Biography
Biographical sketches have been presented in a number of resources, the earliest being byHypnosis
Milton Erickson dedicated his professional career to the advancement of the use of hypnosis in the context of medicine. He was committed to scientific methodology and a staunch advocate of the regulated professional training for practitioners. The investigations of Erickson in the first half of the 20th century were particularly influential on the second half. Erickson's clinical innovations on the practice of hypnosis are credited with inspiring its renaissance and arousing a new generation of practitioners.Trance and the unconscious mind
Erickson's view of the unconscious mind was distinctly different from that of Freud whose ideas dominated the context of the times. Zeig quotes Erickson as describing "The unconscious mind is made up of all your learnings over a lifetime, many of which you have forgotten, but which serve you in your automatic functioning". Andre Weitzenhoffer points out: "The Ericksonian 'unconscious' lacks in particular the hostile and aggressive aspects so characteristic of Freud's system". It is clear from Erickson's writing that he relied on a supposition of an active, significant, unconscious. It was Erickson's perspective that hypnosis provided a tool with which to communicate with the unconscious mind and access the reservoir of resources held within. He describes in a 1944 article on unconscious mental activity, "Since hypnosis can be induced by trance and manifests the unwarranted assumption is made that whatever develops from hypnosis must be completely a result of suggestion, and primarily an expression of it". In the same publication Erickson repeatedly comments about the autonomy of the unconscious mind and its capacity to solve problems. Erickson was an irrepressible practical joker. The essential element of Erickson's jokes was not hostility, but surprise. It was not uncommon for him to slip indirect suggestions into a myriad of situations. He also included humor in his books, papers, lectures and seminars. The same situation is in evidence in everyday life, however, whenever attention is fixated with a question or an experience of the amazing, the unusual, or anything that holds a person's interest. At such moments people experience the common everyday trance; and get that faraway or blank look. Their eyes may actually close, their bodies tend to become immobile (a form of catalepsy), certain reflexes (e.g., swallowing, respiration, etc.) may be suppressed, and they seem momentarily oblivious to their surroundings until they have completed their inner search on the unconscious level for the new idea, response, or frames of reference that will re-stabilize their general reality orientation. We hypothesize that in everyday life consciousness is in a continual state of flux between the general reality orientation and the momentary micro-dynamics of trance. Many people are familiar with the idea of a "deep" trance, and early in his career Erickson was a pioneer in researching the unique and remarkable phenomena that are associated with that state, spending many hours at a time with individual subjects, deepening the trance. Erickson's work on depth of trance is detailed in his 1952 paper in which he provides history, justification, and ideas about its use. Trance states for therapeutic reasons can be either light or deep, depending on such factors as the personality of the patient, the nature of the problem and the stage of therapeutic progression. Where traditional hypnosis is authoritative and direct and often encounters resistance in the subject, Erickson's approach is permissive, accommodating and indirect. For example, where a classical hypnotist might say "You are going into a trance", an Ericksonian hypnotist would be more likely to say "you can ''comfortably learn'' how to go into a trance." In this way, he provides an opportunity for the subject to accept the suggestions they are most comfortable with, at their own pace, and with an awareness of the benefits. The subject knows they are not being hustled and takes full ownership of, and participates in, their transformation. Because the induction takes place during the course of a normal conversation, Ericksonian hypnosis is often known as conversational hypnosis. In a 1976 paper, Erickson describes his developments of indirect suggestions.Techniques
While Erickson explored a vast arena of induction methodologies and techniques of suggestions, there are certain areas where his name is known as key in the development or popularity of the approaches. He used direct and indirect approaches, though he is most known for his indirect and permissive suggestion techniques.Indirect suggestions
Erickson maintained that it was not consciously possible to instruct the unconscious mind, and that authoritarian suggestions were likely to be met with resistance. The unconscious mind responds to opportunity, metaphors, symbols, and contradictions. Therefore, effective hypnotic suggestion should be "artfully vague," leaving space for the subject to fill in the gaps with their own unconscious understandings – even if they do not consciously grasp what is happening. Erickson developed both verbal and non-verbal techniques and pioneered the idea that the common experiences of wonderment, engrossment and confusion are, in fact, just kinds of trance. An excellent example of this can be viewed in the documentary film.Metaphor
Erickson sometimes instructed people to climb a mountain or visit a botanical garden. His narrative and experiential metaphors are explored extensively in Sydney Rosen's ''My Voice Will Go With You'', but an example is given in the first chapter of David Gordon's book ''Phoenix''. The following quotes Erickson:I was returning from high school one day and a runaway horse with a bridle on sped past a group of us into a farmer's yard looking for a drink of water. The horse was perspiring heavily. And the farmer didn't recognize it so we cornered it. I hopped on the horse's back. Since it had a bridle on, I took hold of the tick rein and said, "Giddy-up." Headed for the highway, I knew the horse would turn in the right direction. ''I'' didn't know what the right direction was. And the horse trotted and galloped along. Now and then he would forget he was on the highway and start into a field. So I would pull on him a bit and call his attention to the fact the highway was where he was supposed to be. And finally, about four miles from where I had boarded him, he turned into a farmyard and the farmer said, "So that's how that critter came back. Where did you find him?" I said, "About four miles from here." "How did you know you should come here?" I said, "I didn't know. The horse knew. All I did was keep his attention on the road."
