12 Enhancing Hypnotizability: Differential Effects of Flotation REST and Progressive Muscle Relaxation Glenn M. Kaplan and Arreed F. Barabasz ABSTRACT The purpose of th is study was to determi ne the effect i veness of flotation Restricted Environmental Stimulation Technique (REST) for enhancing hypnotizability. Thirty subjects randomly assigned to a) flotation REST (N=10), b)Progressive Muscle Relaxation (PMR) (N=10), or c) no treatment Control (N=10), were pretested with the Stanford Hypnotic Susceptibility Scale, form C (SHSS:C), and re-administered the SHSS:C after treatment and at follow-up. PMR enhanced hypnotizabil ity more than no treatment Control. Contrary to previous studies using chamber method REST, flotation REST did not enhance hypnotizability more than PMR as predicted. Both REST and PMR subjects significantly increased hypnotizability over time while Control subjects did not. The role of relaxation in hypnosis was discussed. I NTRODUCTI ON Hypnotizability has been defined as the ability to become hypnotized and is thus conceptual ized by some researchers as a stable trait of an individual (As, Hilgard, &Weitzenhoffer, 1963). An operational definition of hypnotic susceptibility which permits behavioral measurement is given as "the number of times the subject acts like a hypnotized person when hypnosis is induced by a standard procedure" (Weitzenhoffer &Hilgard, 1959, p. 5). In contrast to viewing hypnosis as a stable trait, evidence has accumulated supporting the notion that hypnotizability can be learned and is therefore modifiable. In an early study, Pascal and Salzberg (1959), found significant increases in hypnotic susceptibility as a function of a systematic training procedure. Since this 1959 study, research has been 143 P. Suedfeld et al. (eds.), Restricted Environmental Stimulation © Springer-Verlag New York Inc. 1990 directed toward the modification of hypnotic susceptibility with a range of techniques, including chamber restricted environmental stimulation technique (REST) (Barabasz, 1982; 1984; Leva, 1974; Sanders & Reyher, 1969; Zubek, 1969), perceptual isolation (Pena, 1963), behavioral modeling cues (Cooper et al., 1967, observational learning (DeVoge & Sachs, 1973), written instructions (Diamond et al, 1975), successive approximation and verbal reinforcement (Sachs &Anderson, 1967), dream deepening suggestions (Wiseman & Reyher, 1962), rel axation training (Edmonston, 1977), rel axing music (Talone, Steadman & Diamond, 1973), EMG feedback training (Wickramasekera, 1971) and encounter group experiences (Shapiro & Diamond, 1972). The discrepancy in explaining hypnotizability either as a stable trait or a learned skill may be due to methodological inconsistencies in earlier studies that did not have subjects brought up to their 'plateau' level of hypnotizability prior to their being pretested. The concept of plateau hypnotizability or plateau susceptibility (Shor, Orne & O'Connell, 1966) has led investigators to report that most subjects will reach a plateau of hypnotic performance once a number of hypnotic sessions have occurred. The usual research practice of modifying hypnotizability has been to obtain a basel ine score on an accepted measuring instrument such as the Stanford Hypnotic Susceptibility Scale: Forms A (SHSS:A), B (SHSS:B) (Weitzenhoffer & Hilgard, 1959), or C (SHSS:C) (Weitzenhoffer & Hilgard, 1962), the Harvard Group Scale of Hypnotic Susceptibility: Form A (HGSHS:A) (Shor & E. Orne, 1962), or the Stanford Hypnotic Clinical Scale (SHCS) (Morgan & Hilgard, 1975). Following this measure, some training procedure is utilized to increase hypnotizability after which the subject is reevaluated either using the initial measuring instrument or a different hypnotic scale in order to establish generalization of the effect. Control subjects are usually evaluated on the pretest and post test measures but are not subjected to the training procedures. Barabasz (1982) has shown that one way to effectively enhance hypnotizability is to have subjects participate in restricted environmental stimulation technique (REST). The chamber REST procedure involves exposure to a reduced stimulation environment input, reduction stimulation. of tactile involving attenuation of auditory stimulation and elimination of visual According to Suedfeld (1980) the subject is asked to reduce motor activity to the minimum required