CHAPTER 2 p 1 The domain of hypnosis, 1 revisited I John F. Kihlstrom Hypnosis is a process in which one person, desig- question has nothing to do with sleep. Although nated the hypnotist, offers suggestions to another the deep roots of hypnosis may reach back to person, designated the subject, for imaginative the ancient temples of Aesculapius (Ellenberger, experiences entailing alterations in perception, 1970; Gauld, 1992; but see Stam and Spanos, memory and action. In the classic case, these 1982), the immediate historical predecessor of experiences are associated with a degree of subjec- hypnosis is the animal magnetism of Franz tive conviction bordering on delusion, and an Anton Mesmer (for a definitive biography, see experienced involuntariness bordering on com- Pattie, 1994). Or was it? Peter has recently pulsion. As such, the phenomena of hypnosis argued that the true ancestor of hypnosis is the reflect alterations in consciousness that take place exorcism practiced by Johann Joseph Gassner in the context of a social interaction. (1729-1779), a Catholic priest who performed exorcisms throughout Europe right before 2.1. Introduction Mesmer came onto the scene (Peter, 2005). Although the similarity between some of I have employed one or another close variant of Gassner's practices and Mesmer's practices is the above definition of hypnosis at least since undeniable, the prize probably should remain 1982 (Kihlstrom, 1982, 1985), and it has also with Mesmer. After all, Gassner offered a super- served as the starting-point for the 'consensus' natural theory of illness, while Mesmer at least definition and description of hypnosis crafted embraced the principle that disease had natural by the American Psychological Association's causes and cures. But Mesmer's theory-that Division 30, the Society for Psychological his effects were mediated by a physical fprce Hypnosis, in 1993 (Kirsch, 1994a,b; for later analogous to magnetism-was wrong too, and definitional developments, see Killeen and from a scientific perspective we can now under- Nash, 2003; Green et al., 2005a). In this chapter, stand both his cures and Gassner's cures as the I reflect on each element of the definition, its product of 'imagination'-but no less genuine historical evolution, and its current status. for that. It is not Mesmer's fault that, in the late 2.2. Hypnosis nineteenth century, psychology was not permit- ted the status of a true science. The term hypnosis itself is, of course, something Mesmer's theory was discredited in 1784, by of a misnomer, because the phenomenon in a French royal commission chaired by Benjamin 22 - CHAPTER 2 The domain of hypnosis, revisited Franklin (Bailly, 178412002; Franklin et al., hypnosis, involving monoideism-the concen- 178412002; for recent commentaries, see tration of attention on a single object. With this Forrest, 2002; Kihlstrom, 2002; Laurence, 2002; one-two punch, renaming the phenomenon Lynn and Lilienfeld, 2002; McConkey and Perry, and offering a new, more scientifically accept- 2002; Perry and McConkey, 2002; Spiegel, able theory to explain it, Braid buried Mesmer 2002), but his practices lived on-first as mes- and animal magnetism once and for all (Kravis, merism, a term introduced to English in 1784 by 1988).Although the term hypnosis had appeared Benjamin Franklin himself (Pepper, 191 l), and before Braid's time (Gravitz and Gerton, 1984; which lasted long enough to be used by Pattie, 1990), Braid gave us the whole vocabu- Elliotson (184311977) and Esdaile (184611977). lary for hypnosis as we understand it today, But while Mesmer's practices were revived in the offering clear definitions of the terms hypnotic, early nineteenth century, their identification hypnotize, hypnotized, hypnotism, dehypnotize, with the man himself must have created a public dehypnotized and hypnotist (Kihlstrom, 1992b). relations problem; a new label was needed. According to the Oxford English Dictionary, the Puysegur (1807), Deleuze (1813) and others word hypnosis entered the medical dictionary in among the second generation of mesmerists 1882-although the same entry flirted with proffered the master's own preferred label, ani- Braidism. mal magnetism, a term which persisted almost These terms have stuck with us, through what into the modern era (Binet and Fere, 1888). But Gauld (p. xi) aptly termed 'the heyday of hypno- this was unsatisfactory-not least because the tism' in the run-up to the twentieth century Franklin Commission had disproved the notion (Charcot, Janet, Liebeault, Bernheim, James, that magnetism had anything to do with the Prince and Sidis), through the first systematic phenomenon. experimental work by Young (1925, 1926) and Of course, a major transition in conceptions Hull (1933), and into the post-war revival of of hypnosis had begun in 1784, even before the clinical and experimental hypnosis at the hands Franklin Commission had completed its work, of