This article was downloaded by: [Harvard College] On: 15 September 2013, At: 13:05 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK International Journal of Clinical and Experimental Hypnosis Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/nhyp20 The Cognitive Demands of Hypnotic Response a Miriam Wyzenbeek & Richard A. Bryant a a University of New South Wales, Sydney, Australia Published online: 18 Nov 2011. To cite this article: Miriam Wyzenbeek & Richard A. Bryant (2012) The Cognitive Demands of Hypnotic Response, International Journal of Clinical and Experimental Hypnosis, 60:1, 67-80, DOI: 10.1080/00207144.2011.622197 To link to this article: http://dx.doi.org/10.1080/00207144.2011.622197 PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sublicensing, systematic supply, or distribution in any form to anyone is expressly Downloaded by [Harvard College] at 13:05 15 September 2013 forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions Intl. Journal of Clinical and Experimental Hypnosis, 60(1): 67–80, 2012 Copyright © International Journal of Clinical and Experimental Hypnosis ISSN: 0020-7144 print / 1744-5183 online DOI: 10.1080/00207144.2011.622197 THE COGNITIVE DEMANDS OF HYPNOTIC RESPONSE Miriam Wyzenbeek and Richard A. Bryant1 Downloaded by [Harvard College] at 13:05 15 September 2013 University of New South Wales, Sydney, Australia Abstract: This study tests the proposal that hypnotic responding is effortless. The authors compared the responses of high and low hypnotizable participants (N = 70) in and out of hypnosis on a dual-task paradigm in which they were required to maintain hypnotic blindness during presentation of visual stimuli of varying salience intensities while simultaneously completing a secondary task. Whereas high hypnotizable participants in both hypnosis and wake conditions reported comparable levels of conviction in the hallucination suggestion, hypnotized highs performed poorer on the secondary task when the stimulus was present. Performance on the secondary task deteriorated when the visual stimulus was intensified. These findings contradict the notion that hypnotic response is not demanding on cognitive resources and suggest that increased effort is required to resolve the extent of conflict between reality and suggestion. During hypnosis, individuals are typically required to think, to feel, and to behave in ways that are incongruent with reality. The extent to which a hypnotized person can successfully respond to a hypnotic suggestion depends on their capacity to resolve the conflict between the hypnotist’s suggested experience and reality (Bryant & Mallard, 2005; Kihlstrom & Hoyt, 1988). One of the outstanding issues regarding hypnotic response is the extent to which this response is effortful or occurs automatically. According to Hilgard’s original (1986, 1994) neodissociation theory, hierarchically organized cognitive subsystems are governed by an executive control system, which during hypnosis is dissociated from normal processing by an amnesic-like barrier. This amnesic barrier purportedly limits participants’ awareness of their responses to hypnotic suggestions, resulting in the perception that responses are automatic. This theory suggests that hypnotic responses are more cognitively demanding than nonhypnotic responses because of the cognitive demands associated with maintenance of the amnesic barrier (Hilgard, 1986). In contrast, the more recent dissociated control Manuscript submitted April 6, 2009; final revision accepted December 20, 2010. 1 Address correspondence to Richard A. Bryant, School of Psychology, University of New South Wales, Sydney, NSW 2052, Australia. E-mail: [email protected] 67 Downloaded by [Harvard College] at 13:05 15 September 2013 68 MIRIAM WYZENBEEK AND RICHARD A. BRYANT theory posits that that hypnosis weakens the executive control over subsystems, thereby enabling the hypnotist’s suggestions to directly influence subsystems and to activate responses without cognitive mediation (Bowers, 1992; Woody & Bowers, 1994). This position implies that hypnotic responses can occur with fewer cognitive demands than nonhypnotic responses (Woody & Sadler, 2008). There is some evidence to support the dissociated control theory. Bowers and colleagues conducted several studies that indicated that