© ARCH Canada 2018

Association of Registered

Clinical Hypnotherapists of

Canada

Level Two

Advanced

Hypnosis 203

© ARCH Canada 2018

Consideration in Setting-Up a Private

Practice

Therapist Liability:

Malpractice (Errors & Omissions)

Absolute Confidentiality

Exceptions: Court Ordered Therapy

Child Endangerment

Self or Other Endangerment

Default on Fee Obligations

Discussing Litigation

Under 16 (Guardian Consent)

Child at Risk

Save From Harm – The Suicidal Client

© ARCH Canada 2018

Assessment of Suicide Risk Protocol

1. Is there a plan in place? 2. Is there a means? 3. Have there been previous attempts? 4. Is the client isolated? 5. Is there a diagnosis of depression or mental illness? 6. Is the client on medication? 7. Is the client giving away possessions? 8. Is the client getting affairs in order? 9. Is the client focussed on death and dying? 10. Is there a change in the client’s mood? (sad to happy) 11. Are there significant life stressors such as: Divorce, Loss of

Parent, Chid or Partner, Loss of Job, Increase Family stress etc.?

Suicide Prevention Protocol

Suicide Contract (Verbal and/or Written)

1. If the answer to the question about client’s present safety is affirmative say: “Can you agree to talk to me personally before you carry out any plan to kill yourself?”

2. If they answer: “I don’t know,” or “No,” then say: “I am recommending that you go to the hospital emergency room. Will you go?”

3. At Your Office: If the person responds negatively say, “If you are unwilling to go, I will have to ask the police (RCMP) to accompany you.”

4. On The Phone: If the person responds negatively say, “I’ll phone you back in a few minutes (or place on hold).”

a. After phoning the police and giving them the specific statements of the suicidal person, they will go to the individual’s address and accompany them to the hospital.

b. Phone the person back and talk with them until the police arrive.

© ARCH Canada 2018

Threat of Violence Protocol

1) Fill out the ‘Threat of Violence Record Form’- to be kept in the Client’s file.

2) Inform Police and/or Other Appropriate Agency. 3) Inform Ministry of Children & Family Development if a Child is

at Risk. 4) Inform Potential Victim if Threat is Immediate.

Reporting Protocol for Child Abuse

If you assess the need to report:

• Always try to establish immediate safety for children if at all possible.

• Always inform the client that you are legally obligated to make the call to the Ministry of Children & Family Development but that you would welcome their participation if they’re willing to do so.

• Always call the MCFD and consult to determine if there is a need to report the case. Let them know who you are. If they state that there is a need to report, do so.

• If it is appropriate and it will create no further risk to the child, inform the client of the result of your contact with the MCFD.

© ARCH Canada 2018

ARCH Code of Ethics

➢ Competence ➢ Integrity ➢ Client Relationship ➢ Consultations and Referrals ➢ Fees and Financial Arrangements ➢ Informed Consent ➢ Maintaining Confidentiality ➢ Terminating the Professional Relationship

ARCH Standards of Practice

The purpose of the Association of Registered Clinical Hypnotherapists Standards of Practice is to define the scope of practice for its Members.

The association realizes that a certain percentage of its members work with hypnosis as their primary vocation and others work with hypnosis as an adjunctive modality or "blend" with other professions such as: Therapeutic Touch, Reiki, Massage Therapy, Psychotherapy, Medical Professions, Dentistry and Holistic Healing, Chinese Medicine, etc.

In order to clarify the standards of practice for our ARCH members, we have embraced three categories titled Scope I (A&B), Scope II and Scope III.

© ARCH Canada 2018

Guidelines for Record Keeping

Information that must be included is a client’s records:

➢ Basic identifying data and coordinates (i.e., date of birth) ➢ A succinct reason for the session (no details) ➢ A succinct description of the service rendered (i.e. hypnosis,

regression, parts therapy, etc.) ➢ Conclusions of assessments or description of suggested

therapy ➢ Notes on client’s progress ➢ Any documentation pertaining to third party communications ➢ Copies of client/therapist contract, informed consent form,

release of information forms, etc.

