Editorial - Australian Journal of Clinical and Experimental Hypnosis: Volume 39, Number 2, 2011

Abstract

Welcome to Volume 39 (2) of the 'Australian Journal of Clinical and Experimental Hypnosis'. This edition features two valuable clinical case studies by Elke Kellis and by Charlotte Weigold which highlight issues around the suitability of clinical hypnosis for interventions in children and adolescents utilizing the continuity of hypnotic suggestion with the everyday activities of fantasy and imagination. Kellis outlines the sensitive exploration and adaptation of imaginary scenarios for hypnotic suggestion based on a boy's idiosyncratic fantasy involvements and clinical needs to treat his dermatological condition. Of particular interest is the potential for this approach to be adapted to creatively reframing the experience of children undergoing physically and emotionally threatening medical procedures. While the engagement of fantasy is one component commonly utilized in hypnotic interventions, so is the capacity for profound relaxation which Weigold employs as a key element in her treatment of needle phobia in an adolescent girl. Strategically building on her client's available aptitudes and resources, Weigold structures a series of hypnotic sessions around the theme of relaxation paired first with imaginary exposure (in age regression) and then constructing positive response expectancies through age progression. There are many thoughtful issues raised here for those considering the use of hypnosis in behavioural medicine. What makes hypnosis an appropriate modality for treatment for this problem and in this individual? What are the characteristics that would make one consider an alternative approach? What is the role of particular personal attributes and skills of the client (e.g., imagination, relaxation, response expectancies, hypnotizability) in the selection of an intervention approach? How are we to gauge the effectiveness of a chosen intervention as it unfolds and in retrospect? These case studies gently reflect and communicate this thought process in a way that many will find informative.