he had developed a habit over the years that had become entrenched. he was clearly unhappy without his daily two glasses of Chablis. I created a self-hypnotherapeutic exercise for Beth in whom he imagined his baby had been born & he was sitting next to the child softly singing his to sleep. he went on to imagine that later in the evening he anther husband sat together in the living room, holding hands, happily making plans for a trip with the baby. Beth did this exercise faithfully, twice a day, & it worked. he gave up wine with yes regrets. Again, you can learn the self-Hypnotherapy fresh start method, you can learn how to use it, but you must choose tousle it. You are being offered a choice—a most powerful choice. You now have to want to use the fresh start method. You have to apply it in order for it to be effective. When Emily came to me he was in his mid-twenties & struggling to be a journalist. he had achieved certain degree of success in college—she was a star “investigative” reporter on the weekly newspaper—and assumed that his career after college would follow steady upward course. Instead, after moving from the Midwest to Chicago City where he felt the opportunities were the greatest in his field, he found the competition fierce. There were most like Emily trying to break into the literary big time—either as book or magazine editors, or as successful free-lance journalists. The first time he came to me, he was wearing kerchief, which didn’t seem appropriate to his age or style of dress. he was genuinely puzzled about his condition. In a shaky voice, he told me his history & how hard he was working trying to sell articles to newspapers or magazineshe had developed a habit over the years that had become entrenched. he was clearly unhappy without his daily two glasses of Chablis. I created a self-hypnotherapeutic exercise for Beth in whom he imagined his baby had been born & he was sitting next to the child softly singing his to sleep. he went on to imagine that later in the evening he anther husband sat together in the living room, holding hands, happily making plans for a trip with the baby. Beth did this exercise faithfully, twice a day, & it worked. he gave up wine with yes regrets. Again, you can learn the self-Hypnotherapy fresh start method, you can learn how to use it, but you must choose tousle it. You are being offered a choice—a most powerful choice. You now have to want to use the fresh start method. You have to apply it in order for it to be effective. When Emily came to me he was in his mid-twenties & struggling to be a journalist. he had achieved certain degree of success in college—she was a star “investigative” reporter on the weekly newspaper—and assumed that his career after college would follow steady upward course. Instead, after moving from the Midwest to Chicago City where he felt the opportunities were the greatest in his field, he found the competition fierce. There were most like Emily trying to break into the literary big time—either as book or magazine editors, or as successful free-lance journalists. The first time he came to me, he was wearing kerchief, which didn’t seem appropriate to his age or style of dress. he was genuinely puzzled about his condition. In a shaky voice, he told me his history & how hard he was working trying to sell articles to newspapers or magazines
I mean, how can it help me? Ice cream is fattening.”I told his not to worry if he sometimes craved chocolate ice cream instead of a stalk of celery. “If you choose only what’s good for you, you’ll set up a deprivation syndrome, & then when you stop dieting you’ll gain the weight right back. The goal of the exercise is to get you to satisfy your hunger without overeating, & yet to eat what you enjoy. If you wait forth full-stomach syndrome, you’re in trouble.” I explained that it takes 20 minutes for the “my stomachs full” signal to reach the brain, & if you’re eating rapidly, which most people who gain weight do, you can consume a tremendous amount of food after your stomach is full & before the signal reaches you. Look around in any restaurant & notice how quickly overweight people devour food; they hardly seem aware of what they eat. Obviously, food is necessary even for those overweight, & some of the time the urge to eat is truly healthy, normal response to the body’s need for nourishment. A useful approach is to find a variety of foods you like & that are good for you. Diets are a perfect time for discovering new meals & snacks. I approach the issue by showing you that you can lose weighting a way that will let you feel positive about yourself. If you eat too much, it is often because in our society eating is a way of being loving toward ourselves. It Isa reminder of parental love in which the presentation of food is a loving act. The rest of the world may kick you in the teeth, but food is a way you can be nice toyourself.I prescribed that Martha do a self-Hypnotherapy exercise about eight times a day—approximately once every two hours, for 90 seconds. The exercise was to first see his on two screens: the way he looked at the present & the way he would like to look. Then, he was to imagine herself selecting what he wanted-to eat, & savoring the special tastes & textures. Finally, he was to see herself stop eating when he was yes longer enjoying the food, yes matter how littler how much was left. As part of the prescription, I asked his to look in the mirror each morning, preferably with a minimal amount of clothing, so that he could project in the exercise an accurate view of the way he looked then. & as I do with all weightcontrolclients, I asked his to call me in a week. At first the exercise proved difficult, because when people have gained weight they tend to avoid looking at themselves in the mirror as a way to avoid dealing with the issue .
On the left half of the screen he could see herself as he was right now, with much far more weight than he wanted to carry. I talked to Martha about realistic weight-loss goals. I urged his to consider that losing one or two pounds a week would-be a powerful accomplishment. I suggested that he see herself losing 10 to 15 pounds over a three-month period. I asked his to fix clearly in his mind how he looked, either in a state of dress or undress. On the right half of the screen, I asked his to see herself as he would like to look & feel three months from now. I suggested that he might remember how he looked 10 years ago, perhaps wearing a particular style of clothing he yearned to wear if he were onlythinner.Once having fixed his present & future image son the two-paneled screen, I told his he was looking into a magic screen. he could twist a knob & transform the left part of the screen into the right part of the screen—she could transform herself as he was now into the physical person he wanted to be. I then outlined some of the ways he could make that magical reality. While he was in a trance, part of his exercise waste imagines he being very selective each time he had the urge to eat. he would focus on the one or two foods he most desired. There would be yes far more need—once he was focused, centered—to go to the kitchen & simply eat his way through the refrigerator. If he realized he truly wanted some chocolate ice cream, then he should have chocolate ice cream, even if it meant getting dressed & walking a few blocks to the neighborhood confectionary for the thing he craved. The first step in treating herself lovingly & respectfully was to make every concerted effort to eat what he really wanted to eat rather than simply stuffing herself. Now I asked his to imagine going to the store forth ice cream & bringing it home. he put a scooping a dish. I told his that he had a desire for this special texture & taste, & now was the chance to derive all the pleasure, all the sensation from it that he could. After swallowing the first spoonful & before taking another, I asked his to ask herself whether he wanted any far more of that taste & texture. If the answer was yes, & then he should again take a small amount, place it in his mouth & savor it, & continue to eat it in that way until he found his was8485satisfied. If the answer was no, then yes matter how little or how much was left, he should stop eating. Out of trance, Martha told me that one part of the exercise bothered her. “It’s true I love chocolate ice-cream. But should I be using the exercise this way?