to maintain comfort, communicating only with the therapist or experimenter. who controls the situation to some 144 extent; that is, she/he indicates when the subject is to perform certain tasks and when the session is over. The achievement of a state of relaxation is usually the major goal of REST in formal cl inical practice. This is different from studies which emp 1oyed 'sensory reduct ion' or 'sensory depri vat ion' whi ch was used to increase the susceptibility of the subject to persuasion and major personality change (Suedfeld, 1980). The current use of the REST procedure involves stimulation from the environment that is in some way restricted and kept to a minimum. In comparison to other training procedures, namely, progressive muscle relaxation, REST does not require continued practice and it can be used for individuals who might otherwise stop practicing. What it does require is some special facility, for example, a chamber environment or flotation tank. The isolation environment minimizes interactions with external reality and provides an opportunity to fully explore one's inner domain. It has been postulated that while in the tank one is allowed to separate the mind and body and to become aware of "hundreds if not thousands of other states of being in which one's consciousness is unimpaired and apparently disconnected from the brain and the body" (Lilly, 1977, p. 104). Modern investigators and practitioners rely, almost exclusively, on induct i on procedures i nvo 1vi ng the concept of re 1axat ion. As. noted by Edmonston (1972, p. 227-228), "It has been evident for two centuries that relaxation is an inseparable part of what is traditionally known as hypnotic procedures". However, as presented in a study by Banyai and Hilgard (1976), a relaxed state is not necessary for hypnosis, which may be induced via an act i ve- alert induct ion. In a recent study, Mi tche 11 and Lundy (1986) examined induction procedures in which relaxation and imagery were isolated in terms of their relative effect on hypnotic responsivity. Regardless of hypnotizability levels, a combined induction (relaxation plus imagery) led to a greater subjective report of hypnotic response than did either the relaxation or the imagery inductions. It may follow that the subjective experience of hypnosis is facilitated by inductions which include relaxation. While findings from previous studies support the efficacy of chamber REST in enhancing hypnotizability, published studies using flotation REST for this purpose are non-existent. In addition, it is important to examine the potent i a1 effect of muscl e relaxation on the enhancement of 145 hypnotizability. Since the Stanford scales utilize an hypnotic induction involving relaxation prior to hypnosis, it is important to examine whether it is muscl e re 1axat i on brought about vi a the fl otat i on REST tank or PMR that accounts for the potential enhancement of hypnotizability. Thus, the purpose of this study was to compare the differential effects of flotation REST and Progressive Muscle Relaxation (PMR) for increasing hypnotizability. It was predicted that, (1) subjects exposed to flotation REST will significantly increase their hypnotizabil ity more than subjects in the control group, (2) subjects trained in Progressive Muscle Relaxation (PMR) will significantly increase their hypnotizability more than subjects in the control group, (3) subjects exposed to flotation REST will significantly increase their hypnotizability more than subjects trained in PMR, and (4) subjects in both the flotation REST and PMR groups will show significant increases in hypnotizability test scores from pretest to post test, while control subjects will not. METHOD Subjects Subjects consisted of Washington State University graduate and undergraduate students who volunteered for a study on hypnos is. Th i rty subjects were randomly assigned to the two treatment groups and the control group. Ages ranged from 17 to 44 years with a mean age of 23.1 years. The flotation REST tank group had 7 females and 3 males with a mean age of 23.6 years, the PMR group had 5 females and 5 males wi th a mean age of 24.1 years, and the Control group had 5 females and 5 males with a mean age of 21.7 years. Apparatus The 'Floatarium' REST tank is essentially an enclosed fiberglass tub that contains a dense solution of water and epsom salts. The