[en] Hypnosis has become routine practice in our plastic and endocrine surgery services. Revivication of pleasant life experiences has served as the hypnotic substratum in a series of over 1650 patients since 1992. In retrospective studies, followed by randomised prospective studies, we have confirmed the usefulness of hypnosedation (hypnosis in combination with conscious IV sedation) and local anaesthesia as a valuable alternative to traditional anaesthetic techniques. The credibility of hypnotic techniques and their acceptance by the scientific community will depend on independently-confirmed and reproducible criteria of assessing the hypnotic state. Based on the clinical success of this technique, we were interested in confirming this phenomenon in healthy volunteers. The revivication of pleasant life experiences thus served as the cornerstone of a basic research program developed to objectify the neurophysiological attributes of the hypnotic state. We compared hypnosis to normal alertness with similar thought content. In our experience, the activation profile obtained during the hypnotic state was completely different from simple re-memoration of the same subject matter during normal alertness. This represents an objective and independent criteria by which to assess the hypnotic state.
ELLIOTSON J. Numerous bases of surgical interventions without pain in the mesmeric state. In : LEA and BLANCHARD (eds.). Philadelphia, 1843.
ESDAILE J. Hypnosis in medicine and surgery. In: The Julian Press. New-York, reprinted 1957, 1850.
FAYMONVILLE M. E., FISSETTE J., MAMBOURG P. H., ROEDIGER L., JORIS J., LAMY M. Hypnosis as adjunct therapy in conscious sedation for plastic surgery. Reg Anaesth, 1995, 20: 145-151.
FAYMONVILLE M. E., MAMBOURG P. H., JORIS J., VRIJENS B., FISSETTE J., ALBERT A., LAMY M. Psychological approaches during conscious sedation. Hypnosis versus stress reducing strategies: a prospective randomized study. Pain, 1997, 73: 361-367.
FAYMONVILLE M. E., LAUREYS S., DEGUELDRE C., DELFIORE G., LUXEN A., FRANCK G., LAMY M., MAQUET P. Neural mechanisms of the antinociceptive effect of hypnosis. Anesthesiology, submitted, March 1999.
HILGARD E. R. Divided consciousness: multiple controls in human thought and action. New York, Wiley, 1977.
HOARAUX J. Les racines historiques "hypnose clinique". Masson. eds. Paris, 1992: 3-10.
INCE R. B. Mesmer FA: his life and teaching. William Rider and Son, eds. London, 1920.
LEE J. A. A synopsis of anaesthsia. Bristol: Wright John and Soons, the Stonebridge Press, 1959.
LONDON P., HART J. T., LEIBOVITZ M. P. EEG alpha rhytms and susceptibility to hypnosis. Nature, 1969, 219: 71-72.
MAQUET P., FAYMONVILLE M. E., DEGUELDRE C., DELFORGE G., FRANCK G., LUXEN A., LAMY M. Functional neuroanatomy of hypnotic state. Biological Psychiatry, 1999, 45: 327-333.
MEURISSE M., FAYMONVILLE M. E., JORIS J., NGUYEN DAN D., DEFECHEREUX T., HAMOIR E. Chirurgie endocrinienne sous hypnose. De la fiction à l'application clinique quotidienne. Ann Endocrinol, 1996, 157: 494-501.
MEURISSE M. DEFECHEREUX T., HAMOIR E., GOLLOGLY L., DERRY O., POSTAL A., JORIS J., FAYMONVILLE M. E. Bilateral neck exploration under hypnosedation: a new standard of care in primary hyperparathyroidism? Ann Surg, 1999, 229 (3): 401-408.
SPANOS N. P., CARMANICO S. J., ELLIS J. A. Hypnotic analgesia. In: MELZACK and WALL. Textbook of Pain (3rd eds), 1994: 1349-1366.
SPIEGEL D., DETRICK D., FRISCKHOLS E. Hypnotizability and psychopathology. Am J Psychiatry, 1982, 139: 431-437.
