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Hypnose et impulsivité : approche hypno-thérapeutique de l’impulsivité
Plusieurs recherches ont démontré l’efficacité de l’hypnothérapie. Historiquement, les techniques d’hypnose sont étudiées ...
Méditation de pleine conscience et hypnose
4
Système nerveux
autonome
sympathique
Système nerveux
autonome
parasympathique...
Les techniques d’hypnose sont étudiées scientifiquement
depuis plus de deux cents ans
et sont à l’origine de la psychothér...
Histoire de l’hypnose
1880 - 2000
Ambroise-Auguste
Liébeault
École de Nancy
Hippolyte Bernheim
De la Suggestion dans l’éta...
Ivan Pétrovitch Pavlov
Neurophysiologie des phases
hypnoïdes 1920
Wilhelm Wundt
Hypnotisme et suggestion, 1892 (trad.
1893...
Milton Erickson
Métaphores
thérapeutiques
Pediatric Hypnotherapy.
Am. J. Clin. Hypn.
1958;1:25–29
Clark Hull (1923)
Franço...
Chercheurs de Montréal
Figures Internationnales de la recherche en hypnose
9
Amir Raz
Amir Raz, PhD, ABPH, is Canada
Resea...
Cadre intégratif
Alladin, A. (2015) Integrative CBT for Anxiety Disorders: An Evidence-Based Approach to Enhancing Cogniti...
Corrélats Neurocognitifs
Contrôle
cognitif
Conflict
Hypnose
Stroop
Raz, A., Shapiro, T., Fan, J., & Posner, M. I.
(2002). ...
Processus hypnotique
Induction de la
Transe hypnotique
Accès aux valeurs
intrinsèques et attitudes
bienveillantes
RMI: rel...
Baroréflexe: “cohérence cardiaque”Réflexe anatomique: https://en.wikipedia.org/wiki/Baroreflex
Eckberg DL, Kifle YT, Rober...
Inquiétudes
Préoccupations
Ruminations
L’anxiété altère les capacités cognitives
Mémoire de
travail
Jugement
Attention
Mac...
Intégration des techniques hypnotiques
15
Composante
anxieuse
problématique
d’impulsivité
?
Scripts
orientés
vers les
solu...
Les étapes de l’induction
16
“Les pieds reposent”
“Chaque muscle
communique avec ton
cerveau”
“Tu commences peut-être
déjà...
Les techniques d’hypnose
17
Prendre conscience
de la labilité
émotionnelle:
“Si tu ressens
l’impulsivité, c’est le
signal ...
L’hypnose agit sur le
composante anxieuse de
l’impulsivité.
Agit aussi sur la qualité de la
relation thérapeutique, sur le...
Efficacité de l’hypnothérapie
Kohen D.P., Olness K.N. Hypnosis and Hypnotherapy with Children. 4th ed. Routledge Publicati...
Le syndrome de Gilles de la Tourette chez l'enfant
Lazarus, J. E. and S. K. Klein "Nonpharmacological treatment of tics in...
Le trouble obsessionnel compulsif
Meyerson J, Konichezky A. (2011) Hypnotically induced dissociation (HID) as a strategic ...
Domaine de l’attention
Lee, L. H., & Olness, K. N. (1996). Effects of self-induced mental imagery on autonomic reactivity ...
Hypnose-clinique.ca
@psyscolaire
Courriel: remicotephd@gmail.com
N’hésitez pas à me contacter pour toutes questions
SOCIÉTÉ QUÉBÉCOISE D’HYPNOSE
SQH.INFO
514-990-1205
info@sqh.info
http://sqh.info/
Merci
Hypnose, hypnotherapie, impulsivite, cenop
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Hypnose, hypnotherapie, impulsivite, cenop

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Plusieurs recherches ont démontré l’efficacité de l’hypnothérapie. Historiquement, les techniques d’hypnose sont étudiées scientifiquement depuis plus de deux cents ans et sont à l’origine de la psychothérapie.
