Christian Spirituality, Church History and Missiology / D. Th (Christian Spirituality, Church History and Missiology)

Made available in DSpace on 2016-04-28T20:40:17Z (GMT). No. of bitstreams: 1 Licia Ferreira Caire.pdf: 1034574 bytes, checksum: 09b9f70995105a8373219082f77e4b8c (MD5) Previous issue date: 2010-05-21 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The fact that almost all the studies returned through the systematic review concerned the keywords cancer and hypnosis‟ aimed just relate statistical data, as so the rare number of researches associating psychologic aspects and the hypnotic self-experience reported instigate a qualitative method for the atual study. The goal of this research was interpreting and understanding the impact of self-experienced during the hypnotic state by each prostate cancer patient about his self realize of health, thrust in treatment and improvement of strategies to make a future better. Without to forget the anguish which starts with the diagnosis and interventions possible. 12 prostate cancer patients were companied along 5 sessions of hypnotherapy weakly each one during around one hour. The instruments consisted individuals interview before the start of the five hypnotherapy sessions, another one before each weakly session so as after each one; Hypnotic Interventions and registration of the interview. It was choose the Thematic Technique to select the subjects to be analyzed under the theoretical considerations of Psychosomatic, Psychobiology and Erickson Hypnotherapy. Subjects which demonstrated be relevant to analyze and discussion because the recurrence and anguish that brings were: Feelings and Impulses about the Impact with the Diagnosis, Meanings of Cancer and Thrust in Cure; Self-realize about Cancer Health, Improvement about Capacity of believe that makes a Future is possible. Conclusion indicated that 100% of the followers patients mentioned fell themselves better about the health, thrust in cure, improvement in the humor and increases on the strategies with the stress situations / Considerando o reduzido número de pesquisas realizadas sobre o tema câncer e hipnose que associassem aspectos psicológicos vivenciais e existenciais advindos da experiência do sujeito frente a técnica de hipnose e, tendo em vista que a quase totalidade de pesquisas retornadas a partir da revisão bibliográfica objetivava conjugar dados estatísticos, justificou-se uma pesquisa qualitativa com objetivo de interpretar e compreender o impacto das re-significações vivenciais experienciadas em estado hipnótico por cada paciente com câncer de próstata frente sua auto-percepção de saúde, crença no tratamento e capacidade de prospectar o futuro; sem negligenciar as angústias existenciais deflagradas desde o diagnóstico e intervenções. Foram acompanhados 12 sujeitos com câncer de próstata durante 5 sessões de hipnoterapia escalonadas semanalmente com duração de 1 hora. Os instrumentos consistiram em entrevistas individuais semi-dirigidas realizadas antes do início do tratamento hipnoterápico, antes de cada sessão semanal e após cada sessão; Intervenções hipnóticas e Registros das entrevistas. Foi eleita a Técnica de Análise Temática para a seleção de temas a serem analisados à luz dos preceitos teóricos psicossomáticos, da Psicobiologia e da Hipnoterapia Ericksoniana. Os Temas que mereceram destaque para análise e discussão de conteúdo devido à recorrência e angústia que despertaram foram: Sentimentos e Impulsos ao Impacto do Diagnóstico; Significado do Câncer e Crença na Cura; Auto-percepção da Melhora do Câncer; Retomada da Capacidade de Prospectar o Futuro. A conclusão indicou que 100% dos pacientes acompanhados referiram melhora na saúde, certeza da cura, retomada do humor e incremento nas estratégias de enfrentamento às situações estressógenas

Two key questions underpin the research presented here. Firstly, how does altered higher order awareness contribute to hypnotic experience? Secondly, how do meditation and hypnosis differ in terms of the role of higher order awareness? These questions are addressed here in the form of four papers. In the first paper I review the literatures of hypnosis and meditation in order to consider the similarities and differences between meditation and hypnosis in terms of the role of attentional skill and the neural underpinnings of each. I then draw conclusions regarding the contrasting role of higher order awareness and metacognition in meditation and hypnosis. Paper two explores higher order awareness in hypnosis by comparing the effects of alcohol, compared to placebo, on hypnotisability and associated frontal lobe executive functioning. Paper three compares meditation and hypnosis by investigating differences in higher order thoughts, mindfulness, absorption and perceptual encoding style as revealed by self-report measures. The final paper takes a broader look at higher order awareness and its relation to the experience of agency and involuntariness in hypnotic suggestion using a Libet type paradigm.

