Directed forgetting and posthypnotic amnesia: information processing and social contexts

In three experiments we compared posthypnotic amnesia (PHA) with directed forgetting (DF), evaluating subjects' hypnotic susceptibility, hypnotized or not. Experiment 1 suggested that the memory processes in PHA and DF were not the same. Low and high susceptibility subjects responded differently in the two contexts. Experiment 2 demonstrated a context effect for highly susceptible subjects: They showed the usual DF response outside hypnosis but not during hypnosis. Experiment 3 showed that high and low susceptibility subjects responded similarly to DF instructions outside hypnosis, eliminating the susceptibility as an important variable in the DF response. We concluded: (a) The interaction of context and susceptibility was the important determinant of unusual DF responses for high susceptibles, and (b) information processing concepts are too limited to explain PHA and perhaps DF. Theories that include interactions appear necessary for an accurate understanding of hypnotic phenomena and perhaps some phenomena usually focused on by cognitive psychology.     

Alcohol increases hypnotic susceptibility

One approach to hypnosis suggests that for hypnotic experience to occur frontal lobe activity must be attenuated. For example, cold control theory posits that a lack of awareness of intentions is responsible for the experience of involuntariness and/or the subjective reality of hypnotic suggestions. The mid-dorso-lateral prefrontal cortex and the ACC are candidate regions for such awareness. Alcohol impairs frontal lobe executive function. This study examined whether alcohol affects hypnotisability. We administered 0.8 mg/kg of alcohol or a placebo to 32 medium susceptible participants. They were subsequently hypnotised and given hypnotic suggestions. All participants believed they had received some alcohol. Participants in the alcohol condition were more susceptible to hypnotic suggestions than participants in the placebo condition. Impaired frontal lobe activity facilitates hypnotic responding, which supports theories postulating that attenuation of executive function facilitates hypnotic response, and contradicts theories postulating that hypnotic response involves enhanced inhibitory, attentional or other executive function.     

Hypnotic induction decreases anterior default mode activity

The ‘default mode’ network refers to cortical areas that are active in the absence of goal-directed activity. In previous studies, decreased activity in the ‘default mode’ has always been associated with increased activation in task-relevant areas. We show that the induction of hypnosis can reduce anterior default mode activity during rest without increasing activity in other cortical regions. We assessed brain activation patterns of high and low suggestible people while resting in the fMRI scanner and while engaged in visual tasks, in and out of hypnosis. High suggestible participants in hypnosis showed decreased brain activity in the anterior parts of the default mode circuit. In low suggestible people, hypnotic induction produced no detectable changes in these regions, but instead deactivated areas involved in alertness. The findings indicate that hypnotic induction creates a distinctive and unique pattern of brain activation in highly suggestible subjects.     

Suggested visual hallucinations in and out of hypnosis

We administered suggestions to see a gray-scale pattern as colored and a colored pattern in shades of gray to 30 high suggestible and eight low suggestible students. The suggestions were administered twice, once following the induction of hypnosis and once without an induction. Besides rating the degree of color they saw in the stimuli differently, participants also rated their states of consciousness as normal, relaxed, hypnotized, or deeply hypnotized. Reports of being hypnotized were limited to highly suggestible participants and only after the hypnotic induction had been administered. Reports of altered color perception were also limited to high suggestibles, but were roughly comparable regardless of whether hypnosis had been induced. These data indicate that suggestible individuals do not slip into a hypnotic state when given imaginative suggestions without the induction of hypnosis, but nevertheless report experiencing difficult suggestions for profound perceptual alterations that are pheonomenologically similar to what they report in hypnosis.     

Moderating influences of hypnotic susceptibility on signal-detection task performance

This study investigated the differential influence of hypnotic susceptibility level on signal detection task (SDT) performance in waking and hypnotic conditions. As assessed by the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS: A) and the Stanford Hypnotic Susceptibility Scale, Form C (SHSS: C), 20 high (9–12), 20 medium (4–8), and 20 low (0–3) hypnotizables participated. In counterbalanced conditions of waking and hypnosis, Ss (Subjects) were given 36 signal detection trials, consisting of 12 strong signals, 12 weak signals, and 12 “no” signals. No differences were observed in the waking condition between low, medium, and high hypnotizables on strong and weak signal trials. In hypnosis, high hypnotizables exhibited significantly superior performance on the strong signal trials in comparison with low hypotizables, and performed significantly better on the weak signal trials than did the low and medium hypnotizables. Low and medium hypnotizables performed similarly in waking and hypnotic conditions, while high hypnotizables showed significant enhancements in performance for strong and weak signal trials during hypnosis. This research was supported, in part, by a grant from Fort Hays State University.     

