Indications and guidelines concerning the use of aversive, negative hypnotic techniques are discussed to some degree by Dr. Wright below, but a few remarks seem appropriate. It is not currently fashionable to use aversive or negative hypnotic methods. But when more positive techniques do not produce success, and when the patient is very hypnotically talented and capable of experiencing ideosensory phenomena, aversion suggestions may potentially contribute to favorable outcomes. Aversive methods also seem to me to be indicated when they are congruent with the patient's expectations for therapy. Some patients want, expect and even request this type of suggestion. It seems reasonable in such instances to meet the patient's expectations and preferences by providing such suggestions, albeit preferably within the context of many other positively framed suggestions. Dr. Wright's approach to accentuating the negative provides a particularly balanced and thoughtful model for us. Dr. Stock's metaphor that follows also illustrates a subtle method for giving aversive suggestions. (Ed.)
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