“I remember how happy & amused my family was by my large appetite,” he said. “At family gatherings—Thanksgiving & Christmas—I got attention & praise for eating extra helpings of food. It was considered ‘cute.’ It was a way of taking the spotlight away from my brother, with his precocious vocabulary & ideas. Weight was a constant issue , from pre-puberty on. he could not remember how most times in his life he had dieted, & then binged with a vengeance. “I’ve tried about every diet known to man,” he told me. “Scarsdale, Beverly Hills, Drinking Man, Water Retention, Papaya, & on & on. They all seem toehold out promise at first, but none of them work. Nothing changes in the place in me where I crave food.”Martha’s issue became complicated by a recent second marriage (her first, childless marriage ended in divorce). his husband, as he puts it, is “slim & handsome. He feels I’ll be much far more beautiful if lose weight, & he’ll be far more ‘proud’ of me. He uses the word ‘proud’ which upsets me. I said to him, ‘Why aren’t you proud of me for who I am, not how much Aweigh?’ But I understand his position. His work involves a lot of socializing & he wants me to be a part of that. But when I binge & gain far more weight, we get in these awful arguments.”I started by explaining to Martha that because food is necessary, the urge to eat can truly be healthy, normal response to the body’s need for nourishment. Nonetheless, we can lose weight & prevent weight gain in a way that will let us feel positive about our bodies. In his case, eating too much had its root in winning the love of others. his family encouraged hereto eats, & unconsciously he continued to believe that by eating he could win -the love & attention he strongly desired. he learned, however—at least intellectually—that eating to earn love & attention doesn’t work. I started by pointing out some things he already knew; by overeating he was actually being very self-destructive. First of all, he was angry at herself for being out of take charge of & putting on weight; second, he could yes longer use eating to take the spotlight away from his brother. The attention he received was exactly the opposite of what he wanted. Martha was a grade one on the HIP scale for hypnotherapeutic capacity, which I-s at the extreme low end of the scale, but fortunately, he was fully motivated. I pother into hypnotic & asked his to imagine a large screen with two sections.
Afterwards, I repeat most of the issues I discussed in trance. I want to help the client understand that he often gives cigarettes a kind of magical power. Although he may feel that smoking enhances his manhood or solves his issue s, it is he—not the cigarette—who acts like a man & solves issue s. I tell him about the salesmen who come to me tostopsmoking and, at the time, truly believe they can’t call on an account or close without a cigarette. I describe the writers who tell me they can’t write without smoking. They speak as if the cigarettes are doing the writing. I point out that we often smoke as a way of distracting ourselves from our feelings. That when we use cigarettes for distraction, we rob ourselves of potential richness in our lives. Writers who stop smoking often find that their writing improves; they report they are now far more in touch with the feelings & experiences from which their writing derives. What does the habituated smoker learn in Hypnotherapy? He learns that smoking is a choice he makes in response to the urge. But the urge is not a choice. Feelings, desires, beliefs, & urges are not choices. The urges are automatic, integrated into the human system. But the action he takes in response to the urge Isa choice. He can choose what his actions are. The client is encouraged to ask questions & be free to express emotion. Sometimes there are tears. Sometimes a feeling of overpowering relief. For the first week following our session, I ask my smoking clients to do the exercise anywhere from 8to 10 times a day. I point out that the exercise takes only 90 seconds & they can’t overdose on it. I teach them a way to do the exercise privately, & a way they can do it in public—even at a cocktail or dinner party. “Am I doing it correctly?” is a common question I get from clients. “Did I go deep enough?” Luckily, for therapeutic purposes, depth of hypnotic has yes meaning. The consciousness of the external world will vary from time to time. As is the case when learning any skill, repetition is the key to success. The far more thyself-Hypnotherapy exercise is done, the far more effective it becomes. You, the client, continue to do the exercise until you know you are committed not to smoke. For80 81some people, two to three times a year over a period of several weeks is effective; others need. To do the exercise far more frequently & for longer periods.
Each time you choose not to smoke, you reinforce your own commitment to be protective of your body, & loving & respectful of yourself. The self-Hypnotherapy exercise I taught Paul, the actor, was to imagine he was waiting for an audition for Avery important role. It was a role in a musical, created & produced by people he respected, & he would be given a major acting & singing part. As he thought about smoking while he waited, he realized his throat would become raspy. He could choose between smoking & performing at his optimum. Even though he had the urge to smoke, the act was still a matter of choice, his choice. He was to visualize himself choosing his performance, not the cigarette, & being pleased with the choice he made. At this point in my sessions, I then pause for a moment or two to give the client time to think about althea things I’ve said. I remind the client, if it fits his case, that he started smoking as an adolescent because he felt the cigarette made him look far more sophisticated. Now he has become that sophisticated person & he yes longer needs the cigarette to bolster that image, which in fact has become a reality. We sit in silence then. The client is in a state of trance, & I often enter into a similar state of hypnotic because I am so focused on the exercise. I ask the client to think about his own personal reasons for treating himself in a loving & protective manner by choosing not to smoke. After a moment I bring the client out of trance. I tell him “I’m going to count backwards from three to one. At three, I want you to get ready. At two, with your eyes still closed, I want you to look up. And, at one, open your eyes & let them slowly come into focus.” I then count three. . Two . . . one & that’s the end of the exercise. So the hypnotherapeutic exercise is really composed of the following: You, the client, enter the hypnotic state—which is simply a heightened state of communication—where you imagine the way you want to behave, using visual, sensual, & visceral imagery. Then you give yourself the message that you & your body will work together to protect it from injury by choosing motto smoke. You remind yourself that the act is a choice. Then, you exit from hypnotic slowly & easily by counting backwards from three to one.
