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Case Study: Cognitive Restructuring Hypnosis for Chronic Pain in a Quadriplegic Patient
Rocío de la Vega1, M Elena Mendoza2, Joy F Chan2
1a Seattle Children's Research Institute , Seattle , Washington , USA.
The American Journal of Clinical Hypnosis
|April 25, 2019
Summary
This case study shows hypnotic cognitive therapy significantly improved pain and sleep in a quadriplegic patient with spinal cord injury (SCI). The patient maintained these benefits one year later, using self-hypnosis independently.
Area of Science:
- Neurology
- Psychology
- Rehabilitation Medicine
Background:
- Chronic pain and neuropathic characteristics are common in spinal cord injury (SCI).
- Managing complex symptoms in severely paralyzed individuals, such as those requiring respiratory support, presents unique challenges.
Observation:
- A case study focused on a 28-year-old male with SCI and quadriplegia, who was respirator-dependent and paralyzed from the chin down.
- The intervention involved an eight-session hypnotic cognitive therapy protocol, including cognitive restructuring and recorded hypnosis suggestions.
- The patient was instructed in self-hypnosis and home practice using the recording.
Findings:
- Clinically meaningful improvements were observed in pain intensity, pain interference, and sleep quality.
- These improvements were sustained or increased at the one-year follow-up.
- The patient reported continued use of self-hypnosis and no adverse effects.
Implications:
- Hypnotic cognitive therapy is a promising intervention for individuals with SCI and complex symptoms.
- This approach empowers patients with self-management coping strategies for pain.
- The therapy demonstrated effectiveness even after the failure of multiple pharmacological treatments, suggesting a valuable alternative for refractory cases.
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