EEG asymmetry during covert mental activity and its relationship with hypnotizability

Linear and Nonlinear Quantitative EEG Analysis during Neutral Hypnosis following an Opened/Closed Eye Paradigm

Hypnotic susceptibility is a major factor influencing the study of the neural correlates of hypnosis using EEG. In this context, while its effects on the response to hypnotic suggestions are undisputed, less attention has been paid to “neutral hypnosis” (i.e., the hypnotic condition in absence of suggestions). Furthermore, although an influence of opened and closed eye condition onto hypnotizability has been reported, a systematic investigation is still missing. Here, we analyzed EEG signals from 34 healthy subjects with low (LS), medium (MS), and (HS) hypnotic susceptibility using power spectral measures (i.e., TPSD, PSD) and Lempel-Ziv-Complexity (i.e., LZC, fLZC). Indeed, LZC was found to be more suitable than other complexity measures for EEG analysis, while it has been never used in the study of hypnosis. Accordingly, for each measure, we investigated within-group differences between rest and neutral hypnosis, and between opened-eye/closed-eye conditions under both rest and neutral hypnosis. Then, we evaluated between-group differences for each experimental condition. We observed that, while power estimates did not reveal notable differences between groups, LZC and fLZC were able to distinguish between HS, MS, and LS. In particular, we found a left frontal difference between HS and LS during closed-eye rest. Moreover, we observed a symmetric pattern distinguishing HS and LS during closed-eye hypnosis. Our results suggest that LZC is better capable of discriminating subjects with different hypnotic susceptibility, as compared to standard power analysis.

Hypnotizability-Related Asymmetries: A Review

Hypnotizability is a dispositional trait reflecting the individual ability to modify perception, memory and behavior according to imaginative suggestions. It is measured by validated scales that classify the general population in high (highs), medium (mediums) and low (lows) hypnotizable persons, predicts the individual proneness to respond to suggestions, and is particularly popular in the field of the cognitive control of pain and anxiety. Different hypnotizability levels, however, have been associated with specific brain morpho-functional characteristics and with peculiarities in the cognitive, sensorimotor and cardiovascular domains also in the ordinary state of consciousness and in the absence of specific suggestions. The present scoping review was undertaken to summarize the asymmetries observed in the phenomenology and physiological correlates of hypnosis and hypnotizability as possible indices of related hemispheric prevalence. It presents the findings of 137 papers published between 1974 and 2019. In summary, in the ordinary state of consciousness, behavioral, neurophysiological and neuroimaging investigations have revealed hypnotizability related asymmetries mainly consisting of pre-eminent left hemisphere information processing/activation in highs, and no asymmetries or opposite directions of them in lows. The described asymmetries are discussed in relation to the current theories of hypnotizability and hypnosis.

Italian norms for the Stanford Hypnotic Susceptibility Scale, Form C

This paper presents norms for an Italian translation of the Stanford Hypnotic Susceptibility Scale, Form C (SHSS:C; Weitzenhoffer & Hilgard, 1962). Archival data on hypnosis research subjects recruited over a 10-year period of research on hypnosis were pooled, resulting in an aggregate sample of 356 participants (263 female and 93 male). Score distribution, item difficulty levels, and reliability of the SHSS:C were computed. Of this group, 218 subjects were administered the Harvard Group Scale of Hypnotic Susceptibility approximately 3 weeks prior to administration of the SHSS:C. The remaining 138 subjects received only the SHSS:C. Results suggest that the Italian version of the SHSS:C is a reliable and valid measure.

Italian norms for the Harvard Group Scale of Hypnotic Susceptibility, Form A

Norms for an Italian translation of the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS:A) by Shor and Orne (1962) are presented. Subjects recruited from 1986 to 1989 were pooled, resulting in a sample of 376 participants (297 women and 79 men). The normative data were generally congruent with earlier normative studies in score distribution, item difficulty levels, and reliability. Women had significantly higher hypnotizability scores and item pass rates than men. The reliability scores of the Italian adaptation of the HGSHS:A were the same as a previously reported Danish sample and higher than a German sample, but lower than those of the Australian, Canadian, and original American samples. These results suggest that the Italian version of the HGSHS:A is an efficient tool for initial hypnotizability screening in an Italian context.

