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Hypnotic Treatment Of Asthma; Real And Illusory Results

Edwards, G. 1960Other/Unknown

British Medical Journal 2: Aug 13 1960; 492-497

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Abstract

Serum IgE concentrations, IgE antibody titers to mite allergen, the number of blood eosinophils, the number of positive scratch tests, and the bronchial reactivity to acetylcholine were examined on the following 3 groups: (1) asthmatic subjects who had been in remission for 3 years or more; (2) asthmatics currently having asthma attacks; (3) normal healthy control subjects. Mean values were all higher in the asthmatic groups than in the controls. Differences between the 2 asthmatic groups were insignificant except for the acetylcholine inhalation tests, in which asthmatics in remission had lower bronchial reactivity than active asthmatics. In the former group, decreases in bronchial reactivity to acetylcholine after remission were observed in 7 of the 9 subjects. No correlation was obtained between bronchial reactivity and serum IgE. Of 7 asthmatics in remission having high serum IgE levels, 6 showed low bronchial responsiveness to acetylcholine, while the remaining one retained marked bronchial hyperreactivity. These results indicated that the atopic disposition of asthmatic subjects persisted but the bronchial reactivity to acetylcholine might decrease after long-term remission.

Case Details

Personal Characteristics

Six patients admitted to hospital with severe asthma

Clinical Characteristics

Severe asthma

Remission Characteristics

Four had subjectively complete remissions, but in only two of these was remission objectively complete. Three patients relapsed within days of going home, but two of these again went quickly into remission. Two out of these four patients were readmitted because of asthma.

Treatment & Mechanisms

Proposed Remission Mechanisms

Hypnosis benefited a patient in one of two entirely different ways, either by effecting physiological improvement (decrease of airways resistance) or by producing psychological improvement (decreased awareness of airways resistance).

Clinical Treatment

Treated by hypnotic suggestion

Additional Notes

While in hospital one patient failed completely to respond to hypnosis, and one responded poorly. Immediate response to hypnosis (before and after sessions) was usually poor, but this could be explained by the content of the suggestion. Speed of remission could be as fast with hypnosis as with physical methods. Of the four patients originally responding well, two thought that their condition during the year after was much better than in previous years. These results cannot be interpreted as valid evidence for or against the value of hypnosis: An uncontrolled series of six patients can be regarded only as a pilot study. The results do, however, strongly suggest that a controlled clinical trial of hypnosis would repay the effort. The particular value of hypnosis may be as an alternative to steroid treatment.