density of the solution is so great that the subject floats effortlessly on top of the water. The experience is usually described as 'weightlessness'. The solution, 13"-15" (33 cm - 38 cm) deep is maintained at average skin temperature of 93.5 degrees Fahrenheit (34'C) so the subject does not feel the water. The tank is sound attenuated and once the door is closed, is 1ight free. The floatarium is ventilated by a positive pressure system. Underwater transducers allow transmission of messages to the subject. The subject may also talk with the experimenter at any time via the built in 146 communications system. The large overhead door has spring-assisted hinges to allow easy entrance and exit at any time by the subject. The system includes a complete water filtration and purification system. The maximum dimensions of the tank are: L-I0l" (2.56 m), W-60" (1.5 m), H-54" (1.37 mI. A shower facility installed in the lab was used by subjects before and after each session in the tank. Instrument The Stanford Hypnotic Susceptibility Scale, Form C (SHSS:C) of Weitzenhoffer and Hilgard (1962), consists of an hypnotic induction, followed by 12 items on the SHSS:C utilized in determining hypnotizability levels of the subjects. The hypnotic induction employed in this study was taken from the Stanford Hypnotic Clinical Scale (SHCS) of Morgan and Hilgard (1975). This induction utilizes relaxation techniques. Procedure The purpose of this study (i.e., "to test for any changes in hypnotizabil ity") was explained to all subjects during the initial group meeting. Subjects were then randomly assigned to their specific groups and instructed to move to different rooms where they were ori ented to thei r part i cul ar treatment. Each subject was then instructed to fi 11 out a personal questionnaire with demographic information and to sign a consent form containing a description of their specific treatment. Confidentiality was assured, both verbally and in writing on the consent form. The following procedure was then used to help maximize each subject's plateau level of hypnotizability. After the brief meeting with the three individual groups, all subjects re-united in a large classroom. At this time they were admi ni stered the Harvard Group Scale of Hypnotic Suscept i bil ity [HGSHS] (Shor & Orne, 1962), to famil i ari ze subjects with the procedures and experiences of an hypnotic induction and hypnosis test items. The HGSHS was not scored. This procedure lasted approximately 60 minutes. Subjects in the two treatment groups and the control group met one week later for their second session. The procedures in this session were again used to help maximize each subject's plateau level of hypnotizability. During this second session, subjects spent approximately 60 minutes undergoing hypnosis experiences similar to the HGSHS procedure. This session, conducted by a psychologist experienced in clinical and experimental hypnosis, involved question and answer time, demonstrations, and brief hypnotic inductions. Subjects in each group were then scheduled 147 on an individual basis for their pretest, subsequent treatments, and post test. Procedures for the individual groups were as follows: Subjects in the REST group were administered the pretest of the SHSS:C on an individual basis, and were then scheduled for flotation REST tank sessions. Subjects were assured of the safety of floating and told that while they were permitted to leave the tank at any time, they were encouraged to remain for the full session. Once in the tank, subjects were read the following message (based on instructions from Barabasz, 1982, and Sanders & Reyher, 1969): Listen carefully to what I say ... Please tell me whatever you can about your reactions to this session. Your experiences will be helpful in understanding the results of the study. Whatever you choose to talk about will of course be kept confidential. Also, try not to sleep during the session, but if you should doze off, don't feel guilty about it. At no time will I respond to what you say or answer any questions you may ask, or communicate with you in any way until the experiment is over. However, I shalla 1ways be in the adjacent room listening to what you say. Do you have any questions? Very good. Have a nice float and I'll let you know when your time is up. Subjects were mon i tored throughout the sess i on by the Experi menter