Intrusions are regarded as a 'hallmark' symptom of Post-Traumatic Stress Disorder, yet relatively little is known about their formation and development. This thesis was an experimental examination of potential information processing factors implicated in intrusion development. The thesis begins with an examination of PTSD in the context of intrusions, followed by a review of the main theories of PTSD symptom development and the place of intrusion development within these. Recent theories of PTSD are examined, specifically Dual Representation Theory (Brewin, Dalgleish, and Joseph, 1996), which regards PTSD as a 'hybrid' disorder that involves two distinct yet parallel types of memory encoding one based in part on sensory, visual processing, the other on verbal/narrative based processes, the interaction of which can lead to intrusion development under certain conditions. This thesis attempted to replicate and extend research (Holmes, Brewin, Hennessy, 2004) founded on dual-representation theory, that explored the role of peri-traumatic visuo-spatial and verbal processing in the formation of intrusions based on a trauma analogue film. 40 non-clinical participants were involved either a control condition, or one of two dual-task interference conditions: a visuo-spatial interference condition (involving tapping out a key pattern of a hidden keyboard); and a verbal interference condition (involving counting backwards in threes). Participants were instructed to watch a trauma-analogue film designed to generate intrusions, whilst performing the task they were allocated. Diary measures were taken of subsequent intrusions experienced in the week following exposure to the analogue trauma film. Visuo-spatial interference appeared to significantly disrupt the formation of intrusions, while there was a trend for verbal processing to increase intrusions. The visuo-spatial interference task did not impact on attention to the film, or features of either recall or recognition of film material. For the verbal interference condition, there was also significantly more visual imagery type intrusions, more data driven processes reported, and a reduction in recall memory and attention to film. Increases in state dissociation were also implicated in higher reported intrusions. These findings were discussed in the context of current theories of intrusion formation, and in terms of clinical implications for the assessment and treatment of intrusions in PTSD.

No description available.

The increased intensity of modern life and the experiences in combat situations has brought on enormous stress and has led many individuals to develop posttraumatic stress disorder (PTSD). Hypnosis is one of the treatment methods available to professionals and has been proven to provide fast, reliable results in multiple studies. Despite these results, the lack of understanding of the physiological effects of hypnosis on the brain has prevented its use as a common treatment method for PTSD. By examining the differences between the effectiveness of hypnosis in military and civilian populations, the aim of this meta-analysis was to isolate the ideal personal characteristics and causes of the trauma that make hypnosis an effective treatment. The first 2 research questions compared the mean effect sizes and their ranges between the 2 populations and extracted the personality characteristics that would make treatment of PTSD by hypnosis successful based on the comparison itself and analysis of the populations from the currently available research and the biases in the studies. The final research question was aimed at comparing the success of cognitive behavioral therapy (CBT) in combination with hypnosis and the duration of the treatment method. The analyses based on the quantitative results led to the conclusion that military personnel experience a higher successful rate of treatment for PTSD through hypnotherapy combined with CBT. This suggests that hypnotherapy can be recommended for individuals who have respect toward authority and schedules. The provided guidelines were intended to increase the popularity of hypnosis, and if implemented, will produce positive social change because more people will be able to find faster, more reliable relief from PTSD, improving not only the patient's quality of life but also the quality of life of those around him.

