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nd so on. A mere general suggestion of sleep is on the whole effective only in the cases of those persons in whom this idea in itself awakens those various components. Very often it is entirely ineffective in this general form. Sometimes it is possible to carry the hypnotic state itself directly over into sleep, but it seems more in the interest of the patient to separate those two states distinctly. We are still confined to processes in the brain itself if we turn to headache. If it were only a question of inhibiting the pain by mental suggestion, the case would not be different from inhibiting the pain of a peripheral organ without attempting to cure the diseased organ itself. But in the case of headaches, it seems justified to claim that in certain varieties of this multifold symptom, not only the pain is suppressed but the disturbance itself is removed. Especially where the headache seems to result from hyperaemia, the trouble seems to be accessible to psychotherapeutics. On the other hand I have never seen any lasting effect on the so-called sick headache or migraine. While continuous headaches or headaches which occur daily yielded to my influence, sometimes completely, I was unable to prevent even by preparatory hypnotization any migraine which appears periodically, for instance, simultaneously with menstruation. A few words only as to the general diseases and disturbances for which a very strong therapeutic effect has been claimed by masters of the craft like Wetterstrand, Moll, Dubois, and others. From my own experience I can affirm the often lasting effect in the disturbances of the functions of the digestive apparatus. The stomach and the intestines seem to a high degree under nervous influences which can be changed through hypnotic suggestion. If we consider what intimate connection exists between the functions of these organs and the normal emotions, it seems hardly surprising that mental factors can regulate their disturbances. Vomiting, diarrhea, and especially constipation, often yield to slight suggestions, even in a superficial hypnotic state. Here, too, I have seen repeatedly a complete regulation of a long-standing disturbance as an unintended by-product of hypnotic suggestion directed towards the cure of psychical troubles. Much value is claimed for hypnotic method in the treatment of anaemic conditions. It is said that anaemia improves after a few hypnotic treatments, the appetite becomes better
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