hypnotic tasks were achieved with less effort than nonhypnotic tasks. These studies found that, unlike a cognitive behavioral stress inoculation procedure, hypnotic analgesia suggestions did not interfere with a concurrent cognitive task (Miller & Bowers, 1993), and that hypnotic analgesia required fewer attentional resources than stress inoculation procedures (Eastwood, Gaskowski, & Bowers, 1998). In contrast, there is also indirect evidence to suggest that hypnotic responding may be cognitively demanding. Qualitative analyses of hypnotic responding have demonstrated that hypnotized participants resolve the conflict between reality and suggestion by effortfully engaging in strategies that minimize the conflict (McConkey, 1983; Sheehan & McConkey, 1982). Specifically, hypnotized individuals who apply active constructive strategies to reduce the incongruity between suggestion and reality achieve hypnotic response more successfully than those who do not (Bryant & Mallard, 2004; Bryant & McConkey, 1989a, 1989b, 1990a, 1990b; Mallard & Bryant, 2001a, 2001b, 2006; Sheehan & McConkey, 1982). There is also behavioral evidence suggesting that hypnotic response is cognitive demanding. Bryant and McConkey (1990a) suggested hypnotic blindness to participants who subsequently performed a visual decision task; this study found that hypnotically blind participants responded slower on a secondary word task when performing a decision task with visual cues present than when they were absent. This pattern suggested that the cognitive demands associated with the experience of hypnotic blindness reduced the cognitive resources available for performing a task unrelated to the experience of hypnotic blindness. Kirsch and colleagues demonstrated that the additional cognitive load of a competing task hindered the response to some hypnotic suggestions (Kirsch, Burgess, & Braffman, 1999; Kirsch & Lynn, 1998). Finally, Tobis and Kihlstrom (2010) reported that responding to a posthypnotic suggestion was compromised by a competing task, suggesting posthypnotic responding is demanding of cognitive resources. Although there is considerable indirect evidence regarding the extent to which hypnotic responding is cognitively demanding, there is a need to directly test the cognitive demands associated with responding to the conflict between reality and suggestion during hypnosis. Using a dual-task paradigm, we assessed cognitive load demands associated with responding under varying hypnotic conflict salience Downloaded by [Harvard College] at 13:05 15 September 2013 COGNITIVE DEMANDS AND HYPNOSIS 69 conditions as a function of hypnosis and of hypnotizability. It is important to manipulate hypnotizability because high levels of hypnotizability are associated with a range of cognitive abilities. During hypnosis, high hypnotizable participants possess an increased capacity for selective attention (Acosta & Crawford, 1985; Dolby & Sheehan, 1977; Wallace, 1979). Accordingly, this study compared responses of high and low hypnotizable participants. Similarly, it is important to control for hypnosis because of evidence that high hypnotizable participants also have a greater capacity for selective attention outside of hypnosis (Crawford, 1994). It is therefore important to compare the cognitive demands associated with responding to a suggestion in and out of hypnosis. In this study, we compared the responses of high and low hypnotizable participants in and out of hypnosis on a dual-task paradigm in which they were required to maintain hypnotic blindness during presentation of visual stimuli of varying salience intensities while simultaneously completing a secondary task. We hypothesized that maintaining a hypnotic suggestion during increased conflict between reality and suggestion would be associated with increased cognitive load. Specifically, we predicted that highs in the hypnosis condition would perform poorer on the secondary decision task than highs in the wake condition. On the premise that lows would not experience the negative visual hallucination suggestion, it was predicted that lows would display comparable performances on the secondary decision task across the conflict salience conditions. Method Participants Participants were first-year undergraduate psychology students at the University of