L’imagerie cérébrale fonctionnelle a démontré que les techniques d’hypnose clinique peuvent modifier l’activité physiologique du cerveau. L’intervention structurée en hypnose clinique engendre des conditionnements adaptés modifiant la structure de certaines régions du cerveau. Elle permet une régulation émotionnelle plus efficace, un meilleur accès aux processus cognitifs de haut niveau (fonction exécutive) telle que la mémoire de travail et la capacité d’attention.
Nous démontrerons en quoi l’hypnose clinique et son mécanisme d’action physiologique, présente un intérêt dans le traitement des trouble de la régulation cognitive et émotionnelle impliquant l’impulsivité.
L’état des connaissances scientifiques sur les techniques d’hypnose de même que les données de la littérature concernant leur utilisation dans les différents troubles psychiatriques marqués par l’impulsivité et finalement des données de notre expérience de l’hypnose clinique chez les jeunes présentant une impulsivité seront rapportés dans cette communication.

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Hypnose, hypnotherapie, impulsivite, cenop

  1. 1. zero the 01 Hypnose et impulsivité : approche hypno-thérapeutique de l’impulsivité
  2. 2. Plusieurs recherches ont démontré l’efficacité de l’hypnothérapie. Historiquement, les techniques d’hypnose sont étudiées scientifiquement depuis plus de deux cents ans et sont à l’origine de la psychothérapie. L’imagerie cérébrale fonctionnelle a démontré que les techniques d’hypnose clinique peuvent modifier l’activité physiologique du cerveau. L’intervention structurée en hypnose clinique engendre des conditionnements adaptés modifiant la structure de certaines régions du cerveau. Elle permet une régulation émotionnelle plus efficace, un meilleur accès aux processus cognitifs de haut niveau (fonction exécutive) telle que la mémoire de travail et la capacité d’attention. Nous démontrerons en quoi l’hypnose clinique et son mécanisme d’action physiologique, présentent un intérêt dans le traitement des troubles de la régulation cognitive et émotionnelle impliquant l’impulsivité. L’état des connaissances scientifiques sur les techniques d’hypnose de même que les données de la littérature concernant leur utilisation dans les différents troubles psychiatriques marqués par l’impulsivité et finalement des données de notre expérience de l’hypnose clinique chez les jeunes présentant une impulsivité seront rapportés dans cette communication. Hypnose et impulsivité : approche hypno-thérapeutique de l’impulsivité PSYCHOPATHOLOGIE DE L’IMPULSIVITÉ CENOP 2
  3. 3. Méditation de pleine conscience et hypnose 4 Système nerveux autonome sympathique Système nerveux autonome parasympathique Akira Otani (2016) Hypnosis and Mindfulness: The Twain Finally Meet, American Journal of Clinical Hypnosis, 58:4, 383-398 Berkovich-Ohana, Glicksohn, and Goldstein (2012) Mindfulness-induced changes in gamma band activity - implications for the default mode network, self-reference and attention. Clin Neurophysiol. 2012 Apr ;123(4):700-10 Sterman, B. & Egner, T. (2006) Foundation and Practice of Neurofeedback for the treatment of Epilepsy, Applied Psychophysiology & Biofeedback, March, 31(1):21-35 Hypnose Méditation Samatha, Jhana, Samadhi SMR, Beta, Theta (Sterman) GRO (orientation générale vers la réalité) Méditation de Pleine Conscience Vipassana, Zen, Satori high-frequency gamma: Berkovich-Ohana, Glicksohn, and Goldstein (2012) GRO
  4. 4. Les techniques d’hypnose sont étudiées scientifiquement depuis plus de deux cents ans et sont à l’origine de la psychothérapie. 05 1734 1888 Etienne-Felix d’Hénin de Cuvillers 1814 Braid 1842 Arch. Magnétis Animal 1751 Marquis de Puységur Com. Royale 1784 Léon Besse Hypnotisme thérapeutique Congrès 1889 Convulsionnaires Jansé nisme