Interspersal technique
Erickson describes hypnotic technique as a means to an end while psychotherapy addresses guidance of the subject's behaviors. As such, the same hypnotic technique can be applied towards diverse patient concerns. In his discussion of the applications of the interspersal technique, Erickson offers two case examples in which a similar application of the technique was made. One patient was suffering from intolerable malignant pain from a terminal condition, while the other subject was an intelligent though illiterate man who sought to relieve a disabling symptom of frequent urination. Erickson provides an interesting case write up for each of the cases chosen to illustrate his use of the interspersal technique. Erickson provides a transcript for the induction in which he interwove personalized therapeutic suggestion, selected specifically for the patient, within the hypnotic induction itself. The transcript offered illustrates how easily hypnotherapeutic suggestions can be included in the trance induction along with trance-maintenance suggestions. In the follow-up case discussions Erickson credits the patients' positive responses to the receptivity of their unconscious minds: they knew why they were seeking therapy, they were desirous of benefiting from suggestions. Erickson goes on to state that one should also give recognition to the readiness with which one's unconscious mind picks up clues and information. Erickson stated that "Respectful awareness of the capacity of the patient's unconscious mind to perceive the meaningfulness of the therapist's own unconscious behavior is a governing principle in psychotherapy. The patient's unconscious mind is listening and understanding much better than is possible for his conscious mind".Confusion technique
"In all my techniques, almost all, there is a confusion". – Milton H. Erickson Erickson describes the confusion technique of hypnotic induction that he developed as being done either through pantomime or through plays on words. Spoken to attentive listeners with complete earnestness, a burden of constructing a meaning is placed upon the subject, and before they can reject it another statement can be made to hold their attention. One example is offered in which he uses verb tenses to keep the subject "…in a state of constant endeavor to sort out the intended meaning". He offers the following example: One may declare so easily that the present and the past can be so readily summarized by the simple statement "That which is now will soon be yesterday's future even as it will be tomorrow's was. Thus the past, the present, and the future all used in reference to the reality of today". Erickson describes the second element of confusion to be the inclusion of irrelevancies and non-sequiturs. Taken in context these verbal distractions are confusing and lead progressively to the subject's earnest desire for and an actual need to receive some communication they can readily understand. A primary consideration of the confusion technique is the consistent maintenance of a general causal but definitely interested attitude and speaking in a gravely earnest and intent manner expressive of a certain utterly complete expectation of the subject's understanding. Erickson wrote several articles detailing the technique and results that can be achieved. This succinct overview comes from a 1964 article, one of several detailing the technique, the justification and the responses that could be achieved.Handshake induction
Erickson describes the routine as follows: * Initiation: When I begin by shaking hands, I do so normally. The "hypnotic touch" then begins when I let loose. The letting loose becomes transformed from a firm grip into a gentle touch by the thumb, a lingering drawing away of the little finger, a faint brushing of the subject's hand with the middle finger – just enough vague sensation to attract the attention. As the subject gives attention to the touch of your thumb, you shift to a touch with your little finger. As your subject's attention follows that, you shift to a touch with your middle finger and then again to the thumb. * This arousal of attention is merely an arousal without constituting a stimulus for a response. * The subject's withdrawal from the handshake is arrested by this attention arousal, which establishes a waiting set, and expectancy. * Then