New South Wales, who received 2 hours research credit for their participation. Thirty-five (21 female and 14 male) high hypnotizable participants (highs) of mean age 18.8 years (SD = 1.28) and 35 (19 female and 16 male) low hypnotizable participants (lows) of mean age 19.37 years (SD = 2.40) participated in the experiment. Participants were selected on the basis of their extreme scores on the 10-item modified versions of the group-administered Harvard Group Scale of Hypnotic Susceptibility: Form A (HGSHS:A; Shor & Orne, 1962) and the individually administered Stanford Hypnotic Susceptibility Scale: Form C (SHSS:C; Weitzenhoffer & Hilgard, 1962). Highs scored in the range 7.5–10 on the HGSHS:A (M = 8.74, SD = 0.98) and in the range 7.5–10 on the SHSS:C (M = 8.4, SD = 0.98). Lows scored in the range 0–3 on the HGSHS:A (M= 1.23, SD = 0.87) and in the range 0–3 on the SHSS:C (M = 1.2, SD = 1.02). High and low hypnotizable participants were randomly assigned to hypnosis or wake conditions. Downloaded by [Harvard College] at 13:05 15 September 2013 70 MIRIAM WYZENBEEK AND RICHARD A. BRYANT Materials The auditory stimuli used in the secondary decision task included a recording of animate and inanimate noun words, which were stored as audio files in Windows .wav format. These words were presented via a laptop computer using the DMDX experiment software program. The words were recorded 3 seconds apart in three sets of 32. The presentation order of the three sets was randomized, resulting in six possible secondary decision task conditions. The words in each set were matched for syllabic length and word frequency (Kucera & Francis, 1967). Each set consisted of eight target words (animate nouns) and 24 nontarget words (inanimate nouns). Participants’ responded via an external keyboard, positioned on the participant’s lap. DMDX registered participants’ response accuracy and latency for each word. Response latencies were measured in milliseconds, with a maximum response latency of 3 seconds. The visual stimuli used for the negative visual hallucination consisted of five slides, projected singularly on a wall in front of the participant (approximately at eye-level), using a Kodak Carousel S-AV 2050 model projector. Each slide was presented for 120 seconds. All of the slides had the same background, which was closely matched to the color of the wall that they were projected on. Four of the slides featured an equally sized target image of a red circle on a white background, which had a projected vertical diameter of 10 cm and a projected horizontal diameter of 13 cm. The color intensity of the target image was incrementally stronger in the Low (luminance: 10) and High (luminance: 50) conflict conditions, respectively. The target image was not present in the “No Conflict” condition. The experimenter manually changed the slides to alter stimulus presentation. The projection order of slides “high,” “low,” and “no conflict” was counterbalanced between participants. The projector’s lens and the participant’s chair were both aligned to face the same position on the same wall, with participants sitting 171 cm from the projected stimulus. The projector was positioned 200 cm from the wall that was facing the participant. The two tasks chosen for this study used different sensory and response channels to ensure that any interference effects reflected resource limitations rather than structural bottlenecks. Procedure Following written informed consent procedures, participants were informed that the study was concerned with people’s reactions to different tasks. Participants in the hypnosis condition were then administered a standard hypnotic induction procedure, based on the SHSS:C. Participants in the wake condition were given two filler tasks, time Downloaded by [Harvard College] at 13:05 15 September 2013 COGNITIVE DEMANDS AND HYPNOSIS 71 matched with the hypnotic induction. The first filler task involved dividing an L-shape into four equal-sized portions. The second filler task required participants to match pairs of numbers and names. The experimenter then tested participants on a number of suggestions that were unrelated to the present study. The experimenter then informed participants that they would be asked to perform two tasks concurrently: a primary visual task and a secondary