using the intercommunications system. Subjects floated for two 90 minute sessions scheduled one week apart (total time = 180 minutes). Upon completion of the second float they were again administered the SHSS:C. Each subject was asked to return in three weeks for a follow-up test of the SHSS:C. Progressive Muscle Relaxation (PMR): Subjects in the PMR group were administered the pretest of the SHSS:C on an individual basis and then met as a group for three 60 minute sessions of Progressive Muscle Relaxation (PMR) within a one-week period (total time + 180 minutes). While PMR is usually performed in a dimly lit room with little extraneous sound and with subjects' eyes closed, this procedure may function as a form of sensory restriction (Pena, 1963; Wickramasekera, 1970). To reduce the possibility of such sensory restriction, PMR sessions were conducted in a normally lighted room and subjects were instructed to perform the steps of PMR with 148 their eyes open. Rel axation training, based on the model presented by Bernstein and Borkovec (1973), was introduced to the group during the first session. In each session the PMR techniques were demonstrated by the experimenter. Paul and Trimble (1970), and Beiman, Graham and Ciminero (1978), have found live training to be superior to audiotaped versions of the standard relaxation procedure. Upon completion of the third PMR session subjects were re-administered the SHSS:C on an individual basis. Each subject was instructed to return in three weeks for a follow up test of the SHSS:C. Control: Subjects in the control group were pretested on an individual basis with the SHSS:C. Subjects then returned to spend three hours together as a group in a large classroom one evening (total time=180 minutes). Subjects were instructed to study or read material of their own choosing, but were not allowed to talk or interact with the others. They were permitted to use the restroom or to get a drink of water at any time. The purpose of the control group was to allow subjects to think they were being administered a treatment, thereby maintaining subject interest in the study. Upon completion of this session subjects returned after a 24 hour period and were re-administered the SHSS:C on an individual basis. Each subject was instructed to return in three weeks for a follow-up test of the SHSS:C. RESULTS A one-way Analysis of Variance (ANOVA) indicated the three groups did not differ in pretest SHSS:C scores, F(2,27) = 1.38, R = ns, thus suggesting successful randomization. Pretest means and Standard Deviations (SO) for the flotation REST, PMR and Control groups were: 5.50 (3.06), 4.00 (2.98), and 6.50 (4.00), respectively. In order to determi ne overall changes in SHSS: C scores, AN OVA was performed on the difference scores resulting when pretest scores were subtracted from post test scores. Results indicated a trend, F(2,27 = 2.72, R <.08, in the predicted direction for treatment subjects to increase in hypnotizability compared to control subjects. Means and Standard Deviations (SO) for the REST, PMR, and Control groups were: 1.10 (1.52), 1.70 (1.77), and .20 (.92), respectively. Post hoc analyses were subsequently conducted to test the a priori predictions in Hypotheses 1 through 4. Dunnet IS (1955) mult i p1e compari son procedure for compari ng several treatments with a control group resulted in no significant difference 149 between subjects in the flotation REST tank group and the Control group. The results of this test did not support Hypothesis 1. Pretest Means and Standard Deviations (SO) for the REST and Control groups were: 5.50 (3.06), and 6.50 (4.00), respectively. Means and Standard Deviations (SO) for the REST and Control group on Post test scores were: 6.60 (3.13), and 6.70 (3.77), respectively. Ounnet's (1955) multiple comparison procedure resulted in statistical s i gnifi cance between the PMR group and the Control group, 11<.05, thus, results of thi s test supported Hypothesi s 2. Pretest Means and Standard Deviations (SO) for the PMR and Control groups were: 4.00 (2.98), and 6.50 (4.00), respectively. Means and Standard Deviations (SO) for the PMR and Control groups on Post test scores were: 5.50 (3.20), and 6.70 (3.77) respectively. In order to determine changes in SHSS:C scores, a one-way Analysis of Variance was performed on the difference scores resulting when pretest scores were subtracted from post test scores. The results of this test, F(1,18)=.66, 11=ns, did not support Hypothesis 3. The Difference score Means and Standard Deviations (SO) for the REST and PMR groups were: 1.10 (1.52), and 1.70 (1.77), respectively. To determine support for Hypothesis 4, ttests for correlated samples using pretest and post test scores for each group were performed. The REST group, t=2. 