almost, but not quite simultaneously (to ensure separate neural recognition), you touch the under-surface of the hand (wrist) so gently that it barely suggests an upward push. This is followed by a similar utterly slight downward touch, and then I sever contact so gently that the subject does not know exactly when – and the subject's hand is left going neither up nor down, but cataleptic. * Termination: If you don't want your subject to know what you are doing, you simply distract their attention, usually by some appropriate remark, and casually terminate. Sometimes they remark, "What did you say? I got absentminded there for a moment and wasn't paying attention to anything." This is slightly distressing to the subjects and indicative of the fact that their attention was so focused and fixated on the peculiar hand stimuli that they were momentarily entranced, so they did not hear what was said * Utilization: Any utilization leads to increasing trance depth. All utilization should proceed as a continuation of extension of the initial procedure. Much can be done nonverbally. For example, if any subjects are just looking blankly at me, I may slowly shift my gaze downward, causing them to look at their hand, which I touch and say "Look at this spot." This intensifies the trance state. Then, whether the subjects are looking at you or at their hand, or just staring blankly, you can use your left hand to touch their elevated right hand from above or the side – so long as you merely give the suggestion of downward movement. Occasionally a downward nudge or push is required. If a strong push or nudge is required, check for anesthesia.Hand levitation
Erickson was the first to describe the hand levitation method of induction, described as being broadly applicable. Weitzenhoffer describes the technique as broadly applicable and quotes a colleague as describing Erickson's demonstration as "the best of all induction procedures. It permits the participation in the induction process by the patient and lends itself to non-directive and analytic techniques" It is however, the most difficult of methods and calls for greater endurance on the part of the hypnotist". A transcript of Erickson demonstrating this technique script is included. The nature of the induction is for the hypnotherapist to repeatedly suggest a lightness in the hand, which results in a dissociative response and the hand elevating unconsciously.Resistance
In the book ''Uncommon Therapy,'' Jay Haley identified several strategies that appeared repeatedly in Erickson's therapeutic approach. For Erickson, the classic therapeutic request to "Tell me everything about ...," was both aggressive and disrespectful. Instead he would ask the resistant patient to withhold information and only to tell what they were ready to reveal:rickson"I usually say, "There are a number of things that you don't want me to know about, that you don't want to tell me. There are a lot of things about yourself that you don't want to discuss, therefore let's discuss those that you are willing to discuss." She has blanket permission to withhold anything and everything. But she did come to discuss things. And therefore, she starts discussing this, discussing that. And it's always "Well, this is all right to talk about." And before she's finished, she has mentioned everything. And each new item – "Well, this really isn't so important that I have to withhold it. I can use the withholding permission for more important matters." Simply a hypnotic technique. To make them respond to the idea of withholding, and to respond to the idea of communicating."Some people might react to a direction by thinking "Why should I?" or "You can't make me." This is called a "polarity response" because it motivates the subject to consider the polar opposite of the suggestion. The conscious mind recognizes negation in speech ("Don't do X") but according to Erickson, the unconscious mind pays more attention to the "X" than the injunction "Don't do." Thus, Erickson used this as the basis for suggestions that deliberately played on negation and tonally marked the important wording, to provide that whatever the client did, it would be beneficial: "You don't have to ''go into a trance'', so you can ''easily wonder'' about what you notice no faster than ''you feel ready'' to become aware that ''your hand is slowly rising."''
