Out-of-illness experience: hypnotically induced dissociation as a therapeutic resource in treating people with obstinate mental disorders.

Psychological dissociation is commonly perceived by mental health professionals as the pathological splitting of consciences or as an impairment in adaptive integration. In hypnotherapy dissociation is considered one of the most significant features of hypnosis, constituting a major therapeutic resource. In the present article, we use hypnotically induced dissociation (HID) to treat patients with obstinate mental disorders (OMD). These disorders are characterized by persistent, problematic behaviors, thoughts, and feelings that become organizing principals of identity and form enduring psychopathologies. To promote psychological change in patients with OMD, we use HID to enhance dissociative processes that enable the differentiation of health from pathology and allow the emergence of experiences previously overshadowed by pathological personality patterns. Three clinical cases of OMD (chronic depression, obsessive-compulsive disorder, and a personality disorder) illustrate the effects of HID as an effective therapeutic tool that facilitates emotional processing, consolidates therapeutic achievements, and secures therapeutic results.