28, 11<.05, and the PMR group, t=3.04, 11<.02, showed a significant difference between pretest and post test scores, while no significant difference was found between pretest and post test scores for the Control group (t=.68,11=ns). To test for follow-up changes in hypnotizability, a Repeated Measures ANOVA for three groups (flotation REST tank, PMR, Control) across three time periods (pretest, post test, follow-up) was performed. The Repeated Measures AN OVA indicated a significant Group X Time interaction, F(4,36)=3.19, 11<.05. Follow-Up Means and Standard Deviations (SO) for the REST, PMR, and Control groups were: 6.40 (2.84), 5.60 (3.27), and 6.40 (4.03), respectively. Results of this test indicated significant increases in means from pretest to post test and from pretest to follow-up within each of the two treatment groups (REST and PMR), but no significant increases from pretest to post test, or pretest to follow-up for the Control group. An examination of mean scores for each test period (pretest, post test, and follow-up) between each group (REST, PMR, and Control) indicated no significant differences. Within Group Changes 150 A Repeated Measures ANOVA for the flotation REST Tank and PMR groups indicated significant differences over the three time periods (pretest, post test, follow-up). Results of this measure for the REST group were: F(2,lS)=4.47, Q<.05, and for the PMR group were F(2,lS)=7.0S, Q <.01. A Repeated Measures ANOVA for the Control group indicated no significant difference over the three time periods (pretest, post test, follow-up), F(2,lS)=.67,Q=ns. ANOVA was performed on the difference scores that resulted when pretest scores were subtracted from follow-up scores for the three groups. Results of this test indicate a significant increase across time (pretest to followup) F(2,27)=3.7S, Q<.05. Means and Standard Deviations (SO) for the REST, PMR, and Control groups were: .90 (1.37),1.60 (1.S4), and -.10 (.74), respectively. To test the differences between groups, a Student Newman-Keuls test was performed to determine which of the three group means differed significantly from each other. Results of this test indicated that the PMR group differed significantly from the Control group (Q <.05). The REST and Control group means did not differ significantly from each other. In addition, the REST and the PMR group means did not differ significantly from each other. DISCUSSION In contrast to the view that hypnotizability is a stable and enduring feature of an individual, evidence has accumulated supporting the notion that hypnotizability can be modified. Results of this investigation provide further support for the notion that hypnotic susceptibility can be increased as a function of appropriate training techniques. Present results support Hilgard's (1965) conclusion that, "without special intrusion, hypnotic susceptibility is reasonably stable; with intrusions of various kinds, with repeated inductions running upward of a dozen or so, some dramatic changes may occur, including loss of susceptibility as well as increase" (p.ll). Hypothesis 1 may not have been supported due to a ceiling effect occurring in the Control group, as four subjects in this group scored over 10 on the pretest SHSS:C compared to only one subject in the flotation REST group. While pretest SHSS:C scores among the three groups did not differ 151 significantly, the Control group mean was the highest of the three. Repeated test i ng i nd i cated that Control subjects' scores did not change across the three measurement periods, while scores for the REST group showed a significant increase. However, even though there was a significant change in the flotation REST tank group mean from pretest to follow-up, it was not a substant i a1 improvement over the Control group's mean to support th is hypothesis. That Hypothesis 1 was not supported may suggest the 1imited effect i veness of fl otat i on REST compared to chamber REST for enhanc i ng hypnotizability. Further research