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Presenter: Gary Kelley, PhD

The purpose of this presentation is to describe a 4 Step Solution intervention method used to treat psychological problems that are routinely seen in a practitioners office on a daily basis. Various neurologic centers will be reviewed. This model is based on conditioning and reinforcement however the treatment is cognitive/behavioral in nature and is easily integrated into a hypnotic framework. The basic approach to treatment is set up as a 4 step process to include: Relabeling, Reframing, Refocusing, and Reevaluation.

The concept of splitting (mind vs brain, true self vs false self, deceptive brain messages vs desired messages, etc) and a

parts concept (wise advocate/inner guide/hidden observer) are employed. Of importance to clinicians and researchers alike is improved treatment outcomes. This approach was developed by Schwartz and Gladding (2011) who have demonstrated the efficacy of their 4 Step Solution model with individuals who suffer from Obsessive Compulsive Disorder and have generalized it?s use to other conditions.

All of these steps are amenable to hypnotic use. Relabeling is a way of changing the meanings of problem or situation. Aspects of this theory (reframing) are solidly rooted in Ericksonian hypnosis as well as the writings of Watzlawick et al (1974, p. 95). Refocusing (not this, but this) is a common hypnotic strategy (for example, figure/ground, distraction with chronic pain). The end result of this process is the creation of new brain circuits and pathways which became stronger while problem circuits and pathways go dormant. Although this approach has been well researched, the integration of hypnosis is a novel application. There will be an emphasis on participant involvement, practice, and skill development.

As a result of the presentations clinicians will be armed with a new framework in which the clinician can treat clients utilizing their hypnotic training with the result being changes in the neuro structure, referred to as Self Directed Neuroplasticity by Schwartz and Gladding. The clinician will be able to identify how and what neuro structures are being affected and activated. This approach allows the clinician to capitalize on much of their already existing knowledge and apply it in a new paradigm.