State theorists interpret the effects of hypnotism as due primarily to a specific, abnormal, and uniform psychological or physiological state of some description, often referred to as "hypnotic trance" or an "altered state of consciousness". Nonstate theorists rejected the idea of hypnotic trance and interpret the effects of hypnotism as due to a combination of multiple task-specific factors derived from normal cognitive, behavioural, and social psychology, such as social role-perception and favorable motivation (Sarbin), active imagination and positive cognitive set (Barber), response expectancy (Kirsch), and the active use of task-specific subjective strategies (Spanos). The personality psychologist Robert White is often cited as providing one of the first nonstate definitions of hypnosis in a 1941 article:
Poor regulation of hypnosis and deeper relaxation techniques is more serious. Although several professional organizations exist, these groups do not regulate or certify practitioners in hypnotherapy or relaxation. Hypnotherapists with a conventional health care background (such as psychologists, physicians, dentists, and nurses) are regulated by their professional regulatory bodies. Psychotherapists who use hypnotherapy as an adjunctive treatment modality require appropriate training. Individuals who have received a master's degree in counseling or social work or a doctorate in clinical or counseling psychology will be likely to have received appropriate training and supervision.
I paid in the region of 2,000 pounds for hypnotherapy with a fully trained and registered professional hypnotherapist. The hypnotherapy made my problems worse. I find it incredibly frustrating that when I have typed letters to the hypnotherapy organisation that this hypnotherapist belongs to, a lot of what I am actually saying in the letters when explaining exactly why the hypnotherapist's treatment has made me worse, and how my problem works gets ignored. I can see that the Hypnotherapist has not interpreted my problems correctly enough. I do not believe that it is totally fair that this Hypnotherapist's work seems to be above being checked for flaws. I am suffering as a result.

     "When I started I was taking it for a thesis topic and only expected to complete the first level. The more I learned, the more I realized this is what I really wanted to do. By the time of my Level 4 Graduation, I felt this could be my profession. I quickly developed a full-time hypnotherapy practice, with at least 6-8 clients per day. I have referrals referring referrals!

Hypnosis can be a highly effective form of treatment for many mental, psychosomatic, and physical disorders. Hypnosis is a trance state in which the hypnotized person is in a heightened, more receptive state of mind. During hypnosis, the patient is not unconscious, does not lose control of his or her faculties, and does not do things under hypnosis that he or she would be unwilling to do otherwise.
Hypnosis is not a psychotherapeutic treatment or a form of psychotherapy, but rather a tool or procedure that helps facilitate various types of therapies and medical or psychological treatments. Only trained health care providers certified in clinical hypnosis can decide, with their patient, if hypnosis should be used along with other treatments. As with psychotherapy, the length of hypnosis treatment varies, depending on the complexity of the problem.
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