Moderating influences of hypnotic susceptibility on signal-detection task performance

This study investigated the differential influence of hypnotic susceptibility level on signal detection task (SDT) performance in waking and hypnotic conditions. As assessed by the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS: A) and the Stanford Hypnotic Susceptibility Scale, Form C (SHSS: C), 20 high (9–12), 20 medium (4–8), and 20 low (0–3) hypnotizables participated. In counterbalanced conditions of waking and hypnosis, Ss (Subjects) were given 36 signal detection trials, consisting of 12 strong signals, 12 weak signals, and 12 “no” signals. No differences were observed in the waking condition between low, medium, and high hypnotizables on strong and weak signal trials. In hypnosis, high hypnotizables exhibited significantly superior performance on the strong signal trials in comparison with low hypotizables, and performed significantly better on the weak signal trials than did the low and medium hypnotizables. Low and medium hypnotizables performed similarly in waking and hypnotic conditions, while high hypnotizables showed significant enhancements in performance for strong and weak signal trials during hypnosis. This research was supported, in part, by a grant from Fort Hays State University.     

Suggested visual hallucination without hypnosis enhances activity in visual areas of the brain

This functional Magnetic Resonance Imaging (fMRI) study investigated high and low suggestible people responding to two visual hallucination suggestions with and without a hypnotic induction. Participants in the study were asked to see color while looking at a grey image, and to see shades of grey while looking at a color image. High suggestible participants reported successful alterations in color perception in both tasks, both in and out of hypnosis, and showed a small benefit if hypnosis was induced. Low suggestible people could not perform the tasks successfully with or without the hypnotic induction. The fMRI results supported the self report data, and changes in brain activity were found in a number of visual areas. The results indicate that a hypnotic induction, although having the potential to enhance the ability of high suggestible people, is not necessary for the effective alteration of color perception by suggestion.     

Imaginative suggestibility and hypnotizability: an empirical analysis.

Hypnotic and nonhypnotic suggestibility were investigated in 2 experiments. In Experiment 1, nonhypnotic suggestibility was suppressed when measured after hypnotic suggestibility, whereas hypnotic suggestibility was not affected by the order of assessment. Experiment 2 confirmed a small but significant effect of hypnosis on suggestibility when nonhypnotic suggestibility was measured first. Nonhypnotic suggestibility was correlated with absorption, fantasy proneness, motivation, and response expectancy, but only expectancy predicted suggestibility when the other variables were controlled. Behavioral response to hypnosis was predicted by nonhypnotic suggestibility, motivation, and expectancy in a model accounting for 53% of the variance. Experiential response to hypnotic suggestion was predicted only by nonhypnotic suggestibility. Unexpectedly, hypnosis was found to decrease suggestibility for a substantial minority of participants.     

Hypnosis, the timing of its introduction, and acceptance of misleading information

Allocated independent sets of 16 Ss to a crossed 2 (level of susceptibility: high, low) x 2 (information: misleading, nonmisleading) x 2 (state instruction: hypnosis, walking) design to examine the prediction that hypnosis will facilitate memory distortion when hypnotic instruction precedes the exposure of Ss to incorrect, misleading information. E. F. Loftus's recognition procedures were used to focus on the predicted effect. Free recall was also examined for memory distortion effects. Results indicated the presence of significant memory distortion for both recognition and free-recall memories. The distortion effects accompanying hypnosis, however, were not reliably greater than those accompanying waking instruction. Results are examined in relation to the operation of multiple parameters affecting memory distortion in hypnosis. Pertinent factors include the procedures for testing the effects of distortion and the level of Ss' aptitude for hypnosis.     