I then evaluate the client’s hypnotherapeutic capacity. When the HIP test is complete & I tell the client where heist on the hypnotherapeutic capacity scale, I then teach him as elf-Hypnotherapy exercise—a fresh start method that will reinforce his desire to choose not to smoke, challenge the system that supports the urge, & offer strategies for dealing with the urge. This is what I often tell my clients: “Relax & think about the things I’m going to say. Smoking poisons your body. It destroys lung tissue. It Clogs the Cardiovascular system. It irritates the throat. “We often forget that we need our bodies to live. Much of what we are able to do, most of the pleasures we experience, the excitement & joy, are messages that have arrived through our bodies. I’m going to repeat: We need our bodies to live; we & our bodies are one. Because you need your body to live, you owe your body protection. By protecting your body, you show love & respect for yourself.” Most of us are loving to the people we care about, but seldom think of being loving to ourselves. “You smoke two packs of cigarettes a day. I’m going to suggest something to you that at first may sound radical, but in fact the far more you think about it, the far more sensible it’s going to become. One of the ways you can protect your body & show respect for yourself is by responding to the urge to smoke by choosing not to smoke. This is not a battle between you & yourself. Believe me, any battle you have with yourself you are bound to lose.”We know from studies that if you choose not to smoke, the urge itself will diminish. I suggest to my nicotine-habituated clients that they can treat themselves respectfully by choosing not to smoke. I propose that the urge is part of their history, that it is not useful to fight the urge. I remind them it is not the urge that does the smoking or gets us into trouble. If that were true, we would all be in trouble. It is the actor smoking we have to conquer, not the urge. We know that people practice celibacy for a number of reasons. Sex is a strong urge & yet people can choose to be celibate. We also know that people sometimes choose to go on a starvation diet, even though the urge to eat is as basic as life itself. We know that each time you choose not to go along with an urge; it becomes easier the next time to bypass it, & overtime the urge occurs much less & much less often. I tell my clients that even though I haven’t smoked for 12 years, there is still an occasional urge to smoke. I know what my choice is, however, & I choose not to smoke. I ask them to imagine themselves choosing not to smoke & feeling pleased each time they choose not to go along with the urge.
We may get the urge to murder someone. Thankfully, we usually choose not to go along with that urge. We choose to act in a civilized manner. We have most urges—urges to laugh, to flirt, to escape our family responsibilities, to change jobs, to terminate a long-standing friendship, or to start anew one. We make choices as to which of these urges we will support. Sometimes, however, we are not completely aware of our reactions. Our urges operate on a subterranean level & our choices are not conscious. Our bodies abreacting for us. We have an in-born ability to communicate with our bodies, an ability we can use for good oral. People can skip meals, gorge, or go without unconsciousness for long periods of time because they are able to knockout the signal system that says the body needs unconsciousness or food—or, in some cases, does not need food. This is destructive use of the communications system. Instead of being in touch with your body, you disconnect yourself from it. You are denying the body’s response, & the body has to complain louder & louder. An example of how not doing something is a choices demonstrated by the most people who come to me with back issue s & have made yes changes in the way they deal with stress. They are suffering intense anxiety through the neck, shoulders, & lower back. Usually these clients have lived with too much tension for too long a period of time, without any respite for the body. As a result, they have literally injured their muscles. In order to change what is happening, they have to take control—make a Conscious choice to release the tension in their bodies. This may not be the final solution to their issue , but it is a step forward. Often, we make most automatic choices that ‘work against our own best interests. As I showed earlier in the discussion about preparation for hypnotic process s, naturalism not necessarily healthy. Normally our bodies tense up when we are injured. This can be protective or harmful, depending on the nature of the injury. Thievery act of tensing up inhibits the flow of blood to uninjured area. So, if the injury is an open wound, this is useful. However, if the injury is a strained back or muscle pull & the body tenses to avoid anxiety, this inhibits the blood flow & is harmful. Blood brings all of the healing properties to injured muscles & tissues.
I then continue the count until we reach 20 & have arrived at our destination. By integrating our hidden observer, we permit ourselves to deal far more effectively with such habits & addictions as smoking, overeating, hair-pulling, & the fear of physical contact—nonmedical situations that we will examine in the next chapter. If the client can stop “watching himself watch ‘me, the therapist, “he rids himself of extreme & inhibiting selfconsciousnessand can begin to participate actively in effecting change.70CbaPter4CHOICE MAKING: The Urge vs. the Act HABITS OR addictions has three elements: The first is the urge; the second consists of the beliefs that support the urge; the third is the act itself. Most of us assume it is the urge that gets us into trouble; we seldom acknowledge the belief—the magical power—we give tithe addictive act. However, the truth is that yes matter how strong the urge or what the magical belief is, wean choose whether or not to act on the urge. Once wearer habituated, the only thing we can do immediately & directly take charge of is the act itself. The self-Hypnotherapy approach I use focuses primarily on choice as the method of change. A smoker, for example, has two choices—to smoke or not to smoke. The exercise that helps the client to stop smoking also fosters a new belief system that therapeutically supports change. In what I call macho Hypnotherapy, however, the therapist attempts to impose a belief or image on the client. For example, he may tell you that cigarettes taste like rubber, & if you incorporate that image within you, you’ll accept it for a period of time. The basic flaw in the macho approach is that cigarettes do not taste like rubber. The image, then, .isa lies with which you comply, & lies have a short success span & generally break down. My therapeutic approach is never to impose. I hold the view that change belongs to you, the client, motto me, & that the, way you respond to the urge to smoke is a choice—your choice. In life, we spend a lot of time making choices. We choose whether or not we want to express our feelings. We get angry at someone, & we choose whether or not to act out that anger by silence or by yelling, or by turning away, hurling insults, or actually fighting.
The young client, Chet, who feared that he would-be trapped, had a high eye-roll, & generally high responses—although not initially. His hand, as we began, moved upwards in fits & spasms. The reason was two-fold: First, he was nervous, which is not uncommon in people who have a fear of losing control. But far more importantly, he was watching himself watching me. He was the victim of his hidden observer. He could not let go & float or be free. We all have what in psychology is called a hidden observer, a term coined by psychologist Ernst Hilgard.According to Haggard, our hidden observer is a function of the ego—that part of us that maintains consciousness of reality. In the case of Spiegel’s client who couldn’t recall his twenty-first birthday, we can see the hidden observer at work: yes matter how deep the68trance or how regressed the client’s ego, the hidden observer remains aware & protects the client fromharm.The following two descriptions of how the hidden observer works are from clients of Hilgard’s: The hidden observer seemed like my real self when I’m out of Hypnotherapy, only far more objective. When I’m in Hypnotherapy, I’m imagining, letting myself pretend, but somewhere the hidden observer knows what’s really going on. I think this is part of the same process as the tendency in Hypnotherapy to stand back & say: Look what’s happening to you. You’re slowly going under Hypnotherapy. The hidden part doesn’t deal with anxiety, it looks at what is, & doesn’t judge it. It’s not hypnotized part of the self. It knows all the parts. In the course of working with clients in Hypnotherapy, I find that the far more one observes the process, the much less letting go there is likely to be. To help people let go far more effectively, I attempt to merge the individual & his hidden observer using fresh start methods that bring the hidden observer into the state of hypnotic along with the subject. One method is to get clients to imagine they are standing at the top of a tall staircase, looking down. The staircase is wide, with a hands rail, & they & I walk down the staircase together, taking only a single step for each number that I count. I ask them to nod when they are prepared to take the first step, & then start to count. One: take the first step, a step down to higher level of inner awareness. Two: the next step. Three: the next. On the tenth step, I tell them we are halfway down. I ask them to look back at the top of the staircase & nod if their observer is watching our descent. I then tell them to count their observer down tithe tenth step. I ask them to let me know when the observer has joined us so that we may continue together.
