Delusions Following Hypnosis

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Abstract
Delusions occurring after a hypnotic state in the non-psychotic patient are usually a result of the interplay of three factors: (a) the heightening of transference fantasies due mainly to the regression of the hypnotic state; (b) the presence of major ego defects, projective defenses, or other predisposing factors in the patient's character structure; and (c) the occurrence of countertransference reactions on the part of the hypnotist which touch on a specific area of conflict within the patient. The presence of third parties or the use of tape recorders are not satisfactory for the prevention of delusion formation. Rather, the physician using hypnosis should focus upon: (a) preliminary psychological evaluation and selection of patients free from disposition to delusion formation; (b) awareness of his own emotional responses to the patient. Attention to these factors will minimize the chance of delusion formation after the use of hypnosis.

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