Information that must NOT be included in a client’s records:

➢ Raw, unprocessed date or unverified information ➢ Session notes may be kept separately and destroyed as file

is updated ➢ Therapists personal observations or hypotheses, DSM info

may be kept in a “personal” diary without client identification ➢ Detailed case histories may be kept in a separate file and

destroyed at the conclusion of the service

Recommended practice for Therapist accountability and credibility:

➢ Use a uniform format, be consistent within a file ➢ Be aware of personal shorthand and be able to provide a

key to your shorthand ➢ Be cautious about direct quotes (unless written down and

verified by the client at the time - clearly mark the words as a paraphrase)

➢ Consider jointly summarizing sessions with the client ➢ Be aware of language that is judgmental, biased,

unprofessional ➢ Ownership Of Records ➢ Access To Records ➢ Disposition Of Records ➢ Time Frames For Maintenance Of Records

© ARCH Canada 2018

Advanced Hypnosis More Techniques

Verbalization Technique

The verbalization technique is a very powerful method of facilitating adult understanding at the subconscious level. This technique is very effective for both visual and non-visual; direct and indirect suggestibility clients. Verbalization helps the client to “reframe” or “relearn” the changed perceptions.

To facilitate verbalization, ask questions such as:

• What is your new perception of the issue now? • What is your understanding of that situation? • Now that you’ve forgiven and released that person (or

yourself), how can you best accomplish your goals? • How do you feel now about what has happened? • How can this new understanding best benefit you in the

present? • What words of wisdom does your inner self have for you

now? • What is the most important awareness you’ve gained from

the session? • How can you best achieve your goals? • What is the most important thing you can do to

achieve and maintain success?

After listening to your client verbalize, you may give positive suggestions and post-hypnotic suggestions to reinforce the process.

It is very important that you listen closely to what your client is saying so that your client’s focussed relearning or reframing is positive and benefits the client and avoids negative reframe. Realize that the subconscious mind cannot discern between positive and negative internal thoughts.

© ARCH Canada 2018

Imagery Guided Imagery is used by therapists in many different modalities. It

is also used by speakers, ministers when they preach, writers in books – to facilitate a deep visual experience in people and assist in anchoring that experience into the person’s subconscious memory…

Imagery works well with group hypnosis, especially for relaxation…

Imagery can expedite the process of uncovering the ISE in Regression…

Imagery is important for the release of symptoms and emotional energy – helping clients to reach new understandings…

It is through imagery that the subconscious mind relearns or reframes an event or experience…

Three Types of Imagery

1) Open Screen Imagery

Completely Client Directed and Applied To Meet Needs and Situations…

2) Programmed or Directed Imagery

Therapist Directed and Implanted to Address the Client’s Needs and Situations…

3) Indirect Guided Imagery

Stories and Metaphors Directed by the Therapist and Applied by the Client to Their Specific Needs and Situations.

Some Cautions:

Realise that not everyone can “picture” in their minds...

It is therefore important to determine if a client is visual and/or auditory and/or kinaesthetic before we use any language of imagery...

While not everyone can visualize, most, if not all, can imagine sights, sounds and feelings. So using the term ‘imagine’ is safe when unsure...

Also, the most common mistake made by therapists is that clients in deep hypnosis are ‘now’ able to visualize when a suggestion is given.

© ARCH Canada 2018

Desensitization with Imagery

1) Systematic Desensitization

This is a form of Direct or Programmed Imagery.

“What takes place is that the subconscious mind is able to vent and then suppress the anxiety response to the fear-evoking event while viewing these events while at the same time enjoying the extremely relaxed, calm feelings of hypnosis.”

The main drawback is that this technique will not be effective for non-visual clients.

2) Implosive Desensitization

“This is experienced when a client has an ‘abreaction’ during a hypnotic Regression back to an ISE or Trauma Event, and then is taken to their ‘Safe Place’ before being returned to the trauma with less emotion.”

Once the emotion has been minimised, it is effective to use the ‘Verbalization Technique’ to help reframe the event.

3) Desensitization by Object Projection

“Object Projection can be both Indirect Guided Imagery of Direct Programmed Imagery and is very helpful in assisting a client to project problems or pain outside themselves by imagining it to be a tangible object of a specific shape, size or colour.”

The main drawback is that this technique is likely to be ineffective for non-visual clients.

© ARCH Canada 2018

Introduction to Dream Therapy Dream Therapy in an important part of the hypnotic process because

it provides us the understanding we need to properly utilise the natural venting process of dreaming.