Hypnotherapy has been utilised with children and adolescents for more than 200 years. Despite this fact, there has been no documented research on the use of hypnotherapy for children and adolescents in South Africa. This research focused on the perspectives of qualified South African psychologists on the use of hypnosis as a therapeutic technique for children and adolescents. The aim of the research was to expand on current knowledge and understandings of hypnosis and hypnotherapy, to explore how the technique has been adapted to a South African context and to identify drawbacks found in the use of this technique. The research sample comprised eight qualified psychologists who utilise hypnotherapy with children and adolescents. The research design for this study adopted a qualitative approach in which semi-structured interviews were utilised. Although the technique largely relies on foreign practises that have not been adapted to the South African context, it still proved highly valuable. While the psychologists opinions differed on the ages and conditions for which hypnotherapy could be applied, this seemed to be based on their personal experiences and success rates rather than on inherent limitations of the technique. The educational psychologists who specialised in treating children and adolescents found that there were no limitations on the use of the technique and they were confident in its application for all ages. There was also a prevailing belief, on the part of the psychologists, that black individuals appear to be more responsive to hypnotherapy than other races. The overall findings of this research study suggest that hypnotherapy is a beneficial therapeutic technique for children and adolescents in a South African context. The research aimed to further educational psychologists’ knowledge on the applicability of this technique to children and adolescents. With an awareness of its benefits, training by these professionals may be undertaken or the opinions of specialists trained in this area may be sought.

The aim of this study was to develop and evaluate the effect of a prenatal hypnotherapeutic programme on the maintenance and promotion of postpartum psychological well-being of a group of first-time mother. Relevant literature on pregnancy, early motherhood and psychological well-being were explained in order to abstract important facets and perspectives to use as a background for the development and implementation of an intervention programme for the facilitation of psychological well-being of first-time mothers. Theoretical perspectives on, and practical applications of, clinical hypnosis were further analysed and used as foundation for the development of the hypnotherapeutic intervention. A hypnotherapeutic programme was developed, based on existing theoretical knowledge regarding pregnancy, childbirth and early motherhood, as well as clinical hypnosis, with specific emphasis on Ericksonian principles and ego state therapy techniques, enriched from the perspective of psychofortology. The empirical study consisted of a quantitative component and a qualitative component. In the quantitative component, a pretest-posttest-follow-up comparative design was implemented, with random assignment of participants to the experimental and control groups within the limits of practicalities. Both groups, each consisting of 23 women in their first pregnancy, completed the following questionnaires: (i) Perception of Labour and Delivery Scale (PLD), adapted from Padawer et al. (1988). Feelings about the baby and relationship with the baby (FRB), adapted from Wwllett and Parr (1997), Maternal Self- Confidence Scale (MSC), adapted from Ruble et al. (1990) and Maternal Self-Efficacy Scale (MSE) (Teti & Gelfand, 1991), to explore aspects of psychological well-being related to early motherhood; (ii) The Edinburgh Postnatal Depression Scale (EPDS) ofCox et al. (1987) and the General Health Questionnaire (GHQ) (Goldberg & Hillier, 1979), to investigate aspects of psychological well-being as evident by the absence of pathology; and (iii) the Satisfaction with Life Scale (SWLS) (Diener et al., 1985), the Affectometer 2 (AFM) (Kammann & Flett, 1983), the Sense of Coherence Scale (SOC) of Antonovsky (1979) and the Generalised Self-efficacy Scale (GSE), developed by Schwarrer, (1993), to measure general psychological well-being. The Stanford Hypnotic Clinical Scale (SHCS) (Morgan & Hilgard, 1978) was used for the experimental group to assess hypnotisabili. The qualitative component consisted of in-depth interviews and an analysis of written responses of mothers in the experimental group. They commented on their experience of the programme and its impact at two weeks and ten weeks postpartum. Results from the empirical study indicated that the experimental group showed significantly more symptoms of depression and symptomatology during the prenatal evaluation than the control group. Since the experimental group was possibly more vulnerable than the control group in a psychological