Applying hypnotic associative - dissociative techniques in psychotherapy for psychosomatic symptoms

Am J Clin Hypn. 2024 Apr 30:1-10. doi: 10.1080/00029157.2024.2337625. Online ahead of print.

Abstract

Patients experiencing psychosomatic symptoms frequently have difficulty obtaining correct treatment. They are often reluctant to partially attribute their symptoms to psychological factors and, as a result, delay referrals to mental health professionals. Furthermore, the dropout rate from therapy is high and relapses are common. Hypnosis is a complex psycho-physiological phenomenon. Hence, hypnotic psychotherapy may play an important role in managing and treating psychosomatic symptoms and disorders that involve both the mind and body. In the current study, we propose a clinically oriented, four-phase, hypnotic approach, the hypnotic associative-dissociative approach (HADA), which may be useful in encouraging more patients with psychosomatic problems to engage in psychotherapy, thereby achieving effective long-term effects.

Keywords: Clinical hypnosis; dissociation; psychosomatic symptoms; somatic symptom disorders; strategic psychotherapy.