Hypnosis: The Modern Scientific Version of a Timeless Healing Technique
DOI:
https://doi.org/10.14738/assrj.1201.18181Keywords:
Epistemology, Hypnosis, Incubation, Lucid Dreaming, Meditation, ShamanismAbstract
The aim of this article is to envisage possible commonalities between shamanic rituals, incubation, meditation, lucid dreaming, and hypnosis – a well validated therapeutic tool, though misunderstood in the past and still underused. The topic is endowed with huge epistemological implications, calling for a transdisciplinary and transcultural approach, in order to properly understand the essential common aspects of these mind-body techniques and their potential for healing. Actually, the Western rationalist thought has led to mental imagery being misunderstood and prejudicially rejected as a worthless mind activity, while only in recent years neurosciences have started to appraise its cognitive and metacognitive value. The main common aspects of the above-mentioned techniques are eye closure and mental imagery. The former allows to shift the focus of attention form the outer to the inner words, a prerequisite to open the doors of mental imagery and plastic monoideism. The resulting absorption and introspective activity in turn allow to get a metacognitive control over mind and body, including neurovegetative system and pain. Therefore, eye closure and mental imagery can be considered as the Ariadne thread, able to guide us in the knowledge of the apparent labyrinth of healing techniques that have accompanied the care of the sick in all cultures since time immemorial.
References
Facco E, Tagliagambe S. Learning from the past: from incubation in ancient Egypt and Greece to modern hypnosis. Adv Soc Sci Res J 2021;8:268–85. https://doi.org/10.14738/assrj.87.10541.
Bemme D, Kirmayer LJ. Global Mental Health: Interdisciplinary challenges for a field in motion. Transcult Psychiatry 2020;57:3–18. https://doi.org/10.1177/1363461519898035.
Hinton DE, Kirmayer LJ. The Flexibility Hypothesis of Healing. Cult Med Psychiatry 2017;41:3–34. https://doi.org/10.1007/S11013-016-9493-8.
Eliade M. Recent Works on Shamanism. A Review Article. Hist Relig 1961;1:152–86.
Fung Yu-Lan. A Short History of Chinese Philosophy. New York, NY, USA: The Macmillan Company; 1958.
Izutsu T. Sufism and Taoism: a comparative study of key philosophical concepts. Oakland, CA: University of California press; 1984.
Facco E. Non-Ordinary Mental Expressions. Newcastle, UK: Cambridge Scholars Publishing Ltd.; 2025.
Coscia. GLi Orfici del Mar Nero. Fenix 2011;35:67–72.
Kingsley P. In the dark places of wisdom. Poin Reyes, California: The Golden Sufi Center; 1999.
Tonelli A. Sulle tracce della Sapienza. Bergamo: Moretti & Vitali Editori; 2009.
Ustinova Y. Caves and the Ancient Greek Mind: Descending Underground in the Search for Ultimate Truth. Oxford, UK: Oxford UNiversity Press; 2009.
Adorno F, Gregory T, Verra V. Manuale di storia della filosofia. Bari: Edizioni La Terza; 2004.
Castro WL, Arias CU. La medicina en la civilización griega antigua prehipocrática. Gac Med Mex 2014;150:369–76.
Facco E, Tagliagambe S. Ritornare a Ippocrate. Riflessioni sulla medicina di oggi. Milano, Italy: Mondadori Università; 2020. URL: http://dx.doi.org/10.14738/assrj.1201.18181 139
Vecchio L. Filosofi e Medici. Pozzuoli: Naus Editoria; 2004.
Vecchio L. Stele Funeraria da Elea-Velia. vol. 1. 2004. https://doi.org/10.1553/oejh72s275.
Baldini R. L’estasi e l’enigma nel poema di Parmenide. 2013. http://www2.unipr.it/~pieri/FilePDF/L_estasiel_enigma.pdf.
