The Story of the Mind

by James Mark Baldwin

Again, such suggestions may be for a future time, and be performed only when a suggested interval has elapsed; they are then called Deferred or Post-hypnotic Suggestions. Post-hypnotic Suggestions are those which include the command not to perform them until a certain time after the subject has returned to his normal condition; such suggestions—if of reasonably trifling character—are actually carried out afterward in the normal state, although the person is conscious of no reason why he should act in such a way, having no remembrance whatever that he has received the suggestion when hypnotized. Such post-hypnotic performances may be deferred by suggestion for many months.

3. So-called Exaltation of the mental faculties, especially of the senses: increased acuteness of vision, hearing, touch, memory, and the mental functions generally. By reason of this great "exaltation," hypnotized patients may get suggestions from the experimenters which are not intended, and discover their intentions when every effort is made to conceal them. Often emotional changes in expression are discerned by them; and if it be admitted that their power of logical and imaginative insight is correspondingly exalted, there is hardly a limit to the patient's ability to read, simply from physical indications, the mental states of those who experiment with him.

4. So-called Rapport. This term covers all the facts known, before the subject was scientifically investigated, by such expressions as "personal magnetism," "will power over the subject", etc. It is true that one particular operator alone may be able to hypnotize a particular patient; and in this case the patient is, when hypnotized, open to suggestions from that person only. He is deaf and blind to everything enjoined by anyone else. It is easy to see from what has already been said that this does not involve any occult nerve influence or mental power. A sensitive patient anybody can hypnotize, provided only that the patient have the idea or conviction that the experimenter possesses such power. Now, let a patient get the idea that only one man can hypnotize him, and that is the beginning of the hypnotic suggestion itself. It is a part of the suggestion that a certain personal Rapport is necessary; so the patient must have this Rapport. This is shown by the fact that when such a patient is hypnotized, the operator en rapport with him can transfer the so-called control to any one else simply by suggesting to the patient that this third party can also hypnotize him. Rapport, therefore, and all the amazing claims of charlatans to powers of charming, stealing another's personality, controlling his will at a distance—all such claims are explained, so far as they have anything to rest upon, by suggestion under conditions of mental hyperæsthesia or exaltation.

I may now add certain practical remarks on the subject.

In general, any method which fixes the attention upon a single stimulus long enough is probably sufficient to produce Hypnosis; but the result is quick and profound in proportion as the patient has the idea that it is going to succeed, i. e., gets the suggestion of sleep. It may be said, therefore, that the elaborate performances, such as passes, rubbings, mysterious incantations, etc., often resorted to, have no physiological effect whatever, and only serve to work in the way of suggestion upon the mind of the subject. In view of this it is probable that any person in normal health can be hypnotized, provided he is not too sceptical of the operator's knowledge and power; and, on the contrary, any one can hypnotize another, provided he do not arouse too great scepticism, and is not himself wavering and clumsy. It is probable, however, that susceptibility varies greatly in degree, and that race exerts an important influence. Thus in Europe the French seem to be most susceptible, and the English and Scandinavians least so. The impression that weak-minded persons are most available is quite mistaken. On the contrary, patients in the insane asylums, idiots, etc., are the most refractory. This is to be expected, from the fact that in these cases power of strong, steady attention is wanting. The only class of pathological cases which seem peculiarly open to the hypnotic influence is that of the hystero-epileptics, whose tendencies are toward extreme suggestibility. Further, one may hypnotize himself—what we have called above Auto-suggestion—especially after having been put into the trance more than once by others. When let alone after being hypnotized, the patient usually passes into a normal sleep and wakes naturally.

It is further evident that frequent hypnotization is very damaging if done by the same operator, since then the patient contracts a habit of responding to the same class of suggestions; and this may influence his normal life. A further danger arises from the possibility that all suggestions have not been removed from the patient's mind before his awaking. Competent scientific observers always make it a point to do this. It is possible also that damaging effects result directly to a man from frequent hypnotizing; and this is in some degree probable, simply from the fact that, while it lasts, the state is abnormal. Consequently, all general exhibitions in public, as well as all individual hypnotizing by amateurs, should be prohibited by law, and the whole practical application as well as observation of Hypnosis should be left in the hands of physicians or experts who have proved their fitness by an examination and secured a certificate of licence. In Russia a decree (summer, 1893) permits physicians to practise hypnotism for purposes of cure under official certificates. In France public exhibitions are forbidden.

So-called Criminal Suggestions may be made, with more or less effect, in the hypnotic state. Cases have been tried in the French courts, in which evidence for and against such influence of a third person over the criminal has been admitted. The reality of the phenomenon, however, is in dispute. The Paris school claim that criminal acts may be suggested to the hypnotized subject, which are just as certain to be performed by him as any other acts. Such a subject will discharge a blank-loaded pistol at one, when told to do so, or stab him with a paper dagger. While admitting the facts, the Nancy theorists claim that the subject knows the performance to be a farce; gets suggestions of the unreality of it from the experimenters, and so acquiesces. This is probably true, as is seen in frequent cases in which patients have refused, in hypnotic sleep, to perform suggested acts which shocked their modesty, veracity, etc. This goes to show that the Nancy school are right in saying that while in Hypnosis suggestibility is exaggerated to an enormous degree, still it has limits in the more well-knit habits, moral sentiments, social opinions, etc., of the subject. And it further shows that Hypnosis is probably, as they claim, a temporary disturbance, rather than a pathological condition of mind or body.

There have been many remarkable and sensational cases of cure of disease by hypnotic suggestion, reported especially in France. That hysteria in many of its manifestations has been relieved is certainly true; but that any organic, structural disease has ever been cured by hypnotism is unproved. It is not regarded by medical authorities as an agent of much therapeutic value, and is rarely employed; but it is doubtful, in view of the natural prejudice caused by the pretensions of charlatans, whether its merits have been fairly tested. On the European Continent it has been successfully applied in a great variety of cases; and Bernheim has shown that minor nervous troubles, insomnia, migraines, drunkenness, lighter cases of rheumatism, sexual and digestive disorders, together with a host of smaller temporary causes of pain—corns, cricks in back and side, etc.—may be cured or very materially alleviated by suggestions conveyed in the hypnotic state. In many cases such cures are permanently effected with aid from no other remedies. In a number of great city hospitals patients of recognised classes are at once hypnotized, and suggestions of cure made. Liébeault, the founder of the Nancy school, has the credit of having first made use of hypnosis as a remedial agent. It is also becoming more and more recognised as a method of controlling refractory and violent patients in asylums and reformatory institutions. It must be added, however, that psychological theory rather than medical practice is seriously concerning itself with this subject.

Theory.—Two rival theories are held as to the general character of Hypnosis. The Paris school already referred to, led by the late Dr. Charcot, hold that it is a pathological condition which is most readily induced in patients already mentally diseased or having neuropathic tendencies. They claim that the three stages described above are a discovery of great importance. The so-called Nancy school, on the other hand, led by Bernheim, deny the pathological character of Hypnosis altogether, claiming that the hypnotic condition is nothing more than a special form of ordinary sleep brought on artificially by suggestion. Hypnotic suggestion, say they, is only an exaggeration of an influence to which all persons are normally subject. All the variations, stages, curious phenomena, etc., of the Paris school, they claim, can be explained by this "suggestion" hypothesis. The Nancy school must be considered completely victorious apart from some facts which no theory has yet explained.

Hypnotism shows an intimacy of interaction between mind and body to which current psychology is only beginning to do justice; and it is this aspect of the whole matter which should be emphasized in this connection. The hypnotic condition of consciousness may be taken to represent the working of Suggestion most remarkably.