auditory decision task. Participants were advised that the auditory task would require them to listen to a list of nouns and to identify the animate nouns by pressing “enter” on the keyboard that was positioned on their lap. Participants were told that speed and accuracy were important on the word task and were given a practice trial consisting of 10 words (eight inanimate nouns and two animate nouns). The experimenter reminded participants that they would be asked to perform the word task while looking at a projected circle on the wall in front of them. The experimenter emphasized that the primary task of looking at the circle should be performed to the best of the participant’s ability and that the secondary word task may take care of itself. The experimenter then administered a negative visual hallucination suggestion for the circle. The suggestion instructed participants that the circle would disappear. This suggestion continued for 2 minutes and repeatedly stated that the circle would become invisible to them and that it would become so faint that they could not see it any longer. The experimenter then asked participants to describe what they saw on the wall, and an additional suggestion was given for participants who still reported seeing the circle. The experimenter then asked participants to rate their confidence that there was nothing on the wall (1 = not at all sure, 10 = very sure). The experimenter then instructed participants to focus their attention on the shaded area of the wall as they completed the auditory task. The experimenter then projected the appropriate slide onto the wall (high, low, or no conflict) in front of the participant and waited 10 seconds before commencing the decision task. The 10-second delay between slide projection and word-task commencement was aimed at providing participants with time to adjust to the visual target stimulus’s differing conflict intensity. The decision task consisted of 32 words (24 inanimate and eight animate), spaced 3 seconds apart. After the 32nd word, the experimenter paused the decision task and asked participants’ conviction rating that there was no circle on the wall (1 = not at all sure, 10 = very sure). This procedure was repeated for the three counterbalanced conflict conditions. Following this, the experimenter terminated the decision task, removed the keyboard from participants’ laps and suggested to participants that they could see the circle clearly. A deinduction procedure was then administered to participants in the hypnosis condition, and the session was terminated. 72 MIRIAM WYZENBEEK AND RICHARD A. BRYANT Downloaded by [Harvard College] at 13:05 15 September 2013 Results Preliminary Analyses To determine if the word order or conflict order influenced participants’ responses, separate 6 (Word Order) × 3 (Conflict Order) analyses of variance (ANOVAs) were conducted on initial conviction ratings of the negative visual hallucination, correct responses on the secondary task, and response latencies on the secondary task. There were no significant main or interaction effects on any of these analyses, indicating that responses to the suggestion and responses on the secondary word task were not influenced by order of word presentation or conflict condition. Subsequent analyses do not include word order or conflict condition order. Separate 2 (Hypnotizability) × 2 (Induction) ANOVAs on age and HGSHS:A and SHSS:C scores indicated no significant main or interaction effects for age. As expected, there were significant main effects for HGSHS:A scores, F(1, 66) = 1139.15, p = .001, η2 = .95, and SHSS:C scores, F(1, 66) = 933.70, p = .001, η2 = .93, but no interaction effects. That is, hypnotizability did not differ between induction conditions. Hallucination Ratings Table 1 presents the mean hallucination conviction ratings for each conflict salience condition. A 2 (hypnotizability) × 2 (induction) × 3 (conflict salience) mixed-model ANOVA of conviction ratings indicated significant main effects for hypnotizability, F(1, 64) = 34.24, p < .001, η2 = .35, conflict salience, F(2, 128) = 238.86, p < .001, η2 = .83, and a significant Hypnotizability × Conflict Salience interaction effect, F(2, 128) = 31.07, p < .001, η2 = .15. Highs reported more conviction in the Table 1 Mean Conviction Ratings for the