is needed before such a conclusion can be made. The results were in support of Hypothesis 2. This hypothesis stated that subjects exposed to Progressive Muscle relaxation (PMR) would significantly increase their hypnotizabil ity more than subjects in the Control group on pretest to post test measures. This hypothesis was based on previous studies which found that relaxation training would improve hypnotizability (Edmonston, 1977; Ham & Edmonston, 1971; Springer, Sachs, & Morrow, 1977; Talone, Diamond, &Steadman, 1975; Wickramasekera, 1973, 1983; see this volume). Results did not support Hypothesis 3, as PMR and flotation REST subjects had comparable increases in thei r hypnot i zabi 1i ty scores. One major difference in comparing the two experimental treatment groups is that PMR involves an active role on the part of the subject while flotation REST emphasizes a passive role. It is possible that the state of relaxation brought about by the active role of subjects in PMR may have accounted for s i gnifi cant increases over the Control group (Hypothes is 2) whil e the pass i ve role of subjects in the fl otat i on tank did not account for any significant difference over Controls (Hypothesis 1). One implication for future study may be to compare active versus passive roles of subjects within the flotation REST tank. Results were in support of Hypothesis 4. This hypothesis stated that subjects in both the flotation REST tank group and the PMR group would show significant increases in hypnotizability test scores from pretest to post test, while subjects in the Control group would not. This hypothesis was based on previous studies which found that hypnotic susceptibility can be enhanced through REST (Barabasz, 1980, 1982, 1983; A. Barabasz et al., 1984; Diamond, 1974; Gill & Brenman, 1961; Leva, 1974; Pena, 1963; Sanders & Reyher, 1969; Shor & Cobb, 1968; Wickramasekera, 1970; Zubek, 1969, 1973), 152 and relaxation training (Edmonston, 1977; Ham & Edmonston, 1971; Springer, Sachs &Morrow, 1977; Talone, et al., 1975; Wickramasekera, 1973, 1983; see this volume). Subjects in all three groups were involved in procedures used to help maximize their plateau level of hypnotizability. In addition to subjects being plateaued, the hypnotic inductions and administration of the SHSS:C were performed by the same person. Other researchers have noted that hypnotizability may result if the subjects' fears abate through some tra in i ng techn i que or through increased mot i vat i on and rapport wi th the hypnotist (Blatt, Goodman & Wallington, 1969; Kramer, 1969). Therefore, since only the experimental treatment groups showed significant increases across post test and follow-up, it may be concluded that these increases in hypnotizability may be a result of the specific treatment. Conclusions and Implications While previous studies have found chamber REST to effectively enhance hypnotizability, present findings do not support the efficacy of flotation REST for such purposes. One reason for the ineffectiveness of flotation REST may be the short fl otat ion sess i on used in the study. Previ ous research using chamber REST has employed longer treatment durations. For example, Barabasz (1982) used 6 hours of chamber REST and found significant increases in hypnotizabil ity (all REST subjects more than doubled their hypnosis scores). To explore the variable of session length, future studies may have subjects, (a) spend a longer amount of time in the flotation tank, (b) spread the time out over a number of sessions, or (c) increase the length of time subjects would spend floating in the tank in any given sess i on. Present results suggest that the re 1at i ve 1y short sess ions of flotation REST may not significantly enhance hypnotizability. Another reason flotation REST may not have effectively enhanced hypnot i zabi 1i ty scores is that subjects may not have experi enced sensory restriction phenomena. In previous successful chamber studies (Barabasz, 1982; Barabasz et al., 1984) subjects reached a point where sensory restri ct ion signs were evi dent, us i ng the criteri a of Sanders and Reyher (1969). Thus, future studies using the flotation REST tank might have subjects float until these sensory restriction signs become evident. For example, the subject could communicate this experience to the experimenter via the build-in communications system. Previous