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Nervenheilkunde 2017; 36(12): 981-987
DOI: 10.1055/s-0038-1636956
Psychoonkologie
Schattauer GmbH

Hypnose und Hypnotherapie in der Psychoonkologie

Hypnosis and hypnotherapy in psycho-oncology
K. Hönig
1   Konsiliarund Liaisonpsychosomatik, Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm
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Publication History

eingegangen am: 03 July 2017

angenommen am: 10 October 2017

Publication Date:
16 February 2018 (online)

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Zusammenfassung

Gegenstand und Ziel: Ziel dieser Übersichtsarbeit ist die Darstellung des Nutzens und der Anwendungsgebiete von hypnotherapeutischen Interventionen in der Psychoonkologie. Methoden: Literaturrecherche zu den einzelnen Anwendungsbereichen und Einholung von klinischem Erfahrungswissen. Ergebnisse: Hypnose und Hypnotherapie bieten sanft und schonend wertvolle Unterstützung bei zahlreichen Belastungen von Patienten vor, während und nach einer Krebserkrankung. Hypnotherapeutische Interventionen fördern aufgrund ihrer Erlebnisorientierung und Ressourcenfokussierung in idealer Weise die Selbstwirksamkeit der Patienten und tragen zur Steigerung von Lebensqualität und Krankheitsbewältigung bei. Ein zentraler Wirkmechanismus ist die hoch effektive psychosomatische Umschaltung in einen physiologischen Anti-Stresszustand. Krankheitsund behandlungsbedingte Belastungen wie Übelkeit, Erbrechen, Schmerzen oder auch Ängste aufgrund invasiver medizinischer Behandlungen lassen sich rasch, wirksam und nachhaltig reduzieren. Hypnosystemsiche Gesprächsführung steigert die Patientenorientierung und erleichtert die interprofessionelle Kommunikation. Schlussfolgerungen: Hypnotherapeutische Interventionen bieten sich aufgrund ihrer sanften, permissiven und indirekten Wirkungsweise ideal zur psychoonkologischen Versorgung von Krebspatienten an. Allein mit hypnosystemsicher Kommunikation lassen sich bereits krankheits- und behandlungsassoziierte Belastungen reduzieren, die Behandler-Patient-Beziehung stärken und ein kreatives kommunikatives Arbeiten fördern.

Summary

Objectives: This article aims to describe the applicability of hypnotic and hypnotherapeutic interventions in psycho-oncology. Methods: Literature search for the different fields of application including demanding medical procedures, nausea /vomiting, hot flashes, pain, communication /counselling and procuring expert knowledge. Results: Hypnosis and hypnotherapy offers a wide variety of effective interventions to treat various kinds disease- and treatment-related burdens of cancer patients gently throughout the entire treatment cycle and thereafter. A central mechanism for bringing about the beneficial effects is the instantiation of a psychosomatic conversion from a stressful to an antistress condition. Both disease- and treatment- relate strains can be reduced rapidly, effectively and sustainably. The experiencebased and resource-oriented nature of hypnotherapeutic interventions are essential ingredients of the reported effectiveness. In addition, hypnosystemic negotiation promotes patient-orientation and facilitates inter-professional communication. Conclusion: Due to their safe, gentle and often indirect effectiveness hypnosis and hypnotherapy are ideally suited for the treatment of cancer-related distress. They effectively strengthen the selfefficacy of cancer patients, foster their disease coping and enhance quality of life. The mere adoption of hypnosystemic communication skills already substantially reduces disease- and treatment related burdens, improves the patient-physician relationship and creatively enriches communication.