Facco E. Ipnosi ed esperienze di premorte nel continuum delle espressioni non ordinarie della mente. IPNOSI 2018:13–38. https://doi.org/10.3280/IPN2018-001002.
Goebel T, Waters MR, O’Rourke DH. The Late Pleistocene dispersal of modern humans in the Americas. Science (80- ) 2008;319:1497–502. https://doi.org/10.1126/science.1153569.
Moreno-Mayar JV, Vinner L, De Barros Damgaard P, De La Fuente C, Chan J, Spence JP, et al. Early human dispersals within the Americas. Science (80- ) 2018;362:1–11. https://doi.org/10.1126/science.aav2621.
Li X, Wu L, Wu R, Sun M, Fu K, Kuang T, et al. Comparison of medicinal preparations of Ayurveda in India and five traditional medicines in China. J Ethnopharmacol 2022;284:1–38. https://doi.org/10.1016/j.jep.2021.114775.
Mukherjee PK, Nema NK, Venkatesh P, Debnath PK. Changing scenario for promotion and development of Ayurveda - Way forward. J Ethnopharmacol 2012;143:424–34. https://doi.org/10.1016/j.jep.2012.07.036.
Klaniczay G. Dreams and Visions in Medieval MIracle Accounts. MIcrologus Libr 2012;48:147–70.
Facco E. Hypnosis for resilience. OBM Complement Altern Med 2020;5:1–20. https://doi.org/10.21926/obm.icm.2003032.
Facco E, Al Khafaji BE, Tressoldi P. In search of the true self. J Theor Philos Psychol 2019;39:157–80.
Yang MC. Existential Psychology and the Way of Tao. New York, NY, USA: Routledge; 2017.
Young-Esiendrath P, Muramoto S. Awakening and Insight: Zen Buddhism and Psychotherapy. New York, NY, USA: Brunner/Routledge; 2002.
Kant I. Critique of Practical Reason and Other Works. 6th Editio. London , UK: CambLongman, Green and Co., 1954; 1788.
Renberg GH. Incubation at Saqqara. Proc. Twenty-Fifth Int. Congr. Papyrol., Ann Arbor, MI, USA: American Studies in Papyrology; 2010, p. 649–62.
Hurry JB. Imhotep. The Vizier and Phvsician of King Zoser and Afierwards the Egyptian God of Medicine. Oxford, UK: Oxford University Press Humphrey Milford; 1926.
Cunha F. The Ebers papyrus. AmErican J Surg 1949;77:134–6.
Helgason CM. Commentary on the significance for modern neurology of the 17th century B.C. Surgical Papyrus. Can J Neurol Sci 1987;14:560–3.
Minagar A, Ragheb J, Kelley RE. The Edwin Smith surgical papyrus: description and analysis of the earliest case of aphasia. J Med Biogr 2003;11:114–7.
Facco E, Lucangeli D, Tressoldi P. On the Science of Consciousness: Epistemological Reflections and Clinical Implications. Explor J Sci Heal 2017;13:163–80. https://doi.org/10.1016/j.explore.2017.02.007. 140
Facco E, Fracas F. L’enigma della coscienza. Milano, Italy: Mondadori Università; 2018.
Ma’ayan A. Complex systems biology. J R Soc Interface 2017;14:20170391. https://doi.org/10.1098/rsif.2017.0391.
Morin E. La sfida della complessità. La défi de la complexité. Milano, Italy: GaiaMente, Le lettere; 2011.
Lyketsos G. The ancient Greek tragedy as a means of psychotherapy for mental patients. Psychother Psychosom 1980;34:141–7.
Edelstein EJ, Edelstein L. Asclepius. Collection and Interpretation of the testimonies. Baltimore, US: The Johns Opkins University Press; 1998.
De Miro E, Sfameni Gasparro G, Cali V, editors. Il culto di Asclepio nell’area mediterranea. Roma, Italy: Gangemi Editore; 2005.
