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Abstract:
Current research in neuroscience and the psychosocial genomics of memory, learning, and behavior
have important implications for the theory and practice of therapeutic hypnosis and psychotherapy.
It is proposed that many phenomena associated with therapeutic suggestion and hypnosis - typically explained by the ideodynamic action hypothesis - actually describe the phenotypic or observable cognitive-behavioral manifestations of activity-dependent gene expression, brain plasticity, and
mind-body healing. This conceptual review outlines how the neuroscience trace reactivation theory
of the construction and reconstruction of consciousness, memory, and behavior is consistent with an
update of the classical Ideodynamic action hypothesis of therapeutic suggestion: therapeutic hypnosis can facilitate brain plasticity and mind-body healing by replaying the activity-dependent gene
expression/protein synthesis cycle in the reconstruction of fear, stress, and post-traumatic memories
and symptoms. A new psychosocial genomic paradigm of mind-body research is proposed for assessing the possible role of therapeutic hypnosis and related psychotherapeutic processes.
Keywords: Ideodynamic action hypothesis, psychosocial genomics, stress, therapeutic hypnosis,
activity-dependent gene expression, memory, learning.
processes in which feedback plays an important part. This last is important because
this, combined with the capacity for selftermination, probably makes some complex
automatisms appear like intentional behavior
(p. 128)... Last,/ar more complex responses
than the one originally suggested might be
expected to take place through ideodynamic
action because one idea often leads to another idea, indeed to a whole chain of ideas,
with loops and side branches. Not only is it
reasonable to posit that a number of associated and interlinked ideodynamic responses
can thus take place, but also that the more
complex composite "idea" thus formed may
have the capacity to produce its own specific
ideodynamic effect. Indeed, the overall response to a suggestion has the potential for
being something quite different than what
was originally proposed." (p. 129, italics
added).
What, precisely, is the action of the ideodynamic action hypothesis of suggestion that
Weitzenhoffer describes here? Historically the
ideodynamic, a word that does not appear in
most English dictionaries, referred to an idea
- a "mental" process - that generates a dynamic - "an energy, relating to or tending toward
a change or productive activity" (New World
Dictionary, 2ed College Edition, 1986). More
than a century ago Bernheim (1886/1957) offered a charming description of ideodynamic
action (with ideomotor, ideo-sensory, ideo-reflexive components) that gave rise to hypnotic
automatisms (involuntary action) such as the
Chevreul pendulum and "table turning" in
seances.
"A well-known experiment shows the influence of an idea upon the act. I hold the end
of my watch chain between two fingers at
the height of my forehead; the watch hangs
vertically suspended and moves to the right
or left, backwards or forwards, or in a circle, according as I conceive the idea of these
successive movements. I try in vain not to
interfere voluntarily, but am unconscious of
the motion, which my hand imparts to the
chain. Simply the idea of motion is enough
to occasion it. Is this not the secret of table
turning, which has turned so many heads for
30 years? Involuntarily and unconsciously
everyone imparts a slight movement to the
table, and the sum of all these unconscious
movements, results in the tipping of the table." (p. 133, italics added).
While the Ideodynamic action hypothesis of
suggestion has played an important role toward
the development of a theory of hypnosis for
over 100 years, current neuroscience does not
recognize this historical priority. Neuroscientists are now rediscovering many phenomena
previously subsumed under the ideodynamic
action hypothesis and, without any regard for
the history of hypnosis, give these phenomena
different names derived from recent experimental research on activity-dependent gene expression, behavior state-related gene expression,
and brain plasticity in the molecular dynamics
of memory, learning, behavioral adaptation,
sensation, perception, emotions, dreaming,
stress, trauma, and healing (Hua et al., 2005;
Kandel, 2000). There has been little or no
communication between the three disciplines
of therapeutic hypnosis, neuroscience, and
psychosocial genomics (Rossi, 1972-2005).