EEG concomitants of hypnotic susceptibility

Numerous historical attempts have been directed at understanding electrocortical concomitants of hypnosis. Today, with the availability of more sophisticated multichannel recording technologies and signal-processing approaches, it is possible to reconsider and update previous attempts. The most solid relationship between electrocortical activity and hypnotizability exists in the EEG theta frequency range. Given the stable electrocortical differences found in high and low susceptible individuals, the question arises whether we can use additional EEG measures to help understand the nature of these individual differences. One possible alternative is the pointwise or fractal dimension, which we examined during baseline conditions with high and low hypnotic susceptible individuals. The dimensionality measures suggest that high susceptible individuals display underlying brain patterns associated with imagery, whereas low susceptible individuals show patterns consistent with cognitive activity (i.e., mental math). This type of speculation is similar to that of Tellegen, who makes a distinction between imaginative versus realistic responding. Future research should address the exact nature of the underlying process (imagination, effortlessness, suggestibility, etc.) seen in high and low susceptible individuals.

Relateralizing hypnosis: or, have we been barking up the wrong hemisphere?

Research and theory over the past couple decades have suggested that the right cerebral hemisphere might be the focus of brain activity during hypnosis. Recent evidence from electrodermal responding, visual event-related potentials, and Stroop interference, however, can make a case for a role of the left hemisphere in some hypnotic phenomena. Although hemispheric activation on hypnotic challenge may depend in large part on the kind of task the challenge might involve, several general aspects of hypnosis might be more appropriately seen as left-rather than right-hemisphere brain functions. Among these are concentrated attentional focus and the role of language in the establishment of hypnotic reality. A left-hemisphere theory of hypnosis is discussed in light of recent findings and theories about a left-hemisphere basis for synthetic or generational capabilities (Corballis, 1991) and a neuro-evolutionary model of a left-hemisphere dopaminergic activation system for the implementation of predetermined motor programs (Tucker & Williamson, 1984).

The endogenous eyeblink and hypnotic susceptibility in a real-simulator design

This study investigated the relationship between hypnotic susceptibility and the endogenous eyeblink with 27 subjects who were assigned to groups of high susceptibles, low susceptibles and simulators on the basis of cutoff scores from the Harvard Group Scales of Hypnotic Susceptibility: Form A and the Stanford Hypnotic Susceptibility Scales: Form C. Using a repeated-measures design, oculomotor data were collected during two separate conditions, waking and hypnotized, while subjects performed a visual task requiring the discrimination of short light flashes (200 ms) from long light flashes (400 ms). Although results partially replicated previous studies, with high susceptibles blinking significantly less than low susceptibles across both conditions, no effect was found for the hypnotic state. Failure of the simulating group to meet assumptions in the waking condition allowed no conclusions regarding impact of task demands on the endogenous eyeblink.

Hypnosis modelling in neural networks

In the framework of the neural network theory effects similar to hypnotic displays are constructed. They are based on the associative paradigm involving non-linear interaction of excitatory and inhibitory channels with synaptic memory. The non-linearity of long-term memorizing processes may cause effects exhibited by blind spots, which are interpreted as the first stage of hypnosis. More complicated phenomena are discussed in terms of a two-layer network.

