ASPENTREE

HYPNOTHERAPY

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History of Hypnosis

William J. Bryan, Jr. M.D.

    The early history of hypnosis actually begins before any recorded history exists. In the religious and healing ceremonies of all primitive peoples on the face of the earth there exist the elements essential to place the subjects into a hypnotic trance. It is assumed, therefore, by the study of ceremonies of primitive peoples who still exist in Africa, Australia, and elsewhere that even before history was recorded, induction's were accomplished by rhythmic chanting, monotonous drum beats, together with strained fixations of the eyes accompanied by catalepsy of the rest of the body.
    Such primitive ceremonies had the essential of a central focus of attention, with surrounding neurology areas of inhibition, which two factors are responsible for 95% of the induction of the hypnotic trance. Whether these were called religious ceremonies, healing ceremonies or a combination of religious and healing ceremonies is actually immaterial. The fact is that trances did exist and were hypnotic in character, although the word "hypnosis" was never applied to them since it was not in use until Braid coined the term in 1842.
    All world travelers are familiar with the Hindus, Fakirs, Yogis, snake charmers, and Eastern magicians who induced themselves and others in cataleptic states by eye fixation and other mesmeric techniques, and were able to perform unusual physical feats and eliminate pain.
    An interesting incident was reported by James Esdalie, MD, author of Hypnosis in Medicine and Surgery, in which he describes a method for production of anesthesia by a famous Eastern magician of the era: "June 9th, 1845 - I had today the honor of being introduced to one of the most famous magicians in Bengal, who enjoys a high reputation for his successful treatment of hysteria, and had been sent for to prescribe for my patient (whose case will be afterwards given), but came too late; the success of my charm, Mesmerism, having left him nothing to do. Baboo Essanchunder Ghosaul, deputy magistrate of Hooghly, at my request introduced me to him as a brother magician, who had studied the art of magic in different parts of the world, but particularly in Egypt, where I had learned the secrets of the great Soolevmann, from the moolahs and fuqueers, and that I had a great desire to ascertain whether our charms were the same, as the hakeems of Europe held the wise men of the East in high estimation, knowing that all knowledge had come from that quarter. I proposed that we should show each other our respective charms, and after much persuasion, he agreed to show me his process for assuaging pain. He sent for a brass pot containing water and a twig with two or three leaves upon it, and commenced muttering his charms, at arm's length from the patient. In a short time he dipped his forefinger into the water, and with the help of his thumb, flirted it into the patient's face; he then took the leaves, and commenced stroking the person from the crown of the head to the toes, with a slow drawing motion. The knuckles almost touched the body, and he said that he would continue the process for an hour or longer if necessary; and it convinced me that if these charmers ever do well by such means, it is by the mesmeric influence, probably unknown to themselves. I said that I was convinced of the great efficacy of his charm, and would now show him mine; but that he would understand it better if performed on his own person. After some difficulty, we got him to lie down, and to give due solemnity to my proceedings. I chanted, as an invocation, the chorus of the "Kings of the Cannibal Islands!" I desired him to shut his eyes, and he clenched his eyelids firmly, that I might find no entrance to the brain by that inlet. In a quarter of an hour he jumped up, and said he felt something disagreeable coming over him, and wished to make his escape. He was over-persuaded to lie down again, however, and I soon saw the muscles around his eyes begin to relax, and his face became perfectly smooth and calm. I was sure that I had caught my brother magician napping, but, in a few minutes, he bolted up suddenly, clapped his hands to his head, cried he felt drunk, and nothing could induce him to lie down again; "abiit, excessit, evasit, erupit!" Next day I saw him, and said, "Well, you were too strong for my charm last night, I could not put you to sleep." "Oh! Yes Sahib," he answered, "You did; I allow it; it is allowed that you put me to sleep."
    As Moll has pointed out, these hypnotic phenomena are also found to have existed several thousand years ago among the Persian Magi as well as up to the present day among Indian Yogis and Fakirs.
    The oldest written record of cures by hypnosis was obtained from the Ebers Papyrus which gives us an idea about some of the theory and practice of Egyptian medicine before 1552 BC. In the Ebers Papyrus, a treatment was described in which the physician placed his hands on the head of the patient and, claiming superhuman therapeutic powers gave forth with strange remedial utterances which were suggested to the patients, and which resulted in cures. King Pyrrhus of Egypt, The Emperor Vespasian, Francis I of France and other French kings up to Charles X practiced healing in this manner.
    The Egyptians are thought to have originated the "Sleep Temples", in which the priests gave similar treatment to their patients through the use of suggestion. These temples became very popular in Egypt, and spread throughout Greece and Asia Minor.
    Hippocrates, the Greek physician referred to most frequently as "the father of medicine" and whose oath all graduating physicians take, is known to have discussed the phenomenon saying, "the affliction suffered by the body, the soul sees quite well with the eyes shut."
    The Romans borrowed trance healing from the Greeks, as they did much else of the Greek culture during the period of the rise of the great Roman Empire. Many men of great learning and wisdom were imported from Greece as Roman slaves to teach the young in Roman households. Among the Romans, Aesculapius often threw his patients 'into a "deep sleep" and allayed pain by stroking, with his hand.
    The advent of Christianity had a great deal to do with the decline of the use of hypnosis and trance healing because hypnosis was then considered to be witchcraft, and trance healing if practiced at all was done secretly. Nevertheless, in spite of this Jesus employed hypnosis to perform many of His miracles. A complete discussion of this is to be found in my book entitled, Religious Aspects of Hypnosis, published by Charles C. Thomas and Co. Springfield, Illinois in 1962.
    In the tenth century, Avicenna, a great physician, stated, "The Imagination can fascinate and modify man's body either making him ill or restoring him to health."
About the middle of the sixteenth century, a man named Theophrastus Paracelsus brought forth a new theory regarding the production of diseases. This theory stated in effect that certain heavenly bodies, especially the stars, influenced the behavior of men. He also postulated that men influenced each other, which is still a basic concept in the study of "behavior psychology."
    Van Helmont, Maxwell from Scotland, and Santanelli from Italy, said virtually the same thing about 1600, and laid the foundation for the concept of animal magnetism, which was later to have been made so famous by Mesmer. It can be proved that almost every ancient civilization has been familiar with hypnosis in one form or another. LeCron points out that it is described in some of the Mantras of India written in ancient transcript; that the Mongols, Tibetans, and the Chinese all had knowledge of hypnosis; and that even a detailed description of it is given in the Kalevala, the great epic poem of the Finns.

PART B: MODERN HISTORY

Section 1. Father Gassner
    It is ironic that the modern history of hypnosis begins not with a physician but with a clergyman, a catholic priest who lived at Klosters. Father Gassner theorized, according to the beliefs of that day, patients who were ill were possessed by devils, which must be cast out, before the patient could again attain the state of good health. The good priest obtained church approval for his actions by stating that God was working through him to cast out devils that possessed his unfortunate patients.
    Unlike some other men of his time, Father Gassner was not secretive with his methods, and frequently allowed physicians to observe him administer treatment. The physicians who were to observe were ushered into a room and seated much as in a theater and then the patient would be marched onto a stage in the center of the room to await the appearance of Father Gassner. Timing his entrance to make the most of the spectacle, Father Gassner would stride out onto the platform in a long solid black flowing cape, holding a "gold" crucifix high in the air before him. The patient had been told in advance that when Father Gassner touched him with the crucifix, he would promptly fall to the floor and remain there for further instructions. Gassner's patients were told to actually "die" while lying prostrate on the floor, and that during this period of "death", he would cast out the devils from their body and then restore them to normal life again. (This idea of rebirth permeates both hypnosis and religion even as far back as the earliest primitive forms). Again this has been discussed further in my book entitled, Religious Aspects of Hypnosis.
    After the observer physician examined the patient, felt no pulse, heard no heart sounds, and pronounced him dead, then Father Gassner would order the demon to depart, and shortly thereafter the patient would revive and arise completely cured. Mesmer was said to have watched a number of performances by Father Gassner in the early 1770's and is responsible for introducing the phenomena to the medical profession.

