TRANCE THERAPY


Trance - What Is it?

Trance, according to Webster's dictionary, is a state of profound abstraction or absorption. What is the entranced person abstracted from and absorbed in?

In a hypnotic trance the subject is abstracted from ordinary awareness and absorbed in the inner world with the feelings, images, and impressions that populate it. What those feelings, images and, impressions are depends on the expectations that are implicitly or explicitly imposed - by the hypnotist and by the hypnotic context.

The trance feelings, images, and impressions become a powerful reality, and the more the subject is abstracted from ordinary awareness the more powerful that reality will be.

There are other kinds of trance besides hypnotic trance. Charles Tart believes we are always in a state of trance (Waking Up, Boston: Shambhala, 1987). When we are in what we call our "ordinary consciousness," says Tart, we are really in a trance, although we do not realize it. This trance of everyday life he labels "consensus trance."
Living in this consensus trance, we exists in a sort of sleep state, absorbed in the feelings, images, and impressions that we have come to call "reality." We are sleepwalkers and, says Tart, we need to wake up.

The feelings, images, and impressions we call "reality" have been instilled into us by powerful repeated suggestions applied since birth. According to Tart, the trance inducer or hypnotist in this case is our culture.

Culture induced trance is "consensus trance," in that our suggestion-produced feelings, images and impressions are the result of a consensus that has evolved within our culture. These feelings, images and impressions are not questioned or doubted. The trance is very deep.

Within our culture we have subcultures which produce their own modifications on our consensus trance state and have their own peculiar suggestions about what is real. They agree in the main, and yet differ in various ways. In this manner the consensus trance induced by the broad culture in which we live is modified in specific ways by our particular family, community, religion, etc.

Trance involves abstraction and absorption, and both elements must be understood. But who is it that is abstracted and absorbed? Who is the subject? Who we think we are is to a great extent determined by the various cultures and subcultures in which we exist. If we are to wake up from these trances, who will we find ourselves to be?

-From notes by Adam Crabtree, PH.D Toronto, Canada


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Trance State - Therapeutic Dissociation

We each create our own reality - our reality is created by the trance we're in at the moment.
Trance is not a loss of consciousness, it is a focus. Consciousness is always maintained, even in the deepest trance. In a relationship, two people will often each build their own reality, divergent from each other.
Emotional problems occur when someone is entranced or in rapport with someone or something that is not present. In therapy, we work to get them to the here and now.

Trance induction is an interaction between the therapist and client which brings about a state that people have already experienced or know about. Examples of these states are highway hypnosis, staring out the window, being immersed in reading or watching a movie. Explain to the client that this is something they can do on their own, that they have the power, that the therapist is helping them to do something that they already know how to do and have already done before.
The therapist must explain the false myths of trance. That is, the false belief of being unconscious as the client may even fear losing consciousness. It's also important to explain, "you do not lose your will or control over yourself. The power is still yours."

Gear your trance induction to the individual and how he is in the here and now. Don't ignore or deny the client's state. For instance, if the client comes to you in a state of agitation, acknowledge that and use the situation to induce trance. Use what the person brings you, what is presented to you...use what you've got.

Signs of an Induced Trance
One may feel a heaviness, a lightness, numbness, display catalepsy ( the tendency to remain in a fixed position), catalepsy of eyelids (the blinking process slows down). One may also experience physical disorientation such as a spinning or sinking sensation, hallucination regarding postural position, feeling of rushing forward, distortion in size or proportion of body, any hallucinations, distortion of time, may feel altered memory - that is, a specific memory would seem more vivid or just more memories would be surfacing, literalness. With respect to the latter, the therapist must be careful what s/he says to the client and be aware of the phraseology used.

State-Related Trance
In a state-related trance, it is easier to remember something when the subject is in the same state as at the time of the occurrence of the incident to be remembered.