Weitzenhoffer (1953), Gill and Brenman when Puysegur magnetized Victor Race, a (1959), Orne (1959), Sutcliffe (1960, 1961), young shepherd on his estate. Instead of under- E. R. Hilgard (1965), Barber (1969), and Sarbin going a magnetic crisis, Victor fell into a sleep- and Coe (1972). Although some authorities were like state in which he was nonetheless responsive once so disturbed by the term that they felt com- to instructions, and from which he awoke with pelled to enclose it in scare quotes (e.g. Barber, amnesia for what he had done. Art$cial som- 1964), that is all over now (Barber, 1999). nambulism-a term introduced by Puysegur Unfortunately, the word hypnosis has also himself-had a double advantage, in eliminat- been appropriated by anesthesiologists, to refer ing references to both Mesmer and magnetism, to the loss of consciousness that is one of the and also eliminating the convulsive seizures that three aspects of 'balanced anesthesia' (the others were the hallmark of the mesmeric crisis. Here, are areflexia, or the paralysis of the skeletal mus- I think, we have the true predecessor of modern culature, and analgesia, or the lack of pain sen- hypnosis: a sleep-like state in which the subject sation; see Kihlstrom and Cork, 2005). We now is responsive to the-to the what? Mesmerist know that hypnosis is not anything like sleep, won't do, nor will magnetizer, for the reasons physiologically (Evans, 1979); nor is general stated. Perhaps somnambulizer?Not likely. anesthesia, for that matter. And although sleep is The problem was solved once and for all by a frequent metaphor used in hypnotic i5duc- Braid, who coined the terms neurypnology and tions, and relaxation is a typical accompaniment neuro-hypnotism-which quickly-and, as to hypnosis, we now know that neither is neces- Gauld (1992, p. 281) remarks, 'mercifully'dis- sary for hypnosis to occur (Banyai and Hilgard, solved into hypnotism. Although Puysegur had 1976; Alarcon et al., 1999).At this point, then, it offered a psychological theory of animal mag- is clear that the term hypnosis has become func- netism, in terms of the influence of the magne- tionally autonomous of its origins (Allport, tizer's will on the subject, Braid (1855) also 1937). Nevertheless, the term has long served to offered the first psychophysiological theory of label a particular set of phenomena that we are Hypnotist - 23 interested in, of human mental function, and we and women be trained as hypnotists and then should just stick with it. turned loose on an even larger group of subjects (Coe, 1976; D'Eon et al., 1979; Banyai, 1991, 2.3. Process 1998). It's all a very daunting task. So far as the laboratory is concerned, we In the first sentence of previous versions of the assume that the hypnotist functions much like a definition given at the outset, I described hyp- coach, or a tutor, whose job is to help subjects to nosis as a 'social interaction'-which indeed it become hypnotized, and to experience hypnotic is. However, hypnosis is not just a social interac- suggestions. The coach-tutor analogy breaks tion: it also involves certain changes in experi- down, however, in that it is arguably helpful if a ence, thought and action. As such, one could tennis coach can play tennis, or if a math tutor just as easily write that 'hypnosis is an altered knows mathematics. But it does not seem to be state of consciousn~ss. .'. Describing hypnosis important whether the hypnotist is hypnotiza- as a social interaction acknowledges the role ble. Ted Barber was, by the accounts of those that social influence plays in the process, but it who knew him, highly hypnotizable; Jack also may privilege the social over the cognitive. Hilgard was not. It is tempting to speculate on Accordingly, I now prefer the somewhat more the role these individual differences might have neutral term process ('Hypnosis is a process in played in designing their programs of hypnosis which one person .. .'), in the dictionary sense research, with Barber (1969) believing that of a dynamic series of ongoing actions or events. hypnotic phenomena were possible for anyone Certainly hypnosis is a process in this sense, who tried hard enough, and E. R. Hilgard beginning with an induction procedure, contin- (1965) developing a whole battery of scales for uing with whatever transpires while the subject measuring hypnotizability. Surely the most is hypnotized, and ending with the termination experienced hypnotist of all time is the person of hypnosis and, perhaps, the testing of post- whose voice is heard on the standard recording hypnotic suggestions. What goes on in this of the Harvard Group Scale of Hjrpnotic process-both interpersonally and intrapsychi- Susceptibility, Form A-a professional radio cally-is what interests us as hypnosis researchers announcer without any training in psychology and as practitioners. or hypnosis (L. Dumas, 1964; Orne, 1964). In the clinic, things may be different.