11 Le Sommeil et les Rêves, p. 226.

12 Annales Medico-psychologiques, 5e Série, t. xvi. p. 5, 1876.

Artificial Somnambulism, or Hypnotism.

The phenomena which have now been passed in review are of apparently spontaneous origin during the ordinary period of sleep. But from the remotest antiquity it has been known that certain persons may be thrown into an artificial sleep which closely resembles the condition of the somnambulist. During the persistence of this state certain portions of the nervous system become utterly insensible to external impressions, while other portions acquire an exalted degree of sensibility. The subject of the experiment can then by special methods be placed in such relations with other waking individuals that his surviving sensations, mental processes, and physical actions shall be no longer regulated by his own volition, but by the will of another. Such susceptibility is not common to all persons. About 20 per cent. of the ordinary population is, by some observers, considered capable of experiencing this condition. Heidenhain,13 experimenting upon a class of medical students, found only one in twelve who was thus susceptible. Charcot, whose field of observation covers the inmates of the Salpêtrière Hospital, finds the best exemplars of the hypnotic state among the hystero-epileptic females in that asylum. To these experimenters we are largely indebted for the most extended scientific observation of the phenomena of hypnotism, giving precision and publicity to the knowledge of facts which, though equally well known within a narrow circle of investigation14 during the earlier decades of the present century, have been compelled to await the development of cerebral physiology before their full significance could become apparent to the mass of the medical profession.

13 Animal Magnetism: Physiological Observations, by Rudolph Heidenhain.

14 Braid, Neuro-hypnology considered in Relation with Animal Magnetism, London, 1843.

The antecedent condition most favorable to the production of the hypnotic state is a highly unstable constitution of the nervous system. For this reason the larger number of qualified subjects is furnished by the female sex, especially by those who possess the hysterical temperament. Frequent repetition of hypnotic exercises renders the subject still more susceptible. Heidenhain was at first inclined to believe that such experiences were not prejudicial to the health of the subject, but the observation of Harting in the University of Utrecht, and of Milne-Edwards in Paris,15 have demonstrated danger to the health of animals subjected to similar experiments. It is easy to discover, in the various clinical narratives published by Charcot and his pupils,16 evidence that hysterical patients often manifest considerable exhaustion after hypnotic exhibitions; consequently, it cannot be admitted that the practice is devoid of risk to the health of the individual.

15 Lancet, July 29, 1882, p. 164.

16 Paul Richer, L'hystéro-Epilepsie, Paris, 1881; Le Progrès médical, 1881-82.

Numerous methods of inducing the hypnotic state have been employed by different experimenters. The greater number consist in modifications of the sensory impulses derived from the periphery of the body. Gentle pressure upon the closed eyelids; convergence of the axes of the eyeballs upon some object nearer than the proper focal distance of the eyes; fatigue of the retina by gazing upon any brilliant or luminous object; monotonous excitation or sudden surprise of the auditory nerve; various impressions through gentle friction or pressure upon different regions of the body,—all these are capable of inducing hypnotic sleep. An appeal to the imagination, or even the mere attempt to abnegate the possibility of vigorous thought by confining the attention to the most trivial of things, sometimes suffices to produce the desired phenomenon. Thus, Heidenhain put one of his students to sleep at a distance by merely informing him beforehand that at a certain hour he would hypnotize him in his absence. The state of ecstatic meditation into which the monks of Mount Athos plunged themselves by the practice of omphaloscopy affords an illustration of the hypnotic effects of concentrated attention.