Intravenous line placement is one of the most common procedures performed on children presenting to the Emergency Department. Anxiety about needles is widespread, and many children experience high levels of fear and/or pain with their IV line placements. Hypnosis is a behavioral intervention that shows significant promise for alleviating procedure-related pain and anxiety in children. Twenty-five developmentally normal, English-speaking children between the ages of five and fifteen who required IV line placement in the Pediatric Emergency Department at Yale-New Haven Childrens Hospital were randomized to receive either the standard of care or standard of care plus a brief hypnotic intervention. The groups were similar with regard to baseline demographic and socioeconomic status, previous experience with medical care, and presence or absence of chronic medical conditions. Childrens pre-procedural anxiety ratings on a 10cm visual analog scale (VAS) and expected procedural pain ratings by 10-point oucher and 10cm VAS were not significantly different between the groups. Children randomized to the hypnosis group reported less anxiety during the procedure (mean 5.0 vs 3.1, median 7.2 vs 2.2, p = 0.28) than children randomized to the standard of care group. Cases also had a decrease in anxiety from expected to actual of 1.6 on a 10cm scale, while those randomized to the control group had an increase from expected to actual anxiety of 1.1 (p=0.01). A smaller trend towards decreased pain in the hypnosis group was also present. As measured by VAS, cases had lower mean pain scores (3.4 vs 4.3) than controls. In a comparison of anticipated and actual pain scores between groups, the hypnosis group had a mean decrease of 0.8 on a 10cm VAS , while the control group had a mean increase of 0.5 (p=0.14). Recruitment of subjects is ongoing, but preliminary results suggest that hypnosis is effective for alleviating needle-related anxiety in children undergoing IV line placement and may be helpful for alleviating the pain of IV line placement as well.

Syfte: Att öka kunskap om klinisk hypnos inom ramen för familje-/parterapi. Frågeställningar: I vilken omfattning används hypnos? När? Av vilka anledningar, samt hur? Metod: Kvalitativ, explorativ. 10 intervjuer har genomförts. Resultat: Inblick ges i systemiskt hypnosarbete, vilket kan utgöra förstudie till fortsatt forskning. Omfattning: Hypnos används i 0 - 100 % av fallen, vanligast i 40 - 50 %. När: Vid depression, ångest, affektiv-, kommunikations-, sex & samlevnadsproblem, med dissociativa klienter, trauma, ätstörningar, klienter med autistiska drag, vid kroppssymtom; smärta, mage/tarmproblem, högt blodtryck. Hypnos är särskilt givande vid problem som påverkar familjen. Anledningar: Hypnos är salutogent, ger verktyg för interaktion och bearbetning som når ickeverbala nivåer, kan ge kroppsreaktioner. Hypnos anses skonsamt, helande, effektiviserande. Hypnos upplevs ofta positivt, vilsamt för såväl klienter som terapeut. Terapeutens ensamarbete underlättas. Hur: Direkt och indirekt hypnos används, med och utan övrig familj närvarande, utifrån klientens behov. Namnet klinisk hypnos överväger, men ”visualisering, inre bild, imaginativ övning, dagdrömsteknik etc.” förekommer för att ej väcka fördomar, vilket existerar. Olika hypnostekniker exemplifieras. Diskussion: Metod och frågeställningar har god passform. Resultatet stöds av tidigare forskning och teoribildning samt pekar på nyheter; omfattningen, vikten av möjligheten att arbeta tyst, med medföljande personal, självhypnos, minska lugnande medicinering, vilsamt för terapeuten. Varför metoden ej är vidare spridd, beforskad diskuteras. Vetenskapliga studier om hypnos efterfrågas. / Purpose: To increase knowledge on clinical hypnosis within the context of family/couples therapy. Questions: To what extent is hypnosis utilized? When? For what reasons, and how? Method: Qualitative, explorative. 10 interviews were made. Results: Insight is given in systemic hypnotherapy, which could form a preliminary to further research. Scope: Hypnosis is used in 0 - 100% of cases, most common in 40 - 50 %. When: For depression, anxiety, affective-, communication-, sex & relationshipproblems, with dissociative clients, trauma, eating disorders, clients with autistic traits or bodily symtoms; pain, gastrointestinal problems, high blood pressure. Hypnosis is especially rewarding when family is affected by the problem. Reasons: Hypnosis is salutogenic, adds tools for interaction and processing that reach nonverbal levels, can give body reactions. Hypnosis is regarded gentle, healing, increasing efficiency. Hypnosis often gives positive, restful experiences, for clients and therapist. Hypnosis facilitates working alone. How: Direct and indirect hypnosis is used, with or without family present, based on the clients needs . The term clinical hypnosis dominates, allthough "visualization, mental image, imaginative exercise, reverie technique etc." appears to not arouse prejudice. Hypnotic techniques are exemplified. Discussion: Method and issues are well fit. The result is supported by earlier research/theories, pointing to news; scope, the importance of the possibility to work in silence, with escorts, reduction of sedatives, selfhypnosis, restfulness for the therapist. Why the method is not further spread, researched is discussed. Scientific studies of hypnosis are requested.

