Hypnosurgery

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Hypnosurgery is surgery where the patient is sedated using hypnotherapy rather than traditional anaesthetics. It is claimed that hypnosis for anaesthesia has been used since the 1840s where it was pioneered by the surgeon James Braid.[ citation needed ] There are occasional media reports of surgery being conducted under hypnosis, [1] [2] but since these are not carried out under controlled conditions, nothing can be concluded from them. In 2013 in the University of Padova, Italy, Hypnosis was used as sole anaesthesia for a skin tumour removal in a patient with multiple chemical sensitivity who couldn't use chemical drugs. [3]

Contents

There is insufficient evidence to support the efficacy of hypnosis in managing pain in other contexts, such as childbirth [4] or post-operative pain. [5]

History

John Elliotson 1843 Punch Cartoon Mesmerism John Elliotson 1843 Punch Cartoon Mesmerism.jpg
John Elliotson 1843 Punch Cartoon Mesmerism

Mesmerism, also called animal magnetism, is the term given by Franz Mesmer for what he believed to be an invisible natural force in animals. He also believed that it could have physical effects such as healing. [6] [ unreliable medical source? ]

James Braid who is credited for pioneering hypnosurgery, first observed mesmerism while he was attending a public performance on magnetism by Charles Lafontaine. After attending two more shows he came to the conclusion that although there were observable physical effects, it was not caused by any magnetic interference. Braid then used self-experiment to prove his idea that mesmerism was achieved by vision and concentration of the subject. [7] Braid therefore claimed that the phenomena demonstrated by Lafontaine had nothing to do with magnetism. James Braid then adopted the term “hypnotism” to prevent his work from being confounded with mesmerism. [8]

It is claimed that hypnosis has been used in surgery for pain management, to control spasms in the alimentary canal, during rehabilitation, and as anaesthesia during an operation. [9] [ unreliable medical source? ]

The first alleged case of hypnosis as an anesthetic in surgery was when Jules Germain Cloquet (1790–1883), a French surgeon, operated on a woman's breast while she was purportedly under the influence of hypnosis. The operation was for the removal of a tumor. Over the course of his career, he claimed to have performed several successful surgeries using hypnosis as the only form of anesthesia. [10] [ unreliable medical source? ]

While stationed at the River Valley Road prisoner of war hospital in Singapore in 1945, with the supplies of chemical anesthetics severely restricted by the Japanese, Michael Woodruff and a medical/dental colleague from the Royal Netherlands Forces used hypnotism as the sole means of anesthesia for a wide range of dental and surgical procedures. [11]

Preparing the patient for hypnosurgery

Hypnotherapy session Hopkins in hypnosis session with "abductee".jpg
Hypnotherapy session

At the present time, preparing a patient for hypnosurgery would include having several 50–60 minutes’ sessions of hypnotherapy done by a hypnotherapist. Each individual session focuses on controlling the pain and relaxing the mind. The number of hypnotherapy sessions varies according to the patient and their susceptibility to hypnosis. Generally, the patient would be ready for hypnosurgery after 6 weeks of training. [12] [ non-primary source needed ]

Post-operative hypnosis

Hypnosis may also be helpful post-surgery in helping to facilitate faster healing in patients, [13] with one study reporting faster tissue healing in patients who use hypnosis during surgical recovery. [14] [ unreliable medical source? ] Several other studies have shown a psychological link with healing and recovery. [15] [ non-primary source needed ] In a study of patients up to seven weeks after undergoing a surgical procedure, researchers found greater healing and improvement in patients who had used hypnosis over those who only received supportive attention or standard "standard postoperative care". [9] [ unreliable medical source? ] [14] [ unreliable medical source? ]

A recent Cochrane review on the efficacy of various psychological therapies (including hypnosis) on post-surgical outcomes concluded that "the strength of evidence is insufficient to reach firm conclusions on the role of psychological preparation for surgery" and the quality of the evidence was reportedly "very low." [5]

See also

Related Research Articles

<span class="mw-page-title-main">Franz Mesmer</span> German physician (1734–1815)

Franz Anton Mesmer was a German physician with an interest in astronomy. He theorized the existence of a process of natural energy transference occurring between all animate and inanimate objects; this he called "animal magnetism", later referred to as mesmerism. Mesmer's theory attracted a wide following between about 1780 and 1850, and continued to have some influence until the end of the 19th century. In 1843, the Scottish doctor James Braid proposed the term "hypnotism" for a technique derived from animal magnetism; today the word "mesmerism" generally functions as a synonym of "hypnosis". Mesmer also supported the arts, specifically music; he was on friendly terms with Haydn and Mozart.

<span class="mw-page-title-main">Hypnosis</span> State of increased suggestibility

Hypnosis is a human condition involving focused attention, reduced peripheral awareness, and an enhanced capacity to respond to suggestion.

