Imaginative Suggestibility and Hypnotizability

More than a half-century of research aimed at identifying the predictors of hypnotic responding has been described as investigations of 'hypnotizability'. Most of that research, however, has disregarded the well-established findings that (a) people respond to suggestion without being hypnotized almost as much as they do following a hypnotic induction, and (b) nonhypnotic and hypnotic suggestibility are highly correlated. More recent studies have provided the first empirical data on predictors of individual differences in response to the induction of hypnosis. These studies indicate that individual differences in hypnotic suggestibility can be accounted for completely by nonhypnotic suggestibility, expectancy, motivation, and reaction time. Because the amount of variance accounted for is as great as the reliability of the hypnotic-suggestibility scale, and because nonhypnotic suggestibility has been controlled, no additional variables are necessary to account for hypnotic suggestibility.     

Differential patterns of spontaneous experiential response to a hypnotic induction: A latent profile analysis

A hypnotic induction produces different patterns of spontaneous experiences across individuals. The magnitude and characteristics of these responses covary moderately with hypnotic suggestibility, but also differ within levels of hypnotic suggestibility. This study sought to identify discrete phenomenological profiles in response to a hypnotic induction and assess whether experiential variability among highly suggestible individuals matches the phenomenological profiles predicted by dissociative typological models of high hypnotic suggestibility. Phenomenological state scores indexed in reference to a resting epoch during hypnosis were submitted to a latent profile analysis. The profiles in the derived four-class solution differed in multiple experiential dimensions and hypnotic suggestibility. Highly suggestible individuals were distributed across two classes that exhibited response patterns suggesting an inward attention subtype and a dissociative subtype. These results provide support for dissociative typological models of high hypnotic suggestibility and indicate that highly suggestible individuals do not display a uniform response to a hypnotic induction.     

Methodological and practical issues regarding phenomenological subtypes of highly suggestible individuals: A response to Kumar

A hypnotic induction produces different patterns of spontaneous experiences across individuals. The magnitude and characteristics of these responses covary moderately with hypnotic suggestibility, but also differ within levels of hypnotic suggestibility. This study sought to identify discrete phenomenological profiles in response to a hypnotic induction and assess whether experiential variability among highly suggestible individuals matches the phenomenological profiles predicted by dissociative typological models of high hypnotic suggestibility. Phenomenological state scores indexed in reference to a resting epoch during hypnosis were submitted to a latent profile analysis. The profiles in the derived four-class solution differed in multiple experiential dimensions and hypnotic suggestibility. Highly suggestible individuals were distributed across two classes that exhibited response patterns suggesting an inward attention subtype and a dissociative subtype. These results provide support for dissociative typological models of high hypnotic suggestibility and indicate that highly suggestible individuals do not display a uniform response to a hypnotic induction.     

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.     

The role of compliance in hypnotic and nonhypnotic analgesia

We modified the standard procedure for administering finger pressure pain in order to assess the extent to which subjects biased their reports of pain reduction when exposed to compliance-inducing instructions. Experiment 1 used only highly hypnotizable subjects and found that compliance-induced reductions in reported pain were about half as large as the reported reductions produced by hypnotic analgesia suggestions. Experiment 2 used low as well as high hypnotizables and administered hypnotic or nonhypnotic analgesia instructions and compliance instructions to the same subjects on separate pain trials. Reported pain reductions produced by hypnotic and nonhypnotic analgesia suggestions and those produced by compliance instructions were substantially and significantly correlated. Furthermore, hypnotizability correlated with compliance-induced reported pain reductions as highly as it correlated with the reported reductions produced by hypnotic analgesia suggestions. Among high hypnotizables (but not low hypnotizables) compliant responding was predicted by social desirability. The findings of both studies indicate that compliance strongly influences the reports of hypnotic and nonhypnotic analgesia proffered by high hypnotizables. The role of compliance in the pain reductions reported by low hypnotizables is less clear-cut.     

Expert judgments of hypnosis from subjective state reports.

Suggestibility was assessed in 60 college students after a traditional hypnotic induction, an alert induction, progressive relaxation training, or instruction in goal-directed imagery. Responsiveness to suggestion did not differ between groups. Subjects also generated open-ended reports of their states of awareness and of their experience of 3 hypnotic suggestions. A sample of these reports from 24 moderately to highly suggestible subjects were evaluated by 18 experts in the field of hypnosis. Expert ratings of subjects' open-ended reports indicated that (a) traditional hypnotic inductions produce a state of consciousness that is indistinguishable from nonhypnotic relaxation training, (b) the subjective experience of hypnotic suggestions after imagination training is indistinguishable from that after hypnotic inductions, and (c) suggestibility is unrelated to state of consciousness as assessed by experts.     