studies employing chamber REST (Suedfeld et al., 1982; 153 Kristeller et al., 1982) and flotation REST (Jacobs et al., 1984) have had subjects actively practice relaxation techniques while in the REST environment. Such a procedure serves to enhance the subject's active involvement, which appears to make the subject more sensitive to internal stimuli. In the present study, subjects were instructed to simply relax while in the tank. To enhance this internal focus, future studies may instruct subjects to practice such relaxation techniques while floating. REFERENCES As, A., Hilgard, LR. & Weitzenhoffer, A.M. An attempt at experimental modification of hypnotizability through repeated individualized hypnotic experience. Scandinavian Journal of Psychology, 1963, 1, 3139. Banyai, E.I. &Hilgard, E.R. A comparison of active-alert hypnotic induction with traditional relaxation induction. Journal of Abnormal Psychology, 1976, 85, 218-224. Barabasz, A.F. Effects of hypnosis and perceptual deprivation on vigilance in simulated radar target detection task. Perceptual and Motor Skills, 1980, 50, 19-24. Barabasz, A.F. Restricted environmental stimulation and the enhancement of hypnotizabil ity; pain, EEG alpha, skin conductance and temperature responses. International Journal of Clinical and Experimental Hypnosis, 1982, ~, 147-166. Barabasz, A.F. EEG alpha-hypnotizability correlations are not simple covariates of subject self-selection. Biological Psychology, 1983, 1I, 169-172. Barabasz, A.F. Antarctic isolation and imaginative involvement - Preliminary findings. International Journal of Clinical Hypnosis, 1984, d, 296300. Barabasz, A.F., Baer, L., Sheehan, D. &Barabasz, M. Effects of Hvonosis and Restricted Environmental Stimulation Therapy (REST) on Chronic Smoking. Proceedings of the 23d International Congress of Psychology, Sept. 1984, Acapulco, Mexico. Beiman, I., Graham, L.E. & Ciminero, A.R. Self-control progressive relaxation as an alternate non-pharmacological treatment for essential hypertension: Therapeutic effects in the natural environment. Behaviour Research and Therapy, 1978, lQ, 371-375. 154 Bernstein, D.A. & Borkovec, T.D. Progressive Relaxation Training: A Manual for the Helping Professions. Champaign, Illinois: Research Press, 1973. Blatt, S.J., Goodman, J.T. & Wallington, S.A. Is the hypnotist also being hypnotized? International Journal of Clinical and Experimental Hypnosis, 1969, 1I, 160-166. Cooper, L.M., Banford, S.A., Schubot, E. &Tart, C.T. A further attempt to modify hypnotic susceptibility through repeated individual experience. International Journal of Clinical and Experimental Hypnosis, 1967, ~, 11B-124. DeVoge, J.T. & Sachs, L.B. The modification of hypnotic susceptibility through imitative behavior. International Journal of Cl inical and Experimental Hypnosis, 1973, £1, 70-77. Diamond, M.J. Modification of hypnotizabil ity: A review. Psychological Bulletin, 1974, B1, 180-198. Diamond, M.J., Steadman, C., Harada, D. & Rosenthal, J. The use of direct instructions to modify hypnotic performance: The effects of programmed learning procedures. Journal of Abnormal Psychology, 1975, 84, 109113. Dunnet, C.W. A multiple comparison procedure for comparing several treatments with a control. Journal of the American Statistical Association, 1955, 50, 1096-1121. Edmonston, W.E., Jr. Relaxation as an appropriate experimental control in hypnosis studies. American Journal of Cl inical Hypnosis, 1972, l!, 218-229. Edmonston, W.E., Jr. Neutral hypnosis as relaxation. The American Journal of Clinical Hypnosis, 1977, 20, 69-75. Gill, M.M. & Brenman, M. Hypnosis and Related States. New York, NY: International Universities Press, 1961. Ham, M.W. & Edmonston, W.E., Jr. Hypnosis, relaxation, and motor retardation. Journal of Abnormal Psychology, 1971, 77, 329-331. Hilgard, E.R. Hypnotic Susceptibil ity. New York, NY: Harcourt, Brace & World, 1965. Jacobs, G.D., Heilbronner, R.L. & Stanley, J.M. The effects of short term flotation REST on relaxation: A controlled study. Health Psychology, 1984, J, 99-112. Kramer, E. Hypnotic susceptibil ity and previous relationship with the hypnotist. American Journal of Clinical Hypnosis, 1969, 11, 175-177. 