In this interview, Chris Williamson and Dr. David Spiegel discuss hypnosis, addressing common misunderstandings and fears, particularly the notion of losing control. Dr. Spiegel explains that hypnosis enhances mind-body control by reducing activity in the dorsal anterior cingulate cortex (the brain's "alarm system"), increasing functional connectivity between the prefrontal cortex and the insula (mind-body conduit), and suppressing the default mode network. They explore the evolutionary reasons for hypnotizability, both for social connection and survival, and discuss the assessment of hypnotizability, influenced by genetics (COMT gene) and environmental factors like imaginative involvement and trauma. Dr. Spiegel shares insights on how hypnosis compares to sleep, meditation, and flow states, and its effectiveness in pain management, stress reduction, and smoking cessation, even through remote interventions like the Reverie app. He also recounts remarkable cases of patients overcoming trauma and chronic pain through hypnosis, emphasizing its potential as a tool for enhancing agency and accepting inevitable life challenges.
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