#healing conversations

A Divided Brain for Divided Times

Like fish, grasshoppers, marmots, and blue herons, you and I also have a divided brain. Why is this the case? Is one side just a backup, like a spare tire in our vehicle’s trunk to use in case of an emergency?

In fact, this ancient division exists because each side of the brain is actively engaged in processing different types of information in different ways. We need both sides of the brain, and we need both sides to work together to be at our best.

Our right brain is more strongly oriented to what is new, uncertain, and different from experience has taught us. No matter how smart we are or how much life experience we have, there is always more to learn. And that is the point. Our right brain scans the world around us with a broad and sweeping attentional focus. It seeks to capture the big picture and to translate that perception into signals sent to our body so our whole being knows how to act in a new and uncertain environment. The right brain enables new learning. The right hemisphere detects patterns in this experience as to what is novel so that it can pass that information along to the left brain. In effect, the right brain transforms what isn’t known yet into knowledge of “what is now” and adds that to the library of lived experiences. This growing “library” of acquired experience helps us be more prepared for what lies ahead by giving us access to this storehouse of prior knowledge.

The left brain or hemisphere has a different set of skills. It deploys a narrow beam of attention to focus on details. The left hemisphere perceptual systems stand back, observe, and analyze. The left brain is the categorizer or organized compiler of experience. It draws on its vast storehouse of information accumulated through lived experience and maintains that information to stand ready to be accessed when we encounter something similar to but not identical with what we’ve encountered in the past. It compares what we encounter each day with the prior knowledge and experience we’ve stored up so that we can say, “been there; done that.” Otherwise, each day would be a total do-over. The left brain helps us to recognize, reason, plan, and judge what is appropriate in comparison to prior experience. You could say it provides us with a sense of discernment and judgement.

To look at the two sides of our brain in isolation from one another misses a crucial point. The brain’s two sides sit adjacent to three bridges called the corpus callosum, and the anterior and posterior commissures. In plain English, these three bridges transfer massive amounts of experiences back and forth from one side of the brain to the other, constantly updating, modifying, reorganizing, and then refiling what was, what is, and what can be but doesn’t yet exist. This internal communication is what allows us to learn, grow, improve, plan, and act. If we are too “right sided”, we swim in the big picture of life – we see forests but forever miss the trees. We can be filled with good, big picture intentions, but repeatedly fail when it comes to taking action in effective, goal-directed ways. If we are too “left sided” we get bogged down in endless details, compile voluminous lists, but fail to “read the room” and discern what makes sense in THIS context, on THIS day, involving THIS situation or THESE people.

In short, it is only when the strengths of each side of the brain are brought to bear do we achieve the ability to optimize our day-to-day functioning. What strikes me is that just as our brain works best when it is in active communication with its other half, people function best when in active communication with other people who may harbor different views than our own. In short, like our brain, we work best when we are in intimate and diverse relationships.

How, you may ask, is this process of working bilaterally across a wide divide, like a well-functioning brain does billions of times per second, apply in day-to-day life? An essential question I encourage my clients to ask themselves is, “What am I missing?” The more certain a person feels and the more convinced they are that they are right about some issue, the more blind they become to important details (the strength of the left brain) or to the bigger picture at play (the strength of the right brain). As a result, people are more prone to act with righteous indignation. Harsh and judgmental decisions that lead to rash actions are more likely to follow. They fail to notice important details or big picture issues that lead to biased and less functional responses. The ratcheting up of impassioned opposition to someone with an opposing or merely different view intensifies. The strength, vitality, and vibrancy of a healthy and diverse ecosystem of people, views, and collaborative actions fails.

The consequences to marriage partners, friendships, family connections, or workplace collaborative efforts are significant. This oppositional attitude that reinforces increasingly extreme views is pervasive in the world of social media platforms that have become bully pits that spew vile and hateful messages rather than operate as forums for connection, discovery, and growth.

So, learn to check your convictions before they become too hardened. Ask yourself, “What am I missing.” Practice seeking new information from places you are least likely to find an echoing of the views you already hold. Learn to explore the right from the left and the left from the right. In doing so, worry, anxiety, fear, loneliness, disconnection, and despair gradually become replaced by curiosity, discovery, hope, and connection.