Section 2. Franz Anton Mesmer
    Franz Anton Mesmer was born the son of a game warden on May 23, 1734, at Iznang on Lake Constance. He studied at Dillingen and Ingolstadt and received his Ph.D. following which he studied law. He received his Doctor of Medicine degree in 1766 after presenting a paper entitled, De Planetarum Influx (On the influence of the Planets). Two years following his graduation, Mesmer married the wealthy widow of an army Lieutenant Colonel, Marie Anna Von Posch, on January 10, 1768. Mesmer, unable to swallow Father Gassner's hypothesis that patients were possessed by demons, believed that in some way the metal crucifix held by the Father was perhaps responsible for magnetizing the patient and hence developed his ideas and explanation of the results into a theory of animal magnetism, which he first tested in 1773 by treating a 28 year old female, Franziska Osterlin, who eventually married Fredrich Von Posch, Mesmer's stepson. Mesmer published his first account of the magnetic cure in 1775, under the title of, Schreiben Uber die Magnetiker. Although his fame continued to spread, he was forced to leave Vienna following the famous Paradis case, in which Dr. Von Stoerck and Dr. Barth opposed him. In 1777 Maria Theresa Paradis, a blind child pianist, and favorite of the Empress, recovered her sight after treatment by Mesmer despite the fact that she had been under the care of Europe's leading eye specialist, Dr. Von Stoerck for ten years without improvement. Influenced by jealous doctors, the child's mother took her away from Mesmer's care before the cure was complete. In an emotional scene, the mother struck the child across the face because she did not wish to leave Dr. Mesmer's clinic and the hysterical blindness reasserted itself.
    Nevertheless, Mesmer's influence was still great enough to secure a recommendation from the Austrian Foreign Minister to the Imperial Embassy in Paris, to which he moved early in February 1778. He founded a clinic with D'Eslon on the Place Vendome, and published his famous book, Memoirre Sur La Decouverte Du Magnetisme Animal in 1779.
    In 1784 the French Government investigated Mesmer, and pronounced him a fraud. However, Benjamin Franklin, who was a member of the investigating committee, wrote the minority report, which stated the phenomenon was worthy of further consideration. Other members of the commission were Jussieu, famous for his connection with the Twilleries; Guillotin, the inventor of the Guillotine which bears his name; and Lavoisier, the well-known French chemist whose name is still familiar to Americans as the brand name of a mouth wash! Esdaile's fascinating description of the investigation states he believed the verdict was fair enough considering the nature of the evidence placed before them. He goes on to say: ...but yet, (such is human fallibility), in this case summum jus was also summa injuria; truth was sacrificed to falsehood, as I think will clearly appear from a short analysis of their proceedings. This will probably not be time wasted, as I have heard intelligent gentlemen say that the report of the French philosophers still decided their opinions. They had a series of axioms in Mesmerism presented to them, whose truth they were to examine and the efficacy of certain processes was to be proved to their satisfaction by experiment.
    The Mesmerist's object seems to have been to try to convince the commission that he had a secret worth knowing, and yet to continue to keep it to himself by hiding its extreme simplicity under a load of complicated machinery and various kinds of mummery. D'Eslon, the pupil of Mesmer, propounded his laws of animal magnetism after this fashion:

I. Animal magnetism is a universal fluid, constituting an absolute polonium in nature, and the medium of all mutual influence between the celestial bodies, and betwixt the earth and animal bodies. This only a gigantic assertion.
II. It is the subtlest fluid in nature, capable of flux and of reflux, and of receiving, propagating, and continuing all kinds of motion.
III. The animal body is subjected to the influences of this fluid by means of the nerves, which are immediately affected by it. We see no other way at present.
IV. The human body has poles, and other properties, analogous to the magnet. The first proposition has never been proved, and takes everything for granted; there is only likelihood in the second.
V. The action and virtue of animal magnetism may be communicated from one body to another, whether animate or inanimate. True, as regards to the relations between animate bodies; and these can also impregnate inanimate substances.
VI. It operates at a great distance, without the intervention of anybody. True
VII. It is increased and reflected by mirrors, communicated, propagated and increased by sound, and may be accumulated, concentrated, and transported
VIII. Notwithstanding the universality of this fluid, all animal bodies are not affected by it; on the other hand there are some though but few in number, the presence of which, destroys all the effects of animal magnetism. The first part correct, the last not improbable.
IX. By means of this fluid, nervous diseases are cured immediately, and others medially; and its virtues, in fact, extend to the universal cure and preservation of mankind True, to so great a degree, that we do not yet know how far it may go.

    Is it surprising that the commission dismissed contemptuously such a mass of sheer assertion and unsupported theory, seasoned with truth to be sure, but so diluted and obscured as not to be recognizable? Like a Bengal witness, D'Eslon was not content to tell the truth simply, but added so many corroborating inventions of his own that no one knew what to believe, and the case was dismissed as unworthy of further investigation. He ruined himself, and his cause, also, (perhaps in ignorance, however,) by loading the truth with a parcel of trumpery machinery through which he hoped the power of nature would nevertheless penetrate; but Nature, like an overloaded camel, turned upon her driver and threw him and his paraphernalia of magnetic platforms, conducting-rods and ropes, pianos, magnetized trees and buckets, into the dirt; and truth retired in disgust to the bottom of her well, there to dwell till more honest men should draw her forth again to surprise and benefit the world.
    As far as my observation goes, all that is necessary for success, if the parties are in the relation of agent and subject, is passive obedience in the patient and a sustained attention and patience on the part of the operator. The process being a natural one, the more the parties are in a state of nature the better: the bodies of my patients being naked, and their heads generally shaved, is probably of no small consequence in the proceedings...
    There are a number of very important assertions in this excerpt from Esdaile's book. First, he certainly points out clearly the reason why the commission turned down the phenomenon as unworthy of further investigation. Second, he also illustrates the point doubly by even adding a number of misconceptions of his own, misconceptions which were nevertheless accepted as true in his day regarding medical practice. Thirdly, he sums up a really ingenious and brilliant theory in one sentence: As far as my observation goes, all that is necessary for success, if the parties are in relation of agent and subject, is PASSIVE OBEDIENCE in the patient, and a sustained patience on the part of the operator. Fourthly, he makes a statement which might serve further experimentation: The process being a natural one, the more the parties are in a state of nature the better. This might be better accomplished by means other than mere nudity although perhaps the possibility that by being nude the subject psychologically is "defenseless," or more "submissive" should not be overlooked. My favorite induction method is to take the patient with all his or her senses on a journey into a primitive wooded area, peaceful and quiet, serene and still where concentration and relaxation are greatest. Both the spirits of passive obedience as well as the journey into the wilderness of nature to seek communion with God are a part of every major religion in the world.
    So much for the report of the commission which had as its ultimate effect the denunciation of Mesmer, his methods and theories, although his theories were actually far more on trial than his methods.
    After being denounced in Paris, Mesmer's popularity quickly faded, and he traveled to England, Italy and Germany, returning for a brief visit to Paris before the outbreak of the revolution. He then settled in Frauenfeld in Switzerland, until the summer of 1814 whence he moved to Morsburg, where he died on March 5, 1815.
    It is not generally known but nevertheless true that Mesmer and his son published works on animal magnetism, and even today copies of these completed works can be obtained.
    As Mesmer's patients were placed in a tub filled with water and iron filings protruding from which were larger iron rods, Mesmer would suggest to them that as he touched them with his magnetic rod, they would become magnetized and eventually would go into a state of "crisis" from which they would emerge cured. His patients invariably did this and Mesmer considered the crisis an absolute necessity for the cure. Mesmer made a very imposing picture in his long flowing robes, holding his magnetic rod and passing from room to room in his clinic. His methods of magnetism, therefore, were unquestioned and his follower and pupil of good faith, the Marquis de Puysegur placed patients in a trance which he called artificial somnambulism, in which the patients did not enter the crisis or fit, but rather into a state of quiet relaxation. (The Marquis had forgotten to suggest to them in advance that they would experience a seizure!)

Section 3. Marquis de Puysegur
    The Marquis de Puysegur was responsible for describing the three cardinal features of Hypnosis; 1) concentration of the senses on the operator, 2) acceptance of suggestion without question, and 3) amnesia for events in a trance. In 1814 the Abbe Faria suggested that the phenomena described by Mesmer were not due to animal magnetism, but actually due to suggestion. However the popularity of Mesmer was so well established that Faria's hypothesis was soon forgotten. Dr. Wolfart journeyed from Berlin to Frauenfeld in 1812 at the request of the Prussian government, to investigate Mesmer, and to learn all he could about animal magnetism, and bring it back to the University of Berlin. At the same time Koreff was already in Paris on a similar mission. Mesmerism spread rapidly throughout Europe, including Switzerland, Italy and even as far north as the Scandinavian countries. This produced many experts including Eschenmayer, Kerner, Lallemant, Schelling, Passavant. Kluge, Pace, Ostermeyer, Pfaff, Pezold, Selle, Bartels and many others.

