Several general types of therapy can be used by the general practitioner in medicine. First are symptom-removal techniques. These utilize a direct hypnotic approach, similar to that described earlier. There is probably little place in the modern concept of dynamics for this particular type of technique for despite careful planning on the part of the hypnotist, the procedure can again result in evoking the resistances of the patient.
The second type of treatment is the alleviation or amelioration technique. By inducing changes in perceptions, changes in reception of stimulation, and changes in sensations, a large portion of the treatment procedures can be accomplished. Relaxing mechanisms of the physical as well as the emotional state can be utilized in this type of technique and anxiety symptoms can frequently be lessened.
The third technique is a replacement or change in the symptoms. Actually, this amounts to a substitution of the symptoms. While it is frequently stated, particularly by psychotherapists, that direct removal of one symptom will result in another symptom, many workers have found that if the suggestions offered are indirect and permissive, frequently a symptom will not be substituted. One needs also to bear in mind that the therapist can manipulate symptoms, causing a patient to accept a substitute that is less disturbing.
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