Clients embark in therapy for different reasons and they often do not understand their own behaviour, thoughts and feelings. Some state that they do not feel themselves and ask questions about who they really are. This study explores different therapeutic ways in assisting clients to find answers to this question. The researcher indicates that the self is an energy system which can be in dissonance. It explores the subconscious as a resource that can be utilized in therapy, assisting clients to discover their essential selves. The study uses an eclectic approach, where the Medical Hypnoanalysis Model is used to identify aspects with regards to the self being dissonant. It is indicated how the hypnotherapeutic techniques within Ego-state therapy and Ericksonian psychotherapy contribute to the exploration of the subconscious and its resources. The study utilizes subconscious resources to assist clients to become more aware of their essential selves and to activate the process of self-actualization. From theory the study constructed a new eclectic approach in assisting clients to discover their essential selves through their subconscious resources. This proves to be of value in approaching therapy from a psycho-educational perspective. The therapeutic process of identifying and accessing subconscious resources takes place within the framework of the SARI-model (a model within the Ego-state therapy theory). This study presents four case studies and discusses information that can be gained from the subconscious mind of the client and its utilization in therapy. The cases illustrate that the subconscious has the resources available to assist in the identification of the cause of the problem, inner-strengths, a subconscious safe place and possible solutions to the problem. It was indicated that these resources can be used to integrate trauma from the past, resolve negative beliefs and to enhance the establishment of equilibrium within the self as energy system, which leads to the client discovering and becoming the essential self. The study concludes with a model that can be used to discover the essential self by means of subconscious resources in addressing client's fundamental question of `Who am I really?' / Educational Studies / D. Ed. (Psychology of Education)

The word "cancer" has different meanings for different people. In general, it is synonymous with fatality, either imminent or in the forseeable future. How each person perceives and attributes meaning to this personal experience, varies according to idiosyncratic factors. These factors are constituted by each individual's unique internal make up and by external influences and it is the combination of the multiplicity of factors that bring about the personal attributions of meaning for each individual. The thesis examines the attributions of meaning of a sample of 42 women with breast cancer, through administration of a semi-structured interview and questionnaire, with follow up interviews. The theoretical concepts which are explored, examine the shift away from the traditional, Newtonian, linear-causal, neutral observer model (as in the traditional medical model), towards an ecosystemic, a-causal, contextual, holistic stance. Ecosystemic thinking is utilised in this research work, and this way of thinking is applied to the findings. In addition, a qualitative, descriptive approach is adopted, so that an in depth emphasis rather than a quantitative, empirical view of the patients in the sample, is undertaken. The applied questionaire focuses on the patient's experience of cancer diagnosis, with more specific reference to the side effects of the chemotherapy. The emphasis is towards the issue of anticipatory nausea and emesis and the possible use of hypnosis in relation to these effects. Each patient's attribution of meaning to these aspects forms the core of the thesis. The study discloses the wide variety of attributions of meaning held by different women in a similar predicament towards different aspects of that predicament. Concomitantly, the study highlights the limitations of the traditional, medical model which contribute to diminishing the personal understanding of each patient, and the impact of this on both treatment and outcome for each patient. / Psychology / D.Phil. (Psychology)