Section 4. James Braid
    On November 13, 1841 a French magnetizer named La Fontaine, who demonstrated Mesmerism, first introduced James Braid to Mesmerism [theory based on animal magnetism] and Mesmeric experiments at a meeting on that day. A complete description of this seance is found along with a detailed history of Braid's activity in writing in Bramwell's book, Hypnotism, Its History, Practice and Theory. James Braid was most well known for the fact that he renamed Mesmerism, "Hypnotism" in 1842, after the Greek word "Hypnos" meaning, "sleep" and offered to read a paper on it at a meeting of the British Medical Association in Manchester, but was rejected. Nevertheless, unlike Mesmer he maintained a good professional standing in his community during his entire lifetime, and was not only noted as an excellent hypnotist, but also was widely acclaimed for his operating cases of clubbed foot and other deformities. Later in life, Braid realized hypnotism was not a true sleep, but a concentration of the mind, and tried to change the name to monoideism. But by that time, "Hypnosis" and "Hypnotism" were words already well rooted in every language of Europe, and he finally abandoned this effort to change the name. He was born at Rylaw House in Fifeshire in 1795, studied at Edinburgh and qualified there as a surgeon. After practicing in Scotland for a short time he moved to Manchester, where he lived until he died suddenly on March 25, 1860 of a heart attack. He maintained his practice and interest in hypnotism during his entire lifetime, and wrote many papers and monographs on the subject. Although Braid is best known for his renaming Mesmer's art hypnotism, he also was responsible for a number of ideas that still persist until the present day. They are as follows:

1: That hypnosis is a powerful tool which should be limited entirely to medical and dental professions.
2: That although hypnotism was capable of curing many diseases for which there had formally been no remedy, it nevertheless was no panacea and was only a medical tool which should be used in combination with other medical information, drugs, remedies, etc. in order to properly treat the patient.
3: That in skilled hands there is no great danger associated with hypnotic treatment and neither was there pain or discomfort.
4: That a good deal more study and research would be necessary to thoroughly understand a number of theoretical concepts regarding hypnosis.

    These points of philosophy were extremely sound, especially for a physician in the middle 1800's who had limited knowledge available to him at that particular period. The fact that these concepts remain virtually unchanged today speaks highly for the brilliance of this great physician and hypnotist from Manchester.

Section 5. John Elliotson
    Like Braid, Elliotson received his M.D. from Edinburgh, but went on to study on the continent as well as in Cambridge and at Sir Guy's Hospital where I had the pleasure of speaking in 1958. He was born in 1791 and died on July 29, 1868 after a long illness, at the house of his friend, Dr. Symes, a formal pupil. Like Braid, Elliotson was a brilliant physician, lecturer, and Professor of Medicine. Elliotson's fame however, even exceeded that of his predecessor, Dr. Braid, for Elliotson ascended to the academic heights of a full Professorship of Medicine at the London University. He was also named President of the Royal Medical and Surgical Society and was one of the founders of the University College Hospital in London.
    He introduced the stethoscope into England together with the methods of examining the heart and lungs and they are used to this day. A complete history of his life also appears in Bramwell's book.
    Elliotson is best known for the fact that in 1846, he established the first journal dealing with hypnotism. It was called Zoist, and complete copies of the journal are still obtainable from some sources. He was discharged from the University College Hospital for choosing hypnosis as the subject for the Harveian Oration of 1846. In this Harveian Oration, Elliotson quoted this memorable passage from Harvey's works, "True Philosophers, compelled by the love of truth and wisdom, never fancy themselves so wise and full of sense as not to yield to truth from any source and at all times; nor are they so narrow minded as to believe any art or science has been handed down in such a state of perfection to us by our predecessors that nothing remains for future industry.
    Elliotson then applied Harvey's words to the science of Hypnotism and stated in no uncertain terms that it was the duty of physicians of that age to carefully and dispassionately review his research on the subject. Many interesting articles appeared in his journal, Zoist that was published quarterly from April 1843 until December 31, 1855. For thirteen years, article after article, was published by Elliotson, Esdalie, and many other brilliant physicians of that time, testifying to the excellent results of hypnotic treatment in insanity, epilepsy, hysteria, stammering, neuralgia, asthma, torticollis, headaches, functional difficulties of the heart, rheumatism, tic-douloureux, spasmodic colic, sciatica, lumbago, palsy, convulsions, acute inflammations of the eyes and testicles, and reports of hundreds of painless operations, everything from removal of a cataract to the amputation of the penis of which James Esdalie reported two cases. Parker (from whom the expression "Painless Parker" originated) reported over 200 painless operations in Exeter, an institution Elliotson helped him to form. Elliotson was excellent in the field of child hypnosis, and worked with many children and childhood diseases, such as St. Vitus Dance, Chorea, tics, and other maladies. Unlike Braid, however, Elliotson continued to believe in clairvoyance and other mystical phenomena until his death.

Section 6 James Esdalie
    Dr. James Esdaile probably performed more surgical operations under hypnoanesthesia than any physician up until the present time. He was a man of extreme ingenuity and intelligence who practiced most of his life in India, and is probably better known for his work in hypnosis than any other man with the possible exception of Mesmer himself. He was born February 6, 1808, the son a minister, and like Elliotson and Braid studied at Edinburgh where he graduated in 1830, obtaining a position with the East India Company.
    Esdaile did his first operation under hypnosis on April 4, 1845, on a Hindu convict with double hydrocele, at the native hospital at Hooghly. After accomplishing 75 operations under hypnoanesthesia he wrote to the medical board; but his letter was not even acknowledged. Later, at the end of the year, having over a hundred operations to his credit, he then contacted Sir Herbert Maddock, then the deputy governor of Bengal, who appointed a committee of investigation composed primarily of physicians.
    On receiving their favorable report, the Governor then placed Esdaile in charge of a small experimental hospital near Calcutta, in order that he might continue his research into hypnosis for whatever values it might have. Esdaile began his research in November of 1846, with the following physicians appointed to help him: R. Thompson, M.D., D. Stuart, M.D., J. Jackson, F.R.C.S., F Mouatt, M.D., R. O'Shaughnessy, F.R.C.S.; and at the end of the trial year of Esdaile's experimental works, he had 133 more operations to his credit, and a goodly number of medical cases as well. The reports by visitors to the institution continued to be favorable, and therefore, with the deputy governor's continued support, Esdaile was then appointed to Sarkea's Lane Hospital and Dispensary to continue his work and expand it to other fields of medicine.
    Esdaile's fame spread far and wide, and he once stated truthfully that he did more operations on scrotal tumors in one month than took place in all the hospitals in Calcutta in a year. Some local physicians who felt that his patients were hysterical criticized him in the medical journals. Esdaile's comment on this was that his own report of the cases was still worthy of mention if only as an example of an epidemic of insanity. His sense of humor stayed with him until he left India in 1851. When he left, he had thousands of painless operations to his credit, and over 300 major operations all done under Mesmerism. While he was in India, chloroform was first introduced as an anesthesia and later after he left India, a prize of $10,000 was offered in 1853 to the discoverer of the anesthetic properties of ether, which was described as the earliest anesthetic. Esdaile sent an indignant letter of protest about this, drawing attention to the fact that he had performed painless surgery under Mesmerism for years before anyone had ever heard of ether. (For that matter, chloroform preceded ether in any case.)
    Disgusted with India and "caring not a straw" about a big practice in Calcutta, Esdaile returned to Perth, the home of his father, where he settled and remained until he developed an illness of the lungs (tuberculosis?), and moved from Scotland to Sydenham, where he died at the age of 50 on January 10, 1859. His works were many, but perhaps his most famous work was a book originally titled, Mesmerism in India, and later released under the title of Hypnosis in Medicine and Surgery. In this particular book, he not only reported 73 painless operations, but also reported 18 medical cases of palsy, lumbago, sciatica, convulsions, and tic-douloureux, in addition to informing the public on hypnosis. He lashed out at the stupidity of some medical men who were blind to any new ideas; quoting in Latin, "Stare super vias Antiquas" to describe such medical men. He further went on to say that as a lover of truth for its own sake, he was very little gratified by being told by his friends, "I believe because you say so." He felt this was a barren belief, and constantly searched out physicians to prove his newfound medical tool to them. Jacob Conn, M.D. of the John Hopkins Medical School faculty has stated that no one has worked more diligently to bring the value of hypnotic analgesia and anesthesia to the attention of the medical profession than James Esdaile. Esdaile's work evidently paid off, as the British Medical Association reported favorably in 1891 that "As a therapeutic agent, hypnotism is frequently effective in relieving pain, procuring sleep and alleviating many functional ailments."