Double bind
Providing a worse alternative (The 'Double Bind') – Example: "Do you want to go into a trance now, or later?" The 'Shocks and ordeals
Erickson is famous for pioneering indirect techniques, but his shock therapy tends to get less attention. Erickson was prepared to use psychological shocks and ordeals in order to achieve given results: The ordeal process is different from other therapeutic techniques originated by Erickson. Extending the dissociative effects of paradox and non sequitur, wherein confusion is used only as an entry to a trance state, the technique of ordeal superimposes a distressing but achievable challenge over the therapeutic aim such that the achievement of the former implies a positive outcome in the latter. Hence ordeal therapy is not merely an induction technique but a theory of change. The therapist's task is to impose an ordeal, appropriate to the problem the person wishes to change, an ordeal more severe than the problem. The main requirement is that it cause distress equal to or greater than that caused by the symptom. It is also best that the ordeal is good for the person. The ordeal must have another characteristic: it must be something the person can do. It must be of such a nature that the therapist can easily say "This won't violate any of your moral standards and is something you can do". The final characteristic is that it should not harm anyone else. One final aspect of the ordeal is that sometimes the person must go through it repeatedly to recover from the symptom.Influence on others
One of Erickson's first students and developers of his work wasEricksonian approaches
Following Erickson's death in 1980, The Erickson Foundation lead by Jeffrey Zeig held a conference which at the time was the largest professional hypnosis conference ever held. Afterward, many participants began to teach Erickson's ideas in their own way. It was not until after Erickson's death that the word Ericksonian was used to describe his methodology. Over the decades that followed, there were various attempts to identify the key components that bring together the individual styles of an Ericksonian. In an attempt to identify the key elements of Erickson's work, Stephen Lankton contributed an extensive overview of Erickson's ideas and techniques which he referred to as the "Ericksonian Footprint". More recently, the development of Ericksonian Core Competencies spearheaded by Dan Short and Scott Miller defines Ericksonian approaches in a manner that makes it amenable to evidence-based studies. Lankton and Matthews state that perhaps Erickson's greatest contribution to psychotherapy was not his innovative techniques, but his ability to de-pathologize people and consider a patient's problematic behavior as indicative of a best choice available to the individual. His approach was to facilitate the patient's access to inner resources to solve the problems. The concept of utilization in psychotherapy is identified primarily with the work of Milton Erickson. More than any other therapist, he taught us to appreciate everything the client brings and whatever the client brings should be regarded as valuable. Perhaps Erickson's struggles with polio as a teenager impressed on him the value of regarding everything as a potential asset. All weaknesses can become strengths in the same way a negative can become a positive. Many imperfections can be altered slightly so that they become endearing. Some things can be highlighted while others can be de-emphasized. To recognize and use the qualities of the individual and the situation is to affirm something in which they have already invested. A 1954 article by Erickson describes his technique of utilizing a patient's own personality and ideas, "Doing it His Own Way", in which a patient requested hypnosis for the explicit purpose of ceasing his reckless driving, and the patient did not want psychotherapy for any other purpose. Erickson worked with him and provided a summary of the case, after carefully assessing the patient's potential for safe practices, as well as his motivation for change. The discussion of working with the patient while allowing him to guide his own healing is a clear example of the concept of utilization for which Erickson has become known. Another key principle that is associated with Erickson's techniques is described in his 1964 paper entitled the "Burden of Effective Psychotherapy" whereby he describes the essential nature of the investment of the subject in the experiential process of healing. An entry in the prestigious American Psychological Association Dictionary of Psychology defines Ericksonian psychotherapy. Based on the work of Milton Erickson, this approach to psychotherapy is described as a "form of psychotherapy in which the therapist works with the client to create, through hypnosis and specifically through indirect suggestion and suggestive metaphors and real life experiences, intended to activate previously dormant intra-psychic resources".Core competencies of Ericksonian approaches
The Core Competencies Manual was a joint endeavor between the Erickson Institute of Phoenix, and The Milton H. Erickson Foundation to define Ericksonian approaches in a manner that makes it amenable to evidence-based studies. Using the wisdom of individual professionals who studied with Erickson, the organizers developed a matrix of features associated with what they had learned from Erickson about his approaches. The developers then developed a matrix to evaluate clinical approaches used to ascertain whether or not a style of therapy could be considered Ericksonian. The elements involved included four skills: Observation, Validation, Cultivation, and Challenge, combined with six competencies: Tailoring, Utilization, Strategic, Competency, Destabilization, Experiential, Naturalistic. This resource is available for a free download, and its founders are supportive of research-controlled studies to further evaluate the utility of the model.Controversy