Negative Hallucination Suggestion During Each Conflict Salience Condition Induction Condition and Hypnotizability Wake Low High Hypnosis Low High Conflict Salience High Low None 1.5 (2.12) 3.29 (2.73) 1.06 (0.24) 6.24 (3.23) 9.39 (2.12) 9.59 (1.23) 1.63 (1.49) 4.22 (2.98) 1.73 (1.62) 6.19 (3.20) 9.93 (1.23) 8.89 (2.14) Note. For conviction ratings: 1 = “not at all sure,” 10 = “very sure.” High = high-conflict salience condition; Low = low-conflict salience condition; None = no-conflict salience condition. Standard deviations appear in parentheses. COGNITIVE DEMANDS AND HYPNOSIS 73 Downloaded by [Harvard College] at 13:05 15 September 2013 hallucination than lows. Further, participants reported more conviction during the no conflict (p < .001) and low conflict (p < .001) conditions. Post hoc Tukey comparisons indicated that highs reported significantly more conviction in the hallucination than lows during both the high conflict, t(68) = 3.94, p < .001, and low conflict, t(67) = 8.45, p < .001, conditions. Secondary Task Table 2 presents the mean number of correct responses and response latencies. A 2 (Hypnotizability) × 2 (Induction) × 3 (Conflict Salience) mixed-model ANOVA of correct responses yielded a significant interaction between Hypnotizability and Conflict Salience, F(2, 132) = 3.49, p < .05, η2 = .05, and a significant three-way interaction effect between Hypnotizability, Induction, and Conflict Salience, F(2, 132) = 3.43, p < .05, η2 = .05. Whereas all participants made a similar number of correct responses during the no conflict and the low-conflict salience conditions, highs made fewer correct responses during the high-conflict condition compared to lows, t(68) = 2.23, p > .05. To clarify the three-way interaction, separate two-way ANOVAs were conducted for lows and highs, respectively. In terms of lows, a 2 (Induction) × 3 (Conflict Salience) mixed-model ANOVA of correct responses indicated Table 2 Mean Number of Correct Responses and Response Latencies on the Secondary Task Induction Condition and Hypnotizability Conflict Salience High Low None Correct Responses Wake Low High Hypnosis Low High 7.06 (1.43) 6.88 (1.05) 7.06 (1.16) 7.12 (0.93) 7.00 (1.46) 6.88 (0.70) 7.41 (0.62) 6.44 (0.98) 7.65 (0.61) 7.34 (0.97) 7.24 (0.66) 7.44 (0.92) Responses Latencies Wake Low High Hypnosis Low High 1450.56 (365.32) 1612.74 (364.45) 1451.14 (275.17) 1539.78 (300.38) 1486.42 (373.96) 1592.89 (275.04) 1449.30 (240.55) 1828.41 (359.45) 1349.22 (202.86) 1635.83 (367.90) 1422.63 (179.08) 1560.21 (279.08) Note. High = high-conflict salience condition; Low = low-conflict salience condition: None = no-conflict salience condition. Response latencies are measured in milliseconds. Standard deviations appear in parentheses. Downloaded by [Harvard College] at 13:05 15 September 2013 74 MIRIAM WYZENBEEK AND RICHARD A. BRYANT no significant effects. In terms of highs, a 2 (Induction) × 3 (Conflict Salience) mixed-model ANOVA of correct responses indicated a significant main effect for Conflict Salience, F(2, 66) = 5.00, p < .01, η2 = .21, and a significant Induction × Conflict Salience interaction effect, F(2, 66) = 4.39, p < .05, η2 = .21. Specifically, highs made significantly fewer correct responses in the high-conflict condition than in the low- (p < .05) or no (p < .01) conflict conditions. Further, highs in the hypnosis condition made fewer correct responses in the high-conflict condition than in the no conflict salience condition, t(17) = 4.37, p < .001. A 2 (hypnotizability) × 2 (induction) × 3 (conflict salience) mixedmodel ANOVA of response latencies yielded significant main effects for hypnotizability, F(1, 66) = 9.07, p = .004, η2 = .12, conflict salience, F(2, 132) = 4.52, p = .01, η2 = .12, and a significant Induction × Conflict Salience interaction effect, F(2, 132) = 3.39, p < .05, η2 = .05. Highs responded slower than lows. Participants responded slower during the high-conflict condition compared to low-conflict, t(69) = 2.97, p < .005, and no conflict, t(69) = 2.00, p < .05, salience conditions. Post hoc comparisons indicated that whereas participants in the wake condition had comparable response latencies across the three conflict conditions, participants in the hypnosis condition had slower responses in the high-conflict condition compared to the low-conflict (p < .001) and no conflict (p < .005) conditions. Responses of Participants Experiencing the Negative Visual Hallucination On the basis that rating their belief that the circle was not present at least 5 (out of the possible 10) indicated passing the suggestion, 27 highs (39%) and no lows experienced the hallucination suggestion. Of these 27 participants, 12 were in the wake induction condition and 15 in the hypnosis induction condition. To assess the cognitive demands associated with successfully experiencing the negative visual hallucination during varying conflict intensities, the previous analyses for the secondary task were recalculated on these 27 participants (see Table 3). A 2 (induction) × 3 (conflict salience) mixed-model ANOVA of correct responses on the secondary task yielded a significant main effect for conflict salience, F(2, 24) = 3.91, p = .03, η2 = .25, demonstrating that participants made fewer correct responses during the high-conflict (M = 6.67, SD = 0.92) than the low-conflict (M = 7.11, SD = 1.09), t(26) = 2.00, p = .056, and no conflict (M = 7.22, SD = 0.85), t(26) = 2.75, p < .01, conditions. This analysis also yielded a significant Induction × Conflict Salience interaction effect, F(2, 24) = 5.94 p = .008, η2 = .33. Whereas highs in the wake condition had comparable response accuracy rates across the three conflict conditions, participants COGNITIVE DEMANDS AND HYPNOSIS 75 Table 3 Mean Number of Correct Responses and Response Latencies on the Secondary Task for Participants Who Experienced the Hallucination Suggestion Induction Condition Conflict Salience Downloaded by [Harvard College] at 13:05 15 September 2013 High Correct Responses Wake Hypnosis Response Latencies Wake Hypnosis 7.00 (0.739) 6.40 (0.986) Low 7.17 (0.937) 7.07 (1.223) None 6.92 (0.669) 7.47 (0.915) 1536.08 (277.25) 1506.63 (306.12) 1536.76 (242.25) 1839.82 (367.35) 1648.52 (393.83) 1592.58 (273.25) Note. High = high-conflict salience condition; Low = low-conflict salience condition; None = no-conflict salience condition. Response latencies are measured in milliseconds. Standard deviations appear in parentheses. in the hypnosis condition made more correct responses during the lowconflict, t(14) = 2.32, p < .05, and no conflict, t(14) = 4.30, p < .01, conditions compared to the high-conflict condition. A 2 (induction) × 3 (conflict salience) mixed-model ANOVA of response latencies yielded a significant interaction effect between induction and conflict salience, F(2, 24) = 3.20, p = .04, η2 = .24. Participants in the hypnosis condition responded slower than participants in the wake condition during the high-conflict salience condition, t(25) = 2.37, p < .05. Discussion Overall, there was poorer performance on the secondary task when high hypnotizable participants were attempting to respond to the hypnotic suggestion during hypnosis, and this influence was particularly apparent when the discrepancy between reality and suggestion was more salient. The finding that participants performed worse on the secondary task during high conflict relative to no conflict supports Bryant and McConkey’s (1990a) finding that the presence of conflicting reality information during hypnotic responding places demands on cognitive resources. The observation that performance on the secondary task deteriorated during high conflict relative to low conflict extends previous evidence by demonstrating that the drain on cognitive resources depends on the extent of the discrepancy between reality and suggestion. The cognitive demands associated with managing the conflicting reality information were greater for highs than lows. As lows did Downloaded by [Harvard College] at 13:05 15 September 2013 76 MIRIAM WYZENBEEK AND RICHARD A. BRYANT not respond to the suggestion, they did not need to resolve the conflict and hence they had greater resources available for the secondary task. In resolving the conflict, high hypnotizable individuals may have expended more effort for several reasons. High hypnotizables tend to use more active cognitive strategies than lows (Bryant and McConkey, 1989b; Sheehan & McConkey, 1982), which presumably involves more cognitive resources. It is also possible that high hypnotizable participants were motivated to comply with experimental tasks and consequently used more cognitive