Schlüsselwörter

Hypnose - Hypnotherapie - Psychoonkologie - Kommunikation - Trance - Patientenorientierung

Keywords

Psycho-oncology - health care system - care - outpatient - inpatient - rehabilitation
 

  • Literatur

  • 1 Edmonston WE. The induction of hypnosis. New York: Wiley; 1986
    Search in Google Scholar
  • 2 Weinreich O. Antike Heilungswunder. Berlin: de Gruyter; 1909
    Search in Google Scholar
  • 3 Bongartz W, Bongartz B. Hypnosetherapie. Göttingen: Hogrefe; 1998
    Search in Google Scholar
  • 4 Bourguignon E. Religion, altered states of consciousness and social change. Columbus: Ohio State Universit Press; 1973
    Search in Google Scholar
  • 5 Revenstorf D, Peter B. (Hrsg.) Hypnose in Psychotherapie, Psychosomatik und Medizin. Berlin: Springer-Verlag; 2015
    Search in Google Scholar
  • 6 Erickson MH, Rossi EL, Rossi SL. Hypnose: Induktion – Therapeutische Anwendung – Beispiele. Stuttgart: Klett-Cotta; 2013
    Search in Google Scholar
  • 7 Erickson MH, Rossi EL. Hypnotherapie: Aufbau – Beispiele – Forschungen. Stuttgart: Klett-Cotta; 2007
    Search in Google Scholar
  • 8 Erickson MH, Rossi EL. Hypnose erleben: Veränderte Bewusstseinszustände therapeutisch nutzen. Stuttgart: Klett-Cotta; 2011
    Search in Google Scholar
  • 9 Ebell H, Hönig K. Krebserkrankungen. In: Revenstorf D, Peter B. (Hrsg.) Hypnose in Psychotherapie, Psychosomatik und Medizin. Berlin: Springer-Verlag; 2015: 665-86.
    Search in Google Scholar
  • 10 Grawe K. Neuropsychotherapie. Göttingen: Hogrefe-Verlag; 2004
    Search in Google Scholar
  • 11 Gerl W. Ressourcen- und Zielorientierung. In: Revenstorf D, Peter B. (Hrsg.) Hypnose in Psychotherapie, Psychosomatik und Medizin. Berlin: Springer-Verlag; 2015
    Search in Google Scholar
  • 12 Kirsch I. Hypnotic enhancement of cognitive-behavioral weight loss treatments – another metareanalysis. Journal of consulting and clinical psychology 1996; 64 (03) 517-9.
    CrossrefPubMedSearch in Google Scholar
  • 13 Kirsch I, Montgomery G, Sapirstein G. Hypnosis as an adjunct to cognitive-behavioral psychotherapy: a meta-analysis. Journal of consulting and clinical psychology 1995; 63 (02) 214-20.
    CrossrefPubMedSearch in Google Scholar
  • 14 Bryant RA, Moulds ML, Guthrie RM, Nixon RD. The additive benefit of hypnosis and cognitive-behavioral therapy in treating acute stress disorder. Journal of consulting and clinical psychology 2005; 73 (02) 334-40.
    CrossrefPubMedSearch in Google Scholar
  • 15 Elkins G, Johnson A, Fisher W. Cognitive hypnotherapy for pain management. Am J Clin Hypn 2012; 54 (04) 294-310.
    CrossrefPubMedSearch in Google Scholar
  • 16 Mendoza ME, Capafons A, Gralow JR, Syrjala KL, Suarez-Rodriguez JM, Fann JR. et al. Randomized controlled trial of the Valencia model of waking hypnosis plus CBT for pain, fatigue, and sleep management in patients with cancer and cancer survivors. Psychooncology 28. Juli 2016 Epub ahead of print.
    PubMedSearch in Google Scholar
  • 17 S3-Leitlinie Psychoonkologische Diagnostik, Beratung und Behandlung von erwachsenen Krebspatienten [Internet]. 2014
    PubMedSearch in Google Scholar
  • 18 Rudolf G, Schulte D. Gutachten zur wissenschaftlichen Anerkennung der Hypnotherapie Deutsches Ärzteblatt. 2006; 06: 285-7.
