Hypnosis
If you’ve ever watched a stage hypnotist perform, it may paint a misleading portrait of this state of consciousness. The hypnotized people on stage, for example, appear to be in a state similar to sleep. However, as the hypnotist continues with the show, you would recognize some profound differences between sleep and hypnosis. Namely, when you’re asleep, hearing the word “strawberry” doesn’t make you flap your arms like a chicken. In stage performances, the hypnotized participants appear to be highly suggestible, to the point that they are seemingly under the hypnotist’s control. Such performances are entertaining but have a way of sensationalizing the true nature of hypnotic states.

People being hypnotized on stage. [Image: New Media Expo, https://goo.gl/FWgBqs, CC BY-NC-SA 2.0, https://goo.gl/FIlc2e]
Hypnosis is an actual, documented phenomenon—one that has been studied and debated for over 200 years (Pekala et al., 2010). Franz Mesmer (1734 – 1815) is often credited as among the first people to “discover” hypnosis, which he used to treat members of elite society who were experiencing psychological distress. It is from Mesmer’s name that we get the English word, “mesmerize” meaning “to entrance or transfix a person’s attention.” Mesmer attributed the effect of hypnosis to “animal magnetism,” a supposed universal force (similar to gravity) that operates through all human bodies. Even at the time, such an account of hypnosis was not scientifically supported, and Mesmer himself was frequently the center of controversy.
Over the years, researchers have proposed that hypnosis is a mental state characterized by reduced peripheral awareness and increased focus on a singular stimulus, which results in an enhanced susceptibility to suggestion (Kihlstrom, 2003). For example, the hypnotist will usually induce hypnosis by getting the person to pay attention only to the hypnotist’s voice. As the individual focuses more and more on that, s/he begins to forget the context of the setting and responds to the hypnotist’s suggestions as if they were his or her own. Some people are naturally more suggestible, and therefore more “hypnotizable” than are others, and this is especially true for those who score high in empathy (Wickramasekera II & Szlyk, 2003). One common “trick” of stage hypnotists is to discard volunteers who are less suggestible than others.
Dissociation is the separation of one’s awareness from everything besides what one is centrally focused on. For example, if you’ve ever been daydreaming in class, you were likely so caught up in the fantasy that you didn’t hear a word the teacher said. During hypnosis, this dissociation becomes even more extreme. That is, a person concentrates so much on the words of the hypnotist that s/he loses perspective of the rest of the world around them. As a consequence of dissociation, a person is less effortful, and less self-conscious in consideration of his or her own thoughts and behaviors. Similar to low awareness states, where one often acts on the first thought that comes to mind, so, too, in hypnosis does the individual simply follow the first thought that comes to mind, i.e., the hypnotist’s suggestion. Still, just because one is more susceptible to suggestion under hypnosis, it doesn’t mean s/he will do anything that’s ordered. To be hypnotized, you must first want to be hypnotized (i.e., you can’t be hypnotized against your will; Lynn & Kirsh, 2006), and once you are hypnotized, you won’t do anything you wouldn’t also do while in a more natural state of consciousness (Lynn, Rhue, & Weekes, 1990).
Today, hypnotherapy is still used in a variety of formats, and it has evolved from Mesmer’s early tinkering with the concept. Modern hypnotherapy often uses a combination of relaxation, suggestion, motivation and expectancies to create a desired mental or behavioral state. Although there is mixed evidence on whether hypnotherapy can help with addiction reduction (e.g., quitting smoking; Abbot et al., 1998) there is some evidence that it can be successful in treating sufferers of acute and chronic pain (Ewin, 1978; Syrjala et al., 1992). For example, one study examined the treatment of burn patients with either hypnotherapy, pseudo-hypnosis (i.e., a placebo condition), or no treatment at all. Afterward, even though people in the placebo condition experienced a 16% decrease in pain, those in the actual hypnosis condition experienced a reduction of nearly 50% (Patterson et al., 1996). Thus, even though hypnosis may be sensationalized for television and movies, its ability to disassociate a person from their environment (or their pain) in conjunction with increased suggestibility to a clinician’s recommendations (e.g., “you will feel less anxiety about your chronic pain”) is a documented practice with actual medical benefits.
Now, similar to hypnotic states, trance states also involve a dissociation of the self; however, people in a trance state are said to have less voluntary control over their behaviors and actions. Trance states often occur in religious ceremonies, where the person believes he or she is “possessed” by an otherworldly being or force. While in trance, people report anecdotal accounts of a “higher consciousness” or communion with a greater power. However, the body of research investigating this phenomenon tends to reject the claim that these experiences constitute an “altered state of consciousness.”
Most researchers today describe both hypnosis and trance states as “subjective” alterations of consciousness, not an actually distinct or evolved form (Kirsch & Lynn, 1995). Just like you feel different when you’re in a state of deep relaxation, so, too, are hypnotic and trance states simply shifts from the standard conscious experience. Researchers contend that even though both hypnotic and trance states appear and feel wildly different than the normal human experience, they can be explained by standard socio-cognitive factors like imagination, expectation, and the interpretation of the situation.
Sleep