Porro GG. Asclepio. Saggio mitologico sulla meidicina religiosa dei Greci. Milano, Italy: Ars Regia; 1911.
von Ehrenheim H. Greek incubation rituals in Classical and Hellenistic times. Stockholm, Sweden: Universitetsservice AB; 2011.
Z. E. Le guarigione miracolose nei templi di Esculapio. vol. 61. Roma, Italy: Edoardo Tinto; 1932.
Mallardo D. L’incubazione nella cristianita medievale napoletana. Analectica Bollandiana 1949;67:465–98.
Canetti L. L’incubazione cristiana tra Antichità e Medioevo. Riv Di Stor Del Cris 2010;7:149–80.
Canetti L. Sogno e terapia nel Medioevo latino. In: Paravicini-Bagliani A, editor. Ter. e guarigioni età normanno-sveva. Convegno internazionale di Stor. della Med. nel Medioev. (Ariano Irpino, 5-7 ottobre 2008)., Tavarnuzze, Firenze: SISMEL Edizioni del Galluzzo; 2011.
Reed H. Dream Incubation: a Reconstruction of a Ritual in Contemporary Form. J Humanist Psychol 1976;16:53–70. https://doi.org/10.1177/002216787601600405.
Winkelmann M. Shamanism. A Biopsychosocial Paradigm of Consciousness and Healing. Santa Barbara, CA, USA: Praeger; 2010.
Spiegel D. Tranceformations: hypnosis in brain and body. Depress Anxiety 2013;30:342–52.
Kirmayer LJ. Healing and the invention of metaphor: The effectiveness of symbols revisited. Cult Med Psychiatry 1993 172 1993;17:161–95. https://doi.org/10.1007/BF01379325.
Jamrozik A, McQuire M, Cardillo ER, Chatterjee A. Metaphor: Bridging embodiment to abstraction. Psychon Bull Rev 2016;23:1080–9. https://doi.org/10.3758/s13423-015-0861-0.
Varga S. Embodied Concepts and Mental Health. J Med Philos 2018;43:241–60. https://doi.org/10.1093/JMP/JHX040.
Solms M, Panksepp J. The “Id” Knows More than the “Ego” Admits: Neuropsychoanalytic and Primal Consciousness Perspectives on the Interface Between Affective and Cognitive Neuroscience. Brain Sci 2012;2:147–75. https://doi.org/10.3390/brainsci2020147.
Tulving E. Episodic Memory: From Mind to Brain. Annu Rev Psychol 2002;53:1–25. https://doi.org/10.1146/annurev.psych.53.100901.135114. 141
Facco E. Pain, the uknown: epistemological issues and related clinical implications. Minerva Anestesiol 2021. https://doi.org/10.23736/S0375-9393.21.15920-6.
Jung CG. Archetypes and the Collective Unconscious. Vol. 9, Part 1. Second Edi. Princeton, NJ, USA: Princeton University Press; 1968.
Facco E, Mendozzi L, Bona A, Motta A, Garegnani M, Costantini I, et al. Dissociative identity as a continuum from healthy mind to psychiatric disorders: epistemological and neurophenomenological implications approached through hypnosis. Med Hypotheses 2019;130:1–11. https://doi.org/10.1016/j.mehy.2019.109274.
Moreira-Almeida A, Sharma A, van Rensburg BJ, Verhagen PJ, Cook CC. WPA Position Statement on Spirituality and Religion in Psychiatry. World Psychiatry 2016;15:87–8.
Richeport MM. The Interface between Multiple Personality, Spirit Mediumship, and Hypnosis. Am J Clin Hypn 1992;34:168–77. https://doi.org/10.1080/00029157.1992.10402841.
Baird B, Mota-Rolim SA, Dresler M. The cognitive neuroscience of lucid dreaming. Neurosci Biobehav Rev 2019;100:305–23. https://doi.org/10.1016/j.neubiorev.2019.03.008.
Naiman R. Dreamless: the silent epidemic of REM sleep loss. Ann N Y Acad Sci 2017;1406:77–85. https://doi.org/10.1111/nyas.13447.
