Hypnotherapy and Contractures of the Hand

Hoogduin, Kees; Akkermans, Marina; Oudshoorn, Dick; Reinders, Michel

doi:10.1080/00029157.1993.10403052

Cited by 9 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It may also mimic Dupuytren's contracture a frozen shoulder [22] or a shoulder-hand syndrome [23]. Furthermore claw hands may be seen as a result of a conversion phenomenon [24] or in cerebral palsy or hypopituitarism [25].…”

Section: Discussionmentioning

confidence: 99%

Flexion contractures associated with a malignant neoplasm: ‘A paraneoplastic syndrome?’

Eekhoff

Breedveld

1998

Clin Rheumatol

View full text Add to dashboard Cite

A 71-year-old man developed polyarthritis and, subsequently, severe flexion contractures of multiple joints, particularly the joints of the hands. Eighteen months after developing this disease a parailiacal lymph node metastasis of an unknown primary cancer was found. We suggest that this patient's history, dominated by contractures that resembled the 'palmar fasciitis and polyarthritis syndrome', should be considered as a paraneoplastic syndrome.

show abstract

Section: Discussionmentioning

confidence: 99%

Flexion contractures associated with a malignant neoplasm: ‘A paraneoplastic syndrome?’

Eekhoff

Breedveld

1998

Clin Rheumatol

View full text Add to dashboard Cite

show abstract

“…A multimodal treatment programme including splinting, physiotherapy, psychotherapy and family counselling relieved the contractures in two adolescents with clenched fist (Simmons and Vasile, 1980). Hypnosis and self-hypnosis have been applied successfully by Spiegel and Chase (1980) in one patient with clenched fist and in three out of four clenched fist patients by Hoogduin et al (1993). In a study by Moene et al (2002) hypnotherapy gave no additional improvement in a multidisciplinary treatment programme for conversion disorder of the motor type.…”

Section: Discussionmentioning

confidence: 99%

The Clenched Fist Syndrome: A Presentation of Eight Cases and an Analysis of the Medicolegal Aspects in Denmark

Weis¹,

Boeckstyns²

2009

J Hand Surg Eur Vol

View full text Add to dashboard Cite

Clenched fist is a rare disorder of the hand associated with fixed contractures of fingers. The condition is often preceded by minor trauma or surgery, but these do not explain the severity of the contractures. Extension of the fingers is painful and hygienic problems can be considerable. Psychiatric disease is frequent in clenched fist patients. The patients may express a strong wish for amputations. In a review of eight patients with clenched fist who had claimed economic compensation from the Danish Patient Insurance Association, four patients had amputations. Three of them subsequently developed new contractures.

show abstract

“…For example, suggested catalepsy is used if the patient has no control over muscular movements or movement patterns. In cases of a contraction of the hand, suggestions aimed at relaxation of the arm and hand muscles are combined with the hypnotic suggestion of a balloon being blown up, so that the hand can open and close by itself [44]. Emphasising and praising every occurrence of little (spontaneous) movements is important within this approach.…”

Section: Methodsmentioning

confidence: 99%

A Randomised Controlled Clinical Trial on the Additional Effect of Hypnosis in a Comprehensive Treatment Programme for In-Patients with Conversion Disorder of the Motor Type

Moene¹,

Spinhoven

Hoogduin

et al. 2002

Psychother Psychosom

145

View full text Add to dashboard Cite

Background: The primary aim of this study was threefold: (1) to examine the additional effects of hypnosis aimed at symptom reduction, using symptom-oriented and expression- and insight-oriented techniques in a comprehensive clinical treatment programme for in-patients with a persistent conversion disorder of the motor type; (2) to assess whether the level of hypnotisability was predictive of treatment outcome, and (3) to explore the efficacy of the total clinical treatment programme. Methods: The study population consisted of 45 in-patients between 18 and 65 years of age meeting the DSM-III-R criteria for conversion disorder of the motor type or somatisation disorder with motor conversion symptoms. A randomised controlled clinical trial was undertaken. The primary outcome measures were the Video Rating Scale for Motor Conversion Symptoms, the D(isabilities) code items from the International Classification of Impairments, Disabilities and Handicaps and the Symptom Checklist-90. Measures of the credibility of treatment and patient expectations of treatment outcome were used as manipulation checks. Hypnotisability was measured using the Stanford Hypnotic Clinical Scale. Results: Significant treatment results for all outcome measures were found for the total sample. These effects proved to be clinically significant. The use of hypnosis had no additional effect on treatment outcome. Hypnotisability was not predictive of treatment outcome. Conclusion: A comprehensive treatment programme, either with or without hypnosis, can be worthwhile for patients with long-standing conversion symptoms.

show abstract

Hypnotherapy and Contractures of the Hand

Cited by 9 publications

References 7 publications

Flexion contractures associated with a malignant neoplasm: ‘A paraneoplastic syndrome?’

Flexion contractures associated with a malignant neoplasm: ‘A paraneoplastic syndrome?’

The Clenched Fist Syndrome: A Presentation of Eight Cases and an Analysis of the Medicolegal Aspects in Denmark

A Randomised Controlled Clinical Trial on the Additional Effect of Hypnosis in a Comprehensive Treatment Programme for In-Patients with Conversion Disorder of the Motor Type

Contact Info

Product

Resources

About