sense, the effect of the intervention programme could not be deduced from a pure comparison of postnatal evaluation scores between the groups. Therefore, it was decided to explore the significance of differences within each of the experimental and control groups, as well as between the experimental and control group, using the mean difference scores between prenatal and postnatal evaluation on each variable. Results indicate that the hypnotherapeutic programme was effective in enhancing most aspects of psychological well-being within the experimental group. This strengthened sense of psychological well-being was evident both in the immediate postpartum period and at ten weeks postpartum. The control group showed a spontaneous increase in psychological well-being later in the postpartum period. The programme thus assisted mothers in the more vulnerable experimental group to experience a stronger sense of psychological well-being sooner after the baby's birth. The experimental and control groups were further compared on the mean differences in prenatal versus postnatal scores on measures of psychological well-being. The results suggest that the hypnotherapeutic intervention contributed to an enhanced sense of psychological well-being in mothers in the experimental group, in comparison to the control group, during the early postpartum period, as measured by variables related to motherhood, absence of pathology and general psychological well-being. At ten weeks postpartum, the differences between the experimental and control group were less obvious. However, a very important finding was that mothers in the experimental group continued to show a significant improvement in psychological well-being as indicated by the absence of pathology. Specifically, there was a continued decrease in depression and general symptoms of pathology. Findings from the quantitative study were supported by remarks by mothers in postpartum and follow-up interviews, as well as their written responses, as part of a qualitative exploration of their experience of the programme and its impact on them. The findings give compelling evidence that a hypnotherapeutic intervention, focusing on the enhancement of strengths and inner resources, could alleviate depression and psychological distress during the perinatal period, as well as prevent the exacerbation of symptoms. Findings from the current study indicate that the developed prenatal hypnotherapeutic programme was effective in enhancing the psychological well-being of mothers experiencing a first pregnancy. Recommendations for clinical practice and further research were made, based on the current research findings. The contribution of the current study lies in the fact that it is the first to explore pregnancy, childbirth and early motherhood from a salutogenidfortigenic perspective, and to utilise hypnosis to facilitate psychological well-being in this context. It contributed to scientific knowledge in the fields of developmental psychology, psychofortology and clinical hypnosis. / Thesis (Ph.D. (Psychology))--Potchefstroom University for Christian Higher Education, 2003.

There is increasing evidence that psychological stress and associated mood disorders are linked with, and can adversely affect the course of inflammatory bowel disease (IBD). Stress is perceived to be relieved by smokers, and this, like a lack of knowledge about its adverse effects, and nicotine dependence, could contribute to continued smoking by patients with Crohn’s disease (CD). Stress has previously been shown to influence disease course in patients with inactive ulcerative colitis (UC) but its influence in acute severe UC is not known. Emerging trial evidence supports the suggestion that psychologically-orientated therapy may ameliorate IBD-associated mood disorders, but there is no strong data yet to indicate that stress management has a beneficial effect on the activity or course of IBD. In addition gut-focussed hypnotherapy has been successfully used in the setting of functional bowel disorders. The 4 main hypotheses tested in thesis are: 1. In patients with IBD: (1) poor knowledge of the effects of smoking on their disease and/or (2) high nicotine dependence explain the higher prevalence of smoking in CD than UC 2. Anxiety, depression and stress are more common and worsen outcome in patients with acute severe UC. 3. Stress management in the form of psychotherapy given by a counsellor has a beneficial effect on the activity and course of IBD. 4. Gut-focussed hypnotherapy reduces the relapse rate in patients with UC. The major findings are as follows: 1. Despite more patients with CD being smokers, they were better informed about the effects of smoking on their own disease than UC patients. Nicotine dependence was no higher in patients with CD than UC. In IBD patients as a whole, nicotine dependence was lower than in smokers’ clinic clients and comparable to that of the general population, suggesting that most IBD patients could be weaned off smoking successfully in the IBD clinic.