Section 7. Dr. Ambroise-Auguste Liebeault
    Liebeault is widely known as "The Father of Modern Hypnotism." The reason for this is primarily because Liebeault was the man who concluded and published the observation that all the phenomena of hypnotism are subjective in origin. Liebeault was a humble French physician, who though generally speaking was uninterested in research, nevertheless was a genius at therapeutics. He maintained an overflowing country practice that kept him busy night and day since the time he received his M.D. in 1850. His practice in hypnotism was almost entirely gratuitous, and because of this, it gained him the quiet respect of all that knew him. He was born in 1823, began his study of medicine in 1844, and started his experiments in hypnotism in 1848, even before he left medical school. After having completed a number of therapeutic sessions of hypnosis, he authored a book, which was two years in the writing. Skepticism, however, was so great that he only sold one copy, which went to Bernheim. In 1882 Liebeault cured an obstinate case of sciatica, which Bernheim had treated without results for over six months. Partly because of his curiosity, and partly because he wished to expose Liebeault as a quack, Bernheim bought the book and then journeyed to see Liebeault convinced that he was in fact a charlatan. Bernheim was, however, so impressed by Liebeault's work that he decided to remain with him and became a devoted pupil and lifelong friend. Bernheim and Liebeault then published another book together, which was widely acclaimed. This was especially true because of Liebeault's vast number of fascinating case histories.
    Whereas Parker and his contemporaries were interested primarily in painless surgery, Liebeault invaded all fields of medicine and was in fact the most important single physician in broadening the scope of therapeutics through the use of hypnosis. An excellent description of Liebeault's clinic appears in Bramwell's book.
    Liebeault became quite adept at rapid hypnosis and in fact was one of the first doctors who realized that for most hypnotherapy, a deep trance was unnecessary, a fact frequently pointed out by Dr. S. J. Van Pelt. Quite the contrary, Liebeault would induce his patients with no more than a wave of the hand, and a quick phrase, such as "Sleep, my little kitten"; suggest away the morbid symptoms and allow the patients to wake up when they desired. He saw hundreds of patients rarely spending more than a quarter of an hour with any of them. Bramwell states that all of Liebeault's patients were either improved or cured following his rapid suggestive treatments. Liebeault assisted by Bernheim established what has been known as the "School of Nancy." This was a period of development in hypnosis during which a great deal of experimental work was done with many types of induction.
    At the same time that Liebeault was merely using the word "sleep" with a hand pass, Charcot on the other hand was violently ringing gongs and flashing drummond lights. The Germans, Weinhold and Heidenhain, preferred the ticking of a watch, and Berger was using warm plates of metal. The idea of magnetism and magnetic processes had not yet completely worn off yet. Despite Liebeault's explanation of the phenomena as subjective, Piteres maintained that certain portions of the body were particularly sensitive to stimulation of the skin, and these so- called hypnotic zones which were described by him existed sometimes on one side of the body and other times on both.
    Moll has stated that he himself had seen many persons who were hypnotized only when their foreheads were touched. Purkinje and Spitt stated that touches on the forehead induced a sleepy state in many persons. Cradle rocking used to induce children was well known, and Eisenhart has mentioned stroking of the forehead as an excellent induction technique for children. Hirt often used electricity to induce hypnosis, and Sperling, a contemporary of Bramwell's and Moll's, described the hypnotic trances of Dervishes which he had seen in Constantinople (now Istanbul). Drzewiecki felt there was a difference in susceptibility to hypnosis because of nationality, and stated that Russians were more easily hypnotized than other people. It was felt later however, that neither nationality nor sex entered into the ability of a person to be hypnotized. It was only after Liebeault achieved a ripe old age and retired from medical practice that he reaped a measure of the acclaim which was certainly due him. He neither sought nor made a fortune. He remained to his death, happy and secure in the knowledge of a life well spent in treating the poor.
    Dr. Bernheim of the Nancy School is perhaps the best known for publicizing the use of hypnosis. Although Liebeault was responsible for broadening therapeutics, his book was never widely read. However, when Bernheim published his book on hypnosis (with Liebeault's case histories), it was immediately accepted everywhere. As a matter of fact, in spite of Charcot's tremendous reputation and early start with the Salpetriere School, nevertheless, more and more persons swung to the Nancy way of thinking. Medical dispute continued throughout the entire 19th century on into the early 20th century, each side claiming victories in the explanation of hypnosis. Bernheim would merely ask the patient to look at him, think of nothing but sleep, and then would tell the patient, "Your eyelids begin to feel heavy, your eyes are tired and they begin to blink, they are getting moist, your eyes cannot see distinctly, and they are closed." If the patient did not close his eyes and fall asleep almost immediately as many did, then he would repeat the process until success was assured. If the patients never showed any signs of sleep or drowsiness, he would then assure them that sleep was not essential and that hypnotic influence could be exerted without it. Bernheim inspired hundreds of famous physician hypnotists such as Von Schrenk, Noltzing, Babinski, and a great many others. Charles Richet was credited with introducing the induction method of squeezing of the thumbs and the hands together.

Section 8. Jean Martin Charcot
    Jean Martin Charcot the famous French neurologist was born in 1825 and died in 1893. He was so well known in the Medical profession for so many varied accomplishments, and his biography is so easily obtainable, that no detailed study will be given of him here. He is probably the most famous physician to embrace hypnotism at that time and, in addition to his work with Hypnotism was known for Charcot's bath, disease, joint, syndrome, etc., as well as the Charcot-Marie-Tooth type, and his work with progressive neuropathic muscular atrophy well known to all medical students.
    The Charcot-Weiss-Barber Syndrome (syndrome of the carotid sinus) and the Charcot-Vigouroux sign are also both well known. Charcot had a number of crystals named for him including the Charcot-Leyden crystals, the Charcot-Neuman crystals and the Charcot-Robin crystals. Despite his great fame in the medical field, he plunged into hypnotism without the usual careful research that had attended his other works. Consequently, his reputation weakened when his theories that hypnosis was a pathological state that weakened the mind were later disapproved by the Nancy School of Medicine. As a matter of fact, when Charcot died, Babinski denounced many of Charcot's cures, stating that some were actually faked and some were figments of Charcot's imagination. This bitter attack on Charcot from Babinski, more than any other thing, was responsible for the decline of the use of hypnosis in France. This decline continued until modern times with only a few experts such as Pierre Janet and Dr. Joseph Morlaas using hypnosis until it was officially introduced to the French medical schools in the fall of 1958.

Section 9. Josef Breuer
    Until Breuer's time, hypnosis had primarily been used for the alleviation of pain in surgery, and according to Liebeault's method, the simple suggesting away of symptoms. However, circa 1880, Breuer made an accidental discovery that changed the methods of hypnotherapy. As a matter of fact, it not only changed the methods of hypnotherapy, but actually introduced an entirely new art in itself as it was Breuer's work which attracted Freud and led him into methods of psychoanalysis which are so common to psychiatrists today.
    In any case, Breuer had been treating a patient whom he called Anna O. The case is a long and involved one, and is well known to all students of psychiatry. During one portion of therapy, they found however, much to her distress, (and Anna O. was a hysterical patient with many, many different problems) that she could drink no water. In fact, no matter how intense her thirst became, she felt it was a physical impossibility for her to swallow water. Thereupon, she subsisted for a number of months on watery fruits and melons until, during a hypnotic session, she revealed in a fit of anger, how to her great disgust, a former governess had permitted a dog to drink water out of a glass in her presence. As soon as she awoke from the trance she immediately asked Breuer for a drink of water, emptying the glass with ease. This led Breuer to the realization that the simple recalling of the traumatic experiences from the past of the dog drinking the glass of water was responsible for removing the symptoms. After coming to this conclusion, Breuer then attempted to associate all of the patient's symptoms with traumatic experiences in the past. After working with Anna O. for over a year, Breuer was able to remove her symptoms of blindness, paralysis, deafness, the contracture of her right arm, her anesthesia's, cough, trembling, and all of her other symptoms, merely by repeated trances which revealed more and more of her previous experiences, which contained damaging traumatic incidents.
    As Wolberg states in his book, Medical Hypnosis, "The importance of Breuer's work lies in the change of emphasis in hypnotic therapy, from the direct removal of symptoms to the dealing with the apparent cause of these symptoms." Although Janet simultaneously arrived at this conclusion, Breuer has been given credit for the discovery.

