VIII. Light Hypnosis
Our theoretical exposition up to this point has been concerned entirely
with profound hypnoses. It is now our duty to examine the question whether the
superficial hypnoses which are of particular importance to the physician, as we
shall have occasion to observe later in agreement with Hirschlaff, may also be
understood on the same psychological assumptions. Quite apart from the fact
that the boundary line between superficial and profound hypnosis is more or
less arbitrary, as may be seen from our description of the phenomenology of
hypnosis, the suggestive rapport between the lightly hypnotized and the
profoundly hypnotized is essentially the same. This may be ascertained by later
psychoanalyzing a lightly hypnotized person. We have only to add that the
dynamic significance of the suggestive rapport on the body is obviously
a slighter one in light hypnosis, particularly the dynamic significance of the
influence on the sleeping apparatus. Yet it is quite certain that the setting
in motion of the sleeping mechanism involves very important psychophysical adjustments
of another kind. No doubt, on the one hand, the suggestive rapport with
more archaic strata of the personality in sleep is facilitated, the capacity
for hallucination enhanced, and the approachability of the vasovegetative
mechanisms in the inter-brain altered. Furthermore, sleep brings with it
readjustments with regard to the phenomena of the memory, to which we shall
have to give some attention later. We must, of course, in connection with the
production of sleep, consider the condition of the sleeping apparatus in
addition to the dynamic significance of the suggestive rapport, although
this distinction is not easy to make in specific cases. It is well known also
that sound sleepers are in general easier to hypnotize than poor sleepers. It
is therefore necessary for us to consider the factor of the organic condition
of a brain apparatus on which suggestion is operating, as one of the elements
in the effectiveness of the sleep suggestion, as indicated above. To what
extent vasomotor phenomena, peripheral secretion, menstruation, are capable of
being influenced in hypnosis depends no doubt, among other things, on the
condition of these vasovegetative functions in the midbrain,
the interbrain, and the hindbrain. Thus, the female patient of Heller
and Schultz in whom it was possible to produce the formation of blisters by the
path of suggestion, was also excitable in the highest degree in other vasomotor
respects. A comparative independence of the various brain apparatuses with
regard to psychic things may therefore probably be assumed, even though one
function may have a very important indirect influence on another. Viewed from
this point of view, it becomes of increased interest to consider the question
to what extent superficial hypnosis may be of influence at all on the formation
of ideas, the activity of conception, and the total psychic attitude of the
patient and the hypnotized personality. We may here refer in principle only to
the therapeutic problem of hypnotism, namely, to the fact that the suggested
content which at first is located in the periphery of the psychic experience,
only gradaually becomes incorporated with the total personality, no matter how
profound the hypnosis may be. In therapeutic hypnosis, we are therefore
concerned less with the profundity of the hypnosis as such than with its
psychic profundity of stratum, or, in other words, with the transformation of
the entire personality. Just as we must distinguish possession from hypnosis
and regard hypnosis merely as a technical auxiliary device for bringing about
possession, which may extend into profound psychic layers and truly encounter
in some manner the very nucleus of the personality, even so therapeutic
suggestion is merely a technical auxiliary device for a total process of transformation
of the patient, which is, of course, diametrically opposed to the process of
becoming a serf. Hypnosis in this sense, be it superficial or profound, is only
a technical auxiliary device for the transformation of the total personality,
and hypnosis and suggestion in this sense mutually abolish each other after the
attainment of the therapeutic purpose, for by this path the difference between
the true goals of the ego ideal and the goals obtained by suggestion has of
course already disappeared. It is a fact of experience that the psychic process
of transformation may also be attained by suggestion in superficial hypnosis.
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