Hypnotherapy, also known as hypnotic medicine, is the use of hypnosis in psychotherapy. Hypnotherapy is generally not considered to be based on scientific evidence, and is rarely recommended in clinical practice guidelines. It is regarded as a type of alternative medicine.

<span class="mw-page-title-main">Anesthesia</span> State of medically-controlled temporary loss of sensation or awareness

Anesthesia or anaesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia, paralysis, amnesia, and unconsciousness. An individual under the effects of anesthetic drugs is referred to as being anesthetized.

<span class="mw-page-title-main">James Braid (surgeon)</span> Scottish surgeon (1795–1860)

James Braid was a Scottish surgeon, natural philosopher, and "gentleman scientist".

<span class="mw-page-title-main">General anaesthesia</span> Medically induced loss of consciousness

General anaesthesia (UK) or general anesthesia (US) is a method of medically inducing loss of consciousness that renders a patient unarousable even with painful stimuli. This effect is achieved by administering either intravenous or inhalational general anaesthetic medications, which often act in combination with an analgesic and neuromuscular blocking agent. Spontaneous ventilation is often inadequate during the procedure and intervention is often necessary to protect the airway. General anaesthesia is generally performed in an operating theater to allow surgical procedures that would otherwise be intolerably painful for a patient, or in an intensive care unit or emergency department to facilitate endotracheal intubation and mechanical ventilation in critically ill patients. Depending on the procedure, general anaesthesia may be optional or required. Regardless of whether a patient may prefer to be unconscious or not, certain pain stimuli could result in involuntary responses from the patient that may make an operation extremely difficult. Thus, for many procedures, general anaesthesia is required from a practical perspective.

Self-hypnosis or auto-hypnosis is a form, a process, or the result of a self-induced hypnotic state.

James Esdaile, M.D., E.I.C.S., Bengal (1808–1859), an Edinburgh trained Scottish surgeon, who served for twenty years with the East India Company, is a notable figure in the history of "animal magnetism" and, in particular, in the history of general anaesthesia.

<span class="mw-page-title-main">John Elliotson</span> British medical doctor and mesmerist (1791–1868)

John Elliotson, M.D., M.D.(Oxford, 1821), F.R.C.P.(London, 1822), F.R.S. (1829), professor of the principles and practice of medicine at University College London (1832), senior physician to University College Hospital (1834) — and, in concert with William Collins Engledue M.D., the co-editor of The Zoist.

The Nancy School was a French hypnosis-centered school of psychotherapy. The origins of the thoughts were brought about by Ambroise-Auguste Liébeault in 1866, in Nancy, France. Through his publications and therapy sessions he was able to gain the attention/support from Hippolyte Bernheim: another Nancy Doctor that further evolved Liébeault's thoughts and practices to form what is known as the Nancy School.

The development of concepts, beliefs and practices related to hypnosis and hypnotherapy have been documented since prehistoric to modern times.

<span class="mw-page-title-main">John Milne Bramwell</span> British doctor (1852–1925)

John Milne Bramwell was a Scottish physician, surgeon and specialist medical hypnotist. He was born in Perth and educated at the University of Edinburgh.

<span class="mw-page-title-main">Amand-Marie-Jacques de Chastenet, Marquis of Puységur</span> French aristocrat

Amand-Marie-Jacques de Chastenet, Marquis de PuységurFrench:[amɑ̃maʁiʒakʃastənɛmaʁkidpɥizegyʁ] (1751–1825) was a French magnetizer aristocrat from one of the most illustrious families of the French nobility. He is now remembered as one of the pre-scientific founders of hypnotism.

<span class="mw-page-title-main">Étienne Félix d'Henin de Cuvillers</span>

Étienne Félix d'Henin de Cuvillers (1755–1841) was a French magnetizer and an early practitioner of mesmerism as a scientific discipline. He's best known for coining the term hypnotism.

Stage hypnosis is hypnosis performed in front of an audience for the purposes of entertainment, usually in a theater or club. A modern stage hypnosis performance typically delivers a comedic show rather than simply a demonstration to impress an audience with powers of persuasion. Apparent effects of amnesia, mood altering and hallucination may be demonstrated in a normal presentation. Stage hypnosis performances often encourage audience members to look further into the benefits of hypnotism.

Oriental Hypnosis is an old Indian method of healing practiced by Sadhus, Fakirs, Yogis and sannyasis (Sannyasa). These people indulge in self-induced hypnosis or trance-states by practicing rhythmic breathing exercise method like pranayama and meditation etc.

<span class="mw-page-title-main">Salpêtrière School of Hypnosis</span>

The Salpêtriére School, also known as the School of Paris, is, with the Nancy School, one of the schools that contributed to the age of hypnosis in France from 1882 to 1892. The leader of this school, the neurologist Jean Martin Charcot, contributed to the rehabilitation of hypnosis as a scientific subject presenting it as a somatic expression of hysteria. Charcot also used hypnosis as an investigative method and that by putting his hysterical patients into an "experimental state" it would permit him to reproduce their symptoms and interpret them.