Section 10. Dr. Eugene Azam
    Azam, a professor on the faculty of Medicine at Bordeaux, and a correspondent at the Academy of Medicine in Paris, wrote a book on a case of splitting consciousness in 1887. He described in detail the case of a young girl, named Felita X., who first came to him during the month of June 1858. He perceived many hypnotic phenomena in this patient, and made some psychological deductions that bore out a good deal of Braid's conclusions. Professor Jean Martin Charcot wrote the preface of the book, (supra) who highly praised Dr. Azam's work. Translated from the French it said in effect:
    Today, now that Hypnotism has arrived and is now the regular application of this method of describing illness, which has finally taken place among the facts of positive science, it would be unjust to forget the names of those who had the courage to study this question a moment when it was under universal disapproval. Dr. Azam has been one of the initiators; the first in France, he has searched to control by his personal experience the results announced by Braid. The good fortune of an unforeseen discovery, it is true, was favorable to him by placing in his hand the subject's experience, which had spontaneously presented several phenomena which were described by Braid. But, how many physicians who were placed in Dr. Azam's position would have passed by these interesting facts without stopping either by fear to be mistaken by a jugular hysteria, or by fear that they would compromise their reputations by undertaking studies which have been discredited, or simply by following the scientific laziness which deprives us of the benefit of new things in modern development. The results of Dr. Azam are not solely of historical interest; this analysis rediscovered the most important part of somatic phenomena and psychiatric anesthesia, hyper-anesthesia and contracture and catalepsy which we have learned since this year has produced a great deal according to the rigorous determination by drawing our attention to a special category of subjects. It is of interest to remark as a matter of fact, that by the choice of subjects and by the nature of the phenomena produced, the case histories of Dr. Azam belong to hysterical hypnosis. It is said that this form of hypnosis first took place in science and only today has arrived. It manifests symptoms so characteristic that the most skeptical person cannot now doubt its existence. Therefore, we must invite our eminent colleagues to take part in the success of the work to which he has contributed after we have listed the research of Dr. Azam with those of the school of Salpetriere.
    Azam went to great difficulty to remove the aura of mystery from hypnosis, and was praised by Charcot because of this. Dr. Heinz Hammerschlag states in his book, Hypnose und Verbrechen that the Azam studies in Bordeaux, while important, were important primarily because these studies attracted the attention of Liebeault who first succeeded in giving these researchers a new slant. He endeavored to attribute the phenomena of hypnosis to the psychiatric influence of suggestion rather than to the influence of magnetism, which had previously been so popular in the days of Mesmer. How Charcot could continue to maintain the ridiculous assertion that all hypnotic subjects were "hysterical" straight to the face of Braid's research and then through the opposite side of his mouth praise Dr. Azam for clarifying and reiterating Braid's conclusions is completely un-understandable.

Section 11. Sigmund Freud
    To even begin to try to summarize the life and work of a genius is of course impossible. Also, to pick out specific incidents in his life and in describing these, expect one to understand the intricate working of the mind of Freud would be as ridiculous as describing George Washington as "a boy who chopped down a cherry tree." There have been hundreds of volumes written on Sigmund Freud, possibly the most complete of which is The Life and Work of Sigmund Freud by Ernest Jones (1879 - 1958) in three volumes. For a complete understanding of Freud, this three-volume work surpasses all others, but such an undertaking being beyond the scope of this work, we must be satisfied with a short summary of Freud's connection with the development of hypnosis.
    It was Breuer's work that attracted Freud and caused him to publish his famous book co-authored with Breuer, Studien uber Hysterie, which was published in 1895. Breuer and Freud correctly concluded that hysterical symptoms developed as a result of repressing damaging experiences and that if these damaging experiences were once again released from the subconscious mind by a mental catharsis, the hysterical symptoms would be eliminated. Breuer accomplished this through the use of hypnosis, but Freud, a poor hypnotist, found that free association coupled with psychoanalysis were vehicles by which he could better accomplish his work. Parlour has pointed out that although Freud spurned formal "hypnosis" he nevertheless used many hypnotic techniques constantly such as "touching the patient's forehead," "the concentration of the patient's mind," "the relaxation of the body on a couch," and "the abundant use of the imagination." This was largely overlooked during Freud's lifetime and attention was given to Freud's words that did not always explain Freud's actions.
    It was during this period that the greatest misconception regarding hypnosis first gained a foothold, and which even now is still regretfully difficult to dislodge in the minds of a number of learned medical men and hundreds of lay persons. Because of Freud's denunciation of hypnosis in favor of psychoanalysis, people began to associate hypnosis with "direct suggestions" (only one aspect of hypnotism). Hence, the general public and lay people as well began to think in terms of psychoanalysis versus direct suggestion. What was not sufficiently explained was that the science and art of hypnotism contains both analysis and suggestion and when correctly applied not only breaks the problem into its component for analysis but puts the individual back together again with a Synthesis. Conventional psychoanalysis, however, with its lack of directive guidance, eliminates the latter entirely and renders the former slow, cumbersome and often times ineffective. Nevertheless, because of Freud's great brilliance and popularity, the words "free associations and "psychoanalysis" became the passwords of the day, and hypnosis again took a nosedive into obscurity.
    A few experts such as Pierre Janet of France, Bramwell and Moll of Great Britain, Morton Prince and McDougall of the United States, and Pavlov in Russia continued to use hypnotism. Most other neurologists (most mental disease was approached from the standpoint of "neurology" in those days) immediately were influenced by Freudian theory and methods.
    Freud, himself was a fascinating man. He was born on the 6th of May in 1856, in the Moravian town of Freiberg, a tiny, ancient industrial town that then belonged to the Austro-Hungarian Empire. His mother, Amalia, to whom he had a strong oedipal attachment, was 20 years younger than his father, Jacob. The family moved to Vienna, where he spent his life. When Freud was four years old, his father died in October 1896, and it profoundly affected Freud, which he expressed in a letter to his close friend, Dr. Fliess.
    The Freud family was Jewish, but Freud himself ignored Jewish feasts, and instead celebrated Christmas and New Year because "it was easier." This would seem a highly unusual behavior pattern from such a nonconformist, but as stated above, Freud was actually a paradox who said some things and practiced others. For one thing, he constantly maintained that he was a scientist of the first quarter, seeking only truth first, last, and always. He continued to believe until his death, Lamarch's theory that acquired traits could be inherited, which no true scientist of that age believed any more than they still believed the world was flat. Freud also dabbled in occultism and telepathy, and openly stated his belief in it, although he never published such works. Freud was a great believer in the magic of numbers, and his close friend, William Fliess, who was mentioned previously, has stated that Freud believed that important things happen to men in cycles of 23 to 28 days. He predicted his own death at age 61 or 62, and seemed quite dismayed after passing this age, and thereupon raised his prediction to 85 1/2, the age at which his father and half-brother both died. Freud's eldest son, Jean Martin Freud, who was named after Charcot, whom Sigmund admired so much, published a relatively new book of Freud's home life as a father and a man. Freud first met his wife in April of 1882, and fell in love at first sight, although they were not married until after his one month of service on maneuvers with the Austrian Army in 1886, when he was promoted from First Lieutenant to Captain.
    Freud practiced as a specialist in nervous diseases, and was a junior lecturer at the University of Vienna when Jean Martin was born. He lived at Suenhaus, facing Ringstrasze, but wrote many of his best books in naturalistic settings. Interpretation of Dreams, probably one of Freud's most famous books, was written at a Villa in Berchtesgaden, a beautiful resort high in the Bavarian mountains, later to become infamous as the well-guarded retreat of Adolph Hitler.
    Freud was always immaculately and carefully dressed, even during the last 17 years of his life in which he painfully suffered one operation after another for the incurable cancers that beset him. Even after much of his mouth and palate and jaw structure had been dissected away, and he was forced to wear a monstrous prosthesis in order to close the opening between the nasal cavity and the throat so that he could talk, he maintained his sense of humor. Weak and unable to speak except in his native German (although previously he spoke both French and English well), he once said to French singer Yvette Guilbert, "Meine Prosthese Spricht Keine Franzosisch" (my prosthesis does not speak French).
    Freud had a total of 33 operations in all, including a sterilization operation which he hoped would in some way change the hormonal setup of his body and prevent the cancer from spreading. He flew to England to escape Hitler in 1938, and at 82 years old, while in London, he recovered sufficiently to do four analysis treatments daily. Freud hated drugs and only took aspirin occasionally. In February of 1939 his cancer finally caught up with him, being determined inoperable and completely incurable at that time, and on September 21 of that year, he asked his personal physician, Max Schur, for a sedative.
"It is only torture now, and it has no longer any sense," Freud said, and days later, at the age of 83, he was dead. His daughter Anna, remained at his side during his long protracted illness, and kept him comfortable. "Most important," says biographer Jones (who himself was perhaps the number one English speaking psychoanalyst of his time), "is the increasing sense people have of being moved by obscure forces within themselves, which they are unable to define. Few thinking people nowadays would claim a complete knowledge of themselves or what they are consciously aware of comprises the whole of their mentality, and this recognition with all its formidable consequences for the future of social organizations we owe above all to Freud. Man's chief enemy and danger is his own unruly nature, and the dark forces pent up within him. If our race is lucky enough to survive for another thousand years, the name of Sigmund Freud will be remembered as that of the man who first ascertained the origin and nature of those forces and pointed the way to achieving some measure of control over them."