    Search in Google Scholar
  • 19 Heimann H. Hypnose und Schlaf. Monatsschrift Psychiatrie Neurologie 1952; 125: 478-93.
    Search in Google Scholar
  • 20 Hess WR. Die physiologischen Grundlagen der Psychosomatik. Deutsche medizinische Wochenschrift 1961; 86: 3-8.
    Thieme ConnectPubMedSearch in Google Scholar
  • 21 Radley J, Morilak D, Viau V, Campeau S. Chronic stress and brain plasticity: Mechanisms underlying adaptive and maladaptive changes and implications for stress-related CNS disorders. Neurosci Biobehav Rev 2015; 58: 79-91.
    CrossrefPubMedSearch in Google Scholar
  • 22 McEwen BS. Physiology and neurobiology of stress and adaptation: central role of the brain. Physiol Rev 2007; 87 (03) 873-904.
    CrossrefPubMedSearch in Google Scholar
  • 23 Kekecs Z, Szekely A, Varga K. Alterations in electrodermal activity and cardiac parasympathetic tone during hypnosis. Psychophysiology 2016; 53 (02) 268-77.
    CrossrefPubMedSearch in Google Scholar
  • 24 Sachar EJ, Fishman JR, Mason JW. Influence of the Hypnotic Trance on Plasma 17-Hydroxycorticosteroid Concentration. Psychosom Med 1965; 27: 330-41.
    CrossrefPubMedSearch in Google Scholar
  • 25 Zeltzer LK, Dolgin MJ, LeBaron S, LeBaron C. A randomized, controlled study of behavioral intervention for chemotherapy distress in children with cancer. Pediatrics 1991; 88 (01) 34-42.
    PubMedSearch in Google Scholar
  • 26 Morrow GR, Morrell C. Behavioral treatment for the anticipatory nausea and vomiting induced by cancer chemotherapy. N Engl J Med 1982; 307 (24) 1476-80.
    CrossrefPubMedSearch in Google Scholar
  • 27 Marchioro G, Azzarello G, Viviani F, Barbato F, Pavanetto M, Rosetti F. et al. Hypnosis in the treatment of anticipatory nausea and vomiting in patients receiving cancer chemotherapy. Oncology 2000; 59 (02) 100-4.
    CrossrefPubMedSearch in Google Scholar
  • 28 Faymonville ME, Mambourg PH, Joris J, Vrijens B, Fissette J, Albert A. et al. Psychological approaches during conscious sedation. Hypnosis versus stress reducing strategies: a prospective randomized study. Pain 1997; 73 (03) 361-7.
    CrossrefPubMedSearch in Google Scholar
  • 29 Spiegel D, Moore R. Imagery and hypnosis in the treatment of cancer patients. Oncology 1997; 11 (08) 1179-89.
    Search in Google Scholar
  • 30 Montgomery GH, Bovbjerg DH, Schnur JB, David D, Goldfarb A, Weltz CR. et al. A randomized clinical trial of a brief hypnosis intervention to control side effects in breast surgery patients. J Natl Cancer Inst 2007; 99 (17) 1304-12.
    CrossrefPubMedSearch in Google Scholar
  • 31 Terhune DB, Cleeremans A, Raz A, Lynn SJ. Hypnosis and top-down regulation of consciousness. Neurosci Biobehav Rev 2. Feb. 2017 Epub ahead of print.
    PubMedSearch in Google Scholar
  • 32 Oakley DA, Halligan PW. Hypnotic suggestion: opportunities for cognitive neuroscience. Nat Rev Neurosci 2013; 14 (08) 565-76.
    CrossrefPubMedSearch in Google Scholar
  • 33 Elkins G, Marcus J, Stearns V, Perfect M, Rajab MH, Ruud C. et al. Randomized trial of a hypnosis intervention for treatment of hot flashes among breast cancer survivors. J Clin Oncol 2008; 26 (31) 5022-6.