The aim of this study was to develop and evaluate the effect of a prenatal hypnotherapeutic programme on the maintenance and promotion of postpartum psychological well-being of a group of first-time mother. Relevant literature on pregnancy, early motherhood and psychological well-being were explained in order to abstract important facets and perspectives to use as a background for the development and implementation of an intervention programme for the facilitation of psychological well-being of first-time mothers. Theoretical perspectives on, and practical applications of, clinical hypnosis were further analysed and used as foundation for the development of the hypnotherapeutic intervention. A hypnotherapeutic programme was developed, based on existing theoretical knowledge regarding pregnancy, childbirth and early motherhood, as well as clinical hypnosis, with specific emphasis on Ericksonian principles and ego state therapy techniques, enriched from the perspective of psychofortology. The empirical study consisted of a quantitative component and a qualitative component. In the quantitative component, a pretest-posttest-follow-up comparative design was implemented, with random assignment of participants to the experimental and control groups within the limits of practicalities. Both groups, each consisting of 23 women in their first pregnancy, completed the following questionnaires: (i) Perception of Labour and Delivery Scale (PLD), adapted from Padawer et al. (1988). Feelings about the baby and relationship with the baby (FRB), adapted from Wwllett and Parr (1997), Maternal Self- Confidence Scale (MSC), adapted from Ruble et al. (1990) and Maternal Self-Efficacy Scale (MSE) (Teti & Gelfand, 1991), to explore aspects of psychological well-being related to early motherhood; (ii) The Edinburgh Postnatal Depression Scale (EPDS) ofCox et al. (1987) and the General Health Questionnaire (GHQ) (Goldberg & Hillier, 1979), to investigate aspects of psychological well-being as evident by the absence of pathology; and (iii) the Satisfaction with Life Scale (SWLS) (Diener et al., 1985), the Affectometer 2 (AFM) (Kammann & Flett, 1983), the Sense of Coherence Scale (SOC) of Antonovsky (1979) and the Generalised Self-efficacy Scale (GSE), developed by Schwarrer, (1993), to measure general psychological well-being. The Stanford Hypnotic Clinical Scale (SHCS) (Morgan & Hilgard, 1978) was used for the experimental group to assess hypnotisabili. The qualitative component consisted of in-depth interviews and an analysis of written responses of mothers in the experimental group. They commented on their experience of the programme and its impact at two weeks and ten weeks postpartum. Results from the empirical study indicated that the experimental group showed significantly more symptoms of depression and symptomatology during the prenatal evaluation than the control group. Since the experimental group was possibly more vulnerable than the control group in a psychological sense, the effect of the intervention programme could not be deduced from a pure comparison of postnatal evaluation scores between the groups. Therefore, it was decided to explore the significance of differences within each of the experimental and control groups, as well as between the experimental and control group, using the mean difference scores between prenatal and postnatal evaluation on each variable. Results indicate that the hypnotherapeutic programme was effective in enhancing most aspects of psychological well-being within the experimental group. This strengthened sense of psychological well-being was evident both in the immediate postpartum period and at ten weeks postpartum. The control group showed a spontaneous increase in psychological well-being later in the postpartum period. The programme thus assisted mothers in the more vulnerable experimental group to experience a stronger sense of psychological well-being sooner after the baby's birth. The experimental and control groups were further compared on the mean differences in prenatal versus postnatal scores on measures of psychological well-being. The results suggest that the hypnotherapeutic intervention contributed to an enhanced sense of psychological well-being in mothers in the experimental group, in comparison to the control group, during the early postpartum period, as measured by variables related to motherhood, absence of pathology and general psychological well-being. At ten weeks postpartum, the differences between the experimental and control group were less obvious. However, a very important finding was that mothers in the experimental group continued to show a significant improvement in psychological well-being as indicated by the absence of pathology. Specifically, there was a continued decrease in depression and general symptoms of pathology. Findings from the quantitative study were supported by remarks by mothers in postpartum and follow-up interviews, as well as their written responses, as part of a qualitative exploration of their experience of the programme and its impact on them. The findings give compelling evidence that a hypnotherapeutic intervention, focusing on the enhancement of strengths and inner resources, could alleviate depression and psychological distress during the perinatal period, as well as prevent the exacerbation of symptoms. Findings from the current study indicate that the developed prenatal hypnotherapeutic programme was effective in enhancing the psychological well-being of mothers experiencing a first pregnancy. Recommendations for clinical practice and further research were made, based on the current research findings. The contribution of the current study lies in the fact that it is the first to explore pregnancy, childbirth and early motherhood from a salutogenidfortigenic perspective, and to utilise hypnosis to facilitate psychological well-being in this context. It contributed to scientific knowledge in the fields of developmental psychology, psychofortology and clinical hypnosis. / Thesis (Ph.D. (Psychology))--Potchefstroom University for Christian Higher Education, 2003.