Ackermann S, Rasch B. Differential effects of non-REM and REM sleep on memory consolidation? Curr Neurol Neurosci Rep 2014;14. https://doi.org/10.1007/s11910-013-0430-8.
Barrett D. Dreams and creative problem-solving. Ann N Y Acad Sci 2017;1406:64–7. https://doi.org/10.1111/nyas.13412.
Chavez-Eakle RA, Chavez-Sanchez FR. Beyond incubation: creative breakthroughs associated with sleep. Sleep Med 2011;12:313–4. https://doi.org/10.1016/J.SLEEP.2011.01.005.
Drago V, Foster PS, Heilman KM, Aricò D, Williamson J, Montagna P, et al. Cyclic alternating pattern in sleep and its relationship to creativity. Sleep Med 2011;12:361–6. https://doi.org/10.1016/j.sleep.2010.11.009.
Beversdorf DQ, Hughes JD, Steinberg BA, Lewis LD, Heilman KM. Noradrenergic modulation of cognitive flexibility in problem solving. Neuroreport 1999;10:2763–7. https://doi.org/10.1097/00001756-199909090-00012.
Ritter SM, Abbing J, van Schie HT. Eye-Closure Enhances Creative Performance on Divergent and Convergent Creativity Tasks. Front Psychol 2018;9:1315. https://doi.org/10.3389/fpsyg.2018.01315.
Dijksterhuis A, Nordgren LF. A Theory of Unconscious Thought. Perspect Psychol Sci 2006;1:95–109.
Zhong CB, Dijksterhuis A, Galinsky AD. The merits of unconscious thought in creativity. Psychol Sci 2008;19:912–8.
Dijksterhuis A, Strick M. A Case for Thinking Without Consciousness. PerspectPsychol Sci 2016;11:117–32.
Ritter SM, Dijksterhuis A. Creativity-the unconscious foundations of the incubation period. Front Hum Neurosci 2014;8:215.
Delehaye H. Les légendes hagiographiques. Bruxelles, Belgium: Bureau de la société des Bollandistes;
Facco E, Fracas F. De Rerum (Incerta) Natura: A Tentative Approach to the Concept of “Quantumlike” Symmetry (Basel) 2022;14:1–13. https://doi.org/10.3390/sym14030480.
Jung CG. Mysterium Coniunctionis. Collect. Work. C.G. Jung, Vol. 14, Princeton, US: Princeton University Press; 1977.
Perlovsky L. Learning in brain and machine-complexity, Godel, Aristotle. Front Neurorobot 2013;7:1–3.
Facco E, Fracas F, Tressoldi P. Moving beyond the concept of altered state of consciousness: the Non-Ordinary Mental Expressions (NOMEs). Adv Soc Sci Res J 2021;8:615–31. https://doi.org/10.14738/ASSRJ.83.9935.
Abramovitch H. Daniel: psychological development of a master biblical dream interpreter. J Anal Psychol 2021;66:93–111. https://doi.org/10.1111/1468-5922.12652.
Barrett D. The Committee of Sleep. New York, NY, USA: Crown/Random House; 2001.
Descartes R. A Discourse on the Method of Correctly Conducting One’s Reason and Seeking Truth in the Sciences. New York, NY, USA: Oxford University Press (OUP), 2006; 1637.
Popper KR, Eccles JC. The Self and His Brain. Berlin, Germany: Springer-Verlag; 1977.
Facco E. Hypnosis and Hypnotic ability between old beliefs and new evidences: an epistemological reflection. Am J Clin Hypn 2022;64:20–35. https://doi.org/10.1080/00029157.2020.1863181.
Facco E. On the Hard Process of Understanding Hypnosis: Epistemological Issues in the Debate Between State, Trait, and Hypofrontality Theories. In: Linden JH, De BG, Sugarman LI, editors. Routledge Int. Handb. Clin. Hypnosis., New York, NY, USA: Routledge; 2024, p. 22–38.