nÃo hà / Esta dissertaÃÃo tem por objetivo compreender o percurso de Freud em sua elaboraÃÃo da noÃÃo de inconsciente, perceber de que maneira ele chega atà essa noÃÃo crucial para a fundaÃÃo do saber psicanalÃtico. Para alcanÃar esse objetivo decidi abordar os modelos e os referentes de Freud. Os principais achados com relaÃÃo aos modelos que tiveram maior peso em sua elaboraÃÃo do inconsciente foram sua clÃnica com as histÃricas, bem como seu confronto com as idÃias vigentes sobre essa afecÃÃo, seu contato com a hipnose e a interlocuÃÃo que estabeleceu com Charcot, Breuer e Flies. E os principais referentes foram o agnosticismo e o fisicalismo, no que concerne à forma como ele findou se afastando deste. / This research has the goal of understanding the path of Freud in his elaboration of the notion of unconscious, to realize the ways by which he got to this crucial notion to the foundation of the psychoanalytical knowing. To reach this goal I decided to deal with the models and references of Freud. The principal results were that the models which had more weight in the development of his idea of unconscious were his clinical work with the hysterics, as well as his divergence with the conventional ideas about this affection, his contact with the hypnosis and the interlocution he established with Charcot, Breuer and Fliess. And the principal references were the agnosticism and the physicalism,in relation to what it concerns the form by which he finally distanced himself.

Ce travail de thèse, effectué en co-direction avec l’Université d’Edimbourg, propose un abord psychodynamique et cognitif des expériences exceptionnelles ou vécues comme « paranormales ». Son objectif principal est de comprendre les conditions d’émergence de cette clinique des marges et de déterminer les processus psychiques qui la sous-tendent. Après avoir proposé une revue historique et épistémologique des travaux portant sur ces expériences, analysant en particulier les écrits de Freud et Ferenczi, nous avons déterminé leurs caractéristiques principales en nous appuyant sur une revue de littérature provenant de la psychologie psychanalytique et de la psychologie cognitive. Puis, par le biais d’une recherche quantitative menée à l’Université d’Edimbourg comprenant un questionnaire et une tâche expérimentale utilisés lors de deux études successives concernant 162 sujets, nous avons mis en évidence la prégnance des traumas, d’une perméabilité psychique exacerbée et d’évènements de vie négatifs chez les personnes qui rapportent des expériences exceptionnelles. Nous avons alors proposé cinq hypothèses théorico-cliniques, en nous appuyant sur l’étude de 55 cas cliniques recueillis principalement au sein d’un service de consultation dédié aux personnes rapportant des expériences exceptionnelles et mis en place pour cette thèse. Les analyses développées dans ce travail proposent un « modèle intégratif clinique des expériences exceptionnelles ». Celui-ci met tout d’abord en évidence le fait que ces vécus inhabituels pourraient être considérés comme une forme de réaction spécifique à des évènements de vie négatifs sous la forme d’une « solution paranormale » se produisant, dans de nombreux cas, à la suite d’une « expérience paranormale inaugurale ». Cette solution, qui trouverait notamment ses sources dans certaines relations précoces et divers traumas de l’enfance, mènerait à une perméabilité psychique exacerbée. Cette perméabilité favoriserait l’émergence d’expériences exceptionnelles à l’âge adulte sous forme de différentes transmissions psychiques inconscientes.Ces expériences correspondraient également à l’effraction du cadre contenant du champ hallucinatoire, cet aspect étant modulé selon différents états modifiés de conscience et plus précisément des processus hypnoïdes. Elle seraient enfin à considérer comme la résurgence d’une « communication primaire », impliquant des caractéristiques de la symbolisation primaire et interrogeant plus généralement leurs aspects potentiellement symboligènes ainsi que la nature des interactions qu’elles impliquent. / This dissertation, conducted in co-direction with Edinburgh University, proposes a psychodynamic and cognitive approach towards exceptional experiences or subjective “paranormal” experiences. The main objective is to understand the conditions of emergence of these original clinical experiences, and to determine the psychological processes that underlie them. After a historical and epistemological review of work on these experiences, analysing in particular the writings of Freud and Ferenczi, we determine the main characteristics by relying on a literature review from psychoanalytical psychology and cognitive psychology. Then, due to quantitative research carried out at Edinburgh University, including a questionnaire and an experimental task used during two successive studies (n=162), we show the importance of traumas, psychological permeability and negative life events in people who report exceptional experiences. We then propose five theoretical and clinical hypotheses, from 55 clinical cases obtained mainly through a counselling service dedicated to people reporting exceptional experiences, which was set up for this PhD. The analyses developed in this work propose an “integrative and clinical model of exceptional experiences”. This model first sheds light on the fact that these unusual experiences could be considered as a specific form of reaction to negative life events, as a “paranormal solution” that occurs, in a number of cases, after an “inaugural paranormal experience”. This solution, which finds its roots in certain early relationships and different traumas from childhood, could lead to a strong psychological permeability. This permeability would favour the emergence of exceptional experiences during adulthood in different forms of unconscious psychological transmissions. These experiences could also correspond to the “breaking” of the containing hallucinatory field, with the influence of different altered states of consciousness, and more precisely hypnotic states. Finally, these experiences could be considered as the resurgence of a “primary communication” that would implicate characteristics of primary symbolisation and would question more generally their potentially positive aspect and the nature of the interactions they imply.