Messmer used "energy healing" by making passes with his hands over the body. His patients entered an altered state and he assumed that they were asleep. Actually, they were in an altered, waking state, as concluded by one of his pupils, Precis. This altered state was attributed to magnetic energy. Another scientist, Dr. Braid discovered that there was no need for the passing over of hands but just to concentrate on a fixed point. Later, Liebeault came up with using suggestive language while concentrating on a fixed point. Charbot worked with hysteria, using a "shock" effect which wasn't popular. Next, came Bernheim, of whom Sigmund Freud was a student.


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"Patterns" That Have Been Used to Induce Trance

  1. Eye fixation approach (Walberg)- based on the fatigue caused by focusing
  2. Sleep
  3. Hand levitation (Milton Erickson)...
  4. Eye gaze technique - the operator looks into the eyes (holds the gaze) of the client and induces a trance by "Sleep", etc.
  5. Relaxation
Induction should be geared to the individual - tailor to the needs of the individual - don't use one rigid technique

To Help Trance Induction
Use ideas at which the client can't fail. In the suggestion that you are giving, follow the client's lead. The trance is self-induced - you're just helping the client to do something that s/he already knows how to do.
Use the state of mind that the client has brought in. As an example, if someone comes in hypervigilant or distraught, after an argument, let's say, you will not be able to get that person to relax and so you/they will fail. Work with the "hypervigilance" - give them something at which they are sure to succeed.


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Characteristics of the Trance State

  1. Dissociation: this refers to detachment from the environment; separated from the body.

  2. Detachment: this refers to distortions of the body in space and time.

  3. Suggestibility (by oneself, according to Hilgard): this is responding to ideas which are suggested by the operator. An idea is suggested in such a way as to be seen as real. An idea becomes reality through the suggestion.

  4. Ideo-sensory activity: developing sensory images that don't relate to that which is actually present - hallucination; visualization.

  5. Catalepsy: this is an involuntary contraction or fixedness of the muscles.The muscles remain in a position in which they are put, plasticity, waxiness (not rigidity). For example, catalepsy of eyelid motion, when blinking action slows down involuntarily.

  6. Ideo-motor responsiveness: the ability of muscle to move to the external stimulus of suggestion, such as arm levitation. This is also called ideo-dynamic.

  7. Age regression: the ability to experience prior events of life while operating from the present, living in the present.

  8. Revivification: the reliving of prior events and the ability to go back, fully engaged in the prior event.

  9. Hypermnesia: a greater ability to recall prior events

  10. Amnesia: loss of memories for a specific time period.

  11. Post hypnotic responses: actions carried out after the trance, on suggestions given during the trance.

  12. Analgesia: lack of pain. Anesthesia: lack of all physical feeling.

  13. Somnambulism: this is a trance-like sleep-waking with the eyes open. Stage hypnosis, for example.

  14. Automatic writing or speaking.

  15. Time distortion: time can be expanded or contracted.

  16. Release of inhibitions: one can talk about feelings, emotions and attitudes with a greater ease than usual.

  17. Change in capacity for volitional activity: the loss of desire to take initiative – the therapist has to initiate directions and guide the client at this point.

  18. Effortless imagination: fantasy is easier. It's easier to visualize, fantasize and imagine, that is, to create images.

  19. a) Literalness: one tends to be much more literal and so analogies are lost on them and taken literally. DON'T use negatives, don't say, "you will not feel afraid..." instead use positive affirmations such as, "you will feel confident."
    b)Trans logic: in the trance state the person is less bothered by contradictions.

  20. There is a reduced sense of self and shifting sense of self in that one will forget their own name and relevant facts about themselves. (Adam Crabtree).

  21. There is the tendency to be more concrete image-oriented rather than idea-oriented because the right brain seems to be more dominant in the trance state.


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Comfortable Techniques

  1. The words are part of the "comfortable technique"

  2. The voice is very important. The voice has to be as natural as possible and it has to convey confidence and
    assurance, so speak naturally and calmly. You can't be tentative and unsure.

  3. Counting is a progression towards something, that is, the idea of going towards a trance state, the idea of pacing.

Count from 1 to 20 going "into" the trance and then count backwards to "come out". This can be done vice versa, by counting from 20, backwards for "into" a trance state and forwards from for "out of" the state, as I do.