<span class="mw-page-title-main">Hypnotic induction</span> Hypnotic process

Hypnotic induction is the process undertaken by a hypnotist to establish the state or conditions required for hypnosis to occur.

Animal magnetism, also known as mesmerism, is a theory invented by German doctor Franz Mesmer in the 18th century. It posits the existence of an invisible natural force (Lebensmagnetismus) possessed by all living things, including humans, animals, and vegetables. He claimed that the force could have physical effects, including healing.

<span class="mw-page-title-main">Royal Commission on Animal Magnetism</span> 1784 French scientific bodies

The Royal Commission on Animal Magnetism involved two entirely separate and independent French Royal Commissions, each appointed by Louis XVI in 1784, that were conducted simultaneously by a committee composed of four physicians from the Paris Faculty of Medicine and five scientists from the Royal Academy of Sciences , and a second committee composed of five physicians from the Royal Society of Medicine .

References

  1. Pain-free alternative to anaesthetics?, BBC, 18 April 2008
  2. Hypnotist puts himself into trance as surgeon saws through his ankle without general anaesthetic, The Mirror, 28 August 2013
  3. Hypnosis as sole anaesthesia for skin tumour removal in a patient with multiple chemical sensitivity, Anaesthesia: Volume 68, Issue 9, the official journal of the Association of Anaesthetist, https://doi.org/10.1111/anae.12251, September 2013.
  4. Jones, L.; Othman, M.; Dowswell, T.; Alfirevic, Z.; Gates, S.; Newburn, M.; Jordan, S.; Lavender, T.; Neilson, J. P. (2012). Neilson, James P (ed.). "Pain management for women in labour: an overview of systematic reviews". The Cochrane Database of Systematic Reviews. 3 (3): CD009234. doi:10.1002/14651858.CD009234.pub2. PMC   7132546 . PMID   22419342.
  5. 1 2 Powell R, Scott NW, Manyande A, Bruce J, Vögele C, Byrne-Davis LM, Unsworth M, Osmer C, Johnston M (2016), "Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia." (PDF), Cochrane Database of Systematic Reviews, 2016 (5): CD008646, doi:10.1002/14651858.CD008646.pub2, PMC   8687603 , PMID   27228096
  6. Wolfart, Karl Christian; Friedrich Anton Mesmer. Mesmerismus: Oder, System der Wechselwirkungen, Theorie und Anwendung des thierischen Magnetismus als die allgemeine Heilkunde zur Erhaltung des Menschen (in German, facsimile of the 1811 edition). Cambridge University Press, 2011. ISBN   9781108072694. Foreword.
  7. In his Novum Organum of 1620, Francis Bacon spoke of an instantia crucis ('crucial instance'), an experiment that proves one of two competing hypotheses and disproves the other. The term crucis, derived from crux ('cross'), delivers a sense of the guidepost that gives directions when a single roadway splits into two. The equivalent term, experimentum crucis ('crucial experiment'), was certainly used by Isaac Newton, and may have been introduced by Robert Boyle.
  8. Yeates, L.B., James Braid: Surgeon, Gentleman Scientist, and Hypnotist, Ph.D. Dissertation, School of History and Philosophy of Science, Faculty of Arts & Social Sciences, University of New South Wales, January 2013.
  9. 1 2 Cedercreutza, Claes (1961). "Hypnosis in surgery". International Journal of Clinical and Experimental Hypnosis. 9 (3): 93–95. doi:10.1080/00207146108409665. PMID   13691848.
  10. Collyer, Robert. H., M.D. Mysteries of the Vital Element in Connexion with Dreams, Somnambulism, Trance, Anesthesia, Nervous Congestion, and Creative Function. Modern Spiritualism Explained. 2nd ed. London: Savill, Edwards and Co, Printers, 1871.
  11. Sampimon, R.L.H. & Woodruff, M.F.A., "Some Observations Concerning the use of Hypnosis as a Substitute for Anesthesia", The Medical Journal of Australia, (23 March 1946), pp.393–395.
  12. Fredericks, Lillian E., and Frederick J. Evans. The Use of Hypnosis in Surgery and Anesthesiology: Psychological Preparation of the Surgical Patient. Springfield, IL: Charles C Thomas, 2001.
  13. Wobst, Albrecht H. K. (May 2007). "Hypnosis and surgery: Past, present, and future". Anesthesia & Analgesia. 104 (5): 1199–1208. doi: 10.1213/01.ane.0000260616.49050.6d . PMID   17456675. S2CID   4211684.
  14. 1 2 Shine, Jerry (2003). "Hypnosis Heals". Harvard Magazine. Retrieved June 16, 2013.
  15. Bowers, Kenneth S. (November 1979). "Hypnosis and healing". Australian Journal of Clinical & Experimental Hypnosis. 7 (3): 261–277.