Dreams also give us insight to what the client is venting or emotionally clearing – not unlike what takes place in Regression Therapy.

Remember that ‘you’ the therapist, are not an expert – you do not have the interpretation of a dream your client is having… only your client has that.

Note! Everyone dreams. A person may dream 90 minutes in an eight-hour period of sleep. If you’re a light sleeper, you may remember vividly – if you fall into a deep sleep, your memory of dreams may be simply bits and pieces.

For us as Hypnotherapists, we can breakdown dreaming into three specific stages of ‘Dream Sleep’.

© ARCH Canada 2018

Three Stages of Dream Sleep

First, are the dreams that take place in the first third of your client’s sleep … these are called ‘Wishful Thinking Dreams.’

These dreams deal with the events or predominate thoughts of the person’s day as their mind reviews and vents what is insignificant.

For therapy, they have very little value as they are dealing with issues of the ‘now’.

Second, are the dreams that take place in the middle of the night, or approximately the second third of your client’s night sleep … these are called “Precognitive Dreams or Problem Solving Dreams”

These dreams are events that your client’s mind is predicting will happen based on the accumulation of material which could result in the solving of a problem the client has been working on.

Most of the time these dreams are lost to the memory, and so it becomes difficult to analyse.

Third, are the dreams experienced during the last third of your client’s night sleep … these are called “Venting Dreams”.

These dreams are the most important for dream therapy since they represent events, traumas, doubts, and fears that our clients are removing from their past and present.

Venting Dreams are always connected to what the person is venting and this connection will be seen literally in the dream. They also tell us when a client is finished with the processing of a problem in their subconscious mind.

Post-Hypnotic Suggestion for Dream

“Tonight and every night when you sleep, this causes you to dream-vent out all those feelings and emotions which no longer benefit you, cleansing your mind and soul, allowing you to experience the feelings of calm…emotionally and spiritually filling you with positive energy. You will be able to recall the dreams at any time which causes you to feel free and calm… emotionally and spiritually recognizing that you are released emotionally and spiritually from the events of the dream.”

© ARCH Canada 2018

Dream Symbols

Since the language of the mind is symbols, there are some important clues to look for when helping a client understand the significance of the dream.

The most important to identify are the ‘timing clues’ as this tells us the period in your client’s life the material comes from.

What is taking place is that past events that are being vented and brought into the present to be understood consciously and discharged.

© ARCH Canada 2018

Main Reasons for Dream Therapy

➢ Starting the flow of venting, if venting has been blocked… ➢ Searching out a cause for symptoms with no obvious clues… ➢ After the first session, gauging how well your suggestions are

working… ➢ Removing symptoms caused by dreams… ➢ Understanding the symbols of the mind… ➢ Determining when an anxiety is removed… ➢ Determining the cause of recurring dreams… ➢ Finding out why certain depressed people do not remember their

dreams until they begin therapy… ➢ Understanding how dreams can increase problems… ➢ Recognizing how dreams can give false evidence (if being

stimulated by physical conditions such as over-eating late at night, drinking, or drugs)

Dream Analysis 101

Some People Teach Children Entirely Via Television’

S=

P=

T=

C=

E=

V=

T=

© ARCH Canada 2018

Analytical Hypnotherapy

101

© ARCH Canada 2018

Basic Analytical Hypnotherapy

As Hypnotherapists, it is helpful to have a construct for the use of Analytical Hypnotherapy. What I would like to propose is:

Every human being has three primary emotions which play an important role in the survival of the individual and when they fulfill

their rightful function, no emotional problems arise.

But, when these emotions are not comforted or resolved, dysfunction and dis-ease arise.

These Three Emotions are: Hurt, Fear & Anger

Hurt

This is the Awareness of Discomfort and Pain

This is often experienced as sadness, which is an awareness of persistent hurt. Feelings of rejection, grief, loneliness and isolation are all manifestations of this emotion of hurt. The root cause is often repressed by the conscious mind.

Fear

This emotion can Masquerade as Anxiety, Panic and even Terror

These words describe for us the level of fear one can experience in an event. They can manifest in feelings without the client consciously knowing or understanding the root cause.