Conversational Hypnosis

Hypnosis: What It Is and Is Not

There seem to be few subjects in the field of healthcare that are surrounded by more misunderstanding and mystery than clinical hypnosis. This unfortunate reality deprives clinicians and clients alike from availing themselves of the many proven benefits that hypnosis and hypnotic processes have to offer. This blog is intended to address some of these misunderstandings: to set the record straight (or straighter, anyway), if you will.

Hypnosis, a term coined by Scottish physician, James Braid, in 1842, has a history that goes back much farther, probably having its origins in Egyptian and Greek temple practices thousands of years ago. While different labels were used to describe it, and different rituals surrounded its use, they all built on the basic truth that human beings are highly responsive to suggestions, both negative (nocebo) and positive (placebo). That responsiveness is wired into our physiology. It is an enduring legacy of our evolutionary heritage. That response to suggestion is an essential aspect of our capacity for resilience in the face of adversity. That response to suggestion is a core element enabling us to adjust and adapt to changing life circumstances. That response to suggestion is, at its core, what enables “hypnosis” (by whatever name we call it) to evoke the effect it does.

The essential point here, which I’ve written about in a number of peer reviewed journal articles, is that hypnosis is merely the modern name for an interactive, relationship-based process by which a person’s innate capacity for change is evoked through individualized suggestions. Hypnosis is NOT something magically done TO the person; it is NOT something that requires a person to give up their control or autonomy; it is NOT something that exists separate from what the interaction between client and clinician co-create together. (While self-hypnosis exists, the point often missed is that even in that context, a person is simultaneously the one offering the suggestion and the one listening to the suggestion - a fascinating example of people’s ability to be of two minds at the same time.)

The essential elements of a successful hypnotic interaction involve:

  • Creating a subjective sense of safety and security with the client, which reduces client defensiveness and enhances their mental flexibility in the context of open-minded curiosity

  • Creating suggestions that foster the client’s ability to turn their attention inward or, in the case of peak performance states (e.g., sports, musical performance, test-taking), outwardly but with a state of narrowed attentional focus

  • Creating the room and space for the client to become increasingly absorbed by the suggestions offered by the clinician and attuned to their internal cues that ratify their subjective sense that the suggestions are “landing”

  • Practiced utilization by the clinician of the client’s capacity to respond at both conscious and non-consious levels to suggestions for relevant and therapeutically beneficial sought after changes

What does trance have to do with it?

Trance, like hypnosis, is a word weighed down with lots of unnecessary baggage. Think of trance as simply describing a shift in attentional focus that is characterized by the experience of being absorbed in an altered state of mental awareness where ideas or responses to suggestion arise without deliberate intention. That does NOT mean against your will. There is NO loss of control. There IS a shift in how control is perceived. It DOES mean that the client typically reports that the new and helpful shift in responsiveness seemed to arise automatically, bypassing the usual obstacles to change that typically bring the person to therapy in the first place!

Conversation, Hypnosis, and Trance

Hypnosis is too often thought to require a deep, eyes closed, immobile body sitting still posture. Not true. People are responsive to suggestions in all sorts of mental states. While an eyes closed stance can be useful, relaxing, and comforting in the same way that people experience the savasana pose at the end of a yoga session, such a posture or pose isn’t necessary.

In my work with clients and the consultation training I offer for licensed health professionals, I make use of suggestions throughout the interaction. I incorporate “formal” hypnosis only when necessary or when requested by the client. Otherwise, the benefits of utilizing opportunities to suggest subtle shifts in thinking, experiencing, and responding exist throughout the session. Learning how to recognize and utilize these opportunities is the essence of conversational hypnosis.

The same way that you can come away from a special musical performance, an engaging theatrical production, an inspiring speech, a moving book, an absorbing movie, a star-filled cloudness sky, or most relevantly, an intimate conversation with a trusted friend, conversational hypnosis exists as a powerful, ever-present capacity for positive change that exists within each of us, no matter our personal history or struggles with personal growth.

As a famous Harvard cardioloist once said (paraphrasing here): Change is always possible. The challenge is in finding the door through which change can enter.