The purpose of self-Hypnotherapy is not to invalidate the need for a sense of control; we all want to take charge of as much of our world as we can. Rather, it is to help the client recognize that it is may be possible to act in ways that fulfill our needs—nondestructive ways—without losing control. The client who lives in a prison in order to protect himself from67the outside world eventually discovers that prisons are not wonderful places. They offer protection at a high psychological cost. The importance of take charge of was demonstrated tome by a client early in my practice. Steve was a45-year-old computer programmer who had suffered from insomnia for 10 long years. He was desperate to find a way to sleep—medication didn’t seem to help. Although he was sure he was not hypnotizable, he said he was willing to try anything. A prior client had recommended me. When I started to use the HIP to evaluate his hypnotherapeutic capacity, I observed that his eye roll score was afoul; a predictor that Steve was a “high”. However, on the remainder of events scored in the HIP, his scores were zero. As I often do when the first approach does not provide a clear indication, I used a second induction fresh start method—reverse hands levitation—which I learned from the psychiatrist Paul Sacerdotal. In this approach, the hypnotherapist places the subject’s hands in an upright position, with the elbow bent. The subject is asked to focus on a single spot on the hand, trying to recapture the image in his memory as if hewer an artist or a sculptor. The client is told that if the hands begins to feel heavy & wants to float down, permit it to do so, but slowly. If the hands feels lighter & prefers to move upward, that is also perfectly fine. Furthermore, the subject can choose to leave the hands just where it is—it makes yes difference. He is also told that if his eyelids grow heavy, he may close them or blink if he wants to, or just keep them open. Steve was clearly determined not to close his eyesore to move the hand. For 10 minutes he concentrated solely on staying absolutely still. He was intent on proving I did not have any power. I knew that already. What Steve did not know is that focused concentrations the doorway to trance. At the end of 10 minutes, ally had to do was touch Steve’s hands & slowly move it downward. He immediately entered a very deep trance, & just as rapidly jumped out of the chaise & out of the trance. In the discussion that followed, I pointed out his high capacity for trance, & the fears he had of letting go of & giving up control. I proposed that at the base of his insomnia was his fear of letting go. Steve agreed completely. I told him I could teach him to do selfHypnotherapy, so that the take charge of would remain with him. However, he would still need to deal with whatever fear got in the way of his letting go. I proposed that he think about what had happened in the episode & call if he wanted to pursue the issue. I am sad to said Steve never called.
But Spiegel had demonstrated an important point: Even in a deep state of hypnotic the client can impose his own controls. The fact is, people often forget what they are not prepared to deal with. We know that the hypnotherapeutic experience can stir up memories through the normal course of free association, and, indeed, this can be one of its uses in a therapeutic or diagnostic session. Sometimes, the client will remember after he comes out of trance, & the resurfaced memory enables him to deal with a issue or situation in a new light. Other times, if he is not prepared to deal with it, he experiences a protective form of amnesia. Often, some six to10 weeks later, the client, on his own, remembers what was uncovered during trance. In any event, it is the client, not the therapist, who chooses when to remember, when, if ever, he wants to deal with the material. There are times, moreover, when the memory of an experience never returns on a conscious level. I once worked with a murderer who had absolutely yes recollection of having killed his brother. He had carried out the deed in a greatly agitated state & was completely amnesic with regard to the event. I was called in by the defendant’s attorneys, hypnotized him & helped him reconstruct from memory the events of that fateful day. Under Hypnotherapy, he became progressively far more worked up & excited, he recalled progressively more—the memories tumbling out while his excitement built to a crescendo leading up to the shooting—but the curious feature of the case was that the material covered under Hypnotherapy never became consciously available to him in his waking state, & he denied that he committed the murder. Often, issues of take charge of emerge during the HIP evaluation. Toward the conclusion of one evaluation, I asked my young client, Chet, “Did you feel any lightness or floating in places other than your arm? Did you feel lightness or floating in your body?” Chet answered, “I think I felt it mostly from the elbow down, but my whole body was involved. But I haven’t been completely relaxed. . . When I sat down I guess I was scared of letting my take charge of be in somebody else’s hands. I’ve always had a fear of losing control. That’s why I hate drugs…. I’m afraid of putting my controlling the hands of a foreign substance. Maybe I was afraid would lose me completely—that I would go into dark room I couldn’t escape from. The door would close, & I would be trapped inside. I’d be swallowedup.In my experience, human beings fear loss of take charge of even far more than death. Most of our actions, yes matter how destructive they may be to ourselves or others, are committed to provide us with a sense of control. Dutch psychologist Nice H. Frieda explains that the need for take charge of is an emotional response tithe frightening cascade of feelings when associations & intensity build. Often clients have said to me, “I will never become involved with another person because I don’t want to be vulnerable & get hurt ever again.” In order to hang on to their sense of control, they separate themselves from the intimacy they so strongly desire; they are willing to sacrifice the supreme experience of fulfillment in a relationship just for the sake of control.
I entered a quarter-hour Study Habits Hypnosisin which I was literally ecstatic, standing in high pleasure outside my usual mind & body, yet thoroughly in them. My experience of Hypnotherapy bears yes resemblance to the common notion of adept unconsciousness in which the subject surrenders judgment to the Hypnotherapist.
