Table 2 (above) shows that the meta-analysis of
Law and Tang confirms, to a large extent, the meta-analysis of
Chockalingam and Schmidt (1992); in both cases hypnosis appears as the
most effective form of intervention to achieve smoking cessation with
the exception of groups who are highly motivated to quit for medical
reasons, such as those with existing heart or pulmonary problems.
A more recent study, by
Ahijevych et al (2000), produces a similar overall figure for the
success of hypnosis. This study looked at a randomly selected sample of
2,810 smokers who participated in single-session, group hypnotherapy
smoking cessation programs sponsored by the American Lung Association
of Ohio. A randomly selected sample of 452 participants completed
telephone interviews 5 to 15 months after attending a treatment
session. 22 percent of participants reported not smoking during the
month prior to the interview.
Tailored
Hypnosis—Taking It to the Next Level
The results discussed so
far indicate that
when the bulk of random trials are considered hypnosis is shown to be
the most effective intervention for achieving smoking cessation. Yet
this is only half the story—many of the trials discussed so
far
have used very brief sessions, using standardised hypnosis techniques,
many have in fact taken place in group sessions (making it difficult to
tailor to each individual's needs) and have not necessarily been
carried out by expert practitioners of hypnosis. If, under these
circumstances, hypnosis can achieve such positive outcomes in terms of
enabling smokers to quit, then what might be achieved using programmes
of hypnosis which are carried out by expert hypnotists and are tailored
to the needs of the individual who wants to stop smoking?
Nuland and Field (1970)
found an
improvement rate of 60% in treating smokers with hypnosis.
The increased effectiveness was achieved by a more personalised
approach, including feedback (under hypnosis) of the client's own
personal reasons for quitting. These researchers also employed a
technique of having the client maintain contact by telephone between
treatments and utilized self-hypnosis in addition.
Von Dedenroth (1968)
devised an
innovative
unique approach which appears to have been extremely successful. He
began by inquiring how long the individual had smoked, whether they
recalled why they had begun, whether they had ever tried to stop
smoking, why they wanted to stop smoking at this particular point in
time, what benefit, if any, they felt that they derived from smoking,
at what specific times they felt the need most strongly (after meals,
before breakfast etc.), and finally he asked them how many cigarettes
they smoked. Von Dedenroth believed that answering these questions not
only tended to increase rapport but also revealed, at least in part,
the smoker's own feelings regarding his smoking and his reasons for
wanting to give up the habit. The therapy proper did not begin until
the second session, and at this time the smoker was told that 'Q Day'
or 'Quitting Day' would be 21 days from that point. The smoker was also
told to change his favourite brand of cigarettes and resolve to never
smoke that brand again. The smoker is then told that they are not to
smoke at all:
- Before breakfast
- For one half-hour after each meal
- For 30 minutes before retiring
The smoker was told that,
at the times
mentioned above, he was to get into the habit of going to the
bath-room, gargling with mouthwash and cleaning his teeth. He should
have a glass of fruit juice upon awakening and he was told to notice
the fresh feeling in his mouth in the morning and following each of
these routines. After his breakfast, he was to clean his teeth again
and use the mouthwash, paying close attention to the clean feeling in
his mouth. Thirty minutes later he was allowed to have a cigarette, but
not before. This tended to break the association between the taste of
food and the inevitable cigarette that usually followed a meal. He was
also told to get a small note-book to carry with him, and to write
down, from time to time, his reasons for giving up smoking (physical,
financial and personal). Then a trance state was induced and the above
suggestions, given in the waking state, were repeated and consequently
greatly reinforced. Following the trance, the patient was encouraged to
ask questions, and the next appointment arranged.
The third session occurred
around one week
later (and a week before 'Q day')—in this session the smoker
was
told that they should not drink alcohol at all, or at least to drink
alcohol only with meals, with the intention of breaking the association
between alcohol and smoking. A trance state is again induced and all
the previous instructions reinforced. It is also suggested that smoking
will no longer be enjoyable. In particular the smoker was told that the
first puff of a cigarette may be enjoyable, the second less enjoyable,
and the third may possibly irritate the nose, throat or chest. The aim
of this is that by the time 'Q Day' arrives the smoker may only be
taking a few puffs of each cigarette a day; as the number of cigarettes
smoked, and the amount of each of those cigarettes smoked, has
declined, then it should be less painful for the individual to quit.
Von Dedenroth believed that
the fact that the
individual is able to reduce and stop smoking (with the aid of
hypnosis) gives the individual a great feeling of self-accomplishment.