A laboratory analogue of mirrored-self misidentification delusion: The role of hypnosis,suggestion, and demand characteristics

Mirrored-self misidentification is the delusional belief that one’s own reflection in the mirror is a stranger. In two experiments, we tested the ability of hypnotic suggestion to model this condition. In Experiment 1, we compared two suggestions based on either the delusion’s surface features (seeing a stranger in the mirror) or underlying processes (impaired face processing). Fifty-two high hypnotisable participants received one of these suggestions either with hypnosis or without in a wake control. In Experiment 2, we examined the extent to which social cues and role-playing could account for participants’ behaviour by comparing the responses of 14 hypnotised participants to the suggestion for impaired face processing (reals) with those of 14 nonhypnotised participants instructed to fake their responses (simulators). Overall, results from both experiments confirm that we can use hypnotic suggestion to produce a compelling analogue of mirrored-self misidentification that cannot simply be attributed to social cues or role-playing.     

The heat illusion test and its relevance to susceptibility to hypnosis

The Heat Illusion test is of interest because of the equivocal nature of the evidence concerning both what aspects of behaviour it measures and its power to predict hypnotic susceptibility. This test was administered to 99 subjects who were also tested for susceptibility to hypnosis. The power of the test to predict hypnotic susceptibility was found to be poor, when scoring was done in the classical manner, but, using the decrement of the threshold of perception, an alternative means of scoring was discovered which improved the predictive power of the test. The results are discussed in the light of this new aspect of the test.     

Hypnotic enhancement of cognitive-behavioral interventions for pain: an analogue treatment study.

Recent meta-analyses have shown that adding hypnosis enhances the effectiveness of cognitive-behavioral psychotherapy. This hypnotic enhancement effect was evaluated in the analogue treatment of pain. Individuals scoring in the high (n = 135) and low (n = 150) ranges of hypnotic suggestibility were randomly assigned to 1 of 6 conditions: Stress Inoculation Training, the same treatment provided hypnotically, nonhypnotic analgesia suggestions, hypnotic analgesia suggestions, a hypnotic induction treatment, or a control condition. The 5 analogue treatments reduced experimental pain more than the control condition, but were not different from one another. Under circumstances optimized to detect an enhancement effect, neither Stress Inoculation Training nor analgesia suggestions produced more relief when delivered in a hypnotic context than identical treatments provided nonhypnotically.     

Hypnotic susceptibility, baseline attentional functioning, and the Stroop task

According to the theoretical framework relating hypnosis to attention, baseline attentional functioning in highly hypnotizable individuals should be more efficient than in low hypnotizable individuals. However, previous studies did not find differences in Stroop-like tasks in which the measure indicative of the Stroop interference effect was based on response latencies. This study was designed to determine whether subjects with different levels of hypnotic susceptibility show differences in baseline attentional functioning. To assess this hypothesis, high, medium, and low hypnotizable subjects performed a Stroop task designed to evaluate accuracy performance, before being subjected to hypnotic induction. Results showed that the Stroop interference effect was smaller in high hypnotizable subjects than in low hypnotizable subjects, whereas it was not different between high, and medium hypnotizable subjects. This outcome supports the notion that baseline attentional functioning is related to hypnotic susceptibility.     

Hypnotic suggestion modulates cognitive conflict: the case of the flanker compatibility effect

The present work was aimed at investigating whether the flanker compatibility effect can be eliminated by means of a posthypnotic suggestion influencing attentional focusing. In Experiment 1, participants who scored high and low on hypnotic susceptibility performed the flanker compatibility task when naturally awake and when under a posthypnotic suggestion aimed at increasing the target's discriminability from the flankers. Results showed that the posthypnotic suggestion effectively eliminated the flanker compatibility effect in highly susceptible participants, whereas low-susceptibility participants did not show any reduction in the effect. In Experiment 2, highly susceptible participants performed the task after receiving a suggestion but without the induction of hypnosis. Results showed that the suggestion alone was not sufficient to reduce the flanker compatibility effect. These results support the view that in highly susceptible participants, hypnotic suggestion can influence the ability to focus on relevant information.     