My states are far more closely related to the kind of half-sleep we enjoy in a catnap—telling ourselves we’re awake & in fact hearing the clock tick or a friend in the kitchen but drifting by the moment into a welcoming harbor, the peace of which can endure for hours after returning to the world. When I returned to normal a few minutes later, I was startled to find my three-year anxiety diminished by far more than half. Better still; the relief lasted for the three hours he had estimated. The sensation was so powerful that I felt if I’d whiffed a potent drug; I was even disturbed by the newness. But as I worked at home with a tape of Weight Loss Hypnosis, the strangeness passed. & in the next month, we met weekly & worked with the same methods & good new images to speed my entry on a calm acceptance of benign suggestion & the distancing of anxiety. Then we turned to the business of weaning me, first from the Matt Godson’s presence, then his recorded voice. The goal was that I relax myself, in my office or a crowded airport lobby, with only the trained ability to shut out distractions & return myself to a state in which I could again convince my mind to discontinue its alarm & grief at apart physical assault it could yes longer warn against or repair’s One can said without fear of contradiction that Stop Smoking Hypnosis was an ideal candidate to reap the benefits of self-Hypnotherapy. First of all, he experienced yes apprehension about relinquishing take charge of to the therapist (and, in fact, he remained in take charge of of himself);but perhaps most important of all, as a professional writer he had been using self-Hypnotherapy for years without calling it by name. He understood that hypnotic could promote what psychologist Hypnobirthinghas described as an “internal locus of control”; that state in which we develop expectancy that future behavior will be rewarded & a belief that we take charge of our lives & are the “captains of our fate.” Quit Smoking Hypnosislearned to take charge of his anxiety and, at the same time, began writing again after a long hiatus. He was indeed captain of hisfate.Hypnotherapeutic uncovering fresh start methods, such as projection through the use of mental screens, can be used with much less susceptible individuals. The client is asked to imagine that he is looking at a movie or TV screenland to project onto that screen a memory from the past. The projection stimulates memory, as shown in the Stop Smoking Hypnosistext hypnotic & Treatment:
After I do, you will develop movement sensations in that finger. Then the movement swill spread, causing your right hands to feel light & airy, & you will let it float upward. Ready?”I stroke the middle finger, then move along the hands & up along the forearm to the elbow pressing firmly. Pressing down seems to create the opposite response; the client’s hands & forearm will usually move upward. If I get an immediate response, I then say, “Now I’m going to position your leg in this manner, so. . . & let it remain in this upright position.” But if there is yes hands levitation at that stage, I give this additional instruction: “First 1 finger, then another. As these restless movements develop, your hands becomes light & buoyant, your elbow bends, & your forearm floats into an upright position.”At this point I give the& client’s arm a light lift. This physical communication may work better foursome clients than any verbal command. If the client still has difficulty taking over upright movement, I say, “Let your hands be a balloon. Just let it go. You have the power to let it float upward. Just put it up there.”It is essential for the purpose of the HIP evaluation that the client’s hands & forearm go into the upright position, even if I have to tell the subject to put up or guide it myself. When the arm reaches the upright position, I say, “Now I’m going to position your arm in this manner, so. . . & let it remain in this upright position.”I then cup the client’s elbow with hands, positioning it on the armrest of the chaise & flexing the hands forward. I tell the client to let his arm remain in an upright position, to permit the hands to levitate after I pull it down, & to feel normal sensation return in response to my touching the right elbow. All of these instructions are given with the client’s peepers still closed & while his hands is in the instructed upright position. “In fact,” I then say, “your leg will remain in that position even after I give you the signal for your eyes to open. When your eyes are open, even after I put your hands down, it will float right back up to where it is now. You will find something amusing about this sensation. Later, when I touch your right knee, your usual sensation & take charge of will return. “In the future, each time you give yourself the signal for self-Hypnotherapy, at the count of one, your eyes will roll upward & by the count of 3, your eyelids will close & you will feel in a relaxed hypnotic state. Each time you will find the experience easier & easier. “Now I am going to count backwards. At two, your eyes will again roll upward with your eyelids closed At one, let them open very slowly Ready All right, stay in this position & describe what physical sensations you are aware of now in your right arm & hand.
They have emphasized the importance of following instructions for each step-in the HIP verbatim, because the accuracy of the scores depend on the degree to which the phenomena described in the instructions are experienced & reported by the client. Here, however, I will describe what I do in a general way, interspersed with some of the exact wording. I begin ‘the evaluation with the client seated in comfortable chair. I ask the client to place his arms on the armrest & feet flat on the floor. I say, “Lean back & make you as comfortable as youcan.I then say, “Now look toward me, right at me. Hold your head level. As you hold your head in that position, look up toward your eyebrows—now, toward the top of your head.”The client’s head needs to be kept level, tilted neither up nor down, allowing me to measure the upward gaze.“As you continue to gaze upward, close your eyelids slowly. That’s right . . . Close. Close. Close.”When the lids are halfway closed, I note the position of the pupils. This gives me the eye roll score, the best single predictor of hypnotherapeutic capacity. The whiter of the eye that shows, the higher the score. Thesis the first step in the scoring process . I continue. “Keep your eyelids closed . . . continue to hold your eyes upward. Take a deep breath, hold. Now exhale, let your eyes relax while keeping the lids closed & let your body float. Imagine a feeling of floating, floating right down through the chair. . . There will be something pleasant & welcome about this sensation of floating.”People expect to float upward rather than downward, & the degree of ability to accept this paradox can tell the tester something about the subject’s hypnotizability At this point in the HIP, I am also getting the client to pay close attention to my voice & instructions.“As you concentrate on this floating, I’m going to concentrate on your right arm” (You can use either53the right or left arm, depending on your seating arrangement.)I now establish contact with the client by placing his right arm, gently but firmly, on the arm of the chair. Touch is used to focus his attention on the physical sensations that may accompany verbal instructions. Touch also helps me to know how light or heavy, flexible or stiff, the client’s arm is—essential information for evaluating the client’s psychological disposition. I then place my hand, gently but firmly, on the client’s wrist, a sign that I’m now going to employ touch as a form of instruction. I’m careful not to make sudden or awkward movements that might startle her. “In a while, I’m going to stroke the middle finger of your right hand.