  5. 5. Histoire de l’hypnose 1880 - 2000 Ambroise-Auguste Liébeault École de Nancy Hippolyte Bernheim De la Suggestion dans l’état hypnotique et dans l’état de veille 1884 Sigmund Freud Traduction de Bernheim Pierre Janet Automatisme psychologique Dissociation
  6. 6. Ivan Pétrovitch Pavlov Neurophysiologie des phases hypnoïdes 1920 Wilhelm Wundt Hypnotisme et suggestion, 1892 (trad. 1893, Félix Alcan) Clark L Hull Hypnosis and suggestibility 1933 Johannes Schultz Coué, Lebon, training autogene (1932) "Das Autogene Training (konzentrative Selbstentspannung)." Versuch einer klinisch-praktischen Darstellung. Leipzig Joseph Wolpe Désensibilisation systématique Albert Ellis Ellis: The use of hypnosis with REBT The Practice of Rational Emotive Behavior Therapy: Second Edition By Albert Ellis, PhD, Windy Dryden, PhD
  7. 7. Milton Erickson Métaphores thérapeutiques Pediatric Hypnotherapy. Am. J. Clin. Hypn. 1958;1:25–29 Clark Hull (1923) François Roustang Laurence Kubie « The process of hypnotism and the nature of the hypnotic state », American journal of psychiatry, 100, 1944, p. 611- 622 Léon Chertok, Isabelle Stengers Ernest Hilgard Harvard scale Theodor X. Barber Active imagination and positive cognitive set Chercheurs et praticiens comptemporains
  8. 8. Chercheurs de Montréal Figures Internationnales de la recherche en hypnose 9 Amir Raz Amir Raz, PhD, ABPH, is Canada Research Chair in the Cognitive Neuroscience of Attention at both the Department of Psychiatry at McGill University and the SMBD Jewish General Hospital. Pierre Rainville Professeur titulaire, département de stomatologie Directeur du Laboratoire de recherche en neuropsychologie de la douleur Sylvain Néron Professeur, Gérald Bronfman Faculty of medecine, Oncology Jewish general hospital UQAM département de psychologie Ghassan El-Baalbaki Professeur département de psychologie UQAM
  9. 9. Cadre intégratif Alladin, A. (2015) Integrative CBT for Anxiety Disorders: An Evidence-Based Approach to Enhancing Cognitive Behavioural Therapy with Mindfulness and Hypnotherapy Wiley, Blackwell. Relation thérapeutique Évaluation initiale Stratégies, recommandations Techniques d’hypnose 10
  10. 10. Corrélats Neurocognitifs Contrôle cognitif Conflict Hypnose Stroop Raz, A., Shapiro, T., Fan, J., & Posner, M. I. (2002). Hypnotic suggestion and the modulation of Stroop interference. Archives of General Psychiatry, 59, 1155–1161. Changements structurels Heidi Jiang, Matthew P. White, Michael D. Greicius, Lynn C. Waelde, and David Spiegel (2016) Brain Activity and Functional Connectivity Associated with Hypnosis Cereb Cortex : bhw220v1-11. . Mécanisme de l’hypnose: Egner, T., Jamieson, G. A., & Gruzelier, J. (2005). Hypnosis decouples cognitive control from conflict monitoring processes of the frontal lobe. NeuroImage, 27, 969–978. doi:10.1016/j.neuroimage.2005.05.002 Egner, T., & Raz, A. (2007). Cognitive control processes and hypnosis. In G. A. Jamieson (Ed.), Hypnosis and conscious states: The cognitive neuroscience perspective (pp. 29–50). New York, NY: Oxford University Press. Faymonville, M.-E., Boly, M., & Laureys, S. (2006). Functional neuroanatomy of the hypnotic state. Journal of Physiology-Paris, 99, 463–469. Rainville, P., R. K. Hofbauer, et al. (2002). "Hypnosis modulates activity in brain structures involved in the regulation of consciousness." J Cogn Neurosci 14(6): 887-901 Raz, A., Fan, J., & Posner, M. I. (2005a). Hypnotic suggestion reduces conflict in the human brain. Proceedings of the National Academy of Sciences USA, 102, 9978–9983. 11