Using hypnosis to model Fregoli delusion and the impact of challenges on belief revision

Fregoli delusion involves the belief that strangers are known people in disguise. We aimed to model aspects of this delusion for the first time using hypnosis. We informed hypnotised subjects that someone would enter the room (a confederate) and they would believe this person was someone they knew in disguise. After testing their reaction to the confederate, we challenged their delusion by directly contradicting their belief and then asking them to focus on the confederate’s voice and gait. Finally, we indexed whether they could identify photographs of the confederate. We found that just over half of our high hypnotisable subjects identified the confederate as someone they knew in disguise. Although many highs abandoned their belief in response to challenges, some maintained strong, unwavering conviction that the confederate was a known person. We discuss these findings in terms of how evidence might be evaluated during both hypnotic and clinical delusions.     

Expectancy versus absorption in the prediction of hypnotic responding

The Absorption Scale, a measure of imaginative involvement, was administered to 64 subjects in the context of a hypnosis experiment and to an additional 64 subjects in a context unrelated to hypnosis. Expectancies of responding to hypnotic suggestions were assessed both before trance induction and after trance induction but before administration of hypnotic test suggestions. Hypnotic depth was assessed on the Long Stanford Scale (LSS) before the administration of test suggestions, and on the Inventory of Hypnotic Depth (IHD) after the hypnosis session. Absorption was correlated with hypnotic responsivity and expectancy, but only when assesed in the hypnotic context. Completing the Absorption Scale in a hypnotic context appeared to affect hypnotic responsiveness by altering subjects' expectancies. Only postinduction expectancies were uniquely predictive of response to hypnotic test suggestions, and all variables except the LSS were predictive of IHD scores. Results of path analysis supported the hypothesis that trance inductions alter expectancies for responding to hypnotic suggestions and that these altered expectancies determine subsequent hypnotic behavior.     

AN ATTEMPT AT EXPERIMENTAL MODIFICATION OF HYPNOTIZABILITY THROUGH REPEATED INDIVIDUALIZED HYPNOTIC EXPERIENCE

In an initial attempt to investigate whether the level of hypnotic susceptibility can be experimentally modified, ten subjects of moderate susceptibility were given individualized hypnotic experience in 4–10 sessions and tested with objective hypnosis scales before and after the experience. Some quantitative and qualitative results are presented. They indicate that in most individuals routinely measured hypnotizability can be changed for the better within a certain range, but that dramatic changes as a rule will not take place.     

Cognitive flexibility in hypnosis: response to change communication from the hypnotist.

It was predicted that modification of response as it indexes cognitive flexibility in the hypnotic subject is related to susceptibility to hypnosis and the difficulty of the hypnotic task attempted. Experiment 1 isolated two distinct hypnotic tasks (easy and difficult); alternative forms of each item conveyed either clear or unclear structure concerning the response that was perceived as most appropriate. In Experiment 2, 101 subjects were administered hypnotic induction procedures and tested for modification of response on both items; for each subject, the hypnotist posed a conflict in communication by plausibly requesting an alteration in response from the behavior that the subject had chosen to indicate previously. Change data demonstrated that hypnotic subjects modified their behavior in hypnosis, but their cognitive flexibility was much more relevant to easy than to difficult tasks. Results highlight a further dimension of role enactment as well as the special role cognitive skills in play in our understanding of performance on hypnotic test items.     

Hypnotizability, preference for an imagic cognitive style, and memory creation in hypnosis

We sought to extend the finding (Laurence & Perry, 1983) that it is possible through hypnosis to create a pseudomemory of a specific event. Subjects were compared on their responses to a hypnotic suggestion. We also examined the relation between nonhypnotic measures (Preference for an Imagic Cognitive Style [PICS] test and the Tellegen Absorption Scale [TAS]) and response to the suggestion. Highly (45.45%) and moderately-highly (46.15%) susceptible subjects believed that the pseudomemory was veridical, but none of the low susceptible subjects did so. Together, hypnotic susceptibility, the PICS, and their interaction more strongly predicted pseudomemory creation than any of these main effects alone. Performance on the TAS was also related to the occurrence of pseudomemory, but this relation was redundant with performance on the other measures. These results point to the complexity of the variables involved in pseudomemory creation during hypnosis.