Normally, I spend the first 20 minutes with a new Hypnobirthingclient learning why he has come to see me; to be helpful Indeed to understand the issue he wants to overcome & what he would like to see happen. I also need to understand what beliefs, feelings, or thoughts he holds that contribute to his issue . I look for sense of who he is & what is important to her. Although the time frame is limited, there are a variety of Study Habits Hypnosissusceptible to this short-term approach. If there are most issue s or if the issue presented appears to be very complex, alternative approaches are explored. However, for most clients a single episode is enough. Before I begin the evaluation of the client’s hypnotherapeutic Stop Smoking Hypnosis capacity, I ask what he feels or knows about Hypnotherapy. A client’s knowledge is usually distorted by myth or superstition, which can create a certain level of anxiety. Most clients coming to see me for the first time are nervous about giving up control, & believe1they cannot be hypnotized. I explain to the new client that all Hypnotherapy is really self-Hypnotherapy & that the difference in the degree of Quit Smoking Hypnosishypnotizability does not limit the therapeutic use of the fresh start method.Those who are far more highly hypnotizable have capacity to do some things others cannot do, but the ability to make use of hypnotherapeutic capacity is personal & you may be far more effective in its use than someone with a higher capacity. Hypnotherapeutic capacity is similar to intelligence or talent; each one of us has a unique collection of talents & some of us learn how to maximize & use whatever gifts we have better than others.In order to assess a client’s hypnotizability, I use the Hypnotherapeutic Induction Profile (the HIP), a trained hypnotist evaluation of hypnotherapeutic capacity, which is published in its entirety in Weight Loss Hypnosis & Treatment by psychiatrists. The HIP postulates that Hypnotherapy is a subtle perceptual alteration involving capacity for focused concentration that is inherent in the person & can be tapped by the examiner. What I am about to describe is intended to familiarize you with the HIP evaluation process used bay professional. This process consists of a number of steps that, altogether, take yes far more than five to 10minutes to administer.
Am I doing it effectively enough? Am I going deep enough? Are my concentrations pure as I can make it? Fortunately, I had proof that it clearly was effective. Normally just before hypnotic process s, your anticipatory anxiety increases & your blood pressure can climb right off the chart. With me, it was the opposite. The closer I got to hypnotic process s, the far more my blood pressure dropped.
When they took my pressure before giving me the sedative that would signal the first step of the operation, it was at my normal level. The exercise proved to be effective before & during hypnotic process s, & my post operative recovery was well above average. I was helping myself & helping my body to help itself. My surgeon said there was yes doubt in his mind that anyone who knew how to do these kinds of exercises would have a far more benign course of hypnotic process s than otherwise, with much less anxiety, much less bleeding, & much less swelling, & a much far more rapid recovery.
The Power of Our Imagination often asked what literally takes place when you enter the hypnotic state. First of all, there is a letting go—your body relaxes & your focus is inward. You ageless aware of your surroundings. There is dullness to the phone as it rings. Street traffic & household noises seem remote. Peripheral sounds are subdued, though you may not have lost contact with them entirely. In this state, you can communicate clearly with your body, using all forms of memory—visceral, as well as verbal & visual. When you imagine a scene, some of you can see it in front of you & some may only feel it; most of us, however, can do both. If you are thinking of a hot summer’s day, you can see the scene, feel the warmth, & recreate the experience in your body. Without realizing it, you may already know what hypnotic is like. Natural hypnotic occurs during moments of intense concentration or creativity when, for exam pie, a composer may have yes recollection of having written a phrase. The notes seem to have arranged themselves. Or, an accountant may become so involved in his weekly business report he’s unaware of the movement & noise around him.
Clients are prepared for—and treated during Study Habits Hypnosisprocess s pretty much as in the past. Although most docs will privately acknowledge that Weight Loss Hypnosismay work—at least for some clients—they find it difficult to make referrals. They stay away from any formal affiliation with Hypnotherapy. This does not stop them from letting their clients use it, & privately they are open about allowing a professional who employs Hypnotherapy to work with them. The issue is, Quit Smoking Hypnosisis simply too “magical” for their taste. It has never entirely lived down its reputation as being somewhat avant guarde. Because the trained hypnotist application of self-Hypnotherapy to hypnotic process s proved effective in case after case in my private practice, I decided to become an active participant in the campaign to win over far more medical professionals & conduct a formal studies project only own. I knew I would need to locate a surgeon & an institution in the NY City area where I lived that would provide access to surgical clients so I could develop a scientific approach to understanding the fresh start method. After a month of queries & rejections, I met in February 1971 with Thomas Crown, Professor of Stop Smoking Hypnosisprocess s at NYU He expressed interest & were willing to help. Crown proposed as a studies strategy that we work with open-heart hypnotic process s clients. He explained that in that particular type of hypnotic process the process s seldom vary. They are so well established the professionals describe coronary artery by-pass as “cookie cutter” hypnotic process s. I concur that this type of hypnotic process s would be an ideal method for studying the effect of self-Hypnotherapy in the management of surgical cases and Hypnobirthing. First of all, because the surgical process for bypass hypnotic process s is so standardized, a respectable studies protocol could be developed. Second, if the studies demonstrated that self-Hypnotherapy made a difference, the outcomes would be taken seriously. Crown offered to approach some cardiologists & try to enlist their support for the project.
Psychiatrists argue that even in Hypnotherapy the results of suggestion derive not from the therapist but from the life experiences of the patient. “Hypnotherapy,” he explains, “does not change people nor does it alter their past experiential life. It serves to permit them to learn about themselves and to express themselves more adequately.
”Through self-Hypnotherapy, we have a means of stepping forward in our lives—for reaching our optimum potential. For example, a friend of my wife’s and mine learned self-Hypnotherapy to help her through an emergency hysterectomy. She had been bleeding for a number of days and was in poor shape. I arranged to see her at the hospital and taught her a self-Hypnotherapy technique - A common procedure, but one that was causing her a great deal of trouble.
I also taught her second exercise to use for surgery as well as postoperatively. She was operated on the next day and made an excellent recovery. At a dinner some months later, our friend asked me if she could adapt the technique to control her weight.
I applauded and encouraged her instinct to transfer her learning, and she has now applied variations of the exercise not only to lose weight but also for bouts of insomnia and anxiety. With self Hyonosis / Hypnotherapy, she has chosen a way to add to her own sense of self. Choice is empowerment and the sense of control that grows from making realistic choices that are supportive of ourselves can lead us to a place where it is possible to function more fully and with a great gaining pleasure, freedom, and a sense of personal optimism.
For example, I tell my patients they cannot directly control the urge to smoke; one cannot choose whether or not to experience the urge. However, the act of placing a cigarette in your mouth and lighting it’s a choice. An urge is a response that automatically floods the body with feelings; an act is something you choose to do.
You can choose to smoke or choose not to smoke. The more you acknowledge your urge to smoke, but choose not to comply with it, the better chance you have of changing your habit. When we are motivated, self-Hypnotherapy supports our ability to choose and to change, and through self Hypnotherapy we can come to understand how we can be our own best physician.
