Feldman Jeffrey B
Wake Forest University School of Medicine, USA.
Am J Clin Hypn. 2009 Jan;51(3):235-54. doi: 10.1080/00029157.2009.10401674.
Experimental (Price & Barber, 1987) and neuroimaging studies (Rainville, Carrier, Hofbauer, Bushnell, & Duncan, 1999), suggest that it is the affective dimension of pain as processed in the anterior cingulate cortex (ACC) that is most associated with suffering and autonomic arousal. Conversely, pain related emotions (Rainville, Bao, & Chretien, 2005) and expectations (Koyama, McHaffie, Laurenti, & Coghill, 2005) modulate pain perception and associated pain affect. This paper presents both the scientific background and the general clinical steps involved in a practical hypnotic approach that uses emotion specific wording and the elicitation of prior positive experience to intervene at both the affective and sensory dimensions of pain. Such an approach enables patients to therapeutically use hypnosis to reduce their subjective distress even if they are not able to greatly reduce the sensation of pain. The utilization of positive state dependent learning (Rossi, 1986), following the advice of Milton Erickson to "discover their patterns of happiness" (Parsons-Fein, 2005) is emphasized.
实验研究（普赖斯和巴伯，1987年）以及神经影像学研究（兰维尔、卡里尔、霍夫鲍尔、布什内尔和邓肯，1999年）表明，在前扣带回皮质（ACC）中处理的疼痛情感维度与痛苦和自主唤醒最为相关。相反，与疼痛相关的情绪（兰维尔、鲍和克雷蒂安，2005年）和期望（小山、麦克哈菲、劳伦蒂和科吉尔，2005年）会调节疼痛感知及相关的疼痛情感。本文介绍了一种实用催眠方法的科学背景和一般临床步骤，该方法使用特定情绪的措辞并唤起先前的积极体验，以干预疼痛的情感和感觉维度。这种方法使患者能够通过治疗性地使用催眠来减轻主观痛苦，即使他们无法大幅减轻疼痛感觉。文中强调了遵循米尔顿·埃里克森“发现他们的幸福模式”的建议（帕森斯 - 费恩，2005年），利用积极状态依赖学习（罗西，1986年）。