Family therapy researchers have conducted a variety of studies of brief approaches to family therapy (e.g., MRI, Solution Focused, Strategic). However, despite the fact that Milton Erickson’s approach to hypnosis and psychotherapy was a significant influence on these models, few family therapy researchers have studied Ericksonian hypnosis directly. Hypnosis is a way of communicating with the body to elicit psychological and physiological responses that are not organized by conscious awareness (Erickson, 1980i). Hypnosis becomes hypnotherapy when the context and the participants are oriented toward therapeutic change (Flemons, 2002). Employing the methodology of autoethnography (Ellis & Bochner, 2016) and using Interpersonal Process Recall (IPR) (Kagan, Krathwohl, & Miller, 1963) to conduct process research, the author explored the experience and understanding of both an Erickson-inspired hypnotherapist, Dr. Eric Greenleaf, and a client (herself) during a hypnotherapy session focused on addressing the issue of anxiety. Informed by what Bruner (1986) called a narrative mode of constructing the world, the author presents a narrative account of what transpired. Her analysis distinguishes six hypnotic holons—parts of a whole that are themselves wholes (Koestler, 1967)—that illuminate the co-creative nature of the hypnotherapeutic experience. Each holon indicates a particular kind of invitation extended by the hypnotherapist, the client’s response to that invitation, and what comes out of the interaction. The author also illuminates the particular qualities that the hypnotherapist brought to the interaction and discusses implications of the study for clinicians and researchers.

Coronary artery bypass surgery (CABS) is highly stressful for couples, since comorbid anxiety and depression are most commonly reported and hence most researched pre- and postoperative emotional states. Thus, patients' psychological well-being may contribute more to the level of disability than their physical impairment. Despite this extremely stressful process, psychological preparation is ironically often neglected in CABS couples. The primary aim of the study was to examine the feasibility of hypnotherapeutic ego strengthening (HES) to enhance the ability of CABS couples' to cope with psychological distress associated with hospitalisation and surgery. Secondary aims were to determine the contribution of HES in reducing anxiety and depression, as well as enhancing and maintaining ego strength, quality of life and dispositional optimism in CABS patients and spouses. An overview of coronary heart disease (CHD), risk factors involved, psychological aspects concomitant to CABS (specifically anxiety and depression) and a conceptualisation of HES according to the relevant literature, preceded the empirical study. The experimental design consisted of a two-group, pre-post-follow-up assessment design. A sample of fifty married, male patients admitted to Unitas Hospital in Pretoria with a first, uncomplicated CABS was randomly assigned, together with their spouses, to an experimental- (n = 25) and control group (n = 25). Informed consent was obtained for all project participants. Thus, both groups consisted of twenty-five patients and spouses. To test the hypotheses, experimental patients and spouses were required to participate in the HES intervention. Respondents completed the Beck Depression Inventory (BDI-II) (Beck, Steer, & Brown, 1995). Profile of Mood States (POMS) (McNair, Lorr & Doppleman, 1992), Epstein and O'Brien Ego Strength Scale (1982), Quality of Life Inventory (QOLI) (Frisch, 1994) as well as the Life Orientation Test (LOT) (Scheier & Carver, 1985). Test administration of couples occurred preoperatively, on the day of discharge, and at six-week follow-up. Before commencing the intervention, group comparability was confirmed by means of the t-test for independent groups. At programme completion the significance of differences within and between groups was determined by means of t-tests. Statistically significant p-values were subjected to Cohen's d statistic to determine the practical significance of the findings. A confidence interval of 99% determined the values of the differences between the postoperative and follow-up findings. Results confirmed that the HES intervention significantly reduced postoperative anxiety and depression levels in experimental CABS patients and spouses, which was maintained at follow-up. No change was observed among control group patients and spouses. Moreover, the HES intervention significantly improved and maintained postoperative ego strength, quality of life and dispositional optimism in experimental CABS couples. The overall outcome of the control patients and spouses revealed a decreasing trend with regard to dispositional optimism and quality of life. Qualitative responses largely confirmed quantitative indications of reduced comorbidity and enhanced psychological well-being among experimental participants. Despite design limitations, the results confirmed that HES enhanced CABS couples' inner resources and attenuated concomitant negative mood states. Thus, it was concluded that HES played a meaningful role in the preparation and care of CABS couples by reducing comorbidity and improving their psychological well-being. Finally, recommendations for further studies were made. / Thesis (Ph.D. (Psychology))--North-West University, Potchefstroom Campus, 2004.