EEG spectral analysis during hypnotic induction, hypnotic dream and age regression

EEG was recorded monopolarly at frontal (F3, F4), central (C3, C4) and posterior (in the middle of O1-P3-T5 and O2-P4-T6 triangles) derivations during the hypnotic induction of the Stanford Hypnotic Clinical Scale (SHCS) and during performance following suggestions of hypnotic dream and age-regression as expressed in the before-mentioned scale. 10 low-hypnotizable and 9 highly-hypnotizable and right-handed female students participated in one experimental session. Evaluations were Fast-Fourier spectral analyses during the following conditions: waking-rest in eyes-open and eyes-closed condition; early, middle, and late phases of hypnotic induction; rest-hypnosis in eyes closed condition; hypnotic dream and age regression. After spectral analysis of 0 to 44 Hz, the mean spectral amplitude estimates across seven Hz bands (theta 1, 4-6 Hz, theta 2, 6-8 Hz; alpha 1, 8-10 Hz; alpha 2, 10-13 Hz; beta 1, 13-16 Hz; beta 2, 16-20 Hz; beta 3, 20-36 Hz) and the 40-Hz EEG band (36-44 Hz) for each experimental condition were extracted. In eyes-open and -closed conditions in waking and hypnosis highly-hypnotizable subjects produced a greater 40-Hz EEG amplitude than did low hypnotizable subjects at all frontal, central and posterior locations. In the early and middle hypnotic induction highly-hypnotizables displayed a greater amount of beta 3 than did low hypnotizables and this difference was even more pronounced in the left hemisphere. With posterior scalp recordings, during hypnotic dream and age regression, high hypnotizables displayed, as compared with the rest-hypnosis condition, a decrease in alpha 1 and alpha 2 amplitudes. This effect was absent for low hypnotizables. Beta 1, beta 2 and beta 3 amplitudes increased in the left hemisphere during age regression for high hypnotizables; low hypnotizables, in contrast, displayed hemispheric balance across imaginative tasks. High hypnotizables during the hypnotic dream also displayed in the right hemisphere a greater 40-Hz EEG amplitude as compared with the left hemisphere. This difference was even more evident for posterior recording sites. This hemispheric trend was not evidenced for low hypnotizable subjects. Theta power was never a predictor of hypnotic susceptibility, 40-Hz EEG amplitude displayed a very high main effect (p < 0.004) for hypnotizability in hypnotic conditions by displaying a greater 40-Hz EEG amplitude in high hypnotizables with respect to lows.

EEG alpha methodologies and hypnotizability: a critical review

This paper reviews empirical studies that assessed the relationship between EEG alpha indices and measures of hypnotic responding. Although there are confirmatory reports of such a relationship, these findings have not been corroborated in repeated attempts at replication. The research is characterized by poor design and statistical procedures that fail to control for various extraneous factors. Although a few positive findings have been tentatively identified, they await replication. Taken together, the available evidence suggests that hypnotizability is not systematically related to alpha.

40-Hz EEG activity during hypnotic induction and hypnotic testing

The present study evaluates changes in left and right 40-Hz EEG production for 19 high and 20 low hypnotizable female Ss during the hypnotic induction and the administration of the Stanford Hypnotic Susceptibility Scale, Form C (SHSS:C) of the Weitzenhoffer and Hilgard (1962). Scalp recorded 40-Hz EEG density was obtained from the middle of the O1-P3-T5 and O2-P4-T6 triangles. As the hypnotic induction proceeded, high hypnotizable Ss exhibited a shift to greater right-hemisphere activity as compared to a waking-state rest condition. In contrast, low hypnotizable Ss, showed a reduction in left- and right-hemisphere activity. No differences between groups for SHSS:C ideomotor items were observed. A main effect for Hypnotizability among SHSS:C imaginative items was found. A Hypnotizability x Hemisphere x Trial interaction was found for both sensory distortion and imaginative SHSS:C items. A comparison was made between low versus high hypnotizable Ss of 40-Hz EEG activity while they passed the same item. The results of these comparisons indicate that differences in brain activity might be partially related to the differences between experiencing a hypnotic suggestion or failing to do so. Significant relationships between 40-Hz EEG production and hypnotizability and 40-Hz EEG production and level of amnesia were also found.