    CrossrefPubMedSearch in Google Scholar
  • 34 Elkins G, Marcus J, Stearns V, Hasan MRajab. Pilot evaluation of hypnosis for the treatment of hot flashes in breast cancer survivors. Psychooncology 2007; 16 (05) 487-92.
    CrossrefPubMedSearch in Google Scholar
  • 35 Elkins GR, Fisher WI, Johnson AK, Carpenter JS, Keith TZ. Clinical hypnosis in the treatment of postmenopausal hot flashes: a randomized controlled trial. Menopause 2013; 20 (03) 291-8.
    PubMedSearch in Google Scholar
  • 36 Fisher WI, Johnson AK, Elkins GR, Otte JL, Burns DS, Yu M. et al. Risk factors, pathophysiology, and treatment of hot flashes in cancer. CA Cancer J Clin 2013; 63 (03) 167-92.
    CrossrefPubMedSearch in Google Scholar
  • 37 Erickson MH, Rossi EL. Die Veränderung sensorisch-perzeptiver Funktionen – Das Problem von Schmerz und Wohlbefinden. In: Erickson MH, Rossi E. (Hrsg.) Hypnotherapie Aufbau – Beispiele – Forschungen. München: Pfeiffer; 1967/1981; 128-38.
  • 38 Spiegel D, Bloom JR. Group therapy and hypnosis reduce metastatic breast carcinoma pain. Psychosom Med 1983; 45 (04) 333-9.
    CrossrefPubMedSearch in Google Scholar
  • 39 Spiegel D, Bloom JR, Yalom I. Group support for patients with metastatic cancer. A randomized outcome study. Arch Gen Psychiatry 1981; 38 (05) 527-33.
    CrossrefPubMedSearch in Google Scholar
  • 40 Spiegel D. The use of hypnosis in controlling cancer pain. CA Cancer J Clin 1985; 35 (04) 221-31.
    CrossrefPubMedSearch in Google Scholar
  • 41 NIH Technology assessment panel NIH Technology Assessment Panel on Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia. JAMA 1996; 276: 313-8.
    CrossrefPubMedSearch in Google Scholar
  • 42 Bushnell MC, Ceko M, Low LA. Cognitive and emotional control of pain and its disruption in chronic pain. Nat Rev Neurosci 2013; 14 (07) 502-11.
    CrossrefPubMedSearch in Google Scholar
  • 43 Rainville P. Brain mechanisms of pain affect and pain modulation. Curr Opin Neurobiol 2002; 12 (02) 195-204.
    CrossrefPubMedSearch in Google Scholar
  • 44 Rainville P, Duncan GH, Price DD, Carrier B, Bushnell MC. Pain affect encoded in human anterior cingulate but not somatosensory cortex. Science 1997; 277 (5328): 968-71.
    CrossrefPubMedSearch in Google Scholar
  • 45 Rainville P, Carrier B, Hofbauer RK, Bushnell MC, Duncan GH. Dissociation of sensory and affective dimensions of pain using hypnotic modulation. Pain 1999; 82 (02) 159-71.
    CrossrefPubMedSearch in Google Scholar
  • 46 Eippert F, Finsterbusch J, Bingel U, Buchel C. Direct evidence for spinal cord involvement in placebo analgesia. Science 2009; 326 (5951): 404.
    CrossrefPubMedSearch in Google Scholar
  • 47 Geuter S, Buchel C. Facilitation of pain in the human spinal cord by nocebo treatment. J Neurosci 2013; 33 (34) 13784-90.
    CrossrefPubMedSearch in Google Scholar
  • 48 Derbyshire SW, Whalley MG, Stenger VA, Oakley DA. Cerebral activation during hypnotically induced and imagined pain. Neuroimage 2004; 23 (01) 392-401.
    CrossrefPubMedSearch in Google Scholar
  • 49 Jensen MP. Hypnose bei chronischem Schmerz. Ein Behandlungsmanual. Heidelberg: Carl Auer Verlag; 2012
    Search in Google Scholar