Effects of suggestibility and hypnosis on accurate and distorted retrieval from memory

Research investigated the hypothesis inferred from the theorizing of Loftus that suggestibility is related to the tendency to incorporate incorrect information into memory when this information has been subtly introduced after the to-be-remembered events have occurred. Specifically, it was predicted that if level of suggestibility is theoretically relevant to subjects' acceptance of misleading information, then more subjects who are highly hypnotically suggestible than those with a low level of hypnotic suggestibility will incorporate the incorrect information into memory. Hypnotic as compared with waking instruction should enhance this distortion effect by providing a context of testing in which subjects are readily prone to respond positively to suggestions. Eight independent groups of 12 subjects were tested. Separate groups of subjects of high and low suggestibility were presented with misleading or neutral information about a wallet-snatching incident and tested for memory under either waking or hypnotic instruction. Analysis of subjects' memory distortions indicated that suggestibility plays a somewhat different role than has been argued previously. The magnitude of distortion that was observed varied according to the stimulus features that were studied, but hypnotic suggestibility was not associated with the distortion effect. Despite the fact that hypnosis did not enhance recall in any way, subjects were frequently confident that distorted memories recovered under hypnosis were accurate.     

Involvement in everyday imaginative activities, attitudes toward hypnosis, and hypnotic suggestibility.

One hundred male and 83 female subjects were assessed on absorption (i.e., involvement in everyday imaginative activities), attitudes toward hypnosis, and hypnotic suggestibility. Significant positive correlations were obtained for both sexes between absorption and attitudes and between each of these variables and hypnotic suggestibility. Multiple regression analyses indicated that most of the predicted variance in hypnotic suggestibility scores was accounted for in both sexes by the absorption variable.     

Interpretive sets, expectancy, fantasy proneness, and dissociation as predictors of hypnotic response.

College students with no prior experience of hypnosis were assessed for fantasy proneness and dissociation. In a totally separate context, they were subsequently tested for their interpretations of hypnotic suggestions, hypnotic response expectancies, and hypnotizability. Contrary to Spanos and Gorassini's (1984) hypothesis, strategic enactment of suggested responses was rarely reported, and its endorsement was not correlated with hypnotic responsiveness. Suggestibility was significantly predicted by fantasy proneness and response expectancy, but not by dissociation. A path analysis suggested that the relation between fantasy proneness and hypnotizability was partially mediated by expectancy.     

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.     

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.     

Discrete response patterns in the upper range of hypnotic suggestibility: A latent profile analysis

High hypnotic suggestibility is a heterogeneous condition and there is accumulating evidence that highly suggestible individuals may be comprised of discrete subtypes with dissimilar cognitive and phenomenological profiles. This study applied latent profile analysis to response patterns on a diverse battery of difficult hypnotic suggestions in a sample of individuals in the upper range of hypnotic suggestibility. Comparisons among models indicated that a four-class model was optimal. One class was comprised of very highly suggestible (virtuoso) participants, two classes included highly suggestible participants who were alternately more responsive to inhibitory cognitive suggestions or posthypnotic amnesia suggestions, and the fourth class consisted primarily of medium suggestible participants. These results indicate that there are discrete response profiles in high hypnotic suggestibility. They further provide a number of insights regarding the optimization of hypnotic suggestibility measurement and have implications for the instrumental use of hypnosis for the modeling of different psychological conditions.     

Can expectation enhance response to suggestion? De-automatization illuminates a conundrum

Disparate theoretical viewpoints construe hypnotic suggestibility either as a stable trait, largely determined by underlying cognitive aptitude, or as a flexible skill amenable to attitudinal factors including beliefs and expectations. Circumscribed findings support both views. The present study attempted to consolidate these orthogonal perspectives through the lens of expectancy modification. We surreptitiously controlled light and sound stimuli to convince participants that they were responding strongly to hypnotic suggestions for visual and auditory hallucinations. Extending our previous findings, we indexed hypnotic suggestibility by de-automatizing an involuntary audiovisual phenomenon-the McGurk effect. Here we show that, regardless of expectancy modification, the experimental procedure led to heightened expectations concerning future hypnotic response. We found little effect of expectation, however, on actual response to suggestion. Our findings intimate that, at least in the present experimental context, expectation hardly correlates with--and is unlikely to be a primary determinant of--high hypnotic suggestibility.     