In terms of an approach - if an approach works with someone, stick to the same approach with that person. It develops habit and routine.

The key to a proper approach is to explain the process beforehand in order to allay any misconceptions of what a trance is. Dispense false expectations of losing consciousness and the like. Talking about it normalizes it as something they do all the time, anyway. It takes away a lot of the tension that people feel, that they are "supposed" to experience some sort of mysticism.

Regarding resistance: Resistance usually means that there is therapeutic work to be done first in regard to the trancework.

When bringing a person "back", out of the trance state, they may appear to be awake and functional, but may not be fully "with it" yet. If they come up groggy or head-achey put them back into a brief trance and suggest that when they "awake" to "open your eyes" and "you will feel refreshed, energized, alert and the headache will be gone..." and then bring them "back".

A trance consists of focusing inside. It is initially an inner mind trance with rapport.
An additional aspect of inner mind trance, as the person is going into trance, he feels as if something is happening to him (automatism). For instance, an arm growing heavy, the body growing heavy, an hysterical pain or similar. The therapist can help the client bring forth images by "counting"- which is used as a signal.

Automatism is something that happens to you from within that is not done deliberately.
Sensory automatism: an example of this is hallucination

Focusing inside: It is important that the person knows that what is happening is automatism and to identify the experience as automatism. Then they are open to more and more things happening to them, from their own inner mind.
As an example, "So, he reminds you of your father because....stay with that and see what comes up, or,
"that pain - stay with it - concentrate on it - what else comes up." In this way the memory fills out with images, emotions and feelings that come into the body. Remember, the thoughts come to you, you don't force them – that's important in psychodynamism.

At the end of a session, so that automatism doesn't continue after the session, the therapist would say something like, "we've done a lot of good work here, recognize the therapeutic effects but it's a good idea to leave those things here. Now you have a place to be with this stuff and it can continue next session. You need your defenses "out there" so put them back, but now they are more under control".

Trance is not for trauma work only...
It's a tool for anything and we don't want people to associate trance work with trauma.
At the first trance session, it is best not to bring up an issue that is traumatic. Let the client have a good experience by leading them to a good memory. Don't begin with trauma.
Anxiety is a diffuse fear. First work with security issues in order to have the client feel safe before beginning work on the trauma.

Our Own Approach to Trance...
It will have an element of automatism. The issue of susceptibility to trance state refers to how easily one goes into a trance.

The book Hypnotherapy of Pain in Children with Cancer, Josephine Hilgard and Samuel Lebaron, shows the ability of the children to fantasize and the different stages of ability to fantasize. Before 2½ years of age, child is mainly imitative After that to about 5, the child has developed the ability to immerse themselves in pretend play, with their eyes open. Pretend play is referred to protohypnosis. This ability is a precursor to hypnosis (sociodynamic).
The ability to elaborate internal images is when one can close the eyes and relax. The best subject you'll ever be able to be is at about age 11.

When inducting, using relaxation techniques, use the wording "become aware of," rather than "see", because some people have difficulty visualizing.

Susceptibility to Inner Mind Trances With Rapport
If you are using relaxation or the fixed eye method, the eyes will get heavy. When the blinking becomes slower and slower, the subject is going into a cataleptic state. That is one sign of susceptibility. With eye fixation, everything around stared-at the object is shimmering. People who regularly dissociate are susceptible to trance.

How To Deepen Trance

  1. Use images that suggest depth. For instance, begin at the top of a set of stairs and count down.
    You will suggest, "as you reach the bottom you'll go deeper and deeper".

  2. Introduce trance phenomenon: "imagine yourself, over there, sitting and watching yourself,
    seeing yourself in a trance" This is to produce a dissociation.

  3. For a quick induction, have the person remember how it feels to be in a trance state. They will
    get more conditioned with each successive session so that you can say less and count less each
    time and they are on the way to producing a self induced trance.

Difficult Cases
Difficulty going into trance may be temporary or may be due to the subject's disposition even though these are people that want to go into trance.