155 Kri ste 11 er, J. , Schwartz, G. L Bl ack, H. The use of Restri cted Environmental Stimulation Therapy (REST) in the treatment of essential hypertension: Two case studies. Behavior Research and Therapy, 1982, 20, 561-566. Leva, R.A. Performance of low susceptibility subjects on Stanford Profile Scales after sensory deprivation. Psychological Reports, 1974, 34, 835-838. Lilly, J.C. The Deep Self. New York, NY: Simon and Schuster, 1977. Mitchell, G.P., Jr. & Lundy, R.M. The effects of relaxation and imagery induct ions on responses to suggest ions. Internat i ona 1 Journal of Clinical and Experimental Hypnosis, 1986, 34, 98-108. Morgan, A.H. & Hilgard, J.R. Stanford Hypnotic Clinical Scale (SHCS). In: E.R. Hilgard and J.R. Hilgard. Hypnosis in the Rel ief of Pain. Los Altos, CA: Kaufman, 1975. Pascal, G.R. & Salzberg, M.C. A systematic approach to inducing hypnotic behavior. International Journal of Clinical and Experimental Hypnosis, 1959, I, 161-167. Paul, G.L., Trimble, R.W. Recorded vs. live relaxation training and hypnotic suggestion: Comparative effectiveness for reducing physiological arousal and inhibiting stress response. Behavior Therapy, 1970, l. 285-302. Pena, F. Perceptual Iso 1at i on and Hypnot i c Suscept i bi 1ity. Unpubl i shed doctoral dissertation, Washington State University, 1963. Sachs, L. B. & Anderson, W. L. Mod i fi cat i on of hypnot i c suscept i bil i ty. International Journal of Clinical and Experimental Hypnosis, 1967, ~, 172-180. Sanders, R.S. & Reyher, J. Sensory deprivation and the enhancement of hypnotic susceptibility. Journal of Abnormal Psychology, 1969, 74, 375-381. Shapiro, J.L. &Diamond, M.J. Increases in hypnotizability as a function of encounter group training: some confirming evidence. Journal of Abnormal Psychology, 1972, 79, 112-115. Shor, R.E. &Cobb, J.C. An exploratory study of hypnotic training using the concept of plateau responsiveness as a ferrent. American Journal of Clinical Hypnosis, 1968, lQ, 178-193. Shor, R.L & Orne, LC. Harvard Group Scale of Hypnotic Susceptibility. Palo Alto, CA: Consulting Psychologists Press, 1962. 156 Palo Alto, CA: Consulting Psychologists Press, 1962. Shor, R.E., Orne, M.T. &O'Connell, D.N. Psychological correlates of plateau susceptibility in a special volunteer sample. Journal of Personality and Social Psychology, 1966, l, 80-95. Springer, C.J., Sachs, L.B. & Morrow, J.E. Group methods of increasing hypnotic susceptibility. International Journal of Clinical and Experimental Hypnosis, 1977, 25, 184-191. Suedfeld, P. Restricted Environmental Stimulation: Research and Clinical Applications. New York, NY: Wiley, 1980. Suedfeld, P., Roy, C. & Landon, B.P. Restricted environmental stimulation therapy in the treatment of essential hypertension. Behavior Research and Therapy, 1982, 20, 553-559. Talone, J.M., Diamond, M.J. & Steadman, C. Modifying hypnotic performance by means of brief sensory experiences. International Journal of Clinical and Experimental Hypnosis, 1975, 23, 190-199. Talone, J.M., Steadman, C. &Diamond, M.J. The use of music and silence to increase hypnotizability. Paper presented at the Annual Meeting of the Hawaii Psychological Association, Honolulu, Hawaii, 1973. Weitzenhoffer, A.M. &Hilgard, E.R. Stanford Hypnotic Susceptibility Scale, Forms A and B. Palo Alto, CA: Consulting Psychologists' Press, 1959. Weitzenhoffer, A.M. & Hilgard, E.R. The Stanford Hypnotic Susceptibil ity Scale, Form C. Palo Alto, CA: Consulting Psychologists' Press, 1962. Wi ckramasekera, I. Effects of sensory restri ct i on on suscept i bil ity to hypnosis: A hypothesis and more preliminary data. Journal of Abnormal Psychology, 1970, 76, 69-75. Wickramasekera, I. Effects of electromyographic feedback on hypnotic susceptibility. More preliminary data. Journal of Abnormal Psychology, 1973, 82, 74-77. Wickramasekera, I. The common therapeutic elements and procedural components in self-hypnosis and other stress reduction techniques. In: Fine, T.H. &Turner, J.W., Jr. (Eds.) Proceedings of the First International Conference on REST and Self-Regulation. Toledo, OH: Iris Publ., 1983. Wi seman, R. J. & Reyher, J. A procedure ut il i zing dreams for deepeni ng hypnotic trance. American Journal of Clinical Hypnosis, 1962, ~, 105110. Zubek, J.P. Sensory Deprivation: Fifteen Years of Research. Appleton-Century Crofts, 1969. 157 New York, NY: Zubek, J.P. Behavioral and physiological effects of prolonged sensory and perceptual deprivation: A review. In: Rasmussen, J. (Ed.) Man in Isolation and Confinement. Chicago, IL: Aldine-Atherton, 1973. 158
© Copyright 2026 Paperzz