Wickkiser BL. Asklepios, Medicine, and the Politics of Healing in Fifth-Century Greece. Baltimore, MD, USA: John Hopkins University Press; 2008.
Nissen C. Entre Asclépios et Hippocrate - Etude des cultes guérisseurs et des médecins en Carie. vol. Supplement. Liège, France: Presses universitaires de Liège; 2009.
Gorrini ME. The Hippocratic Impact on Healing Cults: the Archeological Evidence from Attica. In: Van derEijck PJ, editor., Leiden-Boston: Brill Academic Publishers; 2005, p. 135–56.
Facco E. A nerurophenomenal theory of the three worlds. Theory Psychol 2022. https://doi.org/10.1177/09593543211068426.
Popper K. The World of Parmenides. Essays on the Presocratic Enlightenment. 2nd ed. London, UK: Routledge Classics (Kindle Edition); 2012.
Vaitl D, Birbaumer N, Gruzelier J, Jamieson GA, Kotchoubey B, Kubler A, et al. Psychobiology of altered states of consciousness. Psychol Bull 2005;131:98–127.
Facco E. Meditazione e Ipnosi tra neuroscienze, filosofia e pregiudizio. Lungavilla, PV, Italy: Altravista; 2014.
Facco E. Meditation and Hypnosis: Two Sides of the Same Coin? Int J Clin Exp Hypn 2017;65:169–88.
De Benedittis G. Neural mechanisms of hypnosis and meditation. J Physiol Paris 2015;109:152–64. 143
Holroyd J. The science of meditation and the state of hypnosis. Am J Clin Hypn 2003;46:109–28.
Grant JA, Rainville P. Hypnosis and meditation: similar experiential changes and shared brain mechanisms. Med Hypotheses 2005;65:625–6.
Schmit DT. The mesmerists inquire about “Oriental mind powers”: West meets East in the search for the universal trance. J Hist Behav Sci 2010;46:1–26.
Terhune DB, Cleeremans A, Raz A, Lynn SJ. Hypnosis and top-down regulation of consciousness. Neurosci Biobehav Rev 2017;81:59–74. https://doi.org/10.1016/j.neubiorev.2017.02.002.
Otani A. Eastern meditative techniques and hypnosis: a new synthesis. Am J Clin Hypn 2003;46:97–108.
Mason LI, Alexander CN, Travis FT, Marsh G, Orme-Johnson DW, Gackenbach J, et al. Electrophysiological correlates of higher states of consciousness during sleep in long-term practitioners of the Transcendental Meditation program. Sleep 1997;20:102–10.
Mota-Rolim SA, Bulkeley K, Campanelli S, Lobão-Soares B, de Araujo DB, Ribeiro S. The Dream of God: How Do Religion and Science See Lucid Dreaming and Other Conscious States During Sleep? Front Psychol 2020;11:1–9. https://doi.org/10.3389/FPSYG.2020.555731.
Facco E, Fracas F, Tagliagambe S. Consciousness and the mind-brain-body-world relationship: towards a transdisciplinary and transcultural approach. Adv Soc Sci Res J 2023;10:414–33. https://doi.org/10.14738/ASSRJ.101.13896.
Casiglia E, Finatti F, Tikhonoff V, Stabile MR, Mitolo M, Albertini F, et al. Mechanisms of hypnotic analgesia explained by functional magnetic resonance (fMRI). Int J Clin Exp Hypn 2020;68:1–15.
Rainville P, Carrier B, Hofbauer RK, Bushnell MC, Duncan GH. Dissociation of sensory and affective dimensions of pain using hypnotic modulation. Pain 1999;82:159–71.
Derbyshire SW, Whalley MG, Stenger VA, Oakley DA. Cerebral activation during hypnotically induced and imagined pain. Neuroimage 2004;23:392–401.
Canguilhem G. The Normal and the Pathological. New York, NY, USA: Zone Books; 1989.