Hypnotic suggestibility predicts the magnitude of the imaginative word blindness suggestion effect in a non-hypnotic context

The present study investigated how the magnitude the word blindness suggestion effect on Stroop interference depended on hypnotic suggestibility when given as an imaginative suggestion (i.e. not post-hypnotic suggestion) and under conditions in which hypnosis was not mentioned. Hypnotic suggestibility is shown to be a significant predictor of the magnitude of the imaginative word blindness suggestion effect under these conditions. This is therefore the first study to show a linear relationship between the imaginative word blindness suggestion effect and hypnotic suggestibility across the whole hypnotizability spectrum. The results replicate previous findings showing that highs respond to the word blindness suggestion to a greater extent than lows but extend previous work by showing that the advantage for those higher on the hypnotizability spectrum occurs even in a non-hypnotic context. Negative attitudes about hypnosis may not explain the failure to observe similar effects of the word blindness suggestion in less hypnotizable individuals.     

Hypnosis,hypnotic suggestibility,memory, and involvement in films

Our research extends studies that have examined the relation between hypnotic suggestibility and experiential involvement and the role of an hypnotic induction in enhancing experiential involvement (e.g., absorption) in engaging tasks. Researchers have reported increased involvement in reading (Baum & Lynn, 1981) and music-listening (Snodgrass & Lynn, 1989) tasks during hypnosis. We predicted a similar effect for film viewing: greater experiential involvement in an emotional (The Champ) versus a non-emotional (Scenes of Toronto) film. We tested 121 participants who completed measures of absorption and trait dissociation and the Harvard Group Scale of Hypnotic Susceptibility and then viewed the two films after either an hypnotic induction or a non-hypnotic task (i.e., anagrams). Experiential involvement varied as a function of hypnotic suggestibility and film clip. Highly suggestible participants reported more state depersonalization than less suggestible participants, and depersonalization was associated with negative affect; however, we observed no significant correlation between hypnotic suggestibility and trait dissociation. Although hypnosis had no effect on memory commission or omission errors, contrary to the hypothesis that hypnosis facilitates absorption in emotionally engaging tasks, the emotional film was associated with more commission and omission errors compared with the non-emotional film.     

Mechanisms of hypnotic and nonhypnotic forgetting

Subjects participated in two experimental sessions designed to study laboratory-induced amnesia, one using a standard hypnosis paradigm and one using a non-hypnotic directed-forgetting paradigm. Two independent sources of variation were derived from the hypnotic amnesia data: retrieval inhibition and inhibition release. In the nonhypnotic directed-forgetting procedure, some items were cued to be forgotten shortly after presentation and some were cued to be remembered. At test, the subjects were asked to recall both the to-be-remembered and the to-be-forgotten items. Over 39% of the variance in the recall of the to-be-forgotten items could be accounted for by the inhibition and release constructs obtained with hypnosis. These relations between the two procedures were not mediated by verbal ability or cognitive style (field independence). We concluded that the mechanisms of forgetting involved in laboratory demonstrations of hypnotic and nonhypnotic amnesia are related, and the implication is that some of them are the same, namely, retrieval inhibition and inhibition release. We also argued that the possible demand characteristics that accompany the hypnosis procedure are not apparent with the nonhypnotic procedure. Therefore, the relationships observed in the present results were taken as evidence that hypnotically induced amnesia is not entirely the result of subjects' reactions to demand characteristics.     

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.     

Hypnosis, suggestion, and placebo in the reduction of experimental pain

Two experiments compared placebo and hypnotic analgesia in high and low hypnotizable subjects. Experiment 1 demonstrated that hypnotic and placebo analgesia were equally ineffective in low hypnotizables, but that hypnotic analgesia was much more effective than placebo analgesia in high hypnotizables. Experiment 2 replicated these results, but also included low and high hypnotizables who were given a nonhypnotic suggestion for analgesia. Both the low and high hypnotizables in this group reported greater suggested than placebo analgesia and as much suggested analgesia as high hypnotizable hypnotic subjects. Both experiments found substantial discrepancies between the amount of pain reduction subjects expected from the various treatments and the amount of pain reduction they actually reported following exposure to those treatments. In Experiment 2, subjects in all treatments who reduced reported pain engaged in more cognitive coping and less catastrophizing than those who did not reduce pain. Theoretical implications are discussed.