  • 50 Klinkhammer G, Krüger-Brand AE. Mut zum Beziehungsaufbau. Deutsches Ärzteblatt 2015; 112 (21–22): 966-72.
    Search in Google Scholar
  • 51 Bundesministerium für Gesundheit. Nationaler Krebsplan – Handlungsfelder, Ziele und Umsetzungspläne. Berlin: 2012
    Search in Google Scholar
  • 52 Hammar A, Lund A, Hugdahl K. Selective impairment in effortful information processing in major depression. J Int Neuropsychol Soc 2003; 09 (06) 954-9.
    Search in Google Scholar
  • 53 Hartlage S, Alloy LB, Vazquez C, Dykman B. Automatic and effortful processing in depression. Psychol Bull 1993; 113 (02) 247-78.
    CrossrefPubMedSearch in Google Scholar
  • 54 Hasher L, Zacks RT. Automatic and effortful processes in memory. Journal of Experimental Psychology: Generl 1979; 108: 356-88.
    Search in Google Scholar
  • 55 Cheek DB. Importance of recognizing that surgical patients behave as though hypnotized. Am J Clin Hypn 1962; 04: 227-36.
    CrossrefPubMedSearch in Google Scholar
  • 56 Hansen E, Bejenke C. [Negative and positive suggestions in anaesthesia : Improved communication with anxious surgical patients]. Anaesthesist 2010; 59 (03) 199-202.
    CrossrefPubMedSearch in Google Scholar
  • 57 Revenstorf D. Trance und die Ziele und Wirkungen der Hypnotherapie. In: Revenstorf D, Peter B. (Hrsg.) Hypnose in Psychotherapie, Psychosomatik und Medizin. Berlin: Springer-Verlag; 2015: 13-35.
    Search in Google Scholar
  • 58 Häuser W, Hansen E, Enck P. Nocebo phenomena in medicine: their relevance in everyday clinical practice. Dtsch Arztebl Int 2012; 109 (26) 459-65.
    PubMedSearch in Google Scholar
  • 59 Zech N, Seemann M, Graf BM, Hansen E. Nocebo-Effekte – Negativwirkungen der Aufklärung. Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie 2015; 50: 64-9.
    Search in Google Scholar
  • 60 Varelmann D, Pancaro C, Cappiello EC, Camann WR. Nocebo-induced hyperalgesia during local anesthetic injection. Anesth Analg 2010; 110 (03) 868-70.
    CrossrefPubMedSearch in Google Scholar
  • 61 Lang EV, Hatsiopoulou O, Koch T, Berbaum K, Lutgendorf S, Kettenmann E. et al. Can words hurt? Patient-provider interactions during invasive procedures. Pain 2005; 114 (1–2) 303-9.
    CrossrefPubMedSearch in Google Scholar
  • 62 Hoenig K, Sim EJ, Bochev V, Herrnberger B, Kiefer M. Conceptual flexibility in the human brain: dynamic recruitment of semantic maps from visual, motor, and motion-related areas. J Cogn Neurosci 2008; 20 (10) 1799-814.
    CrossrefPubMedSearch in Google Scholar
  • 63 Kiefer M, Sim EJ, Herrnberger B, Grothe J, Hoenig K. The sound of concepts: four markers for a link between auditory and conceptual brain systems. J Neurosci 2008; 28 (47) 12224-30.
    CrossrefPubMedSearch in Google Scholar
  • 64 Hoenig K, Muller C, Herrnberger B, Sim EJ, Spitzer M, Ehret G. et al. Neuroplasticity of semantic representations for musical instruments in professional musicians. Neuroimage 2011; 56 (03) 1714-25.
    CrossrefPubMedSearch in Google Scholar
  • 65 Trumpp NM, Kliese D, Hoenig K, Haarmeier T, Kiefer M. Losing the sound of concepts: Damage to auditory association cortex impairs the processing of sound-related concepts. Cortex 2012; 49 (02) 474-86.
    PubMedSearch in Google Scholar