Anger

This emotion is a protective mechanism for individuals (the Fight Syndrome)

It can manifest as aggressiveness, hostility or resentment. It can also manifest in passive/aggressive behaviours, withdrawal and abuse. Often the root cause is unknown by the client.

© ARCH Canada 2018

© ARCH Canada 2018

Therapeutic Indicators for Analytical

Hypnotherapy

Analytical Hypnosis can be presumed in a clinical condition where the Initial Sensitising Event can be traced directly to guilt-inducing situations between the client as a child, and their primary parental caregiver.

In most cases, the Child/Parent Conflict anchored in the client’s subconscious will be obvious or become obvious during Regression or Parts Therapy.

There are three (3) main groups of symptomatology that can be directly attributed to ongoing Child/Parent Conflict in the client’s subconscious, they are:

Psychosomatic Illnesses, Emotional Disorders, and Habits or Addictive Disorders

© ARCH Canada 2018

Child/Parent Conflict

Symptomatology

Psychosomatic Illnesses

Suppressed Fear can manifest as sweating, hyperventilation cold hands & feet, racing heart, high blood pressure.

Manifested Disorders are ulcerative colitis and skin dis-eases.

Asthma can have a direct link to suppressed hurt or sadness.

Pain with no organic cause can be directly linked to anger – manifesting in neck and back, migraines, even arthritis.

Anger can also be connected to ulcers, hypertension.

Guilt is often the root of many psychosomatic illnesses which are usually manifested as a subconscious form of self-punishment.

Emotional Disorders

Repression of the three primary emotions is often clearly recognised as the cause of Emotional Disorders (Hurt, Anger, and Fear).

Phobias are an example of the results of inappropriately expressed fear – related to this is the OCD client.

Repressed anger turns into depression, hopelessness, dissatisfaction which can manifest into self-destructive thoughts and suicide.

Habits or Addictive Disorders

Addiction, drug and alcohol, compulsive eating disorders all can be rooted in unresolved child/parent conflict…

Watch for Secondary Gain and Hidden Agenda to act as barriers to recovery.

© ARCH Canada 2018

Stages or Principles of Analytical

Hypnotherapy

1) Identification Of The Initial Sensitising Event (there may be

primary and secondary events) Identification of the Initial Sensitising Event is the most essential part of Analytical Hypnosis, “but” it is only the beginning and never the end in itself. The true therapeutic process has only just begun when this stage has been reached.

2) Understanding the Repressed Emotion(s) and the Associated Feelings of Guilt

Fear of abandonment and rejection are what gives guilt the intense power in the lives of most clients (let alone in our own lives).

3) Recognition of the Current Irrelevance of the Previously Repressed Emotion An emotion that has been located, identified and accepted - “needs” to be recognised as irrelevant to the present and future by the client before it can be let go of.

4) Letting Go of the Repressed Emotions and/or Feelings for Good Sometime this is easier said than done because the client has been programmed for years to maintain the controlling feelings of guilt.

5) Recognition of Resolution of the Parent/ Child Conflict The feelings of guilt, outdated beliefs, unnecessary tensions and all associated emotions responsible for the symptoms cannot be considered successfully deal with as long as there remains subconscious control of the Parent over the Child.

6) Rehabilitation (Contextualization of Learning) It is one thing to resolve a problem, but still another to keep it resolved. Secondary Gains and Hidden Agendas must now be abandoned. Ego strengthening and post-hypnotic suggestions for change must be given.

© ARCH Canada 2018

Uncovering Techniques in Analytical

Hypnotherapy

➢ Counting: This requires the client, while in the hypnotic state, to count backwards from his present age to a preselected age, responding meanwhile to the suggestion that at each number he will feel himself to be at the age that the number represents.

➢ Pinpointing: Is a variant of the “Counting Technique” developed by Dave Elman in 1964. He would establish Age Regression to the first grade in school, following the cue of the snapping of his fingers, and once again would further regress or progress his client’s subconscious memory until the time of the ISE was identified.

➢ The Crystal Ball: Erickson, in 1957, describes having the client imagine gazing into a crystal ball or glass of water or a pond or mirror - and to see the significant events in their life which have contributed to the problem.

➢ The Television or Movie Screen Imaging: The importance of this technique is that it allows the client to view the ISE while remaining dissociated from the memory. Basically, the client watches the events of his life as an observer, like watching a movie and he is able to describe the events in a very detached manner.