'Q day' begins with the induction of a trance state and it is
emphasised continually to the smoker that bad habits have been replaced
by good ones, and that for several weeks cigarettes have become more
and more unpleasant.
Von Dedenroth
found
that his use of hypnosis enabled 94% of 1000 subjects to stop smoking
(when checked at 18 months).
Stop
Smoking in 1 Hour
Study
(2000)
This research was carried
out on
300 subjects
(beginning in January 2000 and continuing until March 2002) who
responded to an advertisement. A 'blind trial' technique was
used—subjects were not aware that they were taking part in a
research project although they all ticked a box on their intake forms
saying that they understood that the hypnotist's methods were always
being measured tested and improved, and that results would be collated
and studied. Client confidentiality was assured so that their data
could be used but not their names and these subjects were randomly
allocated to receive either 'standard' hypnotherapy or a special
formulation of hypnotherapy which Practice Builders has termed
'advanced therapy'. 51% of respondents were male and 49% female; the
median age of all subjects was 44 years.
No respondents had previous
experience of
hypnosis—51% of subjects had tried nicotine patches, 14% had
tried nicotine gum, 7% had tried acupuncture, 6% had tried using a
nicotine inhaler and 30% had previously tried to quit using will-power
alone. 11% of subjects had not previously tried to quit smoking.
For all subjects:
The client was interviewed to make sure that they wanted to stop
smoking for their own reasons, and were not being pressured into it by
someone else (doctor, loved one etc.).
The price was kept high to
establish
commitment, and to avoid people who were casually or speculatively
trying hypnosis (as opposed to those who have some commitment,
confidence or belief that hypnosis would help them to stop smoking).
Before the actual hypnosis,
the
client (or
subject) is asked a series of questions about their smoking habit and
their beliefs. They are asked, for example:
- 'What fears do you have
about stopping?'
- 'What do you know about hypnosis?'
Hypnosis was then fully
explained to the
client, as well as how the conscious and the subconscious mind works,
and any myths debunked (such as, you cannot make someone do something
they don't want to do, hypnosis is not sleep or unconsciousness, you
will be aware of everything that is going on and will remember
everything that happened in hypnosis after the session, you can stop
the session at any time, etc.). This is called the "pre-talk".
A hypnotic contract is then
entered into, in
which the client agrees to go along with all techniques and to accept
all the suggestions that are for their benefit.
For subjects treated with
the
standard technique:
A basic stop smoking technique is used. This type of standard technique
doesn't allow for much in the way of personalising a session, as it is
the same for every client. The wording of some of the best basic
techniques uses hypnotic language patterns (Neuro Linguistic
Programming). The client is then emerged.
For subjects treated with
the
advanced technique:
Hypnosis is induced using a progressive test induction tailored to the
client. Ideo motor techniques are used to gain subconscious
communication. The client's own motivations, Meta programmes, and
values are utilised in the session using a combination of metaphor and
suggestion. NLP sub-modality and anchoring techniques are used
according to the client's processing style. At the end of the session,
the client is emerged from hypnosis and the change is tested, then
future paced and ratified.
Findings
Quit rates were established
through telephone interviews 1 month and 6 months after the first
session of treatment.
Of those who received
'advanced
therapy', 95% had
quit smoking after 1 session.
The remaining 5% received a second session of treatment leading to a
further 1.3% of the group quitting smoking. In total therefore, at 6
months, 97%
of those who received 'advanced
therapy' had quit smoking.
Of those who received
'standard
therapy' 51%
quit smoking after one session and a further 6% quit after a second
session—a total of 57% had quit smoking at 6 months.
Those who were still
smoking at 6
months did
not differ from those who had successfully quit in terms of gender, age
or therapies previously tried. These results mean that for both
standard treatments and the 'advanced treatment' quit rates are
extraordinarily high and well above what has hitherto been reported in
the literature. Results for both treatments were significant at the
0.001 level (chi-square).
Outcomes
for the
'advanced therapy' are considerably higher than any findings previously
reported in the literature.
In addition, the success rate achieved using the standard technique was
considerably higher than expected and this may be due to the fact that
the elements that the standard treatment and 'advanced treatment' have
in common have powerful effects on outcomes.
Combined
results were
statistically significant at the .001 level, meaning that there is less
than a one in a thousand chance that these results happened by chance.
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Add
years to your
life, and life
to your years, to become an non-smoker in just one hour - hypnosis
makes it easy to quit smoking.
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