  11. 11. Processus hypnotique Induction de la Transe hypnotique Accès aux valeurs intrinsèques et attitudes bienveillantes RMI: relaxation and mental imagery suggestions, visualisations, La capacité de bien se détendre est une composante essentielle dans l'apprentissage de la régulation des émotions. Une baisse de la tension psychique aide dans la régulation des les émotions: Bandura, A. (2005). The primacy of self-regulation in health promotion. Applied Psychology, 54, 245–254. Le libellé (script) est étudié et optimisé afin d'augmenter considérablement sa capacité d’adaptation pour faire face aux stresseurs quotidiens et mieux gérer ses réactions émotionnelles. Les stimulus calmant, les sons, le phrasés, contribuent à réorienter la pensée logique extéroceptive et la recentrer vers l'intérieur, vers les valeurs intrinsèques. Une attitude bienveillante de l’émetteur des suggestions. Une diminution du tonus musculaire, favorisée par une position confortable, allongée ou assise, qui réduit au minimum le travail postural. Une détente du diaphragme et les muscles intercostaux. Un environnement calme, où les stimuli sont réduits, les yeux fermés. 12
  12. 12. Baroréflexe: “cohérence cardiaque”Réflexe anatomique: https://en.wikipedia.org/wiki/Baroreflex Eckberg DL, Kifle YT, Roberts VL. (1980) Phase relationship between normal human respiration and baroreflex responsiveness. J Physiol. 1980 Jul; 304:489-502. Trzebski A, Raczkowska M, Kubin L. (1980) Carotid baroreceptor reflex in man, its modulation over the respiratory cycle. Acta Neurobiol Exp (Wars).; 40(5):807-20. Cardiac coherence: a new, noninvasive measure of autonomic nervous system order. Altern Ther Health Med. 1996 Jan;2(1):52-65. Détente du diaphragme et les muscles intercostaux. -15% Expiration profonde Déclenchement du baroréflexe Inspiration Cycle respiratoire de 10-12 secondes +15% Conditionnement Activation Baroréflexe 13
  13. 13. Inquiétudes Préoccupations Ruminations L’anxiété altère les capacités cognitives Mémoire de travail Jugement Attention MacLeod, C. & Donnellan, A.M. (1993). Individual differences in anxiety and the restriction of working memory capacity. Personality and Individual Differences, 15, 163-173. Eysenck, M.W. & Calvo, M.G. (1992). Anxiety and performance: The processing efficiency theory. Cognition and Emotion, 6, 409-434. Eysenck, M.W. (1982). Attention and arousal: Cognition and performance. Berlin: Springer. Contrôle attentionnel Eysenck, M.W. (1985). Anxiety and cognitive-task performance. Personality and Individual Differences, 6, 579-586. Hayes, Sarra; Hirsch, Colette; Mathews, Andrew (2008) Restriction of working memory capacity during worry. Journal of Abnormal Psychology, Vol 117(3), Aug 2008, 712-717. 14
  14. 14. Intégration des techniques hypnotiques 15 Composante anxieuse problématique d’impulsivité ? Scripts orientés vers les solutions Éducation psycholo- gique Re cadrer Alliance CHOIX STRATÉ GIQUE Validation L’anxiété est un Facteur décencheur Transe hypnotique Évaluation initiale Observation Questionnement Respect du rythme du client et réévaluation de la posture du thérapeute
  15. 15. Les étapes de l’induction 16 “Les pieds reposent” “Chaque muscle communique avec ton cerveau” “Tu commences peut-être déjà à ressentir des engourdissements” “Une vague de calme” “Tous les muscles sont de plus en plus calmes” “Les cerveau est calme” “Tu es dans ta bulle”