Sleep is necessary in order for people to function well. [Image: jaci XIII, https://goo.gl/pog6Fr, CC BY-NC 2.0, https://goo.gl/FIlc2e]
You may have experienced the sensation-- as you are falling asleep-- of falling and then found yourself physically jerking forward and grabbing out as if you were really falling. Sleep is a unique state of consciousness; it lacks full awareness but the brain is still active. People generally follow a “biological clock” that impacts when they naturally become drowsy, when they fall asleep, and the time they naturally awaken. The hormone melatonin increases at night and is associated with becoming sleepy. Your natural daily rhythm, or Circadian Rhythm, can be influenced by the amount of daylight to which you are exposed as well as your work and activity schedule. Changing your location, such as flying from Canada to England, can disrupt your natural sleep rhythms, and we call this jet lag. You can overcome jet lag by synchronizing yourself to the local schedule by exposing yourself to daylight and forcing yourself to stay awake even though you are naturally sleepy.
Interestingly, sleep itself is more than shutting off for the night (or for a nap). Instead of turning off like a light with a flick of a switch, your shift in consciousness is reflected in your brain’s electrical activity. While you are awake and alert your brain activity is marked by beta waves. Beta waves are characterized by being high in frequency but low in intensity. In addition, they are the most inconsistent brain wave and this reflects the wide variation in sensory input that a person processes during the day. As you begin to relax these change to alpha waves. These waves reflect brain activity that is less frequent, more consistent and more intense. As you slip into actual sleep you transition through many stages. Scholars differ on how they characterize sleep stages with some experts arguing that there are four distinct stages (Manoach et al., 2010), while others recognize five (Šušmáková, & Krakovská, 2008) but they all distinguish between those that include rapid eye movement (REM) and those that are non-rapid eye movement (NREM). In addition, each stage is typically characterized by its own unique pattern of brain activity:
- Stage 1 (called NREM 1, or N1) is the "falling asleep" stage and is marked by theta waves.
- Stage 2 (called NREM 2, or N2) is considered a light sleep. Here, there are occasional “sleep spindles,” or very high intensity brain waves. These are thought to be associated with the processing of memories. NREM 2 makes up about 55% of all sleep.
- Stage 3 (called NREM 3, or N3) makes up between 20-25% of all sleep and is marked by greater muscle relaxation and the appearance of delta waves.
- Finally, REM sleep is marked by rapid eye movement (REM). Interestingly, this stage—in terms of brain activity—is similar to wakefulness. That is, the brain waves occur less intensely than in other stages of sleep. REM sleep accounts for about 20% of all sleep and is associated with dreaming.

Figure 1. Changes in brain activity or brainwaves across different stages of consciousness – from being awake and throughout various stages of sleep. [Image: Noba]
Dreams are, arguably, the most interesting aspect of sleep. Throughout history dreams have been given special importance because of their unique, almost mystical nature. They have been thought to be predictions of the future, hints of hidden aspects of the self, important lessons about how to live life, or opportunities to engage in impossible deeds like flying. There are several competing theories of why humans dream. One is that it is our nonconscious attempt to make sense of our daily experiences and learning. Another, popularized by Freud, is that dreams represent taboo or troublesome wishes or desires. Regardless of the specific reason we know a few facts about dreams: all humans dream, we dream at every stage of sleep, but dreams during REM sleep are especially vivid. One under-explored area of dream research is the possible social functions of dreams: we often share our dreams with others and use them for entertainment value.
Sleep serves many functions, one of which is to give us a period of mental and physical restoration. Children generally need more sleep than adults since they are developing. It is so vital, in fact, that a lack of sleep is associated with a wide range of problems. People who do not receive adequate sleep are more irritable, have slower reaction time, have more difficulty sustaining attention, and make poorer decisions. Interestingly, this is an issue relevant to the lives of college students. In one highly cited study researchers found that 1 in 5 students took more than 30 minutes to fall asleep at night, 1 in 10 occasionally took sleep medications, and more than half reported being “mostly tired” in the mornings (Buboltz, et al, 2001).
States of Consciousness by Robert Biswas-Diener and Jake Teeny is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Permissions beyond the scope of this license may be available in our Licensing Agreement.