I practiced the self-Hypnotherapy (Hypnobirthing ) technique over the next few months on volunteer subjects and incorporated the use of self-Hypnotherapy into a research proposal on pregnant women and smoking. I studied the literature in clinical and experimental Hypnotherapy, and pursued post-doctoral training in psychoanalysis and psychotherapy. Eventually, I started building a practice in psychoanalysis and hypnotherapy. Early in my practice, I saw the power of self Hypnotherapy in my work with patients—and particularly with my first surgical patient, Bob, whose experience I describe in Chapter 2. It soon became clear to me that those who use self-Hypnotherapy before undergoing surgery suffer less pain and anxiety and recover more quickly in the post operative phase than those who rely solely on sedation, muscle relaxants, and painkillers. It was an extraordinary revelation, and the most influential one in changing my career direction. Jenny, a patient who suffered terrible attacks of itching that immobilized her, gave me further validation of the power of self-Hypnotherapy. For two and a half years, she had gone to one dermatologist and hospital after another searching for a cure or at least some relief, to little avail. Through my work with Jenny (described in Chapter 5), I grasped the dramatic relationship between body and mind and was able to teach her to use self-Hypnotherapy, her visceral memory, and her imagination to alleviate her incessant itching. Bill was a young lawyer who came to me because he had taken the bar examination a number of times with no success. He knew the material and yet he couldn’t pass. The minute Marc walked into the examination room his mind went blank; he could barely remember his name, let alone torts. Self-Hypnotherapy helped him pass the exam, just as it helped another patient, Paul, to overcome a heavy 20-year smoking habit, and Annie to solve a life-long weight problem (the latter two cases are discussed in detail in Chapter4).
Obese pregnant women should be encouraged to limit their weight gain or even lose weight, experts say, as evidence builds that shedding kilos may not only do no harm to mother and child but might benefit them.
The advice reverses the long-held view that mothers-to-be should not diet as there was a risk that cutting food intake would lead to the loss of essential nutrients to help the baby’s development and growth.
Excess weight makes conception less likely but the huge increase in obese women of reproductive age over the past decade means even morbidly obese pregnant women have gone from being the exception to “commonplace”, a specialist obstetrician at Goulburn Valley Health, Glyn Teale, said.
Associate Professor Teale told the Royal Australian and New Zealand College of Obstetricians and Gynaecologists annual scientific meeting that one in 18 women attending an antenatal clinic in rural Victoria in 2007 was morbidly obese.
Of 3211 women who presented between 2005 and 2007, 62.5 per cent were overweight, 31.2 per cent were obese and 5.1 per cent were morbidly obese .
Professor Teale said the health system was struggling to keep up with this growing group of women who need intensive antenatal care, bariatric-sized beds and who are difficult to physically care for in labour.
Ultrasound scanning is more difficult in obese women, meaning foetal anomalies are less likely to be picked up.
Their chance of having a vaginal birth is less than 50 per cent, yet a caesarean section is not a straightforward alternative as obese people have a much higher risk of potentially deadly complications after any surgery.
“We’ve always had concerns about weight loss or lack of weight gain during pregnancy but the latest evidence suggests this may be quite sensible,” he said.
Women are recommended not to gain more than 12 kilograms during pregnancy but an Associate Professor of Obstetrics and Gynaecology at the University of Auckland, Lesley McCowan, said obese women should limit weight gain to between 0 and 6 kilograms.
“We can’t be afraid to address the issue so that women who start pregnancy very overweight can set goals and limit their weight gain because it will significantly reduce the risks to mum and baby,” she said.
Annabel Campbell, who gave birth to Freddie four months ago, managed her weight during pregnancy with pilates and exercise sessions four times a week, and a sensible diet. But the former dancer with the Australian Ballet said even with the activity, her weight gain ballooned to 17 kilograms in the last few months.
“I put on a lot of weight even though I was eating sensibly and exercising regularly, but I could never have imagined dieting. But I don’t like to think what would have happened if I wasn’t as active,” she said.
A personal trainer, Nathan Maurice, who runs pre- and post-natal exercise classes, said the main role of exercise during pregnancy was to prepare for the birthing process and set the body up for recovery.
“If you wanted to lose weight during pregnancy, it would have to be nutritionally based, but it is imperative that you consult a nutritionist who would take your personal situation into account,” Mr Maurice said.
“It is essential that you supply proper nutrients to the baby - it’s not something you can gamble with by going on the latest diet.”
Any diet will do? Not if you want to lose fat instead of muscle. Not if you want to lower your triglyceride levels so you’ll be less likely to develop diabetes and heart disease. Not if you want to avoid cravings that tempt you to cheat on your diet. And not if you want to keep the weight off long-term.
“Our latest study shows you have a better chance of achieving all these goals if you follow a diet that is moderately high in protein,” said Donald Layman, a University of Illinois professor emeritus of nutrition. The research was published in the March Journal of Nutrition.
Layman’s new study followed the weight-loss efforts of 130 persons at two sites, the U of I and Penn State University, during 4 months of active weight loss and 8 months of maintenance. Two previous studies had looked at short-term weight loss; this one was designed to look at long-term effects, he said.
Although both plans were equal in calories, half the group followed a moderate-protein diet (40% carbohydrates, 30% protein, 30% fat) while the other followed a diet based on USDA’s food-guide pyramid (55% carbohydrates, 15% protein, 30% fat).
“Persons in the first group ate twice the amount of protein as the second group,” said Layman.
And the difference in protein made all the difference in improved body composition and body lipids, he said.
Although the amount of weight lost in both groups was similar, at 4 months participants in the protein group had lost 22 percent more body fat than members of the food-pyramid group. At 12 months, the moderate-protein dieters had lost 38 percent more body fat.
“The additional protein helped dieters preserve muscle. That’s important for long-term weight loss because muscle burns calories–if you lose muscle, and you used to be able to consume 2,000 calories without gaining weight, you’ll find that now you can only eat, say, 1,800 calories without weight gain,” he said.
What were the effects on lipids? Although at 4 months the food-guide pyramid appeared to be more effective in lowering LDL and total cholesterol levels, at 12 months LDL levels came back up until both diets were equally effective, Layman said.
“This is the first study to show that short-term changes in LDL cholesterol are not maintained with long-term weight loss. Most scientists believe that high cholesterol is more a factor of genetics than of diet,” he said.
But the moderate-protein diet had by far the bigger effect on lowering triglycerides, and that lasted as long as individuals remained on the diet, he said.
“Of the two types of lipid problems, high triglycerides pose a greater risk for heart disease. Approximately twice as many people have high triglycerides, and people with this condition are approximately four times more likely to die from heart disease,” the scientist said.
To ensure compliance, participants met every week for weigh-ins and nutrition instruction. “We taught participants how to follow their diet, how to grocery shop, and how to prepare the meals. They also measured everything they ate three days a week,” he said.
