell does not seem to have been widely developed in the mainstream therapeutic arena.
However, I am aware of a recent study by two Israeli psychiatrists in the use of hypnotherapeutic olfactory conditioning in helping patients with needle phobia, panic disorder and combat induced PTSD. Here the patient chooses a pleasing scent that is then associated in trance with a desired state of relaxation and competence. The patient can then reinforce this outside the clinical setting by carrying with them a small vial of the scent.
State dependent memory, learning and behaviour, is a model much written about by Ernest Rossi and others. Whereby memory learning and behaviour can be encoded under conditions of emotional arousal, novelty, stress, sex or trauma. The memory learning or behaviour can be state bound or state dependent. This can be seen in the make up of a phobia and also in memory recall where revisiting in situ or recreating in the imagination specific conditions can bring back memory learning and behaviour.
James Braid may well have been one of the first to notice this pattern in his experiments of blind sight writing in trance. Subjects would be asked to read a passage with errors in it. Then in trance they would be asked to correct the passage without being able to see. If the paper were in exactly the same position as initially then the corrections would be perfect, if the paper was moved, then not. Braid also attributed this skill to extreme muscular and tactile sensitivity in trance.
Above all James Braid provided a very pragmatic approach to the use and understanding of therapeutic hypnosis. Seeing the patient as the one has the skill and the talent and describing how it is the mind that can have power over the body.
Work on therapeutic hypnosis continued through mainstream medicine and the newly emerging field of psychology. However, with the advent of the psychoanalytic movement at the turn of the 20th century and probably as Sigmund Freud abandoned hypnosis in favour of free word association interest in therapeutic hypnosis began to wane. |