Eisma MC. Prolonged grief disorder in ICD-11 and DSM-5-TR: Challenges and controversies. Aust N Z J Psychiatry 2023. https://doi.org/10.1177/00048674231154206.
Thomas NJT. Mental Imagery. Stanford Encycl. Philos., Stanford ,CA, USA: Stanford University, CA, USA; 2021, p. 1–57.
Ridderinkhof KR, Brass M. How kinesthetic motor imagery works: A predictive-processing theory of visualization in sports and motor expertise. J Physiol Paris 2015;109:53–63. https://doi.org/10.1016/j.jphysparis.2015.02.003.
Sack AT, Schuhmann T. Hemispheric Differences within the Fronto-Parietal Network Dynamics Underlying Spatial Imagery. Front Psychol 2012;3:1–10. https://doi.org/10.3389/fpsyg.2012.00214.
Sheahan HR, Ingram JN, Žalalytė GM, Wolpert DM. Imagery of movements immediately following performance allows learning of motor skills that interfere. Sci Rep 2018;8:1–12. https://doi.org/10.1038/s41598-018-32606-9.
Wondrusch C, Schuster-Amft C. A standardized motor imagery introduction program (MIIP) for neurorehabilitation: development and evaluation. Front Hum Neurosci 2013;7:1–12. 144
Linden JH, De Benedittis G, Sugarman LI, Varga K, editors. The Routledge International Handbook of Clinical Hypnosis. New York, NY, USA: Routledge; 2024.
Fernandez A, Urwicz L, Vuilleumier P, Berna C. Impact of hypnosis on psychophysiological measures: A scoping literature review. Am J Clin Hypn 2022;64:36–52.
Miller V, Whorwell PJ. Hypnotherapy for functional gastrointestinal disorders: a review. IntJ ClinExpHypn 2009;57:279–92.
Queirolo L, Facco E, Bacci C, Mucignat C, Zanette G. Impairment of Hypnosis by Nocebo Response and Related Neurovegetative Changes: A Case Report in Oral Surgery. Int J Clin Exp Hypn 2024;72:189–201.
Facco E, Bacci C, Zanette G. Hypnosis as sole anesthesia for oral surgery: the egg of Columbus. J Am Dent Assoc 2021;152:756–62. https://doi.org/10.1016/J.ADAJ.2021.04.017.
Burtt EA. The Metaphysical Foundation of Modern Science. Mineaola, NY, US: Dover Publications; 2003.
Guo D, Kleinstäuber M, Johnson MH, Sundram F. Evaluating commonalities across medically unexplained symptoms. Int J Environ Res Public Health 2019;16:1–7. https://doi.org/10.3390/ijerph16050818.
Richardson RD, Engel Jr. CC. Evaluation and management of medically unexplained physical symptoms. Neurologist 2004;10:18–30. https://doi.org/doi: 10.1097/01.nrl.0000106921.76055.24.
Dept. of Health Care & Human Services USA. Pain Management Best Practices Inter-Agency Task Force Report. 2019:1–108. https://www.hhs.gov/sites/default/files/pain-mgmt-best-practices-draft-finalreport-05062019.pdf.
McKay KM, Imel ZE, Wampold BE. Psychiatrist effects in the psychopharmacological treatment of depression. J Affect Disord 2006;92:287–90. https://doi.org/10.1016/j.jad.2006.01.020.
Moncrieff J, Kirsch I. Empirically derived criteria cast doubt on the clinical significance of antidepressantplacebo differences. Contemp Clin Trials 2015;43:60–2. https://doi.org/10.1016/j.cct.2015.05.005.
Frisaldi E, Shaibani A, Benedetti F, Pagnini F. Placebo and nocebo effects and mechanisms associated with pharmacological interventions: an umbrella review. BMJ Open 2023;13:e077243. https://doi.org/10.1136/bmjopen-2023-077243.
Isaacson W. Einstein, his life and universe. New York: Simon & Schuster; 2007.
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