  16. 16. Les techniques d’hypnose 17 Prendre conscience de la labilité émotionnelle: “Si tu ressens l’impulsivité, c’est le signal de faire l’autohypnose” Indication: lien positif, motivation, collaboration Contrindication: risque physique ou émotif La transe Développement d’une compétence Prise de conscience “accès au champ de conscience” Visualisation, Imagination “regarder les nuages” Générer des concepts et des idées, créativité “split screen” Auto-hypnose “nano-induction” Gaston Brosseau (2012) L'hypnose, une réinitialisation de nos cinq sens » InterÉditions (Dunod) Paris
  17. 17. L’hypnose agit sur le composante anxieuse de l’impulsivité. Agit aussi sur la qualité de la relation thérapeutique, sur le sentiment de compétence, sur la capacité de contrôle attentionnel et la régulation des affects et de l’émotion. Le syndrome de Gilles de la Tourette chez l'enfant Le trouble obsessionnel compulsif Domaine de l’attention Les applications de l’hypnose 18
  18. 18. Efficacité de l’hypnothérapie Kohen D.P., Olness K.N. Hypnosis and Hypnotherapy with Children. 4th ed. Routledge Publications, Taylor & Francis; New York, NY, USA: 2011. Flammer, E., & Bongartz, W. (2003). On the efficacy of hypnosis: A meta-analytic study. Contemporary Hypnosis, 20, 179–197. doi:10.1002/(ISSN)1557-0711 Kirsch, I., Montgomery, G., & Sapirstein, G. (1995). Hypnosis as an adjunct to cognitive-behavioral psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 63, 214–220. doi:10.1037/0022-006X.63.2.214 Huynh ME, Vandvik IH, Diseth TH (2008). Hypnotherapy in child psychiatry: the state of the art. Clin. Child Psychol Psychiatry. 2008 Jul ;13(3):377-93. Kohen DP, Olness KN, et al. The use of relaxation-mental imagery (self-hypnosis) in the management of 505 pediatric behavioral encounters. J Dev Behav Pediatr. 1984;5(1):21-5. Catherine Fredette, Ghassan El-Baalbaki, Sylvain Neron and Veronique Palardy (2013). Using Hypnosis in the Treatment of Anxiety Disorders: Pros and Cons, New Insights into Anxiety Disorders, Dr. Federico Durbano (Ed.), InTech, DOI: 10.5772/53768. Available from: http://www.intechopen.com/books/new-insights-into-anxiety-disorders/using-hypnosis-in-the-treatment-of-anxiety-disorders-pros-and-cons Laurence Sugarman, William Wester III, William C. Wester (2013) Therapeutic Hypnosis with Children and Adolescents: Second edition, Crown House Publishing William C. Wester; Editor-Donald J. O'Grady (1991) Clinical Hypnosis With Children, Routledge.
  19. 19. Le syndrome de Gilles de la Tourette chez l'enfant Lazarus, J. E. and S. K. Klein "Nonpharmacological treatment of tics in Tourette syndrome adding videotape training to self-hypnosis." J Dev Behav Pediatr 31(6): 498-504. Amir Raz. (2012) Translational attention: From experiments in the lab to helping the symptoms of individuals with Tourette’s syndrome. Consciousness and Cognition 21, pages 1591-1594. Raz A, Keller S, Norman K, Senechal D. (2007) Elucidating Tourette's syndrome: perspectives from hypnosis, attention and self-regulation. Am J Clin Hypn. Apr;49(4):289-309. Michael Lifshitz, Noémie Aubert Bonn, Alexandra Fischer, Irene Farah Kashem, Amir Raz. (2013) Using suggestion to modulate automatic processes: From Stroop to McGurk and beyond. Cortex 49, pages 463-473. Martin H. Young Ph.D. & Robert J. Montano (1988) A New Hypnobehavioral Method for the Treatment of Children with Tourette's Disorder, American Journal of Clinical Hypnosis, 31:2, 97-106. Clements, R.O. 1972. Gilles de la Tourette's syndrome: An overview of development and treatment of a case using hypnotherapy, haloperidol, and psychotherapy. American Journal of Clinical Hypnosis, 14(3): 167–72. Erickson, M.H. 1965. Experimental Hypnotherapy in Tourette's Disease. American Journal of Clinical Hypnosis, 69: 325–331. Kohen, D.P. and Botts, P. 1987. Relaxation-imagery (self-hypnosis) in Tourette syndrome: experience with four children. American Journal of Clinical Hypnosis, 29(4): 227–237.
