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lord312

32 Posts

Posted - 08/11/2008 :  2:50:43 PM  Show Profile  Reply with Quote
Patrick,

What measures do you use when tracking your clients at short and long term follow up? Is it a subjective self-report or symptom specific or is it a research measure like the BDI or the Brief Symptom Checklist?

mark-gil

United Kingdom
445 Posts

Posted - 08/11/2008 :  4:41:09 PM  Show Profile  Visit mark-gil's Homepage  Reply with Quote
Hypnotherapists in full-time practice rarely have time for research by follow-up onclients. Physicians expect patients who feel they need further help to call and make another appointment. Hypnotherapists operate in the same way, (except for those quacks who advertise-"stop smoking in two hours--98% results--Guaranteed"
Much of the therapeutic response to hypnotherapy remains a mystery!
The most effective hypnotherapists do not attempt to penetrate the mystery. Instead,they celebrate it by doing the work they know how to do and allowing the results to speak for their work.
Academic researchers can watch films or listen to audio case histories or even read transcripts and label the most amazing results as "anecdotal" (thereby meaningless to them!) They need a "double-blind" study conducted under their rules with volunteer subjects--usually college students.
So- there are researchers ( Hans Selye M.D. created the immune-system--stress factor theory yet never treated a patient in his entire career.)
There are researchers, and there are practicioners and rarely are they joined. My research has been what I have learned from 54 years of seeing clients every working day and from my pursuit of knowledge in books and training with significant figures in the world of hypnotherapy and psychotherapy.
With Respect to all,Gil Boyne

Gil Boyne
www.gil-boyne.com
[Gil Passed Away May 5, 2010]
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patrickg

USA
724 Posts

Posted - 08/12/2008 :  12:54:33 AM  Show Profile  Visit patrickg's Homepage  Reply with Quote
lord312,

My follow-up is limited. Subjective one-time follow-up around three to four weeks after the last session. This is the best I can do as a full time, one person office.

It serves more than one purpose. I can see what is working for my clients and what is not. I am able to work on and refine my techniques this way. It allows me to honestly and accurately respond to the question of a success rate and be able to back it up with hard numbers. It lets me know that my weight loss clients average 2.54 sessions, my quit smokers get a better success rate with two sessions - whether they need it or not. It also serves as marketing - reminding them of what helped them and how happy they are with the results :)

Patrick Glancy
www.glancyhypnosis.com

Patrick Glancy, CI, BCH
www.salemhypnosissolutions.com
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lord312

32 Posts

Posted - 08/12/2008 :  8:14:11 PM  Show Profile  Reply with Quote
I understand completely. I am glad to get some input from seasoned, professional practitioners! I ask because, as a student at a University where hypnosis is not part of the curriculum, I am primarily exposed to a skeptical attitude toward the use of hypnosis (at best). My understanding from reviewing the research is that there is ample evidence from studies using replicable methods that hypnosis is useful for a wide variety of problems (although if it is MORE useful than other treatments is more difficult to demonstrate). See Flammer and Bongartz, 2003 in Contemporary Hypnosis. However, there is essentially no research which demonstrates which of the many different hypnotic techniques, schools of training, or methods of application are better in general or more appropriate for dealing with specific problems. A review of the literature reveals only a handful of articles which pretain to whether direct or indirect methods of induction are more effective for certain types of people, and even these are scarce.In a perfect world, I would love to see an article about the efficacy of Elman Techniques, for example (unfortunately, a search for "elman" among the journals available at my university produces zero results). Because of this hole in the research on hypnotherapy I thought I would go to the horses mouth, so to speak, and ask how professionals already in the field measure success. I am pleased that this forum includes a number of seasoned hypnotherapists like yourselves!
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patrickg

USA
724 Posts

Posted - 08/12/2008 :  9:09:33 PM  Show Profile  Visit patrickg's Homepage  Reply with Quote
lord312,

I know what you mean about the available clinical study abstracts. Most are using Ericksonian techniques which have provided me with poor results when compared to Elman. I don't know if I've already linked this, but I have a collection of abstracts at www.glancyhypnosis.com/abstract.html

I know of only one other hypnotist that keeps records similar to myself. That is Ron Eslinger. He reports a quit smoking success rate about the same as mine @ 70%. A couple of my results for the common issues -
quit smoking 71 clients 74% success rate
weight loss 166 clients 77% success rate

In reality, I would think long term success is closer to 50% - 60%. Even that is much higher than other alternatives.

Results for stress, fears, *pain, *depression and *PTSD are higher. (*working under doctor referral)

The common skeptical attitude would be in-line with the type of hypnosis they ave been taught/exposed to.

Patrick Glancy
www.glancyhypnosis.com

Patrick Glancy, CI, BCH
www.salemhypnosissolutions.com
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