Section 12. Milne Bramwell
    Bramwell is best remembered for his classic text, Hypnotism, It's History, Practice and Theory, which even to the present day remains one of the finest books ever written on hypnotism. In his book, he states that his own first introduction to the subject was indirectly due to Dr. James Esdaile, for Esdaile left India and lived for sometime in Bramwell's native town of Perth. Many of Esdaile's experiments were seen afterwards reproduced by Bramwell's father who was also a physician. Bramwell witnessed many of these experiments as a boy, and they deeply impressed him. He was an avid reader and student at Edinburgh when Professor John Hughes Bennett again drew his attention to hypnotism.
    After leaving Edinburgh, Bramwell became engaged in general practice, and hypnosis was almost forgotten until he learned that it had been revived in the wards of the Salpetriere. On March 28, 1890, he gave a demonstration of hypnotic anesthesia to a larger gathering at Leeds. This was reported in the British Medical Journal and the Lancet, and referrals of patients became so great that he abandoned general practice and limited himself to the practice of hypnotism. Bramwell was somehow able to avoid most of the great opposition and misrepresentation that had been heaped on earlier physicians connected with the science. Bramwell was probably most famous for his work in clinical hypnosis in medicine and surgery. However, he also wrote on hypnotic theories, hypnosis in animals, the management of hypnotic experiments, experimental phenomena of hypnosis, and even on such occult subjects as spiritualism, clairvoyance, and telepathy.
    Moll, an English contemporary, is equally famous for his book on hypnosis. Moll's book, copyrighted a few years before Bramwell's, was arranged a bit differently and is noteworthy for its dissertation on the legal aspects of hypnosis which Bramwell did not cover, but which is liberally quoted in an earlier book of mine, Legal Aspects of Hypnosis, the first complete volume on the subject ever written. Moll demonstrated how everyday suggestions differ from hypnosis, and also gave the first reference to waking hypnosis. He anticipated Erickson's studies of the post-hypnotic state, and also investigated the relationship between hypnotist and the subject. His book has long been considered one of the best possible introductions to the study of hypnosis and was one of the first pieces of literature to objectively separate hypnosis from the mystical elements which surround it.

Section 13. Other Physicians of the Era
    The first reported use of hypnosis utilized as an anesthetic occurred on April 12, 1829, when Jules Cleznet, a French surgeon, performed a breast operation. The first reported uses of hypnosis in America were in 1843, one year after Braid coined the term, in New York, Ohio, Illinois and Missouri by Doane, Dugas and others. Crile's contribution to hypnotic literature was that he recognized that even though a patient was "unconscious" during inhalation anesthesia, that the greater part of his brain was still awake, and nerve impulses could still reach the brain producing cerebral depression and other undesirable manifestations. Dupuytren, the famous French surgeon who is best known for his work on contractures, made the statement that "pain kills like hemorrhage," and indeed many patients of that era of medicine preferred death to extreme pain. William Kroger, a well-known obstetrician hypnotist, reported the decline of the use of hypnoanesthesia following the development of chemoanesthesia.

PART C: LATE HISTORY

Section 1. Contemporary scientists in the field
    A new era of hypnosis began with World War I. The revival was primarily due to a multiplicity of paralytic and amnesia cases with psychogenic origin, and the fact that few psychiatrists were then available. From Great Britain came Hadfield, who originated the term Hypnoanalysis, meaning the use of age regression to uncover the damaging experiences and then reliving the experience under hypnosis to produce mental catharsis. The advent of hypnosis in our time brought forth many new experts including many stage hypnotists. Lewis R. Wolberg M.D., an assistant clinical professor of psychiatry at New York Medical College, wrote perhaps the most extensive treatise on medical hypnosis in two volumes, which had been published in the U.S.A. In 1955 the British Medical Association officially endorsed the teaching of hypnosis in all medical schools and the organization of teaching groups and societies began. WILLIAM J. BRYAN JR. M.D., who became its first president, founded the American Institute of Hypnosis on May 4, 1955. It was founded for the reason that until that time there had been no educational body devoted exclusively to promoting all the phases of hypnosis in medicine and dentistry, and the Institute was founded to fill that gap. It has grown since that time to become the world's most respected educational institution devoted solely to teaching hypnosis in medicine and dentistry to physicians and dentists all over the world. Past Presidents of the organization include the experts of that time, including Butters, Moss, Sloan, Bryan, Hedge, Boswell, and McCall.
    Easily the most famous contemporary dental hypnotist is Dr. H. Joshua Sloan D. D. S., a past president and fellow of the American Institute of Hypnosis. He was instrumental in establishing the first university course in hypnosis and taught it for many years. Author of Introductory Information for Dentists in Hypnosis, and Goals in Dentistry, he held many offices, including President of the Academy of Applied Psychology in Dentistry and President of the American Institute of Hypnosis. Best known for his research in polishing of various induction and deepening techniques, and for his extensive work in the field of General Semantics, he practices on Madison Avenue in New York City.
    Aaron A. Moss, the third president of the American Institute of Hypnosis, is most famous for his classical work Hypnosis in Dentistry, the most complete book on the subject published to date [January 1963]. He was instrumental in filming the first movie on the use of Hypnosis in Dentistry.
    Dr. Garland Fross of South Bend, Indiana, Dr. Tom Wall of Seattle, Washington, Dr. Jack Bart of Riverside and Beverly Hills, California, and Dr. Martin Cousins of Los Angeles, California have all distinguished themselves in the field of Hypnodontics. All of these men have participated in various courses given by the Institute in the capacity of Faculty members and all are Fellows of the Society.
    Dr. Fross, a legend in his own community and a full Commander in the Navy Dental Corps has done much toward educating Naval Dental Officers and thousands of civilian dentists regarding the ethical and proper place of Hypnosis in Dentistry. He has written numerous articles and scientific papers on the subject and has, with the approval of his county dental society, taken to the airways on occasion to inform the public on the subject on the dental society's public service radio program. Dr. Wall has repeatedly lectured on Hypnodontics at various Universities and medical and dental gatherings as well as having written a pamphlet explaining Dental Hypnosis to patients.
    Dr. Jack Bart has lectured at as far distant points as Paris, France and Honolulu, Hawaii on the subject of Dental Hypnosis and has been practicing it during his entire dental career. Dr. Cousins is not only a member of the Faculty of the American Institute of Hypnosis, but regularly conducts classes in Hypnodontics for the Beverly Hills Hypnodontic Society and has taught both physicians and dentists the proper techniques with regard to hypnoanesthesia. He is a world-renowned authority on this subject especially as it applies to Dentistry.

Section 2. Dr. Sydney Van Pelt
    A history of hypnosis would not be complete without mentioning the foremost expert in the field of medical hypnosis of our time. Dr. S. J. Van Pelt, an Australian physician who established practice in London, England over 15 years ago, was the world's first modern full-time medical hypnotist. Limiting his practice to the use of hypnosis in medicine, Dr. Van Pelt built up an enviable reputation at a time when the rest of the world was very suspicious of the new modality. He became the first and lifetime president of the British Society of Medical Hypnotism, and the Editor of the British Journal of Medical Hypnotism, the oldest and most respected journal in the field still in publication. The British Journal of Medical Hypnotism under his guidance from its inception has lived even longer that Elliotson's Zoist and is now the world's undisputed leader in its field. By means of the British Journal and the Journal of the A.I.H., for which he has written a number of articles, the best of the scientific literature on the subject of hypnotism is disseminated throughout the English-speaking medical profession of the world. Dr. Van Pelt participated as lecturer in the first international course in medical hypnotism ever given in November 1959 aboard the M.S. Kungshohm on a Caribbean Cruise, and except for myself, is still today the only other living full-time medical specialist in hypnosis. He has written more books on hypnosis than any other four authors combined if I am not utilized in the combination, and has so many articles on the subject published that they are too numerous to count. If there is any one man of our time who will ascend to greatness via medical hypnosis, it is certainly Dr. S. J. Van Pelt, the foremost authority on the subject in the world.