  20. 20. Le trouble obsessionnel compulsif Meyerson J, Konichezky A. (2011) Hypnotically induced dissociation (HID) as a strategic intervention for enhancing OCD treatment. American Journal of Clinical Hypnosis.;53(3):169-81. Frederick C. (2007) Review of Hypnotically facilitated treatment of obsessive compulsive disorder: Can it be evidence-based? American Journal of Clinical Hypnosis.;50(1):97. Moore KA, Burrows GD. Hypnosis in the treatment of obsessive-compulsive disorder. Australian Journal of Clinical & Experimental Hypnosis. 1991;19(2):63-75. Proescher EJ. (2010) Hypnotically facilitated exposure response prevention therapy for an OIF veteran with OCD. American Journal of Clinical Hypnosis.;53(1):19-26. Scrignar CB. (1981) Rapid treatment of contamination phobia with hand-washing compulsion by flooding with hypnosis. American Journal of Clinical Hypnosis.;23(4): 252-7. Kroger WS, Fezler WD. (1976) Hypnosis and behavior modification: Imagery conditioning. Oxford, England: J. B. Lippincott;. xxv, 426 p. Gold, J., Kant, A.J., Belmont, K.A., Butler L.D. (2007). Practitioner review: clinical applications of pediatric hypnosis. J Child Psychol Psychiatry. Aug ;48(8):744-54.
  21. 21. Domaine de l’attention Lee, L. H., & Olness, K. N. (1996). Effects of self-induced mental imagery on autonomic reactivity in children. Developmental and Behavioral Pediatrics, 17(5), 323–327. Virta M, Hiltunen S, Mattsson M, Kallio S (2015) The Impact of Hypnotic Suggestions on Reaction Times in Continuous Performance Test in Adults with ADHD and Healthy Controls. PLoS ONE 10(5) Nath, S. & Warren,J. (1995). Hypnosis and examination stress in adolescence. Contemporary Hypnosis 12(2), 119–124. Yu, C. K.-C. (2006), Cognitive-behavioural hypnotic treatment for managing examination anxiety and facilitating performance. Contemp. Hypnosis, 23: 72–82. Young MH, Montano RJ, Goldberg RL. (1991) Self-hypnosis, sensory cuing, and response prevention: decreasing anxiety and improving written output of a preadolescent with learning disabilities. Am J Clin Hypn. Oct ;34(2):129-36. Daniel P. Kohen and Pamela Kaiser Clinical (2014) Hypnosis with Children and Adolescents—What? Why? How?: Origins, Applications, and Efficacy Children (Basel). Sep; 1(2): 74–98. Olness, K.N. (2009). Self-control and regulation. In Carey, W., Crocker, A., Elias, E., Feldman, H. & Coleman, W. (Eds.), Developmental Behavioral Pediatrics (4th ed.). Saunders, Philadelphia. Weizman, N., Heresco-Levy, U., Lichtenberg, P. (2004) Hypnosis: clinical applications. Harefuah. Jan ;143(1):42-6, 85, 84.
  22. 22. Hypnose-clinique.ca @psyscolaire Courriel: remicotephd@gmail.com N’hésitez pas à me contacter pour toutes questions
  23. 23. SOCIÉTÉ QUÉBÉCOISE D’HYPNOSE SQH.INFO 514-990-1205 info@sqh.info http://sqh.info/
  24. 24. Merci

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