resources to experience the hallucination. Highs tend to be more motivated than lows (Braffman & Kirsch, 1999) and, in the context of the current experiment, the highs may have been motivated to expend more effort in responding to the suggestion as it became more difficult. Intriguingly, highs in the hypnosis and wake conditions reported comparable levels of conviction in the negative visual hallucination. This finding accords with previous reports of highs being able to successfully respond to hypnotic suggestions in and out of hypnosis (Bryant & Kapur, 2006; Kirsch & Braffman, 2001). Despite this finding, highs in the hypnosis condition used more cognitive resources than those in the wake condition. Although previous commentaries have noted that performing a task hypnotically is less cognitively demanding than performing that same task nonhypnotically (Ruehle & Zamansky, 1997), the use of a dual-task paradigm in this study indicates the cognitively demanding nature of responding in hypnosis. Our current finding is supported by some early evidence that hypnotic responding is more taxing on cognitive resources than nonhypnotic responding (Fehr & Stern, 1967), and with evidence of increased cerebral metabolism, which is indicative of increased cognitive effort, during hypnosis (Crawford, Brown, & Moon, 1993). The current findings are consistent with theories that recognize that a core mechanism in successful response to a hypnotic suggestion is the capacity to resolve the conflict between reality and suggestion by engaging appropriate cognitive strategies (Sheehan & McConkey, 1982; Spanos, 1986). This perspective emphasizes that hypnotized individuals engage in active problem-solving strategies during hypnosis, and the effort required to maintain the resolution of the conflict between reality and suggestion will depend on the degree of conflict (McConkey, 1983). This interpretation accords with previous evidence that hypnotized participants manage increased conflict by engaging in effortful strategies to resolve the conflict between suggestion and reality (Bryant & McConkey, 1989a; Mallard & Bryant, 2006). Additionally, Bryant and Mallard (2003) suggested that participants exposed to nonhypnotic suggestions do not display the same commitment as participants exposed to hypnotic suggestions to respond successfully. Accordingly, although highs in both conditions were able to achieve Downloaded by [Harvard College] at 13:05 15 September 2013 COGNITIVE DEMANDS AND HYPNOSIS 77 the suggested hallucination, those participants in the hypnosis condition may have performed poorer on the secondary task because the hypnotic induction increased their motivation to use cognitively demanding strategies in order to maintain their experiences of the hallucination suggestion. We note several methodological limitations of this study. First, although we endeavored to compare hypnosis and wake conditions, it is possible that participants in the wake condition interpreted the context as hypnotic. Previous research has demonstrated that previous experiences of hypnosis and the performance of hypnotic tasks are sufficient to produce the experience of hypnosis (Kirsch, Wickless, & Moffitt, 1999). Participants had previously undergone two separate hypnosis-screening sessions to confirm their hypnotizability levels, and this may have primed participants in the wake condition to experience the session as a hypnosis session. Second, it is possible that the differential responses to the hallucination suggestion and to the secondary task may have been influenced by demand characteristics, as participants responded to perceived expectations of the experimenter. Future replications of this study could employ Orne’s (1979) real-simulating paradigm to compare the performance of real hypnotized individuals with those of simulating unhypnotized individuals to index the potential role of demand characteristics on the observed responses. In summary, this study represents evidence that successful responding to a hypnotic suggestion is demanding on cognitive resources, and these demands are increased according to the degree of conflict between the suggestion and reality. The finding that this pattern is specific to high hypnotizable participants who have undergone a hypnotic induction challenges notions that responding to a hypnotic suggestion is automatic or effortless. Theories of hypnosis need to recognize that despite attributions of involuntariness that participants often make about hypnotic responding (Lynn, Rhue, & Weekes, 1990), successful responding to suggestions that conflict with reality are demanding on cognitive resources. We recognize that the role of cognitive effort in hypnotic response is complex and is probably dependent on the nature of the suggestion and the context in which it is tested (Lynn, Kirsch, & Hallquist, 2008). 