Section 3. Hypnotism in France
    The formation of the American Institute of Hypnosis and the simultaneous action of the British Medical Association in approving it in 1955 spurred the Council on Mental Health of the American Medical Association to conduct a three year exhaustive study which culminated in an official endorsement of hypnosis by the American Medical Association at its 1958 June meeting. This was reported in detail in the Journal of American Medical Association, and a text of the unanimous endorsement, by the A.M.A. House of Delegates can be found in the A.M.A. Journal Vol. 168, No 2, September 13, 1958. The House of Delegates without one dissenting vote accepted the report of the Council on Mental Health approving Hypnosis.
    Shortly after this happened, the French Government again became interested in Hypnotism. Due to Babinski's denunciation of Charcot's methods and treatments, although obviously untrue, this nevertheless gave hypnotism an extremely bad reputation in France, and consequently no one was even allowed to speak on the subject of hypnosis at any University medical gathering for the French Medical Academy officially forbade discussion of the topic in 1840, and this subject remained taboo until 1958, at which time the Sorbonne University of Paris faculty of medicine invited me to reintroduce the subject to France in a lecture to be given to over 200 famous French physicians at the St. Anne's Psychiatric Hospital in Paris. The lecture was given in the auditorium of the Psychiatric Hospital in France, and the reception was so enthusiastic that I was kept a full hour and a half longer answering questions and performing demonstrations including a demonstration of hypnosis performed through an interpreter, which was the first known such medical exhibition in the world. Because of this great success, the assistant mayor of Paris in his office with the traditional champagne toast received me, in the absence of the Mayor who was in New York on a goodwill mission. The success of this venture led to an invitation to return and conduct a complete weeklong course in hypnosis in the spring of 1960. The British Journal of Medical Hypnotism Vol 10, No. 4, describes this important event on the teaching of medical hypnosis as follows:

AN ANCIENT ART RETURNS TO FRANCE
Report of a lecture given by Dr. William J. Bryan Jr., (USA)
    The fact that British Medical Association gave an unqualified approval of hypnosis three years ago led the American Medical Association to immediately instruct its Council on Mental Health to investigate the value of hypnosis in medicine. This investigation three years in length led up to the unanimous endorsement of hypnosis by the Council on Mental Health of the American Medical Association this last June. Despite the great world interest in hypnosis, there has been relatively little said or done about hypnosis in France in the recent years. Dr. Pierre Pichot, professor of psychiatry on the faculty of medicine of the University of Paris, and Chief of staff of the St. Anne's Psychiatric Hospital in that city, has given some possible reason for this. "There was a time," he said, "during the days of Mesmer and Charcot, when hypnosis enjoyed a great following in France. In fact, France was really the cradle of hypnotism, as it were. However, after Babinski, Charcot's pupil, bitterly denounced much of Charcot's work following his death, hypnosis fell into disrepute in France, and has largely remained so until present day."
    It was probably because of that desire of the French Medical Profession to again renew their interest in hypnosis that caused them to invite Dr. William J. Bryan Jr., of the United States of America, to speak on the subject. He is probably the first physician who has ever even been allowed to speak on the subject of hypnosis in a university professional-type gathering in many, many years. Nevertheless, the Faculte de Medecine of the Universite de Paris accorded him great courtesy and honour. They asked him to address a professional group on September 11, 1958, at the Hopital Psychiatrique Ste. Anne, Rue Cannibis in Paris. While in France, he certainly received the royal treatment. He was entertained by the French Government, the French professional men, and the French people themselves. "Naturally it would be impossible to thank all the wonderful people there," he states, "but special mention should certainly be made of Monsieur Pierre Taintiger, the Vice Mayor of Paris, who personally welcomed me to Paris with the traditional Parisienne champagne toast in his private office. Special mention must also be made of Dr. Pierre Deniker and Dr. Pierre Pichot, who were so kind to me during my stay in Paris. Miss Ellen Terry, a fabulous French lady who was former director of the women's Army in France, and now holds the position of Chief of Information Services for the United States Embassy, receives my special appreciation for the giving generously of her valuable time in assisting me in translating my address from English to French (French that Frenchmen could understand)."
    The address was given on September 11, 1958, in the auditorium of the Sainte Anne's Psychiatric Hospital, using their new public address system for the first time to an audience of over 200 physicians from all parts of the country and one doctor from Great Britain to hear it. The half-hour address was well received by a most gracious audience who kept the speaker present for more than another hour and a half with pertinent questions. In fact, the address was so well received that Dr. Bryan decided to put on a short demonstration to illustrate some of the points in his address. Therefore with the help of Dr. Pierre Pichot as interpreter, the subjects were placed under hypnosis. Anesthesia and other phenomena of hypnosis were produced and the audience was generous in its reception of this ancient art returned to France.
* * * * *
    Following this description of the address is the actual text of the address itself only translated back into English (Though it was given in French at the time). Following this is the text of a letter in English from Dr. Pierre Pichot thanking Dr. Bryan for this appearance at the hospital.
* * * * *
Text of the address given September 11, 1958 at the Hopital Phychiatrique Ste. Anne, Rue Cannibis in Paris:
    Recent Advances in Hypnosis in the United States
    Please allow me to tell you how honored I feel on being asked to address you, and let me tell you most humbly that I have no intention of making this a one-way lecture. Instead I ask for an exchange of ideas between our two countries as a method of advancing worldwide scientific knowledge on our subject. It would certainly be presumptuous of me to speak to you of Hypnotism, you who can boast of such leaders as Mesmer, Charcot, Bernstein, and Janet. It is your great country which led the world in recognizing the art to begin with, and my humble contributions in the field are only those of a redecorator as compared with the initial architect. Nevertheless, because you might be interested in the trend of happenings in this field of hypnotism in America, I should like to cover a few points of which you may not be aware.
    First: within the past five years a revolution has taken place in my country regarding the teaching methods in postgraduate schools. Because most medical doctors are unable to leave their busy practices for both a vacation and postgraduate education each year, and because postgraduate education is a deductible expense not taxed by the government, many doctors have more and more begun to combine vacations with postgraduate study. This has taken postgraduate medical studies out of the classroom onto the cruise ship and into the resort hotels. Since the great upsurge in the utilization of hypnotism in the practice of medicine and dentistry in the past five years there have been no less than four major groups teaching hypnotism to doctors and dentists, and none of these groups confines their teaching to the hospital or medical school. Indeed, quite the contrary. There is Dave Ellman's group, the Seminars of Hypnosis, Symposiums of Hypnosis and The American Institute of Hypnosis. As the Executive Director of the Institute, I can tell you that now as never before the average general practitioner in the United States, as well as his counterpart in the Dental profession, is using hypnosis as a diagnostic and therapeutic tool in his practice. When you consider that we instruct between fifty and one hundred new doctors in this art every month, you must realize that the use of this art is spreading rapidly throughout the country.
    Secondly: Only this June the American Medical Association went on record as approving and endorsing the teaching of Hypnosis in Medical Schools and the use of Hypnosis as an approved method for treating patients. This was a big step in the advance of hypnotism in my country.
    Thirdly: The establishment of new clinical journals and experimental research in this country, together with associations such as the Professional Association of the American Institute of Hypnosis, the American Society of Clinical Hypnosis and the Society for Clinical and Experimental Hypnosis.
    Fourthly: The people themselves, having heard what can be done with hypnosis, are asking their doctors in increasing numbers about its use in all kinds of illnesses.
These four points, then, are responsible, more than anything else for the rapid growth in the use of hypnosis in the practice of medicine and dentistry in the United States.
Now you are probably wondering what we teach in our courses on hypnosis for physicians and dentists. Our three-day beginner's course number 101 you might find interesting. The course is restricted, of course, to physicians and dentists. Our course consists of lectures, films, demonstrations, laboratory periods and well-supervised practice sessions. We expect each student to demonstrate his ability to use hypnosis before the three-day course is over. These courses are given on weekends to accommodate the doctors. History, suggestions, theory, and trance management cover the first day. Dangers, misconceptions, clinical material, Child, and Auto-Hypnosis cover the second day, and the third day the groups are split into physicians and dentists for instruction in their specialties. So much for our beginners' course.
    In what field have we found hypnosis most valuable? Paradoxically enough, hypnosis seems to be the most valuable where no other treatment has worked very well. In diagnosis: where all other methods have failed a complete and correct history can be taken using age regression techniques under hypnosis. I have called attention to the value of this in my article in the current issue of the British Journal of Medical Hypnotism. In medicine: the deep-rooted causes of Alcoholism, Enuresis, Asthma, Eczema, Constant Pruritus, and many Neuroses and Psychoses can be uncovered by careful hypno-analysis. In surgery: probably the least important use of hypnosis is for general anesthesia, and probably the important use is to obtain the wonderfully postoperative recoveries minus nausea, when hypnosis is utilized.
    In Obstetrics and Gynecology, hypnosis has found its most popularized use since there are so many young girls nowadays who wish to experience painless childbirth and who also wish to remain fully conscious and watch the birth of their babies. This I have found is a wonderful and exhilarating experience for the young mother and one she will always remember and cherish. Such a pleasant experience cannot be had when the mother is snowed under with voluminous amounts of sedatives and hallucinatory drugs. In dentistry, the control of gagging, bruxism and the patient's cooperation obtainable with hypnosis is nothing less than miraculous.
    Dangers in using hypnosis are really very minor and consist mostly of forgetting to remove suggestions, dangers of literal suggestion, and dangers to the doctor because of misinterpretations made by the patient.
    Lastly, I would like to discuss some of the research projects now in progress in the Institute program. We are experimenting with the use of hypnosis to enlarge the female breast simply by directing suggestion. Out of nine cases, eight have shown definite improvement. We are also trying to see if the sex of an unborn baby can be determined before birth by questioning the subconscious under deep hypnosis. No results either way so far. We are using hypnosis in connection with improving the ability of the senses to function i.e. deafness and blindness. Hypnosis is also being used in connection with the new Stapes Mobilization process in the ear both for operative anesthesia and for hearing tests.
    This, then briefly covers the field of hypnosis in America today, (1958) but many other interesting projects are under way. Again, let me thank you for the honor of appearing here. I would prefer answering any questions in English, as my French is very limited. Again, thank you.
Text of the letter from Dr. Pierre Pichot
Docteur Pierre Pichot
Professor Agrege a la Faculte de Medicine 24, Rue des Fosses Saint-Jacques, Paris V