This paper is a conceptual review integrating
the current neuroscience "trace reactivation
theory" of memory and learning with the
molecular-genomic mechanisms of the ideodynamic action hypothesis of therapeutic suggestion, hypnosis, and psychotherapy (Rossi,
2000 a, 2002 b, 2004a,b, 2005a,b).
The Neuroscience Trace Reactivation
Theory of Memory Consolidation
The central issue of the current neuroscience
trace reactivation theory of memory consolidation is to determine how new experiences
are converted into stable, long-term memory,
while still being available for change and
updating with later experience. Experimental evidence documents that after a salient,
new, surprising, unusual, or unexpected life
experience many brain circuits replay the
memorable event during the "offline " periods
of rest, recovery, quiet time, sleep, and dreaming. This reactivation and replay of the novel
experience integrates and consolidates the
memory (Sutherland & McNaughton, 2000;
Wittenberg et al., 2002).
New memories initially consist of separate
parts, which are stored in different regions of
the cortex of the brain where they were first
received and encoded. These separate parts of
the new memory initially are linked indirectly
through the common connections they share
genetic results demonstrating that the anterior cingulate cortex plays a critical role
in remote memory for contextual fear conditioning. Imaging of activity-dependent genes
shows that the anterior cingulate is activated
by remote memory and that this activation is
impaired by a null -CaMKII mutation that
blocks remote memory. Accordingly, reversible inactivation of this structure in normal
mice disrupts remote memory without affecting recent memory." (pp. 881, italics added).
From the neuroscience perspective, the (I)
apparently simple process of recalling and (2)
creatively replaying fear, stress, and traumatic
memories within a new positive therapeutic
perspective can (3) initiate the molecular-genomic dynamics of Erickson's neuro-psychophysiological process of healing. I propose
that the psychosocial genomics of gene expression and brain plasticity is operative within the
natural 4-stage ultradian creative process of
deconstructing the old neural networks that a
encoded posttraumatic stress disorder (PTSD)
and re-synthesizing new neural networks capable of elective problem solving and symptom
resolution (Rossi, 2002a, 2004b).
This creative cycle engages potentially therapeutic feedback loops whereby ideodynamic
action generates "far more complex responses
than the one originally called for" as described
by Weitzenhoffer (2000, p. 128).
A Psychosocial Genomic Research Paradigm
for Therapeutic Hypnosis
In a pioneering paper Whitney et al. (2003)
have documented how individuality and vari-
Table 1:
A brief sampling of gene candidates for assessing the possible role of hypnotic susceptibility,
therapeutic hypnosis and related psychotherapeutic processes in modulating gene expression,
brain plasticity and mind-body healing via DNA microarray technology (From Rossi, 2002a,
2004).
Hypnosis, Absorption, Personality and Gene Expression
COMT
THRA
Rossi, 2004a,b
Perl
Brain Plasticity in Consciousness, Memory, Learning and Behavior Change
c-fos, c-Jun, krox, NGFI-A & B
CREB
BNDF
CYP-17
Ridley, 1999
Rossi, 2002a
DCTNl
MAPIB
CAMK2A
IMPAl
RAB3GAP
CDS2
ATP2B1
KIF3A
USP14
Rossi, 2004
Period 2
10
Schanberg, 1995
Summary
The classical ideodynamic action hypothesis of therapeutic suggestion has been updated with the
current neuroscience theory of memory consolidation via trace reactivation and replay. It is proposed that the ideodynamic action hypothesis of therapeutic suggestion describes the phenotypic
or observable cognitive-behavioral manifestations of activity-dependent gene expression, brain
plasticity, and mind-body healing. The activity-dependent process of reactivating an old traumatic
memory in order to re-construct it on the level of gene expression, protein synthesis, and brain
plasticity is proposed as a new psychosocial genomic perspective on the role of creative replay
in the humanistic and cultural arts as well as therapeutic hypnosis and related psychotherapeutic
processes. Research on the psychosocial genomics of creative replay with DNA microarray would
be an important step toward a general neuroscience theory of the efficacy of therapeutic hypnosis
on all levels from the cognitive-behavioral to the genomic.
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