Ingenuity, persistence and using the proper method for that particular individual are all essential tools. It can sometimes can take up to 2 hours to induce a trance. Don't get discouraged if you are not immediately successful or if this is not right for that person at this time in their life.

The therapist must perceive the client's state of mind and their particular individualism, among other things. Use what the client brings to you. Use his state of upset or anxiety to lead into the trance. Use that person's own momentum without forcing anything. Use what is given.

Have faith that the inner mind knows how to go into a trance state, get back to that and recreate the state. Often, emotional work has to be done first before going into trance work. It is easier to experience trance states in groups.

Problems That May Arise:
  1. Subject falls asleep
  2. Unanticipated "ego state phenomenon" such as an alter personality, past life memory, "possession", client abduction memories, channelling and so on, emerges. It is best to normalise these things for the client and to tell them, "it's not unusual for people to have these thoughts" and then get on with the work at hand.
  3. Unpleasant post-hypnotic phenomena, discomforts such as dizziness, nausea, headache orgrogginess. In these cases, it is best to put the subject back in trance and suggest, as they are counted out, that the unpleasant symptoms will be gone.


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Exploration of a Person's Life Direction

Sometimes, as a person progresses in therapy, they come to the realisation that they are not doing what they want to in life.

Examples of that situation in trance work:

  1. Allow the imagination to go - to be allowed complete freedom - so that they can make conscious and identify the part that undermines their progress. Find out the constrictions on their imagination that were installed in childhood.

  2. Once the issue of imagination is dealt with, explore all their "wild" ideas from childhood, adolescence and so on. See what occurred to them that they wanted to do and what it was that impeded that.Get rid of inhibitions by using imagination combined with memory.

  3. This work takes an average of 8 weeks. Turn a fantasy into realistic way of achieving the goal. For example, a 35 year old woman had always wanted to be a dancer. At that point in her life, she was able to do folk dancing rather than the conventional career as a dancer which was able to satisfied her desire.

Dream Interpretation
Let it unfold. Let the person bring in and interpret their own dream.
In a trance state, explain to the client that the dream is a living thing. As it comes back, it may evolve differently. With the person in a trance state, you suggest, "allow it to take whatever form it takes - because it is a living thing - let it go where it will - because it is a living thing." As the client relates, ask questions in order to elaborate. The idea is to allow the person to find the meaning of the dream themselves. Go back to any emotions, feelings, or what have you – ask about other persons in the dream and let that person reveal themselves and reveal its meaning. This can be done in combination with finger signals. When sometimes they "can't get it", finger signals can be very useful. Ask questions, "Can it come into consciousness? Lift 'yes' finger." When it comes into consciousness, the finger will lift. Continue to expand the dream while in the trance state.

Dream Induction:
A person in a trance state can have a dream. In a trance state, the inner mind is more open so that it is in a more receptive state to produce a dream. You can "count" to a dream (when I count to 5…) or imagine a blank screen with a stop and go button…or, walk along a road, come to a bridge and when you cross over the bridge you will come to a dream...or, finger signals – "have the yes finger rise when the dream is ready".
The purpose of the dream is to provide some perspective.
The client provides the direction although you may provide some structure to the client at the beginning to get them going.

Working With Childhood Trauma:
Trance states are very powerful and useful for this work.

  1. Begin with physical sensations. If the client comes in with a pain somewhere, then while in a trance, ask them to be aware of the pain. "Let the pain increase and become very aware of it – become aware of any emotions – other physical sensations – let it lead to a memory". For instance, the memory of a hand clamped on a small child's shoulder and now, years later, it is felt as a physical pain in the shoulder.

  2. Ask the inner mind about memories and use finger signals to explore.

  3. Dream a dream or interpret a dream.

  4. Age Regression to count back the years or the person's age.

Ideodynamic Signalling
This is movement caused in the body due to an unconscious idea. It is not a conscious undertaking, to make that movement. An example of an ideodynamic signal is a pendulum. If asked a question, it will answer, for example, "yes"- left...right; "no"- back & forth; "not yet ready to know" - clockwise.

