Using Guided Imagery and Hypnosis in Brief Therapy and Palliative Care Using Guided Imagery and Hypnosis in Brief Therapy and Palliative Care presents a model for effective single- session therapy. Chapters include more than a dozen case studies with transcripts and com- mentary. Readers will learn how to use an adapted model of Remen’s healing circle for preparing patients for surgery, and guided imagery and other approaches are presented for enhancing palliative care. Extensive appendixes provide a wide variety of valuable tools that psychotherapists can use with clients concerned with end- of- life issues. Rubin Battino, LPCC, has published ten books on psychotherapy. Using Guided Imagery and Hypnosis in Brief Therapy and Palliative Care Rubin Battino First published 2021 by Routledge 52 Vanderbilt Avenue, New York, NY 10017 and by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN Routledge is an imprint of the Taylor & Francis Group, an informa business © 2021 Rubin Battino The right of Rubin Battino to be identified as author of this work has been asserted by him in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging- in- Publication Data A catalog record for this title has been requested ISBN: 978- 0- 367- 53848- 4 (hbk) ISBN: 978- 0- 367- 53846- 0 (pbk) ISBN: 978- 1- 003- 08805- 9 (ebk) Typeset in Times New Roman by Newgen Publishing UK Contents Forewords xi MICHAEL HOYT TREVOR SILVESTER Preface xv 1 Introduction: Expectation, the Placebo Effect, and Chatting 1 1.1 Expectation 1 1.2 The Placebo Effect 3 1.3 Other and Related Expectational Phenomena 5 1.4 Comments on Disease/ Cure and Illness/ Heal 7 1.5 RB’s Model of Therapy, the Therapeutic Alliance, and Chatting 8 A RB’s Model of Therapy 8 B The Therapeutic Alliance 9 C Chatting 11 D The Fifty- Minute Hour 13 1.6 Brief Introduction to Two Approaches 16 A The Miracle Question and the Miracle Method 16 B Ambiguous Function Assignments (AFA) 18 2 The Charlie Brown Exceptional Patient and Caregiver Group of Yellow Springs 21 2.1 Charlie Brown Group 21 2.2 Ira Byock’s Statements and End- of- Life Issues 24 2.3 Rabbi Hillel’s Wisdom 25 3 Preparation for Surgery: Two Approaches 27 3.1 Hypnosis and Preparation for Surgery 27 A Introductory Comments 27 B Five Parts to the Hypnotic Session 28 C Preparation for Surgery Script 29 D Letter to the Surgeon and Healing Statements 32 vi Contents 3.2 Remen’s Circle of Healing and Related Circles 34 A Remen’s Circle of Healing for Preparation for Surgery 34 B Variants on Remen’s Circle of Healing 35 C Rituals, Ceremonies, and the Navajo Talking Circle 37 3.3 Some Concluding Comments 39 4 Case Study 1: Mary and Anxiety and Insomnia and Shit and Einstein and … 40 5 Case Study 2: Bobbi and Her Needy Knees 43 6 Guided Imagery for Healing and Psychotherapy 46 6.1 Introduction 46 6.2 Different Forms of Imagery 47 6.3 Duration of Guided Imagery Sessions 48 6.4 Information for a Guided Imagery Session 49 6.5 Other Factors: Connections to Metaphor, Hypnosis, and Psychotherapy 50 6.6 George’s Guided Imagery CD for Cancer 51 A George and Pyramid Mountain and Hashem 51 6.7 Anne’s Guided Imagery for Psychotherapy 53 A Anne and Anxiety and the Pine Forest and Jesus 53 6.8 Commentary 56 7 Case Study 3: Marvin, Weight Control, and the Mighty M&Ms 57 7.1 Marvin and the Mighty M&Ms 60 8 Case Study 4: Carol and the Curious Cough 63 9 Rapport and the Therapeutic Alliance 70 9.1 Introduction 70 9.2 Pacing Body (Postural) Language 71 9.3 Verbal Pacing 72 9.4 Representational Systems and Eye Accessing Cues 72 9.5 Anchors and Anchoring 74 9.6 Anchoring and Remen’s Healing Circle 74 9.7 Some Closing Comments 76 10 Case Studies 5 and 6: Sammy and Self- Regard and Normalizing Norman 77 10.1 Introducing Sammy and Norman 77 10.2 Case Study 5: Sammy and Self-Regard (9/2018) 78 Contents vii 10.3 February Man Script for Sammy 79 A A Exorcism Part of Session 80 10.4 Script for Sammy’s Oceanic Buddhist Experience 82 11 Case Study 6: Normalizing Norman 