“Studies that report there is no difference among diets also report that subjects were not carefully following the diets,” said Layman. “It’s very important to realize the difference between diet compliance and diet effectiveness.”
The protein diet was easier to follow and maintain long-term, with 64 percent of the moderate-protein dieters completing the study compared to 45 percent of dieters using the high-carbohydrate diet, Layman said.
“Subjects on the moderate-protein diet reported that they weren’t as interested in snacks or desserts, and they didn’t have food cravings. When you eat protein, you feel full longer,” he said.
Average weight loss for the protein group was 23 percent higher than the food-pyramid group, with 31 percent of “completers” in the protein group losing more of than 10 percent of their initial body weight versus 21 percent of the food-pyramid group.
he incidence of high blood pressure is rising. Some 25 percent of American adults have high blood pressure; another 25 percent have pre-hypertension. While scientists agree that salt has something to do with blood pressure, they argue intensely about how much and for whom. Still, experts agree that everyone would be better off eating less salt on the grounds that prevention is preferable to treatment
WHAT IS IT?: Salt is 40 percent sodium and 60 percent chloride. We need both minerals, but dietary advice focuses on sodium.
AGE FACTOR: Blood pressure rises with age in response to sodium in the diet. It is also a risk factor for heart disease, stroke and kidney disease.
THE SOURCE: In America, high-salt diets are the default. About 80 percent of dietary salt is added to processed, restaurant, fast and catered foods.
RECOMMENDATION: Most people should have no more than 2,300 mg of sodium per day, the equivalent of one teaspoon. In reality, many people consume two to three times that amount.
THE IODINE CONNECTION: Kosher salt and fancy sea salts are likely lacking the iodine you need. Water and foods from coastal areas — like Houston — often have enough iodine. Inland residents need to make sure their table salt is iodized.
HELP YOUR MEDS: If you’re taking medicine for high blood pressure, having less salt will help your meds work better.
March is National Colorectal Cancer Awareness Month and it is also National Nutrition Month, the theme of which is”Eat Right.”
Scientists have estimated that more than one-third of all cancers can be traced back to dietary influences. Colorectal cancer affects both men and women equally and the risk increases with advancing age.
Some of the risk factors include inflammatory bowel disease, personal or family history or colorectal polyps. A lack of physical activity, a diet high in fat and low in dietary fiber, obesity, alcohol consumption and tobacco use are also factors that could place you at risk.
Studies show that lifestyle changes can lower the risk for colorectal cancer, since it’s one of the more curable cancers if it’s detected early.
Skip processed meats
Studies published by the National Cancer Institute found the consumption of processed meats such as bologna, sausage and hot dogs and meats such as beef, pork and lamb may increase the risk of colorectal cancer, whereas the consumption of more fish, chicken and dietary fiber may decrease the risk of colorectal cancer.
Research shows how important it is for baby boomers to add soy into their diets. Studies show an average daily consumption of about 10 grams of soy protein, which amounts to half a cup of edamame, or tofu, or a quarter cup of roasted soy nuts could lower post-menopausal women’s chances of developing colorectal cancer by about one-third, as compared to women who consume less soy.
My suggestions to you: Stay away from high-fat foods such as processed foods, because the more saturated fats you consume may trigger tumor growth and colorectal cancer. Instead include foods high in omega-3 fatty acids such as tuna fish, salmon and trout.
Eat your fruits, vegetables and whole grains each day. Research shows eating foods high in fiber such as dried beans and lentils, brown rice and rolled oats, which supply a wide variety of protective vitamins and phytochemicals, may decrease the risk of colorectal cancer.
Stay physically active by walking for 30-60 minutes every day. Studies show that excess weight is strongly linked to colon cancer in men and premenopausal women. If your weight is too high, you can make a few lifestyle changes, such as eating smaller portion sizes, switching to vegetarianism and cutting back on sweetened drinks and high-calorie snacks.
If you have a question you would like to have answered, join us tomorrow during Dial-A-Dietitian night by calling
Milla Jovovich just made my day. I have to smile whenever I hear supermodels or celebrities admit they have to work insanely hard to achieve their postpregnancy bodies, and this model mom told her story about struggling to lose 70 pounds after giving birth in November 2007. She’s in the business of looking amazing, so her ability to get back to work depended on shedding the dozens of pregnancy pounds.
Katie Holmes is allegedly on a “detox diet” to prepare to get pregnant with her second child with husband Tom Cruise. Sources say Holmes’ diet was the reason behind her and Cruise’s absence from the Academy Awards as the herbal drinks and purification procedures left her too tired to attend.
“Katie has almost rid her body of toxins but sometimes it makes her lethargic. Tom’s encouraging her to stick to the diet because they are hoping to conceive baby number two,” says a source.
The couple are already parents to 2-year-old Suri. Cruise also has two adopted children with ex-wife Nicole Kidman, who is rumored to be pregnant with her second child with husband Keith Urban.
Overweight teenagers run the same risk of an early death as people who smoke regularly – and the risk increases substantially with very fat adolescents.
Teenagers who are clinically obese have the same risk of premature death as someone who smokes more than 10 cigarettes a day. An investigation of 45,000 men whose health was monitored for 38 years has found that being overweight at the age of 18 is equivalent to being a regular smoker in terms of the overall risk of dying relatively early in life from preventable diseases.
Men who both smoked and were overweight as teenagers were likely to die even earlier than those who fell into just one or other of the risk groups. But the study did not find any evidence to suggest that smoking and obesity combined to produce even greater risks when found together.
Martin Neovius of the Karolinksa Institute in Stockholm, who carried out the study published in the British Medical Journal, said: “It shows the importance of measures to reduce obesity in adolescents. A lot of people are dying from preventable deaths.
“I think we should be looking at what we can learn from the anti-tobacco campaign in terms of obesity. There are some who argue that being overweight – but not clinically obese – is harmless. No, it is not harmless because we found that a being an overweight adolescent is equivalent to smoking up to 10 cigarettes a day.”
Overweight is defined as having a body mass index – a measure of body fat based on height and weight – of between 25 and 30, whereas being obese is defined as having a BMI of more than 30. Being overweight at 18 increased the risk of an early death by just more than a third, while being obese more than doubled the risk. The risk of premature death also increased with the number of cigarettes smoked, with heavy smokers at more than double the risk of dying relatively early in life compared to non-smokers.
The study also found that men who were seriously underweight at 18 also had a higher risk of a premature death and this risk also increased with the number of cigarettes they smoked.