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Die Autoren verglichen die Reaktionen von hoch- und geringhypnotisierbaren Teilnehmern (N = 70) unter und außer Hypnose in einem Doppelaufgaben Paradigma in dem sie dazu verpflichtet wurden, hypnotische Blindheit während der Vorstellung optischer Stimuli unterschiedlicher Intensitäten beizubehalten und gleichzeitig eine zweite Aufgabe zu bewältigten. Während die hochhypnotisierbaren Teilnehmer im Hypnose- als auch Wachzustand vergleichbare Maße der Überzeugung an der halluzinierten Suggestion berichteten, verrichteten hypnotisierte Hochhypnotizierbare die sekundäre Aufgabe schlechter in der Gegenwart des Stimuluses. Die Bewerkstelligung der sekundären Aufgabe verschlechterte sich wenn der optische Stimulus verstärkt wurde. Diese Resultate widersprechen der Annahme daß die hypnotische Reaktion keine kognitive Bedürfnisse erfordert und deuten darauf hin, daß mehr 80 MIRIAM WYZENBEEK AND RICHARD A. BRYANT Anstrengung erforderlich ist den Umfang des Konfliktes zwischen Realität und Suggestion zu lösen. Elvira V. Lang, MD, FSIR, FSCEH Hypnalgesics, LLC, Brookline, MA, USA Downloaded by [Harvard College] at 13:05 15 September 2013 Les exigences cognitives d’une réaction hypnotique Miriam Wyzenbeek et Richard A. Bryant Résumé: Les auteurs de cette étude ont testé l’hypothèse selon laquelle la réaction hypnotique n’exige aucun effort. Ils ont comparé les réactions de participants hautement hypnotisables avec celles de participants faiblement hypnotisables (N = 70) en état d’hypnose et en état d’éveil, selon un paradigme de la tâche double, en vertu duquel il leur était demandé de maintenir une cécité hypnotique durant la présentation de stimuli visuels d’intensité variable, tout en effectuant simultanément une seconde tâche. Alors que les participants hautement hypnotisables démontraient, tant en état d’hypnose qu’en état d’éveil, des niveaux comparables de conviction dans la suggestion hallucinatoire, la performance des sujets hautement hypnotisables dans la seconde tâche s’est révélée inférieure en présence du stimulus. L’accomplissement de la tâche secondaire diminuait avec l’intensification du stimulus visuel. Ces résultats contredisent la notion selon laquelle la réaction hypnotique n’exige pas de ressources cognitives, et semblent indiquer la nécessité de fournir un effort supplémentaire pour résoudre le conflit séparant la réalité de la suggestion. Johanne Reynault C. Tr. (STIBC) Las demandas cognitivas de la respuesta hipnótica Miriam Wyzenbeek y Richard A. Bryant Resumen: Este estudio evalúa la propuesta de que la respuesta hipnótica no requiere esfuerzo. Los autores compararon las respuestas de participantes altamente y poco hipnotizables (n = 70) dentro y fuera de hipnosis en un paradigma de actividad dual en donde se les requirió que mantuvieran una ceguera hipnótica durante la presentación de estímulos visuales con una intensidad de prominencia variante mientras simultáneamente completaban una actividad secundaria. Mientras que los participantes altamente hipnotizables, en ambas condiciones bajo hipnosis y en estado de vigilia, reportaron niveles comparables de convicción en la alucinación sugerida, la ejecución en la tarea secundaria durante hipnosis de los altamente hipnotizables fue más pobre cuando el estímulo estuvo presente. El desempeño en la actividad secundaria se deterioró cuando los estímulos visuales se intensificaron. Estos hallazgos contradicen la noción de que la respuesta hipnótica no demanda recursos cognitivos y sugiere que se requiere mayor esfuerzo para resolver el grado de conflicto entre la realidad y la sugerencia. Omar Sánchez-Armáss Cappello Autonomous University of San Luis Potosi, Mexico
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