October 18, 1958

Dr. William J. Bryan Jr. M.D.
1204 B Street, P.O. Box 738
Sparks, Nevada, U.S.A.

Dear Dr. Bryan:
It has been a great pleasure to meet you in Paris, and your colleagues here have greatly appreciated your very stimulating presentation of hypnosis. I am certain that hypnosis has an important future in the realm of psychiatric therapy, probably too in other fields, and I know that you have stimulated the interest in this country.

Sincerely yours,
Dr. Pierre Pichot

(The above article was reprinted from the British Journal of Medical Hypnotism with their kind permission)

    No history of Hypnotism in France would be complete without mentioning France's foremost Medical Hypnotist. Dr. Joseph Morlaas, head of the Salpetriere Neurological Clinic. Dr. Morlaas participated on the Faculty of the A.I.H. in giving the first course on Medical-Dental Hypnosis ever given in France since 1840. It was given in 1960 at the Claridge Hotel in Paris under the auspices of the A.I.H.

PART D: SUMMARY
    This brings the history of hypnosis up to our modern times. Since 1958, the Institute has offered over 15 different courses in Hypnotism in all the major cities of the United States and abroad. Literally thousands of physicians and dentists have been introduced to this important art of medicine. In 1958, Life Magazine estimated the number of physicians and dentists qualified to utilize hypnosis in their practice at 250. It is even doubtful that there were that many; but assuming there were, within the past four years, through 1962, largely due to the vigorous teaching program of the American Institute of Hypnosis, there are now over 7500 physicians and dentists in the United States fully qualified to utilize hypnosis in their practices, and are actively doing so. This represents a 3000% increase over 1958. 44,000 operations were done in 1960 under hypnosis without a single anesthetic death. 52,000 were done in 1961 and 68,000 in 1962. With the tremendous increase in utilization of hypnosis by physicians of all specialties, medical hypnotism, like radiology has begun to be a specialty in itself, and physicians who do not yet know its use are more and more becoming labeled "horse and-buggy doctors," and will soon find themselves facing malpractice suits because of lack of knowledge which they should possess about the subject.
    Perhaps the biggest progress and advance has been made in the psychiatric field, where long and tiresome techniques of psychoanalysis lasting five or six years or more have been supplanted by rapid, specific, and vastly more effective methods of treating the same illnesses by means of hypnoanalysis. Modern Medical Research has definitely proven that the time necessary for a complete psychoanalysis can now be reduced from six years to approximately three months or less through the proper use of hypno-analytic techniques as taught by the Institute. This fact is extremely important when we consider the report of the Joint Commission on Mental Illness and Health to the Congress of the United States in 1961. It stated that "no more than 20% of 277 State Mental hospitals have participated in modern advances designed to make them treatment rather than custodial institutions!"
    As the treatment of syphilis has been largely removed from the dermatologist's practice to that of the general practitioner, because of the development of penicillin and other antibiotics, so also the treatment of psycho-neurotic and psychosomatic diseases is because of the advances made in medical hypnosis progressively becoming the domain of the family physician, with the referral of difficult cases to the medical hypnotist. This is as it should be, because now through the use of hypnosis, this treatment is not near as complex or complicated as it used to be under other old outmoded methods of treatment. In the days of treating pneumonia by means of specific antiserums, an expert in the field was often needed, and yet today the American general practitioner treats the vast majority of the cases of pneumonia with a few injections of penicillin, referring only specialized or complicated cases to the internist.
    The American Institute of Hypnosis is also not without milestones of progress. Celebrating its eighth anniversary, the Institute has been responsible for educating thousands of physicians and dentists in the field of hypnotherapy, and has established the only referral service of its kind in the world. Today, anyone wishing to find a physician or dentist in his area who is qualified to utilize hypnosis in his practice need only contact The American Institute of Hypnosis; and he will receive the name, address and phone number of a physician or dentist so qualified in his city.
    A number of International courses in hypnosis for physicians and dentists have been given, and the Institute has been praised by physicians and dentists of many foreign countries (see Editorial of Journal of the American Institute of Hypnosis for October 1960). The Journal was established in October of 1960 and now in 1963 is in its fourth year of publication. It is the only journal devoted exclusively to hypnosis in medicine and dentistry which carries the seal of approval of the Association of Medical and Allied Publications (the organization to which the Journal of the American Medical Association, the New England Journal of Medicine and other top flight medical and dental publications belong). None of the other American Medical journals have "made the grade." Furthermore its immediate worldwide acceptance soon after the first issue was published testifies as to the extremely high quality of its articles. Among its subscribers are; the Los Angeles County Medical Association; Stanford University Medical Library; University of Kentucky; University of Illinois; the AMA and the ADA; the Library of the College of Physicians of Philadelphia; the Librarie des Facultes de Medicine of the University of Paris; Charles University, Prague, Czechoslovakia; the British Society of Medical Hypnotists Library in London, England and numerous other medical schools, and Universities all over the world.
In the latter part of 1961 another first in medical hypnosis was begun when the first class of lawyers were taught medical hypnosis (not for the purpose of practicing medicine) but so that they might have an intelligent concept of the phenomenon when dealing with it in the courtroom in malpractice cases. They could then recognize when medical hypnosis practice by a competent physician might be valuable to them or their client. (See my book entitled, Legal Aspects of Hypnosis, 1962 Charles C. Thomas). There is a big field in Hypnosis and the Law, the surface of which has barely been scratched.
    Summarizing these great new strides in Hypnosis and Hypnotherapy, Wolberg very aptly states, "the history of hypnosis demonstrates conclusively that it is no miracle worker but that shorn of extravagant claims made for it by some of its adherents, it is an important and useful tool." This one statement has more or less crystallized modern enlightened opinion with regard to hypnosis. On reviewing the history of hypnotism, we have learned that it has experienced many rises and falls in popularity. It will experience further stormy courses due to the very nature of the phenomena before its place in medicine, surgery, and dentistry is completely secured.

Editor's Note:
Taken from the Journal of American Institute of Hypnosis, which was founded by William J. Bryan, Jr. M.D. This Journal article is dated January 1963 and has been edited by Anne H. Spencer, Ph.D. 1. 1998.

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