Coronary artery bypass surgery (CABS) is highly stressful for couples, since comorbid anxiety and depression are most commonly reported and hence most researched pre- and postoperative emotional states. Thus, patients' psychological well-being may contribute more to the level of disability than their physical impairment. Despite this extremely stressful process, psychological preparation is ironically often neglected in CABS couples. The primary aim of the study was to examine the feasibility of hypnotherapeutic ego strengthening (HES) to enhance the ability of CABS couples' to cope with psychological distress associated with hospitalisation and surgery. Secondary aims were to determine the contribution of HES in reducing anxiety and depression, as well as enhancing and maintaining ego strength, quality of life and dispositional optimism in CABS patients and spouses. An overview of coronary heart disease (CHD), risk factors involved, psychological aspects concomitant to CABS (specifically anxiety and depression) and a conceptualisation of HES according to the relevant literature, preceded the empirical study. The experimental design consisted of a two-group, pre-post-follow-up assessment design. A sample of fifty married, male patients admitted to Unitas Hospital in Pretoria with a first, uncomplicated CABS was randomly assigned, together with their spouses, to an experimental- (n = 25) and control group (n = 25). Informed consent was obtained for all project participants. Thus, both groups consisted of twenty-five patients and spouses. To test the hypotheses, experimental patients and spouses were required to participate in the HES intervention. Respondents completed the Beck Depression Inventory (BDI-II) (Beck, Steer, & Brown, 1995). Profile of Mood States (POMS) (McNair, Lorr & Doppleman, 1992), Epstein and O'Brien Ego Strength Scale (1982), Quality of Life Inventory (QOLI) (Frisch, 1994) as well as the Life Orientation Test (LOT) (Scheier & Carver, 1985). Test administration of couples occurred preoperatively, on the day of discharge, and at six-week follow-up. Before commencing the intervention, group comparability was confirmed by means of the t-test for independent groups. At programme completion the significance of differences within and between groups was determined by means of t-tests. Statistically significant p-values were subjected to Cohen's d statistic to determine the practical significance of the findings. A confidence interval of 99% determined the values of the differences between the postoperative and follow-up findings. Results confirmed that the HES intervention significantly reduced postoperative anxiety and depression levels in experimental CABS patients and spouses, which was maintained at follow-up. No change was observed among control group patients and spouses. Moreover, the HES intervention significantly improved and maintained postoperative ego strength, quality of life and dispositional optimism in experimental CABS couples. The overall outcome of the control patients and spouses revealed a decreasing trend with regard to dispositional optimism and quality of life. Qualitative responses largely confirmed quantitative indications of reduced comorbidity and enhanced psychological well-being among experimental participants. Despite design limitations, the results confirmed that HES enhanced CABS couples' inner resources and attenuated concomitant negative mood states. Thus, it was concluded that HES played a meaningful role in the preparation and care of CABS couples by reducing comorbidity and improving their psychological well-being. Finally, recommendations for further studies were made. / Thesis (Ph.D. (Psychology))--North-West University, Potchefstroom Campus, 2004.