84 12 Healing Language 87 12.1 Introduction 87 12.2 Reprise on Useful Definitions 88 12.3 Reframing 90 12.4 Transforming Negative Self- Talk 92 12.5 Andrea’s Exercises and Change Processes 93 A Changing Location of the Voice (Book One) 94 B Adding Music or a Song (Book One) 95 C Talking Positively to Yourself (Book One) 95 D Transforming a Message (Book One) 97 E Joining with a Voice (Book Two) 98 F Asking for the Positive Intent (Book Two) 99 G Using the Voice of a Trusted Friend (Book Two) 99 H Comments on Andreas’s “Transforming Negative Self- Talk” 100 12.6 Healing Language Scenarios 101 12.7 Reframing and Healing Language 103 12.8 Two Concluding Sets of Healing Activities 106 A Bernie Siegel’s Questions for People with Life- Challenging Diseases 106 B Bernie Siegel’s Four Drawings 106 13 Case Study 7: Jennifer, Anxiety, Manzanita Beach, and Jesus 108 14 Case Study 8: Barbara and Stress and Hearing and a Husband 117 15 Practical Matters 119 15.1 Introduction 119 15.2 Planning 119 A Financial and Legal Matters 120 B Planning Beyond Life 121 15.3 Physical Health Related Coping Skills 122 A How to Survive in a Hospital 122 B Milstein’s Comments and Coping Suggestions 123 C Communicating with Medical Personnel 125 D Helplessness, Hopelessness, and Control 128 E Hammerschlag’s Recommendations and Laughter 129 F Maintaining Mental and Physical Health 130 G Work Books and Distance Writing 131 viii Contents H Diets 133 I Recordings and Autobiographies 134 J Some Final Comments 135 16 Case Study 9: Laura and Breaking Away 136 17 Case Study 10: George and Smoking 139 18 Case Study 11: Peter and His PA 142 19 Case Study 12: Gloria and the Oboe and Being Adequate 147 20 Case Study 13: Nonagenarian Charlie with Anxiety about Eye Problem 149 21 Chatting Revisited 151 21.1 Introduction 151 22 Case Study 14: Joe and the NLP Fast Allergy Cure 157 22.1 NLP Fast Allergy Cure with Joe 157 23 Case Study 15: Joan and the NLP VK Dissociation Fast Phobia Cure 161 23.1 Joan and Fear of Flying 162 24 Healing Factors 165 24.1 Introduction 165 A Three Types of Clients 165 B Fundamental Three Rules for Doing Therapy 166 24.2 Acting As- If as a Healing Factor 167 25 Guided Imagery, Hypnosis, and Other Approaches for Palliative Care 170 25.1 Palliative Care, Comfort Care, and Hospice Care 170 25.2 Guided Imagery and Palliative Care 171 A Script for Guided Imagery for Palliative Care 171 B Guided Imagery Script for Healing 173 25.3 Psychotherapy for Palliative Care 174 25.4 Variations of the Remen Healing Circle for Palliative Care Patients and Related Groups 175 A Focused on One Member 175 B Focused on the Entire Group 176 Contents ix 25.5 Other Activities for Palliative Care Patients 176 A Videotaping 177 B Memoirs 177 C Pets, Stuffed Animals, and Special Belongings 177 D Music 177 25.6 Hypnosis for Palliative Care and Pain Control 178 25.7 Closing Comments 179 26 Extraordinary Sessions 180 27 Some Ending Thoughts and Comments 185 Appendix A: Ruminations on Turning 88 187 Some Concluding Thoughts 192 Appendix B: End- of- Life Issues 193 B.1 Introduction 193 B.2 Advanced Directives 195 A Living Will 195 B Health Care Power of Attorney 196 C Do Not Resuscitate (DNR) 196 D POLST and MOLST 196 E Five Wishes 197 F MyDirectives 197 B.3 Dying With Dignity Organizations and Information 198 A Compassion & Choices 198 B Final Exit Network (FEN) 199 C World Federation of Right to Die Societies (WFRtDS) 200 D Death Cafés 200 E Catholic Health Facilities 200 F Hospice Programs 201 G Questions to Ask Before Tests and Procedures 202 H Palliative Care 203 I Death With Dignity Acts: Legal Programs in the United States 204 J Death With Dignity Acts: Legal Programs in Other Countries 205 B.4 Self- Deliverance 205 A Suicide Data for the United States 206 B Inert Gases: Helium and Nitrogen 207 C Medications 207 D Voluntary Stopping Eating and Drinking (VSED) 208 E Compression Method 208 B.5 Pain Control and Ideomotor Signaling 208 B.6 Dying and Living Well 209