Dans le présent travail, nous proposons qu'un aperçu plus clair de l'interaction entre la suggestion hypnotique et l'attention aiderait à établir le point précis du chronogramme perceptif auquel les effets de l'hypnose interviennent, comment modulent-ils exactement le contrôle cognitif et dans quelle mesure la réponse hypnotique dépend-elle des ressources attentionnelles. Afin de répondre à ces questions expérimentales, nous avons développé trois projets de recherche: (1) les données normatives sur notre traduction en français pour l'Échelle de Susceptibilité Hypnotique de Groupe Harvard, (2) une évaluation des effets de la suggestion posthypnotique sur l'attention visuo-spatiale et (3) une évaluation sur la capacité de la suggestion hypnotique de moduler l'allocation automatique de l'attention accordée par le Anger Superiority Effect. Les résultats de notre première étude nous ont permis de noter avec fiabilité la susceptibilité hypnotique de plus de 500 participants pour les études qui ont suivi. Les résultats de notre deuxième étude indiquent que, pour les participants hautement susceptibles, la suggestion posthypnotique a perturbé avec succès les mécanismes d'attention précoce nécessaires à la stimulation de l'amorçage, ainsi que des jugements de visibilité subjectifs tardifs. Notre troisième étude a révélé que, grâce à une suggestion hypnotique, les participants hautement hypnotizables ont pu empêcher l'allocation automatique de l'attention vers des expressions de colère par un découplage stratégique du contrôle cognitif, mais seulement lorsque les ressources attentionnelles n'avaient pas été cooptées par des processus concurrents. Ensemble, nos résultats appuient les idées selon lesquelles l'hypnose émet ses effets grâce au contrôle cognitif, qui peut perturber les mécanismes attentionnels précoces et tardifs de manières distinctes et que la disponibilité des ressources attentionnelles détermine l'éventail d'action de l'induction et de la suggestion hypnotiques / In the present work, we posit that a clearer outline of the interaction between hypnotic suggestion and attention would help establishing the precise point in the perceptual timeline at which hypnosis effects intervene, how exactly do they modulate cognitive control, and to what extent is hypnotic responding dependent on attentional resources. In order to tend to these experimental questions, we developed three research projects: (1) the normative data on our French translation for the Harvard Group Scale of Hypnotic Susceptibility, (2) an evaluation of the effects of posthypnotic suggestion on visuospatial attention, and (3) an evaluation on the capability of hypnotic suggestion to modulate the automatic attention allocation granted by the anger-saliency effect. The results from our first study allowed us to reliably score the hypnotic susceptibility of over 500 participants for the studies that ensued. Results from our second study indicated that for highly susceptible participants, posthypnotic suggestion successfully disrupted the early attentional mechanisms necessary for the fostering of priming, as well as late subjective visual awareness judgments. Our third study revealed that, through hypnotic suggestion, highly susceptible participants were able to deflect automatic attention allocation towards targets’ task-irrelevant angry features through strategic decoupling of cognitive control, but only when attentional resources were not coopted by competing processes. Pooled together, our findings support the ideas that hypnosis enacts its effects through cognitive control, that these can disrupt both early and late attentional mechanisms in distinct manners, and that the availability of attentional resources determines the range of action of hypnotic induction and suggestion