Usefulness of Trance in Psychotherapy
As you become more absorbed and more open to the unconscious, the more open you are to automatism. When using a trance state, you make the inner mind more accessible and so automatism (memories, perspectives, sensations, movements, thoughts, associations) is more available.

Specific uses of Trance in Psychotherapy
When working with conflicts and absent persons in a trance state, have the client picture the conflict (for instance, picture the boss), and visualise as an observer or as themselves. "Place yourself in the situation and become aware of the emotions involved - amplify those emotions". The feelings become amplified - the client's feelings as well as the other's feelings. All facets of the emotions are to be amplified. Connect those emotions to previous experiences, "when have you experienced those feelings before?" Speak to the person in the conflict.
Hear the other person's feelings. Put yourself in the other person's place". They may then see the other person in a whole new way.

"Get yourself comfortable…..down 20 steps…to a door…behind the door is a room. In that room, you can do whatever you want to do, etc…."
People in NEED or in state of crisis, are better subjects for hypnosis.

Creative Blocks
Give the "block" a size, shape, colour - visualise yourself in your space where you write and see yourself in encountering the block. Step back - observe - examine all the details of the scene - Are you in a house? What are the surroundings? Are you alone? With whom? Experience the emotions that are evoked. Bring the reason for the block into consciousness. Next, visualise the steps to take to remove the block, to allow yourself more freedom - ask your inner mind. As an Example, "I will count to 3 - at the count of 3, ask for an image of what it looks like, feels like" and so on.

Recovering Memories (in the course of therapy)
Sometimes a person is not sure if a memory is true and that can be very distressing. Memories can be made up of true as well as not true things. (Refer to Trance Zero, a book by Adam Crabtree, Ph.D).

Adult Trauma
When a trauma happened, but it is lost to memory, trance can be a great aid in recovering adult trauma memory.

Event Reconstruction
In a case where a person did something that they can't remember, go back and reconstruct the events leading up to it.

Fears and Phobias
There are 2 sources:

  1. fear and phobia attached to a specific traumatic event
  2. ongoing phobia in which case exposure and desensitisation can be used

Working With Dissociation
- ego states, sub-personalities, DID
- hidden observer part
- observer parts which are "inner self helpers"
- past life personalities
- alien encounters/abduction memories
- "hagging" (experiences of a negative presence, experiences of paralysis when falling asleep or
waking up)

Compiled from my notes on Trance Therapy - Sharon Cass Toole


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An Example of Using Hypnosis for Headaches

"You are lying relaxed on a beach. You can feel the warmth of the sun. As you turn over, your hand touches the hot sand. Feel the heat penetrating the fingers of both of your hands.
Now, a block of ice is gently placed on top of your head. Feel the cold sensation. The combination of the cold, numb feeling on top of your head, along with the hot feeling in your fingers makes it physically impossible for you to feel discomfort in your head."

"Your head will begin to clear; soon the headache will dwindle away and you will feel fine"


Hypnosis with Allergies

"As you become more relaxed and less tense each day...you will remain more relaxed and less tense...when you are in the presence of...(name the allergen)...
You will be able to handle...(the allergen)...with much more ease without the slightest side effect or allergic response.
Because of this, you will remain perfectly relaxed...perfectly calm and self-confident...and you will automatically shift your attention back to this relaxed state that you are in now and you will not experience these allergic responses of...(allergen)...
Every day...you will become emotionally calmer,...much more settled,...much less easily disturbed. Every day...you will feel a greater feeling of personal well-being... a greater feeling of personal safety and security...so will you develop more confidence in yourself,...much more confidence in your ability to free yourself from these allergic responses to...(allergen)...without fear of failure.
"Because all of these things will happen...exactly as I tell you they will happen...you are going to feel much happier,...much more contented...much more cheerful...much more optimistic,...much less easily discouraged...much less easily depressed.
From this moment on, you are no longer allergic to...(allergen)... You will no longer respond to ...(allergen)...with (usual response).
You are steadily losing your desire for allergic responses to...(allergen).


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