A colleague, friend and fellow researcher, André Weitzenhoffer, an author in the field of hypnosis himself, has criticized some ideas and influence of Erickson in various writings, such as his textbook ''The Practice of Hypnotism''. Weitzenhoffer displays a clear and explicitly stated, opposition to Ericksonian hypnosis in his book, in favor of what he terms the semi-traditional, scientific, approach. For Erickson, the shift from conscious to unconscious functioning is the essence of trance. Nowhere in his writing however, can one find an explicit definition of the term "unconscious" or, for that matter, of "conscious". This criticism persists among clinicians and researchers of today, not only about Erickson himself, but also about his followers. Nash and Barnier note that some clinicians, especially those working in the tradition of Milton Erickson may discount the importance of hypnotizability. In a book largely complementary to the works of Erickson, Rosen alludes to the uncertainty that can result from his clinical demonstrations: "This has nevertheless raised the question of whether or not the patient is playing a role by pretending not to feel pain…" Erickson's daughter Roxanna Erickson-Klein, also a trained psychotherapist, validated this uncertainty about the completeness of Erickson's case reports and demonstrations. She added that although he tirelessly advocated scientific investigations of hypnosis and was a prolific writer on techniques, he often left details out of case reports that could have been meaningful to clinicians of today. More importantly, critics often overlook the context of the times. He was a physician who worked from a framework of a country doctor, and clinicians of today are hasty to judge by today's standards, while not taking into consideration the context of the times. Self-professed "skeptical hypnotist," Alex Tsander, cited concerns in his 2005 book ''Beyond Erickson: A Fresh Look at "The Emperor of Hypnosis"'', the title of which alludes to Charcot's characterization in the previous century as "The Napoleon of the Neuroses." Tsander re-evaluates a swathe of Erickson's accounts of his therapeutic approaches and lecture demonstrations in the context of scientific literature on hypnotism and his own experience in giving live demonstrations of hypnotic technique. Emphasizing social-psychological perspectives, Tsander introduces an "interpretive filter" with which he re-evaluates Erickson's own accounts of his demonstrations and introduces prosaic explanations for occurrences that both Erickson and other authors tend to portray as remarkable. In an audiotape that is attributed to him'','' Dharma Teacher Tenshin, Reb Anderson of the Zen tradition, has referred to Erickson as a "Magician/Healer."Anderson, R. (12 July 2012). ''Facing Change and Realizing Peace'' udio Tape Zeig concurs that professional skepticism and education is paramount for the advancement of a discipline. He states "Among psychotherapists there are some who worship Erickson with a reverence that borders on idolatry. Every word, sentiment, opinion, or act is presumed to have an inspired meaning. Such deification rooted in expectation of timeless power and omnipotence can ultimately lead to disillusionment. Equally prejudiced are those who regard Erickson as a maverick whose egregious methods are a passing fancy that will eventually be consigned to the dustbin of outmoded schemes. oththese attitudes do injustice to a highly creative and imaginative original mind... A poignant criticism of Erickson's strategic therapy is that it is overvalued by those who believe that clever tactics can substitute for disciplined training.See also
*Footnotes
References
Primary Resources Featuring the Work of Milton H. Erickson
'Additional Works by Milton H. Erickson (Not Included in the Collected Works)
*Works About Milton H. Erickson
* Baker, M. (2003) ''A Tribute To Elizabeth Moore Erickson.'' Alom, M.X. * Bandler, R. & Grinder, J. (1975) ''Patterns of the Hypnotic Techniques of Milton H. Erickson: Volume 1.'' Meta Publishers, CA * Battino, R. & South, T. (1999) ''Ericksonian Therapy, 2nd Ed.'' Crownhouse, U.K. * Dolan, Y. (1991) ''Resolving Sexual Abuse: Solution-Focused Therapy and Ericksonian Hypnosis for Adult Survivors.'' Norton, NY * Erickson, B. & Keeney, B.(Editors) (2006) ''Milton H. Erickson, M.D.: An American Healer.'' Ringing Rocks, USA * Frederick, C. & Phillps, M. (1995) ''Healing the Divided Self: Clinical & Ericksonian Hypnotherapy for Dissociative Conditions.'' Norton, NY * Gilligan, S. (2002) ''The Legacy of Milton H. Erickson.'' Zeig Tucker & Theisen, AZ * Gordon, D. & Meyers-Anderson, M. (1981) ''Phoenix.'' Meta, CA, * Grinder, J. & Bandler, R. (1981) ''Transformations.'' Meta Publishers, CA * Grinder, J., DeLozier, J. & Bandler, R. (1977) ''Patterns of the Hypnotic Techniques of Milton H. Erickson, Volume 2.'' Meta Publishers, CA * Haley, J. (1984) ''Ordeal Therapy.'' Josey Bass, CA, * Haley, J. (1993) ''Jay Haley on Milton H. Erickson.'' Brunner Mazel, NY * Havens, R. (Editor) (1985) ''The Wisdom of Milton H Erickson: The Complete Volume.'' Crownhouse, UK * Hughs, J. & Rothovius, A. (1996) ''The World's Greatest Hypnotists.'' University Press of America, NY * Kiarsis V. (Editor) (2020) ''Understanding Ericksonian Hypnotherapy: Selected Writings of Sidney Rosen.'' Taylor & Francis, NY